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CN114305855B - Eye administration auxiliary device - Google Patents

Eye administration auxiliary device Download PDF

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CN114305855B
CN114305855B CN202111635283.3A CN202111635283A CN114305855B CN 114305855 B CN114305855 B CN 114305855B CN 202111635283 A CN202111635283 A CN 202111635283A CN 114305855 B CN114305855 B CN 114305855B
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drug delivery
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ultrasonic transducer
piezoelectric
voltage
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CN114305855A (en
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胡亚欣
李玲茜
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Shenzhen University
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Abstract

The application discloses an eye drug delivery auxiliary device, which comprises an ultrasonic transducer and an ultrasonic excitation source, wherein the ultrasonic transducer and the ultrasonic excitation source are separately or electrically connected, and the ultrasonic excitation source is used for driving the ultrasonic transducer to work; the ultrasonic transducer comprises a piezoelectric wafer array, an elastic membrane layer and a backing fixed layer, wherein the elastic membrane layer is in a spherical annular band shape and has curvature close to that of an eyeball; the piezoelectric wafer array is clamped between the elastic membrane layer and the backing fixed layer. When the application is applied to ocular administration, the drug is carried by adopting the sound sensitive agent and placed on the surface of ocular tissues, the sound sensitive agent is excited by utilizing the ultrasonic transducer, micron-sized perforation expansion is formed on the sclera, on the basis of avoiding tissue damage, the gap between tissue cells is obviously increased, the drug can quickly and efficiently permeate into the sclera and diffuse into the inside of the eye, the delivery breadth and depth of the drug in the tissues are improved, and the permeability and the utilization rate of the drug entering the eyes are greatly improved; the use of the medicine reduces the medicine waste, and ensures that the dosage control is more accurate and effective.

Description

眼部给药辅助装置Ocular drug delivery aids

技术领域Technical field

本发明涉及医疗器械领域,具体涉及眼部给药的装置。The present invention relates to the field of medical devices, and in particular to an eye drug delivery device.

背景技术Background technique

近年来,生物大分子药物在眼部疾病治疗方面展现了良好应用前景。比如抑制黄斑变性中脉络膜新生血管形成的雷珠单抗(Ranibizumab,分子量48kDa)、治疗坏死性巩膜炎中自身免疫因子攻击的阿达木单抗(Adalimumab,分子量148kDa)和阻止视网膜神经变性的睫状神经营养因子(Ciliary Neurotrophic Factor,分子量24kDa)等治疗剂都已证明是有效眼部疾病治疗的生物大分子药物。然而,目前大分子药物经眼部组织进入目标区域(比如眼后节区域)进行扩散和治疗的效率受到了眼部屏障的限制。以眼表给药方式为例,结构致密的巩膜和角膜屏障阻碍了生物大分子药物向眼睛组织内部的扩散。In recent years, biological macromolecule drugs have shown good application prospects in the treatment of eye diseases. For example, Ranibizumab (molecular weight 48kDa) inhibits choroidal neovascularization in macular degeneration, Adalimumab (molecular weight 148kDa) treats autoimmune factor attack in necrotizing scleritis, and ciliary medicine prevents retinal neurodegeneration. Therapeutic agents such as neurotrophic factor (Ciliary Neurotrophic Factor, molecular weight 24kDa) have been proven to be effective biological macromolecule drugs in the treatment of eye diseases. However, the efficiency of current diffusion and treatment of macromolecular drugs into the target area (such as the posterior segment of the eye) through eye tissue is limited by the ocular barrier. Taking ocular surface drug delivery as an example, the dense scleral and corneal barriers hinder the diffusion of biomacromolecule drugs into the inner tissues of the eye.

现有眼部药物递送方法包括眼表给药、全身给药、眼内注射、微针给药等。具体来说,眼表给药(如直接涂敷眼药水、眼膏、眼凝胶等)适用于分子量小的药物,不适用于分子量较大的药物,而且眼表药物在经角膜/巩膜等屏障扩散吸收的同时,受到眨眼、泪液稀释和鼻泪管引流等影响,药物在眼部的生物利用率仅约为5%~10%,并且其中只有50%~90%的药物进入体循环,即最终仅有2.5%~9%的药物进入人体发挥作用。可见眼部给药的利用率非常低,药物浪费非常大,给药量无法有效把控。Existing ocular drug delivery methods include ocular surface drug delivery, systemic drug delivery, intraocular injection, microneedle drug delivery, etc. Specifically, ocular surface drug administration (such as direct application of eye drops, eye ointments, eye gels, etc.) is suitable for drugs with small molecular weights, but is not suitable for drugs with larger molecular weights, and ocular surface drugs are administered through the cornea/sclera, etc. While barrier diffusion and absorption are affected by blinking, tear dilution and nasolacrimal duct drainage, the bioavailability of drugs in the eye is only about 5% to 10%, and only 50% to 90% of the drugs enter the systemic circulation, that is In the end, only 2.5% to 9% of the drug enters the human body and plays a role. It can be seen that the utilization rate of ocular drug administration is very low, the drug waste is very large, and the dosage cannot be effectively controlled.

如果对眼部给药采用全身给药的方式,如口服、皮下注射、静脉注射等,则会受到血-房水屏障和血-视网膜屏障的阻碍,眼部利用率低,且全身给药所需剂量较大,同时可能会对其他组织或器官产生副作用。If systemic administration is used for ocular administration, such as oral administration, subcutaneous injection, intravenous injection, etc., it will be hindered by the blood-aqueous humor barrier and blood-retina barrier, resulting in low eye utilization and the difficulty of systemic administration. It requires a larger dose and may cause side effects on other tissues or organs.

如果采用眼内注射的方式,虽然提高了药物利用率,但会引起患者疼痛和恐惧,注射过程中的感染风险增加甚至有可能导致永久性损伤,对于需要多次给药的慢性眼疾并不适用。If intraocular injection is used, although the drug utilization rate is improved, it will cause pain and fear to the patient. The risk of infection during the injection process will increase and may even cause permanent damage. It is not suitable for chronic eye diseases that require multiple administrations. .

