The invention is herein described, by way of example only, with reference to the accompanying drawings, wherein:
The present invention is a microneedle device for delivery or sampling of fluids to or from intradermal layers of the skin of a mammalian subject.
The principles and operation of devices according to the present invention may be better understood with reference to the drawings and the accompanying description.
By way of introduction, it should be noted that the present invention provides two distinct aspects, each of which may be used alone to advantage, and which are most preferably combined in synergy to provide a particularly preferred implementation of the invention. Specifically, one aspect of the invention relates to the geometry of flow channels within a block, allowing the channels to reach a “corner” region of the block as required for the aforementioned “side insertion” technique and ensuring that the end of the flow channel away from the microneedle interface is conveniently positioned to allow attachment of a fluid supply device without complicating the fluid flow channels within the block This aspect of the present invention will be described particularly with reference to
A further aspect of the present invention relates to a particularly advantageous needle geometry which achieves particularly shallow penetration when used in the “side insertion” technique This aspect of the present invention will be described particularly with reference to
Referring now to the drawings,
Turning now to
Turning now to
In general terms, microneedle device 24 includes a skin contact configuration configured to contact an external surface of the skin so as to define a predefined orientation of the device relative to a reference plane corresponding to an initial position of the surface of the skin. This skin contact configuration is most preferably implemented as a flat skin contact surface 26 in which case the reference plane corresponds to the plane of surface 26 Microneedle device 24 also includes at least one microneedle, and preferably a linear array of microneedles 28, each having at least one, and preferably several, peripheral surfaces converging to form a tapered shape terminating at a pointed tip Microneedles 28 are mechanically linked to the skin contact configuration so as to define an orientation of the microneedles relative to the reference plane in which a first of the peripheral surfaces 30, or at least a region thereof, is deployed substantially parallel to, i.e, within ±10 degrees, and more preferably within ±5 degrees, of the reference plane In certain particularly preferred implementations, surface 30 is deployed so as to be no higher than the reference plane. Each microneedle 28 is further formed with a fluid flow bore 32 intersecting first peripheral surface 30.
Before addressing the features of various specific implementations of the present invention in more detail, it will be useful to define certain terminology as used herein in the description and claims. Firstly, the device is described as delivering a fluid into a flexible biological barrier. While the invention may be used to advantage for delivery of fluids through a wide range of biological barriers including the walls of various internal organs, the invention is primarily intended for delivery of fluids into, or fluid sampling from, layers of the skin of a mammalian subject, and in particular, for intradermal or intra-epidermal delivery of fluids into the skin of a human subject. The fluids delivered may be any fluids. Preferred examples include, but are not limited to, dermatological treatments, vaccines, and other fluids used for cosmetic, therapeutic or diagnostic purposes. Furthermore, although considered of particular importance for intradermal fluid delivery, it should be noted that the present invention may also be applied to advantage in the context of transdermal fluid delivery and/or fluid aspiration such as for diagnostic sampling.
Reference is also made to geometrical relations to the surface of the flexible biological barrier. For the purpose of the present description and the appended claims, all geometrical relations to the “surface” of the flexible biological barrier are defined in relation to a plane approximating to the surface of the barrier in an initial state of rest of the biological barrier, i e., prior to any deformation of the barrier caused by insertion of the microneedle fluid delivery configuration. As a more technical definition, particularly important in the case of a region of skin which has considerable curvature, this surface is defined as the plane containing two orthogonal tangents to the flexible biological barrier surface at the location of interest.
For convenience, directions or positions further from the surface of the skin are referred to as “up”, “above” or other similar terms, and directions or positions closer to, or deeper within, the skin are referred to as “down”, “below” or other similar terms. It will be understood that this terminology is arbitrary in the sense that the skin surface itself may have any orientation in space.
Where reference is made to a direction of motion having a component parallel to the surface of the biological barrier, this includes any motion which is not perpendicular to the skin surface. Preferably, the motion has a majority component parallel to the skin surface, i.e, at an angle shallower than 45 decrees Most preferably, the part of the motion performed in contact with the skin is performed substantially parallel to the skin's surface, i e, with a motion vector not more than about ±15 degrees above or below the plane of the skin surface at rest
With regard to angles relative to the plane of the skin, angles will be referred to relative to a vector parallel to the skin as zero decrees with angles pointing into the skin being positive and angles away (outwards) from the skin being designated negative. For simplicity of presentation use may be made of the term “upwards” or “up” to refer to directions outwards from the initial plane of the skin and “downwards” or “down” to refer to directions inwards or towards the initial plane of the skin
Reference is also made to various physical states of the biological barrier. The biological barrier is described as “stretched” when a distance between points defined on the barrier in at least one direction is greater than the distance between the same two points when the skin is released. The direction of maximum strain is referred to simply as the stretching direction “Unstretched” denotes a state of the skin where no stretching is present parallel to the direction of stretching in an adjacent region of stretched skin. It will be appreciated that, where compression of skin tissue has lead to local bulging or folding of the tissue, a degree of stretching may occur perpendicular to the compression vector to accommodate the out-of-plane distortion of the tissue.
Nevertheless, such tissue is referred to herein as “unstretched” since no elongation is present in the direction of stretching. Tissue for which the distance between points is reduced relative to the same two points when the skin is released is referred to as “relaxed” tissue since it exhibits lower surface tension than the skin when released.
