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Bioprinting of multimaterials with computer-aided design/computer-aided manufacturing
           Table 2. Consideration factors and comparison between the different file processing methods.

           Intentional spacing    BioSeg file processing                        Conventional file processing
           Consideration factors  Bioprinter’s compatibility issues            Material’s compatibility issues
                                   Axis of movement                             Curing mechanism of build material
                                   Height of platform                           Stability of material prior to curing
                                   Distance between printed model and print head  Interaction between different
                                  Material’s compatibility issues               materials
                                   Curing mechanism of build material
                                   Stability of material prior to curing
                                   Interaction between different materials
           Advantages              Shorten printing duration                   Straightforward process
                                   Greater design of freedom in depositing build
                                   material

           4.2 Left ventricle                                  A

           A model of the heart’s left ventricle is fabricated to
           show the capability of proposed new method for
           realistic bioprinting applications. Based on the file
           segmentation criteria, the current model does not
           require fragmenting the CAD model into smaller
           part  files. The  3D  CAD  images  of  the  structure
           fabricated,  together  with  the  generated  support   B
           structure, are shown in Figure 5.                                        C
             The printed construct was cured under exposure
           of UV lamp before support material removal by
           washing with cold water. The curvature of the left
           ventricle  printed  was present even  without  the
           support structure, as shown in Figure 5C.           Figure  5.  Three-dimensional image of the left
                                                               ventricle  (A) computer-aided  design model
           5 Conclusion                                        with  build  (red)  and  support  (green)  materials
                                                               corresponding with the respective red and green
           Multimaterial deposition is of increasing interest   area  of  printed  construct,  (B)  side  profile  of
           in bioprinting for improving print fidelity in 3D   printed  construct,  (C) curvature  of printed  left
           bioprinting.  Specifically,  the  use  of  build  and   ventricle preserved after support material removal
           support materials has been demonstrated in several   (top view, curvature mapped with red dotted line).
           researches to build engineered tissue constructs
           with structural stability.  The study on support
           material generation and print path optimization is   the printed construct through the formation  of
           of great relevance for bioprinting as demonstrated   chemical bonds between polymer chains (gelatin
           across other additive manufacturing technologies.
             Material  selection is imperative  in a build/    methacrylate).
           support printing setup for building biological        In this paper, we have  also demonstrated  a
           constructs with shape fidelity. Build materials have   proof of concept to highlight the novelty in file
           been chosen to facilitate cross-linking at different   segmentation  for  multimaterial  deposition  in
           degrees.  The  first  degree  of  cross-linking  uses   bioprinting.  This method can be used to fully
           hydrogel with rapid gelation mechanism (sodium      utilize the tool changing capabilities of bioprinter
           alginate and calcium chloride) to provide partial   to print multimaterials  at a reduced print time.
           mechanical  stability  before fully cross-linking   Considerations in terms of machine and materials

           70                          International Journal of Bioprinting (2020)–Volume 6, Issue 1
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