U.S. patent application number 11/625471 was filed with the patent office on 2007-05-24 for device for manipulating a needle or abrader array and method of use.
Invention is credited to John D. Evans, Frank E. Martin.
Application Number | 20070118073 11/625471 |
Document ID | / |
Family ID | 23144859 |
Filed Date | 2007-05-24 |
United States Patent
Application |
20070118073 |
Kind Code |
A1 |
Martin; Frank E. ; et
al. |
May 24, 2007 |
DEVICE FOR MANIPULATING A NEEDLE OR ABRADER ARRAY AND METHOD OF
USE
Abstract
The present invention relates to an apparatus and method for
intradermally administering a pharmaceutical composition or other
substance into and through the skin of a mammalian body in a manner
that avoids or eliminates excess pain and discomfort normally
caused as a result of the microabraders or microneedles entering
the epithelial layers beneath the stratum corneum. In a preferred
embodiment, the apparatus is a microdevice with an array of
microabraders or microneedles with a manipulating member.
Inventors: |
Martin; Frank E.; (Durham,
SD) ; Evans; John D.; (Los Angeles, CA) |
Correspondence
Address: |
DAVID W. HIGHET, VP AND CHIEF IP COUNSEL;BECTON, DICKINSON AND COMPANY
1 BECTON DRIVE, MC 110
FRANKLIN LAKES
NJ
07417-1880
US
|
Family ID: |
23144859 |
Appl. No.: |
11/625471 |
Filed: |
January 22, 2007 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
|
|
10163383 |
Jun 7, 2002 |
7186235 |
|
|
11625471 |
Jan 22, 2007 |
|
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60297101 |
Jun 8, 2001 |
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Current U.S.
Class: |
604/46 ; 604/185;
604/506; 606/186 |
Current CPC
Class: |
A61M 2037/0023 20130101;
A61M 2037/003 20130101; A61M 37/0015 20130101; A61B 17/205
20130101; A61M 2037/0038 20130101 |
Class at
Publication: |
604/046 ;
604/506; 604/185; 606/186 |
International
Class: |
A61B 17/20 20060101
A61B017/20; A61M 5/178 20060101 A61M005/178; A61B 17/34 20060101
A61B017/34; A61M 31/00 20060101 A61M031/00; A61M 37/00 20060101
A61M037/00 |
Claims
1. A device for administering a substance to a mammal, said device
comprising: a top wall; a bottom wall spaced apart from said top
wall and having a substantially planar outer surface; a plurality
of projecting structures extending outwardly from said
substantially planar surface; side walls joining said top wall and
said bottom wall, said top wall, bottom wall and side walls
defining a reservoir for said substance to be delivered; a device
manipulating member attached to at least one wall selected from
said side walls, said top wall and combinations thereof and
extending outward therefrom, said manipulating member having a
dimension sufficient to grip and control said device; at least one
passageway in fluid communication with said reservoir and; a
rupturable membrane adjacent said at least one passageway, wherein
said at least one wall is deformable.
2. A device for delivering a substance to a mammal, comprising: a
top wall; a bottom wall spaced apart from said top wall and having
a substantially planar outer surface; projecting structures
extending outward from said substantially planar surface; side
walls joining said top wall and said bottom wall, said top wall,
bottom wall and side walls defining a reservoir for said substance
to be delivered; a finger-cup attached to at least one wall
selected from said side walls, said top wall and combinations
thereof; at least one passageway in fluid communication with said
reservoir, wherein said at least one wall is deformable.
3. The device of claim 2, wherein said finger-cup is made from an
elastic material.
4. The device of claim 2, wherein said finger-cup is dimensioned to
accommodate at least one finger of a user's hand.
5. The device of claim 2, wherein said projecting structures
comprise an array of microneedles.
6. The device of claim 2, wherein said at least one passageway
passes through each of said projecting structures.
7. The device of claim 2, wherein said projecting structures are
substantially solid and said at least one passageway is in fluid
communication with said substantially planar surface.
8. The device of claim 2, wherein said at least one passageway is
in fluid communication with said projecting structures.
9. The device of claim 2, wherein said microneedles have a length
of about 10 microns to about 1.5 mm.
