The present invention relates to a microparticle delivery device, and, more specifically, to a dual-chambered syringe having a bifurcated needle with lumens in fluid communication with respective chambers. The device allows the injection of a suspension of microparticles and the subsequent removal of the fluid delivery media.
Microparticles are generally defined as being particles between 0.1 to 100 microns in size and can be formed from a variety of materials, including proteins, polymers, polysaccharides and combinations thereof. It is known in the art to use microparticles for a variety of purposes, including use as carriers of active pharmaceutical substances. Because of certain requirements imposed upon the delivery of pharmaceuticals via microparticles, it is desirable that the microparticles have a substantially spherical shape and a narrow size distribution. Microparticles used for such purposes are often delivered by injection through a syringe. When delivered by this route, the microparticles may be in suspension in an aqueous solution.
Microparticles are typically suspended in solution for injection into a target space, which may be, for example, an anatomical space in a patient (human or otherwise), or other confined spaces, such as refillable implantable pumps, venous access ports and the like. Such target spaces may be small and therefore may limit the amount of microparticles that can be delivered. It would be desirable to be able to remove the suspension fluid after delivering the microparticle suspension into the target space so that another injection could be administered until the space is filled with the maximum or desired amount of microparticles. Hence, it would be desirable to have a device that allows the removal of the suspension fluid, without removing the therapeutic microparticles. This would allow room in the target space for an additional injection of suspended microparticles.
The objectives of the invention can be realized by administrating a microparticle suspension using a bifurcated syringe device having two chambers and a needle with two lumens, one lumen being fluidly connected to each chamber. One chamber of the device is filled with the microparticle suspension, while the other chamber remains empty or primed with a suitable fluid. Pushing the plunger of the chamber containing the microparticle suspension injects the suspension through one lumen of the needle and into the target space. Thereafter, a reverse motion of the plunger in the other chamber creates a negative pressure that pulls the suspension fluid from the target space through a filter disposed in the second lumen, the filter having pores smaller than the diameter of the microparticles which were injected. The microparticles will therefore remain in place within the target space when the fluid is removed. The removed fluid is contained in the second chamber, separate from the first chamber holding the microparticle suspension.
Once a volume has been withdrawn, which may be, for example, equal to or less than the fluid volume of the microparticle suspension, another injection of the suspension can be administered and the process repeated as desired until the maximum or target amount of microparticles have been delivered. The total volume of the multi-step administration delivered to the target space may be the additive volume of the accumulated microparticles in-vivo and the volume of the final injection of the microparticle suspension. This can be readily assessed by the operator as the volume expelled from the microparticle suspension chamber minus the volume in the withdrawn fluid chamber.
In a second embodiment, a trocar guide channel can remain in place, while separate injecting and expelling syringes and needles are interchanged for injection and withdrawal steps.
An embodiment bifurcated syringe 100 is shown in a cross-sectional view in
Both chambers 2a, 2b are fluidly connected to needle 12 through respective channels, labeled 4a and 4b, which are in fluid communication with the chambers 2a and 2b and needle 12. As can be seen in
The body of syringe 100 may be formed from any known material of which syringes of the prior art are normally manufactured, preferably plastic or glass. Plungers 6a and 6b may be standard syringe plungers as would be found in single chamber syringes well known in the art.
Needle 12 connects to syringe 100 by a slight turning motion which engages one or more protrusions 11b with the corresponding threads 11a. Any other prior knowledge known to one of skill in the art may be used to secure needle 12 to syringe 100 as long as the individual lumens 14a, 14b within needle 12 line up with their corresponding channels 4a and 4b in syringe 100 to form isolated fluidic pathways for the transfer of the suspension.
It is preferable, although not required, that the shorter lumen (i.e. the lumen disposed on the upper portion of the opening, labeled 14a in
Filter 20 is located within the second lumen 14b and is used for extraction of the suspension fluid from the target space. Filter element 20 includes a plurality of pores that permit fluid to pass through filter element 20. It is desirable, however, that the pores of filter element 20 be smaller than the average diameter of the microparticles to avoid removing the microparticles from the target space when the suspension fluid is removed. In certain embodiments, the filter element 20 may actually be provided by a plurality of holes in and around the tip 13 of the needle 12. In such embodiments the lumen 14b may be closed at its most distal end; fluidic communication of lumen 14b with the target space may be provided by a plurality of holes in lumen 14b, both at the tip 13 of the needle and optionally along the sidewalls of lumen 14b. The holes are sized to prevent the inflow of microparticles into lumen 14b, and may be formed by any suitable process, such as machining, etching or the like. In other embodiments the filter element 20 may be a paper insert or the like inserted into the lumen 14b and positioned near the tip 13 of the needle 12. In specific embodiments the filter 20 is preferably flush with the oval-shaped cross-sectional area of the needle opening, and hence flush with the distal opening of the lumen 14b.
