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International Journal of Bioprinting                                       3D-printed bioelectronic devices




            3.2. Non-metallic materials                        Its electrical properties can be further enhanced by
                                                               incorporating conductive fillers such as graphene  and
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            3.2.1. Carbon-based materials                      CNT.  By adding graphene nanoflakes to nonconductive
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            Carbon-based  materials  such  as graphene and  carbon   thermoplastic polyurethane, the electrical conductivity
            nanotubes are electrically conductive nonmetallic   increased to 0.59 × 10  S/m.  Additionally, the
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            materials. Graphene exhibits excellent electrical and   stretchability of PEDOT:PSS can be improved by adding
            thermal conductivities, high light transmittance,   polymer like polyethylene oxide (PEO)  or polyvinyl
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            biocompatibility, and superior mechanical flexibility   alcohol (PVA),  which decreases the interaction between
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            (Figure 2B). 89–91  These properties enable a broad range   the polymer chains and increases the free volume between
            of applications in bioelectronics. Since graphene has low   PEDOT and PSS. The broad utilization of PEDOT:PSS
            solubility in solvents, it is often modified to enhance its   in bioelectronic devices such as biosensors,  stretchable
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            solubility while maintaining its functional properties.   transistors,  temperature sensors,  and soft neural
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            For example, graphene oxide (GO), its oxidized form,   probes  is achieved through tuning the aforementioned
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            and reduced graphene oxide (rGO) are widely used in 3D   parameters. Moreover, PEDOT:PSS can be used in diverse
            printing because their solubility and electrical properties   3D printing methods including inkjet printing,  DIW,
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            can be easily controlled. 91                       and SLA. 110
               Carbon nanotubes (CNT), which are hollow cylinders   PPy exhibits high electrical conductivity and excellent
            rolled from graphene sheets, exhibit remarkable    chemical stability under biological conditions. Due to its
            mechanical, electrical, and chemical properties. 92,93  Their   ability to enhance cell growth and differentiation, PPy
            large surface area and extreme length-to-diameter ratio   has been extensively used as a scaffold material for tissue
            enable the construction of highly aligned structures, which   engineering.  Beyond tissue engineering, PPy has shown
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            is advantageous for enhancing mechanical properties,   great potential in electronic devices such as wearable
            electrical performance  and cell adhesion.  CNT can   flexible electronic sensors,  cardiac patches,  scaffolds,
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            be 3D-printed using diverse methods, including inkjet   and wearable storage devices.  PANI is also a promising
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            printing,  SLA,  and FDM.                          conductive polymer for biomedical electronics owing to its
               Moreover, carbon-based materials are often used as   ease of synthesis, low cost, and tunable conductivity.
            fillers in polymers to improve the mechanical, electrical,   3.2.3. Conductive hydrogel
            and chemical properties of other materials. For example,   Conductive hydrogels have emerged as favorable options
            GO-incorporated polylactic acid (PLA) scaffolds    for biomedical electronic interfaces owing to their soft
            have been synthesized to enhance the structural and   mechanical properties, biocompatibility, and water content.
            mechanical properties to promote bone cell attachment,   Compared to conventional electrode materials, which
            proliferation, and differentiation.  In another study, the   exhibit Young’s moduli several orders of magnitude higher
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            addition of multi-walled carbon nanotubes (MWCNTs)   than those of biological tissues, conductive hydrogels offer
            to polycaprolactone scaffolds significantly increased the   tunability to match the Young’s modulus of the targeted
            electrical conductivity of the scaffold, allowing for the   tissues. 116,117  Especially, ionic hydrogels containing mobile
            application of electrical stimulation (ES) in bone tissue   nanofillers exhibit both high conductivity and tissue-like
            models.                                            softness.  Furthermore, their stretchability and flexibility
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            3.2.2. Conductive polymers                         have led to their application in soft electronic materials.
            Recently, conductive polymers have attracted significant   Conductive hydrogel combined with 3D printing allows
            interest  due  to their  biocompatibility, tunability,  and   for  the  customization  of  electronic  device;  for  instance,
            flexibility. These polymers are composed of repetitive   merging DLP printing technique with a conductive
            monomer units designed to enhance their electrical   hydrogel elastomer assembling process can be applied to
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            conductivity.  Their mechanical and electrical properties   producing customized stretchable conductors.
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            can be easily modified by incorporating other materials.   Conductive hydrogels can also be made using a variety
            The most extensively used conductive polymers include   of polymers including PEDOT:PSS,  PVA,  PPy,
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            poly(3,4-ethylenedioxythiophene) polystyrene sulfonate   polyethylene glycol diacrylate (PEGDA),  and PANI.
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            (PEDOT:PSS), polypyrrole (PPy), polyaniline (PANI), and   These hydrogels can be fabricated using various methods
            polyacetylene.                                     including inkjet printing, SLA, DLP, and DIW.
               PEDOT:PSS     exhibits   high    conductivity,     However, challenges remain in obtaining the desired
            biocompatibility, optical transparency, thermal and   levels of electrical conductivity and mechanical toughness
            chemical stability, and flexibility (Figure 2C). 102,103    while preserving their advantageous properties.
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            Volume 10 Issue 6 (2024)                       100                                doi: 10.36922/ijb.4139
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