Page 19 - IJB-6-1
P. 19

Zhang, et al.
           developed .  In  this  manufacturing  system,  light   3 Medical devices
                    [21]
           is reflected onto the photosensitive material in the
           form of a 2D image. When different plane images     A medical device is an important tool that can benefit
           are projected onto the material from different      the patient by helping health-care providers diagnose
           angles, the energy generated by the multi-angle     and treat patients, assisting patients to overcome
           superposition exposure will cause the material to   sickness or disease, and improving their quality of
                                                                  [25]
           converge into the originally designed 3D structure.   life . The 3D printing technology has been widely
           This technology can  be scaled  up to a relatively   applied in fabricating specific medical devices based
           large additive manufacturing volume and is order    on patients’ disease. According to the statistics, the
           of magnitude faster than conventional 3D printing   U.S.  Food  and  Drug  Administration  (FDA)  has
           methods.                                            approved at least 85 3D printed medical devices up to
                                                                   [26]
             To design products with ideal performance, the    2015 . These products including medical models,
           selection of appropriate materials has become an    personalized implants, and functionalized devices.
           important requirement. Materials for DLP printing   3.1 Medical models
           are photosensitive polymers that can polymerize
           from liquid into solid when exposed to light. The   The solid 3D model can remedy the limitation
           physical and chemical  properties of traditional    of medical imaging technology that can only
           photosensitive  polymers  limit  their  applications.   transform the information of patients’ lesions into
           Most of them are incompatible with cells. What is   visual graphics and display them to doctors and
           more, the monomers and its vapors are also harmful   patients. These 3D models are tangible objects that
           to  humans.  Hence,  researchers  have  manifolded   can be operated by hand and can directly reflect
           the materials used for DLP-based 3D printing. Due   patients’ conditions, providing more intuitive and
           to the biocompatibility and good polymerization     convenient  means for clinical  medical  teaching,
           effect, PEGDA and GelMA are widely used inks        diagnosis, and surgical planning. The 3D printing
           for bioprinting. Soon et al. modified silk fibroin   technology provides a method that can use the
           with glycidyl methacrylate to get SF-based bioink-  graphic information  to create  patient‐specific
           methyl  acrylate  (SiL-MA).  This  polymerized      anatomical 3D medical models . So far, a series
                                                                                             [27]
           SiL-MA hydrogel has the characteristics of high     of medical  models have been manufactured  by
           tensile  strength,  which  is  available  to  suture.  In   various  3D printing  technologies,  such as skull,
           addition,  SiL-MA hydrogels produced by DLP         heart, pelvis, blood vessel, and tumor, which are
           3D printing  have  remarkable  biocompatibility,    beneficial to surgery assistance, disease analysis,
           which gives the  hydrogel a broad application       and teaching demonstration [28,29] .
           prospect in the field of tissue engineering . Many    Due to the fast printing speed of DLP‐based 3D
                                                  [22]
           components  can  be  mixed  in  the  liquid  printed   printing, doctors no longer have to wait for long
           materials to obtain functionalized constructs. The   hours to prepare 3D models of patients’ pathological
           addition  of piezoelectric  BaTiO  nanoparticles    organs. In the clinical treatment of various acute
                                            3
           and electric  silver nanoparticles  to ink can give   diseases, such as cerebral  hemorrhage,  cerebral
           the products the functions of piezoelectricity and   infarction, and myocardial infarction, the effective
           electroconductibility,  respectively.  Ceramic  and   treatment  window period is only a few hours,
           glass products can be sintered with printing inks   requiring the doctor to prepare the patient’s surgical
           combining  ceramic  fillers  or  silicate [23,24] .  These   plan  within  a  few  minutes.  On  the  premise  of
           improvements  made this manufacturing  method       ensuring printing accuracy (~100 μm), polymeric
           more competitive in fabricating medical products.   models, up to tens of centimeters, in size can be
             Given the favorable properties of printing        produced  in minutes .  This  characteristic  can
                                                                                   [20]
           speed, accuracy, and materials, DLP 3D printing     meet the time requirement of clinical treatments
           has great value in the rapid fabrication of precision   of  the  above  acute  disease  models.  Compared
           personalized products.                              with other 3D  printing technologies, the DLP

                                       International Journal of Bioprinting (2020)–Volume 6, Issue 1        15
   14   15   16   17   18   19   20   21   22   23   24