<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3-mathml3.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Bioeng. Biotechnol.</journal-id>
<journal-title-group>
<journal-title>Frontiers in Bioengineering and Biotechnology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Bioeng. Biotechnol.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="epub">2296-4185</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1779512</article-id>
<article-id pub-id-type="doi">10.3389/fbioe.2026.1779512</article-id>
<article-version article-version-type="Version of Record" vocab="NISO-RP-8-2008"/>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Novel design of tubular metamaterials with sign-switchable Poisson&#x2019;s ratio and tunable mechanical properties for intestinal stents</article-title>
<alt-title alt-title-type="left-running-head">Lyu et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fbioe.2026.1779512">10.3389/fbioe.2026.1779512</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Lyu</surname>
<given-names>Yongtao</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/899158"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Conceptualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/conceptualization/">Conceptualization</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Funding acquisition" vocab-term-identifier="https://credit.niso.org/contributor-roles/funding-acquisition/">Funding acquisition</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Supervision" vocab-term-identifier="https://credit.niso.org/contributor-roles/supervision/">Supervision</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x26; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/">Writing - review and editing</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Siniauskaya</surname>
<given-names>Volha</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2764520"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Formal analysis" vocab-term-identifier="https://credit.niso.org/contributor-roles/formal-analysis/">Formal Analysis</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Validation" vocab-term-identifier="https://credit.niso.org/contributor-roles/validation/">Validation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Visualization" vocab-term-identifier="https://credit.niso.org/contributor-roles/visualization/">Visualization</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing - original draft</role>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Jiang</surname>
<given-names>Jian</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2733832"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x26; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/">Writing - review and editing</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wang</surname>
<given-names>Hao</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2775015"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Formal analysis" vocab-term-identifier="https://credit.niso.org/contributor-roles/formal-analysis/">Formal Analysis</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Investigation" vocab-term-identifier="https://credit.niso.org/contributor-roles/investigation/">Investigation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x26; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/">Writing - review and editing</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Meng</surname>
<given-names>Lingqi</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Software" vocab-term-identifier="https://credit.niso.org/contributor-roles/software/">Software</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x26; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/">Writing - review and editing</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bosiakov</surname>
<given-names>Sergei</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/629221"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x26; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/">Writing - review and editing</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Abdul Kadir</surname>
<given-names>Mohammed Rafiq</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x26; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/">Writing - review and editing</role>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
<institution>Department of Spinal Surgery, Central Hospital of Dalian University of Technology, Dalian University of Technology</institution>, <city>Dalian</city>, <country country="CN">China</country>
</aff>
<aff id="aff2">
<label>2</label>
<institution>Department of Engineering Mechanics, Dalian University of Technology</institution>, <city>Dalian</city>, <country country="CN">China</country>
</aff>
<aff id="aff3">
<label>3</label>
<institution>DUT-BSU Joint Institute, Dalian University of Technology</institution>, <city>Dalian</city>, <country country="CN">China</country>
</aff>
<aff id="aff4">
<label>4</label>
<institution>Faculty of Mechanics and Mathematics, Belarusian State University</institution>, <city>Minsk</city>, <country country="BY">Belarus</country>
</aff>
<aff id="aff5">
<label>5</label>
<institution>Department of Biomedical Engineering, Faculty of Engineering, Universiti Malaya</institution>, <city>Kuala Lumpur</city>, <country country="MY">Malaysia</country>
</aff>
<author-notes>
<corresp id="c001">
<label>&#x2a;</label>Correspondence: Jian Jiang, <email xlink:href="mailto:rejustin@sina.com">rejustin@sina.com</email>
</corresp>
</author-notes>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2026-02-17">
<day>17</day>
<month>02</month>
<year>2026</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2026</year>
</pub-date>
<volume>14</volume>
<elocation-id>1779512</elocation-id>
<history>
<date date-type="received">
<day>02</day>
<month>01</month>
<year>2026</year>
</date>
<date date-type="rev-recd">
<day>26</day>
<month>01</month>
<year>2026</year>
</date>
<date date-type="accepted">
<day>02</day>
<month>02</month>
<year>2026</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2026 Lyu, Siniauskaya, Jiang, Wang, Meng, Bosiakov and Abdul Kadir.</copyright-statement>
<copyright-year>2026</copyright-year>
<copyright-holder>Lyu, Siniauskaya, Jiang, Wang, Meng, Bosiakov and Abdul Kadir</copyright-holder>
<license>
<ali:license_ref start_date="2026-02-17">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>Current intestinal stents used to restore patency face limitations due to the rigidity of metal structures and the premature degradation of biopolymer alternatives. Therefore, there is a critical need to develop stents that are flexible, radially strong, and able to adapt to the dynamic conditions within the body.</p>
</sec>
<sec>
<title>Methods</title>
<p>This study introduces a novel tubular mechanical metamaterial featuring a sign-switchable Poisson&#x2019;s ratio and tunable mechanical properties, achieved by integrating hexagonal unit cells with positive Poisson&#x2019;s ratio and re-entrant unit cells with negative Poisson&#x2019;s ratio. Experimental uniaxial compression tests and finite element analyses were performed to validate the proposed design and assess its mechanical performance.</p>
</sec>
<sec>
<title>Results</title>
<p>The structure exhibits a negative Poisson&#x2019;s ratio under tensile loading across all configurations, whereas under compression, the Poisson&#x2019;s ratio was transited from negative to positive due to self-contact between triangular struts, enabling the distinctive sign-switching behavior. Experimental uniaxial compression tests and finite element analyses were performed to validate the proposed design and assess its mechanical performance. Results reveal that the geometric gap between the horizontal struts in the concave unit cells serves as a crucial tuning parameter: increasing this gap delays the onset of sign&#x2010;switching during compression while exerting minimal influence on the tensile response. The stiffness, yield strength, and energy absorption capacity are shown to be highly adjustable through this geometric control.</p>
</sec>
<sec>
<title>Discussion</title>
<p>Overall, the metamaterial demonstrates superior energy absorption and tunable stiffness, making it a promising candidate for applications in intestinal stents.</p>
</sec>
</abstract>
<kwd-group>
<kwd>adjustable energy absorption</kwd>
<kwd>intestinal stents</kwd>
<kwd>sign-switchable Poisson&#x2019;s ratio</kwd>
<kwd>tubular mechanical metamaterial</kwd>
<kwd>tunable stiffness</kwd>
</kwd-group>
<funding-group>
<funding-statement>The author(s) declared that financial support was received for this work and/or its publication. This work was supported by the National Natural Science Foundation of China (grant numbers 12572376, W2521087), the National Key R&#x26;D Program of China (grant number 2024YFE0213500), and the Fundamental Research Funds for the Central Universities (grant number DUT25YG245). Dalian Science and Technology Innovation Fund (grant number 2025JJ13PT049), Natural Science Foundation of Liaoning Province (2025-MS-365).</funding-statement>
</funding-group>
<counts>
<fig-count count="12"/>
<table-count count="2"/>
<equation-count count="9"/>
<ref-count count="27"/>
<page-count count="14"/>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Biomechanics</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<label>1</label>
<title>Introduction</title>
<p>Intestinal obstruction is a life-threatening condition that requires urgent intervention. The main causes of obstruction include intra-abdominal adhesions, malignant tumours and hernias (<xref ref-type="bibr" rid="B9">Jeong and Park, 2020</xref>). Intestinal stents are medical implants designed to restore intestinal patency in cases of obstruction of various origins (<xref ref-type="bibr" rid="B6">Feng et al., 2022</xref>). However, despite considerable progress in intestinal stent technology, current options continue to exhibit significant limitations. Metal stents, which are the most widely used in clinical practice, possess high radial rigidity. Consequently, this stiffness can result in focal pressure on the bowel wall, representing a potential perforation risk (<xref ref-type="bibr" rid="B4">Chen et al., 2023</xref>; <xref ref-type="bibr" rid="B17">Ma et al., 2023</xref>). Despite the fact that biodegradable polymer stents resolve the issues of biodegradability and biocompatibility, they are not without limitations. For instance, there is a risk of early degradation, which could result in a loss of mechanical support (<xref ref-type="bibr" rid="B5">Fathi et al., 2020</xref>; <xref ref-type="bibr" rid="B13">Lin et al., 2023</xref>; <xref ref-type="bibr" rid="B14">Liu et al., 2025</xref>). Thermoplastic polyurethane (TPU) is considered a suitable alternative for intestinal stent applications, as it combines the requisite mechanical properties with biocompatibility (<xref ref-type="bibr" rid="B22">Wang et al., 2023</xref>). The TPU provides the required axial flexibility for implantation and radial stiffness to resist peristaltic compression (<xref ref-type="bibr" rid="B8">Hu et al., 2023</xref>; <xref ref-type="bibr" rid="B20">Soh et al., 2023</xref>).</p>
<p>Intestinal stents based on conventional materials, such as metals and biodegradable polymers, have shown considerable advances in recent years. However, these materials still fail to provide the optimal balance of mechanical properties required for the dynamic physiological environment, particularly the combination of flexibility, radial strength, and adaptability. This limitation has offered significant research interest in mechanical metamaterials. A critical design parameter for such advanced structures is their energy absorption capability, which is essential for mitigating the impact of cyclic peristaltic forces. This reduction in force transmission helps lower stress concentrations on the bowel wall and decreases the risk of stent migration.</p>