Other configurations of the distal end 13 of needle 12 are possible. For instance, wall 15 which divides lumens 14a and 14b within needle 12 may be at any angle within the opening of the needle, thus providing different shaped openings for each of lumens 14a and 14b. It is also possible to cut the end of needle 12 at different angles, which may change the relative area of the openings of respective lumens 14a and 14b. Additionally, it is also possible that barrier 15 separating lumens 14a and 14b be off-center within the needle 12, thus creating one lumen with a larger volume than the other lumen, which may be used, for example, to accommodate the filter element within the larger lumen.
In operation, plunger 6a is utilized in much the same manner as a typical lumen syringe and needle; whereby plunger 6a is proximally advanced to create a negative pressure within chamber 2a that draws a suspension comprising microparticles and a carrier fluid into chamber 2a via, for example, lumen 14a. Once chamber 2a is loaded, the needle 12 may be positioned so that the distal end 13 is in or near the target space, which may be an anatomical space within a patient or, for example, another preferred therapeutic space with a confined volume. The plunger 6a is then advanced distally, thereby forcing the microparticle suspension out of chamber 2a, through channel 4a and into lumen 14a of needle 12, and ultimately into the target space. It may be desirable to inject only a portion of the microparticle suspension from chamber 2a into the target space.
After the initial injection of the microparticle suspension, the suspension fluid is preferably withdrawn by creating a negative pressure in chamber 2b by pulling proximally on plunger 6b, which will draw fluid in the target space through lumen 14b, through channel 4b and into chamber 2b. The directions of preferred fluidic flows are shown near the distal end of needle 12 in
Once a volume of suspension fluid is withdrawn into chamber 2b, additional volumes of the microparticle suspension may be injected from chamber 2a, and the process may be repeated several times until chamber 2a is empty or the desired amount of microparticles have been deposited in the target space.
In an alternate embodiment of the invention, a trocar can remain in place while separate injecting and withdrawing syringes and needles are interchanged. In this embodiment, the syringe used for injection of the micro-particle suspension would be a standard syringe, while the syringe used for the withdrawal of the suspension fluid is a standard syringe having a filter disposed in the lumen of its needle.
Once the desired volume of microparticles are in place in the target space, the needle is withdrawn. A certain volume of suspension fluid may also be left in place by injecting the microparticle suspension and not withdrawing the last volume of suspension fluid which was injected.
Needle 12 may be of a size necessary to accommodate at least two lumens suitably sized to inject the microparticle suspension and withdraw the fluid.
In other embodiments, multi-chamber syringes having more than two chambers may be utilized with needles having two or more lumens, such as would be the case if it was desired to mix two microparticle suspensions in the anatomical space. In such cases there may be only one lumen of the corresponding needle which is utilized for withdrawal and which therefore is equipped with a filtering element.
The proximal end of shaft 32 includes a sub-connector 36 adapted to fluidly connect the shaft 32 to two corresponding connectors 39a, 39b for standard syringes (not shown) so that each syringe is fluidly connected to a corresponding lumen 32a, 32b. The connector 36 has a first channel 38a that is exclusively fluidly connected to first lumen 32a, and a second channel 38b that is exclusively fluidly connected to second lumen 32b. The sub-connector may mate with wall 35 to ensure the fluidic isolation of the channels 38a, 38b and their corresponding lumens 32a, 32b. The proximal end of each shaft 38a, 38b terminates in a corresponding connector 39a, 39b, that is adapted to connect to a respective syringe. Any suitable connector 39a, 39b may be employed. A non-limiting example of such a connector 39a, 39b includes a luer-lock.
It will be appreciated that the needle 30 may have more than two lumens 32a, 32b, and independently may have more than two channels 38a, 38b and connectors 39a, 39b. Typically there will be a one-to-one correspondence between lumens, channels and connectors. However, in the event that there are more channels 38 than lumens within shaft 32, sub-connector 36 may route two or more channels 38 to a single lumen within shaft 32.
In use, a practitioner may ready two syringes, a first loaded with a microparticle solution and the second empty or primed to receive the microparticle carrier solution. The first syringe is fluidly connected to first connector 39a, and the second syringe is fluidly connected to second connector 39b. The steps discussed above may then be performed, with first lumen 32a dispensing the microparticle solution into the target region, while second lumen 32b removes the microparticle carrier solution from the target region, with filter 34 preventing the uptake of the microparticles into the second lumen 32b.
Various methods may be employed to increase the surface area that the filter 34 presents to the target space.
Yet another embodiment needle 70 is shown in
Note that the specifics embodiments are described in an exemplary manner and are not intended to limit the invention. In particular, syringes and needles manufactured of any acceptable material are contemplated to be within the scope of the invention, as are syringes and needles having varying design configurations and numbers of chambers and lumens. The scope of the invention is therefore defined in the claims which follow.