微针给药方式通过直径几十到几百微米的针头降低对眼部组织伤害和病人痛感,可以提高药物穿过生物组织的渗透率和眼部的利用率,但是该方法仍然属于有创范围,同样不适用于需要多次给药的慢性眼疾。Microneedle drug delivery uses needles with a diameter of tens to hundreds of microns to reduce damage to eye tissue and patient pain, and can improve the penetration rate of drugs through biological tissues and eye utilization, but this method is still invasive. , is also not suitable for chronic eye diseases that require multiple doses.

发明内容Contents of the invention

本发明主要解决的技术问题是:提高眼部给药的给药效率。The main technical problem solved by the present invention is to improve the efficiency of drug delivery to the eye.

据此,本发明提出一种眼部给药辅助装置,包括超声换能器和超声激励源,二者分立或电连接,所述超声激励源用于驱动所述超声换能器工作;所述超声换能器包括压电晶片阵列、弹性膜层和背衬固定层,所述弹性膜层为球环带状,其内表面具有趋近眼球曲率的曲率;所述压电晶片阵列夹设于所述弹性膜层与背衬固定层之间。Accordingly, the present invention proposes an ocular drug delivery auxiliary device, which includes an ultrasonic transducer and an ultrasonic excitation source, both of which are separate or electrically connected, and the ultrasonic excitation source is used to drive the ultrasonic transducer to work; The ultrasonic transducer includes a piezoelectric chip array, an elastic film layer and a backing fixed layer. The elastic film layer is in the shape of a spherical ring, and its inner surface has a curvature approaching the curvature of the eyeball; the piezoelectric chip array is sandwiched between between the elastic film layer and the backing fixed layer.

其中的一种实施例中,所述N=16,所述16个压电晶片组成环形分布阵列,每个所述压电晶片覆盖环形22.5°的范围;选择启用其中的一个或一个以上所述压电晶片,实现对巩膜覆盖的多种组合形式。In one embodiment, N=16, the 16 piezoelectric wafers form an annular distribution array, each of the piezoelectric wafers covers an annular 22.5° range; select to enable one or more of the Piezoelectric chip enables various combinations of scleral coverage.

其中的一种实施例中,所述的眼部给药辅助装置,所述超声激励源包括多通道变换匹配器、多通道功率输出器、多通道信号发生器、多通道电压监测器和微控制器;所述微控制器根据设定的工作参数,发送输出指令给所述多通道信号发生器;所述多通道信号发生器输出低压方波信号至所述多通道功率输出器;所述多通道功率输出器输出高压方波信号至所述多通道变换匹配器,所述多通道变换匹配器输出高压正弦波信号,驱动所述压电晶片;所述多通道电压监测器监测所述多通道变换匹配器的多路输出电压,并反馈给所述微控制器。超声激励源的低压方波电信号的周期为0.5-50微秒可调,时间分辨率在0.01-0.5微秒可调;所述高压方波信号的电压在10-110伏特可调。In one embodiment, in the ocular drug administration auxiliary device, the ultrasonic excitation source includes a multi-channel transformation matcher, a multi-channel power output device, a multi-channel signal generator, a multi-channel voltage monitor and a microcontroller. device; the microcontroller sends output instructions to the multi-channel signal generator according to the set working parameters; the multi-channel signal generator outputs a low-voltage square wave signal to the multi-channel power output device; the multi-channel signal generator The channel power output device outputs a high-voltage square wave signal to the multi-channel conversion and matching device, and the multi-channel conversion and matching device outputs a high-voltage sine wave signal to drive the piezoelectric chip; the multi-channel voltage monitor monitors the multi-channel The multiple output voltages of the matching device are converted and fed back to the microcontroller. The period of the low-voltage square wave electrical signal of the ultrasonic excitation source is adjustable from 0.5 to 50 microseconds, and the time resolution is adjustable from 0.01 to 0.5 microseconds; the voltage of the high-voltage square wave signal is adjustable from 10 to 110 volts.

依据上述实施例的眼部给药辅助装置,应用于眼部给药时,采用声敏剂承载药物,放置于眼部组织表面,利用超声换能器的机械效应,可以激励声敏剂,在巩膜上形成微米级穿孔扩张,在避免引起组织损伤的基础上,显著增加组织细胞之间的空隙,眼部药物从而可以通过微米级穿孔扩张,快速及高效地渗透进入巩膜以及扩散进入眼内部,提高药物在组织内递送的广度和深度,大幅提高了药物进入眼部的渗透率和利用率;其在眼部给药供的辅助使用降低了药物浪费,使给药量控制更为准确有效。When the ocular drug delivery auxiliary device according to the above embodiment is used for ocular drug delivery, a sound sensitizer is used to carry the drug and is placed on the surface of the eye tissue. The mechanical effect of the ultrasonic transducer is used to stimulate the sound sensitizer. Micron-level perforations are formed on the sclera and expand, which significantly increases the gaps between tissue cells while avoiding tissue damage. Eye drugs can quickly and efficiently penetrate into the sclera and diffuse into the interior of the eye through the expansion of micron-level perforations. It improves the breadth and depth of drug delivery within tissues and greatly improves the penetration and utilization rate of drugs into the eye; its auxiliary use in eye drug administration reduces drug waste and makes dosage control more accurate and effective.

依据上述其中的一种实施例,本发明压电晶片阵列元的驱动具有不同的组合形式,选择启用其中的一个或一个以上所述压电晶片,实现对巩膜覆盖的多种组合形式,可以连续或间断覆盖巩膜区域22.5°的倍数范围,从而可以在空间上进行不同巩膜区域穿孔渗透选择,使给药部位更为准确可控。According to one of the above embodiments, the driving of the piezoelectric chip array elements of the present invention has different combination forms. Selecting and activating one or more of the piezoelectric chips can realize various combination forms of scleral coverage, which can continuously Or intermittently cover the multiple range of 22.5° in the scleral area, so that different scleral area perforation and penetration can be selected spatially, making the drug delivery site more accurate and controllable.

