Patent Grant
8317749
This application is related to co-pending U.S. patent application Ser. No. 12/495,470, titled “DRUG-TRANSFER DEVICE, DRUG-DELIVERY SYSTEM INCORPORATING THE SAME, METHODS OF FABRICATING THE SAME, AND METHODS OF ENABLING ADMINISTRATION OF A DRUG”, filed Jun. 30, 2009 and co-pending U.S. patent application Ser. No. 12/495,494, titled “DRUG-TRANSFER DEVICE, DRUG-DELIVERY SYSTEM INCORPORATING THE SAME, METHODS OF FABRICATING THE SAME, AND METHODS OF ENABLING ADMINISTRATION OF A DRUG”, filed Jun. 30, 2009, all of which are herein incorporated by reference for all purposes.
The presently-disclosed embodiments are directed to devices capable of deterring or preventing bulk extraction of drugs from drug-delivery systems, drug-delivery systems incorporating the same, methods of fabricating the same and methods of enabling administration of a drug.
Generally, drug-delivery devices (e.g., inhalers, syringes, implantable drug delivery systems, transdermal patches, liquid medicine bottles, eyedroppers, etc.) store drugs until the drugs are required by a user. Often, and even more so in the future as more potent drugs become available, drug-delivery devices are tampered with in order to improperly obtain the drugs stored in the drug-delivery device. This can seriously impede the availability of such drugs to patients and limits business opportunities in the healthcare field. Thus, it would be desirable to provide a means of making it more difficult or impossible to obtain the drug by tampering with the drug-delivery device. It was this understanding that formed the impetus for the embodiments exemplarily described herein.
According to some embodiments exemplarily described herein, a drug-transfer device can be characterized as including a cell package having a first plurality of cells and a drug releasably retained within the first plurality of cells. Cells within the first plurality of cells are disposed at predetermined locations within the cell package. Moreover, the number of cells within the first plurality of cells is less than the total number of cells within the cell package. The cell package is configured such that a predetermined amount of the drug is selectively releasable from at least one cell of the first plurality of cells when the cell package is operably proximate to a key that is encoded with information identifying the predetermined location of the at least one cell within the first plurality of cells. As used herein, a key that is encoded with information identifying the predetermined location of the at least one cell within the first plurality of cells is also referred to as an “encoded key.” Likewise, a key that is not encoded with information identifying the predetermined location of the at least one cell within the first plurality of cells is referred to as an “unencoded key.”
Because the number of cells within the first plurality of cells is less than the total number of cells within the cell package, the key enables a user to efficiently release a predetermined amount of the drug retained within the drug-transfer device. When the drug is released from the drug-transfer device, the drug can be administered to the user in any suitable manner.
In one embodiment, the cell package further includes a second plurality of cells and an agent releasably retained within the second plurality of cells. Cells of the second plurality of cells are disposed at predetermined locations within the cell package. The agent is configured to suppress a physiological effect of the drug when the agent contacts the drug or is coadministered with the drug. Moreover, the cell package is configured such that a predetermined amount of the drug is selectively releasable from the at least one cell of the first plurality of cells with respect to the agent when the cell package is operably proximate to the encoded key.
If a user attempts to obtain access to the drug retained within the first plurality of cells without use of the key, there is a possibility or a high likelihood, that the agent will be released instead of, or in addition to, the drug. Therefore, the key enables the user to selectively release the drug retained within the drug-transfer device while preventing release of the agent.
As described above, the agent is configured to suppress a physiological effect of the drug when the agent contacts the drug or is coadministered with the drug. Accordingly, the agent may be at least one substance selected from the group consisting of an antagonist (e.g., a competitive antagonist, a non-competitive antagonist, an uncompetitive antagonist, a silent antagonist, a partial antagonist, an inverse antagonist, etc.), a sequestrant that binds to the drug, and a reactant that destroys the drug chemically. Because the agent is configured to suppress a physiological effect of the drug when the agent contacts the drug or is coadministered with the drug, the first plurality of cells contain no (or substantially no) agent. Similarly, the second plurality of cells contain no (or substantially no) drug. As used herein, a cell contains “substantially no” substance (e.g., drug, agent, etc.) when an amount of substance retained within a cell is below some threshold amount (e.g., 1 ppb or less) determined by, for example, a regulatory agency such as the U.S. Food and Drug Administration. Exemplary methods to prevent cross-contamination between the contents of the first plurality of cells and the second plurality of cells are provided below.
In one embodiment, the agent may further be a substance having at least one characteristic (e.g., an optical characteristic, an electrical characteristic, a chemical characteristic, or the like) that matches a corresponding characteristic of the drug. As used herein, a characteristic of the agent “matches” a corresponding characteristic of the drug if the two characteristics are the same or substantially the same. Exemplary optical characteristics include absorption, dispersion, reflection, refraction, transmission, or the like or a combination thereof. Exemplary electrical characteristics include intrinsic charge, conductance, resistance, impedance, dielectric constant, or the like or a combination thereof. Exemplary chemical characteristics include pH, solubility in a solvent, reactivity with a reactant, or the like or a combination thereof. In one embodiment, the agent may be provided as a substance that reacts with the drug in such a manner that the color of the drug/agent reactant is different from the color of the unreacted drug.
In another embodiment, the agent may be a substance that alters at least one characteristic (e.g., a color, an odor, a viscosity, a material phase, or the like or a combination thereof) of the drug. The agent may alter the at least one characteristic of the drug to a degree that can be detected by a person (e.g., a manufacturer/distributor of the drug-transfer device, a manufacturer/distributor of a drug-delivery device, a user of the drug, or the like). In some embodiments, the at least one characteristic of the drug may be altered by the agent in such a manner as to render the drug unattractive to a potential user or abuser of the drug.
