WO1996030077A1 - Self-contained transdermal drug delivery device - Google Patents

Self-contained transdermal drug delivery device Download PDF

Info

Publication number
WO1996030077A1
WO1996030077A1 PCT/US1996/003195 US9603195W WO9630077A1 WO 1996030077 A1 WO1996030077 A1 WO 1996030077A1 US 9603195 W US9603195 W US 9603195W WO 9630077 A1 WO9630077 A1 WO 9630077A1
Authority
WO
WIPO (PCT)
Prior art keywords
battery
drug
housings
components
delivery
Prior art date
Application number
PCT/US1996/003195
Other languages
French (fr)
Inventor
Gary A. Lattin
Tighe M. Belden
Andrew J. Withell
Original Assignee
Alza Corporation
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Alza Corporation filed Critical Alza Corporation
Priority to JP8529423A priority Critical patent/JPH11503037A/en
Priority to DK96910394T priority patent/DK0817659T3/en
Priority to DE69613113T priority patent/DE69613113T2/en
Priority to EP96910394A priority patent/EP0817659B1/en
Priority to AT96910394T priority patent/ATE201604T1/en
Publication of WO1996030077A1 publication Critical patent/WO1996030077A1/en
Priority to GR20010401300T priority patent/GR3036450T3/en

Links

Classifications

    • BPERFORMING OPERATIONS; TRANSPORTING
    • B09DISPOSAL OF SOLID WASTE; RECLAMATION OF CONTAMINATED SOIL
    • B09BDISPOSAL OF SOLID WASTE
    • B09B3/00Destroying solid waste or transforming solid waste into something useful or harmless
    • B09B3/0075Disposal of medical waste
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use
    • A61N1/0408Use-related aspects
    • A61N1/0428Specially adapted for iontophoresis, e.g. AC, DC or including drug reservoirs
    • A61N1/0432Anode and cathode
    • A61N1/044Shape of the electrode
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/20Applying electric currents by contact electrodes continuous direct currents
    • A61N1/30Apparatus for iontophoresis, i.e. transfer of media in ionic state by an electromotoric force into the body, or cataphoresis
    • A61N1/303Constructional details
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/325Applying electric currents by contact electrodes alternating or intermittent currents for iontophoresis, i.e. transfer of media in ionic state by an electromotoric force into the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/0404Electrodes for external use
    • A61N1/0408Use-related aspects
    • A61N1/0428Specially adapted for iontophoresis, e.g. AC, DC or including drug reservoirs
    • A61N1/0448Drug reservoir
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B09DISPOSAL OF SOLID WASTE; RECLAMATION OF CONTAMINATED SOIL
    • B09BDISPOSAL OF SOLID WASTE
    • B09B2101/00Type of solid waste
    • B09B2101/65Medical waste
    • B09B2101/68Transdermal patches

