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Mancilla-De-la-Cruz, et al.
           (2) Filament extrusion                              the print nozzle, following which they are dried .
                                                                                                            [10]
           Filament extrusion is the technique of using rollers to feed   Pressure-assisted microsyringes (PAM) are  capable  of
           a solid polymer filament through a chamber with heating   producing  DDDs with  a  combination  of materials  of
                                                                                                   [16]
           elements which melt the polymer filament into a semi-  drugs using multi-head extruders (Table 4) .
           molten state, following which it is ejected from the end of   2.3. Vat photopolymerization
           a nozzle or orifice. Following ejection, the polymer cools
           and solidifies on the substrate, allowing further layers to   Vat photopolymerization can be defined as the process in
           be deposited on top (Table 3) [10,16] .             which liquid photopolymer in a vat is selectively cured
                                                               by light-activated polymerization  (Figure 4). It comes
                                                                                           [9]
           (3) Syringe extrusion                               in four main forms: stereolithography (SLA), 2-photon
           Syringe  extrusion  uses a  plunger-type  system  to  push   polymerization (2PP), digital light processing (DLP), and
           semi-molten materials, such as gels and pastes, through   continuous liquid interface production (CLIP) [10,12,16] .

                         A









                         B                                     C















           Figure 3. (A) Hot melt extrusion; (B) filament extrusion; (C) syringe extrusion.

           Table 3. Characteristics and challenges of filament extrusion
                    Characteristics                                          Challenges
           Method   The filament guided by gears is moved, then it is melted and pushed   For complex geometries, it requires
                    forward through the nozzle orifice .                     printing support structures, which must
                                               [10]
                    HME is the main method for creating good quality filaments   be removed during post-processing .
                                                                                                         [16]
                    containing APIs .                                        The preparation of the filament is tedious
                                [10]
                    Another method of filament preparation is the incorporation of model  because the quality of the final piece
                    drugs by filament swelling in volatile solvent solution of API and   depends on this [10,12] .
                    drying [10,12,16] .
           Material The filaments are made of thermoplastic polymers, such as   Thermoplastic polymers are only used
                    acrylonitrile butadiene styrene (ABS), poly lactic acid (PLA),   due to the heating step [12,16] .
                    high-impact polystyrene (HIPS), and nylon .              Filament extrusion process is not suitable
                                                      [10]
                    This process can produce drug delivery systems with multiple APIs . for the thermolabile APIs [12,16] .
                                                                         [16]
           Quality  The diameter of the nozzle orifice has an impact on the resolution .  The rheology of raw materials can produce
                                                                        A
                    The filament has a big impact in the quality by its attributes, such as constant  inconsistent extrusion patterns [10,11] .
                    dimension, elasticity stiffness, and homogenous drug distribution .
                                                                     [10]
                    As mentioned previously, the resolution depends on different factors.
                    For  example,  Stratasys Company (US)  has the Fortus Printer that
                    works with a layer thickness of 178 or 254 μm, which can achieve a
                    resolution of 250 μm .
                                     [18]
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