The present invention relates to electroporation devices, and more particularly to electrode arrays having adapted to provide increased injection volumes and a more voluminous electroporation field in tissue.
The classical mode of administering vaccines and other pharmaceutical agents into the body tissues is by direct injection into muscle or skin tissues using a syringe and needle. Incorporating electroporative pulses of electric energy at or near the injection site is known to facilitate delivery of such vaccines or agents directly into the cells within the tissue. Such direct delivery to cells using electroporative electric pulses can have a profound clinical effect on the quality of the response of the body's metabolic and/or immune systems over that of simple syringe and needle injection. Moreover, the capability of direct delivery of agents into the cell via electroporation has enabled the effective delivery of therapeutic agents (e.g., DNA-encoded monoclonal antibodies (dMAb), expressible naked DNA encoding a polypeptide, expressible naked DNA encoding a protein, recombinant nucleic acid sequence encoding an antibody, and the like) having any number of functions, including antigenic for eliciting of immune responses, or alternatively, metabolic for affecting various biologic pathways that result in a clinical effect.
According to an embodiment of the present disclosure, an electrode array for use with an electroporation device includes a support member having a top surface and a bottom surface and defines a plurality of injection channels extending from the top surface to the bottom surface. A plurality of needle electrodes are coupled to the support member, such that distal ends of the plurality of needle electrodes extend to a needle depth below the bottom surface. The plurality of needle electrodes are arranged in a matrix pattern having rows of the needle electrodes and columns of the needle electrodes disposed along the support member. The plurality of injection channels are dispersed within the matrix pattern.
According to another embodiment of the present disclosure, an electroporation device for causing in vivo reversible electroporation in cells of tissue includes an electrode array and a plurality of injection needles. The electrode array includes a support member having a top surface and a bottom surface and defining a plurality of injection channels extending from the top surface to the bottom surface. A plurality of needle electrodes are coupled to the support member, such that distal ends of the plurality of needle electrodes extend to a needle depth below the bottom surface of the support member. The plurality of needle electrodes are arranged in a matrix pattern having rows of the needle electrodes and columns of the needle electrodes disposed along the support member. The plurality of injection channels are dispersed within the matrix pattern. The injection needles are configured to extend through at least some of the plurality of injection channels and into the tissue.
According to another embodiment of the present disclosure, an electroporation system for causing in vivo reversible electroporation in cells of tissue includes an electrode array having a support member that has a top surface and a bottom surface and defines a plurality of channels extending from the top surface to the bottom surface. A plurality of needle electrodes are coupled to the support member and extend through the plurality of channels, such that distal ends of the plurality of needle electrodes extend to a needle depth below the bottom surface of the support member. The plurality of needle electrodes are arranged in a matrix pattern having rows of the needle electrodes and columns of the needle electrodes disposed along the support member. At least some of the plurality of needle electrodes are dual-purpose needle electrodes configured to inject an agent into the tissue and to deliver one or more electroporation pulses to the tissue for causing the reversible electroporation in the cells thereof.
The foregoing summary, as well as the following detailed description of illustrative embodiments of the present application, will be better understood when read in conjunction with the appended drawings. For the purposes of illustrating the features of the present application, there is shown in the drawings illustrative embodiments. It should be understood, however, that the application is not limited to the precise arrangements and instrumentalities shown. In the drawings:
The present disclosure can be understood more readily by reference to the following detailed description taken in connection with the accompanying figures and examples, which form a part of this disclosure. It is to be understood that this disclosure is not limited to the specific devices, methods, applications, conditions or parameters described and/or shown herein, and that the terminology used herein is for the purpose of describing particular embodiments by way of example only and is not intended to be limiting of the scope of the present disclosure. Also, as used in the specification including the appended claims, the singular forms “a,” “an,” and “the” include the plural, and reference to a particular numerical value includes at least that particular value, unless the context clearly dictates otherwise.
The term “plurality”, as used herein, means more than one. When a range of values is expressed, another embodiment includes from the one particular value and/or to the other particular value. Similarly, when values are expressed as approximations, by use of the antecedent “about,” it will be understood that the particular value forms another embodiment. All ranges are inclusive and combinable.