<p>Metamaterials are artificially engineered materials that exhibit extraordinary properties not typically observed in natural substances, primarily arising from their precisely designed microarchitectures (<xref ref-type="bibr" rid="B11">Kadic et al., 2013</xref>; <xref ref-type="bibr" rid="B27">Yasuda et al., 2020</xref>; <xref ref-type="bibr" rid="B23">Wu et al., 2021</xref>). These artificially engineered structures exhibit distinctive mechanical behaviors governed by both their material composition and the geometric configuration of their constituent elements. Notable metamaterials with a negative Poisson&#x2019;s ratio (i.e., auxetics) are highly relevant for biomedical implants. Among these, auxetic tubular structures, a subclass of auxetic metamaterials, have garnered significant research attention due to their unique mechanical properties. In biomedical engineering, these structures have been employed in the design of vascular stents (<xref ref-type="bibr" rid="B10">Jiang et al., 2020</xref>; <xref ref-type="bibr" rid="B1">Abbaslou et al., 2023</xref>; <xref ref-type="bibr" rid="B25">Xiao et al., 2023</xref>; <xref ref-type="bibr" rid="B7">Ghofrani et al., 2024</xref>; <xref ref-type="bibr" rid="B21">Vellaparambil et al., 2024</xref>), bone screws (<xref ref-type="bibr" rid="B26">Yao et al., 2021</xref>; <xref ref-type="bibr" rid="B2">Barnett et al., 2024</xref>), etc<italic>.</italic>, owing to their capability to distribute loads uniformly and maintain structural integrity under large deformations.</p>
<p>A particularly innovative area of research focuses on the development of metamaterials exhibiting a sign-switchable Poisson&#x2019;s ratio. Recent studies have explored hybrid structures that integrate regions with both positive Poisson&#x2019;s ratio (PPR) and negative Poisson&#x2019;s ratio (NPR) characteristics, thereby enabling precise tailoring of mechanical responses to meet specific functional requirements.</p>
<p>Most existing studies attribute the variation in Poisson&#x2019;s ratio primarily to structural interactions that occur under different loading conditions (<xref ref-type="bibr" rid="B3">Chen et al., 2021</xref>; <xref ref-type="bibr" rid="B12">Lim, 2024</xref>; <xref ref-type="bibr" rid="B24">Wu et al., 2024</xref>). However, recent advancements have broadened this understanding. For instance, <xref ref-type="bibr" rid="B19">Park et al. (2018)</xref> demonstrated that the Poisson&#x2019;s ratio can be reversibly tuned by integrating a thermosensitive composite with a high coefficient of thermal expansion and by exploiting the geometric nonlinearity of the structure. This combination enables a thermally induced transition between positive and negative Poisson&#x2019;s ratio states, thereby enhancing the functional adaptability of the material under varying thermal environments. Building upon this principle of tunability, several approaches have been proposed to achieve sign-switchable Poisson&#x2019;s ratio behavior. <xref ref-type="bibr" rid="B15">Lv et al. (2023)</xref> introduced a metamaterial design that utilizes self-contact mechanisms to mechanically regulate the Poisson&#x2019;s ratio during deformation. <xref ref-type="bibr" rid="B18">Montazeri et al. (2023)</xref> developed a mechanically reconfigurable metamaterial in which both the sign of the Poisson&#x2019;s ratio and the effective stiffness can be controlled by adjusting the geometric parameters of the unit cell. Likewise, <xref ref-type="bibr" rid="B16">Lyu et al. (2024)</xref> proposed a structure capable of independently and continuously tuning both the Poisson&#x2019;s ratio and stiffness through precise geometric adjustments in response to different loading scenarios. Collectively, these studies highlight the increasing research emphasis on adaptive mechanical metamaterials, where the interplay between structural architecture and material composition enables programmable mechanical responses.</p>
<p>Although extensive research has been conducted on two-dimensional (2D) metamaterials exhibiting switchable Poisson&#x2019;s ratios and tunable stiffness under various loading conditions, the extension of these capabilities to three-dimensional (3D) architectures remains relatively underexplored. For intestinal stents, such functionality is critical. Peristaltic motion requires geometric adjustment through sign-switchable auxeticity to prevent migration. However, the physiological loads require tunable stiffness to achieve a balance between luminal support and tissue damage. Additionally, adjustable energy absorption is required to mitigate risks from sudden impacts. Consequently, these adaptive properties can be integrated in order to develop improved stents that offer enhanced safety and performance.</p>
<p>In this study, we developed a novel tubular mechanical metamaterial by integrating a re-entrant structure exhibiting a negative Poisson&#x2019;s ratio with a hexagonal unit cell characterized by a positive Poisson&#x2019;s ratio. The introduction of self-contact within the design enables the emergence of unique mechanical properties, including a sign-switchable Poisson&#x2019;s ratio, tunable stiffness, and adjustable energy absorption. The mechanical behavior of the proposed metamaterial was evaluated through a combination of experimental axial compression tests and finite element (FE) analyses. The validated FE model was subsequently employed to conduct a parametric study investigating the influence of geometric gap size on the structural response. The results demonstrate that the proposed metamaterial holds great potential for applications in intestinal stents.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2-1">
<label>2.1</label>
<title>Structure design</title>
<p>The novel metamaterial developed in this study is based on a hybrid design that integrates hexagonal (convex) unit cells exhibiting a positive Poisson&#x2019;s ratio with re-entrant (concave) unit cells characterized by a negative Poisson&#x2019;s ratio. The convex unit cell is trimmed along both the vertical and horizontal directions, while the concave unit cell undergoes the removal of its upper and lower edges. Triangular supports derived from the re-entrant cell are incorporated into the geometry to enhance mechanical stability. The formation process of the unit cell for the proposed structure is illustrated in <xref ref-type="fig" rid="F1">Figure 1A</xref> and the geometric parameters are defined in <xref ref-type="fig" rid="F1">Figure 1B</xref>. In the proposed configuration, the width of the convex unit cell is denoted by <inline-formula id="inf1">
<mml:math id="m1">
<mml:mrow>
<mml:mi>w</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>, the height of the concave unit cell by <inline-formula id="inf2">
<mml:math id="m2">
<mml:mrow>
<mml:mi>h</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>, the length of the inclined struts by <inline-formula id="inf3">
<mml:math id="m3">
<mml:mrow>
<mml:mi>l</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>, and the angle between the struts by <inline-formula id="inf4">
<mml:math id="m4">
<mml:mrow>
<mml:mi>&#x3b1;</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>. The length of the horizontal struts in the concave unit cell is represented by <inline-formula id="inf5">
<mml:math id="m5">
<mml:mrow>
<mml:mi>c</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>, while the vertical gap between these horizontal struts is denoted by <inline-formula id="inf6">
<mml:math id="m6">
<mml:mrow>
<mml:mi>g</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>. The trimmed length of the hexagonal unit cell is represented by <inline-formula id="inf7">
<mml:math id="m7">
<mml:mrow>
<mml:mi>d</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>, and the in-plane thickness of the struts by <inline-formula id="inf8">
<mml:math id="m8">
<mml:mrow>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>. To enhance the generality of the parametric analysis and facilitate comparison across different scales, the geometric gap <inline-formula id="inf9">
<mml:math id="m9">
<mml:mrow>
<mml:mi>g</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> is normalized by the in-plane thickness of the struts by <inline-formula id="inf10">
<mml:math id="m10">
<mml:mrow>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>, thereby defining the dimensionless parameter <inline-formula id="inf11">
<mml:math id="m11">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mo>&#x3d;</mml:mo>
<mml:mi>g</mml:mi>
<mml:mo>/</mml:mo>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>. The tubular lattice structure is then formed by periodically repeating and packing the unit cell along the cylindrical axis. In this configuration, the total height <inline-formula id="inf12">
<mml:math id="m12">
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:mi>H</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
</inline-formula> of the structure is 105.37 mm, and the total diameter <inline-formula id="inf13">
<mml:math id="m13">
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:mi>D</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
</inline-formula> is 47.94&#xa0;mm. The out-of-plane thickness of each strut is denoted by <inline-formula id="inf14">
<mml:math id="m14">
<mml:mrow>
<mml:mi>T</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>, as illustrated in <xref ref-type="fig" rid="F1">Figure 1C</xref>.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Design of the novel tubular metamaterial. <bold>(A)</bold> Design process of the unit cell. <bold>(B)</bold> Design parameters of the unit cell. <bold>(C)</bold> Overall view of the tubular structure.</p>
</caption>
<graphic xlink:href="fbioe-14-1779512-g001.tif">
<alt-text content-type="machine-generated">Diagram with labeled panels explaining the construction of a periodic structure. Panel A shows the geometric derivation using colored polygonal shapes forming a composite motif. Panel B presents a technical drawing of the motif with parameters marked, including width, height, angles, and segment lengths. Panel C depicts a cylindrical lattice structure with the motif, showing diameter, thickness, height, and a magnified motif section.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s2-2">
<label>2.2</label>
<title>Experimental approach</title>
<sec id="s2-2-1">
<label>2.2.1</label>
<title>Fabrication of specimens</title>
<p>The novel tubular metamaterials were fabricated using selective laser sintering (SLS) with an S-TPU 500 3D printer (Suzhou, China). Prior to fabrication, a computer-aided design (CAD) model was created using SolidWorks software (v2023, SolidWorks Inc., Massachusetts, USA). The resulting geometry was exported in STEP format and subsequently imported into the printer&#x2019;s control system for processing. The specimens were printed with a nozzle tip diameter of 0.2 mm, a print speed of 30&#xa0;mm/s and a layer height of 0.15&#xa0;mm. Thermoplastic polyurethane (TPU) with a Shore hardness of 95 A, supplied by SUNLU (Zhuhai, Guangdong Province, China), was used as the base material. The geometric parameters of the fabricated 3D-printed structures are summarized in <xref ref-type="table" rid="T1">Table 1</xref>.</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>The design parameters of the unit cells and the structure.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Parameter (unit)</th>
<th align="center">
<inline-formula id="inf15">
<mml:math id="m15">
<mml:mrow>
<mml:mi>w</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> (mm)</th>
<th align="center">
<inline-formula id="inf16">
<mml:math id="m16">
<mml:mrow>
<mml:mi>h</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> (mm)</th>
<th align="center">
<inline-formula id="inf17">
<mml:math id="m17">
<mml:mrow>
<mml:mi>l</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> (mm)</th>
<th align="center">
<inline-formula id="inf18">
<mml:math id="m18">
<mml:mrow>
<mml:mi>c</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> (mm)</th>
<th align="center">
