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Materials Science in Additive Manufacturing                              Materials for 3D-printed electrodes



              Hydrogels can be deformed and adhered to tissues.   of the electrodes. We believe that continuous explorations
            However, hydrogels are water-swellable crosslinked   will give rise to flexible electrodes with higher resolutions
            polymers, and the loss of water inevitably leads to   and more channels, which can facilitate the delivery of
            deterioration of mechanical properties, making prolonged   precise and sensitive data.
            use in an anhydrous environment challenging. Elastomeric
            materials formed by crosslinking polymer chains exhibit   In terms of technology, it is necessary to continuously
            better mechanical properties and environmental stability   improve the resolution and material compatibility with
            without  relying  on solvent  swelling. Thus,  elastomeric   3D printing technology to meet the growing demand for
            materials are more suitable for 3D printing technologies   using 3D-printed flexible electrodes in various medical
            such as FDM, which rely on high-temperature conditions   scenarios. In addition, combining 3D printing technology
            for printing and molding. Thermoplastic PU (TPU) is   with photolithography and screen printing provides an
            a  common  polymer  used  in  FDM  printing  due  to  its   impetus to the development of  high-precision, multi-
            excellent flexibility and stable melting temperature [142] . In   channel flexible electrodes, which are promising tools for
            Hu et al.’s study, TPU-based electrode filaments that can be   acquiring and stimulating refined physiological signals.
            used for FDM printing were prepared by mixing different   Future research could also consider optimizing the
            active materials (lithium iron phosphate, lithium titanate,   structural design of flexible electrodes to make 3D-printed
            nickel cobalt manganese oxide, or graphite) with TPU and   flexible electrodes more personalized and compatible with
            conductive additives in dimethylformamide (Figure 6E).   clinical needs and applications.
            The flexible electrodes with complex structures prepared   In the future, clinical trials should be conducted to
            by  FDM  printing  exhibit  excellent  print  stability  and   investigate innovative materials, technologies, and designs.
            mechanical properties [143] .                      It is also necessary to promote the adaptation of flexible
            6. Conclusion and perspectives                     electrodes into clinical use by improving the performance of
                                                               flexible electrodes, expanding the function of electrodes, and
            Flexible electrodes serve diverse purposes in both   reducing the production cost. These desirable features will
            medical  research  and  clinical  practice.  Extracorporeal   also indirectly broaden their applications in the medical field.
            flexible medical electrodes enable the monitoring of
            human electrocardiographic signals for early diagnosis   Acknowledgments
            and risk prediction, allowing patients to receive timely
            cardiovascular interventions and reducing the occurrence   The authors acknowledge the support received from
            of emergent cardiovascular events. Implantable flexible   Microsoft Bing’s chat mode and BioRender.com. The
            electrodes allow real-time transmission of electrical signals   middle image in  Figure 1 was created using Microsoft
            within the brain and are an important component of brain-  Bing’s chat mode, while other elements in Figures 1 and 2
            computer interfaces. They serve diagnostic and therapeutic   were created using BioRender.com.
            purposes and contribute to the study of functional brain   Funding
            regions.  Furthermore,  flexible  electrodes  have  been
            explored in studies involving nerve conduit scaffolds to   This work was financially supported by the National
            promote tissue repair and regeneration.            Key Research and Development Program of China
              The continuous optimization of materials and     (2021YFF1200800); Sichuan Science and Technology
            improvement of manufacturing technology is significant   Program (2021JDTD0001); The National Natural Science
            for generating advanced medical flexible electrodes. In   Foundation (32271468); Natural Science Foundation of
            terms of materials, more comprehensive research on   Sichuan Province (2022NSFSC1453); and Innovation
            existing materials is required. For example, through doping,   Research Project of Sichuan University (2022SCUH0046).
            modification, and material composites, it is possible to   Conflict of interest
            enhance the conductivity and stability of electrically
            conductive materials or the flexibility and tensile properties   The authors declare no conflict of interest.
            of  flexible  materials. In  addition,  we  need to  improve   Author contributions
            the processability of materials and broaden the range of
            materials compatible with 3D printing technologies.  At   Conceptualization: Maling Gou
            the same time, we also need to continually develop new   Writing – original draft: Yiting Huang, Qi Zhu, Haofan Liu,
            conductive materials with excellent biocompatibility and   Ya Ren
            cyclic stability, which can be used to create more flexible   Writing – review & editing: Yiting Huang, Maling Gou, Li
            electrodes for in vivo implantation and prolong the lifespan   Zhang


            Volume 2 Issue 4 (2023)                         11                      https://doi.org/10.36922/msam.2084
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