- Engineered Scaffolds: Materials and Microstructure from Nanostructures to Macrostructures for Tissue Engineering

Three-dimensional (3D) printing is a process for creating 3D objects with various geometries using digital modeling, and it is widely used in the construction and medical industries. In the field of pharmacy, 3D printers were introduced as a suitable manufacturing method in response to the increasing need for “personalization.” Since the first 3D printed drug, Spritam®, was approved by the Food and Drug Administration (FDA) in 2015, 3D printer technology has evolved through considerable research. The 3D printing methods are classified into selective laser sintering, inkjet printing, stereolithography, digital light processing, and fused deposition modeling (FDM) according to the printing method. Among them, FDM, which is a method of extruding filaments through a nozzle, is the most widely used 3D printer method in pharmaceuticals. This review paper covers the detail content of manufacturing drugs by FDM. Owing to its ease of use and relatively low price, many studies have focused on FDM 3D printers. In this review paper, we concretely investigate a series of FDM procedures and parameters and introduce many studies that used FDM 3D printers to control the release, to make novel dosage form, and to deliver the customized doses. FDM is completely different from traditional drug manufacturing methods, and it is expected to achieve personalization. Once mechanical problems and regulatory barriers are overcome and new developments are made, FDM 3D printers will become a unique and effective way to manufacture patient-customized drugs in the pharmaceutical industry.

The purpose of this paper is to make an analysis of the advanced technologies for 3D printing of pharmaceutical products for personalised medicine.A review of the basic 3D printing methods used in pharmaceutical technologies is conducted. The main types of printed solid dosage forms are examined, along with the primary advantages and disadvantages of 3D printing compared to conventional drug production. Each method is evaluated in terms of working principles, material compatibility, advantages, and limitations.Revealed that stereolithography (SLA), selective laser sintering (SLS), fused deposition modelling (FDM), ink-jet printing (IJP), and semi-solid extrusion (SSE) are the most suitable 3D printing processes for producing pharmaceutical products. The combination of two methods ensures better results, as illustrated by examples of the main types of printed solid dosage forms.The 3D printing technologies for production of pharmaceutical products present several limitations such as: uneven geometries and porous structures, necessitating the fabrication of larger and irregular dosage forms to ensure the required drug load for the patient; degradation of thermolabile drugs during FDM process; increased hardness of FDM produced tablets impairing drug release.The advanced 3D printing technologies offer the ability to produce new formulations easily through simple design modifications in software, compared to conventional manufacturing. They enable the design of flexible formulations with complex release profiles and the personalised production of dosage forms tailored to individual patients.3D printing has emerged as a transformative technology in pharmaceutical manufacturing, enabling the production of personalised dosage forms with precise drug loading, tailored release profiles, and complex geometries. The review not only summarises the main applicable techniques but also highlights the most recommended methods for personalised pharmacotherapy. The versatility and adaptability of 3D printing provide promising solutions for personalised therapy, emergency drug manufacturing, and enhanced patient compliance, marking a significant step toward decentralised, digital pharmaceutical production.

Synthesis, characterization, bioactivity and cytotoxicity assessment of nano ZrO2 reinforced bioactive glass ceramics

Recent developments in three-dimensional (3D) printing technology offer immense potential in fabricating scaffolds and implants for various biomedical applications, especially for bone repair and regeneration. As the availability of autologous bone sources and commercial products is limited and surgical methods do not help in complete regeneration, it is necessary to develop alternative approaches for repairing large segmental bone defects. The 3D printing technology can effectively integrate different types of living cells within a 3D construct made up of conventional micro- or nanoscale biomaterials to create an artificial bone graft capable of regenerating the damaged tissues. This article reviews the developments and applications of 3D printing in bone tissue engineering and highlights the numerous conventional biomaterials and nanomaterials that have been used in the production of 3D-printed scaffolds. A comprehensive overview of the 3D printing methods such as stereolithography (SLA), selective laser sintering (SLS), fused deposition modeling (FDM), and ink-jet 3D printing, and their technical and clinical applications in bone repair and regeneration has been provided. The review is expected to be useful for readers to gain an insight into the state-of-the-art of 3D printing of bone substitutes and their translational perspectives.

