Broadly defined, a transdermal drug delivery system is any system designed to administer an appreciable dose of some drug directly through the skin without use of a conventional hypodermic needle. Examples of transdermal drug delivery systems include “the patch” (i.e., an adhesive patch design to deliver nicotine to tobacco-addicted people), aspirin-laced balms and adhesive patches designed to administer highly potent pain-killers.
While the hypodermic or oral administration of a drug is often the preferred method of drug delivery, transdermal drug delivery provides a number of advantages including the release of medication over prolonged periods and favorable patient feedback.
Unfortunately, existing transdermal patches lack versatility, and their effectiveness can be hampered by the kinetics of the drug used, skin interaction and drug solubility. Further, existing transdermal patches cannot provide periodic dosing or dosing on demand. Still further, there are a wide variety of drugs that are not readily absorbed by human skin. Accordingly, new technology related to transdermal drug delivery systems is desirable.
A transdermal drug delivery system is disclosed for providing controlled doses of a drug through the epidermis of a human or other animal. The transdermal drug delivery system includes a substrate having an array of one or more electrode pairs and a gel disposed thereon, wherein the gel is disposed in electrical contact with each electrode of the one or more electrode pairs, and wherein the gel contains at least a first medicating agent.
The various advantages offered by the disclosed methods and systems include providing a “drug on demand” system where, as opposed to conventional transdermal patches, doses can be delivered according to any number of predetermined schedules. Further, total dosage can be adjusted on the fly and adjusted from one patient to another taking into account different body weights or metabolisms.
The following detailed description is best understood when read with the accompanying drawing figures. It is emphasized that the various features are not necessarily drawn to scale. In fact, the dimensions may be arbitrarily increased or decreased for clarity of discussion. Wherever applicable and practical, like reference numerals refer to like elements.
In the following detailed description, for purposes of explanation and not limitation, specific details of exemplary embodiments are set forth in order to provide a thorough understanding of the present teachings. However, it will be apparent to one having ordinary skill in the art having had the benefit of the present disclosure that other embodiments according to the present teachings that depart from the specific details disclosed herein remain within the scope of the appended claims. Moreover, descriptions of well-known apparatus and methods may be omitted so as to not obscure the description of the exemplary embodiments. Such methods and apparatus are clearly within the scope of the present teachings.
The substrate 110 of
Electrodes 142 and 144 can take many forms including the form of various metal foils. Illustrative metal foils include, but are not limited to: copper, silver or gold, platinum, molybdenum and chromium (and multilayer combinations thereof). The foils can also take the form of a conductive ink or other conductive medium that may be deposited on or in the substrate 110. The foils are provided on or over the substrate 110. However, it should be appreciated that the particular makeup of a given pair of electrodes can vary from embodiment to embodiment as may be found necessary or advantageous.
The gel 130 of
The solvent of gel 130 can be water, or any number of other solvents, e.g., an alcohol or some form of generally non-toxic substance, can be used depending on various circumstances, such as a medicating agent's solubility with the solvent. Various solvents may also contain micellar formulations enabling the solubilization of lipophilic compounds in a water-based formulation.
The medicating agent of gel 130 can be any number of drugs, pain-relievers, hormones (e.g., cortisone), stimulants or other substances that can be used for medically beneficial purposes and that may be absorbed through skin—human or otherwise—may be employed.
While one function of the gel 130 is to hold some form of solvent and medicating agent, a complementary function of the gel 130 is to controllably expel the solvent, which can act as a carrier for the medicating agent, upon command of the controller 114. This function can be accomplished by forming a voltage across (or a current through) the electrode pair via controller 114.
Similar to
During operation (presumably after the removal of the second seal 222), the closing of switch 210 will enable the battery 112 to produce a voltage V1 across the electrodes and cause current I1 to pass through the gel 130. Again the result of this electrical activity is that the initial gel body 130 literally distorts and forces the solvent from its body. However, rather than pass directly to a skin surface, the solvent and medicating agent passes through a number of holes/pores 250 in the substrate 110 and then onto the skin surface below. The top cover/seal 240 can retain its shape during this process or optionally contract to stay in contact with the contracting gel body. An advantage of the illustrative embodiment of
For the illustrative embodiments of
While
Additionally, it can be beneficial to use multiple pairs of electrodes. Various examples of multiple electrode pairs can be found in
Another advantage of using the array 400 of
For embodiments having a plurality of electrode pairs, it is advantageous to use a separate switch for each electrode in select embodiments, as opposed to the single switch in
Further, in order to improve operational performance, each electrode A, B, C and X, Y, Z of array 400 may use multiple switches for different voltages—or use some other form of voltage/current control, such as a digital-to-analog converter, to vary the rates of drug administration.
