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International Journal of Bioprinting                                  Bioprinting for wearable tech and robot




            of several factors, such as their chemical composition   2.3.2. Microfluidic systems
            that directly affects bioactivity and resorption rates. The   Microfluidics  refers  to  the  science  and  technology  of
            manufacturing process also affects material properties.   systems that process or manipulate small amounts of fluids
            Moreover, the structural integrity and resolution of   using microscale channels.  The interdisciplinary aspects of
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            the  printed  objects  should  be  optimized  to  accurately   microfluidics enable the precise control and manipulation
            replicate the complex internal architectures for effective   of fluidic environments for various applications, including
                                                                        73
            biological integration. 55                         bioprinting.  Additionally, microfluidic systems have been
                                                               employed as delivery systems to facilitate the precise and
               The correlation between materials, bioprinting
            methods, and their corresponding biomedical applications   controlled transport of biomaterials to the printhead of the
                                                               bioprinter for subsequent layer-by-layer fabrication of 3D
            is presented in Table 1.
                                                               biological tissues. Further applications of microfluidics in
            2.3. Machinery                                     bioprinting include the development of gradient materials,
            Compared  to  conventional  additive  manufacturing   where different types of cells or growth factors are precisely
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            equipment, bioprinters require optimization to ensure   positioned within the printed structure.  These gradients
            cell  viability  and  function  while  meeting  the  demands   are essential for mimicking the natural composition of
            for precise and rapid fabrication. Apart from the various   tissues, where multiple cell types coexist in a spatially
            bioprinting techniques (Section 2.1), crosslinking and   organized manner. Microfluidic channels can be designed
            microfluidic systems are also commonly used as hardware   to combine different bioinks in predefined ratios before
            for constructing biological structures.            deposition,  enabling  seamless  integration  of  different
                                                               materials within a single printed construct.  Additionally,
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            2.3.1. Bioprinters                                 microfluidics can be explored for its potential in on-chip
            The evolution of bioprinting technology from basic designs   bioprinting, which holds significant potential in developing
            to advanced, intelligent systems highlights a significant   implantable medical devices. 76
            technological trajectory.  Extrusion-based bioprinters
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            offer a basic yet effective approach for depositing bioinks   2.3.3. Intelligent control
            in a layer-by-layer manner. Inkjet bioprinters complement   Intelligent algorithms can be used to tune the motions of
            extrusion-based bioprinters by providing higher resolution   the bioprinter. By synchronizing the movement of multiple
            patterns but face limitations with viscous materials. SLA-  printheads and modulating printing parameters (e.g.,
            based printers are known for their capability to achieve   speed, pressure, and pathway) in real-time, these systems
            fine resolution and print complex geometries by curing   can accommodate the variable behaviors of various bioinks.
            photosensitive resins with ultraviolet (UV) light, suitable   Among the intelligent methods, machine vision
            for fabricating intricate tissue scaffolds. The capabilities   algorithms, including convolutional, transformer, and
            of  commercial bioprinters have  transformed from basic   graph neural networks, can be integrated into printers to
            mechanical deposition to sophisticated integrated systems   enable real-time monitoring and precise process control. 77,78
            endowed with intelligent features. Bioprinters integrated   By continuously capturing high-resolution images of
            with automation, sophisticated software, and feedback   the  bioprinted  structures  during  the  printing  operation,
            systems enable real-time adjustments during the printing   these systems provide valuable feedback on the accuracy
            process.  These advancements highlight the increasingly   of bioink deposition, supplemented with automatic
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            complex applications in the field of medical science. Some   adjustments of the motion path, speed, and material flow
            of these commercial 3D bioprinters are illustrated in Table 2.  rate. Dynamic corrections using machine vision-based



            Table 1. Materials used for different bioprinting techniques and applications.
             Material                   Bioprinting technique           Applications

             Cells and extracellular matrix   Inkjet ; extrusion 57,58  Bone ; liver ; glands 58
                                                                            56
                                                                                57
                                            56
             components
                                                                              59
             Hydrogels                  Extrusion 59,60 ; inkjet ; laser 62  Cartilage ; neural ; microsphere ; Y-shaped vessel 62
                                                                                             61
                                                                                    60
                                                     61
             Polymers                   Extrusion ; stereolithography (SLA) 64  Cornea 63,64
                                              63
                                                                             65
                                                                                        66
             Nanocomposites             Extrusion 65,66 ; SLA 67        Muscle ; cardiovascular ; heart 67
             Bioactive materials        Extrusion ; SLA 69              Skin ; brain 69
                                                                           68
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            Volume 10 Issue 6 (2024)                        21                                doi: 10.36922/ijb.3590
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