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International Journal of Bioprinting


                                        REVIEW ARTICLE
                                        Robotic-assisted automated in situ bioprinting



                                                        1
                                                1,2
                                        Hui Dong , Bo Hu , Weikang Zhang , Wantao Xie , Jin Mo , Hao Sun *,
                                                                       1
                                                                                                   1,2
                                                                                          1
                                                                                   1
                                        Junyi Shang *
                                                  3
                                        1 School of Mechanical Engineering and Automation, Fuzhou University, Fuzhou 350116, China
                                        2 Fujian Provincial Collaborative Innovation Center of High-End Equipment Manufacturing, Fuzhou
                                        350116, China
                                        3 School of Automation, Beijing Institute of Technology, Beijing 100081, China
                                        Abstract

                                        In situ bioprinting has emerged as a promising technology for tissue and organ
                                        engineering based on the precise positioning of living cells, growth factors, and
                                        biomaterials. Rather than traditional  in vitro  reconstruction and recapitulation
                                        of tissue or organ models, the  in situ technology can directly print on specific
                                        anatomical positions in living bodies.  The requirements for biological activity,
                                        function, and mechanical property in an  in vivo setting are more complex. By
                                        combining progressive innovations of biomaterials, tissue engineering, and
                                        digitalization, especially robotics, in situ bioprinting has gained significant interest
                                        from the academia and industry, demonstrating its prospect for clinical studies.
                                        This article reviews the progress of in situ bioprinting, with an emphasis on robotic-
                                        assisted studies.  The main modalities for  in situ three-dimensional bioprinting,
                                        which include extrusion-based printing, inkjet printing, laser-based printing, and
                                        their derivatives, are briefly introduced. These modalities have been integrated with
            *Corresponding authors:     various custom-tailored printers (i.e., end effectors) mounted on robotic arms for
            Hao Sun
            (sh@fzu.edu.cn)             dexterous and  precision biofabrication. The typical  prototypes based on various
            Junyi Shang                 robot configurations, including Cartesian, articulated, and parallel mechanisms,
            (shangjunyi@bit.edu.cn)     for  in situ bioprinting are discussed and compared. The conventional and most
            Citation: Dong H, Hu B,     recent applications of robotic-assisted methods for in situ fabrication of tissue and
            Zhang W, et al., 2023, Robotic-  organ models, including cartilage, bone, and skin, are also elucidated, followed
            assisted automated in situ
            bioprinting. Int J Bioprint,  9(1): 629.   by a discussion on the existing challenges in this field with their corresponding
            https://doi.org/10.18063/ijb.v9i1.629  suggestions.
            Received: August 28, 2022
            Accepted: September 20, 2022  Keywords: In situ bioprinting; Robot configurations; Robotic-assisted bioprinting
            Published Online: October 28, 2022
            Copyright: © 2022 Author(s).
            This is an Open Access article   1. Introduction
            distributed under the terms of the
            Creative Commons Attribution   Three-dimensional (3D) printing is a technique that deposits and accumulates materials
            License, permitting distribution,                                                            [1]
            and reproduction in any medium,   through computer-aided design and manufacturing to construct physical entities . In
            provided the original work is   the early stages of its technological development, 3D printing was considered merely
            properly cited.             befitting for the fabrication of functional or aesthetic prototypes, and thus the term rapid
                                                                                       [2]
            Publisher’s Note: Whioce    prototyping was often adopted to represent this technique . 3D printing is now used
            Publishing remains neutral with   synonymously with additive manufacturing since its precision, efficiency, reproducibility,
            regard to jurisdictional claims in                                                          [3]
            published maps and institutional   and robustness have been greatly enhanced to the industrial-production level . 3D
            affiliations.               printing simplifies the processing procedure and minimizes the cost of personalized

            Volume 9 Issue 1 (2023)                         98                      https://doi.org/10.18063/ijb.v9i1.629
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