<inline-formula id="inf19">
<mml:math id="m19">
<mml:mrow>
<mml:mi>&#x3b1;</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> (<inline-formula id="inf20">
<mml:math id="m20">
<mml:mrow>
<mml:mo>&#xb0;</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula>)</th>
<th align="center">
<inline-formula id="inf21">
<mml:math id="m21">
<mml:mrow>
<mml:mi>d</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> (mm)</th>
<th align="center">
<inline-formula id="inf22">
<mml:math id="m22">
<mml:mrow>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> (mm)</th>
<th align="center">
<inline-formula id="inf23">
<mml:math id="m23">
<mml:mrow>
<mml:mi>g</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> (mm)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Value</td>
<td align="center">18.66</td>
<td align="center">20.67</td>
<td align="center">11</td>
<td align="center">4.99</td>
<td align="center">140</td>
<td align="center">1.22</td>
<td align="center">1</td>
<td align="center">0.05</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2-2-2">
<label>2.2.2</label>
<title>Determination of material property</title>
<p>The primary material properties were determined through uniaxial tensile tests. A standard dumbbell-shaped TPU specimen was modeled in accordance with the ASTM D638 international standard and fabricates as described in the previous section. The design and dimensions of the dumbbell specimen are shown in <xref ref-type="fig" rid="F2">Figure 2A</xref>. As illustrated in <xref ref-type="fig" rid="F2">Figure 2B</xref>, uniaxial tensile tests were performed on three specimens using an MTS universal testing machine (Model: MTS Criterion 43.104) equipped with a 10&#xa0;kN load cell, which had a maximum measurement deviation of less than 1% of the indicated force. The tests were conducted at a constant crosshead speed of 10.0&#xa0;mm/min, while load and displacement data were continuously recorded. The samples were held using self-locking wedge clamps, which ensured reliable fixation through the wedging action induced by the applied tensile load. The nominal stress-strain curves were derived from the measured load-displacement data and the initial specimen geometry. The nominal stress-strain curves were derived from the measured load-displacement data and the initial specimen geometry. A hyperelastic material constitutive model was then fitted to the experimental results. Several hyperelastic models&#x2013;namely, Mooney-Rivlin, Polynomial, Neo-Hookean, Arruda-Boyce, and Yeoh&#x2013;were compared with the experimental data. Among these, the Polynomial model (N &#x3d; 2) provided the best fit to the experimental stress-strain curve, as shown in <xref ref-type="fig" rid="F2">Figure 2C</xref>. Its strain energy density function is presented in <xref ref-type="disp-formula" rid="e1">Equation 1</xref>:<disp-formula id="e1">
<mml:math id="m24">
<mml:mrow>
<mml:mtable columnalign="center">
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:mi>W</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>10</mml:mn>
</mml:msub>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:msub>
<mml:mover accent="true">
<mml:mi>I</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mn>1</mml:mn>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>3</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x2b;</mml:mo>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>01</mml:mn>
</mml:msub>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:msub>
<mml:mover accent="true">
<mml:mi>I</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mn>2</mml:mn>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>3</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x2b;</mml:mo>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>20</mml:mn>
</mml:msub>
<mml:msup>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:msub>
<mml:mover accent="true">
<mml:mi>I</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mn>1</mml:mn>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>3</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
<mml:mo>&#x2b;</mml:mo>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:msub>
<mml:mover accent="true">
<mml:mi>I</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mn>1</mml:mn>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>3</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:msub>
<mml:mover accent="true">
<mml:mi>I</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mn>2</mml:mn>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>3</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:mtd>
</mml:mtr>
<mml:mtr>
<mml:mtd>
<mml:mrow>
<mml:mo>&#x2b;</mml:mo>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>02</mml:mn>
</mml:msub>
<mml:msup>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:msub>
<mml:mover accent="true">
<mml:mi>I</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mn>2</mml:mn>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>3</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
<mml:mo>&#x2b;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>D</mml:mi>
<mml:mn>1</mml:mn>
</mml:msub>
</mml:mrow>
</mml:mfrac>
<mml:msup>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:mi>J</mml:mi>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mn>2</mml:mn>
</mml:msup>
<mml:mo>&#x2b;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>D</mml:mi>
<mml:mn>2</mml:mn>
</mml:msub>
</mml:mrow>
</mml:mfrac>
<mml:msup>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:mi>J</mml:mi>
<mml:mo>&#x2212;</mml:mo>
<mml:mn>1</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mn>4</mml:mn>
</mml:msup>
</mml:mrow>
</mml:mtd>
</mml:mtr>
</mml:mtable>
</mml:mrow>
</mml:math>
<label>(1)</label>
</disp-formula>where <inline-formula id="inf24">
<mml:math id="m25">
<mml:mrow>
<mml:msub>
<mml:mover accent="true">
<mml:mi>I</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mn>1</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> and <inline-formula id="inf25">
<mml:math id="m26">
<mml:mrow>
<mml:msub>
<mml:mover accent="true">
<mml:mi>I</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mn>2</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> are the strain invariants, <inline-formula id="inf26">
<mml:math id="m27">
<mml:mrow>
<mml:mi>J</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> determinant of the deformation gradient, and <inline-formula id="inf27">
<mml:math id="m28">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>10</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>, <inline-formula id="inf28">
<mml:math id="m29">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>01</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>, <inline-formula id="inf29">
<mml:math id="m30">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>, <inline-formula id="inf30">
<mml:math id="m31">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>20</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>, <inline-formula id="inf31">
<mml:math id="m32">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>02</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>, <inline-formula id="inf32">
<mml:math id="m33">
<mml:mrow>
<mml:msub>
<mml:mi>D</mml:mi>
<mml:mn>1</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>, and <inline-formula id="inf33">
<mml:math id="m34">
<mml:mrow>
<mml:msub>
<mml:mi>D</mml:mi>
<mml:mn>2</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> are the hyperelastic constants. The identified material parameters from the Polynomial (N &#x3d; 2) model were subsequently implemented in Abaqus (v2021, Dassault Syst&#xe8;mes SIMULIA, USA) to define the TPU material behavior. The resulting parameters are summarized in <xref ref-type="table" rid="T2">Table 2</xref>.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>
<bold>(A)</bold> Dumbbell-shaped TPU specimens and dimensions. <bold>(B)</bold> Tensile testing setup. <bold>(C)</bold> Experimental and fitted nominal stress-nominal strain curves for TPU.</p>
</caption>
<graphic xlink:href="fbioe-14-1779512-g002.tif">
<alt-text content-type="machine-generated">Panel A shows three white dog-bone-shaped polymer specimens with annotated dimensions. Panel B shows two specimens mounted in a mechanical testing machine before and during elongation. Panel C presents a line graph of nominal stress versus nominal strain for three experimental tests, with all curves showing similar increasing trends.</alt-text>
</graphic>
</fig>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>Material parameters obtained from quasi-static testing on TPU specimens.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="center">
<inline-formula id="inf34">
<mml:math id="m35">
<mml:mrow>
<mml:mi>&#x3c1;</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> <inline-formula id="inf35">
<mml:math id="m36">
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:mi>g</mml:mi>
<mml:mo>/</mml:mo>
<mml:msup>
<mml:mrow>
<mml:mi>c</mml:mi>
<mml:mi>m</mml:mi>
</mml:mrow>
<mml:mn>3</mml:mn>
</mml:msup>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:math>
</inline-formula>
</th>
<th align="center">
<inline-formula id="inf36">
<mml:math id="m37">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>10</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</th>
<th align="center">
<inline-formula id="inf37">
<mml:math id="m38">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>01</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</th>
<th align="center">
<inline-formula id="inf38">
<mml:math id="m39">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>20</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</th>
<th align="center">
<inline-formula id="inf39">
<mml:math id="m40">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>02</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</th>
<th align="center">
<inline-formula id="inf40">
<mml:math id="m41">
<mml:mrow>
<mml:msub>
<mml:mi>C</mml:mi>
<mml:mn>11</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</th>
<th align="center">
<inline-formula id="inf41">
<mml:math id="m42">
<mml:mrow>
<mml:msub>
<mml:mi>D</mml:mi>
<mml:mn>1</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</th>
<th align="center">
<inline-formula id="inf42">
<mml:math id="m43">
<mml:mrow>
<mml:msub>
<mml:mi>D</mml:mi>
<mml:mn>2</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>
</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="center">1.15</td>
<td align="center">&#x2212;9.81</td>
<td align="center">17.64</td>
<td align="center">&#x2212;5.89E-03</td>
<td align="center">2.8</td>
<td align="center">8.85E-02</td>
<td align="center">0</td>
<td align="center">0</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2-2-3">
<label>2.2.3</label>
<title>Quasi-static loading tests</title>
<p>The quasi-static mechanical behavior of the proposed structure was evaluated under compressive loading. During compression, it was observed that the exposed structural walls could come into direct contact with the pressure plates, and their bending deformation might induce premature structural failure. To mitigate this effect, 1.0&#xa0;mm thick plates made of the same material were attached to the top and bottom surfaces of the specimen to ensure uniform load distribution and reduce stress concentrations during testing, as illustrated in <xref ref-type="fig" rid="F3">Figure 3A</xref>. The printed specimens had an out-of-plane thickness of 10.0 mm, which was sufficient to prevent out-of-plane instability under the applied compressive loads.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>3D-printed structure and uniaxial quasi-static compression loading configuration. <bold>(A)</bold> 3D-printed samples. <bold>(B)</bold> Experimental setup for uniaxial compression testing.</p>
</caption>
<graphic xlink:href="fbioe-14-1779512-g003.tif">
<alt-text content-type="machine-generated">Panel A shows three cylindrical lattice-structured specimens with a repeating hexagonal pattern placed beside a ruler for scale. Panel B displays a mechanical testing setup with one specimen installed, a camera positioned below, and a fill-in light indicated by labeled arrows.</alt-text>
