Affordable multicolor 3D printing solution for biomedical education in low- and middle-income countries

• Intricate biomedical model requires multicolor printing with water-soluble support. • Current FDM printers lack an efficient, cost-effective system for biomedical models. • DAP-Hybrid-IDEX uniquely integrates multicolor printing with dissolvable support. • Outperforms comparable FDM printers in printing biomedical models. • Cost-effective, open-source solution for biomedical education in LMICs. 3D printing for biomedical education in universities remains largely inaccessible in low- and middle-income countries (LMICs) due to the high cost of commercial material jetting and powder bed fusion 3D printers. To address this barrier, we have developed an affordable multicolor fused deposition modeling (FDM) 3D printer capable of producing biomedical models with intricate geometries. The key innovation of our printer is the novel integration of two distinct hybrid printhead configurations to enable simultaneous multicolor printing and water-soluble support material deposition. Positioned along the same X-axis, the first printhead employs a filament cutting, retracting, and purging mechanism to print in seven colors, while the second printhead is dedicated to printing water-soluble support material. The printer utilizes a hybrid CoreXY kinematic system and offers a 30 × 30 × 30 cm print volume. Its operations are controlled by two MKS Monster8 V2.0 boards and an MKS Pi V1.1 running Klipper firmware, with Orca Slicer software converting 3D model data into printer-readable instructions. Our printer successfully operated for up to 45 h, producing four detailed heart models (18 × 15 × 10 cm) and a multicolor DNA polymerase model from online databases and CT scan images. Support structures were removed by immersing the prints in warm water for 24 h, ensuring precise structural integrity for complex models. By combining multicolor printing with water-soluble support material, our cost-effective, frugal innovation allows the fabrication of intricate, vibrant biomedical models, making 3D printing more feasible for biomedical education and research in LMICs.