In one embodiment, each cell within the cell package has the same or substantially the same size and shape (e.g., circular, elliptical, triangular, square, rectangular, hexagonal, etc.). Thus, cells of the first plurality of cells may have the same or substantially the same size and shape as cells of the second plurality of cells. In another embodiment, each cell within the cell package has one of many predetermined sizes and/or shapes. Thus, each cell of the first plurality of cells and the second plurality of cells may have one of many predetermined sizes and/or shapes, wherein at least some cells of the first plurality of cells have the same or substantially the same size and shape as at least some cells of the second plurality of cells.
In one embodiment, the predetermined amount of drug that is selectively releasable corresponds to a drug dose. As used herein, a “drug dose” refers to the smallest amount of a drug that will have a physiological effect on a user, when administered to the user. As used herein, a “physiological effect” may be a therapeutic effect (i.e., a beneficial or desirable effect on the user) or an adverse effect (i.e., a harmful or undesirable effect on the user). In another embodiment, the predetermined amount of drug that is selectively releasable corresponds to more than a drug dose. In such an embodiment, one or more supplemental devices external to the drug-transfer device may be used to control the amount of drug to be delivered to the user in any manner known in the art.
In one embodiment, each cell within the first plurality of cells retains less than a drug dose. In another embodiment, each cell within the first plurality of cells retains at least a drug dose. In one embodiment, the total amount of drug retained by the first plurality of cells is equal to the predetermined amount of drug. Thus, the first plurality of cells retains the predetermined amount of drug (i.e., a drug dose). In another embodiment, the total amount of drug retained by the first plurality of cells is greater than the predetermined amount of drug. Thus, the first plurality of cells retains the more than the predetermined amount of drug (e.g., potentially, multiple drug doses).
In one embodiment, the cells of the cell package may be disposed in an arrangement having a rotational symmetry when the cell package is viewed in plan view. As used herein, the term “rotational symmetry” refers to an n-fold rotational symmetry, where n>1 (e.g., n=2, 3, 4, 6, 8, infinity, etc.). In another embodiment, the cells of the cell package may be disposed in an ordered arrangement having no rotational symmetry (i.e., n=1) when the cell package is viewed in plan view. In another embodiment, the cells of the cell package may be disposed in a random arrangement or in a pseudo-random arrangement. As used herein, an arrangement is “pseudo-random” when the cells have no short-range order, but do have a long-range order (e.g., as when cells are disposed in regularly-arranged groups, wherein each group includes randomly-arranged cells) or, alternatively, when the cells have no long-range order, but do have a short-range order (e.g., as when cells are disposed in randomly-arranged groups, wherein each group includes regularly-arranged cells).
Although not illustrated, each cell can, in one embodiment, be generally provided as a band having a contiguous ring shape around the center of the cell package when the cell package is viewed in plan view. The ring shape may be any desired shape (e.g., circular, elliptical, triangular, square, rectangular, hexagonal, etc.), with the center of the ring shape being concentric with the center of the cell package, when the cell package is viewed in plan view. In such an embodiment, the cells are concentrically disposed within the cell package. It will be appreciated, however, that cells may not be concentrically disposed within the cell package. Moreover, the ring shape of one cell may be same as or different from the ring shape of another cell. In one embodiment, the ring shape of one or more of the cells may have a rotational symmetry of n>1 when the cell package is viewed in plan view. In another embodiment, the ring shape of one or more of the cells may have no rotational symmetry (e.g., n=1) when the cell package is viewed in plan view.
In one embodiment, cell packages may be manufactured such that each cell package includes a unique arrangement of cells. Accordingly, different cell packages may be uniquely identified based on the arrangement of cells included therein. In another embodiment, cell packages may be manufactured in groups such that cell packages within a group have the same arrangement of cells but cell packages of different groups have unique arrangements of cells. In yet another embodiment, cell packages may be manufactured such that cell packages manufactured within only a predetermined period of time (e.g., a week, a month, etc.) have the same arrangement of cells. Accordingly, the arrangement of cells within a manufactured cell package may change periodically over time.
In one embodiment, the first plurality of cells may be disposed within the cell package in an arrangement having a rotational symmetry when the cell package is viewed in plan view. In another embodiment, the first plurality of cells may be disposed within the cell package in an ordered arrangement having no rotational symmetry (i.e., n=1) when the cell package is viewed in plan view. In another embodiment, the first plurality of cells may be disposed within the cell package in random arrangement or in a pseudo-random arrangement. Similarly, the second plurality of cells may be disposed within the cell package in an ordered arrangement having a rotational symmetry when the cell package is viewed in plan view, in an arrangement having no rotational symmetry when the cell package is viewed in plan view, in a random arrangement or in a pseudo-random arrangement.
In one embodiment, a retaining property each cell is degradable in the presence of energy (e.g., light, heat, chemical energy, mechanical energy, an electric field, a magnetic field, etc.). For purposes of discussion herein, whenever a substance (e.g., a drug, an agent, etc.) is retained within a cell, the cell is characterized as being “undegraded.” Thus, whenever a substance is released from the cell, the cell is characterized as being “degraded.”
In one embodiment, the shape of the cell package itself may have a rotational symmetry (e.g., an n-fold rotational symmetry, where n>1) when viewed in plan view. In another embodiment, the shape of the cell package itself may have no rotational symmetry (i.e., n=1) when viewed in plan view.
