The invention relates to an intradermal active ingredient delivery system by means of which an active ingredient, in particular a medical active ingredient, can be delivered intradermally to a patient.
Transdermal therapeutic systems (TTS) are known for active ingredient delivery. For example, transdermal patches can be applied to the patient's skin. The stored active ingredient is continuously resorbed through the skin. This form of administration has the advantage that, unlike injections, it is painless for the patient and, furthermore, medication can be administered over a longer period of time. However, a disadvantage is that medication adjustment can only be made by removing or replacing the TTS. In particular, it is difficult to clearly determine the amount delivered to the patient.
Furthermore, it is known to administer active ingredients via microneedles. Here, the active ingredient is delivered to the dermis of the skin via a plurality of needles. Thus, the delivery takes place in an outer layer of the skin in which no nerves are located, so that this active ingredient delivery is also painless for the patient. In this context, needles are known that are designed as hollow needles, in which active ingredient is contained and delivered through the needle opening at the needle tip. Moreover, microneedle are known that consist of a material that dissolves in the skin. Here, the active ingredient is incorporated into the needle material. Here, too, there is the problem that it is difficult to determine the exact amount of active ingredient delivered to the patient, since, for example, the needles do not dissolve completely, can break off, or the like.
It is an object of the invention to provide an intradermal active ingredient delivery system that makes it easier to determine the amount of active ingredient delivered to the patient.
According to the invention, the object is achieved by an intradermal active ingredient delivery system having the features as described herein.
The intradermal active ingredient delivery system according to the invention comprises an extraction device for extracting interstitial liquid. Preferably, the extraction device has in particular several microneedles designed as hollow needles. A conveying device is fluidically connected to the extraction device. In particular, the conveying device is used to draw in the interstitial fluid from the patient's tissue. Moreover, the intradermal active ingredient delivery system comprises an active ingredient reservoir. The active ingredient reservoir is fluidically connected to the conveying device. In the active ingredient reservoir, the active ingredient to be administered to the patient is provided in solid and/or powder and/or liquid form. According to the invention, a delivery device is also fluidically connected to the conveying device. The delivery device is used for intradermal delivery of a mixture of active ingredient and extracted interstitial liquid or for delivery of the interstitial liquid, which is enriched with active ingredient, to the patient. The delivery device preferably comprises microneedles designed in particular as hollow needles.
The intradermal drug delivery system according to the invention thus makes it possible to administer a clearly defined amount of active ingredient to the patient. Here, it is preferred that in the active ingredient reservoir the active ingredient is in concentrated form and is diluted by the interstitial liquid or is dissolved by the interstitial liquid, respectively.
In a particularly preferred further embodiment of the invention, the extraction device in particular has a plurality of microneedles. Preferably, one or more microneedle arrays are provided which, in a preferred embodiment, have at least 4 needles/cm2, preferably at least 50 needles/cm2, and particularly preferred at least 100 needles/cm2 per array.
In particular, if the extraction device has several microneedle arrays, it is preferred that these are arranged parallel to each other and are each connected to the conveying device via a separate channel. Furthermore, it is possible for several extraction devices to be arranged at the same distance from the conveying device, in particular circular, around the conveying device. Providing several microneedle arrays in particular has the advantage that these can each be connected to channels with a small cross-section and in this respect a very small intradermal active ingredient system can be realized. Providing several microneedle arrays also has the advantage that a sufficient liquid supply is always ensured. The liquid adapted to be drawn in can be realized in particular in connection with a liquid conveying device with a pump with increased stroke and/or increased number of strokes.
Preferably, the conveying device has at lest one pump. The pump can be a diaphragm pump or the like, which in particular has valves designed in such a way that liquid can only be conveyed in one direction. In particular, diaphragms are provided respectively at the inlet and the outlet of the pump. This ensures in particular that mixing with the active ingredient preferably only takes place within the pump or a space provided within the pump, respectively. In particular, it is avoided that the active ingredient is not already diluted without active pumping or dosing. Furthermore, providing diaphragms on the microneedle arrays has the advantage that the channels are always constantly filled with liquid or an active ingredient solution and backflow into the skin or a chamber arranged in the pump is avoided. For example, the pump could be controlled by a piezo activator that causes a pressure change on a pump chamber to activate the pumping process. It is also conceivable that the pumping is done by manually generated pressure on a corresponding chamber.
In a particularly preferred embodiment of the invention, an active ingredient reservoir containing liquid active ingredient is connected to an inlet of the conveying device. Preferably, the extraction device is also connected to the inlet of the conveying device. In particular, the connection is made with the inlet of a pump. The pump can have one or more inlets, although providing a single inlet is preferred to miniaturize the active ingredient delivery system.
