Injection of a liquid such as a drug into a human patient or an agriculture animal is performed in a number of ways. One of the easiest methods for drug delivery is through the skin, which is the outermost protective layer of the body. It is composed of the epidermis, including the stratum corneum, the stratum granulosum, the stratum spinosum, and the stratum basale, and the dermis, containing, among other things, the capillary layer. The stratum corneum is a tough, scaly layer made of dead cell tissue. It extends around 10-20 microns from the skin surface and has no blood supply. Because of the density of this layer of cells, moving compounds across the skin, either into or out of the body, can be very difficult.
The current technology for delivering local pharmaceuticals through the skin includes methods that use needles or other skin piercing devices. Invasive procedures, such as use of needles or lances, effectively overcome the barrier function of the stratum corneum. However, these methods suffer from several major disadvantages: local skin damage, bleeding, risk of infection at the injection site, and creation of contaminated needles or lances that must be disposed of. Further, when these devices are used to inject drugs in agriculture animals, the needles break off from time to time and remain embedded in the animal.
Thus, it would be advantageous to be able to inject small, precise volumes of pharmaceuticals quickly through the skin without the potential of a needle breaking off in the animal.
The present invention relates to methods and devices for transferring a substance across a surface of a biological body. In some embodiments, a needle-free transdermal transport device includes a reservoir for storing a substance. Also the device includes a nozzle, which is in fluid communication with the reservoir. The nozzle is adapted to be pressed against and depress without piercing, the surface of the biological body. The nozzle includes a lateral aperture through which the substance is laterally injected. The device also includes an actuator, which is in communication with the reservoir. The actuator is adapted to generate a pressure within the reservoir when activated, thereby inducing injection of the substance laterally through the aperture into the biological body by piercing the surface of the biological body.
The actuator may be any suitable type of actuator. For example, the actuator can be a linear actuator. The actuator can also be an electromagnetic actuator, such as a Lorentz force actuator, which comprises a magnetic force used to generate pressure within the reservoir. Other types of actuators such as spring loaded actuators, shape memory actuators, electric motor actuators, and gas generation actuators can also be used with the device. The actuator can be controllable during an actuation in order to vary the pressure applied within the reservoir.
The nozzle includes a tube with a closed end having apertures through the side of the tube. The tube can be closed with a plug having an inner surface that directs flow to the apertures. The nozzle can include a plurality of lateral apertures. This allows the transferring of the substance to a preferred region of the body. The nozzle is adapted to produce a shallow injection with respect to a surface, when the axis of the nozzle is perpendicularly aligned with a surface of the body. A retractable shroud can be in communication with the nozzle.
The disclosure is further directed to a method for transdermally transferring a substance across a surface of a body. The steps include pressing a nozzle in fluid communication with a reservoir, into the surface of the body and depressing without piercing, the surface of the body. Next, an actuator in communication with the reservoir is activated to generate a pressure within the reservoir. Finally, the substance is injecting through a laterally directed aperture in the nozzle to induce a lateral, needle-free injection of the substance.
The substance can be injected through a plurality of lateral apertures in the nozzle. Also, the substance can be injected into a single layer under the surface of the body. The substance can also be injected into a plane defined between different layers of the surface of the body.
The disclosure is also directed to a method of manufacturing a nozzle, which is adapted to non-axially transfer a substance to a surface of a body. The steps include first providing an elongated member defining a central lumen. Next, one end of the elongated member is positioned such that it is in close proximity with an Electro Spark Discharge (ESD) wire. Finally, the ESD wire is energized to vaporize the end of the elongated member, thereby forming a non-axial aperture that is adapted to transfer the substance to the surface of the biological body.
In order to form an elliptical aperture on the elongated member, a linear ESD wire is used during vaporization. A preferred orientation of a major axis of the elliptical aperture can be obtained by controlling the alignment of the ESD wire and the elongated member. If a plurality of apertures is desired, different portions of the end of the elongated member can be repeatedly vaporized with an ESD to form an array of apertures.
