JPH01500247A - Ultrasonic enhancement of transdermal drug delivery - Google Patents
Ultrasonic enhancement of transdermal drug deliveryInfo
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- JPH01500247A JPH01500247A JP62504399A JP50439987A JPH01500247A JP H01500247 A JPH01500247 A JP H01500247A JP 62504399 A JP62504399 A JP 62504399A JP 50439987 A JP50439987 A JP 50439987A JP H01500247 A JPH01500247 A JP H01500247A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M37/00—Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin
- A61M37/0092—Other apparatus for introducing media into the body; Percutany, i.e. introducing medicines into the body by diffusion through the skin using ultrasonic, sonic or infrasonic vibrations, e.g. phonophoresis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K41/00—Medicinal preparations obtained by treating materials with wave energy or particle radiation ; Therapies using these preparations
- A61K41/0047—Sonopheresis, i.e. ultrasonically-enhanced transdermal delivery, electroporation of a pharmacologically active agent
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0002—Galenical forms characterised by the drug release technique; Application systems commanded by energy
- A61K9/0009—Galenical forms characterised by the drug release technique; Application systems commanded by energy involving or responsive to electricity, magnetism or acoustic waves; Galenical aspects of sonophoresis, iontophoresis, electroporation or electroosmosis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M35/00—Devices for applying media, e.g. remedies, on the human body
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Abstract
(57)【要約】本公報は電子出願前の出願データであるため要約のデータは記録されません。 (57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.
Description
【発明の詳細な説明】 経皮的な薬剤供給の超音波による増強 発明の背景 本発明は一般に薬剤供給の分野におけるものであり、特に超音波によって増強お よび制御された経皮的薬剤供給の分野に関するものである。[Detailed description of the invention] Ultrasonic enhancement of transdermal drug delivery Background of the invention FIELD OF THE INVENTION The present invention is generally in the field of drug delivery, and more particularly in the field of ultrasound-enhanced and and in the field of controlled transdermal drug delivery.
薬剤は通常、経口的または注射のいずれかによって投与される。大部分の薬剤の 有効性は、血流中で一定の濃度に達するかどうかにかかっている。いかなる投与 形態によっても排除することのできない固有の副作用を有する薬剤もあるが。Drugs are usually administered either orally or by injection. most drugs Effectiveness depends on reaching a certain concentration in the bloodstream. any administration Some drugs have inherent side effects that cannot be eliminated depending on their form.
多くの薬剤は、特定の投与経路に特に関連した望ましくない挙動を示す。例えば 、薬剤は、胃における低いpH,局在する酵素、あるいは胃の中での食物や飲み 物との相互作用によって、胃腸管において分解され得る。薬剤または疾患それ自 体が、嘔吐や下痢のために、薬剤の吸収を妨げたり、あるいは損なったりするこ とがある。薬剤全体がそのままの状態で胃腸管を通過する場合には、肝臓におけ る初期通過効果によって、薬理学的に不活性な形態へと迅速に代謝されることに なる。時には、薬剤自体が望ましくない固有の性質(例えば。Many drugs exhibit undesirable behaviors that are particularly related to particular routes of administration. for example , the drug may be affected by the low pH in the stomach, localized enzymes, or food or drink in the stomach. It can be degraded in the gastrointestinal tract by interaction with substances. the drug or disease itself The body may prevent or impair absorption of the drug due to vomiting or diarrhea. There is. If the entire drug passes through the gastrointestinal tract intact, the liver The early-pass effect results in rapid metabolism to pharmacologically inactive forms. Become. Sometimes the drug itself has undesirable inherent properties (e.g.
半減期が短い、効力が高い、または治療効果のある血中レベルの範囲が狭い)を 有することもある。(short half-life, high potency, or narrow range of therapeutic blood levels) Sometimes there is.
最近、従来の投与形態における問題点のいくつかを解決しようとする試みには、 薬剤の経皮的供給が含まれる。局所的な投与は、主として局在した皮膚疾患の治 療において、長年にわたって使用されている。しかしながら1局所的な治療にお いては、薬剤が皮膚の外層を透過して疾病状態を治療するが、該薬剤の全身にお ける蓄積がほとんどないか、あるいは皆無であるということだけが要求される。Recently, attempts to solve some of the problems with traditional dosage forms include Includes transdermal delivery of drugs. Topical administration is primarily for the treatment of localized skin diseases. It has been used for many years in medical treatment. However, local treatment In some cases, the drug penetrates the outer layer of the skin to treat the disease condition, but the drug does not reach the entire body. All that is required is that there is little or no accumulation of
経皮的供給系は。The transdermal delivery system.
全身における血中レベルを得るように、特に設計される。経皮的透過または経皮 的吸収は、薬剤などの物質が、皮膚の外側から皮膚の様々な層を経て血流中へと 通過することであると定義できる。Specifically designed to obtain blood levels throughout the body. Transdermal penetration or transdermal Physical absorption is when a substance such as a drug passes from outside the skin through various layers of the skin and into the bloodstream. It can be defined as passing through.
皮膚を通しての薬剤の輸送は、多くの因子がその透過に影響を与えるため複雑で ある。これらの因子には、皮膚の構造およびその時性;透過分子、および該分子 と皮膚および供給マトリックスとの物理化学的関係;そして皮膚、透過剤、およ び供給系全体の組み合わせが含まれる。薬剤の局所的な投与は、特に皮膚の透過 特性に留意したものである。多くの報告において、化学的増強剤、すなわち角質 層に侵入して薬剤透過に対するその抵抗性を低下させる分子を用いたり、あるい はイオン導入のような外部手段によって、皮膚の透過性を変化させる試みが述べ られている。ジメチルスルホキシド(DMSO) 、あるいは1−ドデシルアザ シクロへブタン−2−オン(アゾン(Azone))のような試薬は、それら中 に組み込まれている薬剤の透過を促進させる傾向がある。しかしながら。Transport of drugs through the skin is complex as many factors affect their penetration. be. These factors include the structure and timing of the skin; the permeation molecules; physicochemical relationships between the skin and the supply matrix; and the skin, penetrants, and This includes the complete combination of supply and supply systems. Topical administration of drugs is particularly sensitive to skin penetration. The characteristics were taken into consideration. In many reports, chemical enhancers, i.e. keratin using molecules that penetrate the layer and reduce its resistance to drug permeation, or describes attempts to alter skin permeability by external means such as iontophoresis. It is being Dimethyl sulfoxide (DMSO) or 1-dodecyl aza Reagents such as cyclohebutan-2-one (Azone) are among the It tends to promote the permeation of drugs incorporated into it. however.
イオン導入を除けば、これらの系には、いずれも薬剤放出の速度を外部から制御 する方法が存在しない。With the exception of iontophoresis, all of these systems require external control of the rate of drug release. There is no way to do that.
