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Microchip: A Ubiquitous technique for Drug Delivery.

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Asian Journal of Biomaterial Research 2016; 2(1):22-28 22

Review Article

Microchip:AUbiquitous technique for Drug Delivery


1 2 1
Ashish Garg *, Prakash Pandey , Vaibhav Patel
1
Department of pharmaceutics, Guru Ramdas Khalsa Institute of Science and Technology (Pharmacy),
Kukrikheda, Barela, Jabalpur, M.P. India 483001.
2
Department of pharmaceutics, Rani Durgavati Vishwavidyalaya, Jabalpur, M.P. India 482001.

Received: 19 January 2016 Revised: 27 February 2016 Accepted: 1 March 2016

Abstract
Objective: In the past few years a number of experiments has been performed to enhance the productivity of drug
delivery and to nd a fervent system for drug delivery inside the body. Even though the controlled release system is
distinctly being the most inuential drug delivery method, there still has been an increased interest in miniature drug
delivery systems for delivery of hormones, anticancer agents and vaccines. Conclusion: A summary of various drug
deliveries through microchip it will be a terric advantage to discover a drug delivery device that is competent of
controlled or continuous release of a large variety of drug and other therapeutics that can be securely implanted inside
the body. It is concluded that by microchip technology, revolutionary innovation that have found wide spectrum of uses
in the elds ranging from medicine, communications, diagnostics and electronics.
Keywords: Drug delivery, controlled release, hormones, anticancer

Introduction years at a time, it should hold a large variety drugs or other


The micro electromechanical system (MEMS) based molecules of varying dosages and also should be competent
Implantable drug delivery system obeys this principle. This to deliver these substances in a controlled and reliable
therapy have need of repeated low dosage infusions over many manner and lastly it should be biocompatible and small
days or months and the comfort of the patient can be really enough to be implantable in the human body (Ramille and
involved by the use of a miniature system. Reduced side effects, Capito, 2000).
effective drug delivery, easiness of use, lower cost and patient Microchip offers both the rate and the time release
comfort assume contributes it the topmost priority. The dosage, of molecule. The device comprises substrate incorporated
infusion rate and drug combination is diverse depending on the multiple reservoirs which are capped with conductive
type of the clinical condition, patient response to treatment. membrane (gold) and wired with integrated circuit
Rapid expansion in medical field requires prompt changes in controlled by microprocessor. Reservoirs are fixed into
drug delivery mechanism. Biocompatibilities, material substrate by employing either chemical etching or ion beam
consistency, method of drug release are only a few of the etching techniques. Hundreds to thousands reservoirs can be
countless important factors that are needed to be considered in fabricated on a single microchip using microfabrication.
originating a productive drug delivery system of this type. Thus The molecules to be released are encased into reservoir by
it is necessary to design a drug delivery device that has the same injection. The reservoir can enclose multiple drugs or other
features such as simple to use and manufacture, multi-welled so molecule in different dosages. The filled reservoirs can be
that drugs and other molecules can be released for weeks or capped with substances that take down or allow the
molecule to diffuse out of reservoir over time or materials
*Address for Corresponding Author: that oxidize and dissolve upon application of electric
Ashish Garg
current. Drug release from the active device can be
Drug Delivery and Nanotechnology Laboratory
regulated by a preprogrammed microprocessor. This system
Department of Pharmaceutics
Guru Ramdas Khalsa Institute Science and Technology (Pharmacy) consists of a polymeric device that has been designed to
Barela, Jabalpur (MP) India offer drug release via diffusion of the drug out of the
M: +919993624362; Email: ashish.garg071010@gmail.com polymer or disintegration of the polymer over a period of

