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International Journal of Bioprinting                            3D printing of tough and self-healing hydrogels



            systems,  there  remain  some  inherent  dissimilarities   and printable hydrogels, fabricated by triggering the in situ
            between rigid electronic  devices  and soft  biological   polymerization of a polyaniline/poly(4-styrenesulfonate)
            tissues, presenting a challenge to the seamless operation of   (PANI/PSS) network which exhibits the dynamic and
            human–machine interfaces [6,7] . Therefore, there has been   reversible nature of the non-covalent crosslink. Similarly,
            increasing interest in the development of soft, flexible,   Jin et al.  reported on conductive and adhesive cellulose
                                                                     [20]
            and stretchable electronics and robotics made from soft   (CAC)  hydrogel  ink  with  self-healable and  printable
            materials to address these issues in bioelectronics.  features mixed with tannic acid (TA) and various metal
                                                               ions. Although these multi-functional hydrogels provide
               Hydrogels,  which  are three-dimensional  (3D)   self-healing, conductive, and printable properties, they
            crosslinked polymer networks containing large amounts   still possess poor printing fidelity with low resolution (over
            of water, have gained considerable attention for their   0.6 mm) and have not been extended to printing in 3D
            potential in bioelectronics [8,9] . The soft and flexible nature   structures. Meanwhile, Wei et al.  reported a super tough
                                                                                         [21]
            of  hydrogels  reduces  the  mechanical mismatch  with   and printable agar/polyacrylamide (PAAm)-based double
            human tissues, making them an attractive option for   network hydrogel. The agar/PAAm hydrogel, owing to the
            bridging the gap between electronics and human tissues   alginate acting as a crosslinker, exhibited suitable viscosity
            due to their biocompatibility and flexibility in controlling   as a printable ink with good mechanical properties. Despite
            their electrical, mechanical, and biological properties .   the improved mechanical properties , low 3D-printing
                                                        [10]
                                                                                             [21]
            However, there are still some challenges to overcome for   resolution and the lack of self-healing capability limit their
            their widespread use in bioelectronics. The mechanical   practical use as 3D printable hydrogel inks.
            weakness and brittleness of these water-soluble polymers
            under large deformation and physical stress make them   To achieve seamless human–machine interfaces in
            unsuitable for most load-bearing physiological situations   hydrogel-based bioelectronics, the development of multi-
            and bioelectronics applications .                  functional hydrogels with all of the desired features,
                                    [11]
                                                               including 3D printability with high resolution, toughness,
               Furthermore, the lack of self-healing properties, which   and self-healing ability, is urgently needed.
            is a characteristic of human tissues, can lead to irreversible
            collapse during bioelectronic operations . To address   Herein,  we  present  a  novel  multi-functional
                                              [12]
            these  problems,  self-healing  hydrogels  with  reversible   hydrogel ink that is 3D printable, tough, self-healing,
            networks via breakage and reformation of bonds have been   and conductive. The ink is composed of poly(vinyl
            widely studied in recent years. Self-healing hydrogels that   alcohol) (PVA), tannic acid (TA), and poly(acrylic acid)
            can automatically repair themselves from external damages   solution (PAA). PVA is used as the base material due to
            have the potential to restore their original features , thus   its biocompatibility and tissue-like softness, which is
                                                    [13]
            integrating the self-healing ability into electrical devices   achieved through hydrogen bonding (H-bond). However,
            can extend the lifetime of the device [14,15] .    pure PVA is mechanically weak and not printable. Thus,
                                                               TA is added as a crosslinker to form weak and reversible
               In addition, for the successful application of hydrogel-  H-bonds in the PVA hydrogel, and PAA is introduced
            based bioelectronics, a fabrication method that can   to form a double network by forming strong H-bonds.
            produce individualized shapes and complex structures is   This strong and weak crosslinking H-bond-based double
            crucial . 3D printing presents a promising solution to this   network-enabled PVA/TA/PAA hydrogel ink exhibits
                 [16]
            requirement as it offers the ability to produce hydrogels   3D  printability,  mechanical  toughness,  and  self-healing
            with high precision and geometric freedom . However,   properties. Since TA provided sufficient crosslinking sites
                                                [17]
            transforming bulk hydrogels into intricate designs and   for  the  formation  of  reversible  H-bonds,  breakage  and
            patterns with high resolution (~100 μm) is still a challenge   reformation of H-bonds could occur spontaneously even at
            and remains in its early stages of research, hindering the   high temperatures (over 80°C). This enabled the proposed
            practical use of hydrogels [7,12] . To date, several attempts   hydrogel inks to be 3D  printable, as they exhibited
            have been made to fabricate multi-functional hydrogels   suitable viscosity for printing under heat and maintained
            that possess 3D-printing capabilities, toughness, and self-  a robust printed structure. The rheological behavior and
            healing to improve their durability and practicability for   tensile tests were evaluated to optimize the printable and
            their practical use. However, it still continues to pose a   mechanical properties of the PVA/TA/PAA hydrogel ink,
            difficulty to fulfill all of those features, and in particular,   and it was found that the optimized ink had shear-thinning
            many researchers reported self-healing and tough hydrogel   behavior,  leading  to  excellent  3D-printing  fidelity  with
            electronics  but  have  not  been  incorporated  with  3D   high resolution (~100 μm). The hydrogel ink displayed
            printability and high resolution of printing fidelity . For   good toughness, with a tensile strength of ~45.6 kPa, an
                                                     [18]
            example, Chen et al.  represented stretchable, self-healing,   elongation at break of ~650%, and Young’s modulus of
                           [19]
            Volume 9 Issue 5 (2023)                        341                         https://doi.org/10.18063/ijb.765
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