Definitions

  • the present invention relates to delivery of drug or agent transdermally. More specifically, the present invention relates to delivery of drug or agent transdermally by electrotransport means utilizing self- contained electrotransport devices. Yet more specifically, the present invention relates to methods and apparatus for transdermal delivery of drug or agent in which apparatus components or subcomponents are intentionally designed to be separable therefrom so as to enhance the environmental or medical acceptability of the apparatus, the separable component or subcomponent, or both.
  • electrotransport refers generally to the delivery of a beneficial agent (e.g., a drug) through a biological membrane, such as skin, mucous membrane, or nails.
  • a beneficial agent e.g., a drug
  • a biological membrane such as skin, mucous membrane, or nails.
  • the delivery is induced or aided by application of an electrical potential.
  • a beneficial therapeutic agent may be introduced into the systemic circulation of a human body by electrotransport delivery through the skin.
  • electromigration also called iontophoresis
  • electroosmosis Another type of electrotransport, electroosmosis, involves the flow of a liquid under the influence of an electric field, the liquid containing ⁇ the agent to be delivered.
  • electrotransport process Still another type of electrotransport process,
  • An agent can be any agent that can be any agent that can be any agent that can be any agent that can be any agent that can be any agent.
  • electrotransport should be ⁇ o given its broadest possible interpretation so that it includes the electrically
  • Electrotransport devices use at least two electrodes that are in
  • the other electrode typically termed the
  • the body For example, if the agent to be delivered is positively charged,
  • the anode is the active or donor electrode, while the
  • cathode serves to complete the circuit.
  • an agent is
  • the cathode is the donor electrode.
  • both the anode and cathode may be considered donor
  • electrotransport delivery systems generally require at least one reservoir or source of the agent to be delivered to the body.
  • donor reservoirs include a pouch or cavity, a porous sponge or pad, and a hydrophilic polymer or a gel matrix.
  • Such donor reservoirs are electrically connected to, and positioned between, the anode electrode or cathode electrode (depending upon the agent) and the body surface, to provide a fixed or renewable source of one or more agents or drugs.
  • Electrotransport devices also have an electrical power source such as one or more batteries. Typically, one pole of the power source is electrically connected to the donor electrode, while the opposite pole is electrically connected to the counter electrode.
  • electrotransport devices have an electrical controller that controls the current applied through the electrodes, thereby regulating the rate of agent delivery.
  • passive flux control membranes, adhesives for maintaining device contact with a body surface, insulating members, and impermeable backing members are some other potential components of an electrotransport device.
  • All electrotransport agent delivery devices utilize an electrical circuit to connect electrically the power source (e.g., a battery) and the electrodes.
  • the "circuit" is merely an electrically conductive wire used to connect the battery to an electrode.
  • Other devices use a variety of electrical components to control the amplitude, polarity, timing, waveform shape, etc. of the electric current supplied by the power source. See, for example, McNichols et al., U.S. Patent 5,047,007.
  • commercial transdermal electrotransport drug delivery devices e.g., the Phoresor, sold by lomed, Inc.
  • the donor electrode reservoir contains a drug solution while the counter electrode reservoir contains a solution of a bio-compatible electrolyte salt.
  • the "satellite" electrodes are connected to the electrical power supply unit by long (e.g., 1 -2 meters) electrically conductive wires or cables. Examples of desk-top electrical power supply units which use "satellite" electrode assemblies are disclosed in Jacobsen et al., U.S. Patent 4, 141 ,359 (see Figures 3 and 4); LaPrade, U.S. Patent 5,006, 108 (see Figure 9); and Maurer et al., U.S. Patent 5,254,081 (see Figures 1 and 2).
  • miniaturized electrotransport drug delivery devices are also preferably miniaturized, and may be in the form of either integrated circuits (i.e., microchips) or small printed circuits.
  • Electronic components such as batteries, resistors, pulse generators, capacitors, etc., are electrically connected to form an electronic circuit that controls the amplitude, polarity, timing, waveform shape (and other parameters) of the electric current supplied by the power source.
  • Such small self-contained electrotransport delivery devices are disclosed, for example, in Tapper, U.S. Patent 5,224,927; Haak et al., U.S.
  • passive transdermal devices are generally much simpler.
  • Gale et al. U.S. Patent 4,588,580 discloses a transdermal drug delivery device which delivers a therapeutic amount of a drug, e.g., fentanyl, by passive diffusion through intact skin.
  • a drug e.g., fentanyl
  • a passive transdermal therapeutic system comprises a pouch formed from a drug/solvent/gel impermeable backing, a drug elution rate-controlling membrane which, with the pouch, forms a drug reservoir.
  • the drug reservoir contains a dissolved or suspended drug therein. The entire assembly is held in place on a patient's skin by a biocompatible adhesive layer located on the skin-contacting side of the device.
  • the present invention is a self-contained, internally-
  • powered electrotransport drug delivery device e.g., to deliver narcotic
  • the device has the form of a skin-adhering patch or bandage.
  • the present invention provides simple, passive or active,
  • the present invention is, in one aspect, a method of manufacturing
  • the present invention is an electrotransport drug delivery device in which the battery assembly is intentionally adapted to permit batteries therein to be removed therefrom.
  • the present invention is a transdermal drug delivery device in which the drug reservoirs are intentionally adopted to be detachable from the device and sealable prior to disposal so as to minimize possible contact, e.g., with the skin, between the drug reservoirs and the person disposing of the reservoirs.
  • the transdermal device is an electrotransport device and the drug reservoirs are supported by and disposed within a separable, flexible, foldable housing.
  • an electrotransport drug delivery device of this invention comprises two housings.
  • One of the housings generally contains the electronic components of the system and the other of the housings contains the drug storage components of the system.
  • the two housings are separable from each other and are adapted to permit subcomponents within one or both housings to be separated from the housing for replacement or disposal.
  • the housing containing the electronic components includes a battery connector which permits the battery easily to be detached from the housing and, thereafter, to be separately disposed.
  • drug reservoirs within the housing containing the drug storage means are adapted to be separable from the housing.
  • the housing containing the drug storage components is sufficiently flexible to be foldable upon itself, e.g., in half.
  • the housing has cooperating adhesive surfaces which mate to provide a folded configuration. In this manner, exposure of a drug reservoir surface to contact is minimized or prevented.
  • the housing containing the drug reservoirs can be handled, e.g., for disposal, without skin or other contact between the drug- containing reservoirs and the person disposing of the housing.
  • the present invention is directed to a patient-controlled electrotransport drug (e.g., narcotic analgesic) delivery device, especially a patch or bandage-like electrotransport device.
  • a patient-controlled electrotransport drug e.g., narcotic analgesic
  • FIG. 1 is a perspective view of an electrotransport device of this invention
  • FIG. 2 is an exploded view of a second embodiment of an electrotransport device of this invention.
  • FIG. 3 illustrates the steps for removing and separately discarding the drug reservoir of a device of this invention.
  • FIG. 4 illustrates the steps for removing and separately discarding the battery of a device of this invention.
  • the electrotransport device of this invention can be used by patients to deliver substantially any drug during a prescribed course of therapy.
  • a course of therapy is the delivery of an analgesic to control pain, e.g., acute postoperative pain.
  • Analgesia is provided when the patient self-administers doses of an analgesic, such as fentanyl, by pressing an on-demand switch on the system.
  • Activation of drug dosage delivery is indicated by visual readout and, preferably, an audible stimulus, e.g., a "beep" .
  • the patient is thus able to titrate the drug to his or her pain mitigation needs (within definable limits) to achieve the level of analgesia desired by the patient.
  • the system is compact, portable, self-contained, and is designed to be worn on the patient's skin (e.g., upper arm, lower arm, or chest) for a predetermined ⁇ period of use.
  • the device will preferably become inoperative at the
  • 3 device can be discarded, returned to the issuing entity, e.g., for
  • FIG. 1 With reference to FIG. 1 , there is shown a perspective view of an
  • FIG. 7 electrotransport device 1 0 of this invention.
  • Device 1 0 comprises an ⁇ activation means which in this embodiment is a push or dome button 9 switch 1 2 and a visual readout means or display 1 4 which in this o embodiment is a light emitting diode (LED).
  • LED light emitting diode
  • FIG. 2 is an exploded view of the components of a device 1 0' similar 5 to that of FIG. 1 .
  • Device 1 0' of FIG. 2 is similar to device 10 of FIG. 1 with 6 the exception that button 1 2 and LED 14 are located adjacent each other 7 on one end of the device.
  • Device 1 0' comprises an upper housing 1 6, 8 a circuit board assembly 1 8, a lower housing 20, anode electrode 22, 9 cathode electrode 24, anode reservoir 26, cathode reservoir 28 and 0 skin-compatible adhesive 30.