Fahimの米国特許第4,309.989号には、油のような結合剤と共に超 音波を使用して、薬剤を局所的に投与することが開示されている。少なくとも1 000KHzの周波数で1〜3 W/ctflの強度の超音波を用いて、単純性 庖疹ウィルスの治療のための亜鉛含有化合物が1選択的かつ局所的に細胞内濃縮 された。Fahim U.S. Pat. No. 4,309.989 teaches The use of sound waves to locally administer drugs has been disclosed. at least 1 Using ultrasound at a frequency of 1,000 KHz and an intensity of 1 to 3 W/ctfl, the simple Selective and local intracellular concentration of zinc-containing compounds for the treatment of herpes virus. It was done.
この開示された方法の重要な限界は、薬剤を局所的に投与することと、薬剤を細 胞内に局在させることにしか使用できないという点である。Important limitations of this disclosed method are the local administration of the drug and the The point is that it can only be used to localize within cells.
第1図に示すように、皮膚は複雑な構造になっている。少なくとも4つの異なる 組織層が存在する:増殖能力のない表皮(角質層)、増殖能力のある表皮、増殖 能力のある真皮(真皮)、および皮下結合組織(皮下組織)。これらの層内に局 在するのは、皮膚の循環器系、すなわち動脈神経叢、および付属器(毛嚢、脂腺 、および汗腺を含む)である。循環器系は真皮中および真皮の下の組織中に存在 する。拡散の機構によって表皮と血液との間における養分の交換が行われる。As shown in Figure 1, the skin has a complex structure. at least four different Tissue layers are present: epidermis without proliferative capacity (stratum corneum), epidermis with proliferative capacity, proliferative competent dermis (dermis), and subcutaneous connective tissue (hypodermis). stations within these layers. It contains the circulatory system of the skin, the arterial plexus, and the appendages (hair follicles, sebaceous glands). , and sweat glands). The circulatory system is located in the dermis and in the tissues below the dermis do. The exchange of nutrients between the epidermis and blood takes place by the mechanism of diffusion.
毛細血管は、実際には表皮構造には属しておらず、皮膚の外側表面の150〜2 00μの範囲内に存在する。Capillaries do not actually belong to the epidermal structure and are located on the outer surface of the skin between 150 and 2 Exists within the range of 00μ.
第1図に示すように、皮膚の透過は以下の過程によって起こり得る: (a)角質層を通しての細胞を経由した透過;(b)角質層を通じての細胞間透 過;および(C)付属器を経由した透過(特に1毛嚢脂腺器官の脂腺経路および 塩汗腺の水性線経路を含む)。前者2つの機構においては1表皮および真皮の残 りの部分をさらに拡散していく必要がある。第3の機構では、拡散によって表皮 へ漏出したり。As shown in Figure 1, skin permeation can occur by the following processes: (a) Transcellular penetration through the stratum corneum; (b) Intercellular penetration through the stratum corneum. and (C) penetration via the appendages (particularly the sebaceous pathway of the pilosebaceous organ and including the aqueous line pathway of the salt sweat glands). In the former two mechanisms, the remaining epidermis and dermis There is a need to further expand this area. In the third mechanism, the epidermis or leaked to.
真皮へ直接透過したりする。Penetrates directly into the dermis.
薬剤の経皮的供給では、他の全身性薬剤投与法に比べて非常に優れた特徴がある 。しかし、これらの利点にもかかわらず、経皮的に供給し得る薬剤は比較的わず かである。大部分の薬剤は、治療効果を得るほど十分な速さでは皮膚を透過しな い。Transdermal drug delivery has significant advantages over other systemic drug delivery methods. . However, despite these advantages, relatively few drugs can be delivered transdermally. That's it. Most drugs do not penetrate the skin quickly enough to have a therapeutic effect. stomach.
インビトロにおける薬剤の定常状態な皮膚透過率は、ジギトキシンに対する0、 00013μg/c4・hr程度の低いものからエフアトリンに対する300μ g/afl・hrまでに及んでいる。経皮的透過性を決定するには、皮膚の性質 に関するいくつかの因子を考慮しなければならない。例えば、物質が通過する皮 膚のタイプは動物種により異なる。また1年齢によっても変化し、乳児の皮膚は 成人の皮膚に比べて、非常に透過性が高い。The steady-state skin permeability of drugs in vitro is 0 for digitoxin; 00013μg/c4・hr from low to 300μ for efuatorin It extends to g/afl/hr. To determine transdermal permeability, skin properties Several factors must be considered. For example, a skin through which a substance passes Skin types vary depending on the animal species. It also changes with age, and infants' skin It is highly permeable compared to adult skin.
皮膚の局所的な構成、厚さ1および密度によっても異なり。It also depends on the local composition of the skin, thickness1 and density.
損傷、あるいは有機溶剤または界面活性剤への暴露の関数として、さらには乾廚 や表皮剥脱などのある種の疾患の関数としても変化する。臨床的に有用な薬剤の 経皮的投与を行なうためには、透過率を増強および制御する何らかの方法を見い 出さなければならない。as a function of damage or exposure to organic solvents or surfactants, and even dry temperatures. It also changes as a function of certain diseases such as epidermal and epidermal excoriation. of clinically useful drugs For transdermal administration, some method of enhancing and controlling permeability must be found. I have to get it out.
従って1本発明の目的は9分子が皮膚を通して循環器系へ透過するのを促進およ び制御する方法を提供することにある。Therefore, it is an object of the present invention to promote the permeation of molecules through the skin and into the circulatory system. The objective is to provide a method for controlling and controlling
本発明の他の目的は、外部から皮膚への透過であって、皮膚または導入される薬 剤のいず相をも損なわないような透過を促進する方法を提供することにある。Another object of the invention is the penetration of the skin from the outside into the skin or the drug introduced into the skin. The object of the present invention is to provide a method for promoting permeation of the agent without impairing any phase of the agent.
本発明のさらに他の目的は、薬剤の治療上適切な血中レベルを得ることが第1目 標である場合に、薬剤の経皮的な供給を行う改良された方法を提供することにあ る。Still another object of the present invention is to obtain a therapeutically appropriate blood level of a drug. An objective of the present invention is to provide an improved method for the transdermal delivery of drugs when Ru.
本発明の別の目的は、水溶液、無機溶液、または脂質溶液に可溶な分子を含む種 々の分子に有用な、薬剤の経皮的な供給を行う改良された方法を提供することに ある。Another object of the invention is to provide species containing molecules that are soluble in aqueous, inorganic or lipid solutions. To provide an improved method for transdermal delivery of drugs useful for various molecules. be.
