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Controlled delivery of therapeutic agents by insertable medical devices

a medical device and control technology, applied in the direction of biocide, prosthesis, catheter, etc., can solve the problems of uncontrolled release of drug or drug solution from the delivery device, and achieve the effects of linear increase in dna absorbed, and reduced release rate of adsorbed dna

Inactive Publication Date: 2005-08-04
BOSTON SCI SCIMED INC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

One potential drawback to conventional localized drug administration is the uncontrolled manner at which the drug or drug solution is released from the delivery device.

Method used

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  • Controlled delivery of therapeutic agents by insertable medical devices
  • Controlled delivery of therapeutic agents by insertable medical devices
  • Controlled delivery of therapeutic agents by insertable medical devices

Examples

Experimental program
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example 1

Effect of Surfaces and Polyelectrolytes on the DNA Release

[0059] Multilayered films of DNA were built up on various negatively charged, neutral, and positively charged surfaces, by spraying or dipping. The DNA adsorbed by HSA or gelatin was released quickly whereas, due to the hydrophobicity of chitosan at neutral pH, the DNA adsorbed by chitosan was released very slowly. The result of this experiment is tabulated in Table 1 below. Table 1 shows natural polymers, as polyelectrolytes, are coated onto several surfaces, which surfaces were modified by different substrates. When different surfaces were dipped into a slightly acidic solution containing a polynucleotide, the positively charged coated surface induced adsorption of the polynucleotide (i.e., adsorption was driven by the charged interaction). Successive layering of the surface with polyelectrolyte and DNA can be repeated as many times as needed to maximize the amount of DNA adsorbed to the surface. The alternate layers of po...

example 2

Effects of pH on the Amount of DNA Released

[0060] The effect of pH on the amount of DNA adsorbed was investigated by alternating adsorption of DNA and HSA at different pHs. The results, as shown in FIG. 1, indicated that HSA adsorption is optimal at pH 4.0; no DNA could be adsorbed at pH 5.0 or higher. The relationship between the number of DNA layers and adsorbed amount of DNA was investigated by alternating adsorption of DNA and HSA at pH4.0. The results, as demonstrated in FIG. 2, showed that the amount of DNA absorbed increased linearly with the number of DNA layers on the surface of the medical device.

example 3

The Release Kinetics of the Adsorbed DNA from the Surface of the Medical Device

[0061] Release kinetics studies indicated that the adsorbed polynucleotide could be released completely within 5 minutes. (See FIG. 3 which shows that the adsorbed DNA was released almost completely from the surface of a coated balloon catheter.) When the medical device is coated with a condensed gelatin coating, the release rate of the adsorbed DNA was reduced slightly, whereas when the device was coated with a thin layer of chitosan, the release rate of the adsorbed DNA was decreased remarkably. The release kinetics of the adsorbed DNA, as shown in FIG. 4, was also shown to be dependant on the thickness of chitosan coating (i.e., the concentration of chitosan solution when the dipping time was fixed).

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Abstract

A medical device and method for transportation and release of a therapeutic agent into a mammalian body are disclosed. The medical device is coated with alternating layers of a negatively charged therapeutic agent and a cationic polyelectrolyte, following a controlled adsorption technique. The method is simple, with minimal perturbation to the therapeutic agent and uses clinically acceptable biopolymers such as human serum albumin. The amount of the therapeutic agent that can be delivered by this technique is optimized by the number of the layers of the therapeutic agent adsorbed on the surface of medical device. There is a washing step between alternate layers of the therapeutic agent and cationic polyelectrolyte carrier, so that the amount of the therapeutic agent on the insertable medical device represents the portion that is stably entrapped and adsorbed on to the medical device. The insertable medical device and method according to this invention are capable of reproducibly delivering therapeutic agent to a site in a mammalian body, and allow for a highly reproducible and controllable release kinetics of the therapeutic agent.

Description

BACKGROUND [0001] 1. Field of the Invention [0002] The present invention relates to the localized delivery of negatively charged therapeutic agents, and more particularly to the localized and controlled delivery of DNA absorbed to the surface of insertable medical devices, in particular, balloon catheters or stents. [0003] 2. Background of the Invention [0004] It is often desirable to administer drug agents at localized sites within the body because the systemic administration of drug agents treats the body as a whole even though the disease to be treated may be localized. Various methods have been proposed for such localized drug administration. For example, U.S. Pat. No. 5,304,121, which is incorporated herein by reference, discloses a method of delivering water-soluble drugs to tissue at desired locations of a body lumen wall. The method generally includes the steps of impregnating a hydrogel polymer on a balloon catheter with an aqueous drug solution, inserting the catheter into...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61L29/16A61L31/16
CPCA61L29/16A61L31/16A61L2300/258A61L2300/802A61L2300/602A61L2300/608A61L2300/416
Inventor LI, WEIPINGMAO, HAI-QUANLEONG, KAM W.
Owner BOSTON SCI SCIMED INC
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