The foregoing and other objects, features and advantages of the invention will be apparent from the following more particular description of preferred embodiments of the invention, as illustrated in the accompanying drawings in which like reference characters refer to the same parts throughout the different views. The drawings are not necessarily to scale, emphasis instead being placed upon illustrating the principles of the invention.
A description of preferred embodiments of the invention follows.
A transdermal transport device, or injection device, is configured to transfer a substance across a surface of a biological body. Injection devices include devices having one or more needles configured to pierce the skin prior to injection of the substance (e.g., typical hypodermic needle). Other injection devices are configured to inject a substance beneath the skin without first piercing the skin with a needle (i.e., needle-free). It should be noted that the term needle-free as used herein refers to devices that inject without first piercing the skin using a needle. Thus, needle-free devices may include a needle, but the needle is not used to first pierce the skin. Some needle-free injection devices rely on a pioneer projectile ejected from the device to first pierce the skin. Other needle-free injection devices rely on pressure provided by the drug itself.
Injection devices generally include a reservoir or chamber for storing a substance to be injected (e.g., a drug). Injection devices also include a distal port through which the drug can be expelled to enter the body. The reservoir is typically in fluid communication with the distal port through a lumen. In operation, a pressure is applied to the reservoir forcing the drug through the lumen and out of the distal port. For needle-free applications, the distal port generally forms a nozzle through which the drug is expelled, forming a jet. The velocity of the jet can be sufficient to pierce the outer-most layer of skin and to penetrate the body to a desired depth. Further details on needle-free injection devices can be found in the U.S. Application titled “Controlled Needle-Free Transport”, filed concurrently on Feb. 10, 2006, claiming the benefit of U.S. Provisional Application No. 60/652,483 filed on Feb. 11, 2005, and incorporated herein by reference in their entirety.
A reservoir 110 is in fluid communication with the nozzle 115 through an axial lumen 142 along a longitudinal axis of the nozzle 115, the axial lumen 142 being part of the nozzle 115. The reservoir 110 holds the substance 135 to be injected. Alternatively, any suitable means of holding the substance 135 can be used, such as a chamber, a syringe, or an expandable bellows chamber. The surface injection device 100 also includes a piston or plunger 130, which is in communication with the reservoir 110.
The surface injection device 100 further includes an actuator 105. The actuator 105, when activated is adapted to advance the piston 130 distally, such that a sufficient amount of pressure is applied to the substance 135 within the reservoir 110. When the actuator 105 is inactivated, the piston 130 can be drawn to its original inactive position, or remain fixed at its current position. The actuator 105 may be, for example, a linear actuator, an electromagnetic actuator such as a Lorentz Force actuator, a shape memory alloy actuator, a spring loaded actuator, a gas generation actuator, or any suitable actuator to actuate the piston 130 to apply sufficient pressure to expel the substance 135 from the reservoir 110.
The substance 135 can flow from the reservoir 110 through the axial lumen 142 into the nozzle 115. The nozzle 115 also includes non-axial lumens 144. The non-axial lumens 144 are in fluid communication with and connect the axial lumen 142 to the lateral apertures 145. Alternatively, an axial lumen 142 may not be included, and the distal end of the reservoir 110 may be directly connected to the non-axial lumens 142.
The surface injection device 100 may include a power source 125. The power source 125 may be, for example, a battery, a storage capacitor, a connection to an electrical supply line, or any power source capable of providing sufficient activation power to operate the surface injection device 100. In some embodiments, the surface injection device 100 also includes a controller 120. The controller 120 may be user controlled. In one embodiment, the controller 120 is a simple switch that may be manually operated by a user, for example a push button. Alternatively, the controller 120 may be automatically operated. The controller 120 may control current flow from the power source 125 to the actuator 105.
In other embodiments, the controller 120 may allow actuation only when certain parameters are met. For example, the controller 120 could initiate an injection only if enough energy remains in the power source 125 to conclude the injection.
