disposable drug delivery system

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    Disposable Drug

    Delivery SystemRoss Gerber, Aman GhotraKarim Mahamud, & Prakash Rao

    Client: Michael MacDonald, MDDept. of Pediatrics UW Hospital & Clinics

    Adv isor : William Murphy, PhDDept. of Biomedical Engineering

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    O utline

    BackgroundInsulin, Type I diabetes, drug delivering devices

    Problem StatementDesign Constraints, Motivation

    Proposed Design Solutions : Reaction PumpMicrofluidic Pump

    Motor Driven PumpEvaluation

    Future Work

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    BackgroundInsulinProduced in Pancreas

    Essential protein for glucoseregulationLow insulin levels can lead to

    coma or deathType I Diabetes Autoimmune Disease that stopsinsulin production

    Affects children and youngadultsPatients must inject insulinperiodically

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    Background (cont.)

    Current InsulinDelivering Devices :

    Syringes

    Insulin PensInsulin jet injectorsInsulin pumps

    Have a small reservoir,syringe, programmablehand padCommonly used by TypeI diabetics

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    Problem Statement

    Develop a small, automatic,inexpensive (and possibly disposable)

    drug delivery system that can give acontinuous flow of a protein-baseddrug over period of twenty-four hours.

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    Design Constraints

    A new insulin drug pump must :Deliver solutions at a constant rate for over aperiod of 8-24 hours at 10-100 L/hr Hold up to 0.5 ml of total solutionNot be bulky or heavyBe cost-efficient (maximum cost : $1000.00)

    Be user friendlyBe easily sterilized

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    Motivation

    Current insulin pump users are dissatisfied,as they :

    Do not provide constant flow rates Are expensive ($5,000-7,500)

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    Design 1 : Reaction Pump

    Spring generates force As solid organiccompound dissolves,spring is allowed to workReaction is initiatedwhen glass membrane isbrokenRate of reactiondetermines the rate of delivery

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    Progress of Dissolution

    Compoundsbefore reaction

    t=0

    Compounds atbeginning of

    reaction

    t=1hr

    Compoundsnear end of

    reaction

    t=8hr

    View of diffusion

    grate

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    Reaction Pump : Components

    Spring (1)Liquid Reactant (2)

    Solid Reactant (3)Plunger and Grate (4)Insulin (5)Chamber (6)

    Start Pin (7)

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    Reaction Pump : Mechanism

    Button (7) is pushed tobrake thin membrane (9)Water layer (2) is exposedto dissolvable organiccompound (3)

    As the compound dissolves,it passes through the grate(9) at the top of the plunger (4)

    Allows plunger (4) to move

    down to push insulin (5) outof chamber (6) into therecipient

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    Reaction Pump : Evaluation

    AdvantagesVery smallConstant rate

    DisposableNo electronicsEasy to useCan vary amount of insulin delivered byconcentration

    DisadvantagesMust determine chemicalreaction

    No feedback mechanismInsulin can possibly beforced in if an externalforce is appliedCould fall off

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    Microfluidic System

    ComponentsMicro-pump

    Reciprocating Displacement type

    Passive micro-valveControl Circuit

    Can precise and controllable amount of fluid

    in the range of L/min mL/min

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    Reciprocating Micropump O peration

    Moving surface doespressure work on workingfluid in periodic manner

    Force-applying movingsurface deformable plate(pump diaphragm)

    Basic components pumpchamber (on 1 side of pumpdiaphragm), actuator mechanism, and 2 passivecheck valves

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    Piezoelectric Actuator MechanismPiezoelectric Excitation

    If material subjected tomechanical tension,electrical polarizationproportional to extensionwould occur

    O pposite also holds true,where material deformationoccurs as a result of applied electric field(inverse piezoelectriceffect)

    PZT, Zn OCan be used to benddiaphragm

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    Piezoelectric Actuator Mechanism (cont.)

    O perationDriver acts on diaphragm to alternate increase & decrease of pump

    chamber volumeFluid drawn into pump chamber during fluid intake stroke (diaphragmexpands), and force out during discharge stroke (diaphragm contracts)Check valves @ inlet and outlet favor bidirectional flow, therebyrectifying the flow over a two-stroke pump cycle

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    Evaluation - Microfluidic Pump

    Adva nt ag es

    Very small Accurate deliveryWould essentially actas an artificial pancreas

    D is adva nt ag es

    Too expensive for disposable use

    Closed loop feedbackcontrol with glucosesensor is still yearsaway

    Very difficult tofabricate

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    Design 3 : Motor Driven Pump

    Components :SyringeTubing

    Programmable Electronic CircuitPC can change flow rates

    A circuit is responsible for converting step and directionsignals into winding energized patterns

    Stepping motor Rotates counter-clockwise and clockwiseVariable steps (, , etc.)Smaller steps provide more torque

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    Motor Driven Pump

    Components (cont)Converter :

    Converts rotationalmotion into linear motionDrives the syringe whichdelivers insulin

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    Evaluation : Motor Driven Pump

    AdvantagesInexpensive ($350)Small

    SizeEasy to sterilizeProvides constant rate

    DisadvantagesNot waterproof

    Bathing, swimming

    Not effective during mealtimes

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    Decision Matrix

    R e ac tion Mi c roflui d ic Motor D ri ven

    Cost 4 2 5

    Flow Rate 4 4 4

    Performance 3 5 4

    Size/Appearance 5 4 3

    Ease of Use 5 3 4

    Programmable 2 4 5

    Totals 23 22 25

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    Future Work Motor Driven Pump

    Purchase componentsFabricate circuit

    Design and produce casingTry to make waterproof Identify feedback mechanism

    Minimize size

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    Future Work Reaction Pump

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    Future Work Reaction Pump

    Want this to happen as quicklyas possible

    A=A0e -kt

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    References Adair, T. H. and A. C. Guyton. 1985. Measurement of subcutaneous tissue fluid pressure using a skin cup method. Journal of Applied

    Physiology, 58 :1528-1535.Combining Chemistry with O ptics. 2005. The Whitaker Foundation. .Diabetes - The Disorder. 2005. Columbia Encyclopedia. .Haggerty, Michael, et al. Insulin Drug Pump. 27 Dec. 2004. UW-Madison, Dept. of Biomedical Engineering.

    .How to Take Insulin. 2005. dlife.com.

    .Johnson, Jason. How Stepper Motors Work. 2005. .Jones, Douglas W. Stepping Motor Physics. 2005. University of Iowa - Dept. of Computer Science.

    .Laser, D. J. and J. G. Santiago. 2004. A review of micropumps. J Micromech Microengineering 14 :35-64.Liepmann, D., A. P. Pisano, and B. Sage. 1999. Microelectromechanical Systems Technology to Deliver Insulin. Diabetes Technology &

    Therapeutics 1 :469-476.MacDonald, Michael M. Personal interview. 26 Jan. 2005.Stepper Motors. 2004. ERNTEC Pty Ltd. .Stepper Motors. 2005. AllMotion Inc. .Tay, F. E. H., W. O . Choong, H. Liu, and G. L. Xu. 2000. An intelligent micro-fluidic system for drug delivery, p. 70-5. I n Anonymous

    Proceedings of IEEE International Conference on Industrial Technology 2000, 19-22 Jan. 2000. Jaico Publishing House, Goa,India.

    Treating Complications. 2005. The Whitaker Foundation. .what is diabetes? 2005. Juvenile Diabetes Research Foundation International. .