  • Upper housing 1 6 has lateral wings 1 5 which 1 assist in holding device 10' upon a patient's skin.
  • Upper housing 1 6 2 preferably is composed of a rubber-like, injection moldable material, 3 e.g., ethylene vinyl acetate.
  • the upper housing 1 6 has two posts, 1 1 a and 4 1 1 b (best seen in FIG. 4), which extend through openings 1 3a and 1 3b in 5 the circuit board assembly 1 8. The ends of the posts are heated/melted in 6 order to attach assembly 1 8 to housing 1 6.
  • Circuit board assembly 1 8 comprises an integrated circuit 1 9 electrically coupled to discrete 8 components 40 and to a battery 32.
  • the 9 extent of securement of circuit board assembly 1 8 to upper housing 20 is 0 reduced thereby making circuit board assembly 1 8 separable from 1 housing 20.
  • circuit board assembly 1 8 may be simply "snapped" onto upper housing 20 by the use of grooved or beaded posts 1 1 a, 1 1 b.
  • Lower housing 20 has a tab 21 on one end thereof which permits separation of upper housing 16 from lower housing 20.
  • Lower housing 20 is attached to upper housing 16 by means of adhesive 30, the upper surface 34 of adhesive 30 being adhered to both lower housing 20 and upper housing 16, including the bottom (skin side) surfaces of wings 15.
  • Lower housing 20 has wells 23, 23' which are sized to hold electrode assemblies 24, 28 and 22, 26, respectively.
  • Lower housing 20 is p r eferably composed of an electrically insulating material (e.g., polyethylene) which is substantially impermeable to the passage (e.g., by diffusion) of the drug or other beneficial agent contained in reservoirs 26 or 28.
  • an electrically insulating material e.g., polyethylene
  • battery 32 Partially shown on the underside of circuit board assembly 18 is battery 32.
  • Battery 32 is of the button cell variety. Opposing faces of button cell 32 are of opposite polarity. Polymeric, flexible, and other types of electrochemical cells which are within the design parameters of this system, may be employed.
  • the device 10' is generally comprised of battery 32, electronic circuitry 19, 40, electrodes 22, 24, and drug/chemical reservoirs 26, 28, all of which are integrated into a self-contained unit.
  • the anodic electrode is comprised of silver (e.g., foil or screen) and the cathodic electrode is comprised of silver chloride (e.g., foil or screen).
  • the electrodes 22 and 24 are in direct mechanical and electrical contact with reservoir 26 and reservoir 28, respectively. Both reservoirs 26 and 28 are preferably comprised of polymer hydrogel materials. Electrodes 22, 24 and reservoirs 26, 28 are retained by lower housing 20.
  • the circuit outputs from the electronic circuitry within the circuit board assembly 1 8 are electrically connected to the electrodes 24 and 22, through the openings in the top of wells 23, 23', by electrically conductive adhesive strips 42 and 42', respectively. Electrodes 22 and 24, in turn, are in direct mechanical and electrical contact with top sides 44', 44 of drug reservoirs 26 and 28. The bottom sides 46', 46 of drug reservoirs 26, 28 contact the patient's skin through the openings 29, 29' in adhesive 30.
  • the electronic circuitry 1 8 Upon depression of push button 1 2, the electronic circuitry 1 8 delivers a predetermined DC current to the electrode/reservoirs 22, 26 and 24, 28 for a time period of predetermined length, e.g., about 10 minutes. Agent is delivered through the patient's skin, e.g., on the arm, for the ten minute time period, each ten minute period being a single bolus delivery or drug delivery event.
  • the user receives feedback as to the onset of the drug delivery by simultaneous visual (LED 14 becomes lit) and audible signals (the system optionally includes a "beeper" such as a ceramic transducer).
  • analgesic is fentanyl, preferably a hydrochloride or citrate salt of fentanyl.
  • fentanyl HCI the anodic reservoir is the "donor" reservoir and contains the fentanyl HCI and the cathodic reservoir contains a biocompatible electrolyte.
  • the push button switch 1 2, electronic circuitry on circuit board 1 8 and battery 32 are encased or sealed within plastic or rubber upper housing 1 6.
  • Lower housing 20 is preferably composed of a moldable, plastic or elastomeric sheet material which can be easily molded to form depressions 25, 25' with openings 23, 23' therein. Lower housing 20 fits into upper housing 1 6 and retains drug storage and delivery components 22, 24, 26, and 28.
  • the assembled device 10' is preferably water resistant (i.e., splash proof) and most preferably is waterproof.
  • Device 1 0' has a low ⁇ profile that easily conforms to the body thereby allowing freedom of
  • the cathode/salt reservoir e.g., reservoir 28
  • the cathode/salt reservoir e.g., reservoir 28
  • peripheral adhesive 30 which has upper and lower adhesive regions 34 and
  • the lower adhesive region 36 has adhesive properties ⁇ o which assures that the system remains in place on the body (e.g., the skin) ⁇ ⁇ during normal user activity, and yet permits reasonable removal after the
  • Upper adhesive 34 adheres to
  • the switch 12 may be easily located and actuated through clothing.
  • a double press within a short time period e.g., three seconds, is used to
  • FIG. 3 there is shown, starting in the lower lefthand corner and 2 proceeding counterclockwise therefrom, a device 10, as it appears after 3 removal from protective packaging (not shown) .
  • Device 10 has a 4 substantially rectangular release liner 50 covering the skin contact 5 adhesive 30.
  • Release liner 50 covers and protects adhesive 30 as well as 6 any adhesive on the underside of wings 1 5.
  • Arrow 52 indicates the 7 direction in which release liner 50 is peeled from the bottom of device 1 0 8 before applying the device on the skin of a patient.
  • 9 In the lower righthand corner of FIG. 3 there is shown a device substantially as it appears when vertically disposed on, for example, the arm or upper body of a patient using the device. For purposes of clarity, no patient is shown in FIG. 3.
  • Push button 1 2 is used to activate the device with LED 14 being lit during the drug delivery interval.
  • FIG. 3 In the upper righthand corner of FIG. 3 there is shown the underside 54 of device 10. Arrow 56 shows the direction of peel of tab 21 located on lower housing 20.
  • Lower housing 20 contains electrodes 22, 24 and drug reservoirs 26, 28.
  • lower housing 20 is sufficiently flexible so as to be peeled from the upper housing and to be folded back upon itself.
  • Lower housing 20 has adhesive 30 covering the under surface (i.e., on the skin side) thereof.
  • Lower adhesive region 36 provides the means by which lower housing 20 may be folded back upon, and adhered to, itself, thereby retaining drug reservoirs 26, 28 (and electrodes 22, 24) therein.
  • a folded lower housing 20 is better shown in FIG. 4 described below.) In the folded configuration, the drug impermeable portions of housing 20 are exposed to handling.
  • FIG. 4 illustrates a further aspect of the present invention in which battery 32 is removed from circuit board assembly 1 8 and is discarded, preferably in an environmentally acceptable manner.
  • the battery contact structure has been intentionally designed to permit ease of battery separation from its contact structure.
  • battery 32 may simply be slid from its connector.
  • FIG. 4 illustrates a further aspect of the present invention in which battery 32 is removed from circuit board assembly 1 8 and is discarded, preferably in an environmentally acceptable manner.
  • the battery contact structure has been intentionally designed to permit ease of battery separation from its contact structure.
  • battery 32 may simply be slid from its connector.
  • FIG. 4 illustrates a further aspect of the present invention in which battery 32 is removed from circuit board assembly 1 8 and is discarded, preferably in an environmentally acceptable manner.
  • the battery contact structure has been intentionally designed to permit ease of battery separation from its contact structure.
  • battery 32 may simply be slid from its connector.
  • Various other approaches will be readily apparent to one skilled in this art in view of this disclosure.
  • FIG. 4 there is shown the underside 60 of upper housing 1 6.
  • Upper housing 1 6 normally contains therein the circuit board assembly 1 8.
  • the circuit assembly 1 8 lifts out of the depression 1 7 (i.e., by tearing the heat staked portions of housing 1 6) after the lower housing 20 has been peeled off as described earlier herein.
  • the circuit board assembly 1 8 comprises battery connector housing 62.
  • Battery connector housing 62 includes an arcuate slot 64 and tabs 66 which are bent inwardly from the outside plane of housing 62 so as to achieve contact with one pole of battery 32.
  • the opposite pole of battery 32 is, of course, its opposite face which is not shown in FIG. 4.
  • battery connector 62 provides the electrical contact between battery 32 and circuit assembly 1 8.
  • circuit board assembly 1 8 is heat stacked into upper housing 60 and can be completely removed therefrom by tearing the heat stakes through openings 1 3a and 1 3b in assembly 1 8.
  • Battery connector 62 is intentionally designed so that battery 32 may be removed from connector 62 as is shown in the upper left of FIG. 4.
  • battery 32 may be manually removed by sliding battery 32 out from connector 62 and separated from circuit board assembly 1 8. This is shown in the upper left of FIG. 4.
  • Circuit board assembly 18 may contain environmentally hazardous or otherwise objectionable components which necessitate its controlled disposal after separation from the other components of the device.
  • battery 32 may be the only component that is specifically designed to be removed from the partially disassembled device. Components containing expensive raw materials may be similarly designed in accordance with this invention.
  • battery 32 may be disposed in accordance with local environmental policies.
  • the present invention permits an increased or an enhanced environmental compliance by intentionally providing the structure whereby environmentally impacting structures such as batteries, electronic circuitry or potentially medically injurious structures such as drug reservoirs may be removed or detached from the drug device assembly itself.

