US20050232972A1 - Drug delivery via punctal plug - Google Patents
Drug delivery via punctal plug Download PDFInfo
- Publication number
- US20050232972A1 US20050232972A1 US10/825,047 US82504704A US2005232972A1 US 20050232972 A1 US20050232972 A1 US 20050232972A1 US 82504704 A US82504704 A US 82504704A US 2005232972 A1 US2005232972 A1 US 2005232972A1
- Authority
- US
- United States
- Prior art keywords
- active agent
- implant
- plug
- subject
- punctal
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
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Classifications
-
- 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
- A61K9/0012—Galenical forms characterised by the site of application
- A61K9/0048—Eye, e.g. artificial tears
- A61K9/0051—Ocular inserts, ocular implants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/0008—Introducing ophthalmic products into the ocular cavity or retaining products therein
- A61F9/0017—Introducing ophthalmic products into the ocular cavity or retaining products therein implantable in, or in contact with, the eye, e.g. ocular inserts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F9/00—Methods or devices for treatment of the eyes; Devices for putting-in contact lenses; Devices to correct squinting; Apparatus to guide the blind; Protective devices for the eyes, carried on the body or in the hand
- A61F9/007—Methods or devices for eye surgery
- A61F9/00772—Apparatus for restoration of tear ducts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/557—Eicosanoids, e.g. leukotrienes or prostaglandins
- A61K31/5575—Eicosanoids, e.g. leukotrienes or prostaglandins having a cyclopentane, e.g. prostaglandin E2, prostaglandin F2-alpha
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/04—Peptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof
- A61K38/12—Cyclic peptides, e.g. bacitracins; Polymyxins; Gramicidins S, C; Tyrocidins A, B or C
- A61K38/13—Cyclosporins
Definitions
- the present invention relates generally to the field of medicine, and in particular to a new and useful method and apparatus for administering an active agent, i.e. a medicine or medication, to a subject by transdermal or other surface absorption of the agent into the tissues in and around one or both eyes of the subject.
- an active agent i.e. a medicine or medication
- Punctal plugs are known which are made in suitable dimensions and of suitable materials to be removably inserted into the upper and/or lower punctal apertures or punctum of the eye, to block the opening and the canaliculus communicating therewith, to prevent drainage of lacrimal fluid (tears).
- Such plugs are known to be made of suitable materials, such as polymers, for example polytetrafluorethylene (known by the trademark TEFLON), or hydroxyethylmethacrylate (HEMA), hydrophilic polymer, methyl methacrylate, or silicon, or even of stainless steel or other inert metal material.
- an active agent such as nicotine or a birth control drug
- a patch which can be worn against the skin of a subject for transdermally administering the active agent to the subject.
- an ocular implant such as a punctal plug
- the active agent or drug is meant for treating the tissues at the walls of the canaliculus, for example, the drug is applied only to inner surfaces of the plug that are adapted to be in contact with or near the tissues of the canaliculus.
- the presence of tears is highly advantageous as a natural vehicle or carrier for the agent.
- the active agent or drug is meant for treating the eye itself, the drug is applied only to outer surfaces of the implant or plug that are adapted to be outside the canaliculus.
- the presence of previously secreted tears or a tear pool is again advantageous as a natural vehicle or carrier for the agent.
- Any or all surfaces of the implant may carry the active agent there the desire is simply to have the agent enter the subjects blood stream via the tissues in and around the eye.
- FIG. 1 is a schematic perspective view of an ocular implant in the form of a punctal plug according to the present invention.
- FIG. 2 is a perspective view of the area around the eye with other embodiments of the invention.
- FIG. 1 shows a punctal plug generally designated 10 , having a stem 12 for insertion into the punctal aperture 20 of an eye 24 , and along the canaliculus 22 communicating with the aperture.
- Plug 10 has a large stopper structure 14 connected to the outer end of stem 12 for seating against the aperture 20 and sealing the canaliculus 22 against the flow of tears onto the surface of the eye or eyeball 24 .
- FIG. 2 illustrates an eye 24 communicating with upper and lower canaliculi 22 a and 22 b , each with their our implant 10 a and 10 b .