本発明の別の目的は、生体の皮膚および非生体の皮膚の両者に有用であり、用途 の多い方法を提供することにある。Another object of the invention is that it is useful for both living and non-living skin, The goal is to provide many ways to
本発明のさらに別の目的は、薬剤の皮膚透過を促進するための方法であって、簡 便であり、効果的であり、再現性があり、そし、て経済的である方法を提供する ことにある。Still another object of the present invention is a method for promoting skin permeation of drugs, which method is simple and easy to use. Provides a method that is convenient, effective, reproducible, and economical There is a particular thing.
(以下余白) 発明の要旨 本発明は超音波を用いて分子の経皮的透過を促進および制御する方法である。こ のような分子には、薬剤、抗原、ビタミン、無機化合物、有機化合物、およびこ れら物質の様々な組み合わせが含まれる。この分子は皮膚を通過して循環器系へ 至る。照射される超音波エネルギーの周波数および強度。(Margin below) Summary of the invention The present invention is a method of promoting and controlling the transdermal permeation of molecules using ultrasound. child Molecules such as drugs, antigens, vitamins, inorganic compounds, organic compounds, and This includes various combinations of these substances. This molecule passes through the skin and into the circulatory system. reach. The frequency and intensity of the ultrasound energy delivered.
超音波発生器と皮膚との間にある媒体、および照射時間の長さは、皮膚のタイプ および経皮的に拡散されるべき物質に従って決定される。ある時間にわたって測 定された血液および尿中における拡散分子のレベルは、どのような条件下で適当 な移行が起こるかを決定するためにまず用いられる。The medium between the ultrasound generator and the skin and the length of exposure time depend on the skin type. and determined according to the substance to be diffused transdermally. measured over time Under what conditions are the levels of diffuse molecules in blood and urine determined to be appropriate? It is first used to determine whether a transition occurs.
−FIQに、超音波の周波数範囲は20KH2と10MHzとの間であり9強度 はOW/cfflと3W/cfflとの間である。皮膚の損傷を防ぐために周波 数を低下させると強度が減少する。好ましい周波数の範囲は0.5MHzと1. 5MHzとの間であり、好ましい強度の範囲は2W/cfflと4W/c%との 間である。たいていの医療的利用では、照射は1分間と10分間との間で行われ る。超音波はパルス的であっても連続的であってもよい。しかしながら1周波数 2強度、および照射時間は互いに依存するだけでなく、拡散する分子および照射 部位における皮膚の性質の関数である。- In FIQ, the frequency range of ultrasound is between 20KH2 and 10MHz and the intensity is 9 is between OW/cffl and 3W/cffl. Frequency to prevent skin damage Decreasing the number reduces the strength. The preferred frequency range is 0.5MHz and 1.5MHz. 5MHz, and the preferred intensity range is between 2W/cffl and 4W/c%. It is between. For most medical applications, irradiation is performed for between 1 and 10 minutes. Ru. Ultrasound may be pulsed or continuous. However, one frequency The two intensities, and irradiation time depend on each other as well as on the diffusing molecules and irradiation. It is a function of the nature of the skin at the site.
最大照射量を決定する1つの方法は、皮膚の温度を測定することである。皮膚の 温度が1〜2°C上昇する場合には、処理を緩和するかまたは中止する。One way to determine the maximum dose is to measure skin temperature. of the skin If the temperature increases by 1-2°C, the process is moderated or stopped.
本発明の別の実施態様では、超音波エネルギーを用いて。In another embodiment of the invention, using ultrasound energy.
他の分子が非生体の皮膚を透過するのを促進させる。例えば。Facilitates the penetration of other molecules through non-living skin. for example.
保存剤または色素が獣皮またはきめ細かな毛皮に拡散する速度を増大させる。Increases the rate at which preservatives or dyes diffuse into hides or fine fur.
インビボおよびインビトロの両方における経皮的移行の促進は、放射標識された ’H−D−マンニトールおよび3H−イヌリンがラットおよびマウスの皮膚を透 過することに関する実施例によって示される。5〜20μlの3H−D−マンニ トール試験溶液を、無毛マウスの背中の皮膚およびラットの背中上部の毛をそっ た部位に塗布し1次いで超音波用ゲルを載置した。Promotion of transdermal migration both in vivo and in vitro was demonstrated by radiolabeled 'H-D-mannitol and 3H-inulin penetrate the skin of rats and mice. This is illustrated by an example of what happens. 5-20 μl of 3H-D-manni Thor test solution was applied to the skin on the backs of hairless mice and on the upper backs of rats. First, an ultrasound gel was placed on the affected area.
20μlの3H−D−マンニトールを局所的に塗布し9次いで直ちに1.5〜2 .OW/c+flの超音波を2〜3分間照射した後の放射能の排出を調べたとこ ろ、超音波処理したラットが最初の2時間で尿中に排出した放射能は対照の場合 の20倍であった。Apply 20 μl of 3H-D-mannitol topically and then immediately apply 1.5-2 .. We investigated the emission of radioactivity after irradiating OW/c+fl ultrasound for 2 to 3 minutes. The radioactivity excreted in the urine of sonicated rats in the first 2 hours was the same as that of controls. It was 20 times as large.
図面の簡単な説明 第1図はヒトの皮膚の断面図である。Brief description of the drawing FIG. 1 is a cross-sectional view of human skin.
第2図はラットおよびマウスの皮膚を介した’H−D−マンニトールの拡散を表 すグラフである。−◇−◇−および一◆−◆−は、ラントの場合であり、それぞ れ超音波照射を行った結果と行わなかった結果である。−〇−〇−および−・− ・−は、マウスの場合であり、それぞれ超音波照射を行った結果と行わなかった 結果である。Figure 2 depicts the diffusion of 'H-D-mannitol through the skin of rats and mice. This is a graph. −◇−◇− and ◆−◆− are for runts, respectively. These are the results with and without ultrasound irradiation. −〇−〇− and −・− ・− is the case of mice, with and without ultrasound irradiation, respectively. This is the result.
第3図は、20μCiの(’H)−D−マンニトールを局所的に塗布した後にお けるラットの尿中への(’H)−D−マンニトールの排出を表すグラフである。Figure 3 shows the results after topical application of 20 μCi of ('H)-D-mannitol. FIG. 2 is a graph showing the excretion of ('H)-D-mannitol into the urine of rats subjected to anaphylaxis.
−◇−◇−および一ムームーは、それぞれ超音波照射を行った結果と行わなかっ た結果である。−◇−◇− and one mumu are the results with and without ultrasound irradiation, respectively. This is the result.
第411ila−cは、 (a)20.1/Ciの(3H)−D−7ンニトール 。No. 411ila-c is (a) (3H)-D-7nitol of 20.1/Ci .