Three-dimensional (3D) printing is an emerging and enabling technology that is paving its way in different fields of research, including analytical science, for the fabrication of custom devices and portable sensing platforms based on additive manufacturing of objects from Computer-Aided Design (CAD) models. In fact, the last five years have witnessed tremendous advances in novel materials and composites with improved chemical properties (e.g., noble metals, carbon nanomaterials, and chemically resistant polymers). Printing platforms for fabrication of low-cost devices have capitalized on stereolithography (SLA) or dynamic light processing (DLP), inkjet printing, fused deposition modelling (FDM), and selective laser sintering (SLS) that enable decentralized (in situ) measurements. The main advantage of 3D printing is the capability of rapid and single-step prototyping of holders, scaffolds, and integrated complex systems with geometries that cannot easily be manufactured by conventional means, such as computer numerical controlled milling and soft-lithographic approaches. Furthermore, the outreach of this technique has been expanded by the lowering costs of the machinery, the user-friendliness of the CAD software and especially the commercial strategies addressed to the nontechnical and nonscientific collective, currently called the 'maker community'.

Chapter 2 - 3D printing and nanotechnology

Comparison of fusion rate and clinical results between CaO-SiO2-P2O5-B2O3 bioactive glass ceramics spacer with titanium cages in posterior lumbar interbody fusion

7 - 3D printing silk

12 - Bioactive ceramic composite material stability, characterization, and bonding to bone

Emergency and disaster medical care often face resource or equipment shortages. 3D printing technology has been proven to be effective in cases with insufficient supply chains. MAYO tubes and stethoscopes are essential components of ABCDE patient examinations; however, 3D-printed variants have not been fully tested. These 3D-printed instruments were substituted and validated in a simulated pre-hospital environment.In total, 26 participants were included in this study. Fifteen clinicians or paramedics with at least 3 years of professional experience and 10 medical students. One student was excluded because he had relevant experience with emergency care. As basic tasks, the placement of MAYO tubes and auscultation with stethoscopes were performed using medical simulators. 3D printed instruments were compared with conventional clinical devices by measuring the time required for the intervention, success rate, and user satisfaction. In the study FFF (Fused Filament Fabrication (FFF), SLS (Selective Laser Sintering (SLS), and SLA (stereolithography) 3D printing were used in this study.The times required for implementation and auscultation were examined for each instrument. There was no significant difference between the MAYO tube (p = 0.798) and the stethoscope (p = 0.676). In the case of stethoscopy, the study investigated the correct diagnosis, and no significant difference was found (p = 0.239), although an interesting trend was observed. Regarding the MAYO tube, the study found no significant difference in correct position formation (p = 0.163). The experience levels of the groups did not influence these factors. However, significant differences in user satisfaction were found in both cases in favour of the conventional versions (p < 0.001).Overall, the results of this study suggest that 3D-printed devices could be suitable replacements for clinic-based devices in emergency situations. The 3D-printed devices did not perform inferiorly at any of the indicated points compared to their classical counterparts. However, the practical applicability of the devices used in this study requires further investigation.

3D-printed polypills for personalized medicine and precision oral drug delivery in pharmaceutical practice: A review.

Soft robots are capable of mimicking the complex motion of animals. Soft robotic systems are defined by their compliance, which allows for continuous and often responsive localized deformation. These features make soft robots especially interesting for integration with human tissues, for example, the implementation of biomedical devices, and for robotic performance in harsh or uncertain environments, for example, exploration in confined spaces or locomotion on uneven terrain. Advances in soft materials and additive manufacturing technologies have enabled the design of soft robots with sophisticated capabilities, such as jumping, complex 3D movements, gripping and releasing. In this Review, we examine the essential soft material properties for different elements of soft robots, highlighting the most relevant polymer systems. Advantages and limitations of different additive manufacturing processes, including 3D printing, fused deposition modelling, direct ink writing, selective laser sintering, inkjet printing and stereolithography, are discussed, and the different techniques are investigated for their application in soft robotic fabrication. Finally, we explore integrated robotic systems and give an outlook for the future of the field and remaining challenges.

