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     International Journal of Bioprinting
                                        RESEARCH ARTICLE
                                        Development of polycaprolactone grafts with
                                        improved physical properties and body stability
                                        using a screw extrusion-type 3D bioprinter
                                        Su Hee Kim , Se Jun Park , Bin Xu 2,3,4 , Jae Hyup Lee 2,3,5 , Sang Jin An , Misun Cha *
                                                                                                            1
                                                  1†
                                                             1†
                                                                                                 1
                                        1 R&D Center, Medifab Co. Ltd, Seoul 08584, Republic of Korea
                                        2 Department of Orthopedic Surgery, College of Medicine, Seoul National University, Seoul, Republic
                                        of Korea
                                        3 Department of Orthopedic Surgery, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea
                                        4 Department of Orthopedic Surgery, Tianjin Hospital, Tianjin University, Tianjin, China
                                        5 Institute of Medical and  Biological Engineering,  Medical  Research Center, Seoul  National
                                        University, Seoul, Republic of Korea
                                        Abstract
                                        Three-dimensional (3D) bioprinter including screw extruder was developed, and the
                                        polycaprolactone (PCL) grafts fabricated by screw-type and pneumatic pressure-type
                                        bioprinters were comparatively evaluated. The density and tensile strength of the
                                        single layers printed by the screw-type were 14.07% and 34.76% higher,  respectively,
                                        than  those  of  the  single  layers  produced  by  the  pneumatic  pressure-type.  The
            † These authors contributed equally     adhesive force, tensile strength, and bending strength of the PCL grafts printed by
            to this work.
                                        the screw-type bioprinter were 2.72 times, 29.89%, and 67.76% higher, respectively,
            *Corresponding author:      than those of the PCL grafts prepared by the pneumatic pressure-type bioprinter. By
            Misun Cha (cmsbest@imedifab.com)  evaluating the consistency with the original image of the PCL grafts, we found that
            Citation: Kim SH, Park SJ, Xu B,    it had a value of about 98.35%. The layer width of the printing structure was 485.2 ±
            et al., 2023, Development of   0.004919 µm, which was 99.5% to 101.8% compared to the set value (500 µm), indi-
            polycaprolactone grafts with
            improved physical properties   cating high accuracy and uniformity. The printed graft had no cytotoxicity, and there
            and body stability using a screw   were no impurities in the extract test. In the in vivo studies, the tensile strength of
            extrusion-type 3D bioprinter. Int J   the sample 12 months after implantation was reduced by 50.37% and 85.43% com-
            Bioprint, 9(2): 652.
            https://doi.org/10.18063/ijb.v9i2.652    pared to the initial point of the sample printed by the screw-type and the pneumatic
                                        pressure-type, respectively. Through observing the fractures of the samples at 9- and
            Received: June 03, 2022
            Accepted: September 01, 2022  12-month samples, we found that the PCL grafts prepared by the screw-type had
            Published Online: December 20,   better in vivo stability. Therefore, the printing system developed in this study can be
            2022                        used as a treatment for regenerative medicine.
            Copyright: © 2022 Author(s).
            This is an Open Access article
            distributed under the terms of the   Keywords: Three-dimensional printing; Polycaprolactone; Screw extrusion  bioprinter;
            Creative Commons Attribution   Tissue engineering
            License, permitting distribution
            and reproduction in any medium,
            provided the original work is
            properly cited.
                                        1. Introduction
            Publisher’s Note: Whioce
            Publishing remains neutral with   Three-dimensional (3D) printing technology is being researched in the field of
            regard to jurisdictional claims in                           [1]
            published maps and institutional   biomedicine and regenerative medicine . In particular, it is being utilized for the
            affiliations.               realization of implantable medical devices, patient-specific grafts and porous structure
            Volume 9 Issue 2 (2023)                         39                     https://doi.org/10.18063/ijb.v9i2.652
     	