Alternatively or in addition, the controller 120 may be configured to determine adequate dosage of the substance 135 to be delivered, based on certain parameters. The parameters, for example, can include stored values, such as an expiration date code of the drug, or information obtained from a remote source. The surface injection device 100 may, for example, be equipped with a communications interface, which interrogates a subject prior to injection. Alternatively or in addition, the surface injector 100 may query a remote database to determine parameters regarding application or dosage, and the controller 120 may initiate activation based on the parameters. In still other embodiments, the controller 120 can include a servo-controller that incorporates feedback. For example, the controller 120 may receive output of a force transducer suitably placed to sense the force being applied to the substance stored in the reservoir 110. When the skin is penetrated, there may be a sudden fluctuation in the sensed force as the pressure within the reservoir 110 varies. That fluctuation in pressure may be provided to the controller 120 and used to alter the applied current (i.e., the force) thereby transitioning from a piercing phase requiring a higher current, to a delivery phase requiring a lower current. The controller 120 may perform a variety of suitable operations, all of which are within the scope of this invention.
In operation, a substance 135 is first loaded into the reservoir 110. The substance 135 can be loaded into the reservoir 110 by coupling an inlet port to the reservoir 110 through a valve, which when opened, allows the substance 135 to flow into the reservoir 110. Alternatively, the substance 135 can simply be drawn into the nozzle 115. The reservoir 110 may also be a replaceable reservoir 110 with a preloaded substance. The substance 135 can be loaded into the reservoir 110 by any suitable means.
The surface injection device 100 is positioned on the surface of the biological body. The controller 120 is then activated either by a user or automatically to initiate the injection process. Once the controller 120 initiates the process, the actuator 105 is activated. The actuator 105 causes the piston 130 to advance distally. The piston 130, therefore, applies pressure to the substance 135 within the reservoir 110, causing the substance 135 to flow at a sufficient velocity through the axial lumen 142 connecting the reservoir 110 and the nozzle 115. Once the substance flows through the axial lumen 142, it is directed to flow through the non-axial lumen 144. The non-axial lumen 144 directs the substance 135 through a lateral aperture or apertures 145 disposed on the nozzle 115, and transfers it non-axially to the surface of the biological body. The surface of the biological body is pierced by the velocity of the expelled substance 135, and the substance 135 is non-invasively delivered through the piercing. The controller 120 is then inactivated, because the delivery of the substance 135 is complete. Alternatively, the surface injection device 100 can be used to draw a substance from a biological body, as opposed to injecting a substance into a biological body.
Details of the lateral apertures 145 on the nozzle 115 are shown in
An array of eight uniformly distributed apertures 145 is shown in
In one embodiment, the surface injection device 100 can be used to make very shallow injections within the surface of the biological body. As shown in
As shown in
As described in
Beneficially, the angle of the apertures 145 can be varied with respect to the longitudinal axis of the nozzle 115 during manufacture. For example, if a deeper injection is desired, the apertures 145 can be positioned at a smaller or acute angle with respect to the longitudinal axis 210 of the nozzle 115. This would result in the injection being made substantially perpendicular to the skin's surface and would thus result in a deeper injection of the substance 135.
Alternatively, or in addition, the surface injection device 100 can include more than one nozzle 115 as shown in
Needle-free injectors have commonly been directed to inject perpendicularly into the skin surface. By injecting the substance 135 through laterally directed apertures 145, a wider distribution of the substance 135 can occur. Additionally, a significant volume of the substance 135 can be kept closer to the surface, thus producing shallower injections, as shown in
The skin has three main layers. The top most layer is the epidermis 610, which is translucent. The epidermis includes the stratum corneum, the stratum granulosum, the stratum spinosum, and the stratum basale, and the dermis, containing, among other things, the capillary layer. The stratum corneum 650 is a tough, scaly layer made of dead cell tissue. It extends around 10-20 microns from the skin surface and has no blood supply. Because of the density of this layer of cells, moving compounds across the skin, either into or out of the body, can be very difficult. The second later is dermis 620, which contains blood vessels, nerves, hair roots and sweat glands. Below the dermis lies a layer of fat, the subcutaneous fat 630. The subcutaneous fat lies on the muscles 640 and bones, to which the whole skin structure is attached by connective tissues.