10. The device of claim 9, wherein said microneedles have a length
of about 100 microns to about 250 microns.
11. A method of delivering a substance to a mammal comprising the
steps of: placing a microdevice in contact with the skin of a
mammal, wherein said microdevice comprises a substantially planar
surface having a plurality of projecting structures extending
outwardly therefrom, a top wall spaced apart from said planar
surface, side walls joining said top wall and said planar surface
to define a reservoir containing a substance, a finger-cup coupled
to said top surface and dimensioned to receive at least one finger
of a user, and is attached to at least one walls selected from said
side walls, said top wall and combinations thereof, at least one
passageway in fluid communication with said reservoir, wherein said
at least one wall is deformable; applying sufficient force to said
microdevice to cause said projecting structures to penetrate the
stratum corneum layer of said skin; and applying sufficient
internal pressure to said substance in said reservoir thereby
dispensing said substance from said reservoir to said projecting
structures and delivering said substance below the stratum corneum
layer of the skin, wherein said internal pressure is generated by
deforming a portion of said microdevice wherein said portion is
selected from said at least one wall, said manipulating member and
combinations thereof.
12. The method of claim 11, wherein said projections comprise an
array of microneedles having an axial passage in communication with
said reservoir.
13. The method of claim 11, wherein said projections have a length
of about 10 microns to about 1.5 mm.
14. The method of claim 11, wherein said projections have a length
of from about 80 to about 250 microns.
15. The method of claim 11, wherein said method further comprises
moving said device whereby said projecting structures abrade said
skin and penetrate into said stratum corneum.
16. The method of claim 11, wherein said manipulating member is a
handle having a dimension to grip said device.
17. The method of claim 11, wherein said top wall is made of a
flexible material and said projecting structures are hollow members
having an axial passage in communication with said reservoir, said
method comprising applying a downward pressure on said top wall to
deflect said top wall into said reservoir and to dispense said
substance from said reservoir.
18. A device for administering a substance to a mammal, said device
comprising: a top wall; a bottom wall spaced apart from said top
wall and having a substantially planar outer surface; a plurality
of projecting structures extending outwardly from said
substantially planar surface; side walls joining said top wall and
said bottom wall, said top wall, bottom wall and side walls
defining a reservoir for said substance to be delivered;
manipulating member attached to at least one wall selected from
said side walls, said top wall and combinations thereof and
extending outward therefrom, said means for manipulating having a
shape and dimension sufficient to allow a user of said device to
grip and control said device; a retaining means comprising a
rupturable membrane said substance contained in said reservoir a
means for fluid communication with said reservoir and said
plurality of projecting structures; and means for dispensing a
substance contained in said reservoir, wherein said means for
dispensing is responsive to a predetermined pressure threshold.
19. The device of claim 18, wherein said means for retaining is
responsive to said means for dispensing.
20. The device of claim 18, wherein said means for dispensing
includes a deformable manipulating member.
Description
[0001] This application is a divisional application of U.S.
application Ser. No. 10/163,383 filed Jun. 7, 2002 which claimed
priority to previously filed provisional application Ser. No.
60/297,101 filed on Jun. 8, 2001, each of which are incorporated by
reference in their entirety.
FIELD OF THE INVENTION
[0002] the invention relates to a new and useful method and
apparatus for delivering a substance to a patient. The apparatus of
the present invention includes a microabrader or microneedle device
which includes a reservoir containing a pharmaceutically active
compound for administration into a mammalian body through abrasions
or perforations in the stratum corneum layer of the epidermis.
BACKGROUND OF THE INVENTION
[0003] Transdermal, or percutaneous, administration of
pharmaceutical compounds is a known method of delivering drug
compounds, or other agents, through the skin and into the human, or
mammalian, circulatory system. The layer primarily responsible for
inhibition of agents through the skin is the stratum corneum. The
stratum corneum is a heterogeneous layer of flattened, relatively
dry keratinised cells which limits the rate at which such agents
can be administered therethrough, because of the chemical
keratin-phospholipid complex it contains. Once a compound has
penetrated the stratum corneum, which is approximately 15 microns
thick, when dry, and expands to approximately 47 microns in
thickness when fully hydrated, there remains no significant
hindrance to penetration of the remaining epidermal layers. The
remaining epithelial layers of the skin--the stratum granulosum,
the stratum malpighii and the stratum germinativum--provide little,
if any, resistance to the transmission of pharmaceutical compounds.
