Advantages of additive manufacturing for biomedical applications of polyhydroxyalkanoates

In recent years, biopolymers have been attracting the attention of researchers and special-ists from different fields, including biotechnology, material science, engineering, and medicine. The reason is the possibility of combining sustainability with scientific and technological progress. This is an extremely broad research topic, and a distinction has to be made among different classes and types of biopolymers. Polyhydroxyalkanoate (PHA) is a particular family of polyesters, synthetized by microorganisms under unbalanced growth conditions, making them both bio-based and biodegradable polymers with a thermoplastic behavior. Recently, PHAs were used more intensively in biomedical applications because of their tunable mechanical properties, cytocompatibility, adhesion for cells, and controllable biodegradability. Similarly, the 3D-printing technologies show increasing potential in this particular field of application, due to their advantages in tailor-made design, rapid prototyping, and manufacturing of complex structures. In this review, first, the synthesis and the production of PHAs are described, and different production techniques of medical implants are compared. Then, an overview is given on the most recent and relevant medical applications of PHA for drug delivery, vessel stenting, and tissue engineering. A special focus is reserved for the inno-vations brought by the introduction of additive manufacturing in this field, as compared to the traditional techniques. All of these advances are expected to have important scientific and commer-cial applications in the near future

Novel PBAT-Based Biocomposites Reinforced with Bioresorbable Phosphate Glass Microparticles

Biocomposites based on poly(butylene adipate terephthalate) (PBAT) and reinforced with micro-particles of inorganic biodegradable phosphate glass (PG) at 2, 10, and 40 wt% are prepared and characterized from a mechanical and morphological point of view. Scanning electron microscope (SEM) images show a good dispersion of the PG micro-grains, even at high concentrations, in the PBAT matrix, resulting in homogeneous composites. Tensile and dynamic-mechanical tests, respectively, indicate that Young's and storage moduli increase with PG concentration. The reinforcement of PBAT aims at modifying and tailoring the mechanical and viscoelastic properties of the material to expand its application field especially in the food and agricultural packaging sector, thanks to the similarity of PBAT performance with polyethylene

Benchmarking analysis of digital light processing resins in terms of dimensional accuracy and geometric tolerances

Additive Manufacturing (AM) is a groundbreaking fabrication technology that is revolutionizing traditional manufacturing processes. Generally, following a layer-by-layer approach, in AM the final shape of the product is built through the progressive deposition of one or more materials. The most common extrusion-based AM technique for thermoplastic polymers is Fused Filament Fabrication (FFF), whilst for photopolymer resins, Digital Light Processing (DLP) and Stereolithography (SLA) are widely used. In the last years, DLP has spread rapidly, due to its low average cost and simple use. Moreover, a lower layer thickness can be used in DLP if compared to the FFF process. Therefore, hobbyists or amateur end users and many companies use DLP to achieve high dimensional accuracy and smooth surfaces for small products. This work aims to evaluate the performance of three different DLP resins in terms of dimensional and geometrical accuracy. A benchmarking activity is carried out using a Rover printer by Sharebot to produce replicas of a reference part using Sharebot resins. After production, the replicas were inspected using a Coordinate Measuring Machine (CMM) for comparing the dimensional accuracy of the geometric features according to ISO IT grades and tolerances of the GD&T system. The results of this study are also compared with previous works from the literature in the conclusions

Novel 3D printable bio-based and biodegradable poly(3-hydroxybutyrate-co-3-hydroxyhexanoate) microspheres for selective laser sintering applications

Selective laser sintering (SLS) has become the most popular additive manufacturing process due to its high accuracy, productive efficiency, and surface quality. However, currently there are still very few commercially available polymeric materials suitable for this technique. This research work focused on the fabrication and characterization of bio-based and biodegradable microspheres obtained by oil-in-water emulsion solvent evaporation, starting from a poly(3-hydroxybutyrate-co-3-hydroxyhexanoate) (PHBH) biopolymer matrix. First, the fabrication parameters were optimized to improve the morphological, thermal, and flowability properties of the synthetized microspheres. Once the best production conditions were established, the PHBH microspheres were further used to study their effective 3D printability on an SLS 3D printer using geometries varying from simple shapes to architectures with more complex internal patterns. The results of this research revealed that PHBH has promising applicability for the SLS technique. This study undertook the first step toward broadening the range of polymeric materials for this additive manufacturing technology. These findings will contribute to a greater and wider dissemination of the SLS technique in the future, as well as they will bring this manufacturing process closer to applications, such as the biomedical sector, where the use of biodegradable and biocompatible materials can add value to the final application

An approach to evaluate the wear of customized manufacturing fixtures through the analysis of 3D scan data

With the recent gain in popularity and adoption of additive manufacturing in various industrial sectors, quality assessments to determine the functionality of 3D printed parts are critical. This holds especially when the parts are subjected to wear as in the case of the production of customized fixtures. Some reinforced polymeric materials for additive manufacturing can be employed as a substitute for low-resistance metals like Aluminium. In this paper, a custom-made tribometer was used to simulate the wear of 3D printed fixtures of Alumide material for sheet metal inspection operations. Contact 3D scanning is used to monitor the condition of the fixture for increasing numbers of wear cycles. This study aims to calculate the wear volume of cylindrical pins starting from the surface points of 3D scan data. The methodology employs alpha shapes to obtain the progression of the volume and area of the worn zone. Experimental tests to evaluate the wear volume were carried out to compare the durability of Alumide to that of Aluminium, filling the gap of previous literature, which had focused exclusively on diametral wear. The findings indicate a better wear resistance for Alumide specimens and this work contributes to broadening the knowledge about the wear behaviour and the lifetime of 3D printed parts

Chapter 9 Moral Responsibility and the Justification of Policies to Preserve Antimicrobial Effectiveness

Restrictive policies that limit antimicrobial consumption, including therapeutically justified use, might be necessary to tackle the problem of antimicrobial resistance. We argue that such policies would be ethically justified when forgoing antimicrobials constitutes a form of easy rescue for an individual. These are cases of mild and self-limiting infections in otherwise healthy patients whose overall health is not significantly compromised by the infection. In such cases, restrictive policies would be ethically justified because they would coerce individuals into fulfilling a moral obligation they independently have. However, to ensure that such justification is the strongest possible, states also have the responsibility to ensure that forgoing antimicrobials is as easy as possible for patients by implementing adequate compensation measures

Antimicrobial Footprints, Fairness, and Collective Harm

This chapter explores the question of whether or not individual agents are under a moral obligation to reduce their ‘antimicrobial footprint’. An agent’s antimicrobial footprint measures the extent to which her actions are causally linked to the use of antibiotics. As such, it is not necessarily a measure of her contribution to antimicrobial resistance. Talking about people’s antimicrobial footprint in a way we talk about our carbon footprint may be helpful for drawing attention to the global effects of individual behaviour and for highlighting that our choices can collectively make a real difference. But can we be morally obligated to make a contribution to resolving a collective action problem when our individual contributions by themselves make no discernible difference? I will focus on two lines of argument in favour of such obligations: whether a failure to reduce one’s antimicrobial footprint is unfair and whether it constitutes wrongdoing because it is harmful. I conclude by suggesting that the argument from collective harm is ultimately more successful