Abstract

A method for manufacturing a transdermal drug delivery device (10) is disclosed wherein a component (32) and/or a subassembly (20) are intentionally adapted to be separable from the rest of the device for disposal which is more medically or environmentally acceptable. In one embodiment, device (10) comprises upper and lower housings (16, 20), with lower housing (20) being separable from upper housing (16) and foldable upon itself to minimize medically unacceptable contact with, e.g., a drug reservoir (26 or 28) contained therein. A device (10) made in accordance with the invention is included.

Description

SELF-CONTAINED TRANSDERMAL DRUG DELIVERY DEVICE
TECHNICAL FIELD
The present invention relates to delivery of drug or agent transdermally. More specifically, the present invention relates to delivery of drug or agent transdermally by electrotransport means utilizing self- contained electrotransport devices. Yet more specifically, the present invention relates to methods and apparatus for transdermal delivery of drug or agent in which apparatus components or subcomponents are intentionally designed to be separable therefrom so as to enhance the environmental or medical acceptability of the apparatus, the separable component or subcomponent, or both.
BACKGROUND ART
Recently, much attention in the patent and technical literature has been directed to delivery of drug or agent through intact skin or organ surfaces by either passive processes, e.g., diffusion, or active processes, e.g., electrotransport. The present invention relates to both such transdermal processes, but will be here described with primary reference to active transdermal processes. The term "electrotransport" as used herein refers generally to the delivery of a beneficial agent (e.g., a drug) through a biological membrane, such as skin, mucous membrane, or nails. The delivery is induced or aided by application of an electrical potential. For example, a beneficial therapeutic agent may be introduced into the systemic circulation of a human body by electrotransport delivery through the skin. A widely used electrotransport process, electromigration (also called iontophoresis), involves the electrically induced transport of charged ions. Another type of electrotransport, electroosmosis, involves the flow of a liquid under the influence of an electric field, the liquid containing ι the agent to be delivered. Still another type of electrotransport process,
2 electroporation, involves the formation of transiently-existing pores in a
3 biological membrane by the application of an electric field. An agent can be
4 delivered through the pores either passively (i.e., without electrical
5 assistance) or actively (i.e., under the influence of an electric potential).
6 However, in any given electrotransport process, more than one of these
7 processes may be simultaneously occurring.
8
9 Accordingly, the term "electrotransport", as used herein, should be ιo given its broadest possible interpretation so that it includes the electrically
11 induced or enhanced transport of at least one agent, which may be charged,
12 uncharged, or a mixture of charged and uncharged species, regardless of the
13 specific mechanism or mechanisms by which the agent actually is
14 transported.
15
16 Electrotransport devices use at least two electrodes that are in
1 electrical contact with some portion of the skin, nails, mucous membrane, i s organ surfaces, or other surface of the body. One electrode, commonly
19 called the "donor" or "active" electrode, is the electrode from which the
20 agent is delivered into the body. The other electrode, typically termed the
21 "counter" or "return" electrode, serves to close the electrical circuit through
22 the body. For example, if the agent to be delivered is positively charged,
23 i.e., a cation, then the anode is the active or donor electrode, while the
24 cathode serves to complete the circuit. Alternatively, if an agent is
25 negatively charged, i.e., an anion, the cathode is the donor electrode.
26 Additionally, both the anode and cathode may be considered donor
27 electrodes if both anionic and cationic agent ions, or if uncharged dissolved
28 agents, are to be delivered.
29 30 Furthermore, electrotransport delivery systems generally require at least one reservoir or source of the agent to be delivered to the body. Examples of such donor reservoirs include a pouch or cavity, a porous sponge or pad, and a hydrophilic polymer or a gel matrix. Such donor reservoirs are electrically connected to, and positioned between, the anode electrode or cathode electrode (depending upon the agent) and the body surface, to provide a fixed or renewable source of one or more agents or drugs. Electrotransport devices also have an electrical power source such as one or more batteries. Typically, one pole of the power source is electrically connected to the donor electrode, while the opposite pole is electrically connected to the counter electrode. In addition, some electrotransport devices have an electrical controller that controls the current applied through the electrodes, thereby regulating the rate of agent delivery. Furthermore, passive flux control membranes, adhesives for maintaining device contact with a body surface, insulating members, and impermeable backing members are some other potential components of an electrotransport device.
All electrotransport agent delivery devices utilize an electrical circuit to connect electrically the power source (e.g., a battery) and the electrodes. In very simple devices, such as those disclosed in Ariura et al., U.S. Patent 4,474,570, the "circuit" is merely an electrically conductive wire used to connect the battery to an electrode. Other devices use a variety of electrical components to control the amplitude, polarity, timing, waveform shape, etc. of the electric current supplied by the power source. See, for example, McNichols et al., U.S. Patent 5,047,007. To date, commercial transdermal electrotransport drug delivery devices (e.g., the Phoresor, sold by lomed, Inc. of Salt Lake City, Utah; the Dupel Iontophoresis System sold by Empi, Inc. of St. Paul, Minnesota; the Webster Sweat Inducer, Model 3600, sold by Wescor, Inc. of Logan, Utah) have generally utilized a desk-top electrical power supply unit and a pair of skin contacting electrodes. The donor electrode reservoir contains a drug solution while the counter electrode reservoir contains a solution of a bio-compatible electrolyte salt. The "satellite" electrodes are connected to the electrical power supply unit by long (e.g., 1 -2 meters) electrically conductive wires or cables. Examples of desk-top electrical power supply units which use "satellite" electrode assemblies are disclosed in Jacobsen et al., U.S. Patent 4, 141 ,359 (see Figures 3 and 4); LaPrade, U.S. Patent 5,006, 108 (see Figure 9); and Maurer et al., U.S. Patent 5,254,081 (see Figures 1 and 2).
More recently, small, self-contained electrotransport delivery devices or assemblies, adapted to be worn on the skin for extended periods of time, have been proposed. The electrical components of such miniaturized electrotransport drug delivery devices are also preferably miniaturized, and may be in the form of either integrated circuits (i.e., microchips) or small printed circuits. Electronic components, such as batteries, resistors, pulse generators, capacitors, etc., are electrically connected to form an electronic circuit that controls the amplitude, polarity, timing, waveform shape (and other parameters) of the electric current supplied by the power source. Such small self-contained electrotransport delivery devices are disclosed, for example, in Tapper, U.S. Patent 5,224,927; Haak et al., U.S. Patent 5,203,768; Sibalis et al., U.S. Patent 5,224,928; and Haynes et al., U.S. Patent 5,246,41 8. In contrast with electrotransport transdermal devices, passive transdermal devices are generally much simpler. For example, Gale et al., U.S. Patent 4,588,580 discloses a transdermal drug delivery device which delivers a therapeutic amount of a drug, e.g., fentanyl, by passive diffusion through intact skin. As is described in the Gale et al. '580 patent, a passive transdermal therapeutic system comprises a pouch formed from a drug/solvent/gel impermeable backing, a drug elution rate-controlling membrane which, with the pouch, forms a drug reservoir. The drug reservoir contains a dissolved or suspended drug therein. The entire assembly is held in place on a patient's skin by a biocompatible adhesive layer located on the skin-contacting side of the device.
One drawback with small (i.e., wearable) unitary electrotransport systems which are manufactured with a predetermined amount of drug in the device, is that once the drug is depleted, the entire device must be discarded. Such integrated devices, of necessity, have components or subassemblies, e.g., batteries, drug reservoirs and electrical subassemblies, all of which are simultaneously discarded into the environment at the time of device disposal. Further, transdermal electrotransport delivery of extremely potent drugs such as narcotic analgesics, which are potentially addictive, can have serious side effects, e.g., respiratory depression. Thus, availability of safe (or even regulated) disposal of drug-containing components or subcomponents of self-contained, wearable, transdermal (especially electrotransport) devices will permit such devices to become more commercially acceptable. 1 DISCLOSURE OF THE INVENTION
2
3 It is an aspect of the present invention to provide a transdermal drug
4 delivery device with minimal adverse environmental or medical impact upon
5 disposal.
6
7 It is another aspect of the present invention to provide a transdermal
8 drug delivery device intentionally having separable subcomponents or
9 subassemblies.
10 ι ι In one aspect, the present invention is a self-contained, internally-
12 powered electrotransport drug delivery device (e.g., to deliver narcotic
13 analgesics) having removable or replaceable subcomponents. In essence,
14 the device has the form of a skin-adhering patch or bandage.
15
16 The present invention provides simple, passive or active,
17 e.g., transdermal, drug delivery apparatuses and methods which are
18 environmentally or medically advantageous.
19
20 It is an especially significant aspect of this invention to provide
21 transdermal drug delivery devices having components or subassemblies
22 which can or must be disposed in an environmentally safe, or a
23 therapeutically safe, fashion.
24
25 The present invention is, in one aspect, a method of manufacturing
26 a transdermal drug delivery device in which, after usage of the device,
27 a component, a subassembly, or both, are intentionally adapted to be
28 separable from the device, thereby to render the device, the component,
29 or the subassembly more environmentally or medically acceptable. Either the separated component or the structure remaining after separation may be more environmentally or medically acceptable in accordance with this invention.
In a further aspect, the present invention is an electrotransport drug delivery device in which the battery assembly is intentionally adapted to permit batteries therein to be removed therefrom.
In yet a further aspect, the present invention is a transdermal drug delivery device in which the drug reservoirs are intentionally adopted to be detachable from the device and sealable prior to disposal so as to minimize possible contact, e.g., with the skin, between the drug reservoirs and the person disposing of the reservoirs. In one practice of this aspect of the invention, the transdermal device is an electrotransport device and the drug reservoirs are supported by and disposed within a separable, flexible, foldable housing.
The terms "medically acceptable" or "environmentally acceptable" as used herein mean, for example, safely disposable.
In yet a further aspect, an electrotransport drug delivery device of this invention comprises two housings. One of the housings generally contains the electronic components of the system and the other of the housings contains the drug storage components of the system. By means of, e.g., a projection from one of the housings, the two housings are separable from each other and are adapted to permit subcomponents within one or both housings to be separated from the housing for replacement or disposal. In a preferred practice of this aspect of the invention, the housing containing the electronic components includes a battery connector which permits the battery easily to be detached from the housing and, thereafter, to be separately disposed. In an additional preferred practice of this aspect of the invention, drug reservoirs within the housing containing the drug storage means are adapted to be separable from the housing.
In a most preferred practice of this aspect of the invention, the housing containing the drug storage components is sufficiently flexible to be foldable upon itself, e.g., in half. The housing has cooperating adhesive surfaces which mate to provide a folded configuration. In this manner, exposure of a drug reservoir surface to contact is minimized or prevented. In its folded configuration, the housing containing the drug reservoirs can be handled, e.g., for disposal, without skin or other contact between the drug- containing reservoirs and the person disposing of the housing.
In a preferred aspect, the present invention is directed to a patient- controlled electrotransport drug (e.g., narcotic analgesic) delivery device, especially a patch or bandage-like electrotransport device.
These and other aspects and advantages of the present invention will become apparent from the following detailed description of the invention and from the accompanying drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