- Implant 10 a is a substantially cylindrical and solid collagen plug that has been inserted into the upper punctum or tear duct 20 a , to block the flow of tears while lower implant 10 b is hollow like a straw for the passage of tears.
- Implant 10 b includes a tapered shaft or stem 12 a with a flared open end 12 b immobilized at the lower punctum 20 b .
- a mushroom shaped inner stopper 14 a is formed at the opposite end of shaft 12 a for further setting the location of the implant in the tear duct.
- One of the embodiments illustrated in FIG. 2 may include a hollow core of the plug and another, e.g. the lower one, may include a hollow core filled with medication.
- the active agent e.g. a medicine or medication is applied, e.g. in one or more bands of polymer material 16 at the inner end of the stem, or at 18 on the outer end of the stopper 14 in the embodiment of FIG. 1 , or over some or all of the surfaces of the implants of FIG. 2 , or otherwise.
- Polymer that is absorbent to the agent is preferable so that sufficient agent is present and available for discharge into the surrounding tissues.
- a porous or absorbent material can alternatively be used to make up the entire plug or implant which can be saturated with the active agent.
- the hollow implant 10 b of FIG. 2 is also particularly useful in that the active agent can be applied to, or is otherwise available at the inner surface or interior of the implant, and is uniquely structured to pass tears and thus administer the active agent to the tear stream in a fashion that is controlled by the flow of tears which thus act as the carrier for the agent.
- the hollow implant of the present invention provides a very different drug administering method, scheme and structure.
- Non-limiting examples of the active agents or medications which are appropriate for use with the invention include, for example only: topical prostaglandin derivatives such as latanoprost, travaprost and bimataprost used for the topical treatment of glaucoma. Also a treatment for corneal infections is appropriate using ciprofloxacin, moxifloxacin or gatifloxacin.
- Systemic medications useful for this invention are those used for hypertension such as atenolol, nifedipine or hydrochlorothiazide. Any other chronic disease requiring chronic medication could be used.
- allergic conjunctivitis and rhinitis are also good applications for the invention, e.g. using antihistamine and anti-allergy medication such as olopatadine and cromalyn sodium in or on the implant.
- active agents are not comprehensive in that many other agents can be used with the present invention.
- a treatment for dry eye bytopical cyclosporin is particularly interesting for administration by the present invention, but many other active agents can also be administered using the method and apparatus of the invention.
- the invention is meant to embody all implants or devices which are implanted into the eye-lid canalicular puncta of the naso-lacrimal system with the goal of delivering drug to the eye or to the body.
- the implant is inserted into either the inferior (lower) or superior (upper) punctum or possibly both.
- the apparatus is constructed so as to have a drug attached to one or both sides of the implant and an occlusive plug of some inert biocompatible material.
- the implant could be oriented in the punctal canal to deliver the drug either to the tear lake and thus the eye, or to the nasolacrimal system and thus the body's systemic circulation.
- the drawings illustrate only three embodiments of the punctal plug or implant delivery system of the invention.
Abstract
Description
- The present invention relates generally to the field of medicine, and in particular to a new and useful method and apparatus for administering an active agent, i.e. a medicine or medication, to a subject by transdermal or other surface absorption of the agent into the tissues in and around one or both eyes of the subject.
- Punctal plugs are known which are made in suitable dimensions and of suitable materials to be removably inserted into the upper and/or lower punctal apertures or punctum of the eye, to block the opening and the canaliculus communicating therewith, to prevent drainage of lacrimal fluid (tears). Such plugs are known to be made of suitable materials, such as polymers, for example polytetrafluorethylene (known by the trademark TEFLON), or hydroxyethylmethacrylate (HEMA), hydrophilic polymer, methyl methacrylate, or silicon, or even of stainless steel or other inert metal material.
- It is also known to apply an active agent such as nicotine or a birth control drug, to the inner surface of a patch which can be worn against the skin of a subject for transdermally administering the active agent to the subject.
