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International Journal of Bioprinting        Development and characterization of AAMP for hydrogel bioink preparation


              Despite tremendous breakthroughs made in hydrogel   In an active mixer, two syringes loaded with hydrogel
            bioprinting, challenges remain, with achievement   components are placed against each other and connected
            of hydrogel bioink homogeneity being one of them.   by a female-to-female syringe connector. By pumping
            Syringe extrusion is the most used hydrogel bioprinting   the two-syringe system back and forth, the components
            approach, where the hydrogel is first prepared by mixing   would start mixing in the sealed chamber formed by
                                                                                              [25]
            of the monomer, crosslinker, and other additives, and then   the two syringes and the connector . As the back-
            incubated to form the hydrogel, followed by the loading of   and-forth pumping could have infinite number of
            hydrogel into a syringe for subsequent printing . During   cycles, homogeneity could eventually be reached if the
                                                  [15]
            this  process,  homogeneous  mixing and  proper  loading   components  are  non-reacting.  However,  the  gelation
            are crucial to the homogeneity of the final product to be   of hydrogel pre-polymer components adds more
            printed . As the hydrogel pre-polymer solutions are   complexity to the process, and if not mixed fast enough,
                  [16]
            usually highly viscous  and difficult to mix, traditional   gelation would affect the final homogeneity. Therefore,
                              [17]
            vortexing usually works poorly for hydrogel pre-polymer   the pumping is expected to be fast with high pumping
            mixing. The fast gelation kinetics also result in the change   frequency and pumping speed. So far, this approach is
            of viscosity and diffusion coefficients during the mixing,   still carried out by manually pumping the two syringes,
                                                        [15]
            which adds more complexity to the mixing process .   which is not only laborious, but also limited in its
            Moreover,  during  all  the  mixing  and  loading  steps,  it  is   pumping speed and frequency. With the pumping of very
            difficult to avoid formation or trapping of air bubbles .   viscous fluids repeatedly with only thumbs in the span
                                                        [15]
            These factors can greatly hinder the bioink preparation   of a few minutes, one may even be at risk for long-term
            process, resulting in heterogeneous bioink, which, in turn,   ergonomics-based diseases. Moreover, manual operation
            affects the print quality.                         induces human error as the pumping speed can hardly be
                                                               kept constant. All these factors add up to the complexity
              Various efforts have then emerged to address these   of the mixing and gelation process during the hydrogel
            issues so as to achieve a homogeneous bioink. The most   bioink preparation, making it difficult to analyze and
            straightforward approach is to apply powerful mixing   standardize. Therefore, many hydrogel preparation
            apparatus. Different types of mixing apparatus, including   approaches still suffer from batch-to-batch variations [26,27] .
            blenders [18,19]  or agitators, [20,21]  can be used. These powerful   Such variation not only limits the applications of hydrogel
            mixers can achieve fast mixing homogeneity even before   bioinks, but also hinders the theoretical understanding of
            the sol-gel transition begins, so the change in viscosity   the intrinsic gelation process of hydrogels.
            and diffusivity can be negligible. They are also capable of
            batch-processing large quantity of gels due to their large   In this work, we propose an automated active mixing
            form factors. However, these methods are still subject to   platform (AAMP). The AAMP is an active mixer that has
            formation or trapping of air bubbles during the blending   the potential to relieve this variation obstacle. On one
            or on the loading of bioink into the printing syringe   hand, the AAMP frees human labor from the laborious
            barrel. Once the gel is formed, it is relatively difficult to   pumping operation. On the other hand, it allows for
            be transferred from one container to another without   controllable mixing settings, including pumping cycles
            trapping air. To address this, approaches have been   and speed. Such capabilities can help minimize the batch-
            developed to perform the mixing in the format of syringes.   to-batch variation of hydrogel bioinks, as was validated by
            For example, a static syringe mixer was developed with   consecutive successful rounds of homogenous mixing. We
            the brandmark of CELL-MIXER [22-24] . In such static mixer,   also systematically characterized the AAMP performance
            different components to be mixed are loaded in separate   under different parameter settings, including cycle and
                                                                                                2+
            syringes placed in parallel and pushed together through a   speed, using a representative alginate/Ca  hydrogel with
            mixing tip whose outlet is connected to the target syringe.   high-viscosity additives. All experiments were validated
                                                               using colorimetric analysis . We believe, the high
                                                                                      [25]
            The mixing  tip is designed with swirling blades, so that   repeatability provided by AAMP could greatly facilitate
            the components can be thoroughly mixed when passing   the fabrication of hydrogel bioink with high quality, as
            through. As the mixer is static and the mixing is a one-  well as provide more predictable data for theoretical
            time operation, the homogeneity of the mixing depends   study of the gelation process. Furthermore, to validate
            on the length and geometry of the mixing tip. For very   our experimental results and provide more insights
            viscous components, the tip might never be long enough   into the hydrogel gelation study, we also carried out
            to achieve homogeneous mixing.
                                                               COMSOL simulation for the AAMP mixing process. We
              In these cases, another type of syringe-based mixer,   varied mixing cycle and speed in the simulation and the
            referred to as active mixer herein, would be preferred.   outcome matched with experimental results. In addition,


            Volume 9 Issue 4 (2023)                        400                         https://doi.org/10.18063/ijb.705
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