Continuing to
In operation and under power provided by the battery 112, the controller 114 is initialized via the user interface 160. In the present example, the user interface 116 is a combination of an activation button and a multicolored light-emitting diode with the activation button for initiating a drug administration or for starting a sequence of timed drug administrations, and the diode for indication system status, e.g., active/inactive/depleted, good/fail/fault etc. Optionally, the user interface 116 includes, or takes the form of, a computer-to-computer interface, such as a Firewire, USB or some specialized RFID-based system. In such instances, the transdermal system 500 can be both activated and programmed to apply certain medicating doses at precise intervals and/or for specific times.
Assuming that the transdermal system 500 is applied to a patient's skin with the controller 114 suitably programmed and activated, the controller 114 carries out its basic programming, which includes appropriately setting and resetting the timer 520, appropriately activating the electrode array 140 embedded in gel 130 to administer one or more medicating agents at proscribed times and monitoring the various sensors 512, 170 and 570 for feedback.
A first form of feedback is obtained from sensor 512, which monitors current passing through a pair of electrodes in the electrode array 140 embedded in the gel 130. The sensor 512 can be equally equipped to monitor voltages across a given electrode pair. By doing so, the controller 114 can effectively monitor the basic functionality of the electrode pair and/or monitor gel impedance, which can change as a function of how much solvent is present in the gel. Such information can be used to change basic operating parameters, such as the time duration for which a medicating dose will be administered or an intermittent time between doses. Such information may also be made available to the patient or attending medical staff via the user interface 116.
A second form of feedback is available through the second electrode array 160 located in the adhesive 120, where skin resistance is determined in order to provide biological information to the controller 114. Other possible forms of information obtained using electrode array 160 may include determining a resistance between a patient's skin and the gel 130, which can again provide useful operating parameters as well as some sort of indication that the transdermal system 500 is appropriately secure to the patient's skin.
In addition to use as a sensor, the second electrode array 160 also provides useful non-sensory functions. For example, by passing a current from the first electrode array 140, through the gel 130 and patient's skin and to the second electrode array 160, the transdermal system 500 takes advantage of iontophoresis (i.e., ElectroMotive Drug Administration (EMDA)) in order to better urge dermal penetration of drugs having certain molecular physical chemical parameters.
Other forms of feedback obtained through either or both of sensors 170 and 570 include determining whether transdermal system 500 is appropriately attached via skin resistance, monitoring skin temperature, monitoring heart rate (pulse rate) and/or blood oxygen (as a pulse-oximeter might), monitoring for skin irritation, swelling and so on, and providing basic self-testing functions, such as allowing the controller to determine whether a particular electrode is functional or a gel is depleted.
Also, either or both sensors 170 and 570 can be used for regulating administration of a particular drug. For example, assuming that an infrared pulse-oximeter is employed to measure pulse rate, various stimulants are deployed whenever a patient's pulse drops below a certain rate.
The above-identified embodiments have distinct advantages over any conventional drug delivery system. Highly portable and ergonomic drug-delivery systems can be precisely timed to deliver precise doses. Drugs having molecular structures subject to skin absorption can be administered in the form of a skin-patch. Further, the employment of an appropriate controller and user interface can allow a medical professional to monitor patient usage, e.g., monitor how many times a patient self-medicated and over what intervals. Finally, use of a controller allows for researchers to keep track of device performance during clinical tests as it could provide a detailed usage trace as well as act as a form of evidence.
The above-described systems and methods can be implemented using any of various known or later developed programming languages, such as “C”, “C++”, “FORTRAN”, Pascal”, “VHDL” and the like.
Accordingly, various storage media, such as magnetic computer disks, optical disks, electronic memories and the like, can contain information for directing a device, such as a computer, to implement the above-described systems and/or methods. Once an appropriate device has access to the information and programs contained on the storage media, the storage media can provide the information and programs to the device, thus enabling the device to perform the above-described systems and/or methods.
For example, a computer having a computer disk containing appropriate materials, such as a source file, an object file, an executable file or the like is configured and capable of performing the functions of the various systems and methods outlined in the diagrams and flowcharts above to implement the various functions. That is, the computer uses various portions of information from the disk relating to different elements of the above-described systems and/or methods, to implement the individual systems and/or methods and coordinate the functions of the individual systems and/or methods described above.
The various methods and devices described herein can be implemented in hardware and software. Further, the various methods and parameters are included by way of example only and not in any limiting sense. In view of this disclosure, those skilled in the art can implement the present teachings in determining their own techniques and needed equipment to effect these techniques, while remaining within the scope of the appended claims.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/IB2007/053918 | 9/26/2007 | WO | 00 | 3/26/2009 |
Number | Date | Country | |
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60827507 | Sep 2006 | US |