Accordingly, once the stratum corneum has been penetrated,
topically administered pharmaceutical agents are adsorbed through
the lower epithelial layers and are able to enter into the
circulatory system through the capillaries.
[0004] The prior art reports a variety of devices and methods for
disrupting the stratum corneum for the purpose of delivering
substances to the body. For example, breach of the stratum corneum
may be achieved by puncturing as taught in U.S. Pat. No. 5,679,647
to Carson, et al. This patent teaches that narrow diameter tines,
such as those found on devices used for tuberculin skin tests and
allergy tests, can be coated with polynucleotides or
oligonucleotides and used for delivery of such materials into the
skin. The method of using such devices involves puncturing the skin
with the types resulting in intracutaneous injection of the coated
substance.
[0005] U.S. Pat. No. 5,003,987; U.S. Pat. No. 5,879,326; and U.S.
Pat. No. 3,964,482 teach breaching the stratum corneum by
abrasion.
[0006] It is, therefore, desirable to have an article of
manufacture for transdermal drug delivery which can penetrate or
abrade the stratum corneum using micron-sized projections, with a
device for administering a pharmaceutical agent with precision and
without causing undue intrusion into the lower epithelial layers,
thereby minimizing patient discomfort or irritation.
SUMMARY OF THE INVENTION
[0007] A method and device for administering a substance to a
mammal are provided by the present invention. The device can
comprise a top or upper surface or wall, a bottom surface or wall
spaced apart from said top surface or wall. The bottom surface or
wall has a substantially planar outer surface from which a
plurality of projecting structures extend outward. One or more side
walls may join with the top and bottom walls to define in the space
between them a reservoir for a substance that is to be delivered to
the mammal. The device also comprises a manipulating member which
is attached to at least one of the walls or surfaces of the device.
The manipulating member extends outward from the surface or
surfaces of attachment and is configured so as to be allow the user
of the device to grip and control the device. The manipulating
member may also be an extension of one or more walls or surfaces of
the device and may even be molded as a single, unit body with the
device. At least one passageway also extends from the reservoir to
the projecting structures on the exterior of the device. The
passageway or passageways may also extend through the projecting
structures themselves. The device also comprises a at least one
deformable member that will exert pressure on the substance
contained in the reservoir and that deformable member may be one of
the device walls or surface, the manipulating member or
combinations thereof. In an alternate embodiment it is preferable
that the device also comprise a way of retaining the substance to
be delivered within the reservoir until sufficient pressure is
exerted upon the substance to dispense it from the reservoir.
[0008] These and other aspects of the invention will become
apparent to those skilled in the art in view of the following
detailed description of the invention and the annexed drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
[0009] The following is a brief description of the drawings in
which:
[0010] FIG. 1 is a side view in cross section of an embodiment of
the present invention showing a finger-cup attached to a
microdevice which includes an array of microneedles;
[0011] FIG. 2 is a side view in partial cross-section of the
embodiment of FIG. 1 showing a human finger inserted into the
finger-cup attached to the microdevice and an array of
microneedles;
[0012] FIG. 3 is a cross-sectional side view of another embodiment
of the present invention in which a handle extends outward from a
flexible top wall of a reservoir wherein the microdevice includes
an array of microabraders projecting outwardly from the planar
surface of the bottom wall of the microdevice;
[0013] FIG. 4 is an end view in cross-section of the device of FIG.
3;
[0014] FIG. 5 is a cross-sectional side view of another embodiment
of the present invention showing the side wall of the microdevice
extended to a length such that its exterior surface defines a
handle and the interior region created by the joining of the top
wall and bottom wall of the microdevice defines a reservoir;
[0015] FIG. 6 is an end view in cross-section of the embodiment of
FIG. 5;
[0016] FIG. 7 is a front view of another embodiment of the present
invention showing a handle coupled to a microdevice, where the
microdevice includes a top wall and a bottom wall defining a
reservoir; and
[0017] FIG. 8 is a cross-sectional side view of the embodiment of
FIG. 7 showing a microdevice with a solid handle extending
outwardly from the top wall of the microdevice.
