This invention relates to microfluidic delivery devices, systems, and methods utilizing such devices. In particular, this invention relates to microfluidic delivery devices useful as small volume, disposable medical devices for the precision delivery of medicines, drugs, or chemicals, such as insulin, and associated systems and methods.
Insulin pumps are utilized by diabetics to automatically deliver insulin over extended periods of time. Most conventional insulin pumps employ the syringe mechanism as the fluid pumping means. With the syringe pump, the plunger of the syringe is advanced by a lead screw that is turned by a precision motor. The moving plunger forces fluid out of the syringe body and subsequently through a tube or catheter to the patient. The widespread use of syringe pump technology for fluid delivery in insulin pumps is mainly due to its ability to deliver the relatively small volume of insulin required by a typical diabetic in a continuous fashion. Typical insulin quantities delivered per day are in the regime of 0.1 to 1.0 milliliter. Additionally, a user may change the fluid delivery rate with a syringe pump and flow can be adjusted through a large range. By adjusting the motor rate, the user can change the amount of insulin delivered when needed. Although the syringe pump can deliver a liquid over a relatively wide range of flow rates, such performance comes at a cost. Currently available insulin pumps are complicated, expensive pieces of equipment costing thousands of dollars. This high cost is due primarily to the complexity of the stepper motor and lead screw mechanism. These components also contribute significantly to the overall size and weight of the insulin pump. Additionally, because of their cost, currently available insulin pumps have an intended period of use of up to two years, which necessitates routine maintenance of the device such as recharging the power supply and re-filling with insulin. These conventional insulin pumps also involve a large number of moving parts, and are mechanically complex. This not only increases size and weight, but also makes the manufacturing process of these insulin pumps very costly. Assembly is cumbersome and not advantageous for automated assembly. Due to the need for high tolerance parts and tedious, time-consuming manufacturing processes, skilled workers must manually assemble these insulin pumps by hand. The part and assembly costs for these pumps are exorbitant. The art lacks an insulin pump that can be easily assembled either manually or with automated equipment.
In addition to assembly and cost drawbacks, syringe pump technology is also not a continuous flow operating pumping mechanism. Once the syringe has expelled its volume, the syringe must be re-filled. Thus, the continuously expelled volume is limited by the syringe size. The larger the syringe, the poorer the fluid delivery resolution becomes. Therefore, smaller syringes are used, requiring frequent re-filling. The need to refill requires the use of additional valves and re-directing of fluid paths (i.e., reversing the plunger directly with no fluid re-routing mechanisms would pull fluid from the pump outlet), which in turn adds even more expense to the syringe approach. The art lacks a pumping mechanism which uses check valves for continuous pumping, and the use of a large fluid vessel to minimize the re-filling requirement which does not negatively affect the accuracy and precision of fluid being delivered.
For microfluidic applications, the re-filling of a syringe pump is not advantageous as a bubble may be introduced into the system. If valves are implemented to allow refilling from a vessel in the system, there is a stop in the pump's output during the refill process. Again, the art lacks a large fluid vessel to minimize the re-filling requirement without compromising accuracy and precision of the fluid delivery.
In accordance with one aspect of the present invention, there is provided a microfluidic delivery device for pumping a predetermined volume of fluid including a housing including a channel connecting a fluid inlet and a fluid outlet; a moveable member positioned in the channel between the fluid inlet and the fluid outlet, moveable between a fill position stop and a dispense position stop, where a positive pressure is created in the channel when the member moves to the dispense position stop and negative pressure is created in the channel when the member moves to the fill position stop; a cavity capable of accepting fluid from the channel when the moveable member moves from the dispense position stop to the fill position stop; an inlet check valve positioned between the fluid inlet and the moveable member such that an inlet check valve open position allows fluid flow in the direction from the fluid inlet to the moveable member and an inlet check valve closed position prevents fluid flow in the direction from the moveable member to the fluid inlet; and an outlet check valve positioned between the fluid outlet and the moveable member such that an outlet check valve open position allows fluid flow in the direction from the moveable member to the fluid outlet and an outlet check valve closed position prevents fluid flow in the direction from the fluid outlet to the moveable member, wherein the outlet check valve is in the closed position when fluid is drawn from the fluid inlet and through the open inlet check valve into the cavity when the moveable member is moved to the fill position stop and the inlet check valve is in the closed position when fluid is expelled from the cavity through the open outlet check valve and out the fluid outlet when the moveable member is moved to the dispense position stop.