The present invention is referred to as employing one or more microneedle The term “microneedle” is used herein in the description and claims to refer to a structure projecting from an underlying surface to a height of no more than 1 mm, and preferably having a height in the range of 50 to 500 microns. The microneedles employed by the present invention are preferably hollow microneedles having a fluid flow channel formed therethrough for delivery of fluid The height of the microneedles is defined as the elevation of the microneedle tip measured perpendicularly from the plane of the underlying surface. The term “peripheral surface” is used to refer to any surface of the microneedle which is not parallel to the surrounding substrate surface. The term “upright” surface is used to refer to any surface which stands roughly perpendicular to the surrounding substrate surface.
As mentioned above, most preferred implementations of the present invention employ microneedles of a type similar to those disclosed in co-assigned U.S. Pat. No. 6,533,949, namely, formed with at least one wall standing substantially perpendicular to the underlying surface and deployed so as to define an open shape as viewed from above, the open shape having an included area, and an inclined surface inclined so as to intersect with the at least one wall, the intersection of the inclined surface with the at least one wall defining at least one cutting edge. The fluid flow channel is preferably implemented as a bore intersecting with the inclined surface. The particular robustness of the aforementioned microneedle structure and its particular geometrical properties exhibit great synergy with the structures and insertion methods of the present invention, ensuring that the microneedles can withstand the applied shear forces and are optimally oriented for delivery of fluids into the biological barrier These advantages with be detailed further below One particularly preferred microneedle structure, and corresponding preferred ranges of parameters for microneedles of the present invention, will be described below with reference to
Reference is also made to various surfaces which may be provided by a “block of material”. The term “block” is used herein to refer generically to any structure of one unitary element or plural elements cooperating to provide the recited surfaces in fixed mechanical relation The “block” thus described includes, but is not limited to, a solid block, a hollow block, a thin sheet-like block and an open arrangement of surfaces mechanically interconnected to function together as a block Part or all of the block may also be provided by a substrate upon which the microneedles are integrally formed.
The present invention relates to a “fluid transfer interface”, i.e., the structure and the operation of a microneedle arrangement which interfaces with the biological barrier to create a fluid transfer (delivery or sampling) path into or out through the barrier The fluid transfer interface may be integrated as part of a self-contained fluid delivery device, or as an adapter device for use with an external fluid supply device The term “fluid” is used to refer to any composition which flows, or can be induced to flow under working conditions of the device Thus defined, “fluid” includes, but is not limited to, any and all types of liquid, gel, suspension or fluidized powder.
Referring specifically to
According to a particularly preferred implementation, it has been found advantageous to use microneedles having a height of between 300 and 500 microns, and most preferably about 450±20 microns In order to provide an effective cutting edge 36 while leaving sufficient space for a fluid flow bore 32 relatively high up the microneedle, peripheral surfaces 34a and 34b preferably form between them an angle of between about 65° and about 80°. This facilitates use of a fluid flow bore of diameter 30-60 microns, and most preferably 45±5 microns. Preferably, bore 32 is positioned so as to leave a minimum wall thickness of at least about 30 microns
Referring parenthetically to
By way of a number of non-limiting preferred examples, the bore area may be enlarged without getting closer to the peripheral walls by using an elliptical shape as illustrated in
Although the pentagonal outline of the microneedles of
Referring now particularly to
In order to ensure that surface 30 is substantially parallel to skin contact surface 28, substrate 38 is preferably mounted on a relief surface 40 which is inclined at a roughly corresponding angle relative to the reference plane In the preferred example of a (111) crystallographic plane, relief surface 40 is preferably inclined upwards relative to the reference plane at an angle of between 50 and 60 degrees to the reference plane, and most preferably around 55 degrees. In a preferred case where skin contact surface 26 and relief surface 40 are provided by faces of a single block, the block is therefore formed with an internal angle of between 120 decrees and 130 decrees between contact surface 26 and relief surface 40. In more general terms, where the angle of inclination of inclined surface 30 to the surface of substrate 36 is θ, the internal angle of the block is preferably substantially (180-θ) degrees so that surface 30 ends up substantially parallel to the skin contact surface 26
As best seen in
Although the present invention has been described herein with reference to a preferred implementation employing silicon microneedles, it should be noted that the invention is not limited to such implementations and may alternatively be implemented using a wide range of other materials. Suitable examples include, but are not limited to polymer microneedles formed, for example, by microinjection molding; microneedles formed from radiation-sensitive polymers such as by the techniques described in co-assigned U.S. Pat. No. 6,924,0874; and metal foil implementations using microneedles formed by stamping techniques, all as known to one ordinarily skilled in the art.
Furthermore, it will be noted that the form of microneedles used to implement the present invention may be any form which satisfies the geometrical requirements stated above, and may vary considerably from the preferred micro-pyramid form described. Thus, by way of non-limiting examples, suitable forms of microneedles include: conical microneedles with an asymmetric fluid flow bore; and pyramidal microneedles structures with various polygonal base shapes, such as a hexagonal base, with an asymmetric fluid flow bore. In the case of a conical needle, the region parallel to the reference plane is preferably the region lying along the bottom edge of the conical shape.
Turning finally to
According to a further option, it should be noted that the structures of the present invention may be used to advantage for a process of high-pressure injection of fluids into the body For example, using a normal syringe, injection may be performed at a pressure of between about 100 and about 1000 PSI In certain preferred applications, a low-volume precision syringe, such as a HAMILTON® syringe, can be used to generate injection pressures in the range of 1000-4000 PSI. These pressures may be effective to enhance penetration and/or dispersion of the injected fluid into tissue due to mechanical action of the resulting “jet” of fluid.
It will be appreciated that the above descriptions are intended only to serve as examples, and that many other embodiments are possible within the scope of the present invention as defined in the appended claims