DETAILED DESCRIPTION OF THE INVENTION
[0018] The present invention is directed to a method and device for
delivering a substance through the skin of a patient. The following
description of the invention primarily relates to drug delivery
devices.
[0019] The present invention is directed to a method and apparatus
for delivering a substance through the skin of a patient. One
aspect of the invention is directed to a device for manipulating a
microneedle or microabrading device employing micron-sized
projections, to penetrate or abrade the stratum corneum. A
microdevice according to the present invention is a device which
has a top wall and a bottom wall separated and joined by side
walls, or walls which are continues with the top wall to form a
reservoir therebetween, and a substantially planar surface on the
bottom wall with a plurality of projecting structures which can
include either micron-sized penetrating members such as
microneedles or micron-sized abrading members.
[0020] The projecting structures can range in length and width from
less than 1 micron to several hundred microns. The projecting
structures can be solid or hollow. The device may also include an
axial passageway or channel from the reservoir to the projecting
structures for conducting a substance from the reservoir to the
projecting structures where the substance can be delivered through
the stratum corneum and to the lower epithelial layers of a
patient's skin. The passageway or channels maybe singular or
multiple and may be located in or through one or more projections
or on the substantially planar surface that houses the projections.
The present invention is contemplated for use with mammalian
patients.
[0021] In one embodiment of the invention, the microdevice has an
extension to permit the manipulation of the microdevice by the
user. The extension can be a stick-like elongated manipulation
member such as a handle, finger-cup, or any other configuration
that allows the user to control and manipulate the microdevice. The
manipulation member may also contain a fluid reservoir that is
either in fluid communication with an array of microneedles or
microabraders or in communication with the internal reservoir
containing a substance to be administered. The manipulation member
is used to position the projecting structures accurately on the
patient's skin to enable the user to retain control of the device.
The manipulation member enables one to control the microdevice when
moving the array of microneedles or abrading structures in a manner
that penetrates or scores the stratum corneum while minimizing the
risk of piercing the stratum corneum and penetrating into the lower
epithelial layers and causing the patient excessive discomfort or
irritation.
[0022] A substance, such as a pharmaceutical agent, is stored in a
reservoir, it may also be stored in the handle. By squeezing and
deforming the manipulation member, the fluid in the member impinges
on the reservoir and the substance within the reservoir is forced
out through the passageways or channels and delivered into and
through the stratum corneum without having to increase the amount
of pressure against the skin. If the handle is the reservoir the
substance will be directly forced out through the passageways or
channels.
[0023] In another embodiment of the invention, the microdevice
includes a thimble-like structure or finger-cup that is comfortably
and securely fitted to a fingertip. The thimble-like element of the
device has an open end for inserting a finger and the projecting
structure at the opposite end. A reservoir is disposed with one
side in fluid communication with the projecting structures. The
opposite side, or the adjacent sides may be deformable such as by
including one or more membranes formed of resilient material to
allow the fingertip within the thimble-like structure to deform and
dispense the substance from the reservoir, by exerting pressure
against the deformable material. This allows a person to accurately
place the microdevice on the patient's skin and apply the necessary
force to penetrate the stratum corneum and assist the percutaneous
delivery of a drug composition within the reservoir, without
increasing the depth to which the microneedles or abrading
projections penetrate through the epithelial layer of the skin.
[0024] The aspects of the invention are basically attained by
providing a device for administering a substance to a patient. The
device comprises a top wall and a handle attached to the top wall
and extending outward therefrom. The handle has a dimension
sufficient to grip the device. A bottom wall is spaced apart from
the top wall and has a planar outer surface. A plurality of
projecting structures extend outwardly from the planar surface.
Side walls join the top wall and the bottom wall. The top wall,
bottom wall and side walls define a reservoir for the substance to
be delivered into and through the skin of a patient.
[0025] The aspects of the invention are also attained by providing
a device for delivering a substance through the skin of a patient.
The device comprises a top wall, a finger-cup attached to the top
wall and extending outward therefrom, and a bottom wall spaced
apart from the top wall and having a planar outer surface.