In accordance with another aspect of the present invention, there is provided a microfluidic delivery device for pumping a predetermined volume of fluid including a housing having a channel connecting a fluid inlet and a fluid outlet; a moveable member in communication with the channel between the fluid inlet and the fluid outlet, moveable between a fill position stop and a dispense position stop, where a positive pressure is created in the channel when the member moves to the dispense position stop and a negative pressure is created in the channel when the member moves to the fill position stop; a cavity capable of accepting fluid from the channel when the moveable member moves from the dispense position stop to the fill position stop; an inlet check valve positioned in the channel between the fluid inlet and the moveable member such that an inlet check valve open position allows fluid flow in the direction from the fluid inlet to the cavity and an inlet check valve closed position prevents fluid flow out the fluid inlet; an outlet check valve positioned in the channel between the fluid outlet and the movable member such that an outlet check valve open position allows fluid flow in the direction from the cavity to the fluid outlet and an outlet check valve closed position prevents fluid flow in the direction from the fluid outlet to the inlet check valve; and an isolation feature in communication with the cavity, wherein the outlet check valve is in the closed position when fluid is drawn from the fluid inlet and through the open inlet check valve into the cavity when the moveable member is moved to the fill position stop and the inlet check valve is in the closed position when fluid is expelled from the cavity through the open outlet check valve and out the fluid outlet when the moveable member is moved to the dispense position stop.
In accordance with another aspect of the present invention, there is provided a method for pumping a predetermined volume of fluid by utilizing the present microfluidic delivery device.
In accordance with another aspect of the present invention, there is provided a method for administering a predetermined volume of medicine to a patient by utilizing the present microfluidic delivery device.
These and other aspects of the present invention will become apparent upon a review of the following detailed description and the claims appended thereto.
A delivery system constructed according to the present invention can be utilized in a variety of applications. The invention may, for example, deliver liquid to a body or micro-device. In addition to delivering flow downstream from the fluid outlet through positive pressure, another use includes pulling liquid via negative pressure through a fluidic device upstream from the fluid inlet. One such application is for the delivery of medication, drug, or chemical to a person or animal. The invention can be applied in other medical fields, such as for implantable micro-pump applications, or in non-medical fields such as for small, low-power, precision lubricating pumps for precision self-lubricating machinery. Other areas of use include nanotechnology and microtechnology, such as Lab-on-a-Chip, BioMEMS, and Point-of-Care Devices.
The present invention provides a microfluidic delivery device useful as a mechanical drug and/or insulin delivery device for diabetics that avoid the limitations of the syringe pump, such as size, weight, cost, complexity, and assembly requirements. The present invention dramatically simplifies the manufacturing process as compared to those required by syringe pumps. Importantly, it also avoids the dependency of the fluid delivery accuracy and precision on the syringe volume (fluid holding capacity). By overcoming these limitations, in an embodiment, a precise and reliable insulin delivery system can be produced with sufficiently low cost while being small in size and low in weight for easy portability by the user. Such a device may be worn discretely on the skin as an adhesive patch and contain a multi-day supply of insulin after the use of which the device is disposed of and replaced. Alternatively, since the device can function in the same manner as a continuous flow device without the requirement of stopping flow to re-fill, it may also serve as a long-term uninterrupted pump.
The present invention incorporates a miniature dual check-valve system which allows a pre-determined volume or aliquot of medicine, drug or chemical in fluid or solid particulate form, to be introduced into a secondary system, such as a body or fluid receiving device. The present invention is designed to supply periodic dosing by providing sequential defined volumes of fluids. In accordance with the present invention, the fluid or solid particulate is delivered in periodic discrete doses of a small fixed volume rather than in a continuous manner. The overall liquid delivery rate of the device is controlled by adjusting the dosing frequency. The device utilizes a precision timing mechanism along with a simple mechanical system. The method and invention result in device that is small in size, simple, and amenable to simple production processes and automation.
