Doctor of Philosophy, The Ohio State University, 2022, Mechanical Engineering
Direct-write (DW) Additive Manufacturing (AM), holds a great promise in tissue engineering (TE), as it enables the rapid fabrication of complex, porous, three-dimensional (3D) TE scaffolds through precise deposition of biomaterials, cells, and biomolecules. However, in the current TE workflow, scaffolds are fabricated in the lab and then are implanted in the patient via an open surgery. This paradigm invites handling and surgical complications, negating the therapeutic benefits of TE. At this stage of development, it is rational to merge Robotic Assisted Surgery (RAS), AM, and TE to perform minimally invasive TE directly inside the patient body (intracorporeally), through keyhole incisions, using an endoscopic AM tool. Endoscopic AM is radically different from conventional DW AM methods. The material must traverse through a long slender tool to be deposited in 3D on soft tissue deep into the body, at physiological temperature, and in a safe manner. Most of the current biomaterial formulations used in TE either have a very low viscosity at physiological temperature (37 ◦C) and therefore cannot be deposited in 3D, or require crosslinking mechanisms that are unsafe to be used intracorporeally, such as the use of ultraviolet light, or chemical agents. Moreover, flowrate control continues to be a challenge in DW AM, resulting in defects in the manufactured constructs, which are not desired in intracorporeal TE. Towards intracorporeal AM of TE scaffolds, in this dissertation I present, 1. flowrate control in DW AM with pressure feedback, to avoid excess or lack of material deposition for precise intracorporeal TE, 2. development and characterization of a novel biomaterial formulation for DW AM of TE scaffolds in intracorporeal conditions, and robotics methods for scaffold integration on soft tissue, and 3. endoscopic AM of TE scaffolds in a mock surgical environment and the effect of endoscopic AM unique characteristics on the biomaterial printing and cell function.
Committee: David Hoelzle Dr. (Advisor)
Subjects: Biomedical Engineering; Mechanical Engineering