(b)10μCiの(3H)−D−マンニトール、および(C)50μCiの〔 3H〕−イヌリンを局所的に塗布した後に、 10時間にわたってラットの尿中 へ排出された3H−薬剤の百分率を表すグラフである。−◇−◇−および一ムー ムーは、それぞれ超音波照射を行った結果と行わなかった結果である。(b) 10 μCi of (3H)-D-mannitol, and (C) 50 μCi of [ 3H] - in the urine of rats for 10 hours after topical application of inulin. 3 is a graph representing the percentage of 3H-drug excreted into −◇−◇− and one mu Mu is the result with and without ultrasound irradiation, respectively.
第5図は、5μCiを局所的に塗布した後に、10時間にわたって無毛マウスの 尿中へ排出された( 3H)−D−マンニトールの百分率を表すグラフである。Figure 5 shows hairless mice treated for 10 hours after topical application of 5 μCi. It is a graph showing the percentage of (3H)-D-mannitol excreted into urine.
−◇−◇−および−ムーム−は、それぞれ超音波照射を行った結果と行わなかっ た結果である。−◇−◇− and −Moum− are the results with and without ultrasound irradiation, respectively. This is the result.
光旦■旧貴痰脱所 本発明は、薬剤の皮膚中への、および皮膚を通して循環器系への透過の速度およ び効力を高める方法であり、該方法は。Kotan■Former Takakume Escape The present invention improves the rate and penetration of drugs into and through the skin into the circulatory system. A method for increasing the effectiveness of
皮膚を所定の割合で超音波にさらすことを包含する。この超音波は、角質層を通 しての分子の移行を変化させる。このような移行は、細胞間、細胞内、および付 属器を通しての透過によって起こる。必要とされる超音波の照射時間9周波数お よび強度は1種々の要素に依存する。その要素には、皮膚の厚みおよび透過に対 する皮膚の抵抗性が包含される。これらは1種族間1年令、外傷や疾病があるか 否か、およびその個体が置かれた環境により異なる。It involves exposing the skin to ultrasound waves at a predetermined rate. This ultrasonic wave passes through the stratum corneum. changes the migration of molecules. Such transitions occur between cells, within cells, and between cells. Occurs by penetration through the genital organs. Required ultrasonic irradiation time 9 frequencies and and strength depend on a variety of factors. Its factors include skin thickness and permeability. This includes skin resistance to These are 1 race, 1 year old, have any trauma or illness? It depends on whether or not the individual is placed, and the environment in which the individual is placed.
超音波は、20kHzを越える周波数を有する音波である。医療で治療用途に用 いられる超音波には1通常、1.6から約10M1(zの周波数のものが採用さ れる。ここでは1分子の経皮的な移行を促進するために、20kHzおよび1叶 ルの間の周波数でOおよび3W/c4の間、好ましくは2および4W/cffl の間の強度の超音波が用いられる。好ましい周波数の範囲は、 0.5MHzお よび1.5 W/c′IIIの間である。パルス状の超音波を放射する機器およ び連続した超音波を放射する機器のいずれもが使用され得る。照射時間は、ただ の数秒間で充分である。なぜなら。Ultrasound is a sound wave with a frequency above 20kHz. Used for therapeutic purposes in medicine The ultrasonic wave that can be used usually has a frequency of 1.6 to about 10M1 (z) It will be done. Here, in order to promote transdermal transfer of one molecule, 20 kHz and one molecule were used. between 0 and 3 W/c4, preferably 2 and 4 W/cffl at a frequency between Ultrasound with an intensity between . The preferred frequency range is between 0.5MHz and and 1.5 W/c'III. Equipment that emits pulsed ultrasonic waves and Any device that emits continuous ultrasonic waves may be used. The irradiation time is just A few seconds is sufficient. because.
超音波に対する応答時間は極めて速いためである。過剰に照射すると火傷が起き るため、注意しなければならない。皮膚の温度は、過剰照射に対するひとつの指 標である。本発明では、ヒトの皮膚については、38°Cを下まわる温度に保持 される。This is because the response time to ultrasonic waves is extremely fast. Excessive irradiation may cause burns. Therefore, care must be taken. Skin temperature is one measure against over-irradiation It is a sign. In the present invention, human skin is maintained at a temperature below 38°C. be done.
後述の実施例においては、ラットおよびマウスの皮膚のインビボで超音波処理が 行われる。その超音波のエネルギーは1から2W/c+flであり1周波数は8 70kHzであり、照射時間は1から3分間である。ラットおよびマウスの皮膚 をインビトロで処理する場合には、より低い周波数(75kHzのレンジ)でよ り長い期間(2時間まで)にわたり行う。超音波による最大の効果は1局部的に 塗布した後、超音波を照射した場合に達成される。薬剤を局部的に塗布した後、 10時間を越えてから超音波を照射した場合には、効果はほとんど認められない 。In the examples below, in vivo sonication of rat and mouse skin was demonstrated. It will be done. The energy of the ultrasonic wave is 1 to 2 W/c+fl, and one frequency is 8 The frequency is 70kHz and the irradiation time is 1 to 3 minutes. rat and mouse skin lower frequencies (in the 75 kHz range) are recommended for in vitro treatment. This is done over a long period of time (up to 2 hours). The maximum effect of ultrasound is localized. This can be achieved by applying ultrasonic waves after application. After applying the drug locally, If ultrasound is applied after 10 hours, almost no effect will be observed. .
超音波発生装置の特定の実施態様は1重要ではない。超音波が照射される部位に 依存して、プローブ、槽および容器がいずれも用いられ得る。数多くの機器が市 販されている。集団でのワクチン接種に一般に用いられる高圧デバイスに類似の 超音波照射装置を用いると、患者の経皮的な処理が迅速化し、容易となり、繰り 返して行うことができるようになる。The particular implementation of the ultrasound generator is not critical. In the area where ultrasound is irradiated Depending, probes, baths and containers can all be used. A large number of devices are It's on sale. similar to high-voltage devices commonly used for mass vaccinations. Ultrasonic irradiation equipment makes percutaneous patient treatment faster, easier, and more repeatable. You will be able to return it.
