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     International Journal of Bioprinting                          Unique characteristics of 3D-printed microneedles
            diagnostics.  In addition to monitoring human health,   microneedles designed for wound management. 11,14,110
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            3D-printed microneedles can be used for the detection of   Moreover, there have been a few studies focusing on
            salicylic acid  and residual pesticides  in vegetables and   effectively controlling drug release in wound management.
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            fruits. In addition to printing technologies such as TPP   For instance, temperature-sensitive hydrogels can detect
            and CLIP, the vast majority of 3D-printed microneedles   whether there is an inflammatory reaction in the wound
            have a stepped surface structure. However, as for surface-  and precisely regulate the targeted release of vascular
            enhanced Raman scattering (SERS) sensors, this stepped   endothelial growth factor (VEGF).  Different wettability
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            surface structure actually enlarges the specific surface area   levels determine the release kinetics, making it possible to
            of the microneedles and improves the sensing performance.   meet the specific biomedical needs of various diseases. 112
               Intelligent responsive microneedles are important for
            on-demand drug delivery or environment-specific sensing   4. Unique benefits and challenges of 3D
            upon stimulation. 98-100  However, hardly any of these types   printing microneedles
            of microneedles were created directly by 3D printing,   3D  printing  is  capable  of  creating  intricate  functional
            probably because most novel intelligent materials are   3D structures that are unattainable through traditional
            incompatible with existing 3D printing techniques.  manufacturing  methods.  Nonetheless,  3D-printed
                                                               microneedles face a number of challenges stemming from
            3.3. Dry electrode                                 the technical limitations of existing 3D printing techniques.
            Dry electrodes  play a crucial role in the acquisition of   This section examines the unique benefits and challenges
            bioelectrical signals such as electrocardiogram (ECG),   associated with 3D-printed  microneedles  in  depth  and
            electromyography (EMG), and electroencephalogram   summarizes in Table 4.
            (EEG). These bioelectrical signals are important for
            diagnosing  and  monitoring  our  physiological  and   4.1. Novel hollow microneedles
            pathological  conditions.  Wet  electrodes  are  unsuitable   The hollow microneedle is a significant improvement over
            for long-term monitoring due to the gradual drying of   the conventional syringe needle. Compared with solid and
            the  conductive  gel.   Griss et  al.   first  introduced  the   coated microneedles, hollow microneedles have superior
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            use of microneedles to detect physiological signals. The   drug delivery capabilities because they can store a larger
            microneedles penetrated the epidermis and were sensitive   amount of drugs within their inner cavities.  Additionally,
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            to human movement. Compared to wet electrodes applied   they can also be used in a reverse manner to extract
            to the skin surface, microneedle electrodes provide   interstitial fluid  and blood,  serving as a  minimally
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            stable long-term signal detection (Figure 5D).  A   invasive means of sample acquisition in health monitoring.
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            3D-printed physiological signal detection sensor known as
            microneedle array electrode (MAE), which preserves skin   Traditional manufacturing methods 1,28,115-119 , such
            integrity, has been proposed.  Researchers have also used   as lithography, laser machining, DRIE, etching, and
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            magnetorheological mapping photolithography (MRDL)   injection molding, can fabricate microneedles with good
            to efficiently produce flexible microneedle electrodes that   physical properties  at  a large scale  and  at low  cost  but
            are more in line with the surface of the human body,    have a number of drawbacks. Traditional methods involve
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            yielding markedly improved electrode–skin interface   complex processes, produce a suboptimal hole quality, and
            impedance (EII) measurement results compared to    are constrained to simple structural designs, limiting their
            ordinary dry electrodes and wet electrodes (Figure 5E).   applicability.
                                                                  In contrast, 3D printing has micron-level resolution
            3.4. Wound management                              and  a  fully  automated  manufacturing  mode,  solving  the
            Microneedles can serve the dual purpose of wound repair   aforementioned challenges. 3D printing not only enables
            and  monitoring  in  wound  management.  In  addition  to   the production of holes with varying morphologies, but
            delivering drugs, creating a stable electric field around   can also produce microneedles with diverse structures,
            the wound  and providing oxygen  are alternative   thus enhancing the diversity and functionality of
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            wound treatment strategies. Indirect indicators, such as   hollow microneedles. 52,120
            temperature, resistance, and pH changes, can also provide
            valuable insights into the wound healing process.  Shao   Traditional manufacturing methods impose restrictions
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            et al.  blended a hydrogel with a new two-dimensional   on  the  shape  and design  of  hollow  microneedles.  In
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            transition metal material, MXene, and 3D-printed it   contrast, when employing 3D printing as a manufacturing
            directly on a microneedle mold. While 3D printing of   platform, researchers can accurately and directly prepare
            microneedles for such applications is relatively uncommon,   microneedles with various aperture configurations based
            traditional methods have been utilized for creating   on prior simulation models. A hollow microneedle created
            Volume 10 Issue 4 (2024)                        70                                doi: 10.36922/ijb.1896





