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Jang T-S, et al.
                                                                                  [60]
           3D printing techniques. However, there are some drawbacks   and good controllability .
           such as limitation of material type, nozzle condition, and   As mentioned above, piezoelectric or thermal force is used
           natural ability of this process hinder its potential.   to eject liquid drops in DOD printing systems. In piezoelectric
            To date, scaffolds fabricated by nozzle based 3D printing   inkjet printer, the application of external voltage to
           technique show low resolution and poor mechanical   piezoelectric actuator generate pressure to eject droplets
           properties. Compared to laser based 3D printing and   from nozzle. Thermal inkjet printer, which possesses
           droplet based 3D printing technologies, the resolution of   low cost, high print speed, and wide availability, uses an
           nozzle based 3D printing is relatively low. Moreover, the   electrical heating to generate pulses of pressure that leads to
           resolution is dependent on the solid loading or particle size   the vaporization of liquid. Application of air-pressure pulses
           on hydrogel-based composites.  As the hydrogel is extruded   eject small droplets from the nozzle. Heating temperature
           from the nozzle, it does not have the material strength to   is usually in the range from 200 °C to 300 °C, which can
           maintain the structure and result in sagging or collapse   lead to denaturalization of hydrogels or biocomponents in
           of unsupported parts. This phenomenon of mechanical   hydrogels. However, due to the short heating time (~2 μs)
           property deterioration is aggravated during the printing   in the printing process, heating has shown no detrimental
                                                                                                            [61]
           process of scaffolds without the assistance of supporting   effect on the stability of biocomponents in recent studies .
           materials or liquid medium. When the hydrogel materials   Similar to other 3D printing techniques, hydrogel
           possess sensitive biocomponents such as cells or ECM or   scaffolds predesigned by computer modeling are constructed
           growth factor, low printing speed and external pressure   layer-by-layer with deposition materials. And there are a
           on materials may lead to function loss or damage of   variety of material that can be used in inkjet 3D printer.
           biocomponents.                                      These can be categorized in two types by starting materials
            For solving these disadvantages, other improved    on platform as described in the following section.
           and combined nozzle based systems have also been    2.3.1 Inkjet Based 3D Printer with Powder (I3DP-P)
           reported steadily. Multi-head deposition system (MHDS),
           bioExtruder, screw extrusion system (SES), combined   I3DP-P system (Figure 3A) is the representative solid-
           rapid freezing and plotting system, modified plotting   phase rapid prototyping technology. This system can use
           system and porogen-based extrusion system are some of   various materials including ceramic, metals, polymers as
           the novel attempts [51–56] . These techniques were investigated   well as hydrogels [62–65] . The process is a 3-step process. The
           to enhance manufacturing flexibility by increasing the   first step in 3D printing is the spreading of powder onto a
           capability of deposition in accomplishing optimum scaffold   platform with a roller. Second step is the deposition liquid
           requirements.                                       binder from inkjet print head with a 2D pattern onto the
           2.3 Inkjet Printer-based Hydrogel 3D Printing       powder layer by bonding the adjacent powder particles
                                                               together. The final step involves lowering the layer and
           Systems                                             filling the powder on the next layer. This process is repeated
           3D  printing  technology,  also  known  as  additive   until the fabrication process is completed. The unreacted
           manufacturing, originated from 2D inkjet-based printer.   powder with binders can support the bonded structures,
           It was first developed at the Massachusetts Institute   thus no supporting material is needed. Various types of
           of Technology (MIT) in 1993 by depositing liquid    powder such as a single powder, surface-coated powder,
           binder onto a powder bed [57] . Inkjet printer is a non-  and a mixture of different powders are used in this system.
           contact technology which prints droplets of ink onto a   Selection of suitable biocompatible powder and binder is
           material platform. It is composed of a printer head which   the most important part in I3DP-P system.
           possesses liquid binder cartridge and moves in the XY   2.3.2 Inkjet-based 3D Printer with Liquid (I3DP-L)
           plane and a build platform that is movable along the Z
           axis as shown in (Figure 2B).                       There are two types of I3DP-L (Figure 3B). The working
            Inkjet printing process can be divided into two types;   principle of the first type is similar to the I3DP-P system
           continuous inkjet (CIJ) printing and drop-on-demand   but the powder bed is replaced by liquid materials [66] ,
           (DOD) printing [58,59] . In CIJ printing, liquid binder emerges   and the second type is a direct inkjet writing system
                                                                                                  [67]
           continuously from a nozzle to form a jet which breaks up   which generally uses photosensitive resins . In the case
           into droplets by the Rayleigh instability, whereas individual   of the former system, uncrosslinked hydrogels are filled
           droplets are ejected only when electrical signals result   in bed platform which moves along Z-axis and the liquid
           from thermal or piezoelectric effect in DOD printing. Both   crosslinker ink such as calcium chloride are printed
           systems offer droplets ranging in size from 15 to several   from the print head. In direct inkjet writing systems,
           hundred microns. However, DOD printing is preferable for   photosensitive resin ejected from inkjet printer head
           fabricating biological structures of soft tissue engineering   build are constructed by simultaneous curing with light.
           applications due to the reduced possibility of contamination   Compared with I3DP-P, fabricated scaffolds shows high


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