</graphic>
</fig>
<p>Compressive loads were applied to the specimens at a constant rate of 2.0&#xa0;mm/min, and the corresponding load-displacement data were recorded. In the test setup, two flat platens were positioned above and below the specimens, with the specimens centered on the platform. The force and displacement sensors were connected to the upper and lower platens to collect the reaction forces and displacement data from the experiment during the compression process. The tests were conducted using an MTS universal testing machine equipped with a 10.0&#xa0;kN load cell and a maximum force measurement error of less than &#xb1;1%. Each specimen was compressed to a displacement of 52.0 mm, corresponding to an engineering strain of 0.5. A high-resolution camera was positioned in front of the experimental setup to capture the deformation of the structures throughout the testing process. The recorded images were subsequently analyzed to derive the compressive stress-strain curves.</p>
<p>Details regarding the calculation of stress-strain response, energy absorption, and specific energy absorption are provided in the following section. The quasi-static uniaxial compression test setup is shown in <xref ref-type="fig" rid="F3">Figure 3B</xref>.</p>
</sec>
<sec id="s2-2-4">
<label>2.2.4</label>
<title>Identification of parameters in the constitutive model</title>
<p>The mechanical performance of the tubular metamaterials was characterized using several key parameters, among which the effective Poisson&#x2019;s ratio is particularly important, as it quantifies the material&#x2019;s transverse strain response under axial loading. To evaluate variations in the global Poisson&#x2019;s ratio of the structures, eleven markers were strategically placed on each experimental specimen and its corresponding FE model, as illustrated in <xref ref-type="fig" rid="F4">Figure 4</xref>. Given the non-uniform distribution of orthogonal deformation across the specimen surface, the local Poisson&#x2019;s ratio at each point was calculated, as shown in <xref ref-type="disp-formula" rid="e2">Equation 2</xref>:<disp-formula id="e2">
<mml:math id="m44">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3bd;</mml:mi>
<mml:mi>i</mml:mi>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mo>&#x2212;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mfrac bevelled="true">
<mml:mrow>
<mml:msub>
<mml:mrow>
<mml:mo>&#x394;</mml:mo>
<mml:mi>x</mml:mi>
</mml:mrow>
<mml:mi>i</mml:mi>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:mi>R</mml:mi>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
<mml:mrow>
<mml:mfrac bevelled="true">
<mml:mrow>
<mml:msub>
<mml:mrow>
<mml:mo>&#x394;</mml:mo>
<mml:mi>y</mml:mi>
</mml:mrow>
<mml:mn>0</mml:mn>
</mml:msub>
</mml:mrow>
<mml:mrow>
<mml:mi>H</mml:mi>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:mfrac>
<mml:mtext>&#x2009;</mml:mtext>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>&#x2264;</mml:mo>
<mml:mi>i</mml:mi>
<mml:mo>&#x2264;</mml:mo>
<mml:mn>10</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:math>
<label>(2)</label>
</disp-formula>
</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Calculation of effective Poisson&#x2019;s ratio in two directions: <bold>(A)</bold> Front view. <bold>(B)</bold> Top view.</p>
</caption>
<graphic xlink:href="fbioe-14-1779512-g004.tif">
<alt-text content-type="machine-generated">Panel A shows a cylindrical hexagonal lattice structure with labeled orange points N0 to N10 along one edge. Panel B displays a top-down cross-sectional view of the cylinder as a gray ring with points N0 and N1 marked on opposite sides and red dashed lines indicating distance R.</alt-text>
</graphic>
</fig>
<p>The average Poisson&#x2019;s ratio was determined by calculating the mean value of the effective Poisson&#x2019;s ratio obtained from measurements at these characteristic points is expressed in <xref ref-type="disp-formula" rid="e3">Equation 3</xref>:<disp-formula id="e3">
<mml:math id="m45">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>&#x3bd;</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mn>1</mml:mn>
</mml:mrow>
<mml:mrow>
<mml:mn>10</mml:mn>
</mml:mrow>
</mml:mfrac>
<mml:mstyle displaystyle="true">
<mml:munderover>
<mml:mo>&#x2211;</mml:mo>
<mml:mn>1</mml:mn>
<mml:mn>10</mml:mn>
</mml:munderover>
</mml:mstyle>
<mml:msub>
<mml:mi>&#x3bd;</mml:mi>
<mml:mi>i</mml:mi>
</mml:msub>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>&#x2264;</mml:mo>
<mml:mi>i</mml:mi>
<mml:mo>&#x2264;</mml:mo>
<mml:mn>10</mml:mn>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:math>
<label>(3)</label>
</disp-formula>where <inline-formula id="inf43">
<mml:math id="m46">
<mml:mrow>
<mml:msub>
<mml:mrow>
<mml:mo>&#x394;</mml:mo>
<mml:mi>x</mml:mi>
</mml:mrow>
<mml:mi>i</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> denotes the deformation of point <inline-formula id="inf44">
<mml:math id="m47">
<mml:mrow>
<mml:msub>
<mml:mi>N</mml:mi>
<mml:mi>i</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> in the diametral direction, and <inline-formula id="inf45">
<mml:math id="m48">
<mml:mrow>
<mml:msub>
<mml:mrow>
<mml:mo>&#x394;</mml:mo>
<mml:mi>y</mml:mi>
</mml:mrow>
<mml:mn>0</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> represents the displacement of point <inline-formula id="inf46">
<mml:math id="m49">
<mml:mrow>
<mml:msub>
<mml:mi>N</mml:mi>
<mml:mn>0</mml:mn>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> along the height direction.</p>
<p>The tunable stiffness introduced in this study was characterized by its dependence on deformation and was quantitatively evaluated using the effective Young&#x2019;s modulus. The effective Young&#x2019;s modulus (<inline-formula id="inf47">
<mml:math id="m50">
<mml:mrow>
<mml:mi>E</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>) was defined as the ratio of the nominal stress applied to the structure to the corresponding nominal axial strain of the tube, measured within the initial linear portion of the stress-strain curve. This parameter was calculated using the following <xref ref-type="disp-formula" rid="e4">Equation 4</xref>:<disp-formula id="e4">
<mml:math id="m51">
<mml:mrow>
<mml:mi>E</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mfrac bevelled="true">
<mml:mi>F</mml:mi>
<mml:mi>A</mml:mi>
</mml:mfrac>
</mml:mrow>
<mml:mrow>
<mml:mfrac bevelled="true">
<mml:mrow>
<mml:mo>&#x394;</mml:mo>
<mml:mi>h</mml:mi>
</mml:mrow>
<mml:mi>H</mml:mi>
</mml:mfrac>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
<label>(4)</label>
</disp-formula>where <inline-formula id="inf48">
<mml:math id="m52">
<mml:mrow>
<mml:mi>F</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> denotes the reaction force exerted by the structure under compressive displacement along the <italic>y</italic>-axis, <italic>A</italic> represents the cross-sectional area of the tube, &#x200b; <inline-formula id="inf49">
<mml:math id="m53">
<mml:mrow>
<mml:mo>&#x394;</mml:mo>
<mml:mi>h</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> refers to the displacement of the upper boundary of the structure in the <italic>y</italic>-direction, and <italic>H</italic> is the initial height of the tube.</p>
<p>During the initial loading phase, the tubular metamaterial exhibited elastic behavior characterized by a linear relationship between the applied stress and strain. The slope of the stress-strain curve in this region corresponded to the elastic modulus, a fundamental parameter that reflects the stiffness of the tubular metamaterial.</p>
<p>Once the yield limit was reached, localized plastic deformation initiated within the metamaterial structure. This marked the onset of the stress plateau region, characterized by a stress level that remains approximately constant or increases gradually with further strain. The average stress within the plateau region, denoted as <inline-formula id="inf50">
<mml:math id="m54">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c3;</mml:mi>
<mml:mrow>
<mml:mi>p</mml:mi>
<mml:mi>l</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula>, was calculated as shown in <xref ref-type="disp-formula" rid="e5">Equation 5</xref>:<disp-formula id="e5">
<mml:math id="m55">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c3;</mml:mi>
<mml:mrow>
<mml:mi>p</mml:mi>
<mml:mi>l</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mstyle displaystyle="true">
<mml:msubsup>
<mml:mo>&#x222b;</mml:mo>
<mml:msub>
<mml:mi>&#x3b5;</mml:mi>
<mml:mi>y</mml:mi>
</mml:msub>
<mml:msub>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mi>d</mml:mi>
</mml:mrow>
</mml:msub>
</mml:msubsup>
</mml:mstyle>
<mml:mi>&#x3c3;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:mi>&#x3b5;</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mi>d</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mi>d</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mi>&#x3b5;</mml:mi>
<mml:mi>y</mml:mi>
</mml:msub>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
<label>(5)</label>
</disp-formula>where <inline-formula id="inf51">
<mml:math id="m56">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3b5;</mml:mi>
<mml:mi>y</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> and <inline-formula id="inf52">
<mml:math id="m57">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mi>d</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> represent the yield strain and strain at densification, respectively.</p>
<p>The plateau region plays a critical role in energy absorption, as it allows substantial deformation to occur at an approximately constant stress level. This stage represents the primary phase of energy dissipation within the metamaterial. The effective compression stroke for energy absorption extends from the onset of external loading to the point of full densification. Beyond this densification threshold, additional strain leads to intense compaction of the structural elements, resulting in a sharp rise in stress. In this densification regime, the stress-strain curve exhibits a pronounced steepening, reflecting the transition of the metamaterial toward behavior characteristic of a solid body. This stage typically corresponds to the maximum energy absorption capacity of the structure.</p>
<p>The specific energy absorption (SEA) capacity is one of the most important criteria for evaluating the performance of metamaterials. The energy absorption (EA) was calculated as the area under the stress-strain curve up to a specified strain, as expressed by the following <xref ref-type="disp-formula" rid="e6">Equation 6</xref>:<disp-formula id="e6">
<mml:math id="m58">
<mml:mrow>
<mml:mi>E</mml:mi>
<mml:mi>A</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:msubsup>
<mml:mo>&#x222b;</mml:mo>
<mml:mn>0</mml:mn>
<mml:msub>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mi>d</mml:mi>
</mml:mrow>
</mml:msub>
</mml:msubsup>
<mml:mi>&#x3c3;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:mi>&#x3b5;</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mi>d</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
</mml:mrow>
</mml:math>
<label>(6)</label>
</disp-formula>where <inline-formula id="inf53">
<mml:math id="m59">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mi>d</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> is the strain at densification, and <inline-formula id="inf54">
<mml:math id="m60">
<mml:mrow>
<mml:mi>&#x3c3;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:mi>&#x3b5;</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:math>
</inline-formula> corresponds to the stress associated with a given strain.</p>
<p>The specific energy absorption (SEA) was defined as the absorbed energy per unit mass and is given by <xref ref-type="disp-formula" rid="e7">Equation 7</xref>:<disp-formula id="e7">
<mml:math id="m61">
<mml:mrow>
<mml:mi>S</mml:mi>
