3D-Bioprinted Cartilage Scaffold for Patient-Specific Ear Reconstruction

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Solution Overview

Problem

Current methods for reconstructing craniofacial features and repairing osteochondral lesions are limited by the need for multiple surgeries, donor site morbidity, and the inability to provide customized size and shape, leading to complications such as asymmetry and long-term complications from scaffold placement.

Innovation Solution

A method involving the creation of patient-specific grafts using three-dimensional bio-printing with biocompatible inks, combining particles, fibers, and mammalian cells, which are mixed with a gelling polysaccharide solution to form a printing mix that can be deposited in a three-dimensional form, allowing for customized cartilage tissue reconstruction with internal polymer gradients and support structures.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Reliability

If autologous costal cartilage is harvested and sculpted into an ear-like shape, then the reconstructed ear can be created, but donor site morbidity, collapse of the abdominal wall, and severe pain occur

Engineering Contradiction:
Improvereconstruction successVSAvoiddonor site morbidity
Core Design Contradiction:
ReliabilityVSObject-affected harmful factors

Solution Approach 1:

The patent creates a three-dimensional copy of the patient's contralateral ear using imaging techniques (CT, MRI, or optical scanning) to generate a digital model. This digital replica is then used to manufacture a customized scaffold that precisely matches the desired ear geometry, eliminating the need to sculpt cartilage from a donor site and avoiding all associated donor site complications.

Inventive Principle:
Principle #26Copying

Solution Approach 2:

The invention changes the material parameter from harvested costal cartilage to a biocompatible polymer scaffold (such as PCL, PLGA, or collagen-based materials). This parameter change allows the scaffold to be manufactured with precise geometric control while being implanted without harvesting, thereby eliminating donor site morbidity, abdominal wall collapse, and severe pain.

Inventive Principle:
Principle #35Parameter changes

2Object-affected harmful factors

If silicone implants are used to avoid costal cartilage harvesting, then the need for harvesting is avoided, but the patient faces high risk of long-term complications

Engineering Contradiction:
Improveharvesting avoidanceVSAvoidlong-term safety
Core Design Contradiction:
Object-affected harmful factorsVSReliability

Solution Approach 1:

The patent employs composite material strategies by combining biocompatible polymers with natural extracellular matrix components (such as collagen, gelatin, or hyaluronic acid) within the scaffold structure. This composite approach provides both the structural integrity needed for ear reconstruction and the biocompatibility required to avoid long-term complications associated with pure synthetic implants, while still avoiding costal cartilage harvesting.

Inventive Principle:
Principle #40Composite materials

3Ease of manufacture

If standard treatment methods are used, then reconstruction can be performed, but customized size and shape cannot be provided leading to asymmetry

Engineering Contradiction:
Improvereconstruction feasibilityVSAvoidcustomization accuracy
Core Design Contradiction:
Ease of manufactureVSManufacturing precision

Solution Approach 1:

The patent applies local quality by creating a customized scaffold where each region has precisely controlled geometric properties matching the specific requirements of the patient's anatomy. The three-dimensional printing process allows different sections of the scaffold to have varying porosity, density, and structural characteristics tailored to local mechanical and biological requirements, ensuring perfect symmetry and customization that standard methods cannot achieve.

Inventive Principle:
Principle #3Local quality

4Reliability

If multiple surgical stages are performed for ear reconstruction, then the reconstruction can be completed, but surgical time and patient discomfort increase

Engineering Contradiction:
Improvereconstruction completenessVSAvoidsurgical time
Core Design Contradiction:
ReliabilityVSLoss of time

Solution Approach 1:

The patent implements preliminary action by manufacturing the customized ear scaffold before the surgical implantation procedure. The scaffold is designed and fabricated using three-dimensional printing technology based on pre-operative imaging, allowing complex geometric structures to be prepared in advance. This eliminates the need for multiple surgical stages and extensive intraoperative sculpting, significantly reducing surgical time and patient discomfort while ensuring complete and accurate reconstruction.

Inventive Principle:
Principle #10Preliminary action

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

This approach reduces patient discomfort, minimizes surgical time, and enhances tissue regeneration, providing better shape and size replication, mechanical flexibility, and faster recovery by creating functional and native cartilage-like tissue grafts.

Implementation Method 1

providing an aqueous solution of a gelling polysaccharide; mixing said particles and/or fibres, said aqueous solution of a gelling polysaccharide and said mammalian cells to obtain a printing mix

Methodology Applied
Scientific EffectGelation: Gel

Data Source

PatentUS11633518B2Graft scaffold for cartilage repair and process for making same
Publication Date: 2023.04.25 ETH ZURICH
  • US11633518B2 patent drawing
  • US11633518B2 patent drawing
  • US11633518B2 patent drawing

AI summary

The present invention relates to a method of providing a graft scaffold for cartilage repair, particularly in a human patient. The method of the invention comprising the steps of providing particles and/or fibres; providing an aqueous solution of a gelling polysaccharide; providing mammalian cells; mixing said particles and/or fibres, said aqueous solution of a gelling polysaccharide and said mammalian cells to obtain a printing mix; and depositing said printing mix in a three-dimensional form. The invention further relates to graft scaffolds and grafts obtained by the method of the invention.