依据上述其中的一种实施例,由于超声激励源低压方波电信号的周期为0.5-50微秒可调,时间分辨率在0.01-0.5微秒可调;高压方波信号的电压在10-110伏特可调;因此,超声激励源输出的激励功率,可以根据不同的压电晶片、不同的药物或不同的声敏剂,进行调整,可调幅度较宽,调节更为精准可靠。According to one of the above embodiments, since the period of the low-voltage square wave electrical signal of the ultrasonic excitation source is adjustable from 0.5 to 50 microseconds, the time resolution is adjustable from 0.01 to 0.5 microseconds; the voltage of the high voltage square wave signal is between 10 and 10 microseconds. 110 volts adjustable; therefore, the excitation power output by the ultrasonic excitation source can be adjusted according to different piezoelectric chips, different drugs or different sonosensitizers. The adjustable range is wide, and the adjustment is more accurate and reliable.

附图说明Description of the drawings

图1为本发明一种实施例的眼部给药原理图;Figure 1 is a schematic diagram of ocular drug delivery according to an embodiment of the present invention;

图2为本发明另一种实施例的眼部给药原理图;Figure 2 is a schematic diagram of ocular drug delivery according to another embodiment of the present invention;

图3为本发明又一种实施例的眼部给药原理图;Figure 3 is a schematic diagram of ocular drug delivery according to another embodiment of the present invention;

图4是本发明又一种实施例的眼部给药原理图;Figure 4 is a schematic diagram of ocular drug administration according to another embodiment of the present invention;

图5是本发明又一种实施例的眼部给药原理图;Figure 5 is a schematic diagram of ocular drug administration according to another embodiment of the present invention;

图6是本发明一种实施例的眼部给药装置结构示意图;Figure 6 is a schematic structural diagram of an ocular drug delivery device according to an embodiment of the present invention;

图7是本发明一种实施例的眼部给药装置电路结构框图;Figure 7 is a circuit structural block diagram of an ocular drug delivery device according to an embodiment of the present invention;

图8是本发明一种实施例的眼部给药装置中压电晶片阵列的不同组合方式;Figure 8 shows different combinations of piezoelectric chip arrays in an ocular drug delivery device according to an embodiment of the present invention;

图9是本发明一个对比测试例中促渗效果示意图(本图有彩色显示部分);Figure 9 is a schematic diagram of the penetration-promoting effect in a comparative test example of the present invention (this figure has a color display part);

图10是本发明另一个对比测试例中促渗深度示意图。Figure 10 is a schematic diagram of the depth of penetration promotion in another comparative test example of the present invention.

具体实施方式Detailed ways

下面通过具体实施方式结合附图对本发明作进一步详细说明。其中不同实施方式中类似元件采用了相关联的类似的元件标号。在以下的实施方式中,很多细节描述是为了使得本申请能被更好的理解。然而,本领域技术人员可以毫不费力的认识到,其中部分特征在不同情况下是可以省略的,或者可以由其他元件、材料、方法所替代。在某些情况下,本申请相关的一些操作并没有在说明书中显示或者描述,这是为了避免本申请的核心部分被过多的描述所淹没,而对于本领域技术人员而言,详细描述这些相关操作并不是必要的,他们根据说明书中的描述以及本领域的一般技术知识即可完整了解相关操作。The present invention will be further described in detail below through specific embodiments in conjunction with the accompanying drawings. Similar elements in different embodiments use associated similar element numbers. In the following embodiments, many details are described in order to make the present application better understood. However, those skilled in the art can readily recognize that some of the features may be omitted in different situations, or may be replaced by other elements, materials, and methods. In some cases, some operations related to the present application are not shown or described in the specification. This is to avoid the core part of the present application being overwhelmed by excessive descriptions. For those skilled in the art, it is difficult to describe these in detail. The relevant operations are not necessary, and they can fully understand the relevant operations based on the descriptions in the instructions and general technical knowledge in the field.

另外,说明书中所描述的特点、操作或者特征可以以任意适当的方式结合形成各种实施方式。同时,方法描述中的各步骤或者动作也可以按照本领域技术人员所能显而易见的方式进行顺序调换或调整。因此,说明书和附图中的各种顺序只是为了清楚描述某一个实施例,并不意味着是必须的顺序,除非另有说明其中某个顺序是必须遵循的。Additionally, the features, operations, or characteristics described in the specification may be combined in any suitable manner to form various embodiments. At the same time, each step or action in the method description can also be sequentially exchanged or adjusted in a manner that is obvious to those skilled in the art. Therefore, the various sequences in the description and drawings are only for clearly describing a certain embodiment, and do not imply a necessary sequence, unless otherwise stated that a certain sequence must be followed.

本文中为部件所编序号本身,例如“第一”、“第二”等,仅用于区分所描述的对象,不具有任何顺序或技术含义。而本申请所说“连接”、“联接”,如无特别说明,均包括直接和间接连接(联接)。The serial numbers assigned to components in this article, such as "first", "second", etc., are only used to distinguish the described objects and do not have any sequential or technical meaning. The terms "connection" and "connection" mentioned in this application include direct and indirect connections (connections) unless otherwise specified.

在本发明的描述中,两个数值之间符号“-”表示某个参数的取值范围,该取值范围包括两个端点值;比如压电晶片的厚度为0.3-1.5毫米,表示厚度的取值范围为大于或等于0.3mm、同时小于或等于1.5mm内的任意值。在提到覆盖范围时,其值为一个接近数,并不需要绝对准确,比如22.5°、45°、90°、180°、和360°的覆盖范围。In the description of the present invention, the symbol "-" between two numerical values indicates the value range of a certain parameter, and the value range includes two endpoint values; for example, the thickness of the piezoelectric wafer is 0.3-1.5 mm, indicating the thickness of The value range is any value greater than or equal to 0.3mm and less than or equal to 1.5mm. When referring to coverage, the value is an approximate number and does not need to be absolutely accurate, such as 22.5°, 45°, 90°, 180°, and 360° coverage.

