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RESEARCH ARTICLE

           Bioprinting of Multimaterials with Computer-aided

           Design/Computer-aided Manufacturing



           J. M. Lee, S. L. Sing, W. Y. Yeong*
           Singapore Centre for 3D Printing, School of Mechanical and Aerospace Engineering, Nanyang Technological University,
           Singapore

           Abstract: Multimaterials deposition, a distinct advantage in bioprinting, overcomes material’s limitation in hydrogel-based
           bioprinting.  Multimaterials  are deposited in a build/support configuration to improve the structural  integrity  of three-
           dimensional bioprinted construct. A combination of rapid cross-linking hydrogel has been chosen for the build/support setup.
           The bioprinted construct was further chemically cross-linked to ensure a stable construct after print. This paper also proposes
           a file segmentation and preparation technique to be used in bioprinting for printing freeform structures.

           Keywords: Three-dimensional bioprinting, Bioprinting, Hydrogel, Three-dimensional printing, Rapid prototyping, Additive
           manufacturing, Computer-aided design, Support structure generation

           *Corresponding Author: W. Y. Yeong, Singapore Centre for 3D Printing, School of Mechanical and Aerospace Engineering, Nanyang
           Technological University, Singapore; wyyeong@ntu.edu.sg
           Received: August 11, 2019; Accepted: January 03, 2020; Published Online: January 22, 2020

           Citation: Lee JM, Sing SL, Yeong WY, 2020, Bioprinting of multimaterials with computer-aided design/computer-aided
           manufacturing. Int J Bioprint, 6(1):245. DOI: 10.18063/ijb.v6i1.245.

           1 Introduction                                      addition,  valves can  be placed  at  the  nozzle  to
                                                               create  droplets  by  regulating  the  flow  of  the
           Bioprinting  can  be  considered  as a  derivative   hydrogel within the syringe .
                                                                                         [18]
           technique  that  has  evolved  from  three-
           dimensional (3D) printing, also known as additive   2 Limitations of bioprinting in forming
           manufacturing [1-3] .  Through computer  assistive   structural stable construct
           technology,  different  bioprinting  techniques  can
                                                                         [19]
           be integrated together for multimaterial printing.   Hydrogels , commonly  used as vehicles  for
           Material  jetting  and material extrusion are two   cell delivery in bioprinting, are high water
           technologies that have been commonly used in        content polymers with hydrophilic polymer
           bioprinting due to the ease of setup. Moreover, these   chains  that  can  be  cross-linked  to  form  3D
                                                                       [20]
           processes are relatively biocompatible as opposed   matrices . Naturally  derived hydrogels, such
           to other additive manufacturing technologies. In    as collagen, gelatin,  hyaluronic acid, chitosan,
           material  jetting bioprinting, biomaterials,  cells,   alginate,  and cellulose,  are used for tissue
           and growth factors are dispensed as droplets [4-7] .   engineering  and in bioprinting [21-23] . However,
           Comparatively, the material extrusion setup uses    the  naturally derived  polymers  have  certain
           a combination of an automated robotic system for    drawbacks including relatively weak mechanical
           controlling platform movement and a dispensing      property,  fast  degradation, and  sometimes  may
           system for deposition of cell-hydrogel constructs   cause allergic reactions [21,23] . Materials that are
           in forms of either  strands or droplets [8-17] . In   used for bioprinting are usually limited by their

           © 2020 Lee, et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License
           (http://creativecommons.org/licenses/by-nc/4.0/), permitting all non-commercial use, distribution, and reproduction in any medium, provided the original
           work is properly cited.
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