The surface injector 100 can deliver the substance to whichever layer of the skin is desired, by simply varying the angle of the apertures 145 with respect to the longitudinal axis of the nozzle 115. By knowing the thickness of each layer, the surface injector 100 can be manipulated to inject the appropriate layer. This can be done as stated, by either varying the angle of apertures 145, by varying the depth that the nozzle 115 is pressed within the skin surface, or by a combination of these factors.
Alternatively, or in addition, the surface injector 100 can be used to apply the substance 135 selectively between layers of the skin and beneath the skin. For example, as shown here, the injection is being made in a plane between the epidermis 610 and the dermis 620. Beneficially, this allows the substance 135 to spread into both layers.
By delivering the substance 135 into a plane at a desired depth beneath the skin surface of a biological body, the surface injector 100 has commercial applications for treating conditions of the skin and selective layers of tissue beneath the skin. For example, the surface injection device 100 can be used to inject a collagenese enzyme mix into sheep to eliminate blow-fly strike disease—a particularly vexing problem to the merino sheep in Australia. The collagenese enzyme breaks down tissues beneath the skin to reduce or eliminate folds within the skin that are particularly susceptible to the blow fly parasite. Other applications include a similar injection of a collagenese enzyme mix into burn patients to aid in reducing the effects of scarring.
As shown in
For example, the shroud 710 can include complementary apertures corresponding to the one or more apertures 145 of the nozzle 115. In a first position, the one or more apertures 145 of the nozzle 115 are covered by the shroud 710. When rotated, the complementary apertures of the shroud 710 are brought into at least partial alignment with the one or more apertures 145 of the nozzle 115 to expose at least a portion of the apertures 145. Shapes and/or alignments of the complimentary apertures can be used in combination with shapes and/or alignments of the one or more apertures 145 of the nozzle 115 to control dimensions of one or more resulting apertures defined by the overlapping of both apertures.
The shroud 710 can include a distal flange or protective sleeve 720 adapted to engage the skin surface surrounding an injection site. When the protective sleeve 720 is advanced to a position at which it abuts the skin surface, the shroud 710 is inhibited from further advancement by the skin surface. With the nozzle 115 slideably engaged with the shroud 710, the nozzle 115 may be advanced further beyond the end of the protective sleeve 720. Thus, apertures provided within the nozzle 115 that are initially covered by the shroud 710 and/or the protective sleeve 720, can be exposed by sliding the nozzle 115 beyond the end of the protective sleeve 720.
The shroud 710, may for example, be spring loaded, thus allowing the retraction of the shroud 710 when the protective sleeve 720 comes in contact with the skin. Alternatively, any suitable means for allowing facilitated retraction may be used with the shroud 710.
Additionally, the protective sleeve 720 can form a skin-surface reference plane useful for controlling a depth of advancement of the nozzle 115. For example, the surface injection device 100 can include a stopping means that inhibits further advancement of the nozzle 115 beyond a predetermined distance measured relative to the end of the protective sleeve 720.
Alternatively or in addition, the surface injection device 100 can include a position sensor for sensing the position of the nozzle 115 relative to the end of the protective sleeve 720. For example, the positioning sensor can be placed such that it measures the displacement of the proximal end of the shroud 710 with respect to the nozzle 115. Thus, prior to nozzle 115 being advanced into the skin of the biological body, the proximal end of the shroud 710 would be at a position P1. When the nozzle 115 is pressed into the skin, the shroud 710 would retract as a result of the contact of the skin with the protective sleeve 720. The proximal end of the shroud 710 would thus be retracted to a position P2. The position sensor could measure the distance between P I and P2. The distance would indicate the depth or advancement of the nozzle 115 within the skin.
Alternatively, a position sensor may not be necessary. The nozzle 115 could simply be marked with measurement graduations to measure the displacement of the shroud. For example, graduations can be marked on the proximal end of the nozzle 115 to measure positions PI and P2 as previously described. Any suitable position/distance measuring mechanism can optionally be incorporated with the shroud 710, the protective sleeve 720, the nozzle 115, or any part of the surface injection device 100.