The terms “approximately”, “about”, and “substantially”, as used herein with respect to dimensions, angles, ratios, and other geometries, takes into account manufacturing tolerances. Further, the terms “approximately”, “about”, and “substantially” can include 10% greater than or less than the stated dimension, ratio, or angle. Further, the terms “approximately”, “about”, and “substantially” can equally apply to the specific value stated.
The term “agent”, as used herein, means a polypeptide, a polynucleotide, a small molecule, or any combination thereof. The agent may be a recombinant nucleic acid sequence encoding an antibody, a fragment thereof, a variant thereof, or a combination thereof. The agent may be a recombinant nucleic acid sequence encoding a polypeptide or protein. The agent may be formulated in water or a buffer, such as saline-sodium citrate (SSC) or phosphate-buffered saline (PBS), by way of non-limiting examples.
The term “intradermal” as used herein, means within the layer of skin that includes the epidermis (i.e., the epidermal layer, from the stratum corneum to the stratum basale) and the dermis (i.e., the dermal layer).
The term “intramuscular” as used herein, means within muscle tissue, including skeletal muscle tissue and smooth muscle tissue.
The term “adipose”, as used herein, means the layer containing adipocytes (i.e., fat cells) that reside in the subcutaneous layer.
The term “electroporation”, as used herein, means employing an electrical field within tissue that temporarily and reversibly increases the permeability and/or porosity of the cell membranes of cells in the tissue, thereby allowing an agent, for example, to be introduced into the cells. It should be appreciated that the type of electroporation disclosed herein refers to reversible electroporation (also referred to as “reversible poration”), meaning that the electroporated cell membranes (or at least a majority thereof) return to a substantially non-permeable and/or non-porous state following electroporation.
The term “electroporation field”, as used herein, means an electric field capable of electroporating cells. In instances where an electric field includes a portion that is capable of electroporating cells and another portion that is incapable of electroporating cells, the “electroporation field” refers specifically to that portion of the electric field that is capable of electroporating cells. Thus, an electroporation field can be a subset of an electric field.
The embodiments disclosed herein pertain to electroporation devices that employ an electrode array having a plurality of needle electrodes arranged in a pattern and also having a plurality of fluid injection channels interspersed within the pattern. The array with the plurality of fluid injection channels allows greater injection volumes for increased spatial dispersion within a more voluminous electroporation field within target tissue. This can allow agent uptake into target cells on a greater scale, including within intradermal (ID) tissue, adipose tissue, and intramuscular (IM) tissue.
Referring to
The electrodes 14 are configured to deliver one or more pulses of electrical energy to cells of the target tissue, specifically for reversibly electroporating the cells. The device 4 includes circuitry for providing electrical communication between the electrodes 14 and an energy source 110. As shown, the circuitry can be configured to connect with one or more cables 109 configured to couple with an energy source 110 located remote from the hand-held electroporation device 4, such as a power generator. Additionally or alternatively, the circuitry can be configured to connect with an on-board energy source, such as a battery unit disposed within the housing 6.
The energy source 110 can be in electrical communication with a pulse generator 112, such as a waveform generator, for generating and transmitting an electric signal in the form of one or more electrical pulses having particular electrical parameters to the electrodes 14 for electroporating cells within the tissue. Such electrical parameters include electrical potential (voltage), electric current type (alternating current (AC) or direct current (DC)), electric current magnitude (amperage), pulse duration, pulse quantity (i.e., the number of pulses delivered), and time interval or “delay” between pulses (in multi-pulse deliveries). The pulse generator 112 can include a waveform logger for recording the electrical parameters of the pulse(s) delivered. The pulse generator 112 can be in electrical communication with a control unit 114 (also referred to herein as a “controller”), which can include a processor 116 configured to control operation of the electroporation system 2, including operation of the pulse generator 112. The processor 116 can be in electronic communication with computer memory 118, and can be configured to execute software and/or firmware including one or more algorithms for controlling operation of the system 2.
The processor 116 can be in electrical communication with a user interface, which can be located on the device 4 or remote from the device 4. The user interface can include a display for presenting information relating to operation of the system 2 and inputs, such as a keypad or touch-screen, that allow a physician to input information, such as commands, relating to operation of the system 2. It should be appreciated that the interface can be a computer interface, such as a table-top computer or laptop computer, or a hand-held electronic device, such as a smart-phone or the like.