- It is an object of the present invention to provide a method and an apparatus for administering an active agent to a subject by applying the active agent to at least one surface of an ocular implant such as a punctal plug, and installing the implant, e.g. inserting the punctal plug into a punctal aperture of the subject.
- If the active agent or drug is meant for treating the tissues at the walls of the canaliculus, for example, the drug is applied only to inner surfaces of the plug that are adapted to be in contact with or near the tissues of the canaliculus. The presence of tears is highly advantageous as a natural vehicle or carrier for the agent.
- If the active agent or drug is meant for treating the eye itself, the drug is applied only to outer surfaces of the implant or plug that are adapted to be outside the canaliculus. Here the presence of previously secreted tears or a tear pool is again advantageous as a natural vehicle or carrier for the agent.
- Any or all surfaces of the implant may carry the active agent there the desire is simply to have the agent enter the subjects blood stream via the tissues in and around the eye.
- The various features of novelty which characterize the invention are pointed out with particularity in the claims annexed to and forming a part of this disclosure. For a better understanding of the invention, its operating advantages and specific objects attained by its uses, reference is made to the accompanying drawings and descriptive matter in which preferred embodiments of the invention are illustrated.
- In the drawings:
-
FIG. 1 is a schematic perspective view of an ocular implant in the form of a punctal plug according to the present invention; and -
FIG. 2 is a perspective view of the area around the eye with other embodiments of the invention. - Referring now to the drawing,
FIG. 1 shows a punctal plug generally designated 10, having astem 12 for insertion into thepunctal aperture 20 of aneye 24, and along thecanaliculus 22 communicating with the aperture. -
Plug 10 has alarge stopper structure 14 connected to the outer end ofstem 12 for seating against theaperture 20 and sealing thecanaliculus 22 against the flow of tears onto the surface of the eye oreyeball 24. -
FIG. 2 , where the same of similar numerals are used to designate functionally similar parts, illustrates aneye 24 communicating with upper andlower canaliculi implant Implant 10 a is a substantially cylindrical and solid collagen plug that has been inserted into the upper punctum ortear duct 20 a, to block the flow of tears whilelower implant 10 b is hollow like a straw for the passage of tears.Implant 10 b includes a tapered shaft orstem 12 a with a flaredopen end 12 b immobilized at thelower punctum 20 b. A mushroom shapedinner stopper 14 a is formed at the opposite end ofshaft 12 a for further setting the location of the implant in the tear duct. - One of the embodiments illustrated in
FIG. 2 , e.g. the upper implant, may include a hollow core of the plug and another, e.g. the lower one, may include a hollow core filled with medication. - The active agent, e.g. a medicine or medication is applied, e.g. in one or more bands of
polymer material 16 at the inner end of the stem, or at 18 on the outer end of thestopper 14 in the embodiment ofFIG. 1 , or over some or all of the surfaces of the implants ofFIG. 2 , or otherwise. Polymer that is absorbent to the agent is preferable so that sufficient agent is present and available for discharge into the surrounding tissues. A porous or absorbent material can alternatively be used to make up the entire plug or implant which can be saturated with the active agent. - The
hollow implant 10 b ofFIG. 2 is also particularly useful in that the active agent can be applied to, or is otherwise available at the inner surface or interior of the implant, and is uniquely structured to pass tears and thus administer the active agent to the tear stream in a fashion that is controlled by the flow of tears which thus act as the carrier for the agent. Unlike the usual tear stopping punctal plug, the hollow implant of the present invention provides a very different drug administering method, scheme and structure. - Non-limiting examples of the active agents or medications which are appropriate for use with the invention include, for example only: topical prostaglandin derivatives such as latanoprost, travaprost and bimataprost used for the topical treatment of glaucoma. Also a treatment for corneal infections is appropriate using ciprofloxacin, moxifloxacin or gatifloxacin. Systemic medications useful for this invention are those used for hypertension such as atenolol, nifedipine or hydrochlorothiazide. Any other chronic disease requiring chronic medication could be used.
- The treatment of allergic conjunctivitis and rhinitis are also good applications for the invention, e.g. using antihistamine and anti-allergy medication such as olopatadine and cromalyn sodium in or on the implant.
