This invention relates generally to the medical field, and more specifically to an improved neural drug delivery system in the medical field.
For many complex neural disease conditions, such as epilepsy and malignant brain tumors, there is a growing technical and clinical rationale to develop therapeutic treatments involving highly controllable, targeted drug delivery. In this approach, the objective is to deliver a therapeutic agent to the central nervous system with precise spatial or regional selection, and to precisely deliver the therapeutic agent at appropriate dosage levels over the appropriate amount of time. However, current conventional drug delivery devices are unable to overcome the complexities of targeted drug delivery. Thus, there is a need in the medical field for improved neural drug delivery.
In some examples, the microvalves are electrically controllable using the control subsystem 230. The microcatheter 205 may include electrical conductors (e.g., electrically conducting traces) electrically coupled to the microvalves and extending to the proximal end of the tubular body of the microcatheter 205. The electrical conductors may extend to the control subsystem 230 or the electrical conductors can be bonded to interconnect 235 (e.g., one or more leads) that are electrically coupled to the control subsystem 230. These interconnects can carry electrical signals between the control subsystem 230 and the microvalves. The control subsystem 230 may include one or more of hardware, software, and firmware to perform the functions described. The control subsystem 230 may include logic circuits or a processor (e.g., a microprocessor) to provide an electrical signal or signals to cause actuation of a microvalve.
The neural drug delivery system 200 may be one or both of programmable and manually-controlled by a user to selectively release fluid from the microcatheter to one or more localized regions or the neural drug delivery system may be chemo-responsive to its environment, or may be controlled in any suitable manner. The microcatheter 205 is preferably insertable into neural tissue such as the brain, and provides selective and adjustable pressure-driven drug infusion from discrete locations on the microcatheter 205, such as for therapeutic treatment of epilepsy or brain tumors. The drug infusion may additionally and/or alternatively be driven by any suitable mechanism, and the microcatheter 205 may alternatively be insertable into any suitable tissue for any suitable application. The neural drug delivery system 200 provides consistent, predictable and controllable flow rates of the therapeutic agent, for acute and/or chronic use applications. Furthermore, the neural drug delivery system 200 includes microvalve actuation that is responsive, reacting quickly to changes such as in drug concentration, dosage needs and patient condition.
The microvalve 320 may include a valve actuator that selectively deflects the flap valve from the closed mode to the open mode. For instance, the movable valve flap 335 may include a polymer material configured to actuate according to an electrical signal, such as by an electrical signal from the control subsystem 230 of
The microcatheter 205 of
The microcatheter 205 can be implantable in tissue and functions to transport a fluid, such as a therapeutic agent, toward targeted regions within the tissue. The microcatheter 205 may be coupled to the fluid reservoir 225, a controllable infusion pump, or other device inside and/or outside the body that provides the therapeutic agent to the microcatheter 205. The microcatheter 205 can be a tubular body having a thin wall and narrow diameter, which may allow the neural device to be minimally invasive and reduce tissue damage during implantation. The microcatheter 205 can be made of a flexible material, but may alternatively be made of a rigid or semi-rigid material. The microcatheter 205 includes a lumen configured to carry the fluidic therapeutic agent, and defines a plurality of ports through which the therapeutic agent may be selectively released to the neural tissue. The lumen (or another second lumen defined by the microcatheter 205) may be used to carry a stylet that aids in positioning the microcatheter 205 during implantation in tissue. The ports provide fluidic communication between the lumen and outside the microcatheter 205. The ports may be arranged longitudinally along, and/or circumferentially around the microcatheter 205. In some embodiments, the distal end of the microcatheter 205 may additionally and/or alternatively include a port. Although the example shown in
The plurality of gatable microvalves function to selectively allow transfer of fluid through the ports, from inside the microcatheter 205 to the tissue. Each microvalve can be coupled to a respective port such that each of the microvalves is independently and reversibly gatable from a closed mode that prevents release of the fluid from the microcatheter 205 to the tissue to an open mode that allows release of the fluid from the microcatheter 205 to the tissue. The release of the fluid can be controllable along a gradient of therapeutic agent flow rate approximately corresponding to the degree to which the microvalve is open. The microvalve can be biased in the closed mode (e.g., shape biased or biased by an applied voltage), but may alternatively be biased in the open mode or unbiased in either mode. In a preferred embodiment, the neural device includes a one-to-one (1:1) correspondence between microvalves and ports. However, in an alternative variation the neural drug delivery system 200 may include more ports than microvalves (e.g. some ports are not coupled to a microvalve and freely release fluid, or some microvalves are coupled to multiple ports). In another alternative variation, the neural device may include more microvalves than ports (e.g. more than one flap-type microvalve is coupled to a port, such as for redundancy).