It is an underlying assumption of the invention that in the treatment of, for example diabetes, there is no clinical difference between administering insulin in periodic discrete small doses and administering insulin in a continuous flow, as long as the administration period of the discrete dose is small compared to the interval of time between which the blood glucose level is measured. For the present invention, a small dose size is regarded as on the order of 0.10 units of insulin (1 microliter) assuming a standard pharmaceutical insulin preparation of 100 units of insulin per milliliter. A typical insulin dependent diabetic person uses between 10 and 100 units of insulin per day, with the average diabetic person using about 40 units of insulin per day. Thus, the present invention is capable of delivering the daily insulin requirements of the average diabetic person in 400 individual discrete doses of 1 microliter each with a dosing period that can be programmed by the user. A pump constructed according to the present invention can have a predetermined discrete dosage volume that is larger or smaller than 1 microliter, but preferably falls within the range of 0.5 to 5 microliters. The smaller the discreet dose, the more energy required by the device to deliver the given amount of fluid, since each pump cycle consumes roughly the same amount of energy regardless of discrete dosage size. On the other hand, the larger the discrete dosage is, the less precisely the pump can mimic the body in providing a smooth delivery rate. The amount of fluid delivered in each pump cycle is specific to the pump design. A device constructed according to the present invention is also suitable for delivery of other medicines, drugs or chemicals. In an embodiment, the discrete doses may be delivered to an additional function component, such as a dampener or restrictive feature, to smooth the flow, achieving a fluid delivery profile similar to that of continuous flow.
It is further intended that the present invention could be used as a disposable component of a larger diabetes management system composed of additional disposable and non-disposable components.
The device in accordance with the present invention may serve as a delivery device for applications used in microfluidics; lab-on-a-chip; cells-on-a-chip; body-on-chip; a delivery for 3D or flow cell culture; bioMEMs; sensors and mechanical devices requiring a fluid source; precision metering & mixing; flow chemistry: pump for delivery reactants, solutions, fluid manipulation; PCR: fluid delivery; DNA sequencing: for manipulation of the DNA in a fluid; miniature detectors: spectroscopy, mass spectrometry, detectors for separation devices; and particle manipulation.
In an embodiment a fluid inlet 142, a fluid outlet 140, inlet check valve 108, outlet check valve 106, a moving member 104 and seal 32, a moving member holder 105, and a conduit, shown as connecting channels 50, 52, 54, 56, 58, 60, 62 and 64 of the device is shown in
The moving member 104 can be driven, for example, in a reciprocating motion using one or more hard stops, such as the fill stop and the dispense stop, as described here. Using hard stops, a controlled stroke between the stop positions is achieved. This allows for a precise, pre-determined fluid volume or metered aliquot to be dispensed from the device. The pre-determined volume of the metered aliquot can be varied as desired by adjusting the distance between the stops. In an embodiment, as shown in
A stop for the dispense position stop 36 could also be mechanical or sensor-based. A mechanical stop is shown (
The sealing surface to the cavity may be molded on the moving member 104 or be a separate component seal 32 that integrates onto the moving member. The moving member may have a feature at the cavity end that can limit the forward movement of the member. Seal 32 may also function to set the distance based on its length. Alternatively, the moving member 104 could have a plurality of accurate position control stops, which would allow a continuum of volumes to be dispensed.
The fill and dispense positions may be controlled through physical stops or position sensors. Connecting channels may have various shapes, surfaces, and pathways depending on the desired fluidic path and behavior. Surfaces may be native or tuned or modified to be hydrophilic or hydrophobic or a mix thereof, in order to affect wetting properties of a given fluid. A bubble trap may be incorporated in the fluidic pathway if desired. Many check valve types and mechanisms may be employed and are known to those skilled in the art.
As medicines, such as insulin, often require specific storage requirements, the invention has been designed so that the device can be manufactured and delivered to the end-user without the insulin in situ. Once the device is ready to be employed, a user may insert an insulin filled reservoir at the fluid inlet 142 site of the device. The fluid reservoir containing medicine, such as insulin, can have a collapsible feature. The collapsible nature of the reservoir would ensure that vacuum lock or pressure build-up which could create air pockets that would interrupt fluid delivery will be minimized or avoided. The fluid reservoir may also have one or more air bleeding components. For a rigid or semi rigid reservoir, the reservoir may have a moving component allowing for the reservoir to hold the insulin while not building significant negative pressure to inhibit withdrawal of the insulin. If refilling of the reservoir is desirable, one or more fill ports could be placed at any location on the fluid reservoir.
The device is able to be primed prior to use to evacuate any gas or air from the system and to fill the system with the desired fluid. For precision fluid delivery devices, priming the device to eliminate any air can be important. Air left remaining within the device due to insufficient priming, may compromise the fluid delivery precision of the device. Alternatively, medicines, such as insulin, could be incorporated into the invention at the time of manufacture, preventing the need for the user to prime the system prior to use.
In the embodiment shown in
In the configuration shown in
Alternately, if the device or its fluidic components are under vacuum prior to filling with fluid, the device will readily aspirate the fluid, such as insulin. This would serve to prime the device, eliminating any air from the fluid path. The entire device or selected components of the device could be placed and stored under vacuum at the time of manufacture. Alternatively, the channels could be pre-evacuated or the vacuum accomplished at the time of use with a vacuum system method.
