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




            Additionally, inkjet printing offers greater flexibility for   rotary movements are commanded  as angles and linear
            conformal movements over irregular free-form surfaces   motions as lengths. The inverse time mode in the G-code,
            compared to conventional 3D printing technologies. With   widely used in four and five-axis applications, was found to
            inkjet technology being a non-contact method, operating   prevent jerky movements when synchronizing linear and
            at a distance of 1 mm and a typical droplet speed ranging   rotation. In the subsequent step, the generated G-code can
            from 4 to 8 m/s, the inkjet printhead can navigate irregular   be imported into Mach3.
            surfaces with more freedom, unlike FFF, and the need for   Finally, the printing strategy is initiated by mounting
            strict conformal movement can be partly eliminated.   the implant on the two-axis gantry using the handling
               This is followed by the preparation of the printing files   element (Figure 6a-3vii). The printing process starts with
            (Figure 6a-2iii and 2iv). Working with free-form surfaces   material deposition on the nasal surface, followed by a
            presents unique challenges in generating printable files   curing process. The printhead and the UV-LED move at a
            compared to single-curved surfaces. Taking into account   defined z height of approximately 5 mm, while the palatal
            the aforementioned physical limitations of the printing   implant rotates beneath the printing block during the
            block, creating an equivalent image for mapping 2D images   printing process.
            on 3D surfaces requires surface approximation. To address   Following this workflow, a GTR membrane-inspired
            this challenge, we introduced a set of requirements for the   structure was printed on a free-form surface with variable
            hard phase. Specifically, the surface under investigation   topography (Figure 6). To validate our approach, we used
            should exhibit low curvature and minimal deviation from   a patient-specific geometry derived from a fetus for the
            a straight line (l path  ~ l projected ) (Figure 6a-2iii). Meeting these   hard phase. We scaled up the original model by a factor of
            requirements minimizes the impact of surface distortions.   seven to enhance the visual clarity. Figure 6b illustrates the
            In a further step, we  manually generated a point cloud   printing strategy including various key stages: deposition
            representation of the surface. The point cloud undergoes a   of the photopolymer on the nasal palatal surface, displaying
            flattening process by projecting it onto a planar surface and   the distance between the printhead and surface (Figure 6b-
            creating a 2D bitmap (Figure 6a-2iv). The flattened surface   i); the palatal implant being flipped 180° (Figure 6b-ii); and
            serves as a canvas on which an image can be mapped. The   printing on the oral surface of the palatal implant (Figure
            image is mirrored to provide a printable file for the nasal   6b-iii). A total of 10 layers were printed.
            and oral surfaces.
                                                                  During the process, partial nozzle clogging resulted in
               Thereafter, we programmed the printhead movement   the local connection of certain sections within the mesh
            using hyperMILL® software to create the path over the   structures. The initially designed square pore width (w )
                                                                                                            p
            nasal and oral surfaces. The design incorporates a handling   of 800 µm and strut width (w ) of 1500 µm exhibited
                                                                                         s
            element positioned on the lateral part of the hard phase,   transformations to circular shapes (Figure 6c and d). This
            allowing for mounting on the machine (Figure 6a-2v). The   could be attributed to two reasons: (i) the irregular surface
            five-axis capability of our machine allows for automatized   of the hard phase may cause ink spreading before curing,
            printing on the nasal and oral surfaces of the palatal   and (ii) the slow printing speed might also facilitate ink
            obturator in one printing process. In  Figure 6a-2v, two   spreading, contributing to the observed outcomes. The
            trajectories are extracted—one over the nasal area and   printed structures exhibited dimensions smaller than
            another over the oral region. Users have complete freedom   intended, with a deviation of -16.15 ± 18.18% for pore
            in selecting the movement strategy, with the option   width in the printing direction and 1.8 ± 23.37% for pore
            to  program  either  conformal  or  approximate  surfaces.   width perpendicular to the printing direction. Likewise,
            Path planning also incorporates considerations for the   the strut width deviated by -18.05 ± 6.61% in the printing
            acceleration and deacceleration movements of the CNC   direction and -27.79 ± 8.79% perpendicular to the printing
            portal. One significant advantage of our approach is the   direction (n = 10 struts and pores) (Figure 6e).  Table 3
            ability to program printhead paths independently from the   illustrates the printing parameters utilized.
            hardware and control system. Once movement planning   These deviations could be attributed to several error
            is  complete,  it  is translated  into G-code  (Figure  6a-2vi).   sources. When printing on free-form surfaces, aligning
            This transformation is completed using a post-processor   the part and synchronizing it with multi-nozzle printheads
            that converts the programmed movement into machine-  present significant challenges. Achieving precise alignment
            specific coordinates, incorporating commands for the   is crucial for optimal results. Coordinating the triggering
            printhead and UV-LED on/off controls. To ensure smooth   of printheads and setting acceleration parameters adds
            synchronization of simultaneous linear movements of   complexity to the process. Additionally, maintaining a
            the printhead and rotary movements of the hard phase,   constant speed while moving across the free-form surface


            Volume 10 Issue 3 (2024)                       599                                doi: 10.36922/ijb.3189
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