In one embodiment, the cell package includes multiple layers of cells (i.e., cell layers). The multiple cell layers may be integrally formed with each other and disposed in a stacked arrangement. As used herein, the term “integrally formed” means that one structure cannot be removed from another structure without rendering one or both structures unsatisfactory for their intended use. Thus, when one cell layer is integrally formed with another cell layer, the two cell layers cannot be removed from one another without degrading one or more cells of the cell layers. In one embodiment, a drug may be releasably retained within only one cell layer while an agent may be releasably retained within only one cell layer. In another embodiment, one cell layer may releasably retain a drug and an agent. It will also be appreciated that the cell package may include only a single cell layer.
In one embodiment, cells within a cell package including multiple cell layers are arranged with respect to each other such that cells in one cell layer are aligned with cells in another cell layer. Cells of different cell layers that are aligned with each other form what is referred to herein as an “aligned cell group.” In one embodiment, the substance(s) retained within all of the cells of a cell group may be released together when an encoded key is proximate to a cell package including multiple cell layers, depending upon the configuration of the cell package and/or the key. In another embodiment, the substance(s) retained within a portion of the cells of a cell group may be selectively released together when an encoded key is proximate to a cell package including multiple cell layers, depending upon the configuration of the cell package and/or the key.
To facilitate alignment between cells of different cell layers, the cell layers may include alignment features that cooperate with one another and/or the key. Exemplary alignment features include apertures formed in a cell layer, protrusions extending away from a cell layer, the shape of a cell layer itself (when viewed in plan view), superficial indicia provided on the cell layer (e.g., at an edge thereof), or the like or a combination thereof.
Although the drug-transfer device has been described above as releasably retaining either a drug or an agent, it will be appreciated that the drug-transfer device may releasably retain more than one drug and/or more than one agent. Accordingly, each cell within the first plurality of cells may retain one of a plurality of predetermined drugs. Similarly, each cell within the second plurality of cells may retain one of a plurality of predetermined agents. Further, the drug-transfer device may include at least one of cell that retains a dummy substance instead of a drug or an agent. As used herein, a “dummy substance” refers to a physiologically inactive substance, a GRAS (generally recognized as safe) substance, or the like. In one embodiment, the dummy substrate may further be a substance having at least one characteristic (e.g., an optical characteristic, an electrical characteristic, a chemical characteristic, or the like) that matches a corresponding characteristic of the drug.
According to some embodiments exemplarily described herein, a drug-delivery system can be characterized as including the aforementioned drug-transfer device, a housing configured to retain the drug-transfer device and the key. The key is configured to cause the predetermined amount of drug retained within the cell package of the drug-transfer device to be released when the encoded key is operably proximate to the cell package of the drug-transfer device. The housing is configured such that the drug released from the cell package is deliverable from the cell package retained within the housing to a user.
In one embodiment, the aforementioned drug-transfer device is integrally formed with, or is separable from, the housing. In another embodiment, the key is integrally formed with, or is separable from, the housing. In still another embodiment, the key is integrally formed with, or is separable from the drug-transfer device. As used herein, the term “separable from” means that one structure can be separated from another structure without rendering one or both structures unsatisfactory for their intended use.
As mentioned above, a retaining property each cell in the drug-transfer device is degradable in the presence of energy. In one embodiment, the key includes one or more actuators configured to impart energy to cells within the cell package of the drug-transfer device, to thereby degrade the cells. In one embodiment, the key is proximate to the drug-transfer device when the key is proximate to the drug-transfer device and when energy can be imparted from actuators of the key to cells of the drug-transfer device. Each actuator included in the key may be configured to impart energy in the form of light, heat, chemical energy, mechanical energy, an electric field, a magnetic field, or the like or a combination thereof.
When a cell is degradable in the presence of light, an actuator included in the key may be provided as, for example, a light-emitting diode (LED) configured to emit light at a wavelength (e.g., a UV wavelength) sufficient to induce photodecomposition of the material defining the cell, or the like.
When a cell is degradable in the presence of heat, an actuator included in the key may be provided as, for example, a light-emitting diode (LED) configured to emit light at a wavelength (e.g., an IR wavelength) sufficient to induce thermal decomposition of a material defining the cell, an electronic resistive heating element configured to generate heat sufficient to induce thermal decomposition of the material defining the cell, or the like, or a combination thereof.
When a cell is degradable in the presence of chemical energy, an actuator included in the key may be provided as, for example, a pad having coated on its surface a material sufficient to chemically degrade a material defining the cell, or the like.
When a cell is degradable in the presence of mechanical energy, an actuator included in the key may be provided as, for example, a pin, blade, ultrasonic transducer, etc., configured to mechanically deform a material defining the cell (e.g., by piercing, tearing, etc.), or the like.
When a cell is degradable in the presence of an electrical field, an actuator included in the key may be provided as, for example, one or more electrodes configured to degrade the material defining the cell using an electric field.
When a cell is degradable in the presence of a magnetic field, an actuator included in the key may be provided as, for example, a magnet (e.g., permanent or electromagnet) configured to degrade the material defining the cell using a magnetic field.
Exemplary implementations of actuators configured to impart energy in the form of light, heat, chemical energy, mechanical energy, an electric field, a magnetic field, can be found in a discussion regarding the degradation of capsules in copending U.S. application Ser. No. 12/357,108, filed Jan. 21, 2009, entitled “DRUG DEACTIVATION SYSTEM AND METHOD OF DEACTIVATING A DRUG USING THE SAME,” which is incorporated by reference herein in its entirety.
In one embodiment, the key includes a plurality of actuators. For example, the number of actuators included in the key may be less than, equal to, or greater than the number of cells (or aligned cell groups) within a cell layer of the drug-transfer device. Each of the plurality of actuators is aligned with a corresponding cell (or aligned cell group) of the drug-transfer device when the key is proximate to the drug-transfer device. As a result, an actuator imparts energy to only a corresponding cell (or aligned cell group) of the drug-transfer device.
