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International Journal of Bioprinting             3D printing and 3D-printed electronics in smart drug delivery devices



            devices which contains or are designed to be used with   material also causes the initial printed design to have a
            electronics as well as 3D printing fabrication of electronics   lower mechanical strength and be less able to hold its shape.
            that are used in smart drug delivery devices.      Thus, crosslinking of the printed design immediately after
                                                               printing could help to retain the shape.
            2. Applying 3D printing to smart drug                 Vat-based 3D printing involves the use of selective
            delivery devices with electronics                  curing of a vat of liquid crosslinkable material for the

            2.1. 3D printing                                   fabrication of the product. In most vat-based printing, a
            Three-dimensional (3D) printing is a fabrication technique   printing platform is lowered into the vat to the desired
            which uses layer-by-layer deposition to fabricate the final   printing thickness. Light in the desired printing pattern
            product. The 3D printing techniques used in smart drug   or lasers are then shown across the surface crosslinking
            delivery devices can be classified into three main categories   the material forming the design. The platform is then
            based on the method of deposition. These categories are   raised to allow for the liquid material to fill the void for
            extrusion-based, droplet-based, and vat-based 3D printing.  the printing of the  next layer. This  process is  repeated
                                                               until the final product is formed . Examples of vat-based
                                                                                         [32]
               In extrusion-based 3D printing, mechanical force is   printing include stereolithography, digital light processing,
            used to extrude material out through a nozzle. Different   and two-photon polymerization (TPP) [33,34] . In TPP, the
            methods can be used to provide the necessary mechanical   material is cured only at the focal point of a high-power
            force to extrude the material such as pneumatics, screw-  pulse laser. This allows for the fabrication of products with
            based, or mechanical pistons [25,26] . For extrusion-based   nanometer-scale resolution . However, the drawback
                                                                                     [35]
            3D  printing, materials which exhibit shear thinning   of TPP is the scalability of the process for printing larger
            properties are preferred. Shear thinning materials undergo   objects. For vat-based 3D printing, the optical properties of
            a decrease in viscosity under high shear forces. At the   the printing material will affect the interaction between the
            extrusion nozzle, where the material experiences high   material and lasers and change the degree of crosslinking
            shear forces, the material will have a decreased viscosity   of the material .
                                                                          [36]
            allowing  for  easy  extrusion.  After  being  extruded,  the
            high shear force is removed and the increase in viscosity   The 3D printing methods described above are mainly
            of the material allows for it to retain the printed shape .   applied to the fabrication of the non-electronic parts of the
                                                        [27]
            Alternatively, heat can be used to soften the printing   smart drug delivery devices. The applications of the 3D
            material. The heat can be applied at the nozzle or in the   printing methods used for the direct fabrication of printed
            cartridge housing the printing material. When the material   electronics are different. A more detailed description and
            leaves the nozzle, the heat is removed and the material   examples of the 3D printing methods used for 3D-printed
            hardens, holding the printed shape .               electronics will be given in subsequent chapter.
                                        [28]
               For droplet-based printing, micro-droplets of the   2.1.1. Benefits of using 3D printing
            printing or binding material are jetted onto a substrate or   The use of 3D printing for the fabrication of products confers
            material powder bed forming each layer of the product.   several advantages. One such advantage is that the product
            Examples of droplet-based 3D printing include microvalve,   can be highly customizable. As the printing materials used
                                                        [29]
            acoustic wave jetting, thermal, and piezoelectric inkjet .   in 3D printing can be deposited or crosslinked on demand,
            For binder-based droplet 3D printing, binding material   it allows for free-form designs. Thus, the design of the
            is dropped onto a powder bed of the desired printing   product can be customized or tailored to individuals. 3D
            material. After the desired pattern is formed on the layer,   printing also allows for the fabrication of designs which are
            another layer of powder is deposited on top and the   hard or impossible to fabricate using traditional fabrication
            process is repeated . In material-based droplet-based   methods. Due to the layer-by-layer fabrication process of 3D
                            [30]
            printing, droplets of the printing material are deposited   printing, 3D printing can be used to fabricate certain unique
            and subsequently crosslinked. This can be achieved   designs which cannot be done by traditional fabrication due
            through deposition of the printing material into a pool of   to design restrictions . The fabrication of unique designs
                                                                                [37]
            crosslinking material or the crosslinking can be achieved   also applies the internal designs of products, known as the
            after deposition through methods such as UV crosslinking.   infill. By customizing the infill of a printed item, different
            The use of micro-droplets to form the final product allows   infill designs can be fabricated. Different infill designs can
                                                [31]
            for a higher resolution of the printing design . However,   affect different properties of the printed item such as weight,
            due to the need for a lower viscosity in order to form the   mechanical strength, diffusion rate, and density . Using
                                                                                                      [38]
            droplets, the types of material which can be printed using   3D printing to fabricate the product also greatly reduces the
            this method are limited. The lower viscosity of the printing   amount of material waste. Traditional fabrication methods


            Volume 9 Issue 4 (2023)                        146                          https://doi.org/10.18063/ijb.725
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