Almanac of law. Issue 15 (2024), pages 660–669.
DOI: 10.33663/2524-017X-2024-15-660-669
Chornenka D. S.
Modern trends in regulatory activity in the field of bioprinting and organ donation
The article examines the problems of bioprinting and organ donation through the lens of modern trends in rulemaking. It is noted that one of the most dynamic branches of modern medicine is transplantology, which is actively developing in Ukraine, even despite Russia’s full-scale war against Ukraine and the impossibility of using medical aviation. It was emphasized that additive technologies are increasingly becoming the basis of modern progress in the field of medicine. The most common term characterizing them is three-dimensional printing, 3D printing. Yes, human organs have not yet been printed using it, but scientists are already using 3D technologies to create «organoids» that imitate organs on a reduced scale and can be used for research. Modern technologies do not stand still. Living cells are used as a material, which became the basis of bioprinting, when with the help of a 3D printer it is possible to produce tissues, human organs or special products containing living cells. In modern medicine, the use of three-dimensional technologies is developing in several directions. In particular, it is a scanning of organs using computer tomography and magnetic resonance imaging. The advantages of three-dimensional images over planar ones are obvious: during a 3D scan, a specialist can detect hidden problems and subsequently prescribe a more targeted treatment to the patient and prevent the development of serious diseases. 3D models of organs are also created, which make it possible to study the pathology and practice before the operation. In addition, implants are being actively created based on three-dimensional images using 3D printers, technologies for creating artificial bones, tissues, blood vessels and organs are being developed. It was concluded that the vast majority of developed countries adopt strategic documents aimed at introducing innovations into routine practice. At the same time, many risks arising from new discoveries in biomedicine are exacerbated by their combination with the threats posed by bioprinting. In view of this, the legislator will need to solve the basic problem: the extension of the general terminology of 3D printing to the biomedical sphere (a step towards this can be, for example, the Law «On Additive Technologies») or the use of a sui generis categorical apparatus for such created products.
Key words: law-making, health care legislation, legal regulation, human rights, bioprinting, transplantation, donation, transplantology, additive technologies, 3D printer, 3D printing.
References
- Transplantatsiia i donorstvo krovi u 2023-mu. Vebsait Ukrainskoho tsentru transplant-koordynatsii. 2023.
29 hrud. URL: https://utcc.gov.ua/transplantatsiya-i-donorstvo-krovi-u-2023-u/ (data zvernennia: 27.05.2024). - Shche dva medzaklady zmozhut provodyty operatsii z transplantatsii. Vebsait MOZ Ukrainy. 2023. 26 trav.
URL: https://moz.gov.ua/article/news/sche-dva-medzakladi-zmozhut-provoditi-operacii-z-transplantacii (data
zvernennia: 27.05.2024). - Transplantatsiia u pershomu kvartali 2024 roku. Vebsait Ukrainskoho tsentru transplant-koordynatsii.
2024. 8 kvit. URL: https://utcc.gov.ua/transplantatsiya-u-pershomu-kvartali-2024-roku/ (data zvernennia:
27.05.2024). - Tarasevych T. Pravovyi rezhym vykorystannia liudskykh orhaniv, stvorenykh za dopomohoiu biotekhnolohii:
biopryntynh v Ukraini ta zarubizhnykh derzhavakh. Dniprovskyi naukovyi chasopys publichnoho upravlinnia,
psykholohii, prava. 2023. Vyp. 1. S. 150–156. URL: https://chasopys-ppp.dp.ua/index.php/chasopys/article/
view/377/333 (data zvernennia: 27.05.2024). - Kolisnyk T. Liudski orhany na prynteri, robotyzovani protezy i 3D-modeli chastyn tila: medytsyna maibutnoho
v Ukraini ta sviti. The PharmaMedia. 2018. 5 liut. URL: https://thepharma.media/publications/articles/18766-
ljudski-organi-na-printeri-robotizovani-protezi-i-3d-modeli-chastin-tila-medicina-majbutnogo-v-ukraini-tasviti (data zvernennia: 27.05.2024). - Do Zhenevy pryide nadrukovanyi na 3D-prynteri kontsept-kar EDAG LightCocoon. Autode.net. 2023.
29 veres. URL: http://www.autode.net/news/EDAG_Light_Cocoon (data zvernennia: 27.05.2024). - Kuliavets V. R., Bespalova O. Ya. Vydy bioprynteriv dlia druku orhaniv. Biomedychna inzheneriia. 2020.
