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



            typically use material removal methods from a larger block   This is to facilitate the delivery of drugs into chronic
            to fabricate the products, leading to material wastage and   wounds. The thickness of the crust and necrotic tissue of
            increased cost. The layer-by-layer fabrication method of   a chronic wound differs with time, type and stage of the
            3D printing only deposits printing material as needed.   wound. By having customizable length of microneedle, the
            This leads to minimal waste generated from the fabrication   needles could pierce and deliver drugs under the wound
            process. 3D printing has also been used for prototyping or   crust and necrotic tissue. This would help increase the
            testing of product design . As 3D printing can be used for   bioavailability of the drugs within the deeper layers of the
                               [39]
            the fabrication of small quantity of products on demand,   wound, improving the treatment of chronic wounds.
            it allows for prototypes or products with different design   The customizability of 3D printing has also been used
            changes to be easily fabricated. These products can be used   to fabricate specially designed features to be used with
            for  testing  or  for  physical  visualization  of  how  the  final   microneedles for smart drug delivery. In one such example,
            product would be.                                  vat-based 3D printing was used to fabricate a microneedle
                                                                                                      [42]
            2.2. 3D-printed parts for integration with electronics  patch which contained microfluidic channels . The
            3D printing can be applied to smart drug delivery devices   microfluidic channels were connected to a specialized
            which contain electronics in various ways. These includes   mixing channel which would allow for the content flowing
            the use of 3D printing to fabricate different parts, casings   from the different microfluidic channels to mix before being
            or shells which are used with the electronic components   delivered through the microneedles (Figure 1). For the
            in smart drug delivery devices. This section covers 3D   purposes of drug delivery, this would allow the mixing and
            printing fabricated parts that are used for integration with   combination of different drug compounds to be delivered
            electronic components for smart drug delivery. The next   to the patient. The patient would be able to receive multiple
            section will cover casings and shells that are fabricated   different  drug  treatment  simultaneously  without  having
            using 3D printing for containing electronic components in   to go through complicated process of taking several drugs
            smart drug delivery devices.                       separately. Additionally, by controlling the input flow rate of
                                                               the individual microfluidic channels, the final composition
               There are a few different types of 3D-printed parts that
            are fabricated to be integrated with electronic components   of the mixed fluid can be changed. The mixed fluid can
                                                               then be transdermally delivered to the patient through the
            which are used for smart drug delivery. One of them is   microneedle patch attached to the end of the mixing channel.
            3D-printed  microneedles.  These  microneedles  are  often   The 3D-printed microfluidic and mixing channels can also
            used with microelectronic control systems or micropumps   be used for drug testing of different drug compositions for
            in order to control the on-demand release of drugs. In one   development of drug therapies. In another work regarding
            such example, a hollow microneedle array, which could   3D-printed microfluidic channels, 3D printing was used to
            be attached to micro-electromechanical systems (MEMS)   fabricate different microfluidic chips with varying channel
            with integrated electronics and pumps, was fabricated using   geometries and dimensions . Due to the customizability
                                                                                     [43]
            vat-based 3D printing . This allows accurate control of   of 3D printing, the different geometries and designs of the
                              [40]
            the amount of drugs delivered through the microneedles.   microfluidic chips can be easily fabricated. These differently
            The hollow microneedle patch was specially designed and   designed microfluidic chips were used to investigate and
            fabricated using stereolithography. The microneedles were   optimize the use of electrotactic drug delivery for drug-
            designed to have an internal reservoir which is used to store   loaded ionic liquid microdroplets. These ionic liquid
            the liquid drug before distribution through the hollow   microdroplets would then be used for drug delivery.
            microneedles. The patch was also fabricated with a tubular
            opening for connection to the pump. The microneedle   2.3. 3D-printed casing for containing electronics
            combined with the MEMS allows for the controlled   3D printing has also been used to fabricate different casing
            delivery  of  microliter  volumes of drugs  though  a non-  and shells for containing electronics for smart drug delivery
            invasive transdermal route. In another example, hollow   purposes. The customizability of 3D printing allows for
            microneedle patches, which were integrated with wireless   unique design of the casing which would be used to house
            electronic control system and pumps, were fabricated   the components of the drug delivery device, such as the
            using extrusion-based 3D printing . The system is also   drug reservoir, electronic sensors, and triggers. One area of
                                        [41]
            equipped with two separate reservoirs which can be used   applications of these 3D-printed casings is in smart pills. Smart
            to store and deliver different drugs. The wireless electronic   pills use various different types of electronic components to
            system allows for the control and delivery of separate   sense and trigger the release of drugs from the pill. In one
            release profile from the two different drugs. Through the   such example, 3D printing was used to fabricate a pill which
            use of 3D printing, the design of the microneedles, such as   contained a miniature electrolytic pump connected to a drug
            the needle length and spacing, can be easily customized.   reservoir . When the drug is to be released from the pill, the
                                                                      [44]

            Volume 9 Issue 4 (2023)                        147                          https://doi.org/10.18063/ijb.725
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