The applicator head 10 is configured to receive at least one fluid delivery device that includes an elongate tubular member, which in the embodiments disclosure herein is an injection needle 20, configured to deliver an injectate to a target region of tissue. Preferably, the applicator head 10 is configured to receive a plurality of fluid delivery devices (e.g., injection needles 20), as described in more detail below.
As shown in
It should be appreciated that at least one the mounting members 26 can define a plurality of sockets 44 arranged correspondingly with the electrode apertures 34 of the support member 216 for receiving proximal ends 17 of the electrodes 14 and providing electrical communication between the pulse generator 112 and the electrodes 14. Additionally, one or more of the mounting members 26 can also define respective injection channels 48 that are in alignment with the injection channel 236 of the support member 216 and through which the chimneys 238 can extend.
As shown, the chimneys 238 can protrude proximally from the applicator head 10 when in the assembled configuration. A distal end 56 of the chimney 238 can be configured to mount with a connection member 58 (also referred to herein as a “connector”) attached to the injection needle 20. The connector 58 is configured to couple with a reservoir of the injectate, such as a syringe, a single-dose cartridge, an injection manifold, and the like. As shown, the connector 58 can be a Luer-type connector, although other connector types and designs are within the scope of the present embodiments.
In some embodiments, the electroporation system 2 can employ the CELLECTRA® 2000 system, which has an external, battery powered pulse generator 112 (i.e., the CELLECTRA® Pulse Generator) that is connected via cable to the hand-held electroporation device 4, which can be an adapted version of the CELLECTRA® 5P-IM Applicator, by way of non-limiting examples. It should be appreciated that the array assembly 212 is preferably a sterile disposable array assembly 212. The electrodes 14 can be constructed of stainless steel and can be gold-coated for enhanced conductivity. The injection needles 20 can be pre-packaged with the array assembly 212. It should be appreciated that the CELLECTRA® products and components described above are produced by Inovio Pharmaceuticals, Inc., headquartered in Plymouth Meeting, Pa., United States.
As shown in
Referring now to
The support member 216 has first and second ends 202, 204 opposite each other along the longitudinal direction X1 and opposed first and second sides 206, 208 opposite each other along the lateral direction Y1. The bottom surface 260 of the support member can effectively define the stop surface, as mentioned above. As shown, the support member 216 can include three (3) injection channels 236, which can be aligned with each other along the longitudinal direction X1 and can be equidistantly spaced between the first and second columns 219. A first one of the injection channels 236 can also be equidistantly positioned between the first and second rows 217, a second one of the injection channels 236 can be laterally aligned in the third row 217, and a third one of the injection channels 236 can be equidistantly positioned between the fifth and sixth rows 217. Each chimney 238 can be configured to receive a respective injection needle 20, which can be configured according to any of the embodiments described above. As shown in
As shown in
Referring now to
In other embodiments, as shown in
The support members 316 of the arrays 315 shown in
According to one example of the present embodiments, the arrays 315 can be configured to deliver a total injection volume of about 6 mL from the injection needles 20, particularly at 1 mL per injection needle 20. It should be appreciated that the arrays 315 can be used for delivering injection volumes greater than 6 mL and less than 6 mL. As with the array 215 described above, the present arrays 315 can be oriented favorably with respect to the direction of muscle fiber extension, thereby enhancing the fluid dispersion in the muscle tissue. Additionally, the chimneys 338 have heights L4 that can be configured to place the infusion regions of the injection needles 20 at a favorable position relative to distal ends 19 of the electrodes 14. It should be appreciated that the electrode and channel spacing distances X2, Y2, X3, Y3, electrode depths L1, and/or the chimney heights L4 of the matrix arrays 215, 315 described above can be varied as needed. For example, spacing distances X2, Y2, X3, Y3 can be in a range from about 2.5 mm to about 50 mm, and more particularly in a range from about 4.0 mm to about 20 mm, and more particularly in a range from about 5.0 mm to about 15.0 mm. The electrode spacing distances X2, Y2 along the direction of muscle fiber extension is preferably in a range of about 10.0 mm to about 15.0 mm. The electrode spacing distances X2, Y2 along a directional that is perpendicular to the direction of muscle fiber extension is preferably in a range of about 5.0 mm to about 10.0 mm. It should be appreciated that the foregoing spacing distances can be adapted particular to the anatomy of the target tissue, particularly when the target tissue has anisotropic electrical and fluidic properties.