In the figures, like parts are given like reference numerals and wherein:
FIG. 1 is a perspective view of an electrotransport device of this invention;
FIG. 2 is an exploded view of a second embodiment of an electrotransport device of this invention;
FIG. 3 illustrates the steps for removing and separately discarding the drug reservoir of a device of this invention; and
FIG. 4 illustrates the steps for removing and separately discarding the battery of a device of this invention.
MODES FOR CARRYING OUT THE INVENTION
Generally speaking, the electrotransport device of this invention can be used by patients to deliver substantially any drug during a prescribed course of therapy. One specific example of a course of therapy is the delivery of an analgesic to control pain, e.g., acute postoperative pain. Analgesia is provided when the patient self-administers doses of an analgesic, such as fentanyl, by pressing an on-demand switch on the system. Activation of drug dosage delivery is indicated by visual readout and, preferably, an audible stimulus, e.g., a "beep" . The patient is thus able to titrate the drug to his or her pain mitigation needs (within definable limits) to achieve the level of analgesia desired by the patient. The system is compact, portable, self-contained, and is designed to be worn on the patient's skin (e.g., upper arm, lower arm, or chest) for a predetermined ι period of use. The device will preferably become inoperative at the
2 expiration of a predetermined period of use, e.g., 24 hours. After use, the
3 device can be discarded, returned to the issuing entity, e.g., for
4 replacement, or processed in some other approved manner.
5
6 With reference to FIG. 1 , there is shown a perspective view of an
7 electrotransport device 1 0 of this invention. Device 1 0 comprises an β activation means which in this embodiment is a push or dome button 9 switch 1 2 and a visual readout means or display 1 4 which in this o embodiment is a light emitting diode (LED). In view of the description 1 below, various other structures which operate in a manner similar to that of 2 switch 1 2 and LED 1 4 will be suggested to one skilled in this art. 3 4 FIG. 2 is an exploded view of the components of a device 1 0' similar 5 to that of FIG. 1 . Device 1 0' of FIG. 2 is similar to device 10 of FIG. 1 with 6 the exception that button 1 2 and LED 14 are located adjacent each other 7 on one end of the device. Device 1 0' comprises an upper housing 1 6, 8 a circuit board assembly 1 8, a lower housing 20, anode electrode 22, 9 cathode electrode 24, anode reservoir 26, cathode reservoir 28 and 0 skin-compatible adhesive 30. Upper housing 1 6 has lateral wings 1 5 which 1 assist in holding device 10' upon a patient's skin. Upper housing 1 6 2 preferably is composed of a rubber-like, injection moldable material, 3 e.g., ethylene vinyl acetate. The upper housing 1 6 has two posts, 1 1 a and 4 1 1 b (best seen in FIG. 4), which extend through openings 1 3a and 1 3b in 5 the circuit board assembly 1 8. The ends of the posts are heated/melted in 6 order to attach assembly 1 8 to housing 1 6. Circuit board assembly 1 8 comprises an integrated circuit 1 9 electrically coupled to discrete 8 components 40 and to a battery 32. In one aspect of this invention, the 9 extent of securement of circuit board assembly 1 8 to upper housing 20 is 0 reduced thereby making circuit board assembly 1 8 separable from 1 housing 20. For example, circuit board assembly 1 8 may be simply "snapped" onto upper housing 20 by the use of grooved or beaded posts 1 1 a, 1 1 b.
Lower housing 20 has a tab 21 on one end thereof which permits separation of upper housing 16 from lower housing 20. Lower housing 20 is attached to upper housing 16 by means of adhesive 30, the upper surface 34 of adhesive 30 being adhered to both lower housing 20 and upper housing 16, including the bottom (skin side) surfaces of wings 15. Lower housing 20 has wells 23, 23' which are sized to hold electrode assemblies 24, 28 and 22, 26, respectively. Lower housing 20 is preferably composed of an electrically insulating material (e.g., polyethylene) which is substantially impermeable to the passage (e.g., by diffusion) of the drug or other beneficial agent contained in reservoirs 26 or 28.
Partially shown on the underside of circuit board assembly 18 is battery 32. Battery 32 is of the button cell variety. Opposing faces of button cell 32 are of opposite polarity. Polymeric, flexible, and other types of electrochemical cells which are within the design parameters of this system, may be employed.
The device 10' is generally comprised of battery 32, electronic circuitry 19, 40, electrodes 22, 24, and drug/chemical reservoirs 26, 28, all of which are integrated into a self-contained unit. Preferably, the anodic electrode is comprised of silver (e.g., foil or screen) and the cathodic electrode is comprised of silver chloride (e.g., foil or screen). The electrodes 22 and 24 are in direct mechanical and electrical contact with reservoir 26 and reservoir 28, respectively. Both reservoirs 26 and 28 are preferably comprised of polymer hydrogel materials. Electrodes 22, 24 and reservoirs 26, 28 are retained by lower housing 20. The circuit outputs from the electronic circuitry within the circuit board assembly 1 8 are electrically connected to the electrodes 24 and 22, through the openings in the top of wells 23, 23', by electrically conductive adhesive strips 42 and 42', respectively. Electrodes 22 and 24, in turn, are in direct mechanical and electrical contact with top sides 44', 44 of drug reservoirs 26 and 28. The bottom sides 46', 46 of drug reservoirs 26, 28 contact the patient's skin through the openings 29, 29' in adhesive 30.
Upon depression of push button 1 2, the electronic circuitry 1 8 delivers a predetermined DC current to the electrode/reservoirs 22, 26 and 24, 28 for a time period of predetermined length, e.g., about 10 minutes. Agent is delivered through the patient's skin, e.g., on the arm, for the ten minute time period, each ten minute period being a single bolus delivery or drug delivery event. In a preferred practice, the user receives feedback as to the onset of the drug delivery by simultaneous visual (LED 14 becomes lit) and audible signals (the system optionally includes a "beeper" such as a ceramic transducer).
While the invention is not limited to any particular drug, the invention has particular utility in the delivery of analgesics. One particularly suitable analgesic is fentanyl, preferably a hydrochloride or citrate salt of fentanyl. In the case of fentanyl HCI, the anodic reservoir is the "donor" reservoir and contains the fentanyl HCI and the cathodic reservoir contains a biocompatible electrolyte.
The push button switch 1 2, electronic circuitry on circuit board 1 8 and battery 32 are encased or sealed within plastic or rubber upper housing 1 6. Lower housing 20 is preferably composed of a moldable, plastic or elastomeric sheet material which can be easily molded to form depressions 25, 25' with openings 23, 23' therein. Lower housing 20 fits into upper housing 1 6 and retains drug storage and delivery components 22, 24, 26, and 28. The assembled device 10' is preferably water resistant (i.e., splash proof) and most preferably is waterproof. Device 1 0' has a low ι profile that easily conforms to the body thereby allowing freedom of
2 movement at, and around, the wearing site. The anode/fentanyl reservoir
3 (e.g., reservoir 26) and the cathode/salt reservoir (e.g., reservoir 28) are located on the underside of the device 10' and are sufficiently separated to
5 prevent accidental electrical shorting during normal handling and use.
6
7 Device 10' adheres to the patient's body surface by means of a
8 peripheral adhesive 30 which has upper and lower adhesive regions 34 and
9 36, respectively. The lower adhesive region 36 has adhesive properties ιo which assures that the system remains in place on the body (e.g., the skin) ι ι during normal user activity, and yet permits reasonable removal after the
12 predetermined (e.g., 24-hour) wear period. Upper adhesive 34 adheres to
13 lower housing 20 and to upper housing 16, thereby joining and sealing
14 upper and lower housings 1 6, 20 together.
15
16 The switch 12 may be easily located and actuated through clothing.
17 A double press within a short time period, e.g., three seconds, is used to
18 activate the 10 minute delivery period while still minimizing the likelihood of
19 inadvertent actuation of the device 10'. 0 1 In FIG. 3, there is shown, starting in the lower lefthand corner and 2 proceeding counterclockwise therefrom, a device 10, as it appears after 3 removal from protective packaging (not shown) . Device 10 has a 4 substantially rectangular release liner 50 covering the skin contact 5 adhesive 30. Release liner 50 covers and protects adhesive 30 as well as 6 any adhesive on the underside of wings 1 5. Arrow 52 indicates the 7 direction in which release liner 50 is peeled from the bottom of device 1 0 8 before applying the device on the skin of a patient. 9 In the lower righthand corner of FIG. 3 there is shown a device substantially as it appears when vertically disposed on, for example, the arm or upper body of a patient using the device. For purposes of clarity, no patient is shown in FIG. 3. Push button 1 2 is used to activate the device with LED 14 being lit during the drug delivery interval.
In the upper righthand corner of FIG. 3 there is shown the underside 54 of device 10. Arrow 56 shows the direction of peel of tab 21 located on lower housing 20. Lower housing 20 contains electrodes 22, 24 and drug reservoirs 26, 28. As is shown, lower housing 20 is sufficiently flexible so as to be peeled from the upper housing and to be folded back upon itself. Lower housing 20 has adhesive 30 covering the under surface (i.e., on the skin side) thereof. Lower adhesive region 36 provides the means by which lower housing 20 may be folded back upon, and adhered to, itself, thereby retaining drug reservoirs 26, 28 (and electrodes 22, 24) therein. (A folded lower housing 20 is better shown in FIG. 4 described below.) In the folded configuration, the drug impermeable portions of housing 20 are exposed to handling. In this manner, the entirety of lower housing 20 with any residual drug in the drug reservoir safely contained therein can be safely sealed and, if desired, discarded. At a minimum, opportunities for skin contact between materials (e.g., drugs) in reservoir 26 and/or 28 within lower housing 20 and the user of device 10 are minimized.
FIG. 4 illustrates a further aspect of the present invention in which battery 32 is removed from circuit board assembly 1 8 and is discarded, preferably in an environmentally acceptable manner. In this embodiment of the invention, the battery contact structure has been intentionally designed to permit ease of battery separation from its contact structure. For example, battery 32 may simply be slid from its connector. Various other approaches will be readily apparent to one skilled in this art in view of this disclosure.
Starting at the bottom in FIG. 4, there is shown the underside 60 of upper housing 1 6. Upper housing 1 6 normally contains therein the circuit board assembly 1 8. The circuit assembly 1 8 lifts out of the depression 1 7 (i.e., by tearing the heat staked portions of housing 1 6) after the lower housing 20 has been peeled off as described earlier herein. The circuit board assembly 1 8 comprises battery connector housing 62. Battery connector housing 62 includes an arcuate slot 64 and tabs 66 which are bent inwardly from the outside plane of housing 62 so as to achieve contact with one pole of battery 32. The opposite pole of battery 32 is, of course, its opposite face which is not shown in FIG. 4. Thus, battery connector 62 provides the electrical contact between battery 32 and circuit assembly 1 8. As is shown, circuit board assembly 1 8 is heat stacked into upper housing 60 and can be completely removed therefrom by tearing the heat stakes through openings 1 3a and 1 3b in assembly 1 8. Battery connector 62 is intentionally designed so that battery 32 may be removed from connector 62 as is shown in the upper left of FIG. 4. For example, battery 32 may be manually removed by sliding battery 32 out from connector 62 and separated from circuit board assembly 1 8. This is shown in the upper left of FIG. 4. It will be appreciated that removal of circuit board assembly 1 8 from upper housing 60 is one potential application of the present invention. Circuit board assembly 18 may contain environmentally hazardous or otherwise objectionable components which necessitate its controlled disposal after separation from the other components of the device. It is to be further understood that battery 32 may be the only component that is specifically designed to be removed from the partially disassembled device. Components containing expensive raw materials may be similarly designed in accordance with this invention.
Once removed from circuit board assembly 1 8, battery 32 may be disposed in accordance with local environmental policies. Thus, the present invention permits an increased or an enhanced environmental compliance by intentionally providing the structure whereby environmentally impacting structures such as batteries, electronic circuitry or potentially medically injurious structures such as drug reservoirs may be removed or detached from the drug device assembly itself.
In light of the above disclosure, there are likely to be numerous variations and alternatives to the presently-described method and structure which will occur to one skilled in this art. All such structures, variations, and alternatives are to be included within the scope of the attached claims.