Vyp. 3. S. 68–73. URL: http://webcache.googleusercontent.com/search?q=cache:sMKfXgMzpSIJ:biome
dtech.kpi.ua/article/download/195694/196036/436204&cd=15&hl=ru&ct=clnk&gl=nl (data zvernennia:
27.05.2024). - Miao S., Cui H., Nowicki M., Xia L., Zhou X., Lee S.-J., Zhu W. et al. Stereolithographic 4D Bioprinting of
Multiresponsive Architectures for Neural Engineering. Advanced Biosystems. 2018. Vol. 2 (9). P. 1–10. DOI:
https://doi.org/10.1002/adbi.201800101. - 3D Bioprinting Market — Growth, Trends, COVID-19 Impact, and Forecasts (2021–2026). URL: https://
www.reportlinker.com/p06079791/3D-Bioprinting-Market-Growth-Trends-COVID-19-Impactand-Forecasts.
html?utm_source=PRN (viewed on 10.06.2022). - Gonfiotti A., Jaus M., Barale D., Baiguera S. & Comin S., et al. The first tissueengineered airway transplantation:
5-year follow-up results. The Lancet. 2014. Vol. 383 (9913). P. 238–244. - Molins L. Patient follow-up after tissue-engineered airway transplantation. The Lancet. 2019. Vol. 393 (10176).
P. 16–22. DOI: https://doi.org/10.1016/S0140-6736(19)30485-4. - Retraction — Tracheobronchial transplantation with a stem-cell-seeded bioartificial nanocomposite: a proofofconcept study. The Lancet. 2018. Vol. 392 (10141). R. 11. DOI: https://doi.org/10.1016/S0140-6736(18)31558-7.
- Damiano G., Palumbo V. D. & Fazzotta S., et al. Current Strategies for Tracheal Replacement: A Review. Life.
2021. Vol. 11 (7). P. 618. DOI: https://doi.org/10.3390/life11070618. - Hitti N. University of Wollongong uses stem cells to 3D-print human ears. URL: https://www.dezeen.
com/2019/03/25/3d-printing-human-ears-university-of-wollongong/ (viewed on 27.05.2024). - Albanna M., Binder K. W. & Murphy S. V., et al. In situ bioprinting of autologous skin cells accelerates wound
healing of extensive excisional full-thickness wounds. Scientific Reports. 2019. Vol. 9, article number 1856.
DOI: https://doi.org/10.1038/s41598-018-38366-w. - Weng T., Zhang W., Xia Y., Wu P. & Yang M., et al. 3D bioprinting for skin tissue engineering: Current status and
perspectives. Journal of Tissue Engineering. 2021. Vol. 12. P. 1–28. https://doi.org/10.1177/20417314211028574. - Pro okhoronu prav na vynakhody i korysni modeli: Zakon Ukrainy vid 15.12.1993 № 3687-XII. Baza danykh
«Zakonodavstvo Ukrainy» / VR Ukrainy. URL: https://zakon.rada.gov.ua/laws/show/3687-12#Text (data
zvernennia: 27.05.2024). - Pro zastosuvannia transplantatsii anatomichnykh materialiv liudyni: Zakon Ukrainy vid 17.05.2018
№ 2427-VIII. Baza danykh «Zakonodavstvo Ukrainy» / VR Ukrainy. URL: https://zakon.rada.gov.ua/laws/
show/2427-19#Text (data zvernennia: 27.05.2024). - Ben-Ner A. & Siemsen E. Decentralization and localization of production: the organizational and economic
consequences of additive manufacturing (3D Printing). California Management Review. 2017. Vol. 59 (2).
P. 5–23. - Villamil C., Nylander J., Hallstedt S. I., Schulte J. & Watz M. Additive manufacturing from a strategic
sustainability perspective. International design conference — Design 2018. P. 1381–1392. DOI: https://doi.
org/10.21278/idc.2018.0353. - Additive Manufacturing National Strategy for the UK. URL: https://hvm.catapult.org.uk/news/anadditivemanufacturing-national-strategy-sets-out-to-establish-the-uk-as-a-world-leader/ (viewed on 27.05.2024).
- Minshall T. & Featherston C. A Case Study of the development of the UKs Additive Manufacturing National
Strategy 2014–2017. Centre for Technology Management working paper series. 2019. Vol. 3. DOI: https://doi.
org/10.17863/CAM.35689. - Additive Manufacturing Austria (AM Austria). URL: https://produktionderzukunft.at/en/platforms/additivemanufacturing-austria.php (viewed on 27.05.2024).
