The present invention relates generally to an apparatus for delivering a therapeutic agent into ocular tissue, and more particularly to an electrode assembly and related system for delivering at least one therapeutic agent into an ocular tissue of a subject.
The treatment of ocular diseases in mammals, including humans and non-humans alike often requires that drugs or other agents be delivered to the eye in a therapeutic dose. Such diseases may occur in the choroid, the retina, the crystalline lens, and the optic nerve, as well as other ocular structures. One treatment methodology is to deliver an ocular agent to these structures via local drug administration, as opposed to systemic drug administration. This permits agents to be delivered directly to a site requiring evaluation and/or therapy. Because of drug localization, there is less of a concern for release or dissemination of the drug beyond the site of delivery. Such is also the case for other body sites where it is desirable to limit drug dissemination or systemic administration, yet still provide drugs in various formulations.
In many instances, however, local drug administration to the eye is not easily accomplished. Thus, localized drug administration often requires rather invasive procedures to gain access to the various ocular structures being treated. This may entail inserting a conduit, such as a fine gauge needle into the eye, or forming an incision for positioning of a device, such as a drug depot. Consequently, such treatment typically requires a visit to a hospital or doctor's office where trained health care professionals can perform the necessary, relatively more invasive procedures to achieve local drug administration.
According to one aspect of the present invention, a contact electrode assembly is provided for delivering at least one therapeutic agent into ocular tissue of a subject. The contact electrode assembly comprises a flexible dielectric layer, a first electrode portion, and a second electrode portion. The flexible dielectric layer includes oppositely disposed first and second surfaces. The first electrode portion is disposed on the first surface of the dielectric layer. The second electrode portion is disposed on a portion of the second surface of the dielectric layer. The second electrode portion comprises an interdigitated electrode that includes a first comb-shaped portion defining a first plurality of fingers and a second comb-shaped portion defining a second plurality of fingers. Each of the first electrode portion, the first comb-shaped portion, and the second comb-shaped portion is electrically connectable to a signal source.
According to another aspect of the present invention, a system is provided for motivating at least one therapeutic agent through an ocular membrane of a subject. The system comprises a cover electrode member, a contact electrode assembly in electrical communication with the cover electrode member, and a medicament layer. The cover electrode member has oppositely disposed first and second surfaces. The second surface includes an electrically-conductive portion that is electrically connectable to a signal source. The contact electrode assembly comprises a dielectric layer, a first electrode portion, and a second electrode portion. The dielectric layer includes oppositely disposed first and second surfaces. The second electrode portion is disposed on the first surface of the dielectric layer. The medicament layer includes the at least one therapeutic agent, and is disposed on a first major surface of the second electrode portion. The third electrode portion is disposed on a portion of the second surface of the dielectric layer. The third electrode portion comprises an interdigitated electrode that includes a first comb-shaped portion that defines a first plurality of fingers and a second comb-shaped portion that defines a second plurality of fingers. Each of the first electrode portion, the second electrode portion, the first comb-shaped portion, and the second comb-shaped portion is electrically connectable to a signal source.
According to another aspect of the present invention, a system is provided for motivating at least one therapeutic agent through an ocular membrane of a subject. The system comprises a dome-shaped cover electrode member, a dome-shaped contact electrode assembly in electrical communication with the cover electrode member, and a medicament layer. The cover electrode member has oppositely disposed first and second surfaces. The second surface includes an electrically-conductive portion that is electrically connectable to a signal source. The electrically-conductive portion comprises an electrically-conductive ink. The contact electrode assembly comprises a dielectric layer, a first electrode portion, and a second electrode portion. The dielectric layer includes oppositely disposed first and second surfaces. The second electrode portion is disposed on the first surface of the dielectric layer. The second electrode portion is comprised of an electrically-conductive ink. The medicament layer includes the at least one therapeutic agent, and is disposed on a first major surface of the second electrode portion. The third electrode portion is disposed on a portion of the second surface of the dielectric layer. The third electrode portion comprises an electrically-conductive ink. The third electrode portion comprises an interdigitated electrode that includes a first comb-shaped portion that defines a first plurality of fingers and a second comb-shaped portion that defines a second plurality of fingers. Each of the first electrode portion, the second electrode portion, the first comb-shaped portion, and the second comb-shaped portion is electrically connectable to a signal source.
