Modelo de Informe 2
Modelo de Informe 2
Modelo de Informe 2
2
Instituto de Diseño y Métodos Industriales, Facultad de Ciencias de la Ingeniería, Universidad Austral de Chile.
3
LeufüLab, Facultad de Ciencias de la Ingeniería, Universidad Austral de Chile.
4
Centro de Docencia de Ciencias Básicas para Ingeniería, Facultad de Ciencias de la Ingeniería, Universidad Austral de Chile.
ABSTRACT
The scopes of medical treatments involving organ transplants and implants for chronic problems and trauma have
changed significantly. However, these procedures are subject to multiple problems. Recently, tissue engineering has
been used to address them. The present study is framed in the field of tissue engineering, particularly cartilage tis-
sue, and proposes the evaluation of geometric and impression parameters for the manufacture of scaffolds as a ba-
sis for the growth of cells through 3D impression techniques. These scaffolds are highly porous three-dimensional
supports that house donated or himself patient cells, providing a surface where the cells can adhere and proliferate.
In the methodology, geometric and pore size variables are defined for scaffolding modeling by using CAD techni-
ques and standardization of the printing process with standard 3D printers and accessible materials. The results
showed that material flow, printing temperature, printing speed and ventilation are the most influential parameters
in the manufacture of scaffolds. Additionally, it was found micrometric variations between the modeled design and
the printing result. These scaffolds will subsequently be subjected to in vitro cell culture evaluating the adherence,
division, and proliferation of the cells.
RESUMEN
Los alcances de los tratamientos médicos que involucran trasplantes e implantes de órganos para problemas cróni-
cos y traumatismos han cambiado significativamente. No obstante, dichos procedimientos están sujetos a múltiples
problemáticas. Recientemente, se ha recurrido a la ingeniería de tejidos, para abordarlos. El presente estudio se
enmarca en el campo de la ingeniería de tejidos, particularmente de tejido cartilaginoso, y plantea la evaluación de
parámetros geométricos y de impresión para la fabricación de andamios (scaffolds) como base para el crecimiento
de células a través de técnicas de impresión 3D. Dichos andamios son soportes tridimensionales altamente porosos
que albergan células, pudiendo ser estas del propio paciente o donadas, proporcionando una superficie donde estas
se adhieran y proliferen. En la metodología se definen variables geométricas y de tamaño de poro para modelación
de los andamios mediante CAD y estandarización del proceso de impresión con impresoras 3D estándar y mate-
riales accesibles. Los resultados mostraron que el flujo de material, la temperatura de impresión, la velocidad de
impresión y la ventilación son los parámetros más influyentes en la fabricación de andamios. Adicionalmente, se
encontraron variaciones micrométricas entre el diseño modelado y el resultado de la impresión. Estos andamios,
posteriormente, serán sometidos a cultivo celular in vitro evaluándose la adherencia, división y proliferación de las
células.
Sometimes, different diseases or physical or chemical generated extensive and interesting information that
aggressions can lead to a loss or alteration of the cells of has made it possible to make considerable improve-
a tissue or organ. The normal restitution of this tissue is ments in this discipline. More recently, diverse medical
the main purpose of regenerative medicine [1]
. Tissue sub-specialties have started considering novel 3D bio-
engineering is a new area of regenerative medicine printing approaches, based on the concept of combin-
whose objective is the construction of in vitro tissues ing living cells and biomaterials, controlling cell prolif-
for a therapeutic use, that allows to restoring, replacing, eration, attachment, and migration within 3D printed
or increasing the functional activities of the organic scaffolds [11]
. Currently, it is possible to design and
tissues themselves . Basically, tissue engineering con-
[2]
manufacture cartilage in the shape of an ear, in vitro,
sists of growing cells in an enriched three-dimensional which is subsequently implanted under the patient's
matrix, where these cells can grow and later be trans- skin. However, we must consider that these are new
planted into a recipient organ . Three components can
[3]
procedures and there is still a need to improve the
be distinguished: cells, biomaterials (the extracellular methodologies and materials used. For this reason, it is
matrix or supporting scaffolds) and growth factors. important to define and evaluate manufacturing
This paper will focus specifically on contributing infor- parameters to guarantee the manufacture quality of
mation and methodologies in the construction of scaf- scaffolds. Different parameters such as material, geom-
folds for cartilaginous tissue. Among its possible appli- etry and pore size are evaluated, indicating how the
cations is the aesthetic treatment of microtia, a congen- manufacturing process can alter the expected result.