Projecting structures extend outward from the planar surface. Side
walls join the top wall and the bottom wall. The top wall, bottom
wall and side walls define a reservoir for the substance to be
delivered to a patient.
[0026] The aspects of the invention are further attained by
providing a method of delivering a substance through the skin of a
patient. A microdevice is placed in contact with the skin of a
patient. The microdevice comprises a planar surface having a
plurality of projecting structures extending outwardly therefrom. A
top wall is spaced apart from the planar surface. Side walls join
the top wall and the planar surface to define a reservoir
containing a substance. A manipulating member is attached to the
top wall. A sufficient force is applied to the microdevice to cause
the projecting structures to penetrate the stratum corneum layer of
the skin. The substance is dispensed from the reservoir to the
projecting structures and the substance is delivered below the
stratum corneum layer of the skin.
[0027] The present invention relates to a microdevice with a
structure for gripping or holding the microdevice during use. The
microdevice of the present invention enables the person using the
device to accurately and conveniently position and operate the
microdevice, while reducing the possibility of causing penetration
of the epithelial layers of the skin below the stratum corneum. By
constructing a microdevice to enable greater control over its
placement and operation, the stratum corneum can be abraded or
pierced without the need for the application of excess pressure to
the microdevice. By reducing the amount of pressure applied to the
microdevice, the microneedles or microabraders of the microdevice
when appropriately sized will penetrate the epithelial layer to a
depth no greater than is necessary to deliver a substance below the
stratum corneum without causing unintentional abrasion or
penetration of the lower epithelial layers, thereby reducing
patient irritation and discomfort.
[0028] In yet other embodiments of the invention the features of
the device that are useful for delivering the substance from the
reservoir are configured so that only at a predetermined pressure
threshold is the delivery of the substance from the reservoir
accomplished. In an embodiment with a deformable manipulating
member, for example, that member will only deform, not under the
forces or pressures encountered during manipulation of the device
but at some higher threshold. In another example, such a pressure
sensitive threshold could be set by use of a substance retaining
membrane or a plug in the fluid passageway that would only rupture
or be displaced at a pressure threshold greater than the pressure
the substance will encounter during manipulation of the device.
[0029] In accordance with the invention and with respect to the
drawing figures, a first embodiment of the present invention is a
microdevice 10 as shown in FIG. 1 includes a body 12 which has a
top wall 20 and a bottom wall 30 spaced apart from the top wall 20
and joined by side walls 32. The interior region created by the
intersection of the top wall 20, bottom wall 30 and side walls 32
defines a reservoir 40 for storing a substance 42 to be delivered
to a patient. Typically, the substance is a pharmaceutical
composition in a liquid or other flowable form such as gel or
paste.
[0030] It is to be understood that in all of the descriptions of
the figures, top and side and bottom are used for convenience and
are not necessarily to be construed literally. For example, the
body 12 may also be made up only one, or more, wall(s) that are a
formed as a single unit body, such as for example ovoid or
circular, and enclose the reservoir without distinction between top
and side, or as part of another piece of the device.
[0031] Attached to top wall 20 and extending outwardly is a
finger-cup 50 to receive and secure to the fingertip of a person
using microdevice 10 to administer a substance to a patient. In
preferred embodiments, finger-cup 50 is an elastic thimble-like
member made of an elastic polymeric material. Finger-cup 50 is a
tubular shaped member having a side wall 52 for encircling the
finger of a user and an open top end 54. A bottom end 55 of finger
cup 50 is coupled to top wall 20. In the embodiment illustrated,
top wall 20 forms the bottom inner surface of finger cup 50. In an
alternative embodiment, finger cup 50 can have a bottom wall that
overlies top wall 20.
[0032] By securing finger-cup 50 to a finger 64, the microdevice 10
is able to be precisely maneuvered into the desired position on the
skin 56 where treatment is to be administered. For greater comfort
to the person administering treatment with the microdevice, the
finger-cup 50 may be formed in a manner which is specific to the
fingers of a left hand or right hand or be adapted to accommodate
more than one finger. It is understood that fingers may include
either opposing digits or thumbs or combinations of thereof.