The foregoing and other features of the present invention will become apparent to those skilled in the art to which the present invention relates upon reading the following description with reference to the accompanying drawings, in which:
Unless otherwise defined, all technical terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which the present invention pertains.
In the context of the present invention, the term “ocular tissue” can refer to any one or combination of the tissues comprising the eye, such as the sclera, the conjunctiva, the cornea, the eyelid, tissues within the sclera (e.g., the retina) and outside the sclera (e.g., ocular muscles within the orbit), and tissues neurologically connected to (but distinct from) the eye, such as the optic nerve, the geniculate nucleus, and the visual cortex.
As used herein, the term “subject” can refer to any warm-blooded organism including, but not limited to, human beings, pigs, rats, mice, dogs, goats, sheep, horses, monkeys, apes, rabbits, cattle, etc.
As used herein, the terms “therapeutic agent”, “drug”, “agent”, “chemical compound”, and “chemical substance” can refer to any polar or non-polar molecule or moiety that is capable of exhibiting a dipole moment when exposed to an electric field. The terms can include, but are not limited to, therapeutically effective agents (i.e., agents that are capable of having a biological effect), such as pharmaceutical agents, drugs, or biological agents.
As used herein, the term “medicament layer” can refer to a suitable reservoir for storing and releasing at least one therapeutic agent, either with or without a vehicle.
As used herein, the term “vehicle” can refer to any non-toxic carrier composition suitable for administration of a drug or agent into ocular tissue. Examples of vehicles can include any of the standard pharmaceutical carriers, such as a phosphate buffered saline solution, water, emulsions (e.g., oil/water emulsions), various types of wetting agents, and excipients.
As used herein, the term “signal” can refer to voltage signals and current signals.
As used herein, the term “therapeutically effective amount” can refer to that amount of a therapeutic agent that results in amelioration of symptoms or a prolongation of survival in a subject with an ocular disease or condition. A therapeutically effective amount relieves to some extent one or more symptoms of an ocular disease or condition or returns to normal either partially or completely one or more physiological or biochemical parameters associated with or causative of the ocular disease or condition.
As used herein, the term “electrical communication” can mean that certain parts or components of the present invention are in communication with each other by flow of electrons sufficient to generate an electric field therebetween.
The present invention relates generally to an apparatus for delivering a therapeutic agent into ocular tissue, and more particularly to an electrode assembly and related system for delivering at least one therapeutic agent into an ocular tissue of a subject. As representative of one aspect of the present invention,
One aspect of the present invention includes a contact electrode assembly 10 (
Referring to
The dielectric layer 14 (
The process used to prepare the dielectric layer 14 (e.g., laser cutting) yields a dielectric layer comprising a plurality of rib members 30 spaced apart by a plurality of gaps 32 and integrally formed with a peripheral edge 31. As shown in one of the magnified window of
The width W1 of each of the rib members 30 can be between about 0.002 inches and about 0.006 inches. In one example of the present invention, the width W1 of each of the rib members 30 is about 0.004 inches. The thickness T1 of each of the rib members 30 can be about 0.0005 inches to about 0.005 inches and, for example, about 0.002 inches. It will be appreciated that the length L1 of each of the rib members 30 will vary depending upon the anatomy of the subject's eye. Additionally, it will be appreciated that the dielectric layer 14 can include more or less than the number of rib members 30 shown in
Each of the gaps 32 is formed between two rib members 30 and defined by a distance Dg, a height Hg, and a length Lg. Each of the gaps 32 extends between the first and second surfaces 20 and 22 of the dielectric layer 14. The dimensions of each of the gaps 32 are sufficient to allow an amount of at least one therapeutic agent to pass therethrough. The distance Dg can be between about 0.002 inches and about 0.006 inches (e.g., about 0.002 inches). The distance Dg between each of the gaps 32 can be the same or uniform throughout the dielectric layer 14. The height Hg of each of the gaps 32 is equal to or about equal to the thickness T1 of the rib members 30. The length Lg of each of the gaps 32 is equal to or about equal to the length L1 of each of the rib members 30. In other words, the length Lg of each of the gaps 32 varies with the length L1 of each of the rib members 30 per the curvature of the dielectric layer 14.