In another embodiment, the key includes a single actuator. The single actuator may be configured to be aligned with one or more of the cells (or one or more aligned cell groups) within the drug-transfer device when the key is proximate to the drug-transfer device. As a result, the single actuator imparts energy to one or more cells (or one or more aligned cell groups) within the drug-transfer device.
In one embodiment, the key is operably proximate to the drug-transfer device when the key is proximate to the drug-transfer device and when the key and drug-transfer device are aligned with respect to one another in a predetermined manner. To facilitate alignment between the key and the cell package of the drug-transfer device, the housing may include an alignment feature that cooperates with an alignment feature of the drug-transfer device (e.g., an alignment feature of the cell package), with an alignment feature of the key, or a combination thereof. In another embodiment, the drug-transfer device and the key may include cooperative alignment features, and the housing may not include an alignment feature. Exemplary alignment features include apertures formed in the housing, the drug-transfer device and/or the key, protrusions extending away from the housing, the drug-transfer device and/or the key, the shape of the housing, the drug-transfer device and/or the key (when viewed in plan view), superficial indicia provided on the housing, the drug-transfer device and/or the key (e.g., at an edge thereof), or the like or a combination thereof.
In one embodiment, one or more of the actuators may be provided as a static actuator. As used herein, a “static actuator” imparts energy to a cell (or aligned cell group) within a drug-transfer device automatically, whenever the key is proximate to drug-transfer device. Because a static actuator imparts energy to cell automatically, the location of each static actuator on the key corresponds to a location of a cell within the first plurality of cells in the cell package, when the key is operably proximate to the drug-transfer device. Thus, the location of each static actuator on the key corresponds to the information that is encoded on the key.
In embodiments where an unencoded key includes a plurality of static actuators, the drug-delivery system may further include an encoding unit (not shown) configured to impart energy (e.g., in the form of light, heat, chemical energy, mechanical energy, an electric field, a magnetic field, or the like or a combination thereof) to the one or more of the plurality of static actuators so as to encode the key. The encoding unit may be implemented as, for example, hardware, firmware, and/or software capable of executing any type of computer-executable instructions. The encoding unit may be provided as a device having a dedicated fixed-purpose circuit and/or partially or wholly programmable circuitry. The encoding unit may be integrally formed with the housing or may be provided as a component that is separate from, or is separable from, the housing. Thus, the encoding unit may be used by the manufacturer of the key, the manufacturer of the drug-delivery system, the user of the drug-delivery system, or the like. Generally, the encoding unit may impart energy to the one or more of the plurality of static actuators in response to instructions. The encoding unit may be hard-wired with the instructions. In another embodiment, the encoding unit is configured to receive the instructions (e.g., via an input port thereof). The instructions may be received over a wired or wireless personal area network (PAN), a local area network (LAN), a wide area network (WAN), or the like or a combination thereof. An exemplary method of encoding an unencoded key using an encoding unit is provided below.
In another embodiment, one or more of the actuators may be provided as a dynamic actuator. As used herein, a “dynamic actuator” is electronically driven to impart energy to a cell (or aligned cell group) within a drug-transfer device when the key is proximate to the drug-transfer device. Because a dynamic actuator imparts energy to cell (or aligned cell group) whenever it is driven, the location of a driven dynamic actuator on the key corresponds to a location of a cell within the first plurality of cells in the drug-transfer device when the key is proximate to the cell package. Thus, the location of each driven dynamic actuator on the key corresponds to the information that is encoded on the key.
A dynamic actuator may be electronically driven by a controller that is integrally formed with the key, integrally formed with the housing, or separable from the key and housing. As used herein, a “controller” refers to any type of computer-executable instructions that can be implemented as, for example, hardware, firmware, and/or software. The controller may be provided as a dedicated fixed-purpose circuit and/or partially or wholly programmable circuitry. Generally, the controller drives dynamic actuators of the key in response to instructions. Similar to the encoding unit, the controller may be hard-wired with the instructions. In another embodiment, the controller is configured to receive the instructions (e.g., via an input port thereof). The instructions may be received over a wired or wireless personal area network (PAN), a local area network (LAN), a wide area network (WAN), or the like or a combination thereof.
If a user attempts to obtain access to the drug retained within the first plurality of cells of a cell package using a key that is not encoded with information identifying the predetermined location of at least one cell of the first plurality of cells, there is a possibility, or a high likelihood, that the agent will be released instead of, or in addition to, the drug. Similarly, if a user attempts to obtain access to the drug retained within the first plurality of cells of a drug-transfer device using a key that is encoded with information identifying the predetermined location of at least one cell of the first plurality of cells, but does not properly align the key with respect to the drug-transfer device (i.e., such that the key is not operably proximate to the drug-transfer device), there is a possibility, or a high likelihood, that the agent will be released instead of, or in addition to, the drug. Therefore, providing a key encoded with information identifying the predetermined location of at least one cell of the first plurality of cells to be operably proximate to the cell package enables the user to selectively release the drug retained within the drug-transfer device while preventing release of the agent.
According to some embodiments exemplarily described herein, a method of fabricating a drug-transfer device may include providing a first cell layer including a first plurality of cells within which a drug is retained and providing a second cell layer including a second plurality of cells within which the agent is retained. The first cell layer and the second cell layer may then be coupled together to form a cell package in which the first cell layer and the second cell layer are integrally formed together. Exterior surfaces of the first cell layer and the second cell layer may be cleaned. In one embodiment, exterior surfaces of the first cell layer and the second cell layer may be cleaned prior to final assembly of the drug-transfer device, after final assembly or the drug-transfer device or a combination thereof.
