The coronavirus disease 2019 (COVID-19) pandemic, caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2), has spread through more than 180 countries, leading to diverse health systems overload around the world. Because of the high number of patients and the supply chain disruption, it generated a shortage of medical devices and personal protective equipment. In this context, initiatives from the additive manufacturing community emerged to fight the lack of devices. Diverse designs were produced and are currently being used in hospitals by patients and health workers. However, as some devices must follow strict standards, these products may not fulfill these standards. Therefore, to ensure the user’s health, there is a need for understanding each device, their usage, and standards. This study reviews the use of additive manufacturing during COVID-19 pandemic. It gathers the source of several 3D printed devices such as face shields, face masks, valves, nasopharyngeal swabs, and others, discussing their use and regulatory issues. In this regard, the major drawbacks of the technology, addressed for the next pandemic scenario, are highlighted. Finally, some insights of the future of additive manufacturing during emergency are given and discussed.

The implant’s surface is responsible for direct interaction with the human body. For cases where osseointegration must be favored and the risk of bacteria proliferation is lower, rough surfaces are more suitable, while for implants where the risks are higher, a reduced surface roughness is required. This study aimed to analyze and produce different surface finishes on samples of Ti-6Al-4V alloy produced by additive manufacturing technique of Direct Metal Laser Sintering (DMLS). Surfaces of the samples were analyzed in the as-built condition, after blasting, after chemical etching, after electropolishing and two different combinations of these methods. The surfaces were studied using the technique of scanning electron microscopy, and surface roughness and mass measurements. The lower roughness value was obtained after a combination of blasting and chemical etching. Blasting results in a surface with uniform roughness while chemical etching cleans the surface and reduces its roughness.

Cobalt-base alloys (Co-Cr-Mo) are widely employed in dentistry and orthopedic implants due to their biocompatibility, high mechanical strength and wear resistance. The osseointegration of implants can be improved by surface modification techniques. However, complex geometries obtained by additive manufacturing (AM) limits the efficiency of mechanical-based surface modification techniques. Therefore, plasma immersion ion implantation (PIII) is the best alternative, creating nanotopography even in complex structures. In the present study, we report the osseointegration results in three conditions of the additively manufactured Co-Cr-Mo alloy: (i) as-built, (ii) after PIII, and (iii) coated with titanium (Ti) followed by PIII. The metallic samples were designed with a solid half and a porous half to observe the bone ingrowth in different surfaces. Our results revealed that all conditions presented cortical bone formation. The titanium-coated sample exhibited the best biomechanical results, which was attributed to the higher bone ingrowth percentage with almost all medullary canals filled with neoformed bone and the pores of the implant filled and surrounded by bone ingrowth. It was concluded that the metal alloys produced for AM are biocompatible and stimulate bone neoformation, especially when the Co-28Cr-6Mo alloy with a Ti-coated surface, nanostructured and anodized by PIII is used, whose technology has been shown to increase the osseointegration capacity of this implant.

The additive manufacturing (AM) technique can produce Ti-6Al-4V ELI (extra low interstitial) alloy for personalized biomedical devices. However, the Ti-6Al-4V ELI alloy presents poor tribological behavior. Regarding this, coatings are a feasible approach to improve the wear resistance of this alloy. In the literature, the tribological behavior of TiO₂ coatings incorporated with Ca and P formed by one-step plasma electrolytic oxidation (PEO) on Ti-6Al-4V ELI alloy processed by AM has not been investigated. Thus, in the present work, it was studied the influence of Ti-6Al-4V ELI alloy processed by AM on the wear resistance and morphologic of the coating obtained by PEO (plasma electrolytic oxidation). In this way, three different voltages (200, 250, and 300 V) were employed for the PEO process and the voltage effect on the properties of the coatings. The coatings were characterized by contact profilometry, scanning electron microscopy, energy-dispersive spectroscopy, the sessile drop method, grazing-incidence X-ray diffraction, and wear tests, on a ball-on-plate tribometer. The increase in applied voltage promoted an increase in roughness, pore area, and a decrease in the pore population of the coatings. In addition, the coatings, mainly composed of anatase and rutile, showed good adhesion to the metallic substrate, and the presence of bioactive elements Ca and P were detected. The thickness of the coatings obtained by PEO increases drastically for voltages higher than 250 V (from 4.50 ± 0.33 to 23.83 ± 1.5 µm). However, coatings obtained with lower voltages presented thin and dense layers, which promoted a superior wear resistance (increase in wear rate from 1.99 × 10⁻⁶ to 2.60 × 10⁻⁵ mm³/s). Finally, compared to the uncoated substrate, the PEO coatings increased the wear resistance of the titanium alloy obtained by AM, also showing a superior wear resistance compared to the commercial Ti-6Al-4V alloy previously evaluated, being such a positive and promising behavior for application in the area of metallic implants.