The first electrode portion 16 (
As shown in
The second end 40 (
The process (e.g., ink printing and laser cutting) used to form the first electrode portion 16 yields a plurality of rib members 44 spaced apart by a plurality of gaps 46 and integrally formed with a peripheral edge 41. The gaps 46 of the first electrode portion 16 are in fluid communication with the gaps 32 of the dielectric layer 14. As shown in one of the magnified windows in
Referring to
The second electrode portion 18 comprises an interdigitated electrode formed from first and second comb-shaped portions 56 and 58. In general, an interdigitated electrode can include any set of at least two electrodes that contain interwoven projections. Each of the first and second comb-shaped portions 56 and 58 defines a first and second plurality of fingers 60 and 62, respectively, which are interleaved with one another and connected at (e.g., integrally formed with) one end to first and second peripheral edges 51 and 53. The second end 54 of each of the first and second comb-shaped portions 56 and 58 includes a connecting portion or member 64 for electrically connecting the first electrode portion to a signal source capable of providing an AC signal, a DC signal, or a combination thereof. The connecting portion or member 64 can be comprised of the same electrically-conductive material used to form the second electrode portion 18 and can be continuous therewith.
As shown in
Generally speaking, the width of the gaps 32, 46, and G2 dictates the electric field strength (i.e., drug driving force) for a given voltage and current. In other words, a narrower gap width results in a greater electric field strength (and vice-versa). Accordingly, it will be appreciated, for example, that the width of the gaps 32, 46, and G2 can be prepared (e.g., laser cut) in a particular pattern such that the width of the gaps corresponding to the eye lens is greater than the width of the surrounding gaps, thereby decreasing drug flow into that area of the eye and delivering more effective dosage of the drugs into the pars plana. Moreover, it will be appreciated that the configuration of one or all of the components forming the contact electrode assembly 10 can be engineered so that therapeutic agents are delivered to select portions of the eye during operation of the present invention. For example, the pattern of rib members 30 and 44, as well as the fingers 60 and 62 can be engineered to selectively deliver therapeutic agents to the pars plana by preparing a contact electrode assembly 10 without rib members 30 and 44 and fingers 60 and 62 that extending across a center portion thereof (i.e., imparting the contact electrode assembly with a ring-like structure).
Referring to
Another aspect of the present invention is illustrated in
As shown in
The medicament layer 72 has a dome-shaped configuration and includes oppositely disposed first and second surfaces 86 and 88, as well as first and second ends 90 and 92 that define a diameter D6. The diameter D6 of the cover electrode member 70 can be equal to (or about equal to) the diameter D1 of the contact electrode assembly 10. For example, the diameter D6 can be about 24 mm. Each of the first and second surfaces 86 and 88 has a radius of curvature that equal to (or about equal to) the radius of curvature of the ocular tissue. Although the medicament layer 72 is shown in
The medicament layer 72 can comprise a matrix formed from a sponge, gel (e.g., hydro-gel), viscous liquid, or the like. The medicament layer 72 can be disposed on the first surface 34 of the first electrode portion 16 when the system 12 is assembled as shown in
The medicament layer 72 can include any one or combination of polar and/or non-polar therapeutic agents. For example, the medicament layer 72 can include such ophthalmic medications as anti-infectives, antibiotics, anti-inflammatory agents (e.g., triamcinolone), non-steroidal anti-inflammatory agents, anti-fungal agents, glaucoma medications (e.g., alpha-2 agonists, beta blockers, carbonic anhydrase inhibitors, miotics, prostaglandin agonists, and sympathomimetics), mast cell stabilizers, anti-proliferative agents, steroids, corticosteroids, hormones, small molecules, cytokines, growth factors, antibodies or antibody fragments, immune system modulators, vectors, polynucleotides, nucleic acids, RNAs, miRNAs, siRNAs, DNAs, aptamers, carbohydrates, recombinant or native peptides, polypeptides and proteins (e.g., TIMP-3), enzymes, enzyme inhibitors, and combinations thereof. More specific examples of such therapeutic agents, as well as others are known in the art.
