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International Journal of Bioprinting                            Multifunctional hydrogel surgical training model






























            Figure 3. (a) Electrical conductivity of 5% PVA/PAM hydrogel, 10% PVA/PAM hydrogel, and 15% PVA/PAM hydrogel immersed in saturated NaCl
            solution for different time. (b) Thermal conductivity change curves of hydrogels immersed in saturated NaCl solution for different time. (c) Friction
            coefficient of 5% PVA/PAM hydrogel, 10% PVA/PAM hydrogel, and 15% PVA/PAM hydrogel immersed in saturated NaCl solution for different time. (d–f)
            Oscillation frequency sweep and viscoelasticity (tan δ, G″/G′) of hydrogels with different components, where G′ and G″ are the storage modulus and loss
            modulus, respectively.


            hydrogels leads to a decrease in the tensile strength of   the required surgical training model with conductivity
            the hydrogel at fracture . As mentioned above, only   and matching mechanical properties by controlling the
                                [25]
            reasonable immersion time can confer good mechanical   immersion time. In addition to the electrical properties,
            properties to PVA/PAM hydrogels. It is well known that   the thermal properties of the model are also important
            biological soft tissues have high flexibility and mild   factors that cannot be ignored. In many surgical
            mechanical properties, while the stiffness varies widely   procedures, surgical electrical instruments often require
            from site to site . As seen in Figure 2g–i, Young’s modulus   energy transfer in many cases to achieve the final target
                        [26]
            of our prepared elastic hydrogels is mechanically tunable   effect. Figure 3b shows that with the increase of sample
            over a wide range from a few kPa to hundreds of kPa, thus   immersion time, the thermal conductivity decreased from
            providing a promising candidate for the preparation of   0.58 to 0.54 W/m/K. Despite the decrease, the entire value
            property-matched soft tissue mimics.               of thermal conductivity is close to that of human or animal
                                                               tissues . These characteristics benefit all energy surgical
                                                                    [29]
               Upon immersion in an aqueous NaCl solution, NaCl
            will penetrate the crosslinked network of the  PVA/  instruments to have a better realistic experience when
                                                               trained on the model.
            PAM hydrogels. The combination of Na  and Cl  in the
                                                    -
                                             +
            hydrogels will impart electrical conductivity to the PVA/  Rheological measurements were also performed to
            PAM hydrogels. The electrical conductivity of each group   demonstrate the viscoelastic and wet-slip properties of
            of PVA/PAM hydrogels was measured by a digital four-  tissue-like elastic hydrogels. Rheological frequency scans
            probe apparatus, and the results are shown in Figure 3a.   of the hydrogels confirmed that they exhibit dynamic
            The results suggest that the electrical conductivity of PVA/  viscoelastic behavior (Figure 3d–f). The energy storage
            PAM hydrogels not immersed in saturated NaCl solution   modulus (G′) is consistently higher than the loss modulus
            was lower than 0.01 S/m regardless of the increase in the   (G″) over the entire frequency range, which strongly
            concentration of PVA. The electrical conductivity showed   validates the solid elasticity characteristics of the hydrogels.
            an  increasing  form  as the  immersion  time  in  saturated   Viscoelasticity of the tissue-mimic hydrogels was calculated
            NaCl solution increased. The conductivity after 1 h of   as tan δ, namely, G″/G′ The results show that all tissue-
            immersion exceeded 0.2 S/m, and the conductivity after   simulated hydrogels with different viscoelasticity exhibit
            6 h exceeded 1 S/m, which can meet the conductivity   similar dynamic viscoelastic responses. The viscoelasticity
            requirements of most human tissues [27,28] . Therefore, we   of all these tissue-simulated hydrogels is in the range of
            can choose the appropriate immersion strategy to obtain   0.11–0.55, which is very similar to the viscoelasticity of


            Volume 9 Issue 5 (2023)                        361                         https://doi.org/10.18063/ijb.766
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