<mml:mi>E</mml:mi>
<mml:mi>A</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:mi>E</mml:mi>
<mml:mi>A</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c1;</mml:mi>
<mml:mi>m</mml:mi>
</mml:msub>
<mml:msub>
<mml:mi>&#x3c1;</mml:mi>
<mml:mi>v</mml:mi>
</mml:msub>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
<label>(7)</label>
</disp-formula>where <inline-formula id="inf55">
<mml:math id="m62">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c1;</mml:mi>
<mml:mi>m</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> denotes the density of the base material, and <inline-formula id="inf56">
<mml:math id="m63">
<mml:mrow>
<mml:msub>
<mml:mi>&#x3c1;</mml:mi>
<mml:mi>v</mml:mi>
</mml:msub>
</mml:mrow>
</mml:math>
</inline-formula> represents the relative density of the undeformed structure.</p>
<p>The energy absorption efficiency (EAE) was evaluated based on the extent to which the energy absorption potential is utilized at different stages of deformation, and is defined as shown in <xref ref-type="disp-formula" rid="e8">Equation 8</xref>:<disp-formula id="e8">
<mml:math id="m64">
<mml:mrow>
<mml:mi>&#x3b7;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:mi>&#x3b5;</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
<mml:msubsup>
<mml:mo>&#x222b;</mml:mo>
<mml:mn>0</mml:mn>
<mml:mi>&#x3b5;</mml:mi>
</mml:msubsup>
<mml:mi>&#x3c3;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:mi>&#x3b5;</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mi>d</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
</mml:mrow>
<mml:mrow>
<mml:mi>&#x3c3;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:mi>&#x3b5;</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:math>
<label>(8)</label>
</disp-formula>
</p>
<p>The maximum efficiency value was achieved under the condition from <xref ref-type="disp-formula" rid="e9">Equation 9</xref>:<disp-formula id="e9">
<mml:math id="m65">
<mml:mrow>
<mml:msub>
<mml:mrow>
<mml:mfenced open="" close="|" separators="|">
<mml:mrow>
<mml:mfrac>
<mml:mrow>
<mml:mi>d</mml:mi>
<mml:mi>&#x3b7;</mml:mi>
<mml:mrow>
<mml:mfenced open="(" close=")" separators="|">
<mml:mrow>
<mml:mi>&#x3b5;</mml:mi>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
</mml:mrow>
<mml:mrow>
<mml:mi>d</mml:mi>
<mml:mi>&#x3b5;</mml:mi>
</mml:mrow>
</mml:mfrac>
</mml:mrow>
</mml:mfenced>
</mml:mrow>
<mml:mrow>
<mml:mi>&#x3b5;</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:msub>
<mml:mi>&#x3b5;</mml:mi>
<mml:mrow>
<mml:mi>s</mml:mi>
<mml:mi>d</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
</mml:msub>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0</mml:mn>
</mml:mrow>
</mml:math>
<label>(9)</label>
</disp-formula>
</p>
<p>Accordingly, this analysis enabled a comprehensive characterization of the mechanical behavior of the tubular metamaterials under loading, encompassing both elastic and plastic deformation stages as well as the overall energy absorption processes.</p>
</sec>
</sec>
<sec id="s2-3">
<label>2.3</label>
<title>Finite element modeling</title>
<p>The finite element analysis (FEA) in this study was performed using the commercial software package Abaqus/Explicit 2021 (v2021, Dassault Syst&#xe8;mes SIMULIA, USA). The CAD models prepared in SolidWorks 2023 were imported into Abaqus, and the Polynomial (N &#x3d; 2) hyperelastic model was employed to define the material properties of the structures. In the finite element model, the longitudinal direction in the plane was defined as the <italic>y</italic>-direction, and the transverse direction as the <italic>x</italic>-direction. As illustrated in <xref ref-type="fig" rid="F5">Figures 5A,B</xref>, the structure was positioned between two rigid plates; a prescribed displacement boundary condition was applied to the reference point of the upper plate, while the lower plate was fully constrained using an encastre boundary condition. The structure was discretized using C3D8I (8-node linear brick, incompatible mode) elements with an average mesh seed size of 0.64&#xa0;mm. A mesh sensitivity analysis confirmed that the results obtained with this mesh size were mesh-independent, as shown in <xref ref-type="fig" rid="F5">Figure 5C</xref>. Furthermore, general contact was defined with a &#x201c;Hard contact&#x201d; formulation for the normal behavior and a &#x201c;Penalty&#x201d; formulation for tangential behavior, with a friction coefficient of 0.4.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Boundary conditions and mesh configuration in the finite element models. <bold>(A)</bold> Uniaxial tension scenario. <bold>(B)</bold> Uniaxial compression scenario. <bold>(C)</bold> Mesh sensitivity analysis.</p>
</caption>
<graphic xlink:href="fbioe-14-1779512-g005.tif">
<alt-text content-type="machine-generated">Finite element simulation diagrams labeled A and B show hexagonal structures subjected to assigned displacement under tension and compression with rigid plates and encastre boundary conditions, including a zoomed-in mesh region. An x-y axis is shown for orientation. Below, line graph C plots engineering stress in kilopascals versus mesh size in millimeters, showing a decreasing trend in stress as mesh size increases.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec id="s3">
<label>3</label>
<title>Result and discussion</title>
<sec id="s3-1">
<label>3.1</label>
<title>Comparison of compressive behaviors between FE and experimental results</title>
<p>To validate the FE model of the tubular metamaterial under quasi-static uniaxial compression, experimental tests were conducted and compared with the FE results. Axial loading was simulated by applying a vertical displacement to the upper plate, with the nominal compressive strain reaching 0.5. The deformation process observed in both the experimental tests and FE simulations exhibited a high degree of consistency, as shown in <xref ref-type="fig" rid="F6">Figure 6</xref>.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Comparison of the results between finite element analyses and experimental tests.</p>
</caption>
<graphic xlink:href="fbioe-14-1779512-g006.tif">
<alt-text content-type="machine-generated">Comparison of finite element simulation results (top row) and experimental photographs (bottom row) of a cellular structure undergoing compression at four nominal strain levels (0, -0.1, -0.3, -0.5), outlined in red dashed boxes, alongside a color bar indicating von Mises stress from 0 to 60 megapascals.</alt-text>
</graphic>
</fig>
<p>The stress-strain curves shown in <xref ref-type="fig" rid="F7">Figure 7</xref> include the results from three experimental samples (EXP.-1, EXP.-2, EXP.-3) along with the FE simulation. At the initial loading stage, the experimental and numerical curves exhibit a close agreement, confirming the accuracy of the selected material parameters and boundary conditions. However, at higher strain levels (&#x3b5; &#x3e; 0.4), noticeable deviations appear, particularly in EXP.-3. These discrepancies are primarily attributed to imperfections in the 3D-printed specimens, such as wall thinning, non-uniform strut thickness, and deviations from the designed geometry. Because such manufacturing imperfections are not considered in the idealized FE model, the experimental samples showed slightly lower stiffness and load-bearing capacity compared with the FE results.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>Relationship between engineering stress and strain of the proposed structure derived from experimental tests and finite element analyses.</p>
</caption>
<graphic xlink:href="fbioe-14-1779512-g007.tif">
<alt-text content-type="machine-generated">Line graph compares engineering stress in kilopascals versus engineering strain for four curves: FE (black solid), EXP.-1 (red dashed), EXP.-2 (blue dash-dot), EXP.-3 (brown dotted). Experimental curves follow the simulation closely until higher strain values.</alt-text>
</graphic>
</fig>
<p>Key mechanical properties, including effective elastic modulus, yield strain, densification strain, and plateau stress, are illustrated in <xref ref-type="fig" rid="F8">Figures 8A,B</xref>. The experimentally measured elastic modulus was approximately 27% lower than that from the FE prediction, likely due to geometric inaccuracies in the fabricated specimens. To reduce this discrepancy, future studies will employ additive manufacturing methods with higher resolution, which are capable of more accurately reproducing the designed geometry. To enable more rigorous correlation, subsequent work will focus on refining the numerical model to incorporate process-induced factors, including porosity and residual stresses. Furthermore, efforts will encompass sensitivity analyses of key parameters, along with the establishment of robust controls over the quality of feedstock and the input of energy with a view to enhancing material homogeneity and mitigating experimental variability. Nevertheless, the close agreement in yield strength and overall compressive behavior confirms the reliability of the FE model in accurately capturing the metamaterial&#x2019;s structural response.</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>Comparison between FEA and experimental results. <bold>(A)</bold> Yield strain and strain at densification point. <bold>(B)</bold> Effective elastic modulus and plateau stress. <bold>(C)</bold> Energy absorption (EA) and specific energy absorption (SEA).</p>
</caption>
<graphic xlink:href="fbioe-14-1779512-g008.tif">
<alt-text content-type="machine-generated">Grouped bar chart with three panels comparing mechanical properties of FEA and three experimental samples. Panel A shows yield strain and strain at densification; Panel B displays effective elastic modulus and plateau stress; Panel C presents energy absorption and specific energy absorption. Each bar is color-coded and hatched according to the property measured, with dual y-axes for each panel.</alt-text>
</graphic>
</fig>
<p>The current mechanical characterization was performed under quasi-static loading conditions. While this approach allows for a detailed analysis of the structure&#x2019;s deformation mechanisms and energy absorption capacity, it does not capture the dynamic, cyclic nature of intestinal peristalsis. Consequently, the long-term fatigue performance and structural durability of the metamaterial under repeated loading cycles remain unexplored.</p>
</sec>
<sec id="s3-2">
<label>3.2</label>
<title>FE and experimental assessment of energy absorption behaviors</title>
<p>To evaluate the EA and SEA performance of the tubular metamaterial, the results from three experimental specimens (EXP.-1, EXP.-2, and EXP.-3) were compared with the numerical simulation data. All tests were conducted under identical geometric parameters, loading conditions, and material properties to ensure a consistent and reliable comparison.</p>
<p>For EXP.-1 and EXP.-2, the results closely matched the numerical predictions, with deviations within 2%, confirming the accuracy of the FE model and selected parameters. In contrast, EA and SEA decreased by 5.5% and 5.3%, respectively, for EXP.-3, primarily due to geometric imperfections introduced during 3D printing. A comparative evaluation of the energy absorption capacity and specific energy absorption is presented in <xref ref-type="fig" rid="F8">Figure 8C</xref>.</p>
</sec>
<sec id="s3-3">
<label>3.3</label>
<title>Parametric studies</title>
<sec id="s3-3-1">
<label>3.3.1</label>
<title>Poisson&#x2019;s ratio-strain curves under different gap configuration</title>
<p>One of the key geometric parameters influencing the performance of the tubular metamaterial under compressive and tensile loading is the gap between the horizontal struts of the concave unit cells, denoted as <inline-formula id="inf57">
<mml:math id="m66">
<mml:mrow>
<mml:mi>g</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>
<italic>.</italic> To generalize the parametric analysis and facilitate comparison across different scales, a dimensionless parameter <inline-formula id="inf58">
