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Commercialization of bioprinting technology
             Such technical solutions  could be used for       The bioprinting process is carried out with high
           chronic wounds such as diabetic, venous, and        precision and can be conducted from various
           pressure ulcers and burn wounds that affect over    angles.  Moreover, the computer  vision system
           7 million patients in the United States with an     brings adaptability  to the system, allowing us
           annual treatment expenditure of US$ 25 billion .    to use it on various wounds and defects without
                                                        [11]
           Globally, this statistic increases to 11 million injuries   additional reconfiguration of the software, while
           per year. Chronic, large or non-healing wounds      IR proximity sensors ensure trajectory adjustment
           are especially costly because they often require    for breathing and other physiological processes. In
           multiple treatments; for example, a single diabetic   situ bioprinting will allow to print structures with
           foot ulcer can cost approximately US$ 50,000 to     small (300 µm) pores, which help maintain optimal
           treat. Full-thickness skin injuries are a major source   temperature  and humidity  inside  the  healing
           of  mortality  and  morbidity  for  civilians,  with  an   wound, thereby speeding up the healing process
           estimated 500,000 civilians who were treated for    and lowering the incidence of complications.
           these injuries in the United States each year [12-15] .  However, it also has some disadvantages (not
             Bioprinting technology could also be used         only technological ones) such as bioprinters, cell
           for military  purposes. For example,  for military   material and biomaterials of substrates (scaffolds)
           personnel, burn injuries account for 10 – 30% of    registration  for their  use in clinical  practice,
           combat  casualties  in  conventional  warfare.  US   clinical  and  pre-clinical  trials,  and  intellectual
           company nScrypt partnered with the U.S. Military    property registration. Nevertheless, we see positive
           in the Uniformed Services University 4D Bio3        changes in approaching the idea of printing tissues
           Program to develop a special bioprinter for point-  and organs, not just scientific publications.
           of-care bioprinting in unexposed conditions . It
                                                     [16]
           is possible that this program will bioprint meniscus   3 Space bioprinting
           from live cells and hydrogel-based scaffolds.
             Economic impact on potential markets of  in       As we divined in our previous review, commercial
           situ bioprinting could be considered as following:  companies  started  to provide B2S (business-
             The global wound care market is estimated to      to-science)  services of conducting experiments
           reach US$ 25 billion by 2024 (Wound Care Market     for research institutions  on the international
                                                                                  [17]
           by Product, Research and Markets, 2019).            space  station (ISS) . Commercial  companies,
              We are targeting the following segments:         such as 3D Bioprinting Solutions, Techshot, and
           •  Skin  grafts  for  patients  with  post-operative   nScrypt, have set series of experiments in space.
              defects after removal of skin tumors or diabetic   Interestingly,  for  these  experiments,  bioprinting
              ulcers                                           technology  was used  not  only  for  regenerative
           •  Plastic surgery applications                     medicine  purposes but also for other research
           •  Orthopedic surgeries                             purposes, such as:
           •  Military  and  civilian  field  surgery  for  burn   •  Bacteria behavior in space study
              victims.                                            Conventionally, genetic  antibiotic  resistance
             We  estimate  that  the  skin  bioprinting  market   research is carried out on 2D cultures on earth.
           will reach around US$  1 billion by 2024 (3D           However, such experiment  design  ignores
           Bioprinting Market Report, Roots Analysis, 2014).      the fact that bacteria in living organisms tend
             A further US$ 130 million is the estimated size      to form 3D biofilms, which have the unique
           of the cartilage bioprinting market by 2024.           phenotypic antibiotic  resistance, due to the
             Since in situ, bioprinting has a lot of advantages   fact  that  antibiotic  molecules  do not  diffuse
           as automatization of the application process that      into the full volume of a biofilm.
           allows to create  multi-layered  constructs (of     •  Protein structure modeling in space
           complex geometrical shapes) made of configurable       There is a lot of interest in structure prediction
           hydrogel solution with autologous patient  cells.      as a  screening  process for proteins  that  are

           64                          International Journal of Bioprinting (2020)–Volume 6, Issue 3
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