Following the priming of the device, when there is no fluid movement, both check valves are closed. To operate the device, the moving member 104 is moved from the dispense position stop 36 into the fill position stop 38, creating a cavity 102, as shown in
The invention preferably includes an on-board diagnostic that detects movement or position of the displacement mechanism or the mechanical drive system. The diagnostic could contain position sensors or motion sensors. The sensing may be electrical or mechanical based or a combination of both. Alternatively, the invention could use an inline flow sensor to measure flow rate. In an embodiment, the metered aliquot can be adjusted to a desired volume to set a desired dosing level. The locations of the fill stop and dispense stop can be adjusted accordingly.
In an alternative embodiment as shown in
To prime, purge or ready the device for use, such as removing air from the system or inserting or replacing fluid media, according to
An embodiment priming sequence could involve first opening the isolation feature 180, and then providing a flow from an external source with sufficient pressure and volume to fill portions of the device with fluid, and rid it of air or gas. Fluid from this external fluid source would enter the device through purge feature 184. Preferably, the moving member is in the dispense position stop flush with the chamber wall so no cavity is formed and fluid travels past the moving member to the fluid outlet. At this point air or gas has been removed from the system from the fluid outlet 140 to the isolation feature 180, and the device can be used for fluid manipulation. In an embodiment, the isolation feature can be open and fluid can be forced from the fluid inlet through the isolation feature. The entire device can be purged of air by alternating the moving member 104 repeatedly between the fill position stop 97 and the dispense position stop 99, which will cause fluid to travel through channels 114, 118, 120, 122, and 124, through check valve 106, through channels 126 and 128, and finally through the fluid outlet 140. Alternatively, to void the entire device of air, the isolation feature 180 can be closed. Displacing moving member 104 from the fill position stop to the dispense position stop forces open outlet check valve 106, closes inlet check valve 108, so as to fill channels 118, 120, 122 and 124, outlet check valve 106, channels 126 and 128, and the fluid outlet 140. At this point air or gas has been removed from the entire system.
Alternately, if the device or its fluidic components are under vacuum prior to filling with fluid, the device will readily aspirate the fluid, such as insulin. This would serve to prime the device, eliminating any air from the fluid path. The entire device or selected components of the device could be placed and stored under vacuum at the time of manufacture. Alternatively, the channels could be pre-evacuated or the vacuum accomplished at the time of use with a vacuum system method.
To operate the device shown in
The movement between stops of the moving member 104 may also be limited by the drive components, such as lever travel or travel by the translation hardware or mechanism. An embodiment shown in
This invention allows for architectures for manufacturing the device that are readily amenable to injection molding. In this device the housing composed of primary pumping block 100, and end caps 150 and 160, as shown in
This device can be fabricated as an injection mold releasable main fluid block 100, with two end caps 150 and 160, as shown as a cross-section in
The connecting channels running perpendicular to the major components are formed when the end caps 150 and 160 are sealed to the main fluid block 100. Alternatively, the connecting channel features could be contained in the end caps 150 and 160, instead of in the main fluid block 100. The end caps 150 and 160 could also contain additional structures or features, such as channels or clearance holes. The end caps may also serve as an interface to other hardware or as a manifold. The end caps may have quick connects, threads, and press fit features. The end caps may also serve as a fluid reservoir.
In one embodiment, the channels or fluid paths that run through the block 100 from top to bottom, such as in
This invention also allows for facile device assembly. By having all major features in a single plane from the top of the block, all internal components can be inserted into the main fluidic block 100 from the top plane or surface. For assembly, the check valves 106 and 108 and the moving member 104 can be inserted on the top side, see
This design allows the manufacturing of the invention by using automated or semi-automated assembly processes. The device allows for assembly via such systems as pick-and-place automation systems. Alternatively, the devices could be manually assembled with limited part reorientation.
The invention can be implemented as a modular design where the device can contain components that can be re-used and then, when nearing expiration, can be easily replaced with new components by the end-user. Components that could be replaced in an embodiment include the power and drive system which is composed of a power source, mechanical force drive system, and control electronics. The invention could also employ replacement, pop-in components for other features of the system, such as the battery pack and all fluid touching or containing portions of the device including the fluid source reservoir, the main fluidic block with end caps, and the needle/catheter portion which interfaces with the user (
The system may have an energy source to power electronic and mechanical functions of the device which may include batteries, a wired energy source, harvested energy, such as vibration, MEMS harvested, mechanical movement, or pre-loaded mechanical forces, such as a spring, memory metal, compressed gas, and the like.