ital malformation of the external ear that ranges from
mild structural anomalies to the complete absence of Two biocompatible and biodegradable materials,
the ear, with a prevalence rate that varies significantly polycaprolactone (PCL) and polylactic acid (PLA), were
between countries ranging from 0.8 to 17.4 per 10,000 used to manufacture the scaffolds. While there are
births, with a higher prevalence reported in Ecuadorians, other biocompatible materials, these two materials
Chileans and Finns, with prevalence of 17.4; 8.8 and 4.3 were used primarily because they are economic,
respectively for every 10,000 births [4]
. Current cosme- although both present different difficulties in their
tic treatment options for children include reconstruc- manufacture. These materials will generate printing
tion with prosthesis, combination of prosthesis and parameters that can be extrapolated to other biocom-
own tissue, and autologous rib cartilage transplant. patible materials with similar characteristics.
152 REVISTA MEXICANA DE INGENIERÍA BIOMÉDICA | Vol. 42 | No. 2 | MAY - AUGUST 2021
ness of the experiment was set to 6 times for each ated. Table 1 considers the geometries manufactured
combination. This is because the printers are manu- with PLA and
𝑝𝑝1=Table
600 µm - 2
b3:considers
300 µm the geometries
𝑙𝑙= 20 mm manu-
𝑝𝑝1= 450 µm - b2: 225 µm 𝑒𝑒= 200 µm
ally calibrated, which interferes with the equality factured with PLC.
𝑝𝑝1= 300 µm ℎ= 1,2 mm
modeling of scaffolding
𝑝𝑝1= 200 µm 𝑙𝑙= 20 mm
For the design of the PLA and PCL scaffolds, it is 𝑝𝑝1= 400 µm 𝑒𝑒= 400 µm
𝑝𝑝1= 400 µm ℎ= 1,2 mm
essential to define the following geometric parame-
ters: l (scaffold length), p (pore size), h (scaffold height)
Tabla 3
and e (filament thickness). These parameters can be The pore size is represented by p and b parameter. For
seen in Figure 1. square and triangular geometries
Features PLA* [14] three PCL*[15]
scaffolds were
defined, for
Originellipsoidal geometry
USA just two
USA scaffolds
were defined.
Brand Figure 2 shows
3Dxtech the structure of triangu-
Sigma-Aldrich
Tabla 1 dimensions.
TABLE 1. PLA scaffolding Table 3 Extruder
shows the characteristics
Brass nozzle with
0.2 diameter mm
ofsteel
the materials
22 gauge stainless
needle
used for the manufacture of scaffolding. The PLA fila-
Square Triangular Ellipsoidal
ment, despite not having a biocompatibility certifi-
cate, was chosen because it is based on natural resins,
� � �
without additives or colorants. It should be noted that
� the PLC has no additives or composts to be either per-
𝑝𝑝1= 600 µm - b3: 300 µm 𝑙𝑙= 20 mm sistent, bioaccumulative and toxic and its molecular
𝑝𝑝1= 450 µm - b2: 225 µm 𝑒𝑒= 200 µm
𝑝𝑝1= 300 µm ℎ= 1,2 mm weight in mass Mw is 80,000.
