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































            Figure 1. (a) The use of a stereolithography 3D printer for fabrication of the microfluidic microneedle and the 3D model. (b) Printed microneedle device
            with three separate microfluidic inlets which leads to a mixing chamber and subsequently to the hollow microneedles. (c) Zoomed-in image of the three
            inlets converge junction. (d) Zoomed-in image of the hollow microneedles. (Reprinted with permission from . Copyright (2019) AIP Publishing.)
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            electrolysis from the pump will cause a membrane to swell,   the device, preventing the device from leaving the stomach.
            pushing the drug from the reservoir out through a nozzle in   The 3D-printed shell of the device is also designed with
            the pill to be released. By controlling the current supplied to the   compartments which allows for the addition of electronics,
            pump, the deflection of the membrane changes, controlling   sensors, and drug reservoirs, allowing for long-term
            the amount of drugs released. 3D printing allowed for the pill   monitoring,  wireless  feedback,  and  drug  release.  After  a
            capsule to be designed and fabricated with compartments   period of time, the arms detach from the device, allowing
            to contain all the necessary parts, such as the pump and   for the device and the arms to pass through the digestive
            the electronic controlling components. In another example,   system. Casings for smart drug delivery devices using other
            3D printing was used to fabricate a capsule for a smart pill   methods of drug delivery have also been fabricated using 3D
            which contains multiple near-infrared (NIR) LEDs . The   printing. In one such example, vat-based 3D printing was
                                                    [45]
            NIR LEDs allow for the tracking of the location of the pill as it   used to fabricate microreservoirs with customizable shape
            passes through the digestive system. The capsule was designed   and volume to operate with a 3D-printed micropump for on-
            with slots into it for placing the LEDs. The slots also contained   demand drug release (Figure 2a) . The entire device was
                                                                                         [47]
            opening to allow for electrical connections. By tracking the   housed in a 3D-printed biocompatible casing (Figure 2b).
            location of the pill, it would allow for the release of the drugs   The scalability, customizable design, and biocompatibility of
            to be triggered at specific areas within the digestive system.   the printed device allows for the device to be implanted into
            This would allow for targeted drug delivery to specific areas   different parts of the body for long-term drug release . In
                                                                                                         [48]
            or for drugs to be released in certain area for increased drug   another example, 3D printing was used to fabricate a flexible
            efficacy.                                          bandage used for drug delivery for wound management .
                                                                                                           [49]
                                                               The patch was designed to contain the wireless electronic
               The use of 3D printing for drug delivery shells allows   control component, the flexible heater and the drug reservoir.
            for the fabrication of specially designed shells. For example,   The flexibility of the patch allows for the bandage to better
            multi-material 3D printing was used to fabricate a gastric-  conform to the wound area, providing better interface and
            resident electronic device . The device was uniquely   conformance to the wound.
                                 [46]
            designed with different materials forming different parts
            to allow for the device to be delivered orally and to reside   2.4. Advantages of 3D printing in the fabrication of
            in the stomach for long periods of time. The joints of the   smart drug delivery devices
            arms of the device were printed with a flexible material,   One of the advantages of using 3D printing for the
            allowing for the stiff arms to be folded in a more compact   fabrication of smart drug delivery devices with electronics
            shape for oral  delivery.  When  the  device  reaches  the   is its ability to fabricate design, which is difficult or
            stomach, the arms unfold. This increases the overall size of   impossible to achieve with traditional fabrication methods.


            Volume 9 Issue 4 (2023)                        148                          https://doi.org/10.18063/ijb.725
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