In this preferred embodiment of the invention, liquid active ingredient and interstitial liquid can already be drawn in simultaneously by the conveying device. Here, the two liquids are preferably mixed. Optionally, a mixing chamber can be provided, in particular within the conveying device, in which the two liquids are mixed. The chamber may in particular be a chamber of the pump, particularly of the diaphragm pump. The two mixed liquids are then preferably delivered with the aid of the conveying device to the dermis of the skin via a delivery device connected to the conveying device.
In a further preferred embodiment, the active ingredient reservoir is connected to an outlet of the conveying device, in particular an outlet of a pump of the conveying device. Here, a liquid, solid or powdered active ingredient may be provided in the active ingredient reservoir. With the aid of the conveying device, in this preferred embodiment, the interstitial liquid is preferably drawn in via the extraction device and the interstitial liquid is conveyed into the active ingredient reservoir. In this embodiment, the active ingredient reservoir can simultaneously serve as a mixing chamber, or mixing or dissolving of the active ingredient takes place in the active ingredient reservoir, respectively.
In a preferred embodiment, the conveying device can have several pumps, in particular two pumps. In this embodiment, it is possible that the active ingredient reservoir is arranged between the two pumps. The pump arranged upstream of the active ingredient reservoir in the direction of flow is hereby used to draw in the interstitial liquid and then pump the interstitial liquid into the active ingredient reservoir. The pump arranged downstream of the reservoir in the direction of flow draws in the interstitial liquid enriched with active ingredient and conveys it to the delivery device.
In a preferred embodiment, the delivery device, which in particular has a plurality of hollow needles, is connected directly or indirectly to the conveying device, in particular via one or more channels.
In a further preferred embodiment, the delivery device can be connected directly or indirectly to the active ingredient chamber or a mixing chamber, in particular via channels. In this embodiment, it is preferred that the pump conveys drawn-in interstitial fluid through the active ingredient reservoir and the mixing chamber. Here, the interstitial liquid absorbs active ingredient so that interstitial liquid enriched with active ingredient reaches the delivery device.
In a further preferred embodiment of the intradermal active ingredient delivery system according to the invention, the active ingredient reservoir or an additional active ingredient reservoir is integrated into the delivery device. Mixing the interstitial fluid with the active ingredient disposed in such an active ingredient reservoir thus takes place immediately before delivery to the patient. In particular, the active ingredient may be disposed directly in the hollow needles.
Optionally, the active ingredient system may include a mixing chamber. Here, a mixing element such as a piezo actuator or the like may act on the mixing chamber to cause good mixing of the active agent with the interstitial liquid. Here, a reliable dissolution of the active ingredient can also be ensured for an active ingredient in solid or powder form. Depending on the embodiment, the mixing chamber may be omitted or, for example, integrated into the conveying device, the active ingredient reservoir and/or the delivery device.
The active ingredient delivery system according to the invention has a size such that the entire system can be reliably arranged on the patient's skin in a simple manner. In addition to the small design on a contact surface with the skin of only a few cm2, active ingredient delivery systems could also be realized, for example in the form of a wristband enclosing the arm. Particularly important for realizing the active ingredient delivery system according to the invention is the flexibility of the system and the penetration depth of the needles. To realize the required flexibility, the system is always so thin that it remains permanently in contact with the entire surface of the skin, even during movements, and on the other hand the patient's freedom of movement is only slightly restricted. The needles have a length that they penetrate only into the dermis of the skin, so that a possibly painful contact with nerves is avoided.
In the following, the invention is described in more detail by means of preferred embodiments with reference to the accompanying drawings.
In the drawings:
In the various embodiments of the intradermal active ingredient delivery system according to the invention shown in
The embodiment shown in
In the illustrated exemplary embodiment, pump 14 comprises two pump outlets 22, each connected to a channel 24. Alternatively, pump 14 may also have an outlet which is then also connected to the two channels 24. The channels 24 are connected to a delivery device 26. The delivery device 26 is a microarray with a plurality of hollow needles.
The intradermal active ingredient delivery system shown in
For example, pump 14 may be a diaphragm pump shown schematically in
According to another embodiment shown in
In the exemplary embodiment shown in
The exemplary embodiment shown in
The embodiment shown in
Rather, in this exemplary embodiment, the active ingredient reservoir is integrated into extraction device 26. For example, the active ingredient is provided in the hollow needles 30 and/or in channel region 32 (
Number | Date | Country | Kind |
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10 2020 129 916.8 | Nov 2020 | DE | national |
This application is the United States national phase of International Application No. PCT/EP2021/079871 filed Oct. 27, 2021, and claims priority to German Patent Application No. 10 2020 129 916.8 filed Nov. 12, 2020, the disclosures of which are hereby incorporated by reference in their entireties.
Filing Document | Filing Date | Country | Kind |
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PCT/EP2021/079871 | 10/27/2021 | WO |