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Asian Journal of Biomaterial Research 2016; 2(1):22-28 23
time (Jones, 1996). In some cases, the degradation of polymers release system is fabricated for chronopharmacotherapy
takes place too fast due to unexpected environmental conditions (Youan, 2004), which is based on circadian rhythm. In
within the body (i.e. in the presence of enzymes that raise the number of cases, the sustained release is not the optimal
degradation rates of biodegradable polymers) and the other method of drug delivery but instead pulsatile release system
devices which liberate the medication into the body is the favored method for the delivery of pulse of drug at
electromechanically and include features such as inlet and outlet different time of interval (Figure 2). This type of drug
valves and/or micropumps. These devices include minute delivery method works superiorly in several cases in human
power-driven mechanical parts that are necessary to retract, body because it mimics the way in which the human body
dispense or pump in order to release drugs in the body (Ratner biologically produces some compounds. The numbers of
and Hoffman, 1966). compounds produced by the body in a pulsatile or periodic
Controlled Drug Delivery System manner are the hormones of the anterior pituitary gland
Controlled release relates to devices or materials for regulating (adenohypophysis), for example gonadotrop, which is a
the release time of a chemical and the release rate or both. The growth hormone and regulates the reproduction and growth
manner by which a drug is released can have a considerable respectively. Insulin is a well-known example of a
effect on its therapeutic efficiency (Bakken and Heruth, 1991). compound secreted by the body in a pulsatile manner
Some drugs have an optimal range of concentration within (Metthews et al., 1983).
which the highest therapeutic results are obtained. Drug
concentration above or below this range can produce toxic or
either no therapeutic effect. It means that drug delivery fails to
confirm that the drug reaches only targeted tissue. Thus, the
controlled drug delivery can be applied to fulfill these
objectives.
1. Release the drug promptly to the tissue and then
distribute it into the other body parts. Figure 1. Drug level v/s time profile showing between zero-order
2. The controlled drug delivery system reduces the cost of release, slow first order release and release from a conventional
the treatment and regulates the release of the drug in tablet or capsule
body.
3. The controlled drug delivery system provides offers
localized concentrations making the treatment more
valuable. The controlled release system is also used in
foods, cosmetics and pesticides but it had the greatest
impact in the drug delivery of drug (Langer, 1998).
Sustain release drug delivery system Figure 2. Drug Release Profile
Usually the purpose of sustain release dosage form is to retain Implantable controlled drug delivery
the therapeutic levels of the drug in blood or tissue for a longer The implantable controlled drug delivery system are also
period of time. This is generally done by achieving zero order resourceful to release the medications in proper amount to
release from the dosage form. Zero-order release is independent those parts of the body which are immunologically
of the amount of drug in delivery system (constant release rate). insulated and conventional modes of drug delivery cannot
The sustain release system normally do not attain this type of reach them e.g. the cornea. Implanted drug delivery
release illustrated in figure 1, and try to mimic zero-order release systems are now extensively being utilized to understand
by providing the drug in a slow first order fashion/ rate (i.e. the therapeutic potential of peptides. Every microchip
concentration dependent). comprises an array of discrete reservoirs from which dose
Pulsatile Release System delivery can be controlled by the telemetry. An Implantable
Pulsatile release is basically related to the cardiac rhythms of the microchip-based drug delivery comprises an integrated
body. The key features of pulsatile release is that the drug release circuitry system and associated software that control the
occurs on the basis of previously determined time interval, the drug in one or more reservoirs. The Implantable microchip
artificial or natural stimuli etc. Pulsatile drug delivery is components may include mechanical elements, sensors,
different from sustain release system of drug. This Pulsatile actuators and other electronics. Microchip-containing

