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International Journal of Bioprinting                                  Five-axis printer for hybrid 3D scaffolds




            incorporated one or two industrial inkjet printheads into   water-, solvent-, and particle-based inks with different
            robotic arms, while Thalheim et al.  developed a six-axis   viscosities. Ink supply systems, which can be used in
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            robot printer. Shen et al.  developed a five-axis platform   gravity- or recirculation mode, were selected for all inkjet
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            using four single-nozzle printheads, while Gazeau et al.    printheads. In addition, the system is equipped with a
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            presented a five-axis machine, augmented with a printing   self-developed screw extrusion system for highly viscous
            block including four industrial inkjet printheads, for large   materials and a curing module (FireEdge FE400 UV-LED,
            printing applications. Likewise, Urasinska-Wojciket et   Phoseon Technology, United States of America [USA]).
            al. reported a novel  approach to building a hybrid five-  The ultraviolet light emitting diode (UV-LED), positioned
            axis  system  using  extrusion  and single-nozzle  inkjet   on one side of the printing block, enables printing in
            printing  for fabricating components with embedded   one direction. Alignment and inspection cameras were
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            electrical circuitry.                              integrated accordingly, and the printer was placed in a
               With the design, assembly, and configuration of a   safety cabinet. The hardware configuration is depicted in
            prototype  printer,  the  current  work  explores  the  hybrid   Figure 1.
            fabrication of scaffolds on two fronts. Firstly, the printer   2.2. Software configuration
            allows multi-material fabrication of soft phases by   The operation of the system requires the use of different
            combining two different AMTs: (i) 3D piezoelectric multi-  software packages. Mach3, a well-established software
            material inkjet printing and (ii) extrusion printing. The   for stepper motor control, serves as the control hub for
            former  is capable of depositing drops of low-viscosity
            inks in the picoliter range in a spatially controlled   the machine’s motion and reads G-codes stored in NC
            manner in a non-contact approach and is ideal for future   files. The communication with the inkjet printheads is
            biofabrication.  Conversely, extrusion printing is a well-  achieved through a software development kit, providing
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            established AMT for tissue engineering scaffolds and is   control  over  the  different  printhead  families.  An  in-
            especially suited for printing highly viscous hydrogels,   house-developed graphical user interface enhances user
            mimicking the extracellular matrix (ECM). Secondly, the   interaction and enables the loading of pre-sliced STL
            printing module is integrated into a system with five-axis   files  (in  bitmap  format)  and the configuration  of inkjet
            capabilities, which allows printing on curved surfaces to   printing parameters (e.g., waveform, jetting frequency, and
            fabricate hybrid scaffolds of dissimilar materials. Our   temperature of the printheads).
            methodology follows a step-by-step progression through   2.3. Materials
            different levels of complexity by hybridizing soft and pre-  A low-viscosity photocurable resin  (for inkjet printing)
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            fabricated hard phases in three different use cases for   and a high-viscosity amphiphilic peptide hydrogel
            osteochondral and palatal scaffolds printed on planar,   (PuraStat RADA16, 3D-Matrix, France) capable of self-
            single-curved, and free-form surfaces. Our findings could   assembling into fibrils 33,34  (for extrusion printing) were used
            potentially facilitate personalized scaffold fabrication and   as soft-phase materials. WSS 150 (Stratasys Ltd., Israel)
                                                                                      TM
            surpass  conventional  mono-material linear  three-axis   was used as support material for inkjet printing. Substrates
            printing strategies, widening the potential of 3D printing   that resembled hard phases were printed out of PLA
            for the fabrication of hybrid scaffolds.
                                                               fabricated by FFF (Bambu Lab Ltd.) and hydroxyapatite
            2. Materials and methods                           fabricated by lithographic ceramic manufacturing (Lithoz
                                                               GmbH, Austria).
            2.1. Hardware configuration
            A commercially available three-axis computer numerical   2.4. Methodology for hybrid printing and non-
            control (CNC) portal system (High-Z S720T, CNC Step,   planar inkjet printing
            Germany) was augmented with a two-axis rotating gantry,   Sequential hybrid printing is explored through three
            and each axis was coupled to additional stepper motors   different strategies in matching use cases. Pre-fabricated
            to control the rotation angles. Designed originally for   3D-printed parts, exhibiting topologies from planar to
            industrial tasks  like  engraving,  milling, drilling, and   curved surfaces, served as hard phases. The first strategy
            cutting, the three-axis CNC portal serves as the base to   is a hybrid approach that combines inkjet and extrusion
            bear  the  weight  of  the  hardware  components  required   printing on planar surfaces for soft and hard material
            for a fully equipped hybrid inkjet-extrusion printing   interfaces; the second strategy employs multi-material
            system. Our setup incorporates three different families   inkjet printing on a single-curved surface, specifically
            of inkjet printheads (Ricoh MH2820, Ricoh MH5421F,   addressing scaffolds for osteochondral defects; the third
            and Xaar 1003) controlled by driver electronics for the   strategy involves mono-material inkjet printing on a free-
            processing of different materials, including photocurable-,   form  surface  for  palatal defect scaffolds. Each case was


            Volume 10 Issue 3 (2024)                       590                                doi: 10.36922/ijb.3189
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