In one embodiment, the first cell layer is provided in an area that is environmentally isolated from another area in which the second cell layer is provided. For example, the first cell layer may be provided by fabricating the first cell layer in an area that is environmentally isolated from all other areas containing any amount of the agent or is contaminated by any amount of the agent. In one embodiment, the first cell layer may be provided by providing a cell sheet, wherein the first plurality of cells is defined within the cell sheet; and coupling a cover sheet to the cell sheet to seal the plurality of cells. In one embodiment, the plurality of cells is hermetically sealed upon coupling the cover sheet to the cell sheet. In one embodiment, fabrication of the first cell layer is concluded upon hermetically sealing the cell layer. The drug may be provided within the first plurality of cells defined by the cell sheet before coupling the cover sheet to the cell sheet. The second cell layer may be provided in a similar manner as discussed above with respect to the first cell sheet, or in a different manner. As used herein, one area is “environmentally isolated” from another area when any portion of the drug or agent (e.g., in solid, liquid, or vapor form) in one area is prevented from entering into the other area. Thus, two areas that may be environmentally isolated from each other may, for example, include two different fabrication lines in the same room, two different rooms in the same building, two different buildings, etc.
Exterior surfaces of the first cell layer and the second cell layer may be cleaned before the first cell layer and the second cell layer are coupled together. Further, an exterior surface of the first cell layer may be cleaned in an area that is environmentally isolated from an area in which the second cell layer is cleaned. This may be beneficial to avoid cross-contamination between the contents of the first plurality of cells and the second plurality of cells.
According to some embodiments exemplarily described herein, a method of enabling administration of a drug may include determining a location of at least one cell of a first plurality of the cells within a drug-transfer device (e.g., provided as exemplarily described above), generating information identifying the determined location of the at least one cell within the drug-transfer device, encoding a key (e.g., provided as exemplarily described above) with the information, providing a user with the drug-transfer device, and providing the key to the user. As described above, a predetermined amount of the drug retained within the at least one cell of the first plurality of cells is selectively releasable when the key is operably proximate to the drug-transfer device and when the key is encoded with the information.
When the user is provided with the drug-transfer device, the drug-transfer device may be integrated with the housing of a drug-delivery system or may be separate from the housing of a drug-delivery system.
In one embodiment, the key may be provided to the user before or after encoding the key with the information. In one embodiment, the key may be provided to the user after the user is provided with the drug-transfer device. In other embodiments, the key may be provided to the user before the user is provided with the drug-transfer device, or simultaneously when the user is provided with the drug-transfer device. In one embodiment the key may be provided to the user through the mail or some suitable courier service.
As mentioned above, the key may include a plurality of static actuators configured to impart energy to cells of the drug-transfer device when the drug-transfer device is proximate to the key. Accordingly, the key may be encoded by deforming at least one of the plurality of static actuators. In this embodiment, a deformed actuator (i.e., a deactivated actuator) is incapable of imparting energy to a cell.
As described above, an actuator may be provided as a dynamic actuator capable of being electronically driven to impart energy to a cell. Accordingly, the key may be encoded by electronically driving the dynamic actuator in response to instructions (e.g., hard-wired in a controller or received at an input port of the controller, as described above). Because the dynamic actuator can be electronically driven, a dynamic actuator can be encoded at a predetermined time after the user has been provided with the drug-transfer device. Also because the dynamic actuator can be electronically driven, a dynamic actuator can be encoded a plurality of times over a predetermined period of time (e.g., over the course of a medical treatment requiring use of the drug).
As mentioned above, the total amount of drug retained by the first plurality of cells may be greater than the predetermined amount of drug. Thus, in one embodiment, the aforementioned method of enabling administration of a drug may further include determining a location of at least one other cell of the first plurality of the cells, generating additional information identifying the determined location of at least one other cell within the drug-transfer device, and encoding the key with the additional information after the predetermined amount of the drug has been released from the at least one cell of the first plurality of cells. Accordingly, a predetermined amount of the drug retained within the at least one other cell of the first plurality of cells is selectively releasable when the key is operably proximate to the drug-transfer device and when the key is encoded with the additional information. Thus, according to this embodiment, multiple drug doses may be released from the same drug-transfer device at different times by encoding the same key multiple times. According to this embodiment, actuators of the key could be provided as dynamic actuators.
As described above, the same key is encoded multiple times to release multiple doses from the same drug-transfer device. In another embodiment, however, an additional key may be encoded with the aforementioned additional information and the additional key may be provided to the user. According to this embodiment, actuators of the additional key could be provided as dynamic actuators, static actuators, or a combination thereof.
Examples of the above-described embodiments of drug-transfer devices, drug-delivery systems, and associated methods of making and using the same to enable administration of a drug, will now be discussed in detail with respect to the accompanying drawings.
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As exemplarily shown, cells 110 of the first cell layer 200a and the second cell layer 200b are aligned with respect to each other such that cells 110 retain the drug 112 in the first cell layer 200a are aligned with cells 110 that do not retain the agent 114 in the second cell layer 200b. Thus, each aligned cell group of the cell package 100 including a cell 110 that retains the drug 112 does not also include a cell that retains the agent 114. It will be appreciated, however, that the cell package 100 may include at least one aligned cell group including cells 110 that retain the drug 112 and the agent 114.
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Cells 110 of the third cell layer 500a and the fourth cell layer 500b are aligned with respect to each other, and with respect to cells 110 of the first cell layer 200a and the second cell layer 200b. To facilitate such alignment, the third cell layer 500a and the fourth cell layer 500b may include alignment features (not shown) that cooperate with one another and/or with alignment features of the first cell layer 200a and/or the second cell layer 200b.