Referring now to
In further embodiments, the matrix arrays 215, 315 can be further configured for selective or “modular” use of the electrodes 14 and/or injection channels 236, 336 thereof. Referring now to
Referring now to
The electroporation system 602 of this embodiment can include tubing 659 for delivering the fluid injectate to each dual-purpose injection needle electrode 625 in the matrix array 615. The tubing 659 can connect proximal ends 657 of the dual-purpose injection needle electrodes 625 to a reservoir, such as via a manifold of a reservoir assembly and/or via a plurality of individual reservoirs. The array assembly 612 can be configured to couple with an applicator head 610 of a hand-held electroporation device 604. For example, the array assembly 612 can include a support member 616 configured to couple with one or more complimentary mounting members of the applicator head 610, similar to the manner described above with reference to
As shown in
Referring now to
In the illustrated embodiment, each of the injection channels 736 is eccentrically offset from the respective nearest row 717 along the longitudinal direction X1. In particular, each injection channel 736 of the illustrated embodiment is longitudinally spaced from the nearest row 717 at an offset distance X4 that is less than a secondary offset distance X5 between the injection channel 736 and the next nearest row 717. The offset distance X4 and the secondary offset distance X5 are measured between the central axis 755 of the injection channel 736 and the nearest electrode row axis 747 and the next nearest electrode row axis 747, respectively. The offset distance X4 can be quantified as a factor (i.e., multiple) of the secondary offset distance X5. For example, the offset distance X4 can range from a factor of about 0.001 to a factor of about 0.999 of the secondary offset distance X5.
According to a non-limiting example of the illustrated embodiment, the matrix array 715 has six (6) electrodes 14 arranged in a 3×2 matrix (i.e., three (3) rows 717 and two (2) columns 719), with equidistant row and column spacing X2, Y2. The injection channels 736 are arranged in a 3×1 channel array (i.e., three (3) rows 740 and one column 742 of channels 136) such that each injection channel 736 is eccentrically offset from the nearest row 717 of electrodes 14 at equidistance offset distances X4. In this example, each offset distance X4 is a factor of about 0.25 of the respective secondary offset distance X5. In particular, in this example the electrode row spacing X2, electrode column spacing Y2, and the channel row spacing X3 are each about 10 mm, with the injection channels eccentrically offset at an offset distance X4 of about 2.5 mm along the longitudinal direction X1. It should be appreciated that any of these spacing distances X2, Y2, and offsets X4, X5 can be adjusted as needed.
It should also be appreciated that, in other embodiments, the injection channels 736 can be eccentrically offset from one of the electrode columns 719 along the lateral direction Y1. It should yet also be appreciated that the number of electrodes 14 and/or injection channels 736 in the matrix array 715 can be reduced or increased as needed based on various factors, such as the target treatment location, target tissue, and injection volume, by way of non-limiting examples. For example, the matrix array 715 can be increased to include one or more additional rows 717 and/or columns 719 of electrodes 14 and/or one or more additional rows 740 and/or columns 742 of injection channels 736, such that the injection channels 736 are eccentrically offset from the electrode rows 717. It should further be appreciated that the matrix array 715 can employ a combination of eccentrically offset injection channels 717 and injection channels 717 that are not eccentrically offset (such as by being located equidistantly between respective electrodes 14 or by being aligned with a respective electrode row 717). The matrix array 715 of the present embodiment provides significant advantages for electroporation treatment. One such advantage is that by employing multiple injection channels 736 within the electrode array 715, the agent dosage can be fractionated among multiple injection sites. This is expected to enhance fluid dispersion in target tissue.
