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International Journal of Bioprinting                                 Fluid mechanics of extrusion bioprinting




            and survivability. Several factors affect cell survival and      De = 1 – exp (–a τ )        (VII)
                                                                                      - b 2
                                                                                      2
                                                                                       e
            viability in extrusion printing, including the viscosity of
            the bioink, the pressure used to extrude the bioink, the   –
            size of the nozzle, and the printing speed.  In addition to   where τ  is the magnitude of shear stress at the dispensing
                                             1,64
                                                                        s
                                                                                                –
            shear stress, cells also experience extensional stress during   needle with an exposure time of t , and τ  represents the
                                                                                                 e
                                                                                           s
            the bioprinting process, which plays a crucial role in   average extensional stress. The model parameters of a, b,
            determining their overall viability. 63,66,67  Extensional stress   and c for Schwann (RSC96) and myoblast (L8) cell lines,
                                                               as identified,  are listed in Table 2. Cells are exposed to
                                                                         66
            arises due to the abrupt change in velocity experienced   extensional stresses as they pass through the contraction
            by the cell suspension as it passes through the contractive   region of the nozzle at the needle entrance within a
            region of the needle (Figure 3). Compared to shear stress,   relatively short time compared to their exposure time to
            extensional stress can cause more severe damage to   shear stresses. Therefore, exposure time is not included in
                63
            cells.  Therefore, it is important to examine both shear   the cell damage law for extensional stress effects.
            and extensional stresses when studying the relationship
            between cell damage and the bioprinting process. 63,68,69  By focusing on shear stress as the main cause of cell
                                                               damage (in comparison with compressive stresses), a
               Figure  3 illustrates the stresses exerted on cells and   cell damage law based on one independent variable, i.e.,
            cell deformation as they enter and then pass through the   pressure work (W ), was developed: 73
            needle of a chamfered nozzle. Given the parallel flow inside     p
            the cylindrical needle (i.e., the Poiseuille flow ), the shear      D t = D max + (D max – D 0)exp (–a pW p)  (VIII)
                                                70
            stress inside the needle can be calculated by
                                                                  Pressure work is a combined index to indicate the
                               r   ∆ 
                          τ =       P             (III)   accumulated energy of the flow pressure as bioink passes
                            s
                               2
                                  L                        through the needle. 73
               where  DP is the pressure drop in the needle, and  r          W =  1  ∆ P AL
            and L are the radius and length of the needle, respectively.       p  2  n                    (IX)
            Cogswell  proposed a relation to calculate the average
                   71
                                      –
            extensional stress a magnitude  τ  based on the pressure   where A denotes the dispensing nozzle cross-sectional
                                       e
            drop DP  at the nozzle entrance region,            area, and DP  is the total pressure drop in the nozzle with
                                                                         n
                   en                                          a total length of L (Figure 3);  D max  and  D  are reference
                                                                                                 0
                                                               measures as maximum DCR and DCR value at the needle
                            3
                        τ e = ( n + ) ∆1  P            (IV)    entrance (the contraction region);  a  is the parameter
                                                                                              p
                            8         en                       that governs the cell sensitivity to pressure. While the cell
                                                               damage model of Han et al.  has not considered extensional
                                                                                    73
               where n is the power-law index of the fluid. While the   stress as an effective factor, its results are validated in a
            analysis  indicates that Cogswell’s relation  is not accurate   wide range of bioprinting conditions.
                                             71
                  72
            for high nozzle convergence angles, it has been widely used   While various studies have demonstrated that cell
            for estimating the extensional stress due to its simplicity.   damage  increases  with the printing  pressure  for  a given
            The most accurate method for calculating extensional   needle diameter, 63,73,75  the influence of needle diameter
            stress involves measuring the extensional viscosity   on cell damage varies, presenting two different scenarios.
            (Section 3.3.3).                                   For a given printing pressure, Han et al.  and Ning et al.
                                                                                                            63
                                                                                               73
               A previous study  used the Cogswell relation for   revealed an increase in cell damage with the needle
                             63
                                                                                                   75
            extensional stress to formulate their empirical cell damage   diameter (Scenario 1). In contrast, Li et  al.  reported a
            law as follows:                                    decrease in cell damage with needle diameter (Scenario 2).
                                                               Chirianni  et  al.   proposed  a  generalized  version  of  the
                                                                            74
                                                                                         73
                        Dt = De + (1 – De)Ds           (V)     cell damage model Han et  al.  that can predict both
                                                               scenarios by defining equivalent pressure work based on
               where  D   denotes  total  damaged  cell  ratio  (DCR),   the equivalent nozzle area. They also added the effect of
                      t
            with D  and D  representing DCR values originating from   extensional stresses to the cell damage model by replacing
                 e
                       s
            extensional and shear stresses, respectively :     the constant D  with a non-constant term, describing the
                                              63
                                                                           0
                                                               cell damage at the entrance of the needle where the cells are
                        Ds = 1 – exp(–a τ 1 t 1 )      (VI)    exposed to extensional stresses. 74
                                   b
                                     c
                                  1 s  s
            Volume 10 Issue 6 (2024)                       120                                doi: 10.36922/ijb.3973
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