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International Journal of Bioprinting                              Biocompatible materials and Multi Jet Fusion



            with high interconnectivity for tissue regeneration .   a uniform graft. We hypothesized that the screw extrusion
                                                        [2]
            Polycaprolactone (PCL), which is approved by the United   method of 3D printing could produce a structure with
            States Food and Drug Administration for internal use in   excellent physical and mechanical properties as it would
            the human body, is the most widely used 3D printable   prevent the deterioration of the thermal properties of the
            biomaterial. PCL has not only excellent biocompatibility,   polymer and enhance the ejection force. In addition, it is
            but also superior mechanical properties and printability [3,4] .   expected that the screw method with a constant rotational
                                                               force without pressure fluctuations, such as those in the
               Gao et al. developed tissue engineered whole-segment
            trachea using 3D printing technology. The intact tracheal   pneumatic method, would realize the manufacturing of
                                                               high-quality products with high uniformity. In this study,
            scaffold composed of biodegradable PCL and chondrocyte   a screw-type 3D bioprinter was developed and a PCL graft
            suspension was implemented, which exhibited good   was fabricated using the bioprinter. Physical, mechanical
            cartilaginous properties both in vitro and in vivo [5,6] .   properties, and in vivo performance of the developed final
            Temple et al. attempted to fabricate anatomically shaped   product, the PCL graft, were evaluated.
            vascularized bone grafts with human adipose-derived stem
            cells  and  3D-printed PCL  scaffolds.  They  implemented   2. Materials and methods
            complex geometry using 3D printing and suggested that
            it can be applied to craniomaxillofacial bone defects as   2.1. Development of a screw extrusion 3D bioprinter
            essential components of functional bone tissue .   Based on the specifications of the 3D bioprinter defined
                                                 [7]
                                                               as follows, the equipment was designed and then
               Although 3D printing structures have been developed   manufactured, a  system  in  which the  x-axis  and  y-axis
            for the regeneration of various organs as described above,   can move independently. A NEMA17 motor was used for
            they still have some limitations. One of them is mechanical   the x-axis, and a NEMA23 motor was used for the y-axis
            properties. The 3D printing structure is manufactured by   because the load was larger than that of the  x-axis. A
            stacking layers, and structural stability varies depending on   linear motion guide with low deviation and withstanding
            the adhesive force between the layers. Xia et al. explained   a large load was used for the driving part. For the use of
            that due to the time gap intervals between depositions,   the thermoplastic polymer, a 24 V ceramic cartridge heater
            the bond strength decreases due to lack of intermixing .   capable of heating to a high temperature was used. A 100K
                                                        [8]
            In addition, since it is difficult to print high-viscosity   thermistor was used to measure the temperature. A gt2 belt
            biomaterials, there is a limit to the implementation of a   was used as the transfer method, which has a high output
            graft having high strength [8-10] .                speed, and the minimum movement interval is 12.5 µm.
               For this reason, various researchers have been studying to   Non-cytotoxic stainless steel was used for the barrel and
            improve the mechanical properties of 3D-printed structure.   screw, which are parts that come in direct contact with
            Xia et al. applied a cementitious paste at the interface to   the biomaterial.
            strengthen the interlayer bonds . Olubamiji et al. reported   2.2. Fabrication of PCL graft
                                     [8]
            that  they modulate  mechanical behavior of  3D-printed   The raw material used in this study was PCL (Purasorb PC
            cartilage-mimetic PCL scaffolds. They optimized the   12, Purac Bio-chem bv, the Netherlands). It has average
            properties suitable for human articular cartilage by   molecular weight of 105,000. Porous grafts were fabricated
            controlling the molecular weight and pore geometry of   by screw extrusion-type 3D bioprinting (Organocube
            the material, and explained that their technology has great   Mini, Medifab, Republic of Korea) and compared with
            potential for cartilage tissue engineering .       pneumatic pressure-type 3D bioprinting. The PCL
                                            [11]
               In addition, there are studies to improve mechanical   grafts (Husteon Mesh, Medifab, Republic of Korea) were
            strength by introducing composite materials. Jiao et al.   fabricated in various sizes and thicknesses, and the printing
            improved  the  mechanical  strength  by  combining   conditions are as follows.
            hydroxyapatite  (HA)  with  PCL.  They  prepared  by  melt
            blending the  ceramic and polymer, and then printed   Table 1. Printing conditions
            with fused deposition modeling method. This graft had   Parameters                      Conditions
            higher tensile strength than pure PCL. They appealed
            that the bioactive nano-HA/PCL composite scaffolds   Temperature                        100°C
            should have broader application prospects in bone tissue   Speed of nozzle movement     10 mm/sec
            engineering [12,13] .                               Distance between the layers         500 µm

               We tried to improve the mechanical properties and   Width of layers                  500 µm
            structural stability of the 3D structure and to manufacture   Direction of layers       60, 0, -60°


            Volume 9 Issue 2 (2023)                         40                     https://doi.org/10.18063/ijb.v9i2.652
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