[0033] Bottom wall 30 of the microdevice 10 has an outwardly facing
planar surface having outwardly extending projections 58. The
projecting structures 58 can be assembled in an array of
microneedles or microabraders depending on the method desired for
creating openings in the stratum corneum. The projecting structures
58 extend outwardly and generally perpendicularly from the planar
surface of bottom wall 30. Fluid conducting passageways 60 are
preferably included within each projecting structure 58 in the form
of axial channels that extend through each projecting structure 58.
The fluid conducting passageways 60 are open on each end to allow
fluid communication between the reservoir 40 and tips 62 of the
projecting structures 58. In one embodiment, the tips 62 of the
projecting structures 58 have a length to penetrate the skin
slightly beneath the stratum corneum. The fluid conducting
passageways 60 permit the flow of the substance 42 from the
reservoir 40 through passageways 60 of projecting structures 58 to
the area immediately beneath the stratum corneum. The substance
delivered in this manner is then absorbed into the capillaries
through the lower epithelial layers.
[0034] In yet another embodiment, the projecting structures are
solid and the passageway, or multiple passageways, opens from the
interior of the reservoir to the base of the projecting structures.
The form and shape of the projecting structures can be of any
design and shape that will enable them to penetrate the stratum
corneum is the desire manner. Such design and configurations will
be apparent to those skilled in the art.
[0035] Body 12 is preferably made of a suitable plastic material,
but can be any material able to perform and withstand the forces
encountered and be impervious and non-reactive with any materials
it may encounter. Top wall 20 is preferably flexible or deformable
so as to be deflected inwardly to dispense the substance contained
in reservoir 40. Bottom wall 30 is generally stiff to promote
uniform penetration of projecting structures 58. In other
embodiments, bottom wall 30 is flexible to conform to the surface
of the skin of the patient. In yet other embodiments one or more of
the side walls are deformable.
[0036] In FIG. 2, the tip of a finger 64 is inserted into the open
top end 54 of finger-cup 50. The elasticity of the finger-cup 50
firmly secures the finger 64 within the finger-cup 50 allowing the
accurate manipulation of the microdevice 10. Once the microdevice
10 has been properly positioned on the patient's skin 56, the tip
of the finger 64 within the finger-cup 50 applies an additional
amount of pressure against the top wall 20 of the microdevice 10.
When the projecting structures 58 are microneedles as shown in FIG.
2, application of sufficient pressure against top wall 20 of
microdevice 10 causes the projecting structures 58 to penetrate the
stratum corneum until the bottom wall 30 of the microdevice 10
comes in contact with the surface of the patient's skin. Provided
that the length of the projecting structures 58 is greater than the
thickness of the stratum corneum, the tips 62 of the projecting
structures 58 will pierce the stratum corneum.
[0037] As used herein, penetrating refers to entering the stratum
corneum without passing completely through the stratum corneum and
entering into the adjacent layers. This is not to say that that the
stratum corneum can not be completely penetrated to reveal the
interface of the underlying layer of the skin. Piercing, on the
other hand, refers to passing through the stratum corneum
completely and entering into the adjacent layers below the stratum
corneum.
[0038] The downward pressure on top wall 20 by finger 64 deflects
top wall 20 inwardly as shown by phantom lines in FIG. 2 to
dispense the substance 42 from reservoir 40 through passageways 60
of each projecting structure 58. The substance 42 stored within the
reservoir 40 is discharged through the fluid conducting passageways
60 and absorbed by the patient through the epithelial layers
beneath the stratum corneum.
[0039] The length and thickness of the projecting structures 58 are
selected based on the particular substance being administered and
the thickness of the stratum corneum in the location where the
device is to be applied. Preferably, the projecting structures 58
penetrate the stratum corneum substantially without piercing or
passing through the stratum corneum. The projecting structures 58
can have a length up to about 500 microns. Suitable projecting
structures 58 have a length of about 5 to 500 microns. Preferably,
the projecting structures 58 have a length of about 50 to about 300
microns, and more preferably in the range of about 75 to 250
microns, with 180 to 220 microns most preferred. In preferred
embodiments, the projecting structures 58 are either hollow or
solid members.
