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International Journal of Bioprinting        Guide about the effects of sterilization on 3D-printed materials for medicine











                  Figure 2. Prealignment between a MED610 control tensile (gray) and a MED610 tensile that was sterilized with AU134 method (blue).

             (2)  Transform the point cloud data into the desired
                 reference frame (e.g., World Coordinate System
                 [WCS]) by applying a transformation matrix.
             (3)  Compute the distances between the points along the
                 x, y, and z axes.
             (4)  Determine the average distance between the points.
             (5)  Each point in the cloud had an RGB color value
                 assigned.

            The obtained file in .txt format of each analysis was then
            analyzed to obtain the average distance (see Figure S36).

            3. Results

            3.1. Mechanical testing of the 3D-printed materials  Figure 3. PLA sterilization comparison. Data are represented as mean
            3.1.1. Polylactic acid                             values. N = 3 PLA Control/group; N = 3 PLA HPO/group.
            Figure 3 shows the mechanics testing performed on
            the 3D-printed PLA samples, with the group of samples   planning. Table 4 shows different mechanical properties of
            sterilized by HPO and the control samples (not sterilized)   ABS with different methods.
            being compared. Overall, it seems that the HPO
            sterilization does not significantly change the behavior of   3.1.3. MED610
            the mechanical properties of PLA. Table 3 shows different   Figure 5 shows the mechanics of the control samples and
            mechanical properties about PLA with different methods.   3D-printed MED610 samples sterilized by HPO, AU121,
            Other sterilization methods were not tested with PLA as   and AU134. Among the three different sterilization
            its Tg is lower (Table 2) than the temperature reached in   techniques, autoclave has a bigger influence on the
            AU121 and AU134 sterilization methods.             mechanical properties in comparison to HPO. A similar
                                                               tensile strength was found between control samples and
            3.1.2. Acrylonitrile butadiene styrene             HPO-sterilized samples (with a difference of 0.64%),
            Figure 4 shows the mechanics of the 3D-printed ABS   although there was a major difference when compared
            samples sterilized by HPO and the control samples. The   to both AU121 (17.40%) and AU134 (14.57%), showing
            effect of HPO sterilization on the ABS samples was not   the AU134 results in higher tensile strength in samples
            significantly different when compared  to the control   compared to the control samples. Table 5 shows different
            samples. The results showed differences below 10% in   mechanical properties of MED610 with different methods.
            elongation at break (8%) and tensile strength (2.4%)   It can be noticed that one specimen of AU134 has a
            between HPO samples and control samples. This means   significant difference with respect to others specimens,
            that the use of this method is effective for its use in surgical   which can be attributed to a printing defect.


            Table 3. Mechanical properties of the 3D-printed PLA
             Parameters                                     Mechanical properties
                           Tensile strength (MPa)  Young’s modulus (MPa)  Elongation at yield (%)  Elongation at break (%)
             Control       21.85 ± 0.37         1568 ± 45           0.44 ± 0.74          4.18 ± 1.96
             HPO           21.63 ± 1.2204       1408 ± 40           1.37 ± 0.10          4.11 ± 0.58
            Data are represented as mean ± SD. N = 3 PLA Control/group; N = 3 PLA HPO/group.


            Volume 9 Issue 5 (2023)                        151                         https://doi.org/10.18063/ijb.756
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