Tabla 2
𝑝𝑝1= 600 µm - b3: 300 µm 𝑙𝑙= 20 mm
𝑝𝑝1= 450 µm - b2: 225 µm 𝑒𝑒= 200 µm
𝑝𝑝1= 300 µm ℎ= 1,2 mm
𝑝𝑝1= 200 µm
𝑝𝑝1= 400 µm
Tabla 2 𝑙𝑙= 20 mm
𝑒𝑒= 400 µm
K. Cea et al. Evaluation of Parameters in PLA and PCL Scaffolds to be Used in Cartilaginous Tissuess 153
𝑝𝑝1= 400 µm ℎ= 1,2 mm
Square
Machinery 𝑉𝑉𝑉𝑉
Tensile Modulus Tabla
2865 MPa4 -
𝑃𝑃 = #1 − )% (1)
Two Tensile
typesElongation,
of printers were
8% used, namely- P1 and P2, 𝑉𝑉𝑉𝑉
Break
for printing on PLA and
Flexural Strength
PCL, respectively.
P1 Printer
178 MPa
P2 Printer Table 4
-
showsFlexural
equipment
Modulus information.
Brand
Anet A8
3185
Diy MPaI3
Prusa
Prototype
- 3D”
“VitaPrint
Where:
*This information
Brassis nozzle
indicated by the provider.
with 22 gauge stainless
Extruder
0.2 diameter mm steel needle
TABLE 4. Commercial characteristics P: Scaffold porosity
of the Tabla 4 used.
printers
Vi: Volume printed
P1 Printer P2 Printer
Anet A8 Prototype
Brand
Diy Prusa I3 “VitaPrint 3D” Vs: Solid volume occupied by scaffolding
Brass nozzle with 22 gauge stainless
Extruder
0.2 diameter mm steel needle
RESULTS AND DISCUSION
During the scaffolding generation, the environmen-
Software used tal conditions for printing process was analyzed.
The following table illustrates the software used for During the printing, it is necessary to consider the
each application (see Table 5). following aspects:
Table 6
154 REVISTA MEXICANA DE INGENIERÍA BIOMÉDICA | Vol. 42 | No. 2 | MAY - AUGUST 2021
• Hygiene
For the printing process, special care was taken in FIGURE 3. Side view of square geometry scaffolding with
the hygiene of all the implements and the sur- "elephant foot" effect (not to scale). Source: self-made.
rounding area of the printing. For this, 70% (w/v)
alcohol were used to disinfect the workspace and It is possible to reduce this phenomenon by relying on
tools. This concentration is the classic and agreed Cura software ; however, this greatly hinders the
[17]
recommendation of the reliable methods for de- adhesion of the material, which does not make its
contaminating surfaces . Additionally, it was
[20]
manufacture possible.
contemplated the use of masks and clinical
gloves. In the case of ellipsoidal scaffolding, it is evidenced
that the way to print with precision, is to form each
• Room temperature line with two thinner lines by using the option Special
This variable had a high impact on the scaffold's Modes-Surface: mode surface option [18]
(Figure 4(A))
print quality. For the PLA case, the extruder tem- The normal option (used in the other geometries)
perature must be lowered to counteract the ambi- doesn’t a satisfactory result (Figure 4(B)).
ent temperature. If the ambient temperature
exceeds 20 °C, the extruder temperature should
be lowered beyond the limits recommended by
the manufacturer. On the other hand, the PCL
printing were more susceptible to variations on
ambient temperature; when the temperature was
below 10 °C, the printing was released by retrac- FIGURE 4. Ellipsoidal scaffolding. The images was
tion because the material cools too quickly, and, taken from optical microscope with x50 magnification.
if the temperature exceeded 20 °C, the material Printed in surface option surface mode (two lines) (A).
was kept in a viscous state for a long time, decreas- Printed in normal option surface mode (single line) (B).
ing the pore size. Source: self-made.
Line width1 (mm) 0.18
This phenomenon could be because on normal option, TABLE 7. Differentiated printing parameters
Finally, figure 7 shows a magnified detail of the PLA Table 9for PCL scaffolds [18].
TABLE 9. Printing parameters
studied geometries.
PCL
Parameter Square
Print parameters for PCL printed in PLC. Image from an optical microscope
Table 9 shows the parameters obtained for optimal with 50x magnification. Scale bars = 500 µm (A).
printing of PCL scaffolds. 20 mm PLC scaffold (B). Source: self-made.
K. Cea et al. Evaluation of Parameters in PLA and PCL Scaffolds to be Used in Cartilaginous Tissuess 157
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