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Asian Journal of Biomaterial Research 2016; 2(1):22-28 24
subdermal implants can be used for information storage like microchip drug delivery system should be fabricated by
implants include personal identification, medical history, standard microfabrication technology which is a cost-
medications, allergies and contact information. MEMS based effective technique. Each microchip measuring 15× 15×1
drug delivery devices could less the limits and on several levels mm³ consist of 100 individually addressable 300-ml
offers great dosing flexibility (Kim and Lee, 2006). reservoirs. The microchip is scheduled specifically such
Controlled release microchips that reservoirs open up remotely when activation of electro
Microchip device controls both the rate and time of release of thermal process is done to liberate the drug in a controlled
numerous chemical constituents. The controlled release rate in specific site of action (Langer, 2001).
microchips were originated by Santini and colleagues, to solve Substrate
the problems of drugs delivery. Several disorders require the By virtue of the microchip drug delivery system design, the
drugs to be released at controlled rate and time, to overcome these reservoirs are patterned into the substrate. This can be done
obstacles a silicon microchip has been developed. The microchip by the conventional etching techniques of microfabrication
drug delivery device have many qualities like eradicating a process. Any material that can be employed for support or
number of pharmacological hindrance which are faced today; provide support, is appropriate for etching and the material
having a small size, imparting a highly controlled release of which is impervious to the molecules to be released and to
drugs and the capability to execute multiple functions the surrounding fluids are utilized as a substrate (Ramille
concurrently (Santini et al., 1999). and Capito, 2000). For this type of in-vivo application, the
AGestalt of Microchip Device biocompatibility of material should be taken into
The microchip delivery system (Figure 3) incorporates substrate consideration. The example of a strong, easily etched
comprising multiple reservoirs which are capable of holding substrate that is impervious to the delivered chemicals and
chemicals in the solid, liquid or in gel forms. Each reservoir is non-degradable to the surrounding environment within the
covered (i.e. with a conductive membrane) and wired with an body is silicon. In some applications materials which are
integrated circuit controlled by a microprocessor. degradable over time might be preferred. For example,
Table 1. Different components of Microchip device brain implants- the removal of a device is very problematic
and dangerous to the patient and thus this device cannot be
Device Dimensions 17mm x 17mm x 315μm
utilized for the treatment of such diseases like brain tumors
Reservoirs 400 total ;
(Ramille and Capito, 2000).
Release System
0.05 mm spacing (bottom side);
Usually the design of a release system relies upon the
25 ml volume medications which are required by the patient whether it is a
Square pyramid side wall slope 54º continuous or pulsed release. The release system is chosen
Fill opening 500μm x 500μm on the basis of the period over which release is desired,
Release end 30μm x 30μm commonly in the range of at least three to twelve months for
Gold caps 50μm x 50μm x .3μm in vivo applications. Contrariwise for in vitro applications
the desirable release times are as short as a few seconds.
Drug delivery can be achieved by a passive or active release
system. In the passive release system, the drugs enter in the
body through diffusion of a membrane or by the
decomposition of the substrate and in active systems are
activated by a microprocessor. The molecule which are
released or may be encased into the reservoirs in their pure
form either in liquid solution or gel may be encapsulated
within the release system which release incorporated
molecules by diffusion or disintegration of the matrix. The
Figure 3. Microchip Device selection of the release system is dependent upon the
This central processor unit is proficient to electrically control the predicted rate of release of the molecules. Non-degradable
time of release and also the amounts of drugs discharged by and degradable, both release systems may be employed for
regulating the dissolution of the covering membrane. The delivery of molecules. Release system can be natural or

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Asian Journal of Biomaterial Research 2016; 2(1):22-28 25
synthetic, but synthetic release systems are mostly chosen and bonding pads are engraved with ECR-enhanced RIE to
because of their better release profiles (Ramille and Capito, expose the underlying gold film. The thin silicon nitride and
2000). chromium membranes which are situated in the reservoir
Reservoir Caps below the gold anode can be removed using this technique.
In active release system or devices, the reservoir caps consist of Then the reservoirs are packed with the molecules or drugs
thin films of conductive material that act as anodes and are which are to be delivered by the aforesaid reservoir filling
surrounded by cathodes. Any conductive material that can methods and then afterwards sealed (Staples et al., 2006).
dissolve and oxidize in solution when electric potential is applied
can be utilized for the fabrication of the anodes and cathodes. The
segment of the anode just above the reservoir oxidizes and
dissolves into solution when the electric potential is applied
between the cathode and anode. This phenomenon opens up the
release of the molecules or drug into the surrounding fluids.
Reservoir filling
The three-dimensional printing is proficient for the fabrication of
complex structures by ink-jet printing liquid binder onto loose
fine powder. The printing pattern can be acquired by computer-
aided-design model (CAD). By identifying the appropriate print
head to deposit a pre-determined amount of binder, the volume of
the reservoirs can be managed. The drug is cleared out of from the
nozzle, as the vapor bubble within the nozzle expands upon
heating. The correlation between the amounts expanded by the
vapor bubble to the heat added obeys the ideal gas law
relationship (Ramille and Capito, 2000).
Microfabrication
Fabrication of these microchips (Figure 4) initiates by the
deposition of ~0.12 mm of silicon- nitride on both sides of prime
grade, (100) silicon wafers utilizing a vertical tube reactor Figure 4. Microchip– Fabrication Process
(Santini et al., 1999). The deposition of the silicon nitride layer Working process of Microchip
on one side of the wafer is designed by employing The microchip drug delivery device consists of numerous
photolithography and electron cyclotron resonance (ECR) which reservoirs, each reservoirs layered by a thin membrane of a
enhances reactive ion etching (RIE) to offer a square device material that behaves as an anode (i.e. gold) in an
consisting of square reservoirs. The silicon nitride layer act electrochemical reaction. The electrodes which are
toward as an etch mask for potassium hydroxide solution at 85ºC, positioned on the surface of the microchip perform as
which anisotropically etches square pyramidal reservoirs into the cathodes for electrochemical reaction. Generally the
silicon along the crystal planes until the silicon nitride film on the cathode is made by the same material as the anodes to
opposite side of the wafer is obtained. The square apertures of the simplify the fabrication process. All the reservoirs are filled
reservoir can be entirely covered by the newly fabricated silicon with a compound or drugs which are to be released. A water-
nitride membranes. By electron beam evaporation and lift-off the resistant ingredient is used to seal the open ends of the
gold electrodes (0.3-0.5 mm thick) are deposited and patterned reservoirs. Whenever release of the compound from a
over the silicon nitride membranes. The portions of the specific reservoir is desired, an electrical voltage
electrodes are protected from undesired corrosion by adherent (approximately 1 volt) is applied between the anode
and the non-porous coating isolates the electrode materials from covering that reservoir and a cathode. Thin film lithium
the surrounding electrolyte. Silicon dioxide is universally used rechargeable batteries are employed for this application
for a model protective covering (Santini et al., 1999). A plasma (Bates and Dudney, 1997). By the electrochemical
layer enhanced the chemical vapor deposition silicon dioxide is reaction, the anode membrane disintegrates and the
deposited over the entire electrode containing surface. The reservoir opens up, which permits the release of material
silicon dioxide situated over the portions of the anode, cathode inside it to diffuse out into the surrounding fluid. Each