As explained previously, a microvalve can include a movable valve flap. The valve flaps of the microvalves can be identically positioned relative to their respective ports, or a portion of the valve flaps may be of one position variation while another portion of the flap valves may be of another position variation. In the example of
The example microvalves shown in the Figures can include a valve actuator 450. A valve actuator of a microvalve can function to selectively actuate the flap of the microvalve from the closed mode to the open mode. In other variations, a valve actuator may additionally and/or alternatively actuate the microvalve from the open mode to the closed mode. For example, in an alternative variation a second valve flap may cooperate with the first valve flap, such that the second valve flap has an opposite direction of actuation as the first valve flap, thereby functioning as a locking mechanism for the first valve flap. Valve actuators can be independently operable, but may alternatively be operatively grouped such that one signal activates more than one valve actuator. In the example shown in
In some variations, the valve actuator of the microvalve includes a shape memory alloy material that transitions between martensitic and austenitic phases. Thermomechanical cycling of the shape memory allow material can “train” the material to respond with a given strain in response to a stimulus (such as a temperature change or electrical current), allowing the material to transition between martensitic and austenitic phases without external stress. The shape memory alloy may have “one-way” shape memory (with one original memory shape) or “two-way” shape memory (with two original memory shapes each corresponding to a particular environment or stimulus). For example, the original memory shape of a “one-way” shape memory material may correspond to a default closed mode or to a default open mode of the valve flap. As another example, one original memory shape of a “two way” shape memory material may correspond to the closed mode of the flap valve and the other original memory shape may correspond to the open mode of the flap valve. The valve actuator 450 can include nitinol as the shape memory alloy, but may alternatively include any suitable shape memory alloy. The nitinol may be spray-coated with Teflon or other suitable coating, such as to prevent release of incidental molecules such as nickel ions. In certain examples, the valve actuator 450 can be located on the valve flap 435 outside of a valve actuator cavity 445.
In any of these versions of a valve actuator shown in the Figures, the microvalve structure, and particularly the flap of the microvalve, can be formed from thin-film dielectrics and a thin-film shape memory alloy. Alternatively, as shown in
In the example shown in
The strength of the magnetic field produced by a solenoid 1155 may correspond to the amount of deflection of the valve flap 1135, the resulting size of the opening, and the resulting flow rate of the fluid through the opening and out the port of the microcatheter. This second magnetic variation of the valve actuator involves consistent and predictable strains of the magnetic material in fast response to the magnetic field from the solenoid 1155, which improves effective control of the microvalve and fluid flow through the port 1140.
In another variation, a gatable microvalve does not include a movable valve flap. As shown in
Other variations of the valve actuator may include any suitable material that induce strains in response to a stimulus, and as a result induce strains in the microvalve flap. The valve actuator may be triggered by stimuli such as current, temperature, pressure, magnetic field, pH, or introduction of particular chemicals. Furthermore, although the valve actuator is preferably used in a microscale neural drug delivery device, any variations of the valve actuators may alternatively be used to as actuators in other thin-film applications. For instance, the thin-film solenoid may be utilized in other microfluidics applications. Furthermore, multiple variations of the valve actuator may be combined, such as for redundancy in control in case of failure, or increasing the maximum degree to which the microvalve is opened.