采用一种利用超声装置辅助给药的方法,在眼部巩膜表面放置药物的载体声敏剂,如微泡、纳米相变液滴、含微泡或纳米相变液滴的水凝胶等,利用声敏剂来局部放大超声能量,从而在巩膜表面区域诱导产生微米级穿孔扩张,进而利用声致穿孔效应来提高巩膜的渗透性;由此提高眼部给药的渗透率和利用率。A method of using an ultrasound device to assist drug delivery is used to place drug carrier sonosensitizers on the surface of the sclera of the eye, such as microbubbles, nanophase change droplets, hydrogels containing microbubbles or nanophase change droplets, etc. The sonosensitizer is used to locally amplify the ultrasound energy, thereby inducing micron-scale perforation expansion in the scleral surface area, and then using the sono-induced perforation effect to increase the permeability of the sclera; thus improving the permeability and utilization rate of ocular drug delivery.

在本发明的一种实施例中,请参考图1和图2所示,本例采用声敏剂中的微泡作为眼部给药的载体。微泡是一种内部气核、外部覆膜的微米级结构。微泡和眼部药物直接滴入眼中并附着于巩膜和结膜表面。当超声脉冲释放时,微泡中间气核受到超声能量周期性变化正负压力的驱动而发生快速振荡和爆破,振荡和爆破产生的机械效应远远大于超声单独作用时的机械效应,这种声敏剂引起的剧烈机械效应可以在巩膜上形成微米级穿孔扩张,从而眼部药物可以通过微米级穿孔扩张快速及高效地渗透进入巩膜以及进入眼内部,实现药物经巩膜递送和眼部药物治疗的目的。In one embodiment of the present invention, please refer to Figures 1 and 2. In this example, microbubbles in the sonosensitizer are used as carriers for ocular administration. Microbubbles are micron-scale structures with an internal air core and an external coating. Microbubbles and ocular medications are instilled directly into the eye and adhere to the scleral and conjunctival surfaces. When the ultrasonic pulse is released, the air core in the middle of the microbubbles is driven by the periodic changes in positive and negative pressure of the ultrasonic energy to rapidly oscillate and explode. The mechanical effects produced by the oscillation and explosion are far greater than the mechanical effects of ultrasound alone. This sound The severe mechanical effect caused by the sensitizer can form micron-scale perforations and expand on the sclera, so that eye drugs can quickly and efficiently penetrate into the sclera and into the interior of the eye through the micron-scale perforation expansion, realizing transscleral drug delivery and eye drug treatment. Purpose.

作为一种微米级声敏剂,微泡的直径在2-6微米之间,微泡的气核包括全氟化碳、六氟化硫和氮气等,其外覆膜为脂质、聚合物或蛋白等。As a micron-level sonosensitizer, the diameter of microbubbles is between 2-6 microns. The gas core of microbubbles includes perfluorocarbon, sulfur hexafluoride, nitrogen, etc., and its outer coating is lipid or polymer. Or protein, etc.

在本发明的一种实施例中,如图3所示,本例采用纳米相变液滴作为眼部给药的载体,纳米相变液滴的直径通常小于600纳米,其内核为沸点较低的液态氟碳,比如沸点为29℃的全氟戊烷,其外覆膜为脂质、聚合物或蛋白等。在超声脉冲激励时,纳米相变液滴的液态氟碳内核受到声能量激励而变为气体,令纳米液滴相变成为微泡,后续超声脉冲继续激励相变生成的微泡,微泡发生振荡和爆破,实现巩膜声致穿孔扩张,药物通过穿孔渗透到眼球内部,向其他组织如脉络膜、视网膜等扩散递送。In one embodiment of the present invention, as shown in Figure 3, this example uses nano phase change droplets as carriers for ocular drug delivery. The diameter of nano phase change droplets is usually less than 600 nanometers, and its core has a lower boiling point. Liquid fluorocarbons, such as perfluoropentane with a boiling point of 29°C, are coated with lipids, polymers or proteins. When excited by ultrasonic pulses, the liquid fluorocarbon core of the nanophase-change droplets is excited by the acoustic energy and turns into a gas, causing the nanodroplets to phase-change into microbubbles. Subsequent ultrasonic pulses continue to excite the microbubbles generated by the phase change, and microbubbles occur. Oscillation and blasting achieve sound-induced perforation expansion of the sclera. Drugs penetrate into the interior of the eyeball through the perforation and are diffusely delivered to other tissues such as the choroid and retina.

在本发明的一种实施例中,请参考图4所示,微泡和药物被制备在声敏水凝胶中。在超声脉冲激励时,声敏水凝胶受到激励,间接激励微泡,微泡中间气核受到超声能量周期性变化正负压力的驱动而发生快速振荡和爆破,这种声敏剂引起的剧烈机械效应可以在巩膜上形成微米级穿孔扩张,从而眼部药物可以通过微米级穿孔扩张,快速及高效地渗透进入巩膜,向其他组织如脉络膜、视网膜等扩散递送,以及进入眼球内部。In one embodiment of the present invention, please refer to Figure 4, microbubbles and drugs are prepared in a sound-sensitive hydrogel. When the ultrasonic pulse is excited, the sound-sensitive hydrogel is stimulated, which indirectly excites the microbubbles. The air core in the middle of the microbubbles is driven by the periodic changes of positive and negative pressure of the ultrasonic energy to rapidly oscillate and explode. This violent vibration caused by the sound-sensitive agent The mechanical effect can form micron-scale perforations and expand on the sclera, so that eye drugs can expand through the micron-scale perforations, quickly and efficiently penetrate into the sclera, diffuse and deliver to other tissues such as the choroid, retina, etc., and enter the interior of the eyeball.

在本发明的一种实施例中,请参考图5所示,纳米相变液滴和药物被制备在声敏水凝胶中。在超声脉冲激励时,声敏水凝胶受到激励,间接激励纳米相变液滴的液态氟碳内核而变为气体,令纳米液滴相变成为微泡,后续超声脉冲继续激励相变生成的微泡,微泡发生振荡和爆破,实现巩膜声致穿孔扩张,药物通过穿孔渗透到眼球内部,向其他组织如脉络膜、视网膜等扩散递送。In one embodiment of the present invention, please refer to Figure 5, nano phase change droplets and drugs are prepared in sound-sensitive hydrogel. When the ultrasonic pulse is excited, the sound-sensitive hydrogel is excited, which indirectly excites the liquid fluorocarbon core of the nano-phase-change droplets to turn into gas, causing the nano-droplets to phase-change into microbubbles. Subsequent ultrasonic pulses continue to excite the phase-change generated microbubbles. Microbubbles oscillate and explode to achieve sound-induced perforation expansion of the sclera. The drug penetrates into the eyeball through the perforation and is diffusely delivered to other tissues such as the choroid and retina.