[0040] The method of delivering a substance through the skin of a
patient using device 10 places the projecting structures 58 against
skin and applies a downward pressure. In embodiments where the
projecting members 58 have a length sufficient to penetrate the
skin to below the stratum corneum, the downward pressure is
sufficient to penetrate the skin. In other embodiments, the device
10 is moved in a back and forth or circular pattern to abrade the
skin sufficiently to enable projecting structures 58 to penetrate
the skin to a desired depth. A continued downward pressure flexes
top wall 20 to dispense the substance in reservoir 40 for delivery
through the axial passages 60 of projecting structures 58 and into
the skin.
[0041] In one embodiment, projecting structures 58 are knife-like
blades or other structures, such as pyramidal or frustoconical in
shape, which are preferably perpendicular to the plane of the
device and abrasive to the topmost epithelial layer and able to
penetrate the stratum corneum by cutting, scoring, or abrading the
surface of the stratum corneum until an opening of sufficient depth
has been created for fluid to pass through. Because the microdevice
10 may need to be moved in a reciprocating manner to penetrate the
stratum corneum, precise handling of microdevice 10 through the use
of the attached finger-cup 50 is highly desirable. Careful use of
device 10 will avoid unintentional penetration, abrasion, or
piercing of the epithelial layers below the stratum corneum, and
avoid unnecessary patient discomfort and irritation.
EMBODIMENT OF FIGS. 3 AND 4
[0042] FIGS. 3 and 4 show a second embodiment of a delivery device
80 of the present invention which includes a body 82 having a top
wall 84, bottom wall 86 and side walls 88 defining a reservoir 90.
A handle 92 is attached to top wall 84 and has a dimension to
enable the user to grip and manipulate the device 80. The depicted
embodiment shows handle 92 being hollow and attached to the
periphery of side wall 88. In a preferred embodiment, handle 92 is
made of a resilient, flexible and deformable material such as for
example rubber, plastic, thin metal sheet, or combinations thereof.
Handle 92 in the illustrated embodiment has a hollow cavity 93
formed by side walls 95 and a top wall 84. In one embodiment,
handle 92 has an open bottom end that is closed by the attachment
to top wall 84. In another preferred embodiment, handle 92 is
closed at both ends.
[0043] A plurality of projecting structures 94 extend from bottom
wall 86 to form an array. As in the previous embodiment, projecting
structures 94 have a length and width that is sufficient to
penetrate the skin to a selected depth for delivering a substance
into and through the skin. In this embodiment, each projecting
structure 94 includes an axial passage 96 extending from reservoir
90 to ends 99 of projecting structures 94. The handle 92 is
attached to top wall 84 in a manner which is air-tight to form
hollow cavity 93. By squeezing the handle 92 in the direction of
arrows 91, side walls 95 deflect inwardly to compress the air
within handle 92 causing downward displacement of the top wall 84
as shown by the phantom lines in FIG. 4. The deflection of top wall
84 dispenses the contents of reservoir 90 through axial passages 96
of projections 94. In this manner, there is no increase in the
pressure applied to the skin by the microdevice 80, thereby
reducing the risk of penetration into the epithelial by the
projecting structures 94. Patients treated by the present invention
can expect to experience less pain and discomfort than is normally
associated with the administration of pharmaceuticals by
microdevices of this nature.
[0044] In practice, a person is able to administer a substance,
such as a pharmaceutical composition, to a patient with device 80
by grasping the handle 92 and precisely positioning the projecting
structures 94 on the skin in a target area. Once the projections 94
are properly positioned on the skin of the patient, the handle 92
is used to apply gentle pressure and to move the projecting
structures 94 in a generally reciprocal manner to enable projecting
structures 94 to score and abrade the stratum corneum. Once
projecting structures 94 have penetrated the stratum corneum, the
bottom wall 86 of the microdevice 80 is, or in the case of abrader
projecting structures the projecting structures themselves are held
in contact with the skin of the patient. The handle 92 is squeezed
to compress fluid air contained in the handle and to produce an
additional amount of pressure on top wall 84 to deflect top wall 84
in a manner to reduce the volume of the reservoir 90 and to
discharge the pharmaceutical composition stored within the
reservoir 40 through fluid conducting passageways 96 of projecting
structures 94 and into the body of the patient immediately below
the stratum corneum. In this manner, the pharmaceutical composition
is placed in contact with the lower epithelial layers and are able
to be absorbed by the body.