<mml:math id="m67">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> &#x200b;is employed. To investigate the effect of this parameter under in-plane compression and tension, six models with different gap values (<inline-formula id="inf59">
<mml:math id="m68">
<mml:mrow>
<mml:mi>g</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> &#x3d; 0.05&#x2009;mm, 0.1&#x2009;mm, 0.2&#x2009;mm, 0.3&#x2009;mm, 0.4&#x2009;mm and 0.5&#xa0;mm) were designed and analyzed using the validated FE model, as shown in <xref ref-type="fig" rid="F9">Figure 9A</xref>.</p>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption>
<p>Parametric study of the effect of the gap <inline-formula id="inf60">
<mml:math id="m69">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#x305;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula>. <bold>(A)</bold> Six models with different <inline-formula id="inf61">
<mml:math id="m70">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#x305;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> values. <bold>(B)</bold> Effective Poisson&#x2019;s ratio-strain curves of tension and compression of the structure with six different <inline-formula id="inf62">
<mml:math id="m71">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#x305;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> values.</p>
</caption>
<graphic xlink:href="fbioe-14-1779512-g009.tif">
<alt-text content-type="machine-generated">Panel A contains six colored-bordered diagrams of a geometric structure, each labeled with different mean values of g (0.05 to 0.5); panel B presents a plot of effective Poisson&#x2019;s ratio versus engineering strain, displaying six corresponding curves for each g value, illustrating the relationship and emphasizing the behavior shift near zero strain.</alt-text>
</graphic>
</fig>
<p>Analysis of the effective Poisson&#x2019;s ratio-strain curves indicates that variations in the parameter <inline-formula id="inf63">
<mml:math id="m72">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> allow the Poisson&#x2019;s ratio to be effectively tuned. Under uniaxial tensile loading, the Poisson&#x2019;s ratio remains nearly constant across all configurations, demonstrating stable deformation behavior regardless of the gap size. Furthermore, in all examined cases, the NPR effect was consistently observed throughout the entire tensile loading process, as shown in <xref ref-type="fig" rid="F9">Figure 9B</xref>.</p>
<p>In contrast, under compression, the effective Poisson&#x2019;s ratio exhibited a pronounced dependence on the parameter <inline-formula id="inf64">
<mml:math id="m73">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula>. Simulation results revealed that the sign-switchable Poisson&#x2019;s ratio observed during compression arises from the onset of self-contact between the triangular struts. Increasing the gap <inline-formula id="inf65">
<mml:math id="m74">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> enlarges the initial spacing between the horizontal struts, requiring additional deformation to close the gap during the early loading phase. This delays the activation of the concave cells and, consequently, postpones the occurrence of the sign change in the Poisson&#x2019;s ratio. Notably, for gap values of <inline-formula id="inf66">
<mml:math id="m75">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0.05</mml:mn>
</mml:mrow>
</mml:math>
</inline-formula> and <inline-formula id="inf67">
<mml:math id="m76">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0.1</mml:mn>
</mml:mrow>
</mml:math>
</inline-formula>, the Poisson&#x2019;s ratio transitions almost instantaneously under both tension and compression, indicating high sensitivity and functional responsiveness of the design. The sign-switching behavior results from a two-stage deformation process. Consequently, the concave cells undergo elastic bending in the first stage, thereby preserving their auxetic response. Following the occurrence of self-contact, the structure exhibits resistance to further transverse contraction, thereby initiating a transition to conventional deformation.</p>
<p>Overall, it was showed that increasing the gap <inline-formula id="inf68">
<mml:math id="m77">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> enhances the NPR effect under compression, whereas smaller gap values promote an earlier onset of the sign-switchable Poisson&#x2019;s ratio. These findings demonstrate that variation in <inline-formula id="inf69">
<mml:math id="m78">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> has little influence on the tensile stiffness but enables precise tuning of the compressive stiffness by adjusting this geometric parameter.</p>
</sec>
<sec id="s3-3-2">
<label>3.3.2</label>
<title>Stress-strain behavior and energy absorption under different gap configurations</title>
<p>The stress-strain curves obtained from the FE simulations are presented in <xref ref-type="fig" rid="F10">Figure 10</xref>. The results show that the effective elastic modulus is strongly influenced by the gap parameter <inline-formula id="inf70">
<mml:math id="m79">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula>, as shown in <xref ref-type="fig" rid="F10">Figure 10A</xref>. As illustrated in <xref ref-type="fig" rid="F11">Figure 11</xref>, each curve displays three distinct deformation regions: (1) an initial linear elastic region, (2) a plateau region with nearly constant stress, and (3) a densification region characterized by a sharp increase in stress beyond a critical strain. The compressive behavior of the metamaterial can therefore be tailored by varying <inline-formula id="inf71">
<mml:math id="m80">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula>. An increase in <inline-formula id="inf72">
<mml:math id="m81">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> results in a non-monotonic trend in stiffness, as indicated by variations in <inline-formula id="inf73">
<mml:math id="m82">
<mml:mrow>
<mml:mi>E</mml:mi>
<mml:mo>.</mml:mo>
</mml:mrow>
</mml:math>
</inline-formula> The maximum stiffness is observed at an intermediate gap of <inline-formula id="inf74">
<mml:math id="m83">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> &#x3d; 0.2, however, further increases in <inline-formula id="inf75">
<mml:math id="m84">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> reduce the structure&#x2019;s resistance to elastic deformation. A partial recovery of stiffness is observed at <inline-formula id="inf76">
<mml:math id="m85">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> &#x3d; 0.4. In addition, the yield strength can be independently adjusted by varying <inline-formula id="inf77">
<mml:math id="m86">
<mml:mrow>
<mml:mi>g</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>, allowing the onset of irreversible deformation to be delayed and the structural integrity to be maintained over a wide range of loading conditions. The analysis indicates that the yield strength increases with increasing <inline-formula id="inf78">
<mml:math id="m87">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula>, reaching a maximum at <inline-formula id="inf79">
<mml:math id="m88">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> &#x3d; 0.4, beyond which it gradually decreases. The variations in stiffness and yield strength for structures with different <inline-formula id="inf80">
<mml:math id="m89">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> values are summarized in <xref ref-type="fig" rid="F12">Figures 12A,B</xref>.</p>
<fig id="F10" position="float">
<label>FIGURE 10</label>
<caption>
<p>Engineering stress-strain curves of the structure with six different non-dimensional <inline-formula id="inf81">
<mml:math id="m90">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#x305;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> values. <bold>(A)</bold> Uniaxial compression loading scenario. <bold>(B)</bold> Uniaxial tension loading scenarios.</p>
</caption>
<graphic xlink:href="fbioe-14-1779512-g010.tif">
<alt-text content-type="machine-generated">Panel A shows a line graph of engineering stress versus engineering strain with six colored curves representing different &#x3C3;_b values from 0.05 to 0.5, demonstrating nonlinear increases and curve separation at higher strains. Panel B presents a line graph of engineering stress versus engineering strain for the same &#x3C3;_q values, where all six colored curves closely overlap, indicating similar stress-strain relationships across this parameter range.</alt-text>
</graphic>
</fig>
<fig id="F11" position="float">
<label>FIGURE 11</label>
<caption>
<p>Engineering stress-strain curves of the structure under uniaxial compression loading scenario were evaluated for six distinct <inline-formula id="inf82">
<mml:math id="m91">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> values. The curves illustrate three characteristic deformation regions: (1) the elastic region, (2) the plateau region, and (3) the densification region.</p>
</caption>
<graphic xlink:href="fbioe-14-1779512-g011.tif">
<alt-text content-type="machine-generated">Six-panel chart set displaying engineering stress versus engineering strain (black line, left axis) and energy absorption efficiency (red dashed line, right axis) for different relative densities, labeled g&#x305; from 0.05 to 0.5. Three deformation regions per panel&#x2014;elastic, plateau, densification&#x2014;are color-coded and separated by dotted lines. Regions and axes are clearly labeled, highlighting material behavior changes as density increases.</alt-text>
</graphic>
</fig>
<fig id="F12" position="float">
<label>FIGURE 12</label>
<caption>
<p>Comparison of mechanical properties at different gap sizes. <bold>(A)</bold> Yield strain and strain at densification point. <bold>(B)</bold> Effective elastic modulus and plateau stress. <bold>(C)</bold> Energy absorption (EA) and specific energy absorption (SEA).</p>
</caption>
<graphic xlink:href="fbioe-14-1779512-g012.tif">
<alt-text content-type="machine-generated">Bar chart illustration showing the effect of varying gap values from 0.05 to 0.5 on mechanical properties of a material. Panel A displays yield strain and strain at densification, panel B presents effective elastic modulus and plateau stress, and panel C shows energy absorption and specific energy absorption, all as functions of gap. Two y-axes are used in each panel to compare related data set pairs.</alt-text>
</graphic>
</fig>
<p>The plateau region plays a critical role in determining the energy absorption capacity of the metamaterial. The combination of a high stress plateau and a large densification strain provide a wide range of uniform compressive response before the structure transitions into the densified state. As the densification strain increases, a corresponding rise in energy absorption is observed. The gap parameter <inline-formula id="inf83">
<mml:math id="m92">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula> governs the activation sequence of the deformation mechanisms. As the gap increases, the onset of self-contact between the triangular struts of the concave cells is delayed, thereby maintaining their auxetic response up to larger strains. Once contact occurs, energy absorption is enhanced through stress concentrations at the contact zones and subsequent load transfer to the convex cells, which leads to a stable plateau stress under continued deformation. The results indicate that structures with larger gaps are capable of sustaining greater deformations before entering the densification phase. The EA and SEA&#x2014;key parameters for evaluating materials used in protective and damping systems&#x2014;are positively tunable with increasing gap size <inline-formula id="inf84">
<mml:math id="m93">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula>, as shown in <xref ref-type="fig" rid="F12">Figure 12C</xref>. The maximum EA and SEA values were obtained at <inline-formula id="inf85">
