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Double-network Hydrogels for 3D Printing Ionic Skin
                                A                            B












                                C                              D














           Figure 3. The mechanical properties of double-network (DN) hydrogels tested using conventional compressive and tensile tests. The stress-
           strain curves of (A) compressive and (C) tensile measurements at a strain rate of 0.021 1/s for the gelatin colloidal gel, polyacrylamide
           (PAAm), and gelatin/PAAm DN hydrogels. The hysteresis curves of DN hydrogels on (B) cyclic compressive and (D) tensile loading and
           unloading.

           resolution through 3D printing meanwhile  achieving   the release of shear stress, for which we can compare the
           outstanding gel mechanics through secondary crosslinking   change of the diameters of the injected strands as relative
           based on photo-polymerization of the polymer phase.  to the original nozzle diameter to evaluate the capacity of
                                                               the inks to facilitate precise microfabrication. As a result,
           3.2. Printability of the DN hydrogels               inks containing 10 w/v% colloids showed an expansion
           We further evaluated the printability of the DN hydrogels   rate of ~120% when using a nozzle with a diameter of
           as inks for 3D printing. Typically, we first assessed the   200 μm, which was half to that of the 7.5 w/v% colloids
           injectability of the hydrogel inks by monitoring the   (~240%) (Figure 4C and D). This can be explained by the
           compressive force for the extrusion of the inks using   tendency of the dilute colloidal components to stress-relax
           conventional medical syringes (Figure  4A). It was   after being released from the confinement from the nozzle.
           shown  that  gelatin  hydrogel  in  with  different  colloid   To demonstrate high-resolution printing  using
           concentrations of 5, 7.5, and 10 w/v% can be easily   gelatin/PAAm  DN  hydrogel ink, we fabricated  a
           extruded with a rather low compressive force (<20 N).   connected  circuit  device  using  the  hydrogel  to  form
           In comparison, a higher colloid concentration (15w/v%)   more than 49 patterned sub-units in a 50 mm × 50 mm
           in the inks showed difficulty to extrude the inks out of   area. A nozzle size of 400 μm was used, and resolution
           the nozzle, with continuously increased compressive   of the device  preparation  can reach up to 800  μm
           force up to 35 N. Moreover, images showing the shapes   (Figure 5A and B). Such high-resolution construction of
           of the inks extruded out of the nozzles of the syringes   microarray architecture can allow high-degree sensitivity
           showing  different  flow  patterns  during  the  injection   of the spatial location with the circuit area where pressure
           (Figure 4B). Only inks containing 7.5-10 w/v% gelatin   or deformation was applied. Moreover, we also printed
           colloids still retained a noodle-like shape after injection,   an ear-shape construct using our DN hydrogel ink and
           indicating the formation of stable  flow  during  shear-  observed that  the sharp and rounded corners can be
           thinning process. In contrast, both inks containing lower   precisely fabricated, confirming the fidelity of the gelatin/
           or higher concentrations of gelatin colloids formed drop-  PAAm DN hydrogel-based inks (Figure 5C and D).
           like shapes on injection.  The former condition can be
           related to too dilute colloid concentration to allow fluent   3.3. 3D printed capacitance devices as wearable
           injection, while the latter can be related to too densely   devices using the DN hydrogel
           pack colloidal network that jammed  in the  syringe and
           led to poor injectability. We further observed the inks to   Typically, the hydrogel-based capacitor senses the
           expand when they were extruded out of the nozzle due to   pressure by the change in the relative area of conductive

           102                         International Journal of Bioprinting (2021)–Volume 7, Issue 3
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