水凝胶的形状为球环带状,内横直径范围为12-13毫米,外横直径范围为18-22毫米,曲率半径为10-15毫米,对应于眼睛巩膜表面的曲率,厚度范围为0.04-1毫米。声敏水凝胶制备方法如下:取4毫升3%(W/V)海藻酸钠溶液置于烧杯A,取2920微升药物溶液,1048微升40%丙烯丙烯酰胺混合溶液,40微升10%过硫酸铵溶液于烧杯B中,然后将烧杯B中液体混合到烧杯A中,并加入15微升四甲基乙二胺混合。再取2毫升微泡溶液或2毫升相变纳米液滴溶液混合到烧杯A中,混合液倒入模具中,4℃反应2小时,将模具置于100毫升的1M的氯化钙溶液中,交联30分钟,取出模具PBS清洗两遍后即可使用。The shape of the hydrogel is a spherical ring band, with an inner diameter ranging from 12 to 13 mm, an outer diameter ranging from 18 to 22 mm, and a radius of curvature of 10 to 15 mm, corresponding to the curvature of the scleral surface of the eye, and the thickness range is 0.04-1mm. The preparation method of the sound-sensitive hydrogel is as follows: take 4 ml of 3% (W/V) sodium alginate solution in beaker A, take 2920 μl of drug solution, 1048 μl of 40% acrylic acrylamide mixed solution, 40 μl of 10 % ammonium persulfate solution in beaker B, then mix the liquid in beaker B into beaker A, and add 15 μl of tetramethylethylenediamine and mix. Then take 2 ml of microbubble solution or 2 ml of phase change nanodroplet solution and mix it into beaker A. Pour the mixed solution into the mold and react at 4°C for 2 hours. Place the mold in 100 ml of 1M calcium chloride solution. Cross-link for 30 minutes, take out the mold and wash it twice with PBS before use.

为有效采用本发明实施例的眼部给药方法,本发明的一种实施例中,提出一种眼部给药装置,包括超声换能器和超声激励源,超声换能器用于作用于眼部,超声激励源用于给超声换能器提供超声激励。如图6所示,本例的超声换能器整体形状为封闭的球环带状,相当于一个空心球体中环切出一圈来,内横(周长较小的上环)直径范围为12-13毫米,外横(周长较长的下环)直径范围为18-22毫米,曲率半径为10-15毫米,适应人体眼球的表面曲率。包括背衬固定层、压电晶片阵列、压电晶片引线以及弹性膜层。背衬固定层由环氧树脂和钨粉制成,厚度为0.3-3毫米;弹性膜层采用软硅胶或其他弹性材料,形状为球环带状,具有与人体眼球适配的内表面曲率,厚度为0.1-6毫米;压电晶片阵列及其引线粘附于背衬固定层与弹性膜层之间,本例中用于声敏剂驱动的超声属于中频和高频频率范围,即工作频率0.5-5MHz(兆赫兹)之间的任一值,压电晶片可以根据其中心工作频率的不同而采用不同厚度,其厚度可选择在0.3-1.5毫米之间的任意值;同理,也可以根据所需要的不同工作频率,对压电晶片的厚度作出适当的选择;这样,通过不同工作效率、不同压电晶片厚度的组合搭配,可以实现不同激励输出效率和效果。在使用时,弹性膜层位于压电晶片阵列与人体眼部之间,同时可以作为匹配层过渡眼部组织和压电晶片阵列的声阻抗差异,使更多的超声能量进入眼部组织。In order to effectively adopt the ocular drug administration method of the embodiment of the present invention, in one embodiment of the present invention, an ocular drug administration device is proposed, which includes an ultrasonic transducer and an ultrasonic excitation source. The ultrasonic transducer is used to act on the eye. The ultrasonic excitation source is used to provide ultrasonic excitation to the ultrasonic transducer. As shown in Figure 6, the overall shape of the ultrasonic transducer in this example is a closed spherical ring belt, which is equivalent to a hollow sphere with a circle cut out of the middle ring. The diameter range of the inner transducer (the upper ring with a smaller circumference) is 12 -13 mm, the diameter range of the outer transverse (lower ring with longer circumference) is 18-22 mm, and the radius of curvature is 10-15 mm, adapting to the surface curvature of the human eyeball. Including backing fixed layer, piezoelectric chip array, piezoelectric chip leads and elastic film layer. The backing fixed layer is made of epoxy resin and tungsten powder, with a thickness of 0.3-3 mm; the elastic film layer is made of soft silicone or other elastic materials, in the shape of a ball ring belt, with an inner surface curvature adapted to the human eyeball. The thickness is 0.1-6 mm; the piezoelectric chip array and its leads are adhered between the backing fixed layer and the elastic film layer. In this example, the ultrasound used to drive the sonosensitizer belongs to the mid-frequency and high-frequency frequency range, that is, the operating frequency Any value between 0.5-5MHz (megahertz), the piezoelectric chip can adopt different thicknesses according to its different central operating frequency, and its thickness can be selected at any value between 0.3-1.5 mm; similarly, it can also According to the different operating frequencies required, make appropriate selections for the thickness of the piezoelectric wafer; in this way, through the combination of different working efficiencies and different piezoelectric wafer thicknesses, different excitation output efficiencies and effects can be achieved. When in use, the elastic film layer is located between the piezoelectric chip array and the human eye. It can also be used as a matching layer to transition the acoustic impedance difference between the eye tissue and the piezoelectric chip array, allowing more ultrasonic energy to enter the eye tissue.