超音波は、空気中ではよ(伝播しない。そのため、超音波発生装置を皮膚との間 に液体の媒体を介在させることが好ましい。水性のまたは無機のゲルのいずれの タイプのものでも使用され得、それには多くの市販の製品のうちのひとつが包含 される。好ましくは、その媒体は、水の吸収係数に近い吸収係数を有するべきで ある。あるいは、超音波発生器を、経皮的に移行させるべき分子を含有する貼付 剤(例えば、超音波を使用せずに、薬剤を経皮的に吸収させるのに使用される薬 剤含有貼付剤)に直接適用することも可能である。これらの貼付剤は、一般に、 保護カバー、薬剤を含有するマトリックス、支持体および該貼付剤を適所に保持 させ得る粘着剤とからなる。Ultrasound waves do not propagate well in the air.Therefore, the ultrasound generator should not be placed between the skin and the skin. Preferably, a liquid medium is present. Either aqueous or inorganic gel type may also be used, including one of many commercially available products. be done. Preferably, the medium should have an absorption coefficient close to that of water. be. Alternatively, an ultrasound generator can be applied to a patch containing the molecules to be transferred transdermally. agents (e.g., drugs used to absorb drugs transdermally without the use of ultrasound) It is also possible to apply directly to a patch containing an agent. These patches generally include: Holds the protective cover, drug-containing matrix, support and the patch in place It consists of an adhesive that can be used.
超音波を使用することの利点は、移行の速度および効果が改善されるということ である。通常の場合には、皮膚を透過せず循環系に入らない薬剤が、超音波照射 により皮膚を通過させられる。周波数9強度および照射時間を制御することによ り、移行の速度が制御される。血液または尿中の濃度を時間の経過とともに測定 することは、どのような超音波照射条件が適当であるかを決定するのに用いられ 得る。The advantage of using ultrasound is that the speed and effectiveness of migration is improved It is. Under normal circumstances, drugs that do not penetrate the skin or enter the circulatory system can be irradiated with ultrasound. allows it to pass through the skin. By controlling frequency 9 intensity and irradiation time. The speed of migration is controlled. Measure concentration in blood or urine over time is used to determine what ultrasound irradiation conditions are appropriate. obtain.
好適な実施態様においては、超音波は、大分子量または極性分子のような化合物 の、患者の皮膚を通しての移行を促進するために用いられる。塗布された薬剤の 移行速度を高め。In a preferred embodiment, ultrasound is applied to compounds such as large molecular weight or polar molecules. is used to facilitate the transfer of the drug through the patient's skin. of the applied drug Increase migration speed.
方向性を持たせたコントロールを行うことにより、より大きな制御と薬剤の利用 性とが達成される。従って、血流に速やかに入る薬剤の割合が増加し、望まない 副作用が避けられる。Greater control and drug utilization through directional control gender is achieved. Therefore, the proportion of drug that quickly enters the bloodstream increases and is unwanted. Side effects can be avoided.
超音波の照射により、薬剤の経皮的な導入が可能となる。これは、超音波を照射 しなければ不可能なことである。最終的な目的は9分子を血流中に最も望ましい 速度で導入することである。ここで使用される経皮吸収デバイス、または「貼付 剤」においては、ニトログリセリンのような低分子量の薬剤であっても血流中に 入るのに30分間を要する。カタプレサン(catapresan)のような高 血圧症に対する薬剤は、完全に血流中に入るのには2日を要する。これらの薬物 が経口投与されたときに血流中に入るのに必要とされる時間と同様の時間(はん の数分間)に短縮することが非常に望ましい。Ultrasonic irradiation enables transdermal introduction of drugs. This irradiates ultrasound It would be impossible if you didn't. The ultimate goal is to get 9 molecules into the bloodstream, which is most desirable. The key is to introduce it quickly. The transdermal device used here, or Even low-molecular-weight drugs such as nitroglycerin are present in the bloodstream. It takes 30 minutes to enter. High-quality products such as catapresan Medications for hypertension take two days to fully enter the bloodstream. these drugs The time required for the drug to enter the bloodstream when administered orally ( It is highly desirable to reduce the time to a few minutes).
ここに開示されている方法の安全性および効果は、3H標識化マンニトールおよ びイヌリンを用いた実施例(これに限定されない)により明らかにされる。The safety and effectiveness of the methods disclosed herein are determined by the use of 3H-labeled mannitol and This is clarified by examples (including but not limited to) using inulin and inulin.
これらの化合物は9次の理由により選択された。つまり。These compounds were selected for the following reasons. In other words.
D−マンニトールは非常に極性の高い糖アルコールであり、イヌリンは分子量が 高い(m、iy、5200)多糖類であり、皮膚を透過しにくい。それゆえ、透 過性のわずかな変化を検知することが可能である。そして、D−マンニトールお よびイヌリンは全部速やかに排出される。このことにより、血流中の薬剤量をイ ンビボで直接監視することが可能である。D-mannitol is a highly polar sugar alcohol, and inulin has a molecular weight of It is a high (m, iy, 5200) polysaccharide and does not easily penetrate the skin. Therefore, Tooru It is possible to detect transient slight changes. And D-mannitol and inulin are all rapidly excreted. This reduces the amount of drug in the bloodstream. It is possible to monitor directly in vivo.
:インビ ロにおシ゛エ の 超音波エネルギーによって起こる皮膚透過性の変化は、二室セルを用いたインビ トロ拡散法によって決定された。拡散セルは2つの独立した区画C4,5mlお よび5.5d)から構成されており、各区画の側面にある直径1.3cmの開口 部を介して互いに締め付けられるように設計されている。各区画にある磁気撹拌 子を用いて撹拌した。動物をCO,で殺し、背部の皮膚片を切除した。皮膚試料 は圧力クランプを用いてセル間に、角質層がドナー溶液に面するように保持した 。ドナー区画には、 0.1Mのリン酸塩を含有する緩衝化食塩溶液(pH7, 3)のD−マンニトール飽和溶液を入れ、この中に20 μCiのD−3)1− マンニトールを含有させた。レシーバ溶液は緩衝化食塩水であった。水を満たし た超音波槽の中央に、このセルを置いた。: In-vitro scene Changes in skin permeability caused by ultrasound energy were investigated in vitro using a two-chamber cell. Determined by Toro diffusion method. The diffusion cell consists of two separate compartments C4, 5ml and and 5.5d), with a 1.3cm diameter opening on the side of each compartment. They are designed to be tightened together through the sections. Magnetic stirring in each compartment Stir using a stirrer. Animals were killed with CO, and a piece of dorsal skin was excised. skin sample was held between the cells using a pressure clamp, with the stratum corneum facing the donor solution. . The donor compartment was filled with a buffered saline solution containing 0.1 M phosphate (pH 7, Add saturated D-mannitol solution from 3), and add 20 μCi of D-3) 1- into this. Contains mannitol. The receiver solution was buffered saline. fill with water This cell was placed in the center of an ultrasonic bath.