Claims

CLAIMS:
1 . A method of manufacturing a self-contained, internally- powered, transdermal drug delivery device (10') having a plurality of components including a battery (32) and/or a circuit assembly (18), the method being characterized by:
intentionally adapting one or more of said components to be separable from the rest of the device (10') whereby disposal of the device (10'), or of the component, or of both, is less environmentally or medically objectionable.
2. The method of claim 1 , wherein a battery connector (62) is adapted to permit the battery (32) contained therein to be manually removed by forming the connector (62) so as to partially expose the battery (32).
3. The method of claim 1 , wherein the circuit assembly (1 8) is made separable by heat staking the circuit assembly (18) to the device.
4. The method of claim 1 , wherein the circuit assembly ( 1 8) comprises a circuit board and the assembly (18) is intentionally adapted to be separable by drilling holes (13) through said board and heat staking the assembly ( 1 8) to the device ( 10').
5. The method of claim 4, wherein said assembly (1 8) is intentionally adapted to be frictionally retained by said device ( 10').
6. An electrotransport drug delivery device (10') including cooperating, separable, first and second housings (1 6,20), one of said housings (1 6) containing electronic components ( 1 8, 1 9,32), the other of said housings (20) containing drug storage and delivery components (22,24,26,28), said first and second housings ( 1 6,20) cooperating to contain said electronic components ( 1 8, 1 9,32) and said drug storage and delivery components (22,24,26,28) while permitting drug to be delivered from said device, the device being characterized by:
detachment means (21 ) located on one or the other of said housings, said detachment means (21 ) permitting separation of said housings ( 1 6,20) by pulling one from the other.
7. The device of claim 6, wherein said detachment means comprises a tab (21 ).
8. The device of claim 6, wherein said housings are upper and lower housings ( 1 6,20), said electronic components ( 1 8, 1 9,32) being positioned in said upper housing ( 1 6), said drug storage and delivery components (22,24,26,28) being positioned in said lower housing (20) .
9. The device of claim 8, wherein said drug storage and delivery components comprise cooperating electrodes (22,24) and reservoirs (26,28).
10. The device of claim 8, wherein said lower housing (20) is flexible so as to be foldable without breaking, and has adhesive surfaces (36) thereon, said adhesive surfaces being aligned so that folding of said lower housing (20) upon itself seals the drug delivery components (22,24,26,28) and permits the folded lower housing (20) to be handled without contacting said drug delivery components (22,24,26,28) .
1 1 . The device of claim 6, wherein said electronic components (18, 19,32,40) are detachable from said housing (16).
12. The device of claim 6, wherein said electronic components include a battery (32).
13. The device of claim 12, wherein the electronic components further comprises an integrated circuit and said battery (32) is manually detachable therefrom.
14. The device of claim 6, wherein said device is self-contained.
1 5. The device of claim 6, wherein the device is generally the size of a bandage.
16. The device of claim 6, further comprises means ( 12) to manually activate said device.
17. The device of claim 16, wherein said manual activation means (12) is a push button.
1 8. The device of claim 1 6, including means (14) identifying activation of the device.
19. The device of claim 18, wherein the means (14) identifying activation of the device comprises a light emitting diode (LED).
20. A method of manufacturing a self-contained, internally- powered, transdermal drug delivery device (10') including an internal power source (32), the device (10') being characterized by the power source (32) being coupled to said device (10') by a power source connector (62) which permits the power source (32) to be manually removed from said device (10').
21 . The method of claim 20, wherein said power source (32) is a battery.
22. The method of claim 20, wherein said battery connector (62) includes an arcuate slot (64) which permits the battery (32) to be manually slid from the connector (62).
PCT/US1996/003195 1995-03-24 1996-03-08 Self-contained transdermal drug delivery device WO1996030077A1 (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
JP8529423A JPH11503037A (en) 1995-03-24 1996-03-08 Self-contained device for administering drugs through the skin
DK96910394T DK0817659T3 (en) 1995-03-24 1996-03-08 Self-contained transdermal drug delivery device
DE69613113T DE69613113T2 (en) 1995-03-24 1996-03-08 INDEPENDENT DEVICE FOR TRANSDERMAL ADMINISTRATION OF MEDICINES
EP96910394A EP0817659B1 (en) 1995-03-24 1996-03-08 Self-contained transdermal drug delivery device
AT96910394T ATE201604T1 (en) 1995-03-24 1996-03-08 INDEPENDENT DEVICE FOR TRANSDERMAL ADMINISTRATION OF MEDICATIONS
GR20010401300T GR3036450T3 (en) 1995-03-24 2001-08-27 Self-contained transdermal drug delivery device

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US08/410,203 US5879322A (en) 1995-03-24 1995-03-24 Self-contained transdermal drug delivery device
US08/410,203 1995-03-24

Publications (1)

Publication Number Publication Date
WO1996030077A1 true WO1996030077A1 (en) 1996-10-03

Family

ID=23623707

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1996/003195 WO1996030077A1 (en) 1995-03-24 1996-03-08 Self-contained transdermal drug delivery device

Country Status (11)

Country Link
US (1) US5879322A (en)
EP (1) EP0817659B1 (en)
JP (1) JPH11503037A (en)
AT (1) ATE201604T1 (en)
DE (1) DE69613113T2 (en)
DK (1) DK0817659T3 (en)
ES (1) ES2159022T3 (en)
GR (1) GR3036450T3 (en)
PT (1) PT817659E (en)
WO (1) WO1996030077A1 (en)
ZA (1) ZA962122B (en)

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1998029157A2 (en) * 1996-12-26 1998-07-09 Elan International Services Limited Device for the delivery of a substance to a subject and improved electrode assembly
US6157858A (en) * 1996-12-26 2000-12-05 Elan Pharma International Limited Device for the delivery of a substance to a subject and improved electrode assembly
EP1707236A3 (en) * 2005-03-31 2009-10-28 Iomed, Inc. Device for iontophoresis
US7708731B2 (en) 1995-06-02 2010-05-04 Alza Corporation Electrotransport delivery device with voltage boosting circuit
DE102012205745A1 (en) 2012-04-10 2013-10-10 Robert Bosch Gmbh Electronic plaster device with at least one energy source
US8983594B2 (en) 2008-12-30 2015-03-17 Nupathe, Inc. Electronic control of drug delivery system
US9327114B2 (en) 2010-11-23 2016-05-03 Teva Pharmaceuticals International Gmbh User-activated self-contained co-packaged iontophoretic drug delivery system

