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用于纳米流体药物递送植入物的远程磁控关闭微型阀门

Remote magnetic switch off microgate for nanofluidic drug delivery implants.

作者信息

Farina Marco, Ballerini Andrea, Torchio Gianluca, Rizzo Giulia, Demarchi Danilo, Thekkedath Usha, Grattoni Alessandro

机构信息

Department of Nanomedicine, Houston Methodist Research Institute, 6670 Bertner Avenue, R8-216, Houston, TX, 77030, USA.

Department of Electronics and Telecommunications, Politecnico di Torino, Torino, Italy.

出版信息

Biomed Microdevices. 2017 Jun;19(2):42. doi: 10.1007/s10544-017-0180-5.

Abstract

In numerous pathologies, implantable drug delivery devices provide advantages over conventional oral or parenteral approaches. Based on the site of implantation and release characteristics, implants can afford either systemic delivery or local administration, whereby the drug is delivered at or near the site of intended action. Unfortunately, current implantable drug delivery systems provide limited options for intervention in the case of an adverse reaction to the drug or the need for dosage adjustment. In the event that drug delivery must be terminated, an urgent surgical retrieval may be the only reliable option. This could be a time sensitive and costly effort, requiring access to trained professionals and emergency medical facilities. To address such limitations, here we demonstrate, in vitro and ex vivo, a novel microsystem for the rapid and effective switch off of drug delivery from an implantable nanofluidic system, by applying a safe external electromagnetic field in the FDA approved dose range. This study represents a proof of concept for a technology with potential for broad applicability to reservoir-based delivery implants for both complete interruption or remote titration of drug administration.

摘要

在众多病症中,可植入式药物递送装置相较于传统的口服或肠胃外给药方法具有优势。根据植入部位和释放特性,植入物可实现全身给药或局部给药,从而使药物在预期作用部位或其附近递送。不幸的是,在药物出现不良反应或需要调整剂量的情况下,当前的可植入式药物递送系统提供的干预选择有限。倘若必须终止药物递送,紧急手术取出可能是唯一可靠的选择。这可能是一项对时间敏感且成本高昂的工作,需要有经过培训的专业人员和紧急医疗设施。为解决此类局限性,在此我们在体外和离体实验中展示了一种新型微系统,通过在FDA批准的剂量范围内施加安全的外部电磁场,可快速有效地关闭来自可植入纳米流体系统的药物递送。这项研究为一项技术提供了概念验证,该技术有可能广泛应用于基于储库的递送植入物,以实现药物给药的完全中断或远程滴定。

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