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3DP PEEK implants for chest wall reconstruction
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           Figure 3. Bionic costal cartilage made of PEEK. (A) Design of wavy elastic structure; (B) 3DP PEEK wavy structure; (C) FEA results
           of different wavy structures; (D) bending test of the wavy structure; (E) tension test of the wavy structure; and (F) the comparison of the
           uniaxial stress-strain relationship between the adjustment range of the wavy structures and natural costal cartilages in tensile tests .
                                                                                                        [38]
           to melting point and denaturation temperature of PEEK   properties of PEEK materials are significantly affected by
           material.  Some 3DP equipment with high temperature   the thermal history of the materials (Figure 4B). A heat
           (above the melting point of PEEK) print head can print   insulation cover (Figure 5A-C) could be added near the
           PEEK filaments, which can come from Apium Corp. in   3D printing head nozzle to improve the local environment
           Germany, Jugao Corporation in China, etc.           temperature near the nozzle, thus improving the uniformity
               However, the time  for this technology  to process   of  the  temperature  field  in  the  process  of  printing  to
           PEEK products is relatively short, and further theories and   improve the ultimate strength and crystallinity of PEEK
           results are still needed to prove it . However, there have   materials, and the experimental results showed that under
                                      [71]
           been corresponding studies on the mechanical properties,   the optimal process conditions, the maximum  tensile
           tensile properties, and thermal processing conditions of   strength could reach 75 MPa, and the maximum bending
           printed PEEK products [66,40] .                     strength can reach 120 MPa (Figure 5D-F) . Different
                                                                                                    [68]
           3.2. Crystallization and mechanical properties      ambient temperatures can obtain PEEK material parts with
                                                               different crystallinity and mechanical properties in the 3D
           regulating                                          printing process. Using the printing room temperature of

           As a semi-crystalline polymer material, PEEK’s crystal   140°C combined with post-printing annealing treatment
           zone proportion is called crystallinity. The mechanical,   (160°C  for  30  min,  followed  by  200°C  for  2  h)  can
           physical, and chemical properties of the crystal zone or the   improve  the  crystallinity  and  mechanical  properties  of
           amorphous zone are vastly different. The crystallization   PEEK material  manufactured  by FDM,  and its tensile

           228                         International Journal of Bioprinting (2022)–Volume 8, Issue 4
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