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As exemplarily shown, the cell package 500 includes at least one aligned cell group including multiple cells 110 that retain the drug 112, at least one aligned cell group including a cell 110 that retains the agent 114 and at least one aligned cell group including a cell 110 that retains the additional substance 504. It will be appreciated, however, that at least one aligned cell group of the cell package 500 may include cells 110 retaining any desired combination of the aforementioned substances (e.g., the drug 112, the agent 114, the dummy substance 202 and the additional substance 504) in any desired order.
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The housing 602 is configured such that a predetermined amount of drug, once released from the drug-transfer device, is deliverable to a user (not shown). In one embodiment, the housing 602 is configured to deliver the predetermined amount of drug to the user essentially immediately after the predetermined amount of drug has been released from the drug-transfer device. In another embodiment, the housing 602 is configured to deliver the predetermined amount of drug to the user in a delayed manner after the predetermined amount of drug has been released from the drug-transfer device. For example, the predetermined amount of drug, once released from the drug-transfer device, may be transferred to a reservoir where the drug can be mixed with one or more other substances (e.g., a dummy substance) before being delivered to the user. In another example, the predetermined amount of drug, once released from the drug-transfer device, may be transferred to a semisolid matrix (e.g., an electrophoretic gel, as is known in the art) where the drug can be controllably delivered to the user in the presence of some externally applied energy.
As exemplarily illustrated, the drug-transfer device is integrally formed with the housing 602. In another embodiment, however, the drug-transfer device may be separable from the housing 602. For example, the drug-transfer device may be coupled to, and removed from, the housing 602 via a recess 606 formed in the housing 602.
As exemplarily illustrated, the key 604 is separable from the housing 602. For example, the key 604 may be coupled to, and removed from, the housing 602 via the recess 606. In another embodiment, however, the key 604 may be integrally formed with the housing 602.
To facilitate alignment between the key and the cell package, the housing 602 may include an alignment feature (not shown) that cooperates with an alignment feature of the drug-transfer device, with an alignment feature of the key 604, or a combination thereof. In one embodiment, the alignment feature of the housing 602 may be the shape of the recess 606 when it is viewed in plan view. In such an embodiment, the shape of the recess 606 may have no rotational symmetry when viewed in plan view. In another embodiment, the drug-transfer device and the key 604 may include alignment features that cooperate to ensure proper alignment. In such an embodiment, the housing 602 may not include any alignment feature.
In one embodiment, the key 604 includes one or more actuators configured to impart energy to cells of the drug-transfer device. Energy imparted by the actuators is sufficient to degrade the cells of the drug-transfer device when the drug-transfer device is proximate to the key. In one embodiment, the key 604 includes one or more static actuators, one or more dynamic actuators, or a combination thereof. When the key 604 includes a dynamic actuator, the drug-delivery system 600 may further include a controller 608 configured to drive the dynamic actuator.
As exemplarily illustrated, the controller 608 is separable from the key 604 and housing 602. It will be appreciated, however, that the controller 608 may be integrally formed with the key 604 or the housing 602. As exemplarily illustrated, the controller 608 drives dynamic actuator based on instructions (labeled as “INPUT”) received at an input port thereof. Thus, the controller 608 may be configured to receive instructions over a wired or wireless personal area network (PAN) (e.g., via a USB device, Bluetooth enabled device, or the like or a combination thereof), a local area network (LAN) (e.g., via Wi-Fi enabled device, or the like), a wide area network (WAN) (e.g., the Internet), or the like or a combination thereof. It will be appreciated, however, that the controller 608 may be hard-wired with the instructions.
Referring to
In one embodiment, the key 604 and the drug-transfer device are positionally fixed within the housing 602 to be spaced apart from each other by a predetermined distance “d” (“d” represents a maximum distance of separation between the key 604 and the drug-transfer device across which energy can be imparted from the key 604 to cells of the drug-transfer device).
In another embodiment, the position of at least one of the key 604 and the drug-transfer device is variable within the housing 602. Thus, the key 604 and the drug-transfer device may have a normally-distant relationship in which the key 604 and the drug-transfer device are spaced apart from each other by a distance greater than “d”. However, when the user engages with the housing 602 (e.g., by squeezing the housing 602), the key 604 and the drug-transfer device are brought proximate to each other such that the distance between the key 604 and the drug-transfer device is less than or equal to “d”.
Referring to
Referring to
In one embodiment, the actuators 904 are provided as static actuators. Accordingly, the number of actuators 904 included in the key 604 corresponds to the predetermined amount of drug to be released from the drug-transfer device when the key 604 is proximate to the drug-transfer device. It will be appreciated that the predetermined amount of drug to be released from the drug-transfer device does not necessarily correspond to the amount of drug that is to be ultimately delivered to the user. Supplemental devices external to the key and the drug-transfer device may be used to control the amount of drug to be delivered to the user in any manner known in the art. Such supplemental devices may, for example, be integrally formed with a housing of a drug-delivery system. Further, the location of each actuator 604 relative to the key body 902 is selected such that each actuator 604 will be aligned only with a corresponding cell 110 within the first plurality of cells when the key 604 is operably proximate to the drug-transfer device.
In another embodiment, the actuators 904 are provided as dynamic actuators. Accordingly, the number of actuators 904 included in the key 604 at least minimally corresponds to the predetermined amount of drug to be released from the drug-transfer device when the key is proximate to the drug-transfer device. Further, in embodiments where the number of actuators 904 included in the key 604 corresponds to an amount exceeding the predetermined amount of drug to be released from the drug-transfer device when the key is proximate to the drug-transfer device, the location of each actuator 904 relative to the key body 902 that is driven (e.g., using the controller 608) is selected such that each driven actuator 904 will be aligned with a corresponding cell within the first plurality of cells when the key 604 is operably proximate to the drug-transfer device.