在本发明的一种实施例中,超声换能器整体形状为球环带状,内横直径范围为12毫米,外横直径范围为18毫米,曲率半径为10毫米;适应为眼表面积较小、曲率较高的眼球提供给药辅助。In one embodiment of the present invention, the overall shape of the ultrasonic transducer is a spherical ring-shaped belt, with an inner transverse diameter range of 12 mm, an outer transverse diameter range of 18 mm, and a radius of curvature of 10 mm; adapted to a smaller eye surface area , the eyeball with higher curvature provides drug administration assistance.

在本发明的一种实施例中,超声换能器整体形状为球环带状,内横直径范围为13毫米,外横直径范围为22毫米,曲率半径为15毫米;适应为眼表面积较大、曲率较低的眼球提供给药辅助。In one embodiment of the present invention, the overall shape of the ultrasonic transducer is a spherical ring-shaped belt, with an inner transverse diameter range of 13 mm, an outer transverse diameter range of 22 mm, and a radius of curvature of 15 mm; adapted to larger eye surface areas , the lower curvature of the eyeball provides drug administration assistance.

在本发明的一种实施例中,超声换能器整体形状为球环带状,内横直径范围为12.5毫米,外横直径范围为20毫米,曲率半径为13毫米。In one embodiment of the present invention, the overall shape of the ultrasonic transducer is a spherical ring-shaped belt, with an inner diameter range of 12.5 mm, an outer diameter range of 20 mm, and a radius of curvature of 13 mm.

本发明的一种实施例中,如图7所示,眼部给药装置的激励源包括多通道变换匹配器、多通道功率输出器、多通道信号发生器、多通道电压监测器和微控制器;微控制器与多通道信号发生器输入端电连接,多通道信号发生器输出端与多通道功率输出器输入端电连接,多通道功率输出器输出端与多通道变换匹配器输入端电连接,多通道变换匹配器输出端与压电晶片阵列层的压电晶片阵列电连接,多通道电压监测器的信号采样端与多通道变换匹配器输出端电连接;多通道电压监测器控制端与微控制器电连接,多通道电压监测器实时监测多通道变换匹配器的多路输出电压,并反馈给微控制器。In one embodiment of the present invention, as shown in Figure 7, the excitation source of the ocular drug delivery device includes a multi-channel transformation matcher, a multi-channel power output, a multi-channel signal generator, a multi-channel voltage monitor and a microcontroller device; the microcontroller is electrically connected to the input end of the multi-channel signal generator, the output end of the multi-channel signal generator is electrically connected to the input end of the multi-channel power output, and the output end of the multi-channel power output is electrically connected to the input end of the multi-channel transformation matching device. Connection, the output end of the multi-channel transformation matching device is electrically connected to the piezoelectric chip array of the piezoelectric chip array layer, the signal sampling end of the multi-channel voltage monitor is electrically connected to the output end of the multi-channel conversion matching device; the multi-channel voltage monitor control end Electrically connected to the microcontroller, the multi-channel voltage monitor monitors multiple output voltages of the multi-channel conversion matcher in real time and feeds back to the microcontroller.

首先,微控制器通过人机交互模块(如键盘和显示屏等,图中未示出)采集用户设定的工作参数,根据用户设定的工作参数(包括超声能量密度大小、工作阵元数量、超声能量持续时间、超声能量脉冲间隔等)发送输出指令给多通道信号发生器;多通道信号发生器主要由可编程逻辑门阵列组成,多通道信号发生器输出多路低压方波电信号,其中低压方波电信号的周期在0.5-50微秒可调,时间分辨率在0.01-0.5微秒可调;低压方波电信号随后送入多通道功率输出器,多通道功率输出器主要包括高速隔离光耦、可调电压电源、双极结型三极管和功率场效应晶体管组成,多通道功率输出器可以输出与低压方波电信号参数相同的幅值为10-110伏特的高压方波电信号;高压方波电信号随后送入多通道变换匹配器,多通道变换匹配器主要由方波正弦波变换电路和LC阻抗匹配电路组成,方波正弦波变换电路将高压方波电信号转换为高压正弦波电信号,LC阻抗匹配电阻将换能器的电阻匹配为接近50欧姆,相位接近于0度,多通道变换匹配器输出的电信号驱动多个压电晶片,并一一对应;压电晶片单面上镀有两个银电极,分别为晶片正电极和负电极,正电极通过压电晶片信号线与多通道变换匹配器相连接,负电极通过压电晶片地线与地相连接,压电晶片为梯形,梯形上底不超过3毫米,梯形下底不超过5毫米,梯形的高不超过6毫米,最大面积不超过24平方毫米,多个压电晶片组成环形分布阵列;在高压脉冲电信号的驱动下,压电晶片输出的声强范围在0.05-1瓦每平方厘米之间变化。为了保证装置用于人体的安全性,同时设计多通道电压监测器,对每一条压电晶片信号线上电压进行监测,并反馈数据给微控制器。在本例中的超声激励源,其低压方波电信号的周期为0.5-50微秒可调,时间分辨率在0.01-0.5微秒可调;高压方波信号的电压在10-110伏特可调;因此,超声激励源输出的激励功率,可以根据不同的压电晶片、不同的药物或/和不同的声敏剂,进行调整,可调幅度较宽,调节更为精准可靠。First, the microcontroller collects the working parameters set by the user through the human-computer interaction module (such as keyboard and display screen, etc., not shown in the figure). According to the working parameters set by the user (including the ultrasonic energy density and the number of working array elements) , ultrasonic energy duration, ultrasonic energy pulse interval, etc.) sends output instructions to the multi-channel signal generator; the multi-channel signal generator is mainly composed of a programmable logic gate array, and the multi-channel signal generator outputs multiple low-voltage square wave electrical signals. The period of the low-voltage square wave electrical signal is adjustable from 0.5 to 50 microseconds, and the time resolution is adjustable from 0.01 to 0.5 microseconds; the low-voltage square wave electrical signal is then sent to a multi-channel power output device, which mainly includes Composed of high-speed isolation optocoupler, adjustable voltage power supply, bipolar junction transistor and power field effect transistor, the multi-channel power output device can output a high-voltage square wave electric signal with the same parameters as the low-voltage square wave electric signal and an amplitude of 10-110 volts. signal; the high-voltage square wave electrical signal is then sent to the multi-channel transformation matching device. The multi-channel transformation matching device is mainly composed of a square wave sine wave transformation circuit and an LC impedance matching circuit. The square wave sine wave transformation circuit converts the high voltage square wave electrical signal into High-voltage sine wave electrical signal, LC impedance matching resistor matches the resistance of the transducer to close to 50 ohms, and the phase is close to 0 degrees. The electrical signal output by the multi-channel transformation matcher drives multiple piezoelectric wafers and corresponds one to one; There are two silver electrodes plated on one side of the electronic chip, which are the positive electrode and the negative electrode of the chip. The positive electrode is connected to the multi-channel transformation matcher through the piezoelectric chip signal line, and the negative electrode is connected to the ground through the piezoelectric chip ground wire. , the piezoelectric chip is a trapezoid, the upper base of the trapezoid does not exceed 3 mm, the lower base of the trapezoid does not exceed 5 mm, the height of the trapezoid does not exceed 6 mm, the maximum area does not exceed 24 square millimeters, multiple piezoelectric wafers form an annular distribution array; Driven by a high-voltage pulse electrical signal, the sound intensity output by the piezoelectric chip varies between 0.05-1 watt per square centimeter. In order to ensure the safety of the device when used on the human body, a multi-channel voltage monitor is designed to monitor the voltage on each piezoelectric chip signal line and feed back the data to the microcontroller. In the ultrasonic excitation source in this example, the period of the low-voltage square wave electrical signal is adjustable from 0.5 to 50 microseconds, and the time resolution is adjustable from 0.01 to 0.5 microseconds; the voltage of the high-voltage square wave signal is adjustable from 10 to 110 volts. Adjustment; therefore, the excitation power output by the ultrasonic excitation source can be adjusted according to different piezoelectric chips, different drugs, or/and different sonosensitizers. The adjustable range is wide, and the adjustment is more accurate and reliable.