Families Citing this family (84)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6881208B1 (en) * 1995-06-05 2005-04-19 Joseph B. Phipps Method and device for transdermal electrotransport delivery of fentanyl and sufentanil
ZA964320B (en) * 1995-06-05 1997-01-13 Alza Corp Device for transdermal electrotransport delivery of fentanyl and sufentanil
US5991655A (en) * 1997-03-03 1999-11-23 Drug Delivery Systems, Inc. Iontophoretic drug delivery device and method of manufacturing the same
US8177762B2 (en) 1998-12-07 2012-05-15 C. R. Bard, Inc. Septum including at least one identifiable feature, access ports including same, and related methods
US6337328B1 (en) 1999-03-01 2002-01-08 Sepracor, Inc. Bupropion metabolites and methods of use
DE60036863T2 (en) * 1999-03-25 2008-07-31 Metabolix, Inc., Cambridge Medical devices and uses of polyhydroxyalkanoate polymers
WO2001015671A2 (en) 1999-08-30 2001-03-08 Tepha, Inc. Flushable disposable polymeric products
US20010041869A1 (en) * 2000-03-23 2001-11-15 Causey James D. Control tabs for infusion devices and methods of using the same
HU225563B1 (en) * 2000-09-11 2007-03-28 Alza Corp Transdermal electrotransport device and method for manufacturing same
US7496401B2 (en) * 2001-04-06 2009-02-24 Mattioli Engineering Ltd Method and apparatus for skin absorption enhancement and transdermal drug delivery
US7010343B2 (en) * 2001-04-06 2006-03-07 Mattioli Engineering Ltd. Method and apparatus for skin absorption enhancement and transdermal drug delivery
US7083580B2 (en) * 2001-04-06 2006-08-01 Mattioli Engineering Ltd. Method and apparatus for skin absorption enhancement and transdermal drug delivery
US7520875B2 (en) * 2001-04-06 2009-04-21 Mattioli Engineering Ltd. Method and apparatus for skin absorption enhancement and transdermal drug delivery
US8574204B2 (en) 2002-10-21 2013-11-05 Angiodynamics, Inc. Implantable medical device for improved placement and adherence in the body
CA2525132C (en) 2003-05-08 2011-06-28 Tepha, Inc. Polyhydroxyalkanoate medical textiles and fibers
EP1651273B1 (en) * 2003-07-08 2012-08-29 Tepha, Inc. Poly-4-hydroxybutyrate matrices for sustained drug delivery
WO2005004984A1 (en) * 2003-07-14 2005-01-20 Power Paper Ltd. Device and method for the treatment of pilosebaceous disorders
US20060287659A1 (en) * 2003-08-22 2006-12-21 Tepha, Inc. Polyhydroxyalkanoate nerve regeneration devices
US20050065062A1 (en) * 2003-09-24 2005-03-24 3M Innovative Properties Company Method of formulating a pharmaceutical composition
CA2544291C (en) * 2003-10-27 2013-01-08 University Of Basel Transdermal drug delivery method and system
US8366687B2 (en) 2004-01-06 2013-02-05 Angio Dynamics Injection access port with chamfered top hat septum design
US20050271597A1 (en) * 2004-02-13 2005-12-08 Keith Alec D Prostate hypertrophy treatment composition and method
US8277425B2 (en) 2004-03-24 2012-10-02 Navilyst Medical, Inc. Dual lumen port with F-shaped connector
WO2006015276A2 (en) * 2004-08-03 2006-02-09 Tepha, Inc. Non-curling polyhydroxyalkanoate sutures
US7780981B2 (en) 2004-09-13 2010-08-24 Chrono Therapeutics, Inc. Biosynchronous transdermal drug delivery
US8252321B2 (en) 2004-09-13 2012-08-28 Chrono Therapeutics, Inc. Biosynchronous transdermal drug delivery for longevity, anti-aging, fatigue management, obesity, weight loss, weight management, delivery of nutraceuticals, and the treatment of hyperglycemia, alzheimer's disease, sleep disorders, parkinson's disease, aids, epilepsy, attention deficit disorder, nicotine addiction, cancer, headache and pain control, asthma, angina, hypertension, depression, cold, flu and the like
ATE481088T1 (en) * 2005-01-28 2010-10-15 Tepha Inc EMBOLIZATION USING POLY-4-HYDROXYBUTYRATE PARTICLES
US9474888B2 (en) 2005-03-04 2016-10-25 C. R. Bard, Inc. Implantable access port including a sandwiched radiopaque insert
US7947022B2 (en) 2005-03-04 2011-05-24 C. R. Bard, Inc. Access port identification systems and methods
US8029482B2 (en) 2005-03-04 2011-10-04 C. R. Bard, Inc. Systems and methods for radiographically identifying an access port
JP5484674B2 (en) 2005-03-04 2014-05-07 シー・アール・バード・インコーポレーテッド Access port and identification method
WO2006116613A1 (en) 2005-04-27 2006-11-02 C.R. Bard, Inc. Infusion apparatuses
US10307581B2 (en) 2005-04-27 2019-06-04 C. R. Bard, Inc. Reinforced septum for an implantable medical device
EP2308547B1 (en) 2005-04-27 2014-09-17 C.R. Bard, Inc. High pressure access port with septum
WO2006127905A2 (en) 2005-05-24 2006-11-30 Chrono Therapeutics, Inc. Portable drug delivery device
WO2006135785A2 (en) * 2005-06-10 2006-12-21 Medical College Of Georgia Research Institute Compositions and methods for treating immune disorders
US9446017B2 (en) 2005-08-11 2016-09-20 Augusta University Research Institute, Inc. Compositions and methods for treating herpes simplex virus
US9114133B2 (en) 2006-08-25 2015-08-25 U.S. Dept. Of Veterans Affairs Method of improving diastolic dysfunction
US9550050B2 (en) * 2006-09-25 2017-01-24 MEDIMETRICS Personalized Drug Delivery B.V. Medicament delivery apparatus
US9265912B2 (en) 2006-11-08 2016-02-23 C. R. Bard, Inc. Indicia informative of characteristics of insertable medical devices
US9642986B2 (en) 2006-11-08 2017-05-09 C. R. Bard, Inc. Resource information key for an insertable medical device
US7943683B2 (en) * 2006-12-01 2011-05-17 Tepha, Inc. Medical devices containing oriented films of poly-4-hydroxybutyrate and copolymers
WO2008088756A1 (en) * 2007-01-12 2008-07-24 Bridge Pharma, Inc. Dermal compositions of substituted amides and the use thereof as medication for pain and pruritus
US20080188791A1 (en) * 2007-02-02 2008-08-07 Difiore Attilio E Active iontophoresis delivery system
US8197844B2 (en) * 2007-06-08 2012-06-12 Activatek, Inc. Active electrode for transdermal medicament administration
US9757554B2 (en) 2007-08-23 2017-09-12 Bioness Inc. System for transmitting electrical current to a bodily tissue
US8738137B2 (en) 2007-08-23 2014-05-27 Bioness Inc. System for transmitting electrical current to a bodily tissue
JP5425077B2 (en) * 2007-08-23 2014-02-26 バイオネス インコーポレイテッド System for transmitting current to body tissue
US9579496B2 (en) 2007-11-07 2017-02-28 C. R. Bard, Inc. Radiopaque and septum-based indicators for a multi-lumen implantable port
US8862223B2 (en) 2008-01-18 2014-10-14 Activatek, Inc. Active transdermal medicament patch and circuit board for same
US8075536B2 (en) * 2008-09-09 2011-12-13 Navilyst Medical, Inc. Power injectable port identification
EP2346553B1 (en) 2008-10-31 2022-01-19 C.R. Bard, Inc. Systems and methods for identifying an access port
US11890443B2 (en) 2008-11-13 2024-02-06 C. R. Bard, Inc. Implantable medical devices including septum-based indicators
US8932271B2 (en) 2008-11-13 2015-01-13 C. R. Bard, Inc. Implantable medical devices including septum-based indicators
US20130017188A1 (en) 2009-07-31 2013-01-17 The Brigham And Women's Hospital, Inc. Modulation of sgk1 expression in th17 cells to modulate th17-mediated immune responses
JP2013510652A (en) 2009-11-17 2013-03-28 シー・アール・バード・インコーポレーテッド Overmolded access port including locking feature and identification feature
AU2011237592B2 (en) 2010-04-08 2016-10-27 Emory University Substituted androst-4-ene diones
USD682416S1 (en) 2010-12-30 2013-05-14 C. R. Bard, Inc. Implantable access port
USD676955S1 (en) 2010-12-30 2013-02-26 C. R. Bard, Inc. Implantable access port
US9585930B2 (en) 2011-03-20 2017-03-07 Trustees Of Boston University Therapeutic agent for emphysema and COPD
US9480696B2 (en) 2011-05-04 2016-11-01 Trustees Of Boston University Proton-motive force stimulation to potentiate aminoglycoside antibiotics against persistent bacteria
US20140227293A1 (en) 2011-06-30 2014-08-14 Trustees Of Boston University Method for controlling tumor growth, angiogenesis and metastasis using immunoglobulin containing and proline rich receptor-1 (igpr-1)
EP2543370A1 (en) 2011-07-06 2013-01-09 Georgia Health Sciences University Research Institute, Inc. Compositions and Methods for Treating Herpes Simplex Virus
WO2013006643A1 (en) 2011-07-06 2013-01-10 The Parkinson's Institute Compositions and methods for treatment of symptoms in parkinson's disease patients
WO2013071049A1 (en) 2011-11-10 2013-05-16 Trustees Of Boston College Gramicidin a mutants that function as antibiotics with improved solubility and reduced toxicity
DE102012203880A1 (en) 2012-03-13 2013-09-19 Robert Bosch Gmbh Functional plaster with sensor and actuator
US9707339B2 (en) 2012-03-28 2017-07-18 Angiodynamics, Inc. High flow rate dual reservoir port system
US9713704B2 (en) 2012-03-29 2017-07-25 Bradley D. Chartrand Port reservoir cleaning system and method
US10105487B2 (en) 2013-01-24 2018-10-23 Chrono Therapeutics Inc. Optimized bio-synchronous bioactive agent delivery system
WO2014130922A1 (en) 2013-02-25 2014-08-28 Trustees Of Boston University Compositions and methods for treating fungal infections
WO2015027146A1 (en) 2013-08-22 2015-02-26 The General Hospital Corporation Inhibitors of human 12/15-lipoxygenase
US11382883B2 (en) 2013-08-29 2022-07-12 Trustees Of Boston University Intermediate metabolism products to potentiate aminoglycoside antibiotics in bacterial infections
US20150147555A1 (en) * 2013-11-23 2015-05-28 Orahealth Corporation Multilayer mucoadhering patch with a nonadhering layer comprising casein
US10166321B2 (en) 2014-01-09 2019-01-01 Angiodynamics, Inc. High-flow port and infusion needle systems
US10500303B2 (en) 2014-08-15 2019-12-10 Tepha, Inc. Self-retaining sutures of poly-4-hydroxybutyrate and copolymers thereof
US10626521B2 (en) 2014-12-11 2020-04-21 Tepha, Inc. Methods of manufacturing mesh sutures from poly-4-hydroxybutyrate and copolymers thereof
WO2016094669A1 (en) 2014-12-11 2016-06-16 Tepha, Inc. Methods of orienting multifilament yarn and monofilaments of poly-4-hydroxybutyrate and copolymers thereof
US10213586B2 (en) 2015-01-28 2019-02-26 Chrono Therapeutics Inc. Drug delivery methods and systems
AU2016228779A1 (en) 2015-03-12 2017-09-07 Chrono Therapeutics Inc. Craving input and support system
WO2016196664A1 (en) 2015-06-01 2016-12-08 Cedars-Sinai Medical Center Methods and use of compounds that bind to rela of nf-kb
MX2018001075A (en) 2015-07-28 2019-04-15 Vyome Therapeutics Ltd Antibacterial therapeutics and prophylactics.
JP7096591B2 (en) 2016-02-05 2022-07-06 パスポート テクノロジーズ、インコーポレイテッド Percutaneous permeate administration device
JP2020503950A (en) 2017-01-06 2020-02-06 クロノ セラピューティクス インコーポレイテッドChrono Therapeutics Inc. Device and method for transdermal drug delivery
CA3101966A1 (en) 2018-05-29 2019-12-05 Morningside Venture Investments Limited Drug delivery methods and systems

