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3D-printing and microfluidics
           printers are able to concurrently print multiple materials.   and  high-resolution  fabrication  of  microfluidic  devices
           A rigid microfluidic device with flexible membranes as   is  highly  coveted.  The  multiscale  3D-printing  must  be
           the  pneumatic  valve  has  been  demonstrated  using  this   able to adjust the printing resolution and printing speed
           approach . Nevertheless, the number of materials that   according to the required specifications.
                  [36]
           can be printed concurrently is small, and they can only
           be printed using the same process. The ultimate goal is to   3. Microfluidics for 3D-printing
           be able to print complex microfluidic devices with many   The relationship between 3D-printing and microfluidics
           types  of  materials,  such  as  a  rigid  plastic  microfluidic   could  go  the  other  way  around.  Microfluidics  could
           chip  with  flexible  membranes,  metal  electrodes,   also  serve  as  the  enabler  of  3D-printing  technologies.
           hydrogel matrix, nanoparticle-packed beds, and magnetic   Extrusion-based 3D-printing is one of the most popular
           composite actuators, all in one go.                 technologies, especially in bioprinting. As the scope of
             To  accomplish  multi-material  printing,  multiple   bioprinting expands, the type of materials to be printed
           printing  processes  must  be  integrated  to  cope  with   becomes  more  and  more  intricate.  New  applications
           different  bonding  mechanisms.  While  plastic  materials   often  require  printing  multiphase  and  multicomponent
           can be printed by extruding molten plastic or crosslinking   materials  that  cannot  be  handled  by  the  conventional
           photopolymer  resins  with  a  low-energy  light  source,   extrusion  printhead.  Microfluidics,  with  its  exceptional
           metal  powders  require  a  high-energy  laser  or  electron   ability to manipulate a small amount of fluids, has been
           beam  to  bond  together.  Furthermore,  the  material   incorporated into the printhead to add a layer of fluidic
           feeding  mechanisms  are  also drastically  different  for   control for sophisticated bioprinting.
           different 3D-printing processes. In FDM, material is fed
           to the extruder in the form of filaments; in SLA, liquid-  3.1. Current Development in Microfluidics-
           resin is kept in a reservoir and reflows after each layer   enabled 3D-printing
           is  printed;  in  inkjet  printers,  liquid  resins  are  feed  to
           the  printhead  through  a  tubing;  and  in  SLS  and  SLM,   As a matter of fact, microfluidic components are employed
           precursor materials in the form powders are loaded into   in inkjet 3D printer, such as MJF, to dispense liquid in the
           a powder bed and spread by a roller after each layer is   form of droplets through microfabricated nozzles. More
           printed. These material bonding and feeding mechanisms   complex  microfluidics-enabled  3D-printing  arises  from
           are  incompatible.  To  realize  multiprocess  printing,  the   the need to print hydrogel fibers with controlled gelation
           partially  printed  parts  need  to  be  transferred  between   and composition. Early solutions employ coaxial flow to
           platforms, and the printing processes must have the ability   extrude hydrogel microfibers with cells encapsulated in
           to resume from the breakpoint. A technique known as the   the fiber core. Ozawa et al. created a coaxial flow system
                                                                                              [53]
           print-pause-print  (PPP)  is  able  to  suspend  the  printing   by cascading tapered capillary tubing . The coaxial flow
           process  for  users  to  add  prefabricated  components   focused the cell suspension in the first capillary into the
           (e.g., electrodes) to the partially printed parts and resume   core of the fiber. The gel matrix precursor was injected
           the printing from the breakpoint to embed these added   from the second capillary to encapsulate the core flow.
           parts within the 3D-printed microfluidic device . This   The  gelling  agent  was  introduced  as  the  sheath  flow
                                                    [49]
           technique points out a possible direction for multiprocess   from the third capillary, crosslinking the gel matrix and
           3D-printing. However, it does not address the challenges   forming a coaxial fiber. Pancreatic β cells encapsulated in
           associated with the cross-platform transfer of the partially   these microfibers maintained their viability and functions.
           printed parts.                                      Similar approaches were demonstrated by several other
             The  quality  of  3D-printed  microfluidic  devices  can   groups. Instead of cascaded capillary tubing, a manifold
           be  significantly  improved  using  ultrahigh-resolution   with  two  orthogonal  inlets  and  a  nozzle  outlet  as  the
           3D-printing technologies such as 2PP. However, it would   printhead  was  used  to  couple  the  gel  matrix  precursor
           be  impractical  to  print  the  entire  microfluidic  device   and the gelling agent into a coaxial flow. The printing of
           solely  using  2PP  due  to  the  extremely  slow  printing   alginate  hydrogel  microfibers  was  demonstrated  using
           speed. In many microfluidic devices, a large portion of   this setup in which the cell-laden alginate was focused
           the device body plays a structural rather than functional   by  the  sheath  flow  containing  Ca 2+[54-56] .  The  manifold
           role, which means a big part of the device body can be   could be replaced by a microfluidic chip with the same
           printed with a fast and low-resolution process. Only the   configuration  and  function [57,58] .  Capillary  tubing  or
           parts that form the microfluidic architectures need to be   needles  were  inserted  into  the  microfluidic  channel  to
           printed with a high-resolution process. These parts contain   generate the coaxial flow.
           microscale structures that directly interact with the fluids;   Microfluidics  has  since  moved  beyond  the  simple
           hence,  their  surface  quality  is  more  critical. Therefore,   coaxial  flow.  In  addition  to  microchannels,  various
           multiscale  3D-printing  that  provides  both  high-speed   types of microfluidic components have been included in

           68                          International Journal of Bioprinting (2019)–Volume 5, Issue 2
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