In an alternative method to form a microvalve, a mesh can be formed using microfabrication processes, such as material deposition, etching, etc., used in manufacturing semiconductor devices. In a non-limiting example, the mesh crossbar gap (e.g., pore size) of 1-15 μm, and a crossbar thickness of 2-20 μm. The mesh can include gold. An electroactive polymer (e.g., polypyrrole) can be deposited on the mesh to form a mesh microvalve 1620. The mesh can be roughened to better retain the electroactive polymer. The mesh can be adhered (e.g., epoxied) to the tubular body 1610 to cover a port 1640. The microvalves 1620 can be coupled to interconnects to provide independent control of the microvalves. In some variations, a single substrate is formed that contains the microvalves (e.g., movable flaps or mesh), electrode sites, and associated electrical conductors. The substrate may be a sheet of thin-film material and the components of the substrate can be formed using microfabrication techniques, such as techniques used to form semiconductor devices or MEMS for example. The tubular body can be formed to include ports that correspond to the placement of the microvalves. The single substrate can then be placed (e.g., adhered) to the tubular body.
As described previously herein in regard to
The systems and devices described herein provide for highly controllable and therefore precisely targeted drug delivery. A therapeutic agent or agents can be delivered to the central nervous system with precise spatial or regional selection, and can deliver the therapeutic agent(s) at appropriate dosage levels over an appropriate amount of time.
Example 1 can include subject matter (such as an apparatus or device) comprising a tubular body having a lumen and a distal region, a plurality of ports at the distal region of the tubular body, and a plurality of independently gatable microvalves disposed at the plurality of ports. A port extends from internal to the lumen to outside the tubular body, and a gatable microvalve is controllable by a stimulus to provide and prevent fluidic transfer through the ports.
In Example 2, the subject matter of Example 1 optionally includes a gatable microvalve controllable by an electrical stimulus to provide and prevent fluidic transfer through the ports.
In Example 3, the subject matter of Example 2 optionally includes a gatable microvalve that includes a movable valve flap configured to controllably provide and prevent fluidic transfer through a port. The movable valve flap includes a polymer material configured to actuate according to an electrical signal.
In Example 4, the subject matter of Example 3 optionally includes a movable valve flap that covers the port on a side of the port internal to the lumen.
In Example 5, the subject matter of Example 3 optionally includes a movable valve flap that covers the port on a side of the port external to the tubular body.
In Example 6, the subject matter of one or any combination of Examples 3-5 optionally includes a valve actuator cavity that is deformable in response to the electrical signal. The optional deforming of the valve actuator cavity changes a state of the movable valve flap from a closed mode to an open mode or from the open mode to the closed mode.
In Example 7, the subject matter of Example 6 optionally includes a valve actuator cavity that includes an electrolyte solution.
In Example 8, the subject matter of one or any combination of Examples 3-7 optionally includes a gatable microvalve that includes a shape memory alloy configured to change a state of the movable valve flap from a closed mode to an open mode or from the open mode to the closed mode according to the electrical signal.
In Example 9, the subject matter of one or any combination of Examples 3-8 optionally includes a gatable microvalve that includes a shape memory alloy and a valve actuator cavity that is deformable in response to an electrical signal applied to the shape memory alloy. The optional deforming of the valve actuator cavity changes a state of the movable valve flap from a closed mode to an open mode or from the open mode to the closed mode.
In Example 10, the subject matter of one or any combination of Examples 3-9 optionally includes a microvalve having an electroactive polymer coupled to the movable valve flap and configured for one or both of expanding and contracting according to an electrical signal. The one or both of expanding and contracting changes a state of the movable flap from a closed mode to an open mode or from the open mode to the closed mode according to the electrical signal.