As described with respect to
Alternatively, the actuator 105 may be an electric motor actuator. Therefore, the electric motor actuator could be activated to advance the piston 130 distally. Activation power for the electric motor can be provided by the optional power source 125.
Gas generator actuators may also be used, in which a high pressured gas is used to activate the actuator 105. For example, the actuator 105 may include an expandable reservoir 110 in communication with the piston 130, which expands with a high pressure gas, thus advancing the piston 130. Alternatively, a squib type gas actuator may be used. A squib type actuator, can cause an explosion which is used to generate a pressurized gas in order to advance the piston 130.
Alternatively, an electromagnetic actuator 810 can be used as shown in
As shown here, the electromagnetic impulse pressure actuator 820 is coupled to an expandable bellows chamber 830. A current into the coil 820 provided by a power source 825, causes movement of the coil 820 in the direction of Arrow A. The current induced within the coil 820 in the presence of the magnetic field due to presence of a magnet 840, results in the generation of a proportional force directed perpendicular to both the magnetic field and the coil 820, as indicated by the Arrow A. Thus, the actuator 820 either compresses or expands the bellows chamber 830, depending upon the direction of the current. The nozzle 115 is in fluid communication with the bellows chamber 830 such that a formulation stored within the bellows chamber 830 is forced through the apertures 145 of the nozzle when the bellows 830 is compressed. Operation of the electromagnetic actuator 810 is both controllable and highly predictable given the physical properties of the electromagnetic actuator 810 and the input electrical current.
As described with respect to
For example, a first high-pressure is initially provided to the formulation to penetrate the outer surface layer of a biological body. Once the skin is penetrated, the pressure is reduced to a second, lower pressure for the remainder of the injection. The servo-controller can be used to determine when the skin is penetrated by sensing a change in pressure within the chamber and to adjust the injection pressure accordingly, by controlling the amplitude of electrical current driving the controllable electromagnetic actuator 810.
An alternative type of actuator is shown in
In the presently discussed embodiment, the piston 930 and a tapered section 960 are permanent magnets such that the facing surfaces of the tapered section 960 and the end section 970 are oppositely polarized. When the potential is removed from shape memory fibers 920, the fibers relax thus allowing the piston 930 to be drawn to the tapered section 960, thus completing an injection cycle.
An alternative embodiment of the surface injection device 100 used with a shape memory type actuator is shown in
In addition to the contact plates 1024 and 1026, the actuator includes one to six or more wires 1030 positioned about the tube 1016 and parallel to one another. One of each wire 1030 is attached to the contact plate 1024. The contact plates 1024 and 1026 are electrically conductive.
The wires 1030 are made of a suitable material that contracts when heated and can be used as an actuation method, such as a shape memory alloy, as described in
A method of manufacturing the nozzle 115 of the surface injection device 100 is shown in
The ESD 1210 wire is then energized by an electrical source 1230, creating an arc across the gap 1220. Thus, the gap 1220 acts like a spark gap, causing a proximate portion of an end of the elongated member 1120 to vaporize. Preferably, enough of the elongated member 1120 is vaporized to form an aperture 145 between the exterior and the central lumen 1110. A linear ESD wire can thus form an elliptical aperture 145 in the elongated member 1120.
A preferred orientation of the major axis of the ellipse can be obtained by controlling the alignment of the ESD wire and the tube. The process can be repeated around the perimeter of the elongated member 1120 thereby forming an array. A similar method of manufacture can be used to form apertures 145 in a shroud, as previously described. Exemplary nozzles including 6, 8, and 12 aperture arrays are shown in
As shown in
Preferably, any of the embodiments of the surface injection device 100 described herein can be configured in a portable configuration. For example, portable injection device can be configured as a handheld device as shown in
While this invention has been particularly shown and described with references to preferred embodiments thereof, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the scope of the invention encompassed by the appended claims.
This application claims the benefit of U.S. Provisional Application No. 60/652,483 filed on Feb. 11, 2005. The entire teachings of the application are incorporated herein by reference.
Number | Date | Country | |
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60652483 | Feb 2005 | US |