EMBODIMENT OF FIGS. 5 AND 6
[0045] In another embodiment shown in FIGS. 5 and 6, a delivery
device 100 includes a handle 102 attached to a base 104. Base 104
includes a bottom wall 106 and side walls 108. A plurality of
projecting structures 110 arranged in an array extend from bottom
wall 106. Projecting structures 110 in the embodiment illustrated,
are microneedles having an axial passage 112 that extend through
bottom wall 106. Base 104 also includes a top wall 114 coupled to
side walls 108 to define a fluid reservoir 116.
[0046] Handle 102 is a hollow structure formed by side walls 118
and a top wall 120 to form an internal cavity 1 19. Handle 102 has
an open bottom end 122 so that cavity 119 is in direct fluid
communication with reservoir 1 16. As in the previous embodiment,
handle 102 is made of a deformable resilient material so that side
walls 118 can be deflected inwardly as shown by the phantom lines
in FIG. 6 by applying an external force against the side walls 118
in the direction of arrows 124. In this embodiment, cavity 119 can
contain a substance 125 to be delivered to the patient. Deflecting
side walls 118 inwardly forces the substance 125 in the direction
of arrows 127 from reservoir 116 through axial passages 112 of
projecting structures 11O.
[0047] Operation of the device 100 of this embodiment of the
invention is substantially the same as the operation of the
embodiment shown in FIG. 3, but offers an alternative configuration
suitable for instances where a larger volume reservoir is
desired.
EMBODIMENT OF FIGS. 7 AND 8
[0048] FIGS. 7 and 8 show another embodiment of a delivery device
126 of the present invention including body 128 having a deformable
top wall 129 spaced apart from a bottom wall 130 and side walls 132
extending between top wall 129 and bottom wall 130. The area
enclosed by top wall 129, bottom wall 130 and side walls 132 define
a reservoir 134. A solid manipulating member 136, such as a handle,
is coupled to top wall 129. In this embodiment, handle 136 is a
solid, elongated member having a dimension to provide a surface
which can be gripped by the user. By gripping handle 136, the
person administering treatment can exercise accurate control over
device 126 while minimizing the possibility of causing the patient
undue irritation and discomfort. Bottom wall 130 has a plurality of
outwardly extending projecting structures 142 having axial passages
138 communicating with reservoir 134. As in the previous
embodiment, top wall 128 is sufficiently flexible to flex inwardly
to dispense a substance 140 from reservoir 134 through axial
passages 142 of projecting structures 142.
[0049] Once the device is positioned properly and projecting
structures 142 are embedded within the stratum corneum, handle 136
can be pressed downwardly in the direction of arrow 144 to deflect
top wall 129 as shown in phantom lines of FIG. 8. As in the
previous embodiment, device 126 can be pressed downwardly against
skin 146 to cause projecting structures 142 to penetrate skin 146
to a desired depth. Alternatively, device 126 can be rubbed against
skin 146 in a target site to abrade skin 146 to a depth to allow
substance 140 to penetrate skin 146 below the stratum corneum.
[0050] In other embodiments of the invention, the substance to be
delivered is physically retained within the reservoir, such as for
example, by at least one rupturable membrane. This retaining
membrane may be as simple as a rupturable material overlaying, or
adjacent to the fluid passageway or passageways, or an enclosing
bladder. Other ways of retaining the substance are also within the
scope and spirit of this invention. It is also envisioned that the
membrane be ruptured by internally projecting members that will
pierce the membrane. Regardless of the configuration of this
retaining means the material or structure used needs to be
responsive to the pressure generated by the dispensing means such
that at a sufficient, and generally predetermine threshold, the
pressure overcomes the ability of the retaining mean to retain the
substance and the substance is dispensed.
[0051] While several embodiments have been chosen to illustrate the
invention, it will be appreciated by those skilled in the art that
various changes and modifications of the device can be made without
departing from the scope of the invention as defined in the
appended claims.
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