Referring now to
The matrix array 815 of the present embodiment provides significant advantages for electroporation treatment. As with the matrix arrays described above, the array 815 employs multiple injection channels 836 that allows fractionating the agent dosage among multiple injection sites. Moreover, the dispersed injectate at the multiple injection sites can be targeted with respective electroporation fields delivered by respective subsets of electrodes 14 in the array 815. Another advantage is that the matrix array 815 can employ a pulse pattern that enhances co-localization of the electroporation fields with the delivered fluid dispersions from the injection channels 836 aligned with the electrode rows 817. In particular, the matrix array 815 can employ a pulse pattern that delivers pulses between electrode pairs in each row 817, thereby directing the pulses across the area underneath the injection channels 836. This better co-localizes the electroporation fields with the fluid dispersions emanating from injection needles 14 extending through the injection channels 836, as described in more detail below.
Referring now to
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It should be appreciated that the example pulse patterns described above with reference to
Referring now to
As shown in
As shown in
Referring now to
In other embodiments of the matrix array 815, the number of electrode rows 817 and/or columns 819 and/or the number of injection channel rows 840 and/or columns 842 of the matrix array 815 can be reduced or increased as needed based on various factors, such as the target treatment location, target tissue, and injection volume, by way of non-limiting examples. For example, the matrix array 815 can be increased to include one or more additional rows 817 and/or columns 819 of electrodes and/or one or more additional rows 840 and/or columns 842 of injection channels 836, such that the rows 840 of injection channels 836 are aligned with the rows 817 of electrodes 14. It should also be appreciated that the matrix array 815 can employ a combination of one or more injection channels 836 that are aligned with respective electrode rows 817 and one or more injection channels 836 that are offset from respective electrode rows 817 (including eccentrically offset or equidistantly offset).
It should be appreciated that the various parameters of the injection needles 20, 625 and associated array assemblies 212, 312, 412, 612, 712, 812 and/or electrode arrays 215, 315, 415, 615, 715, 815 described above are provided as exemplary features, such as for enhancing injection volumes within an expanded electroporation field and thereby enhancing electroporative transfection. These parameters can be adjusted as needed without departing from the scope of the present disclosure. For example, the illustrated electrode arrays and chimney arrays represent non-limiting examples of the array sizes and designs possible according to the embodiments herein. The electrode arrays and chimney arrays can be employed at virtually any array respective size (e.g., 15×15, 50×50, 100×100, and more than 100× more than 100). Moreover, the array assemblies disclosed herein can be adapted so that their electrode arrays and chimney arrays can approximate a shape of a patient's entire muscle or a portion thereof, including an entire length of a patient's muscle, including a long muscle, such as the sartorius muscle, by way of non-limiting examples. It should also be appreciated that the electrode arrays and/or chimney arrays can be arranged in various patterns, including staggered patterns, curved patterns, and irregular patterns, with can involve various spacing distances and/or non-uniform spacing distances.
It should be understood that when a numerical preposition (e.g., “first”, “second”, “third”) is used herein with reference to an element, component, dimension, or a feature thereof (e.g., “first” electrode, “second” electrode, “third” electrode), such numerical preposition is used to distinguish said element, component, dimension, and/or feature from another such element, component, dimension and/or feature, and is not to be limited to the specific numerical preposition used in that instance. For example, a “first” electrode, direction, or support member, by way of non-limiting examples, can also be referred to as a “second” electrode, direction, or support member in a different context without departing from the scope of the present disclosure, so long as said elements, components, dimensions and/or features remain properly distinguished in the context in which the numerical prepositions are used.
Although the disclosure has been described in detail, it should be understood that various changes, substitutions, and alterations can be made herein without departing from the spirit and scope of the invention as defined by the appended claims. Moreover, the scope of the present disclosure is not intended to be limited to the particular embodiments described in the specification. In particular, one or more of the features from the foregoing embodiments can be employed in other embodiments herein. As one of ordinary skill in the art will readily appreciate from that processes, machines, manufacture, composition of matter, means, methods, or steps, presently existing or later to be developed that perform substantially the same function or achieve substantially the same result as the corresponding embodiments described herein may be utilized according to the present disclosure.
The present application claims the benefit of U.S. Provisional Application No. 63/217,083, filed Jun. 30, 2021, the entire contents of which are incorporated herein by this reference.
Number | Date | Country | |
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63217083 | Jun 2021 | US |