In one embodiment, the key 604 may include alignment features 906 provided as, for example, protrusions extending away from the key body 902. When the key 604 is operably proximate to the drug-transfer device, the protrusions are received within corresponding alignment features of the drug-transfer device (e.g., apertures formed in the cell package of the drug-transfer device). Accordingly, protrusions and the corresponding apertures facilitate alignment between the key 604 and the drug-transfer device. Although
Referring to
Referring to
Referring to
In one embodiment, the processes of providing the drug 112 within the cells 110 defined by the cell sheet 204a, providing the agent within the cells 110 defined by the cell sheet 204b and providing the dummy substance 202 within remaining cells 110 defined by the cell sheets 204a and 204b are performed in a manner that prevents the drug 112 from being provided within cells 110 of the cell sheet 204b and in a manner that prevents the agent 114 from being provided within cells 110 of the cell sheet 204a. For example, the processes of providing the drug 112 and the dummy substance within the cells 110 defined by the cell sheet 204a may be performed in an area (e.g., a first area) that is environmentally isolated from another area (e.g., a second area) in which processes of providing the agent 114 and the dummy substance within the cells 110 defined by the cell sheet 204b are performed.
In one embodiment, the processes of coupling the cover sheets 206a and 206b to corresponding cell sheets 204a and 204b are performed in a manner that prevents the drug 112 from contaminating any portion of the cell sheet 204b and in a manner that prevents the agent 114 from contaminating any portion of the cell sheet 204a. For example, the process of coupling the cover sheet 206a to cell sheet 204a may be performed in an area (e.g., the first area or a third area different from the first area) that is environmentally isolated from another area (e.g., the second area or fourth area different from the second area) in which the process of coupling the cover sheet 206b to cell sheet 204b is performed.
Although processes have been described above in which cells are defined within cell sheets 204a and 204b before the drug 112 and agent 114 are provided therein, it will be appreciated that, in some cases (e.g., when the volume of drug 112 or agent 114 to be retained within a cell is very small, when the drug 112 or agent 114 to be retained within a cell does not flow easily or is in a powder form and is to be mixed with a solvent prior to being used by a user, etc.), the drug 112 and/or agent 114 may be provided on corresponding ones of the cell sheets 204a and/or 204b before the cells are defined therein.
As exemplarily described above, the first cell layer 200a is fabricated in an area that is environmentally isolated from all other areas containing any amount of the agent 114 or is contaminated by any amount of the agent 114. Likewise, the second cell layer 200b is fabricated in an area that is environmentally isolated from all other areas containing any amount of the drug 112 or is contaminated by any amount of the drug 112. In one embodiment, fabrication of the first cell layer 200a and the second cell layer 200b is concluded upon hermetically sealing the cell layers as described above. After forming the first cell layer 200a and the second cell layer 200b, the first cell layer 200a and the second cell layer 200b are coupled together. In one embodiment, the first cell layer 200a and the second cell layer 200b are coupled together by coupling the cover sheets 206a and 206b to each other using any known technique (e.g., glue, ultrasonic welding, thermal welding, or the like or a combination thereof). In order to ensure that the first cell layer 200a is properly aligned with the second cell layer 200b during the coupling, the first cell layer 200a and the second cell layer 200b may be provided with complementary alignment features. For example, alignment features 1102 of the first cell layer 200a may be provided as at least one aperture formed in the cell sheet 204a and/or cover sheet 206a, at least one protrusion extending away from the cell sheet 204a and/or cover sheet 206a, the shape of the first cell layer 200a itself (when viewed in plan view), superficial indicia provided on the cell layer 200a (e.g., at an edge thereof), or the like or a combination thereof. Similarly, alignment features 1202 of the second cell layer 200b may be provided as at least one corresponding protrusion extending away from the cell sheet 204b and/or cover sheet 206b, at least one corresponding aperture formed in the cell sheet 204b and/or cover sheet 206b, the shape of a second cell layer 200b itself (when viewed in plan view), superficial indicia provided on the second cell layer 200b (e.g., at an edge thereof), or the like or a combination thereof. Although
In one embodiment, the first cell layer 200a may include a first through-hole 1104 disposed at a center portion thereof, extending through the cell sheet 204a and cover sheet 206a. Similarly, the second cell layer 200b may include a second through-hole 1204 disposed at a center portion thereof, extending through the cell sheet 204b and cover sheet 206b. Accordingly, when the first cell layer 200a is coupled to the second cell layer 200b, the first through-hole 1104 and the second through-hole 1204 are disposed in fluid communication with each other. Depending upon the particular drug-delivery system with which the drug-transfer device is incorporated, the first through-hole 1104 and the second through-hole 1204 may define a channel through which additional substances (e.g., physiological saline and other substances) may flow at one or more times during the life-cycle of the drug-delivery system.
In one embodiment, exterior surfaces of the first cell layer 200a and the second cell layer 200b may be cleaned using any suitable technique to remove any residual amount of drug 112 or agent 114 that may be present on exterior surfaces thereof. In another embodiment, the processes of cleaning exterior surfaces of the first cell layer 200a and the second cell layer 200b may be performed in a manner that prevents any residual amount of drug 112 from contaminating any surface of the second cell layer 200b and in a manner that prevents any residual amount of the agent 114 from contaminating any surface of the first cell layer 200a. For example, the process of cleaning the first cell layer 200a may be performed in an area (e.g., the first area, the third area, or a fifth area different from the first area and third area) that is environmentally isolated from another area (e.g., the second area, the fourth area, or a sixth area different from the second area and fourth area) in which the process of cleaning the second cell layer 200b is performed. Thus, the cover sheets 206a and 206b of the first cell layer 200a and the second cell layer 200b may be coupled to each other after exterior surfaces of the first cell layer 200a and the second cell layer 200b are cleaned.