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Asian Journal of Biomaterial Research 2016; 2(1):22-28 26
reservoir on the prototype microchip can be triggered separately electrolyte and electron flow is via external circuit. These
because each anode has its own independent connection to the both are driven by a redox reaction between the anode and
power source. As the number of reservoirs on a microchip the cathode materials. Besides the power needed to induce
becomes large, it should be feasible to connect each anode to the the red-ox gold and chloride reaction, the power of the
power supply through a demultiplexer. The demultiplexer acts as control circuitry needs to be accounted for the
a "routing station" by directing power to a specific reservoir approximations of these requirements which are shown in
based on a code sent to the demultiplexer by a microprocessor or the following table. Calculations were based on the
remote control (Bates and Dudney, 1997). following equations:
Control Circuitry and Power Source P=I V
The control circuitry system of the microchip device (Figure 5), V=IR
commonly comprises a timer, demultiplexer, microprocessor or Where P = power, I = current, V = voltage, and R =
an input source. The microprocessor unit of the control circuitry resistance
system of microchip activates and controls the desired reservoir The power necessitated is still below the battery
so that variety of the drugs may be filled in each specific capacity of 2mW-h. Thus, all of the reservoirs can be
reservoir. Each reservoir may consist of a variety of drugs. A liberated by employing only one lithium battery (Bates and
biosensor unit can be used as a “trigger” or an input source to the Dudney, 1997).
microprocessor. The microprocessor is a programmed map of the
drugs available in the reservoirs.
Each reservoir will be interlinked to each other through
multiplexing circuitry and be triggered by the microprocessor
unit. The input source of the control circuitry system can either be
a biosensor or a memory source or a remote control device. A
thin-film microbattery or lithium thin film battery can be
employed as a power source.
Figure 6. Schematic representation of thin film battery
Delivery Schedule
The microchip device contains numerous reservoirs which
can hold a range of drugs and can liberate them in varying
amounts. The drug delivery schedule is dependent upon the
patient need. For instance, with the capacity of battery, the
patient can be administered 25 ml (one reservoir) per day. In
this way drug can be released everyday for many years.
Device Testing
The Microchip drug delivery devices have been testified by
Figure 5. Schematic diagram of general circuit design the discharge of the radio-labeled compounds and
Capabilities of Battery and Power Requirements therapeutic drugs and this release was monitored by liquid
This system incorporates a thin film solid state battery which was chromatography and the scintillation counting techniques
developed in Oak Ridge National Laboratory (Bates and correspondingly.
Dudney, 1997). These thin film solid state batteries are In vitro testing was accomplished with a flow cell
predictably less than 15 microns thick and occupy one centimeter configuration, in which the chip is attached in a chamber of
square of area (Santini et al., 1999). The power capacity of this phosphate-buffered saline (PBS). At regular intervals, the
type of battery is 2mWh. A graphic representation of the battery PBS is replaced via inlet and outlet tubes and the collected
is illustrated in figure 6. This battery comprises a lithium metal fractions are analyzed. In vivo testing was carried out again
anode and LiCoO2 cathode. The lithium phosphorus oxynitride by using both radio-labeled compounds and therapeutic
can be utilized as an electrolyte between the anode and cathode drugs. Both the blood and the urine are evaluated for the
and platinum is used as the current collector. detection of drug release.
The functions of the battery are likewise as common Applications of Microchip
Eveready or Duracell battery. Ion flow is throughout the 1. DNAchips for advancement in brain tumors diagnosis