本发明的一种实施例中,请参考图8所示,16个压电晶片组成闭环的环形分布阵列,可以选择启用其中的一个或一个以上的压电晶片,实现对巩膜覆盖的多种组合形式。图8给出了用于增加巩膜药物渗透率的压电晶片阵列的其中四种组合使用方式,分别覆盖巩膜区域45°、90°、180°和360°范围;以增加巩膜药物渗透为例,覆盖巩膜区域45°、90°、180°和360°范围的压电晶片阵列可以通过眼表12.5%、25%、50%和100%面积的巩膜进行不同效率的超声眼表药物促渗。此外,压电晶片阵列中的每一个压电晶片可以单独工作,可以对巩膜实现22.5°范围的覆盖,不同的压电晶片之间也可以实现灵活组合,除了45°、90°、180°和360°范围的连续覆盖,也可以实现在22.5°至360°范围内22.5°倍数关系的连续或间隔覆盖。比如,对眼表任意两处不相邻的45°覆盖,对眼表任意两处不相邻的45°覆盖、90°覆盖等,从而实现多种多样的超声眼表药物促渗方案。作用范围更灵活更广,促进眼表药物渗透效率更高,给药部位控制更为精准。In one embodiment of the present invention, please refer to Figure 8. 16 piezoelectric wafers form a closed-loop annular distribution array. One or more of the piezoelectric wafers can be selectively activated to achieve various combinations of scleral coverage. form. Figure 8 shows four combinations of piezoelectric chip arrays used to increase scleral drug penetration, covering the scleral area 45°, 90°, 180° and 360° respectively; taking increasing scleral drug penetration as an example, The piezoelectric chip array covering the 45°, 90°, 180° and 360° ranges of the scleral area can promote the penetration of ultrasound ocular surface drugs with different efficiencies through the sclera of 12.5%, 25%, 50% and 100% of the ocular surface area. In addition, each piezoelectric chip in the piezoelectric chip array can work independently to achieve 22.5° coverage of the sclera. Different piezoelectric chips can also be flexibly combined, in addition to 45°, 90°, 180° and Continuous coverage in the 360° range can also achieve continuous or interval coverage in multiples of 22.5° in the range of 22.5° to 360°. For example, 45° coverage of any two non-adjacent parts of the ocular surface, 45° coverage, 90° coverage of any two non-adjacent parts of the ocular surface, etc., thereby realizing a variety of ultrasound ocular surface drug penetration promotion solutions. The scope of action is more flexible and wider, promoting higher drug penetration efficiency on the ocular surface and more precise control of the administration site.

图9给出了一种实施例的对比测试中促渗效果示意图。在本次对比测试中,首先在离体猪眼球表面滴加浓度为1×106个每毫升的微泡溶液,采用本发明的眼部给药辅助装置,通过压电晶片阵列覆盖巩膜45°范围,在3兆赫兹工作频率以0.25瓦每平方厘米强度的能量强度,对猪巩膜结构进行了声致穿孔促渗处理,随后在猪巩膜表面覆盖荧光素10分钟,进而检验荧光素促渗效果。通过小动物荧光成像对荧光素促渗结果进行定量,可以验证,采用本发明的眼部给药辅助装置,通过声致穿孔处理显著增加了荧光素在巩膜渗透,声致穿孔组荧光强度为对照组的16.4倍。Figure 9 shows a schematic diagram of the penetration-promoting effect in a comparative test of an embodiment. In this comparative test, a microbubble solution with a concentration of 1×10 6 per milliliter was first dropped on the surface of the isolated pig eyeball. The ocular drug delivery auxiliary device of the present invention was used to cover the sclera at 45° through the piezoelectric chip array. range, using an operating frequency of 3 MHz and an energy intensity of 0.25 watts per square centimeter, the porcine scleral structure was treated with sono-induced perforation to promote penetration, and then the surface of the porcine sclera was covered with fluorescein for 10 minutes to test the penetration-promoting effect of fluorescein . By quantifying the results of fluorescein penetration promotion through small animal fluorescence imaging, it can be verified that using the ocular drug administration auxiliary device of the present invention significantly increases the penetration of fluorescein in the sclera through sono-perforation treatment. The fluorescence intensity of the sono-perforation group is the control 16.4 times that of the group.