It will be appreciated that the system 12 can include more than one medicament layer 72, and that each medicament layer can contain the same or different type of therapeutic agent. Additionally, it will be appreciated that a single medicament layer 72 can include two or more compartments (not shown), each of which is also made from a gel, viscous liquid, etc. If appropriate, mixtures of therapeutic agents can be stored in a common compartment while other single therapeutic agents (or mixtures) are stored in one or more separate compartments. The release characteristics of the respective compartments can be adjusted according to specific applications of the present invention.
Operation of the system 12 to motivate at least one therapeutic agent through an ocular membrane can proceed as follows. The system 12 can be assembled as shown in
Next, an electrical signal having certain characteristics is delivered to the electrically-conductive portion 82 of the cover electrode member 70 so that the electrically-conductive portion obtains a first polarity. For example, an AC signal can have an orienting frequency of about 0.1 Hz to about 100 Hz, a motivating frequency of between about 100 Hz and about 20,000 Hz, and an amplitude of between about 1 V to about 10 V. A more specific description of the electrical signal used to modulate the electrical signal is disclosed in the '859 application. An electrical signal having the same or similar characteristics is then provided to the first electrode portion 16 of the contact electrode assembly 10 so that the first electrode portion obtains a second polarity that is opposite the first polarity. Charging of the electrically-conductive portion 82 and the first electrode portion 16 is referred to as the “orientation mode” of the system 12, which creates an orientation charge between the electrically-conductive portion and the first electrode portion, thereby inducing a dipole on the therapeutic agents and orienting the therapeutic agents in a vertical alignment between the two charged surfaces.
Once orientation mode is complete, the electrical signals are discontinued to the electrically-conductive portion 82 and the first electrode portion 16. An electrical signal having certain characteristics is then supplied to the second electrode portion 18 of the contact electrode assembly 10, which is referred to as the “delivery mode”. More particularly, the delivery mode includes delivering opposite first and second electrical signals to the first and second comb-shaped portions 56 and 58 of the second electrode portion 18. Doing so creates an electric field loop at each gap G1 and G2 between the oppositely-charged series of first and second fingers 60 and 62 comprising the second electrode portion 18. The generated electric field forms above the first surface 48 of the second electrode portion 18 (i.e., in the medicament layer 72) and continues downward below the second surface 50 of the second electrode portion into the ocular tissue. Consequently, the therapeutic agents are motivated through the ocular membrane without mechanically disrupting the ocular membrane.
It will be appreciated that the system of the present invention can be used to deliver a therapeutically effective amount of the at least one therapeutic agent to ocular tissue and thereby treat a variety of ocular diseases or conditions, such as macular edema, age-related macular degeneration, anterior, intermediate and posterior uveitis, HSV retinitis, diabetic retinopathy, bacterial, fungal or viral endophthalmitis, eye cancers, glioblastomas, glaucoma, glaucomatous degradation of the optic nerve, and combinations thereof.
From the above description of the invention, those skilled in the art will perceive improvements, changes and modifications. Although the present invention is described in terms of providing a contact electrode assembly 10 and related system 12 for delivering at least one therapeutic agent via dielectrophoresis, it will be appreciate that the present invention can facilitate delivery of therapeutic agents via other electrokinetic transport mechanisms, such as electrophoresis and iontophoresis. Such improvements, changes, and modifications are within the skill of the art and are intended to be covered by the appended claims.
This application claims priority from U.S. Provisional Patent Application Ser. No. 61/334,607, filed May 14, 2010 and is a continuation-in-part of U.S. patent application Ser. No. 12/567,653, filed Sep. 25, 2009, which claims priority from U.S. Provisional Patent Application Ser. No. 61/100,464, filed Sep. 26, 2008, and is a continuation-in-part of U.S. patent application Ser. No. 11/874,859, filed Oct. 18, 2007, which claims priority from U.S. Provisional Patent Application Ser. No. 60/829,978, filed on Oct. 18, 2006. The subject matter of the aforementioned applications is hereby incorporated by reference in their entireties.
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Number | Date | Country | |
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Parent | 12567653 | Sep 2009 | US |
Child | 13107582 | US | |
Parent | 11874859 | Oct 2007 | US |
Child | 12567653 | US |