In Example 11, the subject matter of one or any combination of Examples 3-10 optionally includes a tubular body that includes a thin-film polymer, a plurality of ports include apertures in the thin-film polymer, and movable valve flaps of the plurality of gatable microvalves that include one or more layers of thin-film polymer.
In Example 12, the subject matter of one or any combination of Examples 2-11 optionally includes a gatable microvalve that includes an electroactive polymer configured for one or both of expanding and contracting according to an electrical signal. The optional one or both of expanding and contracting controllably provides and prevents fluidic transfer through a port.
In Example 13, the subject matter of Example 12 optionally includes an electroactive polymer included in a mesh covering the port.
In Example 14, the subject matter of Example 1 optionally includes a gatable microvalve controllable through a temperature stimulus to provide and prevent fluidic transfer through the ports.
In Example 15, the subject matter of one or any combination of Examples 1-14 optionally includes one or more electrodes in the region of the plurality of ports.
Example 16 can include subject matter (such as a method, a means for performing acts, or a machine-readable medium including instructions that, when performed by the machine, cause the machine to perform acts), or can optionally be combined with the subject matter of one or any combination of Examples 1-15 to include such subject matter comprising forming a tubular body having a lumen, forming a plurality of ports at a distal region of the tubular body, and disposing a plurality of independently gatable microvalves at the plurality of ports. A port extends from internal to the lumen to outside the tubular body, and a gatable microvalve is controllable by a stimulus to provide and prevent fluidic transfer through the ports.
In Example 17, the subject matter of Example 16 optionally includes rolling a sheet of a thin-film polymer to form the tubular body, forming a plurality of apertures in the sheet of the thin-film polymer, and forming movable valve flaps as layers of the thin-film polymer sheet.
In Example 18, the subject matter of Example 17 optionally includes forming the movable valve flaps to be internal to the lumen.
In Example 19, the subject matter of Example 17 optionally includes forming the movable valve flaps to be external to the tubular body.
In Example 20, the subject matter of one or any combination of Examples 17-19 optionally includes depositing a shape memory alloy onto the movable valve flaps.
In Example 21, the subject matter of one or any combination of Examples 17-20 optionally includes forming one or more electrodes and electrical interconnect to the one or more electrodes in the thin-film polymer sheet.
In Example 22, the subject matter of Example 16 optionally includes forming a mesh using a microfabrication process, depositing an electro-active polymer onto the mesh, and adhering the mesh to the tubular body to cover a port.
In Example 23, the subject matter of any one or a combination of Examples 16-22 optionally includes forming the tubular body using flexible material, and forming a second lumen with the tubular body. The second lumen can be configured to receive a stylet.
In Example 24, the subject matter of one or any combination of Examples 16-23 optionally includes disposing a plurality of independently gatable microvalves that are controllable by at least one of an electrical stimulus or a temperature stimulus.
In Example 25, the subject matter of one or any combination of Examples 16, 19-21, 23, and 24 includes forming movable flaps in a single thin-film sheet onto the tubular body, and placing the single thin-film sheet onto the tubular body.
Example 26 includes subject matter (such as system), or can optionally be combined with the subject matter of one or any combination of Examples 1-7 to include such subject matter, comprising a tubular body, a plurality of ports, a plurality of independently gatable microvalves disposed at the plurality of ports, a plurality of electrical conductors, and a control subsystem. The tubular body has a lumen, a distal region, and a proximal end, and the ports are located at the distal region of the tubular body. A port extends from inside the lumen to outside the tubular body and a microvalve is electrically controllable to provide and prevent fluidic transfer through the ports. The electrical conductors are electrically coupled to the microvalves and extend to the proximal end of the tubular body. The control subsystem is electrically coupled to the electrical conductors and is configured to provide independent control of the microvalves.
In Example 27, the subject matter of Example 26 optionally includes one or more electrodes in the region of the plurality of ports, wherein the control subsystem is configured to provide electrical stimulation energy to the one or more electrodes.