Bone model studies for DMLS based 3D printed innovative dental implant

Radar sensors are critical for obstacle detection and navigation, especially for automated driving. Using the use-case “printing of heating coils on the inside of the front housing (primary radome)” needed for de-icing in winter, it is demonstrated that additive manufacturing (AM) can provide economic and functional benefits for manufacturing of the sensors. AM will allow significant cost reduction by eliminating parts and simplifying the manufacturing process. Different AM technologies for the coils were investigated, first, by applying the conductive traces by fused deposition modeling (FDM), and, second, by printing copper particle-free inks and pastes. The metal layers were electrically and mechanically characterized using a profilometer to measure the trace dimension and a four-point probe to measure the resistance. It was revealed that low-cost conductive filaments with low resistivity and current carrying capacity are commercially still not available. The best option sourced was a copper–polyester-based filament with 6000 µΩcm after printing. Therefore, low-cost particle-free copper inks and commercial copper flake paste were selected to print the heating coil. The Cu particle-free inks were amine-based Cu (II) formate complexes, where the Cu exists in an ionic form. Using contactless printing processes such as ink-jet printing or pneumatic dispensing, the traces could be deposited onto the low-melting temperature (225 °C) polymeric radome structure. After printing, the material needed to be sintered to form the conductive copper traces. To avoid damaging the polymer radome during sintering, two different processes were investigated: low-temperature (&lt;150 °C) sintering in an oven for 30 min or fast laser sintering. The sintered Cu layers achieved the following specific electric resistivities when slowly sintered in the oven: paste 4 µΩcm and ink 8.8 µΩcm. Using laser sintering, the ink achieved 3.2 µΩcm because the locally high temperature provides better sintering. Also, the adhesion was significantly increased to (5 B). Therefore, laser sintering is the preferred technology. In addition, it allows fast processing directly after printing. Commercial equipment is available where printing and laser sintering is integrated. The potential of low-cost copper material and the integration in additive manufacturing of electronic systems using radar sensors as an example are demonstrated in this paper.

3D printing, also known as additive manufacturing (AM), represents a rapidly evolving technological field capable of creating distinctive products with nearly any irregular shape, often unattainable using traditional techniques. Currently, the focus in 3D printing extends beyond polymer and metal structural materials, garnering increased attention towards functional materials. This review conducts an analysis of published data concerning the 3D printing of magnetic materials. The paper provides a concise overview of key AM technologies, encompassing vat photopolymerization, selective laser sintering, binder jetting, fused deposition modeling, direct ink writing, electron beam melting, directed energy deposition and laser powder bed fusion. Additionally, it covers magnetic materials currently utilized in AM, including hard magnetic Nd–Fe–B and Sm–Co alloys, hard and soft magnetic ferrites, and soft magnetic alloys such as permalloys and elect­rical steels. Presently, materials produced through 3D printing exhibit properties that often fall short compared to their counterparts fabricated using conventional methods. However, the distinct advantages of 3D printing, such as the fabrication of intricately shaped individual parts and reduced material wastage, are noteworthy. Efforts are underway to enhance the material properties. In specific instances, such as the application of metal-polymer composites, the magnetic properties of 3D-printed products generally align with those of traditional analogs. The review further delves into the primary fields where 3D printing of magnetic products finds application. Notably, it highlights promising areas, including the production of responsive soft robots with increased freedom of movement and magnets featu­ring optimized topology for generating highly homogeneous magnetic fields. Furthermore, the paper addresses the key challenges associated with 3D printing of magnetic products, offering potential approaches to mitigate them.