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0337642A2 (en) * 1988-04-14 1989-10-18 Inventor's Funding Corp. Ltd. Transdermal drug delivery device
GB2239803A (en) * 1989-12-21 1991-07-17 Elan Corp Plc Two-part iontophoretic device for the controlled delivery of an active ingredient to the skin
WO1994015669A1 (en) * 1992-12-31 1994-07-21 Alza Corporation Electrotransport system having flexible means
US5358483A (en) * 1983-06-01 1994-10-25 Drug Delivery Systems Inc. Disposable transdermal drug applicators
WO1994028965A1 (en) * 1993-06-08 1994-12-22 Becton Dickinson And Company Wearable iontophoresis system
EP0642808A1 (en) * 1993-09-10 1995-03-15 Asulab S.A. Device with three modules for iontophoretics or electrophoretic transdermal drug delivery

Family Cites Families (29)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US486902A (en) * 1892-11-29 Galvanic body-battery
US770014A (en) * 1904-09-13 Electfiomedical
US351233A (en) * 1886-10-19 Henry w
US385556A (en) * 1888-07-03 Medicated electric belt
US857664A (en) * 1907-01-10 1907-06-25 David R Overman Electromedical appliance.
US2301567A (en) * 1940-12-04 1942-11-10 Charles O Morse Allergen applicator and skin tester
US2667162A (en) * 1950-05-03 1954-01-26 Zwahlen Henry Device permitting the ambulatory ionization of blood circulatory troubles of the lower limbs
US2784715A (en) * 1953-03-25 1957-03-12 Kestler Otto Colman Cataphoresis unit
US4141359A (en) * 1976-08-16 1979-02-27 University Of Utah Epidermal iontophoresis device
US4166457A (en) * 1976-08-16 1979-09-04 University Of Utah Research Institute Fluid self-sealing bioelectrode
JPS5810066A (en) * 1981-07-10 1983-01-20 株式会社アドバンス Plaster structure for ion tofuorese
US4708716A (en) * 1983-08-18 1987-11-24 Drug Delivery Systems Inc. Transdermal drug applicator
US5224928A (en) * 1983-08-18 1993-07-06 Drug Delivery Systems Inc. Mounting system for transdermal drug applicator
US5135479A (en) * 1983-08-18 1992-08-04 Drug Delivery Systems, Inc. Programmable control and mounting system for transdermal drug applicator
US4588580B2 (en) * 1984-07-23 1999-02-16 Alaz Corp Transdermal administration of fentanyl and device therefor
IE60941B1 (en) * 1986-07-10 1994-09-07 Elan Transdermal Ltd Transdermal drug delivery device
US4911688A (en) * 1986-07-15 1990-03-27 Patent Research And Development Corp. Fluid containing covers - with electrical circuits
US4725263A (en) * 1986-07-31 1988-02-16 Medtronic, Inc. Programmable constant current source transdermal drug delivery system
US4997418A (en) * 1988-04-21 1991-03-05 C. P. Chambers Epidermal iontophoresis device
US5195953A (en) * 1988-04-21 1993-03-23 Demartini Richard J Method of increasing skin absorption of a drug
US5006108A (en) * 1988-11-16 1991-04-09 Noven Pharmaceuticals, Inc. Apparatus for iontophoretic drug delivery
US5047007A (en) * 1989-12-22 1991-09-10 Medtronic, Inc. Method and apparatus for pulsed iontophoretic drug delivery
WO1991015261A1 (en) * 1990-03-30 1991-10-17 Medtronic, Inc. Activity controlled electrotransport drug delivery device
US5037381A (en) * 1990-07-27 1991-08-06 Bock C Randolph Electrically assisted transdermal transport device and method for renewing the device
US5224927A (en) * 1990-11-01 1993-07-06 Robert Tapper Iontophoretic treatment system
US5254081A (en) * 1991-02-01 1993-10-19 Empi, Inc. Multiple site drug iontophoresis electronic device and method
US5203768A (en) * 1991-07-24 1993-04-20 Alza Corporation Transdermal delivery device
US5246418A (en) * 1991-12-17 1993-09-21 Becton Dickinson And Company Iontophresis system having features for reducing skin irritation
US5498235A (en) * 1994-09-30 1996-03-12 Becton Dickinson And Company Iontophoresis assembly including patch/controller attachment

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5358483A (en) * 1983-06-01 1994-10-25 Drug Delivery Systems Inc. Disposable transdermal drug applicators
EP0337642A2 (en) * 1988-04-14 1989-10-18 Inventor's Funding Corp. Ltd. Transdermal drug delivery device
GB2239803A (en) * 1989-12-21 1991-07-17 Elan Corp Plc Two-part iontophoretic device for the controlled delivery of an active ingredient to the skin
WO1994015669A1 (en) * 1992-12-31 1994-07-21 Alza Corporation Electrotransport system having flexible means
WO1994028965A1 (en) * 1993-06-08 1994-12-22 Becton Dickinson And Company Wearable iontophoresis system
EP0642808A1 (en) * 1993-09-10 1995-03-15 Asulab S.A. Device with three modules for iontophoretics or electrophoretic transdermal drug delivery

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7708731B2 (en) 1995-06-02 2010-05-04 Alza Corporation Electrotransport delivery device with voltage boosting circuit
WO1998029157A3 (en) * 1996-12-26 1998-09-11 Elan Int Serv Ltd Device for the delivery of a substance to a subject and improved electrode assembly
US6157858A (en) * 1996-12-26 2000-12-05 Elan Pharma International Limited Device for the delivery of a substance to a subject and improved electrode assembly
WO1998029157A2 (en) * 1996-12-26 1998-07-09 Elan International Services Limited Device for the delivery of a substance to a subject and improved electrode assembly
US10478610B2 (en) 2005-03-31 2019-11-19 Encore Medical Asset Corporation Method for electrotherapy drug delivery
EP1707236A3 (en) * 2005-03-31 2009-10-28 Iomed, Inc. Device for iontophoresis
US8386029B2 (en) 2005-03-31 2013-02-26 Encore Medical Asset Corporation Apparatus for electrotherapy drug delivery with added impurities
US11541226B2 (en) 2005-03-31 2023-01-03 Encore Medical Asset Corporation Method and apparatus for electrotherapy drug delivery
US8781572B2 (en) 2005-03-31 2014-07-15 Encore Medical Asset Corporation Method and apparatus for electrotherapy drug delivery
US9468757B2 (en) 2005-03-31 2016-10-18 Encore Medical Asset Corporation Method and apparatus for electrotherapy drug delivery
US8983594B2 (en) 2008-12-30 2015-03-17 Nupathe, Inc. Electronic control of drug delivery system
US9327114B2 (en) 2010-11-23 2016-05-03 Teva Pharmaceuticals International Gmbh User-activated self-contained co-packaged iontophoretic drug delivery system
DE102012205745A1 (en) 2012-04-10 2013-10-10 Robert Bosch Gmbh Electronic plaster device with at least one energy source

Also Published As

Publication number Publication date
ES2159022T3 (en) 2001-09-16
ATE201604T1 (en) 2001-06-15
DE69613113D1 (en) 2001-07-05
US5879322A (en) 1999-03-09
DE69613113T2 (en) 2002-03-21
PT817659E (en) 2001-09-28
ZA962122B (en) 1996-09-26
DK0817659T3 (en) 2001-08-06
EP0817659A1 (en) 1998-01-14
JPH11503037A (en) 1999-03-23
GR3036450T3 (en) 2001-11-30
EP0817659B1 (en) 2001-05-30

Similar Documents

Publication Publication Date Title
EP0817659B1 (en) Self-contained transdermal drug delivery device
US5830175A (en) Iontophoretic drug delivery system, including disposable patch
JP4165659B2 (en) Electrotransport dosing device with improved safety and reduced abuse potential
JP3916660B2 (en) Electronic conveyor power saving device with reusable controller
EP1608433B1 (en) Electrotransport device having a reservoir housing having a flexible conductive element
US5991655A (en) Iontophoretic drug delivery device and method of manufacturing the same
AU693683B2 (en) Display for an electrotransport delivery device
US5795321A (en) Iontophoretic drug delivery system, including removable controller
US6355025B1 (en) Adjustable electrotransport drug delivery using a fixed output controller
AU714537B2 (en) Electrotransport device having reusable controller
US5919156A (en) Iontophoretic drug delivery system, including unit for dispensing patches
WO1997011741A1 (en) Iontophoretic drug delivery system, including reusable device
CA2201378A1 (en) Iontophoretic drug delivery system, including disposable patch and reusable, removable controller
WO1996010441A9 (en) Iontophoretic drug delivery system, including disposable patch and reusable, removable controller

Legal Events

Date Code Title Description
AK Designated states

Kind code of ref document: A1

Designated state(s): CA JP

AL Designated countries for regional patents

Kind code of ref document: A1

Designated state(s): AT BE CH DE DK ES FI FR GB GR IE IT LU MC NL PT SE

DFPE Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101)
121 Ep: the epo has been informed by wipo that ep was designated in this application
ENP Entry into the national phase

Ref country code: JP

Ref document number: 1996 529423

Kind code of ref document: A

Format of ref document f/p: F

WWE Wipo information: entry into national phase

Ref document number: 1996910394

Country of ref document: EP

WWP Wipo information: published in national office

Ref document number: 1996910394

Country of ref document: EP

NENP Non-entry into the national phase

Ref country code: CA

WWG Wipo information: grant in national office

Ref document number: 1996910394

Country of ref document: EP