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International Journal of Bioprinting                                             3D-Printed liver model



            Table 1. Properties of the materials used to print the liver model
             Material property       Silicone rubber (structure)  PDMS oil (filler fluid)  PLA (support)
             Color                   Translucent             Red                      Black
             Density (g/cm³)         1.01                    1.00                     1.24
             Viscosity (Pa·s)        410                     100                      N/A
             Shore hardness          A 18                    N/A                      Approximately D 70
             Tensile strength (MPa)  1.10                    N/A                      60
             Elongation at break (%)  400                    N/A                      160
             Printing temperature (°C)  Room temperature     Room temperature         200
             Shear thinning / shape holding  Yes             No                       N/A
             Pot life                Approximately 10 min    Inf.                     N/A
             Cure time               Approximately 24 h      Inf.                     N/A


            Furthermore, preliminary experience of printing a viscous   It was also expected that the liver geometry will require
            fluid into an infill structure has shown to increase viscous   some degree of hard overhang support during printing.
            macroscopic mechanical behavior upon deformation.  A common poly-lactic-acid (PLA) filament was selected
                                                               (Material4Print GmbH & co. KG, Löhne, Germany) for
               Considering these limitations, a 40% gyroid infill
            volume fraction was chosen for the liver model, which   printing the required support structure. The properties of
            would be filled with a viscous but inert filler fluid. This   all used materials are summarized in Table 1.
            material structure is not expected to perfectly mimic the
            mechanical properties of human liver due to technological   2.3. Print settings and slicing
            limitations, but to offer a more realistic—albeit still   The print setup, slicing and G-code generation was
                                                                                                           [44]
            printable—alternative to printing or casting solely out of   conducted in the open-source Prusa Slicer v2.4.2
            silicone rubber, while getting as close to the target elastic   software (Figure  2). The liver model size was linearly
            modulus  (100  kPa)  as  possible  with  the  printer  and  the   downscaled to 33% in all three directions, so that printing
            known single-component printing materials.         the whole object would be possible with a single 55-mL
                                                               cartridge of each material and within a working day. This
               The material chosen to print the shell and infill   downscaled STL file represented the outer shape of the
            structure of the liver model was the softest available single-  liver model. Due to the organic and often overhanging
            component liquid silicone rubber already tested with   shape, a relatively thick contour was desired to ensure
            the  system ,  namely  the  Elkem  AMSil  20101  (Elkem   sufficient sealing against filler fluid leakages, requiring
                     [38]
            Silicones SAS, Lyon, France) . This material starts curing   an approximately 2-mm thick solid shell around the infill
                                  [41]
            upon contact with air, with skin formation within 10 min   structure. To achieve this, the downscaled STL of the outer
            and full crosslinking within 24 h after deposition at room   shape was further offset by 2 mm inwards in Meshmixer
            temperature.                                       to represent the shape of the inner structure of the liver

               The rest of the internal space was filled up with a   model (Figure 2A), occupied by both the infill structure
            red-colored poly-dimethyl-siloxane (PDMS) oil with   and the filler fluid.
            100 Pa·s dynamic viscosity (Optimal Products GmbH, Bad   To enable filling the infill structure with a fluid, the
            Oeynhausen, Germany) . This was chosen as the highest   infill structure was generated and sliced first, then the
                               [42]
            viscosity fluid available at the supplier that could still be   resulting G-code pathways were exported as an OBJ file
            filled into a cartridge to feed the printhead. Preliminary   from Prusa Slicer (Figure 2B). This gyroid geometry was
            experience also showed that the presence of PDMS oil   then smoothened in Meshmixer (Figure  2C), saved as
            does not inhibit the crosslinking of the chosen silicone, as   a standalone STL file and reimported into Prusa Slicer
            long as they are not mixed together. Dark red color was   (Figure  2D). Finally, this gyroid infill geometry was
            chosen to improve visual appearance and was achieved by   overlaid with the original outer shape as a multi-part (and
            mixing 1 w/w% of Silc Pig “Blood” paint (Smooth-On Inc.,   multi-material) object, allowing the assignment of the
            Macungie, PE)  with PDMS oil. It was assumed that this   silicone rubber nozzle to the outer shell and the gyroid
                        [43]
            coloring additive does not have a significant effect on the   pattern, and the PDMS oil nozzle to the cavities within the
            overall mechanical behavior of the PDMS oil.       gyroid infill (Figure 2E). Support structures were generated


            Volume 9 Issue 4 (2023)                         92                         https://doi.org/10.18063/ijb.721
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