请参考图10所示的另一个对比测试中为促渗深度效果示意图。本次对比测试中,首先在离体猪眼球表面滴加浓度为1×108个每毫升的纳米相变液滴溶液,采用本发明的眼部给药辅助装置,通过覆盖巩膜180°范围的压电晶片阵列,在3兆赫兹工作频率以0.65瓦每平方厘米强度的能量强度对猪巩膜结构进行了纳米液滴相变和声致穿孔促渗处理,随后在猪巩膜表面覆盖荧光素10分钟,进行荧光素促渗深度效果检验。通过冰冻切片和显微成像对荧光素促渗结果进行成像,可以验证采用本发明的眼部给药辅助装置,超声处理显著增加了荧光素在巩膜的渗透,具体而言,对照组的荧光素分布在巩膜的表面,而超声组荧光素分布贯穿了整个巩膜的厚度。Please refer to the schematic diagram of the penetration depth effect in another comparative test shown in Figure 10. In this comparative test, a nanophase-change droplet solution with a concentration of 1×10 8 per milliliter was first dropped on the surface of the isolated pig eyeball. The ocular drug delivery auxiliary device of the present invention was used to pass the sclera covering 180°. The piezoelectric chip array, operating at a frequency of 3 MHz and with an energy intensity of 0.65 watts per square centimeter, performed nano-droplet phase change and sono-induced permeation permeability treatment on the porcine scleral structure, and then covered the porcine scleral surface with fluorescein for 10 minutes. , to test the depth effect of fluorescein on promoting penetration. By imaging the results of fluorescein penetration promotion through frozen sections and microscopic imaging, it can be verified that using the ocular drug delivery auxiliary device of the present invention, ultrasonic treatment significantly increases the penetration of fluorescein in the sclera. Specifically, the fluorescein in the control group It is distributed on the surface of the sclera, while the distribution of fluorescein in the ultrasound group runs through the entire thickness of the sclera.

以上应用了具体个例对本发明进行阐述,只是用于帮助理解本发明,并不用以限制本发明。对于本发明所属技术领域的技术人员,依据本发明的思想,还可以做出若干简单推演、变形或替换。如,压电晶片可以是压电陶瓷、压电薄膜、压电单晶或其他具备电-声转换功能的复合材料等。The above specific examples are used to illustrate the present invention, which are only used to help understand the present invention and are not intended to limit the present invention. For those skilled in the technical field to which the present invention belongs, several simple deductions, modifications or substitutions can be made based on the ideas of the present invention. For example, the piezoelectric chip can be a piezoelectric ceramic, a piezoelectric film, a piezoelectric single crystal, or other composite materials with electro-acoustic conversion functions.

Claims (10)

1. An eye auxiliary device that doses, its characterized in that: the ultrasonic transducer comprises an ultrasonic transducer and an ultrasonic excitation source which are separately or electrically connected, wherein the ultrasonic excitation source is used for driving the ultrasonic transducer to work; the ultrasonic transducer is in a spherical annular band shape and comprises a piezoelectric wafer array, an elastic membrane layer and a backing fixed layer, wherein the elastic membrane layer is in a spherical annular band shape, and the inner surface of the elastic membrane layer is provided with a curvature which is matched with the curvature of an eyeball; the piezoelectric wafer array is clamped between the elastic membrane layer and the back lining fixing layer, and one or more piezoelectric wafers are selectively started to realize various combination forms of sclera coverage.
2. The ocular drug delivery assist device of claim 1, wherein: the piezoelectric wafer array comprises N piezoelectric wafers, wherein N is more than or equal to 2; the thickness of the piezoelectric wafer is any value within 0.3-1.5 mm corresponding to any working frequency within 0.5-5 MHz.
3. The ocular drug delivery assist device of claim 2, wherein: the ultrasonic transducer has an inner transverse diameter ranging from 12 to 13 mm, an outer transverse diameter ranging from 18 to 22 mm and an inner surface with a radius of curvature ranging from 10 to 15 mm.
4. The ocular drug delivery assist device of claim 2, wherein: the piezoelectric wafers are trapezoid, and the N piezoelectric wafers form an annular distribution array.
5. An ocular drug delivery assist device as in claim 3, wherein: the thickness of the elastic film layer is 0.1-6 mm.
6. The ocular drug delivery assist device of claim 4, wherein: the N=16, the 16 piezoelectric wafers form an annular distribution array, and each piezoelectric wafer covers an annular shape 22.5 o Is not limited in terms of the range of (a).
7. The ocular drug delivery assist device of claim 4, wherein: the piezoelectric wafer is trapezoid, the upper bottom width of the trapezoid is less than or equal to 3mm, the lower bottom width of the trapezoid is less than or equal to 5mm, and the height of the trapezoid is less than or equal to 6 mm.
8. The ocular drug delivery assist device of any one of claims 1-7, wherein: the ultrasonic excitation source comprises a multichannel conversion matcher, a multichannel power output device, a multichannel signal generator, a multichannel voltage monitor and a microcontroller; the microcontroller sends an output instruction to the multichannel signal generator according to the set working parameters; the multi-channel signal generator outputs a low-voltage square wave signal to the multi-channel power output device; the multichannel power output device outputs a high-voltage square wave signal to the multichannel conversion matcher, and the multichannel conversion matcher outputs a high-voltage sine wave signal to drive the piezoelectric wafer; the multichannel voltage monitor monitors the multichannel output voltage of the multichannel conversion matcher and feeds back the multichannel output voltage to the microcontroller.
9. The ocular drug delivery assist device of claim 8, wherein: the period of the low-voltage square wave signal is an adjustable arbitrary value between 0.5 and 50 microseconds, and the time resolution is an adjustable arbitrary value between 0.01 and 0.5 microsecond; the voltage of the high-voltage square wave signal is any value which can be adjusted by 10-110 volts.
10. The ocular drug delivery assist device of claim 8, wherein: the composition also comprises a sound-sensitive agent, wherein the sound-sensitive agent comprises one or more of microbubbles, nano microphase liquid or sound-sensitive hydrogel.
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