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



























            Figure 7. (i) Schematic showing the design of the sweat sensors. (ii) Schematic showing the fabrication steps of the sweat sensors. (iii) Graphs showing the
                                                                           [58]
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            detection Na , K  and Ca  ions and the selectivity of the sensors. (Reprinted with permission from . Copyright (2021) from John, Wiley and Sons Inc.)
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            attempted the fabrication of CNT-based resistive pH   function adequately with heat treatment at only 60°C [113] .
            sensor via AJP and IJP, respectively [73,78,84] . The pH-  Graphene–PLA-based electrodes, on the other hand,
            responsive property of CNT allows the detection of pH   are usually used to produce enzymatic glucose sensors.
            through the monitoring of electrical resistance of the CNT-  The fabrication of these sensors involves certain post-
            based pH sensing electrodes. On the other hand, Fan et al.   processing steps such as polishing, cleaning, and surface
            demonstrated the fabrication of organic electrochemical   activation, and enzyme immobilization. The oxygenated
            transistor (OECT)  that is pH-sensitive on a 3D-printed   groups from the nanocomposite material provides suitable
            PLA substrate . The OECT has a multi-layered       conditions for the enzyme (glucose oxidase) to immobilize
                        [69]
            architecture and contains multiple materials, such as silver   on its surface via crosslinkers such as glutaraldehyde [60,61] .
            conductor and PEDOT:PSS, and it is fabricated through   Other than 3D-printed microheater, temperature
            DIW technique. They found that the performance of the   sensors, pH sensors and glucose sensors, there are other
            sensor is comparable to other devices that are fabricated   types of 3D-printed sensors, such as sweat sensor ,
                                                                                                           [58]
            using microfabrication techniques.                 biomolecule sensor , and DNA sensor [115]  for other
                                                                               [60]
               Glucose sensor is an essential component of glucose   physiological parameters. For instance, Kim  et al.
            monitoring for diabetic patients. It enables on-demand   fabricated a 3D-printed wearable bioelectronic patch that
            triggering of insulin release whenever the glucose level of   allows  in situ sweat electrolyte monitoring purposes .
                                                                                                           [58]
            the patients is at an unhealthy level. So far, there are many   The sweat sensing relies on the DIW-printed ion-selective
            works that have demonstrated using 3D-printed sensors   electrodes  to  detect  the  concentrations  of  Na ,  K ,  and
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            for glucose level detection [60,61,113,114] . Interestingly, most of   Ca ions in the sweat electrolyte (Figure 7). The main
                                                                 2+
            these works involve the use of FFF 3D printing techniques   ingredients of the ion-selective electrodes are sodium
            to fabricate the 3D electrodes. The electrode materials   ionophore, potassium ionophore, and calcium ionophore,
            that have been attempted include copper filament [114] ,   which are the lipophilic complexing agents that reversibly
            graphene–PLA nanocomposite filament [60,61] , and copper-  bind ions. These ingredients are usually incorporated into
            zinc oxide-PVDF nanocomposite filament [113] . Redondo   a membrane before binding to the 3D-printed electrodes.
            et al. found that the 3D-printed copper electrode is very   Other than ions, there is another work that describes
            suitable for non-enzymatic glucose sensing due to their   the detection of biologically-produced molecules such
            high conductivity and high catalytic activity resulting from   as uric acid and nitrite using 3D-printed graphene–PLA
            the porous structure [114] . However, it should be noted that   electrode [116] . They have tested the 3D-printed sensor
            the drawback of the 3D-printed copper electrode is the   with saliva and urine and shown that the sensor exhibits
            high energy consumption as it requires a high sintering   satisfactory linear range, sensitivity, limit of detection.
            temperature of greater than 1000°C. In contrast, Kumar   Another interesting example of 3D-printed sensor is
            et al. demonstrated that the use of copper–zinc oxide-  on DNA  sensing. Loo  et al.  used selective  laser  melting
            reinforced PVDF as nonenzymatic glucose electrode can   printing technology to fabricate a helical-shape stainless


            Volume 9 Issue 4 (2023)                        155                          https://doi.org/10.18063/ijb.725
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