この超音波槽はRAIリサーチコーポレーション モデル250であり自動調温 されたステンレス鋼製の水槽(3,5”×3.5”×2.5”)中で75kHz の周波数の超音波を発生した。透過性の実験は、超音波を照射し始めてから最初 の2時間以内に実施した。レシーバ溶液から200μlの試料を時間の経過とと もに採取し、200μ!の緩衝化食塩水で置き換えた。採取された試料の放射能 は液体シンチレーションカウンターを用いた計数によって測定した。すべての実 験は室温(22°C)で実施した。対照には超音波を照射しなかった。This ultrasonic bath is a RAI Research Corporation model 250 with automatic temperature control. 75kHz in a stainless steel water tank (3.5” x 3.5” x 2.5”) It generated ultrasonic waves with a frequency of . The permeability experiment was carried out for the first time after starting the ultrasound irradiation. It was carried out within 2 hours of. A 200 μl sample from the receiver solution was added over time. Collected 200μ! of buffered saline. Radioactivity of collected samples was measured by counting using a liquid scintillation counter. all fruit The experiments were conducted at room temperature (22°C). Controls were not exposed to ultrasound.
ラントおよびマウスの皮膚をインビトロで拡散している3H−D−マンニトール 溶液を含むセルに75kHzの超音波を2時間照射したところ、第2図に示すよ うに薬剤の透過が50〜80%に増大した。薬剤をドナーセルに注入する前に皮 膚に2時間照射した場合にも同様の効果が観察された。3H-D-mannitol diffusing in the skin of runts and mice in vitro. When a cell containing a solution was irradiated with 75kHz ultrasonic waves for 2 hours, the result was as shown in Figure 2. Penetration of sea urchin drugs increased by 50-80%. skin before injecting the drug into the donor cell. A similar effect was observed when the skin was irradiated for 2 hours.
超音波の照射はマウスの皮膚の透過性を減少させなかった。Ultrasound irradiation did not reduce skin permeability in mice.
しかしながら、SEMの研究では、 870kHzで1.5W/cfflの超音 波をインビボで1分間照射した対照の皮膚またはマウスの皮膚と比較すると、7 5kHzでかなりの強度の超音波をインビトロで2時間照射したマウスの皮膚で は1表面にかなりの程度の機械的な裂傷が見られる。However, in SEM research, ultrasonic waves of 1.5 W/cffl at 870 kHz When compared to control skin or mouse skin exposed to waves in vivo for 1 minute, 7 The skin of mice was irradiated with high-intensity ultrasound at 5 kHz for 2 hours in vitro. A considerable degree of mechanical tearing is seen on one surface.
1嵐1乙 イー色町ボ堡−核史i皮1透掘性9−壇張インビボでのう、トおよび マウスにおけるD−3H−マンニトールおよび3H−イヌリンの皮膚透過に及ぼ す超音波エネルギーの効果が試験された。1 Arashi 1 Otsu Iiromachi Bodo - Nuclear history i Skin 1 Permeability 9 - Danbari in vivo, and Effects on skin permeation of D-3H-mannitol and 3H-inulin in mice The effects of ultrasonic energy were tested.
スブチーグーダウレー(CD)!ラット(体重が各200〜250g)および無 毛マウスがこの実施例で用いられた。外因的な皮膚の損傷を極小にすべく条件が 設定された。超音波治療機器(プルディックUT42UA )がこのインビボで の実験に用いられた。この機器は5機械的効果と熱的効果との組合せにより治療 を容易にするために、ヒトおよび動物の組織を処理する際に用いることが認めら れている。Subuchi Gudawley (CD)! Rats (weighing 200-250 g each) and Hairy mice were used in this example. Conditions are in place to minimize extrinsic skin damage. set. This in vivo ultrasound treatment device (Prudic UT42UA) It was used in the experiment. This device treats by a combination of 5 mechanical and thermal effects. approved for use in processing human and animal tissue to facilitate It is.
5〜20μrのD−”!(−マンニトールの試験溶液をラットの背面上部の毛を そった箇所へ塗布し1次いで、そこへ水溶性の超音波用ゲルをつけた。インビボ およびインビトロの実験の両者について皮膚表面の変化を電子顕微鏡技術により 調べた。A test solution of 5-20μr D-”!(-mannitol was applied to the hair on the upper back of the rat. It was applied to the shaved area, and then a water-soluble ultrasound gel was applied there. in vivo Changes in the skin surface were observed using electron microscopy techniques for both the and in vitro experiments. Examined.
走査電子顕微鏡(SEM)検査を行うために、そのマウスおよびラットの背面の 皮膚片を2%グルタルアルデヒドで固定し。To perform scanning electron microscopy (SEM) examination, the dorsal surface of the mouse and rat was The skin pieces were fixed with 2% glutaraldehyde.
次いで1%オスミウムテトロキサイドで処理し、そしてアルコール中(連続的に 濃度を上昇させる)で脱水した。次いで。Then treated with 1% osmium tetroxide and in alcohol (continuously) (increasing concentration). Next.
臨界点まで乾燥し、そしてこの電子顕微鏡で検査した。It was dried to critical point and examined under the electron microscope.
尿中に排出された薬剤の量の測定はインビボでの実験において透過速度の決定要 素であった。尿を膀胱内に挿入されたのラットを制止真向に置いた。10μrの 38−D−マンニトールおよび12.5〜50ulの3H−イヌリンの試験溶液 をその皮膚に塗布し5次いで超音波を照射した。尿を最初の2時間は15〜30 分ごとに集め、そしてその後は数置にわたって集めた。各尿サンプルの容量と放 射能とを測定した。Measuring the amount of drug excreted in the urine is essential for determining permeation rates in in vivo experiments. It was plain. The rat was placed directly opposite the restrainer with urine inserted into the bladder. 10 μr Test solution of 38-D-mannitol and 12.5-50 ul of 3H-inulin was applied to the skin and then irradiated with ultrasound. 15-30 for the first 2 hours of urine Collected minute by minute, and then several locations later. Volume and release of each urine sample The radioactivity was measured.
超音波処理されたラットと対照のラットとの尿のサンプルを、シリカプレートの 薄層クロマトグラフィーにより比較した。このシリカプレートはt−ブタノール :ピリジン:水(6:4:3)の溶液にて展開され、そしてホスホモリブデン酸 試薬により可視化された。この展開シリカゲルプレートをスポットが互いに相対 的に移動した距M (l に従って数区分に切り、それらの片をそれぞれシンチ レーションバイアルに入れた。蒸留水1 mflを各バイアルに加え、その薬剤 を溶かした。Urine samples from sonicated and control rats were placed on silica plates. Comparison was made by thin layer chromatography. This silica plate is made of t-butanol. :pyridine:water (6:4:3) and phosphomolybdic acid Visualized by reagent. Spread this silica gel plate so that the spots are relative to each other. Cut into several sections according to the distance M (l) that was moved, and cinch each in a ration vial. Add 1 mfl of distilled water to each vial and add the drug. melted.
アクアゾルにューイングランド ニュークレア、ボストン。Aquasol, New England, New Claire, Boston.
