Anatomic models are important in medical education and pre-operative planning as they help students or doctors prepare for real scenarios in a risk-free way. Several experimental anatomic models were made with additive manufacturing techniques to improve geometric, radiological, or mechanical realism. However, reproducing the mechanical behavior of soft tissues remains a challenge. To solve this problem, multi-material structuring of soft and hard materials was proposed in this study, and a three-dimensional (3D) printer was built to make such structuring possible. The printer relies on extrusion to deposit certain thermoplastic and silicone rubber materials. Various objects were successfully printed for testing the feasibility of geometric features such as thin walls, infill structuring, overhangs, and multi-material interfaces. Finally, a small medical image-based ribcage model was printed as a proof of concept for anatomic model printing. The features enabled by this printer offer a promising outlook on mimicking the mechanical properties of various soft tissues.

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Silicone rubbers are relatively new in additive manufacturing, with only a few commercial printing services and reports on custom-built printers available. Publications and standards on calibration and accuracy assessment are especially lacking. In this study, the printhead calibration process of a custom-built silicone printer is explained, and a set of test objects is proposed and evaluated. The printer in use is based on an open-source filament printer, capable of multi-material printing with silicone rubbers and thermoplastic polymers. Three different high-viscosity single-component liquid silicone rubbers and one polylactic acid thermoplastic filament were used as printing materials. First, the calibration process of the silicone printhead was conducted, and the dependency of the dosing accuracy on silicone viscosity, nozzle diameter and extrusion speed was evaluated. Second, various test specimens were proposed and printed to characterize the accuracy and geometric limitations of this printer. These test parts contained features such as thin walls, slender towers, small holes and slots, unsupported overhangs and bridges. It was concluded that silicone viscosity strongly affects geometric inaccuracies. Design recommendations were deducted from the results, advising for wall thicknesses above 1 mm, slenderness ratios below 2, bridging lengths below 2 mm and unsupported overhang angles below 30°.

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