Abstract
Purpose
In this paper, we present a concept of an implantable drug delivery device able to deliver drugs in the duodenum for a long period of time (e.g. one month). This device will help to overcome therapeutic non-adherence which is the main reason why many patients do not obtain all the benefits they could expect from their medicines.
Methods
The presented device is based on a miniature tubular linear actuator capable to move at discrete positions inside a tube. Its small size and ability to realize small strokes makes it suitable for this type of biomedical application. Our research work mainly focuses on the actuator design. First, we present the electromagnetic modeling of the actuator followed by its experimental validation.
Results
Results show that the presented actuator can reach discrete positions inside the tube with an average displacement stroke value of 3.5 mm with a standard deviation of 0.1 mm for a 0.5 A supplied current. Finally, we validate the actuator as part of the complete drug delivery device where balls with a diameter of 3 mm, mimicking drug doses, were released from the tube one by one.
Similar content being viewed by others
References
Hugtenburg JG, Timmers L, Elders PJ, Vervloet M, van Dijk L (2013) Definitions, variants, and causes of nonadherence with medication: a challenge for tailored interventions. Patient Prefer Adherence 7:675–682
Sabaté E, Sabaté E (2003) Adherence to long-term therapies: evidence for action. World Health Organ, Geneva
Traverso G, Langer R (2015) Perspective: special delivery for the gut. Nature 519(7544):S19–S19
Yim S, Goyal K, Sitti M (2013) Magnetically actuated soft capsule with the multimodal drug release function. IEEE/ASME Trans Mechatron 18(4):1413–1418
Woods SP, Constandinou TG (2013) Wireless capsule endoscope for targeted drug delivery: mechanics and design considerations. IEEE Trans Biomed Eng 60(4):945–953
Michaels A (1974) Drug delivery device with self actuated mechanism for retaining device in selected area. US3786813A
Michaels AS, Bashwa JD, Zaffaroni A (1975) Integrated device for administering beneficial drug at programmed rate. US3901232A
Salessiotis N (1972) Measurement of the diameter of the pylorus in man: Part I. Experimental project for clinical application. Am J Surg 124(3):331–333
Urquhart J, Theeuwes F (1984) Drug delivery system comprising a reservoir containing a plurality of tiny pills. US4434153A
Caldwell LJ, Gardner CR, Cargill RC (1988) Drug delivery device which can be retained in the stomach for a controlled period of time. US4767627A
Caldwell LJ, Gardner CR, Cargill RC, Higuchi T (1988) Drug delivery device which can be retained in the stomach for a controlled period of time. US4758436A
Caldwell LJ, Gardner CR, Cargill RC (1988) Drug delivery device which can be retained in the stomach for a controlled period of time. US4735804A
Bellinger AM, Jafari M, Grant TM et al (2016) Oral, ultra–long-lasting drug delivery: application toward malaria elimination goals. Sci Transl Med 8(365):365ra157-365ra157
Kumar A, Pillai J (2018) Chapter 13 - Implantable drug delivery systems: an overview. Nanostructures Eng Cells Tissues Organs 473–511
Iacovacci V, Ricotti L, Dario P, Menciassi A (2014) Design and development of a mechatronic system for noninvasive refilling of implantable artificial pancreas. IEEE/ASME Trans Mechatron 20(3):1160–1169
Iacovacci V, Tamadon I, Kauffmann EF, Pane S, Simoni V, Marziale L, Aragona M, Cobuccio L et al (2021) A fully implantable device for intraperitoneal drug delivery refilled by ingestible capsules. Sci Robot 6(57):eabh3328
Gardner B, Jamous A, Teddy P, Bergstrom E, Wang D, Ravichandran G, Sutton R, Urquart S (1995) Intrathecal baclofen-a multicentre clinical comparison of the Medtronics Programmable, Cordis Secor and Constant Infusion Infusaid drug delivery systems. Paraplegia 33(10):551–554
Späth G, Helber M, Eisele R (1985) Continuous long term heparin therapy-dosage problems using an infusaid device. Life Support Syst J Eur Soc Artif Organs 3(1):57–59
Austenat E, Stahl T (2019) 9 The state of implantable insulin pump therapy. Insulin Pump Therapy: Indication-Method-Technology 115–118
Encica L, Paulides JJH, Lomonova EA, Vandenput AJA (2008) Electromagnetic and thermal design of a linear actuator using output polynomial space mapping. IEEE Trans Ind Appl 44(2):534–542
Khan H, Cuschieri A (2021) Low powered uni-directional actuator for wireless active enteroscopy. In: Actuator; international conference and exhibition on new actuator systems and applications, pp 1–4
Yue W, Tang R, Wong JS, Ren H (2022) Deployable tubular mechanisms integrated with magnetic anchoring and guidance system. In: Actuators, MDPI 11(5);124. https://doi.org/10.3390/act11050124
Zhu J, Lu H, Guo Y, Lin Z (2008) Development of electromagnetic linear actuators for micro robots. In: International conference on electrical machines and systems, IEEE, pp 3673–3679
Phee L, Accoto D, Menciassi A, Stefanini C, Carrozza MC, Dario P (2002) Analysis and development of locomotion devices for the gastrointestinal tract. IEEE Trans Biomed Eng 49(6):613–616
Tung AT, Park BH, Koolwal A, Nelson B, Niemeyer G, Liang D (2006) Design and fabrication of tubular shape memory alloy actuators for active catheters. In: The first IEEE/RAS-EMBS international conference on biomedical robotics and biomechatronics, 2006. BioRob 2006, pp 775–780
Abramson A, Dellal D, Kong YL, Zhou J, Gao Y, Collins J, Tamang S et al (2020) Ingestible transiently anchoring electronics for microstimulation and conductive signaling. Sci Adv 6(35):eaaz0127
Mau MM, Sarker S, Terry BS (2021) Ingestible devices for long-term gastrointestinal residency: A review. Progress Biomed Eng 3(4):042001
Helander HF, Fändriks L (2014) Surface area of the digestive tract-revisited. Scand J Gastroenterol 49(6):681–689
Arora N, Khan MU, Petit L, Lamarque F, Prelle C (2019) Design and development of a planar electromagnetic conveyor for the microfactory. IEEE/ASME Trans Mechatron 24(4):1723–1731
Acknowledgements
This work is supported by The Initiative Maîtrise des Systèmes Technologiques sûrs et Durables (MSTD) Alliance Sorbonne Université.
Funding
This work is supported by The Initiative Maîtrise des Systèmes Technologiques sûrs et Durables (MSTD) Alliance Sorbonne Université.
Author information
Authors and Affiliations
Contributions
The authors contributed equally to this work. M.B.S. contributed to the development, prototyping, modeling and experimental validation of the mentioned actuator and drug delivery device. She also wrote the main manuscript text. L.P. also contributed to the development and the modeling of the actuator and the experimental validation of the drug delivery device. He also participated in the review process. M.-u.K. was involved in the design process and the review of this article. J.T., C.P. and T.C. contributed to the design process of the drug delivery device and the review process of this article. F.L. and C.E. contributed to the design process and the discussion for the future advancement of this project. All authors have read and agreed to the published version of the manuscript.
Corresponding author
Ethics declarations
Competing interests
The authors have no competing interests, or other interests that might be perceived to influence the results and/or discussion reported in this paper.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Ben Salem, M., Petit, L., Ullah Khan, M. et al. A drug delivery device concept using a miniature tubular linear electromagnetic actuator: design, modeling and experimental validation. J Micro-Bio Robot 18, 25–36 (2022). https://doi.org/10.1007/s12213-023-00153-w
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12213-023-00153-w