- The advantage is that there would be no need for chronic pill-taking or drop taking. A once-per 3-6 month visit to the eye doctor would be all that is needed. Also the issue of non-compliance, a major impediment to successful treatment, would by avoided by the invention.
- This list of active agents is not comprehensive in that many other agents can be used with the present invention. For example, a treatment for dry eye bytopical cyclosporin is particularly interesting for administration by the present invention, but many other active agents can also be administered using the method and apparatus of the invention.
- The invention is meant to embody all implants or devices which are implanted into the eye-lid canalicular puncta of the naso-lacrimal system with the goal of delivering drug to the eye or to the body.
- The implant is inserted into either the inferior (lower) or superior (upper) punctum or possibly both. The apparatus is constructed so as to have a drug attached to one or both sides of the implant and an occlusive plug of some inert biocompatible material.
- Depending on the desired therapy, the implant could be oriented in the punctal canal to deliver the drug either to the tear lake and thus the eye, or to the nasolacrimal system and thus the body's systemic circulation. The drawings illustrate only three embodiments of the punctal plug or implant delivery system of the invention.
- While a specific embodiment of the invention has been shown and described in detail to illustrate the application of the principles of the invention, it will be understood that the invention may be embodied otherwise without departing from such principles.
Claims (19)
Priority Applications (7)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/825,047 US20050232972A1 (en) | 2004-04-15 | 2004-04-15 | Drug delivery via punctal plug |
US12/604,202 US20100040670A1 (en) | 2004-04-15 | 2009-10-22 | Drug delivery via ocular implant |
US13/533,676 US20120277694A1 (en) | 2004-04-15 | 2012-06-26 | Punctal plug with active agent |
US14/472,844 US9463114B2 (en) | 2004-04-15 | 2014-08-29 | Punctal plug with active agent |
US15/247,574 US20170056322A1 (en) | 2004-04-15 | 2016-08-25 | Punctal plug with active agent |
US15/427,578 US20170172916A1 (en) | 2004-04-15 | 2017-02-08 | Punctal plug with active agent |
US16/360,561 US20200138701A9 (en) | 2004-04-15 | 2019-03-21 | Punctal Plug With Active Agent |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/825,047 US20050232972A1 (en) | 2004-04-15 | 2004-04-15 | Drug delivery via punctal plug |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/604,202 Division US20100040670A1 (en) | 2004-04-15 | 2009-10-22 | Drug delivery via ocular implant |
Publications (1)
Publication Number | Publication Date |
---|---|
US20050232972A1 true US20050232972A1 (en) | 2005-10-20 |
Family
ID=35096541
Family Applications (7)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/825,047 Abandoned US20050232972A1 (en) | 2004-04-15 | 2004-04-15 | Drug delivery via punctal plug |
US12/604,202 Abandoned US20100040670A1 (en) | 2004-04-15 | 2009-10-22 | Drug delivery via ocular implant |
US13/533,676 Abandoned US20120277694A1 (en) | 2004-04-15 | 2012-06-26 | Punctal plug with active agent |
US14/472,844 Expired - Lifetime US9463114B2 (en) | 2004-04-15 | 2014-08-29 | Punctal plug with active agent |
US15/247,574 Abandoned US20170056322A1 (en) | 2004-04-15 | 2016-08-25 | Punctal plug with active agent |
US15/427,578 Abandoned US20170172916A1 (en) | 2004-04-15 | 2017-02-08 | Punctal plug with active agent |
US16/360,561 Abandoned US20200138701A9 (en) | 2004-04-15 | 2019-03-21 | Punctal Plug With Active Agent |
Family Applications After (6)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/604,202 Abandoned US20100040670A1 (en) | 2004-04-15 | 2009-10-22 | Drug delivery via ocular implant |
