The broader impact/commercial potential of this Small Business Innovation Research (SBIR) Phase II project is to improve outcomes for ear tube surgery, one of the most common surgical procedures performed in children, while establishing a scalable manufacturing approach for medical implants made from natural materials. Approximately one million patients in the United States receive ear tubes each year, yet current devices rely on permanent plastics or metals that can cause complications, require repeat procedures, and increase exposure to anesthesia. This project advances a bioengineered ear tube designed to provide effective middle ear ventilation while also enabling safe, on-demand removal without surgery, reducing risk, cost, and burden on families and healthcare systems while improving clinical workflow. Commercially, this work supports entry into a large, established medical device market with an implant that improves safety and efficiency of care. Beyond this initial application, the project establishes a scalable manufacturing foundation for producing complex three-dimensional medical implants from natural materials, addressing a long-standing barrier to broader adoption. Successful completion will enable near term commercialization of next-generation ear tubes while positioning manufacturing for expansion into additional implantable devices, supporting United States leadership in advanced biomedical manufacturing and sustainable healthcare solutions. This Small Bus