<mml:math id="m94">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0.4</mml:mn>
</mml:mrow>
</mml:math>
</inline-formula>, corresponding to the highest densification strain, while the minimum values were recorded at <inline-formula id="inf86">
<mml:math id="m95">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0.05</mml:mn>
</mml:mrow>
</mml:math>
</inline-formula>.</p>
<p>In contrast, the tensile behavior response of the structure exhibits fundamentally different characteristics. As shown in <xref ref-type="fig" rid="F10">Figure 10B</xref>, all configurations demonstrate a monotonically increasing stress-strain relationship without a distinct plateau region. The curves for all gap sizes are nearly identical, indicating that the geometric gap parameter has minimal influence on the tensile mechanical response. The lack of significant variation in tensile behavior across different gap configurations is attributed to the absence of self-contact mechanisms during tensile loading, which prevents the sign-switching phenomenon observed under compression.</p>
</sec>
</sec>
</sec>
<sec sec-type="conclusion" id="s4">
<label>4</label>
<title>Conclusion</title>
<p>In this study, a novel tubular mechanical metamaterial was developed by integrating re-entrant unit cells exhibiting a NPR with hexagonal unit cells displaying a PPR, resulting in a structure capable of sign-switchable Poisson&#x2019;s ratio behavior and tunable mechanical properties. The following conclusions were drawn:<list list-type="order">
<list-item>
<p>The design is governed by self-contact mechanisms between triangular struts, which activate under compression, enabling the Poisson&#x2019;s ratio to transit from negative to positive. In contrast, the structure maintains a consistently negative Poisson&#x2019;s ratio under tensile loading. This distinct deformation behavior allows for programmable mechanical responses depending on the loading mode.</p>
</list-item>
<list-item>
<p>The geometric gap between the horizontal struts of the concave unit cells was identified as a key tuning parameter. Under tensile loading, the Poisson&#x2019;s ratio remains stably negative across all gap sizes, indicating that tensile behavior is largely insensitive to variations in <inline-formula id="inf87">
<mml:math id="m96">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
</mml:mrow>
</mml:math>
</inline-formula>. Under compression, however, increasing <inline-formula id="inf88">
<mml:math id="m97">
<mml:mrow>
<mml:mi>g</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula> enlarges the initial spacing between struts, delaying the onset of self-contact and thus postponing the sign-switching transition from negative to positive. By adjusting the geometric gap, precise control over the transition strain is achieved, thereby amplifying the NPR effect during the early phase of compression. Therefore, the adaptive mechanical behavior enables the tailoring of mechanical performance for varying loading conditions in intestinal stent applications.</p>
</list-item>
<list-item>
<p>Both the effective stiffness and yield strength were found to be tunable through variations in <inline-formula id="inf89">
<mml:math id="m98">
<mml:mrow>
<mml:mi>g</mml:mi>
</mml:mrow>
</mml:math>
</inline-formula>, with the maximum stiffness occurring at <inline-formula id="inf90">
<mml:math id="m99">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0.2</mml:mn>
</mml:mrow>
</mml:math>
</inline-formula> and the peak yield strength at <inline-formula id="inf91">
<mml:math id="m100">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0.4</mml:mn>
</mml:mrow>
</mml:math>
</inline-formula>. Energy absorption (EA) and specific energy absorption (SEA) also increased with larger gap sizes, reaching their maximum at <inline-formula id="inf92">
<mml:math id="m101">
<mml:mrow>
<mml:mover accent="true">
<mml:mi>g</mml:mi>
<mml:mo>&#xaf;</mml:mo>
</mml:mover>
<mml:mo>&#x3d;</mml:mo>
<mml:mn>0.4</mml:mn>
</mml:mrow>
</mml:math>
</inline-formula> due to extended plateau regions and higher densification strains. Therefore, this adjustability enables the design of stents that optimally balance flexibility during implantation, long-term radial support, and the ability to energy absorption of peristaltic contractions.</p>
</list-item>
<list-item>
<p>Although the proposed design demonstrates promising mechanical properties, the present study is limited to quasi-static tests. To fully assess its suitability for intestinal stent applications, further investigations, including cyclic fatigue tests simulating repeated intestinal peristalsis, are necessary.</p>
</list-item>
</list>
</p>
<p>Overall, the data presented in the present study provide important information for the selection and design of tubular metamaterial for intestinal stent applications.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec sec-type="author-contributions" id="s6">
<title>Author contributions</title>
<p>YL: Conceptualization, Funding acquisition, Supervision, Writing &#x2013; review and editing. VS: Formal Analysis, Validation, Visualization, Writing &#x2013; original draft. JJ: Writing &#x2013; review and editing. HW: Formal Analysis, Investigation, Writing &#x2013; review and editing. LM: Software, Writing &#x2013; review and editing. SB: Writing &#x2013; review and editing. MA: Writing &#x2013; review and editing.</p>
</sec>
<ack>
<title>Acknowledgements</title>
<p>We would like to acknowledge Prof. Pankaj Pankaj for fruitful discussions.</p>
</ack>
<sec sec-type="COI-statement" id="s8">
<title>Conflict of interest</title>
<p>The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="s9">
<title>Generative AI statement</title>
<p>The author(s) declared that generative AI was not used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Abbaslou</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Hashemi</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Etemadi</surname>
<given-names>E.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>Novel hybrid 3D-printed auxetic vascular stent based on re-entrant and meta-trichiral unit cells: finite element simulation with experimental verifications</article-title>. <source>Mater Today Commun.</source> <volume>35</volume>, <fpage>105742</fpage>. <pub-id pub-id-type="doi">10.1016/j.mtcomm.2023.105742</pub-id>
</mixed-citation>
</ref>
<ref id="B2">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Barnett</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Fletcher</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Gill</surname>
<given-names>H. S.</given-names>
</name>
<name>
<surname>Pegg</surname>
<given-names>E. C.</given-names>
</name>
<name>
<surname>Loukaides</surname>
<given-names>E. G.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Auxetic fixation devices can achieve superior pullout performances compared to standard fixation concepts</article-title>. <source>Smart Mater Struct.</source> <volume>33</volume>, <fpage>065010</fpage>. <pub-id pub-id-type="doi">10.1088/1361-665X/ad442d</pub-id>
</mixed-citation>
</ref>
<ref id="B3">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Fu</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Hu</surname>
<given-names>L.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Poisson&#x2019;s ratio sign-switching metamaterial with stiffness matrix asymmetry and different elastic moduli under tension and compression</article-title>. <source>Compos Struct.</source> <volume>275</volume>, <fpage>114442</fpage>. <pub-id pub-id-type="doi">10.1016/j.compstruct.2021.114442</pub-id>
</mixed-citation>
</ref>
<ref id="B4">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Chen</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Xia</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Shen</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Zan</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Yu</surname>
<given-names>H.</given-names>
</name>
<etal/>
</person-group> (<year>2023</year>). <article-title>Research on the current application status of magnesium metal stents in human luminal cavities</article-title>. <source>J. Funct. Biomater.</source> <volume>14</volume>, <fpage>462</fpage>. <pub-id pub-id-type="doi">10.3390/jfb14090462</pub-id>
<pub-id pub-id-type="pmid">37754876</pub-id>
</mixed-citation>
</ref>
<ref id="B5">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Fathi</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Capron</surname>
<given-names>G.</given-names>
</name>
<name>
<surname>Tripathi</surname>
<given-names>I.</given-names>
</name>
<name>
<surname>Misra</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Ostadhossein</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Selmic</surname>
<given-names>L.</given-names>
</name>
<etal/>
</person-group> (<year>2020</year>). <article-title>Computed tomography-guided additive manufacturing of Personalized Absorbable Gastrointestinal Stents for intestinal fistulae and perforations</article-title>. <source>Biomaterials</source> <volume>228</volume>, <fpage>119542</fpage>. <pub-id pub-id-type="doi">10.1016/j.biomaterials.2019.119542</pub-id>
<pub-id pub-id-type="pmid">31678842</pub-id>
</mixed-citation>
</ref>
<ref id="B6">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Feng</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>He</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Khan</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Hu</surname>
<given-names>H.</given-names>
</name>
<etal/>
</person-group> (<year>2022</year>). <article-title>Intestinal stents: structure, functionalization and advanced engineering innovation</article-title>. <source>Biomater. Adv.</source> <volume>137</volume>, <fpage>212810</fpage>. <pub-id pub-id-type="doi">10.1016/j.bioadv.2022.212810</pub-id>
<pub-id pub-id-type="pmid">35929235</pub-id>
</mixed-citation>
</ref>
<ref id="B7">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ghofrani</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Abouei Mehrizi</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Nasrollahi</surname>
<given-names>V.</given-names>
</name>
<name>
<surname>Dimov</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Novel cardiovascular stent based on hibiscus-aestivation-inspired auxetic unit cell</article-title>. <source>Int. J. Mech. Sci.</source> <volume>277</volume>, <fpage>109428</fpage>. <pub-id pub-id-type="doi">10.1016/j.ijmecsci.2024.109428</pub-id>
</mixed-citation>
</ref>
<ref id="B8">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Hu</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Cui</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>S.</given-names>
</name>
<name>
<surname>Ramalingam</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>A 5&#x2b;1-Axis 3D printing platform for producing customized intestinal fistula stents</article-title>. <source>3D Print Addit. Manuf.</source> <volume>10</volume>, <fpage>955</fpage>&#x2013;<lpage>970</lpage>. <pub-id pub-id-type="doi">10.1089/3dp.2021.0044</pub-id>
<pub-id pub-id-type="pmid">37886400</pub-id>
</mixed-citation>
</ref>
<ref id="B9">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jeong</surname>
<given-names>S. J.</given-names>
</name>
<name>
<surname>Park</surname>
<given-names>J.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Endoscopic management of benign colonic obstruction and pseudo-obstruction</article-title>. <source>Clin. Endosc.</source> <volume>53</volume>, <fpage>18</fpage>&#x2013;<lpage>28</lpage>. <pub-id pub-id-type="doi">10.5946/ce.2019.058</pub-id>
<pub-id pub-id-type="pmid">31645090</pub-id>
</mixed-citation>
</ref>
<ref id="B10">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Jiang</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>Y.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>3D printed tubular lattice metamaterials with engineered mechanical performance</article-title>. <source>Appl. Phys. Lett.</source> <volume>117</volume>, <fpage>011906</fpage>. <pub-id pub-id-type="doi">10.1063/5.0014932</pub-id>
