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International

                                                                         Journal of Bioprinting



                                        RESEARCH ARTICLE
                                        The attractiveness of 4D printing in the medical

                                        field: Revealing scientific and technological
                                        advances in design factors and applications



                                        Angelica A. Martinez-De-Anda, Marisela Rodriguez-Salvador*, and
                                        Pedro F. Castillo-Valdez
                                        Tecnologico de Monterrey, Escuela de Ingeniería y Ciencias, Monterrey, Nuevo León, México




                                        Abstract

                                        Currently, there is an increasing demand in the medical field for low-cost, high-
                                        quality products as well as personalized solutions, and different manufacturing
                                        methods are being investigated to provide innovative solutions. Four-dimensional
                                        (4D) printing  is a promising technology  that could overcome the  challenges
                                        associated with the applications of three-dimensional printing in regenerative
                                        medicine and biomedical devices. A revolution is expected in this regard, and it is
                                        essential to keep abreast of the latest developments. Under this context, the purpose
                                        of this paper is to reveal scientific and technological advances of 4D printing in the
                                        medical field using a competitive technology intelligence (CTI) methodology. To
                                        this end, publications were analyzed from the Scopus database between January 1,
                                        2017, and May 9, 2023. The main trends were identified for both design factors and
            *Corresponding author:      applications. In the first case, the following were considered: 4D printing methods,
            Marisela Rodriguez-Salvador    external stimuli, materials, mathematical models, and interaction mechanisms.
            (marisrod@tec.mx)
                                        In contrast, in the second case, the applications of 4D printing involved were
            Citation: Martinez-De-Anda AA,   considered: drug delivery systems, stents, and scaffolds. The obtained design factors
            Rodriguez-Salvador M, Castillo-  results included improvements in mechanical properties of hydrogels by adding
            Valdez PF, 2023, The attractiveness
            of 4D printing in the medical   magnetic nanoparticles, biopolyurethane, and other materials, the development
            field: Revealing scientific and   of cell-friendly bioprinting methods to print cellular structures, and the use of
            technological advances in design   theoretical-experimental approaches to predict shape deformation of structures.
            factors and applications.  Int J
            Bioprint, 9(6): 1112.       While for applications, results included advances in the development of expandable
            https://doi.org/10.36922/ijb.1112  drug delivery systems, fabrication of stents for the treatment of vascular and tracheal
            Received: June 21, 2023     stenosis, and the design of scaffolds to treat cartilage defects and bone regeneration.
            Accepted: July 7, 2023      This study provides insights to researchers, academics, and companies involved in
            Published Online: July 21, 2023  research and development as well as innovation that are looking for new solutions
            Copyright: © 2023 Author(s).   to improve health by incorporating breakthrough technologies such as 4D printing.
            This is an Open Access article
            distributed under the terms of the
            Creative Commons Attribution   Keywords: 4D printing; Competitive technology intelligence; Medical field; Design
            License, permitting distribution,   factors; 4D applications
            and reproduction in any medium,
            provided the original work is
            properly cited.
            Publisher’s Note: AccScience
            Publishing remains neutral with   1. Introduction
            regard to jurisdictional claims in
            published maps and institutional   The technological advances in three-dimensional (3D) printing have revolutionized the
            affiliations.               global manufacturing industry, pushing the boundaries of traditional manufacturing



            Volume 9 Issue 6 (2023)                        187                         https://doi.org/10.36922/ijb.1112
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