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
























            Figure 8. (a) 3D-printed rigid and hard stereolithography-printed body with a soft and flexible thermoplastic polyurethane (TPU) blister being 3D printed
            on top. (b) Photo of the hybrid soft and hard multi-material microfluidic pump with fingered power actuation. (Reprinted with permission from [129] .)

            methods of triggering drug release through the use of   delivery system with locally incorporated drug depots,
            special 3D-printed designs. In one such example, 3D   which can be selectively placed within a printed drug
            printing was used to fabricate oral drug capsule, which was   delivery matrix, was fabricated using hybrid 3D printing.
            designed to safely break and release the stored drug under   Vat-based 3D printing was used to fabricate the drug
            the physiological pressures of the antropyloric region in the   delivery matrix, and droplet-based 3D printing was used to
            gastrointestinal tract [127] . This allows for the drug release   deposit the drug depots. This drug delivery system allowed
            to be targeted at that region. The customizability of the   for the customization of the drug release profile as well as
            dimensions and design of the printed capsule through the   multiple drug releases by controlling the position, size and
            use of 3D printing allows for pressure at which the capsule   type of drug depots [131] . The use of hybrid 3D printing in
            will break to be easily changed for other purposes [128] .   smart  drug  delivery  devices,  however,  has  been  limited.
            However, currently the use of 3D printing has mostly been   Hybrid 3D printing has also been applied to the fabrication
            limited to single material or single 3D printing process   of some electronic healthcare devices. However, most of the
            fabrication. This has limited the type of components that   electronic components are not printed but are placed on to
            can be fabricated. A way to overcome this is the use of   the device [132] . These pick-and-place methods of fabricating
            multi-material or multiple different 3D printing processes,   3D-printed electronics devices use the traditional hard
            also known as hybrid or multi-process 3D printing, in a   and  rigid  electronic  components.  By  using  this  method,
            singular fabrication process. Hybrid 3D printing allows for   not only would the customizability of the design of the
            the printing and fabrication of multiple different materials   product be limited, but it would also negatively impact the
            and designs, some of which are difficult for a singular 3D   flexibility and conformity of the devices as the electronic
            process to achieve. This allows for the combination of the   components might delaminate from the substrate [133] . Thus,
            different advantages brought about by using different 3D   3D-printed electronics could be used in order to overcome
            printing methods. The use of different 3D printing methods   such issues. The future trends or direction of the use of
            also allows for materials with drastically different properties,   3D-printed electronics in smart drug delivery devices will
            such as a soft, flexible material and a hard, rigid material, to   be explored in the next section.
            be fabricated into a single product (Figure 8) [129] . This allows   4.2. Future trends in smart drug delivery devices for
            for a higher degree of customization in terms of the design   3D-printed electronics
            and application of the printed part as a greater number of   As discussed in previous sections, flexible electronics
            different materials can be used. The use of hybrid and multi-  has clearly demonstrated rapid progress and its unique
            material 3D printing also allows for more parts of a product   advantages for a plethora of drug delivery applications.
            to be fabricated using 3D printing due to the improved   These features have offered several benefits, such
            customization and freedom in material selection and design.
                                                               as  minimally  invasive  acute  delivery methods  for
               Currently, hybrid 3D printing has some applications in   implantation,  small  size,  easy  manipulation,  enhanced
            traditional drug delivery devices, such as the fabrication of   performance, reduced immune response as well as
            liquid-filled solid capsules using alternating extrusion and   greater compatibility with the in vivo systems. However,
            droplet-based 3D printing [130] . In another example, a drug   a few aspects need to be carefully considered. In case of


            Volume 9 Issue 4 (2023)                        157                          https://doi.org/10.18063/ijb.725
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