US13/533,676 Abandoned US20120277694A1 (en) | 2004-04-15 | 2012-06-26 | Punctal plug with active agent |
US14/472,844 Expired - Lifetime US9463114B2 (en) | 2004-04-15 | 2014-08-29 | Punctal plug with active agent |
US15/247,574 Abandoned US20170056322A1 (en) | 2004-04-15 | 2016-08-25 | Punctal plug with active agent |
US15/427,578 Abandoned US20170172916A1 (en) | 2004-04-15 | 2017-02-08 | Punctal plug with active agent |
US16/360,561 Abandoned US20200138701A9 (en) | 2004-04-15 | 2019-03-21 | Punctal Plug With Active Agent |
Country Status (1)
Country | Link |
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US (7) | US20050232972A1 (en) |
Cited By (67)
Publication number | Priority date | Publication date | Assignee | Title |
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US20070243230A1 (en) * | 2006-03-31 | 2007-10-18 | Forsight Labs, Llc | Nasolacrimal Drainage System Implants for Drug Therapy |
US20070299516A1 (en) * | 2006-06-21 | 2007-12-27 | Han Cui | Punctal plugs for the delivery of active agents |
US20070298075A1 (en) * | 2006-06-21 | 2007-12-27 | Borgia Maureen J | Punctal plugs for the delivery of active agents |
WO2007149771A2 (en) * | 2006-06-21 | 2007-12-27 | Johnson & Johnson Vision Care, Inc. | Punctal plugs for the delivery of active agents |
JP2008018234A (en) * | 2006-06-21 | 2008-01-31 | Johnson & Johnson Vision Care Inc | Lacrimal punctum plug for administration of activator |
US20080057106A1 (en) * | 2006-08-29 | 2008-03-06 | Erickson Signe R | Low profile bioactive agent delivery device |
US20080107713A1 (en) * | 2006-11-08 | 2008-05-08 | Orilla Werhner C | Contact lens as a sustained drug delivery implant |
WO2008083118A1 (en) * | 2006-12-26 | 2008-07-10 | Qlt Plug Delivery, Inc. | Drug delivery implants for inhibition of optical defects |
WO2008094989A2 (en) | 2007-01-31 | 2008-08-07 | Alcon Research, Ltd. | Punctal plugs and methods of delivering therapeutic agents |
US20080317819A1 (en) * | 2007-06-21 | 2008-12-25 | Orilla Werhner C | Iop lowering drug combination or non-combination loaded contact lens with zonal drug delivery areas |
US20090098584A1 (en) * | 2005-09-01 | 2009-04-16 | Bristol-Myers Squibb Company | Biomarkers and Methods for Determining Sensitivity to Vascular Endothelial growth factor Receptor-2 Modulators |
US20090099626A1 (en) * | 2007-09-07 | 2009-04-16 | Qlt Plug Delivery, Inc. - Qpdi | Lacrimal implant detection |
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US20090118702A1 (en) * | 2004-07-02 | 2009-05-07 | Forsight Labs, Llc | Treatment Medium Delivery Device and Methods for Delivery of Such Treatment Mediums to the Eye Using such a Delivery Device |
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US10085633B2 (en) | 2012-04-19 | 2018-10-02 | Novartis Ag | Direct visualization system for glaucoma treatment |
US20180289543A1 (en) * | 2015-10-08 | 2018-10-11 | Noah Silverberg | Punctal plug and bioadhesives |
US10226417B2 (en) | 2011-09-16 | 2019-03-12 | Peter Jarrett | Drug delivery systems and applications |
US10245178B1 (en) | 2011-06-07 | 2019-04-02 | Glaukos Corporation | Anterior chamber drug-eluting ocular implant |
US10406029B2 (en) | 2001-04-07 | 2019-09-10 | Glaukos Corporation | Ocular system with anchoring implant and therapeutic agent |
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Also Published As
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US20190216727A1 (en) | 2019-07-18 |
US20100040670A1 (en) | 2010-02-18 |
US20170056322A1 (en) | 2017-03-02 |
US20150132358A1 (en) | 2015-05-14 |
US20200138701A9 (en) | 2020-05-07 |
US9463114B2 (en) | 2016-10-11 |
US20120277694A1 (en) | 2012-11-01 |
US20170172916A1 (en) | 2017-06-22 |
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