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International Journal of Bioprinting                                 Fluid mechanics of extrusion bioprinting




               The stability of coaxial streams exiting the dispensing   The combination of microfluidic bioprinting with
            nozzle is crucial for successful bioprinting. Upon exiting   coaxial techniques allows for the fabrication of core–
            the nozzle, biomaterials in both the core and sheath layers   shell fibers with exceptional accuracy and control. 144,145,150
            may experience swelling if the flow exhibits a Weissenberg   Microfluidic devices typically benefit from integrated
            number greater than the  Wi , i.e., corresponding to the   control systems that facilitate on-the-fly switching between
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            onset of extrude swell. Typically, the core flow contains   different biomaterial sources and precise regulation of
            a low-viscosity bioink or Newtonian crosslinker with   flow rates in the channels. Multiple channels enable quick
            minimal swelling. However, if the viscoelastic biomaterial   transitions between different materials or even cell-laden
            in the sheath layer exhibits a high swelling ratio, it can exert   and cell-free filaments. 151
            pressure on the core flow, potentially causing instabilities   While various approaches to microfluidic bioprinting
            and breakup of the core into droplets. To mitigate this,   have been developed, there is still potential for improving
            most coaxial nozzles are designed with the core needle   the efficiency of these processes. A major limitation of
            slightly longer than the sheath needle to protect the core   microfluidic bioprinting is the high shear stress experienced
            flow from the swelling effects of the sheath flow.  by cells within the microchannels, which can reduce cell

            4.1.3. Single-nozzle multi-material heads          viability. One solution to this issue involves creating a
            Continuous  single-nozzle  multi-material  (SNMM)  sheath flow that surrounds the laminar core flow, acting
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            bioprinting is a technique that involves dispensing different   as a protective barrier for the cells.  Although Lee et al. 153
            biomaterials sequentially through a single nozzle.  The   managed to mitigate cell stress in a microfluidic head by
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            SNMM bioprinting head may include a selector valve to   implementing a sheath flow to protect and center the cells
            control  the  printing  of  different  bioinks.   Considering   within the flow, their system did not include micromixers.
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            the internal volume of the head and the diffusion rate of   Furthermore, their study focused on glioblastoma
            bioinks, any change in the flow rate of precursors results   multiforme (GBM) tumor cells, which are less sensitive to
            in a delay in the composition of fiber, proportional to the   stress compared to normal cells. 148,154
            internal volume of the head. Therefore, there is always   Y-chips can be utilized in microfluidic printing to
            a “transition distance” during which the composition   facilitate the feeding of multiple materials into the printing
            gradually shifts from one composition to another. 139–141  head. 148,155  By employing two syringe pumps, bioinks can
               The drawback of single-nozzle methods is that they   be sequentially pushed through two channels connected
            cannot print various biomaterials simultaneously. This can   to a single nozzle. This allows for the fabrication of
            be addressed by using a bundle of capillary nozzles inside   constructs with distinct transitions between different
            the printing head.  Liu et al.  developed a multi-material   constituent materials.
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            bioprinting platform featuring a bundle of capillaries   Figure 10 illustrates various microfluidic chip designs
            inside a single nozzle, each connected to different bioink   used for multi-material bioprinting. 152,156  Design A features
            reservoirs. This setup allows for the continuous deposition   a Y-passage that enables the simultaneous deposition of
            of multiple bioinks from a single nozzle, enabling the   two bioinks. Design B features a switching system that
            creation of heterogeneous 3D constructs using various   alternates  between two bioinks, allowing for  alternating
            biomaterials and cell types.                       multi-material bioprinting. Design C uses grooved-wall
            4.1.4. Microfluidic multi-material heads with      micromixers to blend two or more bioinks together. Design
            separated streams of biomaterials                  D has a serpentine micromixer, suitable for fluid–fluid and
            Microfluidic devices offer precise control over minute   fluid–solid (cell) mixing. Design E employs a sheath flow
            volumes  of  fluids  (10 –10 −18   L)  through  intricately   to protect cells within the core flow by positioning them at
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            designed microchannels with diameters in the tens of   the center, where shear stress is lower. Design F, known as
            micrometers. This level of control allows for superior   the flow-focusing design, regulates the fiber diameter by
            management  of  fluids  in  both  spatial  and  temporal   adjusting the ratio between the core and sheath flow rates.
            domains. Microfluidics-assisted 3D bioprinting utilizes   In designs E and F, coaxial flow of viscoelastic
            microchannels to guide the flow of bioink, enabling precise   biomaterials or Newtonian crosslinkers is employed. Unlike
            control over flow,  switching,  component mixing, 146,147   coaxial nozzles, microfluidic sheath flow or flow-focusing
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            and print resolution.  The integration of a multi-nozzle   chips do not utilize coaxial needles; instead, the core and
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            system in a microfluidic head allows for separate extrusion   sheath flow are regulated by balancing the effective forces.
            paths for each material, which are then combined after   The elastic behavior of viscoelastic biomaterials can lead
            exiting independent orifices to form desired structures,   to complex behaviors inside the flow-focusing microfluidic
            such as multi-layer constructs. 149                chip. In coaxial flow, inertial, viscous, capillary, and elastic

            Volume 10 Issue 6 (2024)                       133                                doi: 10.36922/ijb.3973
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