MA)シンチレ・−ジョン液の10−を加え、そして放射能を測定した。MA) scintillation solution 10- was added and radioactivity was measured.
第3図は、放射能標識された’H−D−マンニトール20μ!を局部的に塗布し 25次いで直ちに2〜・3分間、1.5〜2.0 W/cn!で超音波処理を行 った後の’lL、D−マンニ、トールの排出を、対照ラット(超音波処理をし7 ていない)による排出と比較したものである。超音波処理されたラットは最初の 2時間の間は尿中に放射能を対照ランドよりも20倍だけ多く保有していた。Figure 3 shows radioactively labeled 'H-D-mannitol 20μ! apply locally 25 then immediately 1.5-2.0 W/cn for 2-3 minutes! Perform ultrasonic treatment with The excretion of 'lL, D-manni, and toll after This is compared to the emissions caused by (not). Sonicated rats were the first During the 2-hour period, they had 20 times more radioactivity in their urine than the control rando.
超音波の効果は時間と共に減少した。10時間後には、それら二つのグループの 尿中の放射能は区別できなかった。H−D −マンニトールの放出速度の差は超 音波処理が薬剤投与された直後に行われた場合のみ観察された。これらのラット が超音波で処理されたとき、薬剤投与後10時間もしくはそれ以上の間、その放 出速度に何の変化も認められなかった。The effectiveness of ultrasound decreased over time. After 10 hours, those two groups Radioactivity in the urine was indistinguishable. The difference in the release rate of HD-mannitol is extremely It was observed only when sonication was performed immediately after drug administration. these rats when treated with ultrasound, its release for 10 hours or more after drug administration. No change was observed in the exit speed.
マンニトールは身体から全部そしてすばやく除去され、それゆえ、尿中に完全に 現れる。薄層クロマトグラフィーにより評価されるように、超音波の透過分子に 及ぼす影響は、超音波エネルギーによりマンニトールが分解されないということ を示した。Mannitol is completely and quickly removed from the body and is therefore completely present in the urine. appear. As assessed by thin-layer chromatography, molecules transmitted by ultrasound The effect is that mannitol is not broken down by ultrasonic energy. showed that.
第4図は、ラットに3+(−D−マンニトールと3H−イヌリンの両方を局部塗 布した後、10時間にわたって排出される放射能の全量に対する特定の時間間隔 において排出された[3H〕の百分率を比較したものである。これを相対的な薬 剤透過の尺度として用いた。超音波処理されたラットにおいて、最初の2時間の 間に排出された[3H]の百分率は3H,D−マンニトールについては20%〜 30%であり 3H−イヌリンについては50%であった。これに対し、各対照 においては、3N(−D−マンニトールについては2〜5%、そして3H−イヌ リンについては10%であった。表1に示すように、相対的な薬剤透過の速度R は以下の式により定義される: ここで、 Pusは、10時間にわたり尿中へ排出される(’H]の全量で割っ て得られる。ある時間tにおける超音波処理ラットの尿中の[3H]の百分率で ある。Pctは、10時間にわたりラットにより排出される[3H1の全量で割 って得られる。Figure 4 shows rats receiving both 3+(-D-mannitol and 3H-inulin) topically. Specific time interval for the total amount of radioactivity released over 10 hours after washing This figure compares the percentage of [3H] discharged in the following cases. This is a relative medicine This was used as a measure of drug penetration. In sonicated rats, the first 2 hours The percentage of [3H] excreted during the period is 20% for 3H, D-mannitol. 30%, and 50% for 3H-inulin. In contrast, each control For 3N (2-5% for -D-mannitol and 3H- Regarding phosphorus, it was 10%. As shown in Table 1, the relative rate of drug permeation R is defined by the following formula: Here, Pus is divided by the total amount of ('H) excreted in the urine over 10 hours. can be obtained. The percentage of [3H] in the urine of sonicated rats at a certain time t be. Pct is excreted by rats over 10 hours [divided by the total amount of 3H1]. That's what you get.
ある時間tにおける非処理ラットの尿中の[3H]の百分率である。表1かられ かるように1両薬剤の皮膚透過は、最初の2時間の間は、超音波処理ラットにお ける方が対応する対照グループのそれよりも6〜20倍大きかった。Percentage of [3H] in the urine of untreated rats at a certain time t. From table 1 Thus, skin permeation of both drugs was significantly reduced during the first 2 hours in sonicated rats. The results were 6 to 20 times greater than those of the matched control group.
(以下余白) ノLL ラットにおける″剋遵週q祖対北 時 間 D−3H−マンニトール 3H−イヌリン(時) 20mC110mC 150mC152,51,51,5 第5図は、5μ!のD−’H−マンニトールの塗布の直後に1〜1.5W/cf flの超音波処理を1分間行った後の、マウスにおけるD−マンニトールの相対 的な透過性を示している。結果は、特定の時刻における〔3H〕の排出量を10 時間にわたって排出された〔3H〕の全排出量で除した百分率で表されている。(Margin below) No LL ``剋 Zunweek Qzu vs. North in rats Time D-3H-mannitol 3H-inulin (hour) 20mC110mC 150mC152,51,51,5 Figure 5 shows 5μ! 1-1.5 W/cf immediately after application of D-'H-mannitol. Relative of D-mannitol in mice after 1 minute of sonication of fl. It shows transparency. The results show that the amount of [3H] released at a specific time is 10 It is expressed as a percentage divided by the total amount of [3H] excreted over time.
薬剤の塗布の10時間後に超音波処理を施した場合にも、排出された放射能の百 分率に変化はなかった。Even when ultrasonic treatment was performed 10 hours after application of the drug, the amount of radioactivity released was 100%. There was no change in the fraction.
