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     3D-printing and microfluidics
           microfluidics  has  been  studied  extensively.  Numerous   was sheared into the discrete volume by another liquid,
           mixing  strategies  have  been  developed  specifically  for   resulting in a train of droplets in the microfluidic channel.
           microfluidics.  Designs  of  microfluidic  mixers,  both   Li et al. used a droplet microfluidic device as the printhead
           passive  and  active,  have  been  incorporated  into  the   to print hydrogels with embedded liquid droplets . The
                                                                                                        [64]
           extrusion  printhead  to  homogenize  multiple  bioinks.   printhead  used  the  resin  to  shear  the  aqueous  solution
           Serex et al. developed a 3-inlet microfluidic printhead .   into droplets. Authors demonstrated the printing of self-
                                                        [51]
           Materials from the inlets merged in the outlet channel.   healing  polymer  using  this  approach.  When  damaged,
           Various microfluidic components could be added to the   the embedded droplets at the damaged surface released
           outlet  channel  for  different  purposes.  To  promote  the   chemical agents to repair the fracture. Visser et al. also
           mixing, a herringbone structure was added to the surface   used  droplet  microfluidics  for  bioprinting .  Instead  of
                                                                                                  [65]
           of the outlet channel. As the materials traveled down the   generating  droplets  in  a  microfluidic  channel,  a  piezo-
           outlet channel, the herringbone induced chaotic mixing   actuated dispenser ejected droplets of hydrogel precursor
           and  homogenized  the  mixture  before  extruding  it  for   in the air which later ran into a liquid stream of crosslinker
           printing  (Figure  4C).  Ober  et  al.  studied  a  propeller-  that was also ejected in air. The hydrogel beads generated
           based active mixer for the printhead . As materials from   by the free-space droplet microfluidic system were used as
                                         [62]
           different inlets entered the mixing chamber, the propeller   the building block for bioprinting.
           efficiently  homogenized  them  in  low  volumes  over  a
           short timescale. Using this approach, the authors printed   3.3. What is Next for Microfluidics-enabled
           a  structure  with  a  fluorescent  concentration  gradient   3D-printing?
           obtained by mixing inks at different ratios.        The  incorporation  of  microfluidic  technology  in  3D
             Microfluidics  also  enables  a  range  of  unique  fluidic
           operations, which leads to unique 3D-printing strategies.   printing  could  potentially  disrupt  the  current  norm.
                                                               Fluidic  operations,  such  as  mixing,  sorting,  and
           Microfluidics  is  well  known  for  its  capability  of  high-
           degree  parallelization  which  has  been  explored  for   hydrodynamic  focusing,  can  be  further  explored  to
                                                               promote  the  development  of  new  3D printers  or  even
           high-throughput  printing.  Hansen  et  al. developed a   hybrid 3D-printing process.
           printhead with a multi nozzle array for parallel printing   Advances   in   microfluidics,   particularly   the
           (Figure 4D) . Bioinks were introduced to the printhead
                     [52]
           from a single inlet which bifurcated several times, forming   development  of  new  microfluidic  modalities,  would
           up  to  64  outlet  channels  and  nozzles.  The  bifurcating   also  bring  new  opportunities  to  3D-printing. There  are
                                                               many  types  of  microfluidic  systems  in  addition  to  the
           microfluidic network ensured that the extrusion rate at all   conventional  closed-channel  microfluidics.  In  a  way,
           nozzles was the same. This printhead could significantly
           improve the printing speed of tissue engineering scaffolds,   3D-printing  is  analogous  to  building  construction.  The
           which usually consisted of a large number of repetitive   current  extrusion-based  bioprinting  is  equivalent  to
           structures. Composite materials were often printed with   pouring  concrete  on  site.  However,  buildings  could
                                                               also  be  constructed  with  precast  modular  blocks  so  is
           multiphase inks composed a liquid-phase resin and solid-
           phase  particles.  Microfluidic  components  were  added   3D-printing. Instead of curing the ink in situ, inks can
           to the printhead to pre-condition the multiphase ink for   be pre-shaped into standard modular blocks, and the 3D
           printing.  One  such  operation  was  to  concentrate  the   construction is accomplished by moving these modular
           particles. Serex et al. added a passive crossflow filter to   blocks to designated locations. Take digital microfluidics,
           the  microfluidic  printhead,  which  removed  liquid  from   for  example,  digital  microfluidics  manipulates  discrete
           the ink as it moved toward the nozzle, leading to a high   droplets  on  an  open  surface  with  a  large  degree  of
           concentration  of  particles  in  the  extruded  ink .  The   freedom.  It  provides  an  excellent  tool  to  prefabricate
                                                    [51]
           particle  concentration  could  also  be  realized  with  an   discrete building blocks as well as a means to remotely
           active concentrator. Collino et al. incorporated an acoustic   actuate  these  building  blocks.  For  example,  magnetic
           wave generator to localize the particles in the microfluidic   digital  microfluidics  manipulates  droplets  by  a  magnet
           printhead . When particles were localized to the center   through the magnetic particles added to the droplet. It has
                  [63]
           of the channel, liquid on both sides was removed by side   the ability to move droplets across platforms in 3D with
           channels, concentrating the particles to the central channel   the assistance of surface modifications. Magnetic digital
           for  printing.  The  same  strategy  was  used  to  distribute   microfluidics  could  be  applied  to  the  manipulation  of
           particles  along  the  print  line.  Particles  with  different   precast hydrogel blocks for 3D construction.
           morphologies  would  respond  differently  to  the  acoustic   4. Conclusion and Future Perspective
           wave, hence were localized to different positions along the
           microfluidic channel. Droplet microfluidics was a special   In this work, we take a critical look at both 3D-printed
           type of microfluidic system in which one of the liquids   microfluidics  and  microfluidics-enabled  3D-printing
           70                          International Journal of Bioprinting (2019)–Volume 5, Issue 2