</mixed-citation>
</ref>
<ref id="B11">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Kadic</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>B&#xfc;ckmann</surname>
<given-names>T.</given-names>
</name>
<name>
<surname>Schittny</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Wegener</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2013</year>). <article-title>Metamaterials beyond electromagnetism</article-title>. <source>Rep. Prog. Phys.</source> <pub-id pub-id-type="doi">10.1088/0034-4885/76/12/126501</pub-id>
<pub-id pub-id-type="pmid">24190877</pub-id>
</mixed-citation>
</ref>
<ref id="B12">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lim</surname>
<given-names>T. C.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>A metamaterial with sign-switching and discontinuous Poisson&#x2019;s ratio</article-title>. <source>Int. J. Solids Struct.</source> <volume>305</volume>, <fpage>113095</fpage>. <pub-id pub-id-type="doi">10.1016/j.ijsolstr.2024.113095</pub-id>
</mixed-citation>
</ref>
<ref id="B13">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lin</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Zou</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>L.</given-names>
</name>
<etal/>
</person-group> (<year>2023</year>). <article-title>Mass-producible near-body temperature-triggered 4D printed shape memory biocomposites and their application in biomimetic intestinal stents</article-title>. <source>Compos B Eng.</source> <volume>256</volume>, <fpage>110623</fpage>. <pub-id pub-id-type="doi">10.1016/j.compositesb.2023.110623</pub-id>
</mixed-citation>
</ref>
<ref id="B14">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Liu</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Bi</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Hu</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>Z.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>B.</given-names>
</name>
</person-group> (<year>2025</year>). <article-title>Reduction of amylose/amylopectin ratio improves the molecular orientation and performance of three-dimensional-printed thermoplastic starch/polylactic acid intestinal stents</article-title>. <source>Int. J. Biol. Macromol.</source> <volume>308</volume>, <fpage>142419</fpage>. <pub-id pub-id-type="doi">10.1016/j.ijbiomac.2025.142419</pub-id>
<pub-id pub-id-type="pmid">40122419</pub-id>
</mixed-citation>
</ref>
<ref id="B15">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lv</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Dong</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>D.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>A novel metamaterial with individually adjustable and sign-switchable Poisson&#x2019;s ratio</article-title>. <source>Eur. J. Mech. A/Solids</source> <volume>97</volume>, <fpage>104851</fpage>. <pub-id pub-id-type="doi">10.1016/j.euromechsol.2022.104851</pub-id>
</mixed-citation>
</ref>
<ref id="B16">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Lyu</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Song</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Jiang</surname>
<given-names>J.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>A novel mechanical metamaterial with tunable stiffness and individually adjustable poisson&#x2019;s ratio</article-title>. <source>Mater Today Commun.</source> <volume>40</volume>, <fpage>110135</fpage>. <pub-id pub-id-type="doi">10.1016/j.mtcomm.2024.110135</pub-id>
</mixed-citation>
</ref>
<ref id="B17">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Ma</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>J. C.</given-names>
</name>
<name>
<surname>Luo</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Zhang</surname>
<given-names>C.</given-names>
</name>
<name>
<surname>Cai</surname>
<given-names>B.</given-names>
</name>
<etal/>
</person-group> (<year>2023</year>). <article-title>Self-expanding metal stents <italic>versus</italic> decompression tubes as a bridge to surgery for patients with obstruction caused by colorectal cancer: a systematic review and meta-analysis</article-title>. <source>World J. Emerg. Surg.</source> <volume>18</volume>, <fpage>46</fpage>. <pub-id pub-id-type="doi">10.1186/s13017-023-00515-6</pub-id>
<pub-id pub-id-type="pmid">37759264</pub-id>
</mixed-citation>
</ref>
<ref id="B18">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Montazeri</surname>
<given-names>A.</given-names>
</name>
<name>
<surname>Bahmanpour</surname>
<given-names>E.</given-names>
</name>
<name>
<surname>Safarabadi</surname>
<given-names>M.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>A Poisson&#x2019;s ratio sign-switching mechanical metamaterial with tunable stiffness</article-title>. <source>Int. J. Mech. Sci.</source> <volume>260</volume>, <fpage>108670</fpage>. <pub-id pub-id-type="doi">10.1016/j.ijmecsci.2023.108670</pub-id>
</mixed-citation>
</ref>
<ref id="B19">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Park</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Kwon</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>An</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Yu</surname>
<given-names>W. R.</given-names>
</name>
<name>
<surname>Moon</surname>
<given-names>M. W.</given-names>
</name>
<name>
<surname>Hur</surname>
<given-names>K.</given-names>
</name>
</person-group> (<year>2018</year>). <article-title>Mechanical metamaterials with thermoresponsive switching between positive and negative poisson&#x2019;s ratios</article-title>. <source>Phys. Status Solidi - Rapid Res. Lett.</source> <volume>12</volume>, <fpage>1800040</fpage>. <pub-id pub-id-type="doi">10.1002/pssr.201800040</pub-id>
</mixed-citation>
</ref>
<ref id="B20">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Soh</surname>
<given-names>C. L.</given-names>
</name>
<name>
<surname>Pandiaraja</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Powar</surname>
<given-names>M. P.</given-names>
</name>
</person-group> (<year>2023</year>). <article-title>3D-Printing applications in ostomy device creation and complex intestinal fistula management: a scoping review</article-title>. <source>Surg. J.</source> <volume>09</volume>, <fpage>e97</fpage>&#x2013;<lpage>e106</lpage>. <pub-id pub-id-type="doi">10.1055/s-0043-1775748</pub-id>
<pub-id pub-id-type="pmid">37876379</pub-id>
</mixed-citation>
</ref>
<ref id="B21">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Vellaparambil</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Han</surname>
<given-names>W. S.</given-names>
</name>
<name>
<surname>Di Giovanni</surname>
<given-names>P.</given-names>
</name>
<name>
<surname>Avril</surname>
<given-names>S.</given-names>
</name>
</person-group> (<year>2024</year>). <article-title>Experimental validation of auxetic stent designs: three-point bending of 3D printed Titanium prototypes</article-title>. <source>Front. Med. Technol.</source> <volume>6</volume>, <fpage>1388207</fpage>. <pub-id pub-id-type="doi">10.3389/fmedt.2024.1388207</pub-id>
<pub-id pub-id-type="pmid">38770028</pub-id>
</mixed-citation>
</ref>
<ref id="B22">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wang</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>Ze</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Ren</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>X.</given-names>
</name>
<etal/>
</person-group> (<year>2023</year>). <article-title>Whole model path planning-guided multi-axis and multi-material printing of high-performance intestinal implantable stent</article-title>. <source>Adv. Healthc. Mater</source> <volume>12</volume>, <fpage>e2301313</fpage>. <pub-id pub-id-type="doi">10.1002/adhm.202301313</pub-id>
<pub-id pub-id-type="pmid">37220875</pub-id>
</mixed-citation>
</ref>
<ref id="B23">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wu</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Chuang</surname>
<given-names>K.</given-names>
</name>
<name>
<surname>Wu</surname>
<given-names>F.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>Q.</given-names>
</name>
<name>
<surname>Lin</surname>
<given-names>W.</given-names>
</name>
<etal/>
</person-group> (<year>2021</year>). <article-title>A brief review of dynamic mechanical metamaterials for mechanical energy manipulation</article-title>. <source>Mater. Today</source> <volume>44</volume>, <fpage>168</fpage>&#x2013;<lpage>193</lpage>. <pub-id pub-id-type="doi">10.1016/j.mattod.2020.10.006</pub-id>
</mixed-citation>
</ref>
<ref id="B24">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Wu</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Fu</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Chen</surname>
<given-names>M.</given-names>
</name>
<name>
<surname>Jiang</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Zhong</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Zheng</surname>
<given-names>B.</given-names>
</name>
<etal/>
</person-group> (<year>2024</year>). <article-title>A novel metamaterial with instantaneously sign-switchable coefficient of thermal expansion and Poisson&#x2019;s ratio</article-title>. <source>Mech. Mater.</source> <volume>192</volume>, <fpage>104974</fpage>. <pub-id pub-id-type="doi">10.1016/j.mechmat.2024.104974</pub-id>
</mixed-citation>
</ref>
<ref id="B25">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Xiao</surname>
<given-names>R.</given-names>
</name>
<name>
<surname>Feng</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Zhou</surname>
<given-names>W.</given-names>
</name>
<name>
<surname>Li</surname>
<given-names>X.</given-names>
</name>
<name>
<surname>Song</surname>
<given-names>I.</given-names>
</name>
<etal/>
</person-group> (<year>2023</year>). <article-title>Direct 3D printing of thin-walled cardiovascular stents with negative Poisson&#x2019;s ratio (NPR) structure and functional metallic coating</article-title>. <source>Compos Struct.</source> <volume>306</volume>, <fpage>116572</fpage>. <pub-id pub-id-type="doi">10.1016/j.compstruct.2022.116572</pub-id>
</mixed-citation>
</ref>
<ref id="B26">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yao</surname>
<given-names>Y.</given-names>
</name>
<name>
<surname>Yuan</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Huang</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Liu</surname>
<given-names>J.</given-names>
</name>
<name>
<surname>Wang</surname>
<given-names>L.</given-names>
</name>
<name>
<surname>Fan</surname>
<given-names>Y.</given-names>
</name>
</person-group> (<year>2021</year>). <article-title>Biomechanical design and analysis of auxetic pedicle screw to resist loosening</article-title>. <source>Comput. Biol. Med.</source> <volume>133</volume>, <fpage>104386</fpage>. <pub-id pub-id-type="doi">10.1016/j.compbiomed.2021.104386</pub-id>
<pub-id pub-id-type="pmid">33878515</pub-id>
</mixed-citation>
</ref>
<ref id="B27">
<mixed-citation publication-type="journal">
<person-group person-group-type="author">
<name>
<surname>Yasuda</surname>
<given-names>H.</given-names>
</name>
<name>
<surname>Korpas</surname>
<given-names>L. M.</given-names>
</name>
<name>
<surname>Raney</surname>
<given-names>J. R.</given-names>
</name>
</person-group> (<year>2020</year>). <article-title>Transition waves and Formation of domain walls in multistable mechanical metamaterials</article-title>. <source>Phys. Rev. Appl.</source> <volume>13</volume>, <fpage>054067</fpage>. <pub-id pub-id-type="doi">10.1103/PhysRevApplied.13.054067</pub-id>
</mixed-citation>
</ref>
</ref-list>
<fn-group>
<fn fn-type="custom" custom-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/824868/overview">Zhen (Jeff) Luo</ext-link>, University of Technology Sydney, Australia</p>
</fn>
<fn fn-type="custom" custom-type="reviewed-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1676194/overview">Zongan Li</ext-link>, Nanjing Normal University, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3343048/overview">Wei Zhang</ext-link>, Wuhan University of Science and Technology, China</p>
</fn>
</fn-group>
</back>
</article>