Referring to
Constructed as described above, the key 1300 may be encoded with information identifying the predetermined location of at least one cell of the first plurality of cells in the drug-transfer device by deactivating (e.g., deforming) selected actuators 1304 that are not arranged a location corresponding to the predetermined location of the at least one cell of the first plurality of cells. Actuators 1304 that have not been deformed have a surface profile (e.g., a sharp pointed profile) that is capable of degrading cells (e.g., by piercing) of a drug-transfer device sufficient. On the other hand, actuators 1304 that have been deformed (i.e., deactivated actuators 1306) have a surface profile (e.g., a dull rounded profile) that is incapable of degrading cells of the drug-transfer device. A selected actuator 1304 may be deformed by permanent thermal deforming. In one embodiment, the permanent thermal deforming may be performed by providing an encoding unit including an array of heating elements (e.g., resistive heating elements), selectively driving predetermined ones of the heating elements to generate heat, and pressing the predetermined ones of the heating elements against the selected actuators 1304. The
Referring to
The drug-transfer device includes the aforementioned cell package 100 configured described above with respect to
The key 1404 is provided as a plunger configured to be received within a recess of the housing 1402. The key 1404 is encoded with information identifying the predetermined locations of the first plurality of cells of the drug transfer device (i.e., locations of cells 110 releasably retaining the drug 112 within the cell package 100). The key 1404 is configured as exemplarily described above with respect to
As illustrated, the drug-transfer device is integrally formed with the housing 1402 when the user is provided with the housing 1402 and, therefore, has a predetermined alignment with the housing 1402. The integrally formed housing 1402 and drug-transfer device may be provided to the user at a pharmacy. In another embodiment, however, the drug-transfer device may be separable from the housing 1402. In such an embodiment, the drug-transfer device may be provided to the user before or after the user is provided with the housing 1402. As a result, the user may manually insert the drug-transfer device into the recess of the housing 1402. To ensure that the drug-transfer device is properly inserted into the recess of the housing 1402, the shape of the drug-transfer device (when viewed in plan view) may correspond to the shape of the recess of the housing 1402 (when viewed in plan view). Moreover, the shapes of the drug-transfer device and the recess of the housing 1402 may have no rotational symmetry when viewed in plan view.
As illustrated, the key 1404 is separable from the housing 1404 and the drug-transfer device. In one embodiment, the key 1404 may be provided to the user separately from the housing 1402 and/or the drug-transfer device. For example, in embodiments where the integrally formed housing 1402 and drug-transfer device are provided to the user at a pharmacy, the key 1404 may be provided to the user through the mail or some suitable courier service. By providing the key 1404 to the user separately from the integrally formed housing 1402 and drug-transfer device, deviations of the drug towards uses outside the intended use and the user are severely impeded along entire supply chain of the drug-transfer device and/or the drug-delivery system.
Once the user is provided with the integrally formed housing 1402 and drug-transfer device, and is also provided with the key 1404, the user inserts the key 1404 into the recess of the housing 1402. To ensure that the key 1404 is properly inserted into the recess of the housing 1402, the shape of the key 1404 (when viewed in plan view) may correspond to the shape of the recess of the housing 1402 (when viewed in plan view). Moreover, the shapes of the key 1404 and the recess of the housing 1402 may have no rotational symmetry when viewed in plan view. In another embodiment, however, the recess of the housing 1402 may have no alignment feature. In such an embodiment, the key 1404 and the drug-transfer device include cooperative alignment features that can be used to ensure proper alignment of the key 1404 and the drug-transfer device before the key 1404 is proximate to the drug-transfer device.
Referring to
In one embodiment, the aforementioned first through-hole 1104 and second through-hole 1204 are included within the drug-transfer device to define a channel through which the physiological saline may flow into and out of the reservoir 1406.
As exemplarily described above, the total amount of drug 112 retained within the drug-transfer device is equal to a drug dose. Accordingly, the key 1404 is configured to degrade each cell 110 of the first plurality of cells within the cell package 100 and the integrated housing 1402 and drug-transfer device may be disposed of along with the key 1404 after the drug dose has been delivered to the user. It will be appreciated, however, that the total amount of drug 112 retained within the drug-transfer device may be equal to multiple drug doses. Accordingly, the key 1404 may be configured to degrade one or more cells 110 of the first plurality of cells within the cell package 100 and the integrated housing 1402 and drug-transfer device may be retained by the user while the key 1404 may be disposed of after a drug dose has been delivered to the user. Thereafter, the user may be provided with another key configured to degrade one or more other cells 110 of the first plurality of cells within the cell package 100. Accordingly, multiple keys may be provided to a user over a predetermined period of time (e.g., a course of treatment requiring use of the drug 112) while the user retains the housing 1402 and drug-transfer device.
It should be appreciated that reference throughout this specification to “one embodiment,” “an embodiment,” “another embodiment,” etc., means that a particular feature, structure or characteristic described in connection with the embodiment is included in at least one embodiment. Therefore, it should be emphasized and appreciated that two or more references to “an embodiment,” “one embodiment,” “another embodiment,” etc., in various portions of this specification are not necessarily all referring to the same embodiment. Furthermore, the particular features, structures or characteristics may be combined as suitable in one or more embodiments.
It will be appreciated that several of the above-disclosed and other features and functions, or alternatives thereof, may be desirably combined into many other different systems or applications. It will also be appreciated that various presently unforeseen or unanticipated alternatives, modifications, variations, or improvements therein may be subsequently made by those skilled in the art which are also intended to be encompassed by the following claims.
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| Number | Date | Country | |
|---|---|---|---|
| 20100328024 A1 | Dec 2010 | US |