- National Strategy on Additive manufacturing (AM). URL: https://www.meity.gov.in/writereaddata/files/
National%20Strategy%20for%20Additive%20Manufacturing.pdf (viewed on 27.05.2024). - Rozvytok transplantolohii v Ukraini: isnuiuchyi dosvid ta perspektyvy. Health-ua.com. 2021. 23 liut. URL:
https://health-ua.com/article/63756-rozvitok-transplantolog-vukran-snuyuchij-dosvd-taperspektiv (data
zvernennia: 27.05.2024). - Biotekhnolohy vpershe nadrukuvaly tsilyi zhyvyi orhan na 3D-prynteri. 2016. Obozrevatel. 16 liut. URL:
https://news.obozrevatel.com/ukr/tech/science/61934-biotehnologi-vpershe-nadrukuvali-tsilij-zhivij-organna-3d-printeri/amp.htm (data zvernennia: 27.05.2024). - Efrati I. Israeli Scientists Print Worlds First 3-D Heart. Haaretz. April 15, 2019. URL: https://www.haaretz.
com/scienceand-health/.premium-israeli-scientists-print-world-s-first-3-d-heart-1.7124321 (viewed on
27.05.2024). - Klishchuk L. Ukrainski naukovtsi navchylysia stvoriuvaty protezy na 3D-prynteri. Na chasi. 2018. 21 sich.
URL: https://nachasi.com/news/2018/01/¬12/protez-na-3d-prynteri/ (data zvernennia: 27.05.2024). - Yang D. H., Kang J. W., Kim N. & Song J. K., et al. Myocardial 3-dimensional printing for septal myectomy
guidance in a patient with obstructive hypertrophic cardiomyopathy. Circulation. 2015. Vol. 132 (4). P. 300–
301. DOI: https://doi.org/10.1161/CIRCULATIONAHA.115.015842. - Zein N. N., Hanouneh I. A., Bishop P. D., Samaan M. & Eghtesad B., et al. Threedimensional print of a liver
for preoperative planning in living donor liver transplantation. Liver Transplant. 2013. Vol. 19 (12). R. 1304–
1310. DOI: https://doi.org/10.1002/lt.23729. - Tejo-Otero A., Buj-Corral I. & Fenollosa-Artés F. 3D Printing in Medicine for Preoperative Surgical Planning:
A Review. Annals of Biomedical Engineering. 2020. Vol. 48 (2). P. 536–555. DOI: https://doi.org/10.1007/
s10439-019-02411-0. - Ventola C. L. Medical Applications for 3D Printing: Current and Projected Uses. Pharmacy and Therapeutics.
2014. Vol. 39 (10). P. 704–711. - Jaganathan H., Gage J., Leonard F., Srinivasan S, et al. Three-Dimensional In Vitro Co-Culture Model of
Breast Tumor using Magnetic Levitation. Scientific Reports. 2014. Vol. 4. Article number 6468. DOI: https://
doi.org/10.1038/srep06468. - Readily3D. URL: https://readily3d.com/ (viewed on 27.05.2024).
- Anusci V. Readily3Ds volumetric bioprinters will make pancreatic tissue for ENLIGHT project. URL: https://
www.3dprintingmedia.network/readily3ds-volumetric-bioprinters-will-make-pancreatic-tissuefor-enlightproject/ (viewed on 27.05.2024). - Moscaritolo A. Woman Receives 3D Printer-Created Transplant Jaw. URL: https://in.pcmag.com/printers/88979/
woman-receives-3d-printer-created-transplant-jaw (viewed on 27.05.2024). - Javaid M., Haleem A. Additive manufacturing applications in medical cases: A literature based review. Alexandria
Journal of Medicine. 2018. Vol. 54 (4). P. 411–422. DOI: https://doi.org/10.1016/j.ajme.2017.09.003. - Invisalign. URL: https://www.invisalign.com/ (data zvernennia: 27.05.2024).
- Pro zastosuvannia transplantatsii anatomichnykh materialiv liudyni: Zakon Ukrainy vid 17.05.2018 № 2427-
VIII. Baza danykh «Zakonodavstvo Ukrainy» / VR Ukrainy. URL: https://zakon.rada.gov.ua/laws/show/2427-
19#Text (data zvernennia: 27.05.2024). - Santoni S., Gugliandolo S. G., Sponchioni M., Moscatelli D. & Colosimo B. M. 3D bioprinting: current status
and trends — a guide to the literature and industrial practice. Bio-Design and Manufacturing. 2022. № 5.
R. 14–42. DOI: https://doi.org/10.1007/s42242-021-00165-0. - Osnovy zakonodavstva Ukrainy pro okhoronu zdorovia: Zakon Ukrainy vid 19.11.1992 № 2801-XII. Baza
danykh «Zakonodavstvo Ukrainy» / VR Ukrainy. URL: https://zakon.rada.gov.ua/laws/show/2801-12#Text
(data zvernennia: 27.05.2024).
Danyila Stepanivna Chornenka,
Postgraduate Student at the V. M. Koretsky Institute of State and Law, NAS of Ukraine
ORCID: 0000-0002-2224-9646