The invention could have integrated electronics running in an independent manner. Alternatively, the system could also have wireless communication to converse with other systems, controllers or signal receivers. Communication could occur through signals such as, but not limited to, Wifi, IR, Bluetooth, or radiofrequency.
A system incorporating the device is shown in
In a preferred embodiment, the device including housing and all drive and fluidic components can be less than about 3×3×0.5 inches and preferably less than about 1.5×2 inches or equivalent in surface area. The pump block dimensions preferably range from about 2×2×0.5 inches, or more preferably about 0.75×0.3×0.25 inches.
Preferably check valves, such as ball check valves, are equipped with springs to ensure a minimum pressure difference between the output back pressure and pressure which is generated by the moving member. The piston force is ˜equal to (back pressure+valve cracking pressure)*piston area+piston seal friction force. The system back pressure may be increased through the use of a restriction feature (tube or small aperture) or increased backpressure. The valve springs have the function of opening or closing the valve in response to the pressure difference between the valve's output side (system back pressure) and input side (piston). The type and dimensions of the spring as well as stiffness, and pre-load may be chosen based on the desired crack pressure for the system. For example, if higher cracking pressure is desired relative to a larger piston, a stronger spring (spring with a greater pre-load) may be used. This feature is similar to elastomer check valves and other type check valves.
The device pumping out force is in a range from about 0.01 PSI to about 100 PSI with preferred press ability in the range of from about 0.1 PSI to about 10 PSI. Flow rates in accordance with the present invention preferably range from nanoliter per minute to microliters per minute.
Due to the pump stroke generating a given volume per cycle, a pulsing profile will result from a reciprocating motion of the piston. The intervals in the pumping cycle (reciprocation of the piston) will result in a momentary decrease in fluid flow and system pressure. This “off time” is the interval when the piston has finished the dispense stroke and is starting the refill stroke. In a case where the pump is desired to be running continuously or near continuous, the pulse may be minimized by adding a restrictor or pulse dampener to the outlet stream of the pump. To maintain a more constant flow, a pulse compensator, or dampener, that stores energy during the pump's delivery stroke and returns an appropriate amount of work to the fluid during the pump's off time can be used. The pulse dampener will smooth flow pulsations and help maintain a more constant system pressure. The dampener reduces pulsations by compressing the fluid held within a chamber contained in the unit. This is accomplished by implementing a durable, but flexible, diaphragm to expand chamber volume. As system pressure increases during the pump delivery stroke, fluid in the chamber is compressed and the diaphragm expands. When the pump begins its refill stroke, the expanded diaphragm compresses the fluid, keeping the fluid flowing at a near constant rate and maintaining system pressure. Similarly, a restrictor or pulse dampener can be added to the inlet stream of the pump.
As explained herein, the device can both draw and expel fluid. Thus, the device can pump fluid through a location positioned downstream from the fluid outlet as well as draw fluid through a location positioned upstream from the fluid inlet. This design is advantageous when desiring to provide a fluid flow which operates under conditions, such as for example heating, cooling, or sterile, which can be separated from the internal pump components.
Further aspects of the present invention include the following. The ability to provide high precision injection, wherein volume is increased by increasing the number of injections/stroke cycles while precision is maintained constant since a fixed volume chamber is utilized. Accuracy and precision is determined by the volume of the defined cavity, wherein full displacement of the cavity contents equals high repeatability of the flow. This approach alleviates the precision typically required of a partial dispense, such as compared to where a syringe travel defines the volume dispensed. According to the present design, the moving components tolerance/movement does not need to be high/tight because there can be a stop or over travel to fill the dispense structure. The injector system may be independent of the mechanical drive system, such as in a partially disposable device, wherein a consumable portion of the device can be replaced without replacing the entire system. Alternately, the injector system may be integrated as part of the mechanical drive system, such as in a fully disposable system.
Although various embodiments have been depicted and described in detail herein, it will be apparent to those skilled in the relevant art that various modifications, additions, substitutions, and the like can be made without departing from the spirit of the invention and these are therefore considered to be within the scope of the invention as defined in the claims which follow.
This application claims the benefit of the filing date of U.S. Provisional Patent Application Ser. No. 61/847,302, filed Jul. 17, 2013, which is hereby incorporated by reference in its entirety.
Number | Date | Country | |
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61847302 | Jul 2013 | US |