4D printed orbital stent for the treatment of enophthalmic invagination.

Currently, the implants used for enophthalmic invagination have the disadvantages of precise filling difficulty, weak filling ability, large surgical wounds, and lack of CT development. Here, a CT-developable orbital stent was manufactured via 4D printing of a shape memory polyurethane composite for enophthalmos treatment. The composite was endowed with good CT development properties via incorporation of gold nanoparticles and nano-hydroxyapatite. Based on the bionic idea and CT reconstruction technique, a 4D printed orbital stent with a bionic honeycomb pore structure and an outer contour matching the orbital coloboma was designed to support the orbital tissue more accurately and stably. CT images of rabbits before and after the 4D printed orbital stent implantation showed better volume-filling capacity compared with the two types of the commercial orbital implants. The three-month follow-up showed the good postoperative result, which demonstrated the excellent performance of the composite in the precise minimally invasive treatment of enophthalmos compared with traditional orbital implants.

Programmable 4D Printing of Photoactive Shape Memory Composite Structures.

4D printing is an advanced manufacturing technology combining additive manufacturing with smart materials. Based on light-active shape memory composites, smart medical structures with remote control capability, therapeutic function, and biocompatibility are hopefully fabricated by 4D printing. Here, a multifunctional composite with good mechanical properties, biocompatibility, and light-active shape memory performance is prepared by incorporating gold nanoparticles into a shape memory polyurethane matrix. The composites demonstrate a rapid and stable light-thermal effect, which can achieve localized and controlled breast tumor ablation, providing an approach to hyperthermia treatment for cancer cells. By directly bioprinting the composite melt, a series of 4D-printed structures are manufactured accurately in a convenient, clean, and safe way, which show a fast autonomous light-driven shape recovery process. The examples of a 4D-printed soft tissue scaffold and intraluminal scaffold can expand from a conveniently insertional shape to an expanded shape under light exposure. The proposed strategies provide great inspiration for customized multifunctional light-thermal therapeutic structures for minimally invasive treatment.