In Example 28, the subject matter of one or any combination of Examples 26 and 27 optionally includes one or more electrodes in the region of the plurality of ports, wherein the control subsystem is configured to record at least one neural signal sensed using the one or more electrodes.
In Example 29, the subject matter of one or any combination of Examples 26-28 optionally includes a microvalve having a movable valve flap configured to controllably provide and prevent fluidic transfer through a port. The movable valve flap optionally includes a polymer material configured to actuate according to an electrical signal.
In Example 30, the subject matter of one or any combination of Examples 26-30 optionally includes a lumen configured to receive fluid from a reservoir. The subject matter also includes a gatable microvalve including an electroactive polymer configured for one or both of expanding and contracting according to an electrical signal. The one or both of the expanding and contracting controllably provides and prevents fluidic transfer through a port.
These non-limiting examples can be combined in any permutation or combination.
The above detailed description includes references to the accompanying drawings, which form a part of the detailed description. The drawings show, by way of illustration, specific embodiments in which the invention can be practiced. These embodiments are also referred to herein as “examples.” All publications, patents, and patent documents referred to in this document are incorporated by reference herein in their entirety, as though individually incorporated by reference. In the event of inconsistent usages between this document and those documents so incorporated by reference, the usage in the incorporated reference(s) should be considered supplementary to that of this document; for irreconcilable inconsistencies, the usage in this document controls.
In this document, the terms “a” or “an” are used, as is common in patent documents, to include one or more than one, independent of any other instances or usages of “at least one” or “one or more.” In this document, the term “or” is used to refer to a nonexclusive or, such that “A or B” includes “A but not B,” “B but not A,” and “A and B,” unless otherwise indicated. In the appended claims, the terms “including” and “in which” are used as the plain-English equivalents of the respective terms “comprising” and “wherein.” Also, in the following claims, the terms “including” and “comprising” are open-ended, that is, a system, device, article, or process that includes elements in addition to those listed after such a term in a claim are still deemed to fall within the scope of that claim. Moreover, in the following claims, the terms “first,” “second,” and “third,” etc. are used merely as labels, and are not intended to impose numerical requirements on their objects.
Method examples described herein can be machine or computer-implemented at least in part. Some examples can include a computer-readable medium or machine-readable medium encoded with instructions operable to configure an electronic device to perform methods as described in the above examples. An implementation of such methods can include code, such as microcode, assembly language code, a higher-level language code, or the like. Such code can include computer readable instructions for performing various methods. The code can form portions of computer program products. Further, the code can be tangibly stored on one or more volatile or non-volatile computer-readable media during execution or at other times. These computer-readable media can include, but are not limited to, hard disks, removable magnetic disks, removable optical disks (e.g., compact disks and digital video disks), magnetic cassettes, memory cards or sticks, random access memories (RAM's), read only memories (ROM's), and the like.
The above description is intended to be illustrative, and not restrictive. For example, the above-described examples (or one or more aspects thereof) may be used in combination with each other. Other embodiments can be used, such as by one of ordinary skill in the art upon reviewing the above description. The Abstract is provided to comply with 37 C.F.R. §1.72(b), to allow the reader to quickly ascertain the nature of the technical disclosure. It is submitted with the understanding that it will not be used to interpret or limit the scope or meaning of the claims. Also, in the above Detailed Description, various features may be grouped together to streamline the disclosure. This should not be interpreted as intending that an unclaimed disclosed feature is essential to any claim. Rather, inventive subject matter may lie in less than all features of a particular disclosed embodiment. Thus, the following claims are hereby incorporated into the Detailed Description, with each claim standing on its own as a separate embodiment. The scope of the invention should be determined with reference to the appended claims, along with the full scope of equivalents to which such claims are entitled.
This application claims the benefit of priority under 35 U.S.C. §119(e) of Hewitt et al., U.S. Provisional Patent Application Ser. No. 61/511,353, filed Jul. 25, 2011, which is incorporated by reference herein in its entirety.
Number | Date | Country | |
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61511353 | Jul 2011 | US |