これらの実施例は、”H−D−マンニトールと3H−イヌリンのう7)における 経皮透過性が、超音波処理後の最初の2時間の間に6〜20倍増加することを示 している。この増加は、安定状態に到達する前の、経皮透過の初期の段階におい てのみ観察された。超音波エネルギーによって、ラットにおけるD−マンニトー ルおよびイヌリンの経皮透過の遅延時間が短縮されたが、安定状態段階での薬剤 の放出速度には変化がなかったという事実により、以下のことが示唆される。つ まり、超音波処理によって高められるのは、ラットの皮膚の角質層そのものを通 しての拡散よりも1毛嚢等のような代替的な通路を通しての投与薬の拡散にする ためであることが示唆される。These examples include “H-D-mannitol and 3H-inulin in case 7) We show that transdermal permeability increases 6-20 times during the first 2 hours after sonication. are doing. This increase occurs during the early stages of transdermal penetration, before a steady state is reached. was observed only. D-mannitol in rats by ultrasonic energy Although the lag time of transdermal penetration of inulin and inulin was reduced, the drug The fact that there was no change in the release rate suggests that: One Therefore, what is enhanced by ultrasonic treatment is the ability to penetrate the stratum corneum of rat skin itself. Diffusion of the administered drug through alternative channels such as hair follicles etc. It is suggested that this is because of the
1旧セの周波数を有する超音波の強度が5W/c+flである場合には、有意な 温度上昇は起こらず、かつ、増殖可能なマウスまたはラットの皮膚に有害な影響 が生じなかった。ラットに3W/cffl未溝の超音波エネルギーが3分間を下 まわる時間だけ加えられた場合には、またはマウスに1.5W/cfflの超音 波エネルギーが1分間加えられた場合には、1°Cを越える皮膚温度の上昇はな かった。より長い時間の処理は9時おり皮膚に熱傷を引き起こした。When the intensity of ultrasound having a frequency of 1 old C is 5 W/c + fl, there is a significant No increase in temperature and no harmful effects on the skin of mice or rats capable of growth did not occur. Rats were exposed to 3W/cffl unconventional ultrasonic energy for 3 minutes. 1.5W/cffl ultrasonic sound to the mouse if applied for the rotation time or When wave energy is applied for 1 minute, skin temperature does not increase by more than 1°C. won. Longer treatment times caused skin burns at 9 o'clock.
要訳すると、インビボおよびインビトロの両方において。In short, both in vivo and in vitro.
2つの種の皮膚を用いたこれらの実施例により1次のことが説明される。つまり 超音波は、皮膚を通しての、そして、循環系への分子の移行を促進させる有効な 手段であることが説明される。周波数、出力および加える時間は、皮膚のタイプ および拡散させる分子の両方を考慮して9個々の場合に適合するように最適化さ れ得る。These examples using skin from two species illustrate the first order. In other words Ultrasound is an effective way to accelerate the movement of molecules through the skin and into the circulatory system. It is explained that it is a means. The frequency, power and application time depend on your skin type. Optimized to suit each individual case, taking into account both the molecules and the molecules to be diffused. It can be done.
本発明は特定の実施態様に関して記述されたが、皮膚内への、そして皮膚を通し ての分子の移行を促進させるために超音波エネルギーを使用する本方法の修正お よび変形が当業者の思いつくところとなり得ると思われる。そのような修正およ び変形は、添付の請求の範囲に包含される。Although the invention has been described with respect to specific embodiments, it is possible to A modification of this method that uses ultrasound energy to promote the migration of all molecules It is believed that modifications and variations may occur to those skilled in the art. Such modifications and All modifications and variations are within the scope of the appended claims.
FIGURE 2 0 4 8 +2 16 20 24 FIGtJRE 3 ャ、ッ1−(−鎖仙キリに跡四$fI、ジ(イン1本)FIGURE 4A FIGURE 5 国際調査報告FIGURE 2 0 4 8 + 2 16 20 24 FIGtJRE 3 Ya, 1-(- Chain Senkiri 4 marks $fI, 1 in) FIGURE 4A FIGURE 5 international search report
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Citations (2)
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JPS52115591A (en) * | 1976-02-09 | 1977-09-28 | Fahim Mostafa S | Method of local medication |
JPS5995060A (en) * | 1982-11-24 | 1984-05-31 | 嶋田 昭雄 | Dermatophytosis treating device |
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Publication number | Priority date | Publication date | Assignee | Title |
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SU445433A1 (en) * | 1973-03-22 | 1974-10-05 | Центральный Научно-Исследовательский Институт Курортологии И Физиотерапии | The method of physiotherapeutic treatment of patients with diseases of the musculoskeletal system of an exchange nature |
SU506421A1 (en) * | 1974-08-06 | 1978-03-05 | Московское Ордена Ленина И Ордена Трудового Красного Знамени Высшее Техническое Училище Имени Н.Э.Баумана | Method of treating infected wounds |
US4127125A (en) * | 1975-12-22 | 1978-11-28 | Lion Hamigaki Kabushiki Kaisha | Devices for transmitting ultrasonic waves to teeth |
SU556805A1 (en) * | 1976-01-23 | 1977-05-05 | Каунасский Медицинский Институт | Method of administering drugs |
US4309989A (en) * | 1976-02-09 | 1982-01-12 | The Curators Of The University Of Missouri | Topical application of medication by ultrasound with coupling agent |
SU591186A1 (en) * | 1976-07-23 | 1978-02-05 | Serov Vilenin Nikolaevich | Method of treating eye diseases |
US4176664A (en) * | 1978-03-13 | 1979-12-04 | Stanley Kalish | Impregnated bandage |
US4280494A (en) * | 1979-06-26 | 1981-07-28 | Cosgrove Robert J Jun | System for automatic feedback-controlled administration of drugs |
SU910157A1 (en) * | 1980-02-29 | 1982-03-07 | Московское Ордена Ленина,Ордена Трудового Красного Знамени Высшее Техническое Училище Им.Баумана | Method of treating infected wounds |
US4372296A (en) * | 1980-11-26 | 1983-02-08 | Fahim Mostafa S | Treatment of acne and skin disorders and compositions therefor |
US4563184A (en) * | 1983-10-17 | 1986-01-07 | Bernard Korol | Synthetic resin wound dressing and method of treatment using same |
-
1986
- 1986-07-08 US US06/883,111 patent/US4767402A/en not_active Expired - Lifetime
-
1987
- 1987-06-29 JP JP62504399A patent/JP2710281B2/en not_active Expired - Lifetime
- 1987-06-29 WO PCT/US1987/001546 patent/WO1988000001A2/en not_active Application Discontinuation
- 1987-06-29 EP EP87904765A patent/EP0275284A1/en not_active Withdrawn
- 1987-07-07 CA CA000541496A patent/CA1324051C/en not_active Expired - Lifetime
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS52115591A (en) * | 1976-02-09 | 1977-09-28 | Fahim Mostafa S | Method of local medication |
JPS5995060A (en) * | 1982-11-24 | 1984-05-31 | 嶋田 昭雄 | Dermatophytosis treating device |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JP2695986B2 (en) * | 1990-02-23 | 1998-01-14 | シグナス,インコーポレイテッド | Delivery of substances through ultrasound-enhanced skin |
WO2003061753A1 (en) * | 2002-01-21 | 2003-07-31 | Matsushita Electric Works, Ltd. | Ultrasonic percutaneous permeating device, ultrasonic percutaneous permeating kit, and ultrasonic percutaneous permeating method |
Also Published As
Publication number | Publication date |
---|---|
US4767402A (en) | 1988-08-30 |
CA1324051C (en) | 1993-11-09 |
JP2710281B2 (en) | 1998-02-10 |
WO1988000001A2 (en) | 1988-01-14 |
EP0275284A1 (en) | 1988-07-27 |
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