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Asian Journal of Biomaterial Research 2016; 2(1):22-28 27
Present day methods which are employed for the treatment of environments can be obtained. Furthermore, by
brain tumors are arduous and challenging due to their parallelization of applied methods large numbers of cells
heterogeneity and variable malignancy. The most common brain can be monitored concurrently i.e. under comparable
tumors found in adults are Gliomas and its diagnosis is based on conditions (Haruyama, 2002).
subtle microscopic characteristics. Now there is no distinctive 5. Simplicity of release mechanism
marker or genetic signature by which outcome of each type of The liberation of chemicals from the microchip is instigated
glioma can be predicted.Agroup of researchers from the Institute by fragmentation of the membrane. The membrane is
Curie and Inserm has exploited the technology of DNA chips, shattered by the application of an electric potential, which
which were able to recognize the tumors with the best prognosis, cause the membrane to dissolve by simple electrochemical
whose chromosome has undergone a particular deletion. One of reaction. The microchip device has no movable segments.
these analytic methods is Comparative Genomic Hybridization The absence of moving parts possibly enhances device
(CGH), which permits global assessment of the genome. It is a reliability by lowering the possibility of mechanical
tool to reconize genome regions that have been amplified or breakdown (Idbaih et al., 2005; George et al., 2000).
deleted - very frequently in tumor cells. 6. Accuracy of dose
2. In cancer therapy The microchip device comprise numerous reservoir, each
By the assessment of the proteins in the blood, doctors find out reservoir of microchip can be precisely filled with a small
the patients' cancer risk and examine the health of the elder amount of the drug by utilizing the microinjection or ink-jet
people with chronic diseases. But the existing methods for printing method. It is imperative that the amount of drug to
testing these proteins are require too much blood to be performed be delivered to a patient should match the amount
regularly and are expensive too. Investigators looked forward to prescribed, specifically for highly potent compounds. The
make bedside diagnostics based on blood proteins a reality by amount of the drug administered from a microchip filled by
bringing down the cost of such tests. The diagnostic chip has this printing technique can be firmly regulated and
been developed by Caltech chemistry professor James Heath and accidental overdose can also be escaped because release
by Leroy Hood, the president and founder of the Institute for from active devices can only occur when an electric
Systems Biology, in Seattle. Heath and Hood have established a potential will be applied to an anode. Larger doses can be
company known as Integrated Diagnostics to commercialize the administered by simply opening several reservoirs at one
blood chip (Haruyama, 2002). time (Idbaih et al., 2005; George et al., 2000).
3. Microchip for Antidepressants 7. Improve shelf-life
Depression is the fourth most important reason of disability in Several protein based drugs have a restricted stability or
the world. Newly, mechanical devices such as the shelf life. In this case the water permeation into these
microprocessor-based Medication Event Monitoring System protein drug formulations is one of the most common
(MEMS) have been developed. The assay of blood for drug and causes. The membrane layering the packed reservoir of a
its metabolites has also been used for dothiepin a ratio of microchip will prevent the diffusion of water into these
nordothiepin:dothiepin of greater than 1.1 denotes reservoirs. Thus, the stability of protein drug can be
noncompliance for a period of 48 h or longer. The MEMS system enhanced firstly by isolating the drug from the outside
facilitated us to detect the exact times at which opening of the environment (hermetically sealed) and secondly by storing
reservoirs occurred. The major benefit of implantable systems in the microchip in their most stable form (solid, liquid or gel)
the treatment of chronic depression are that patients (Idbaih et al., 2005; George et al., 2000).
psychologically become freed from having to continue to take 8. Potential for local delivery
the medicines for months or years (Idbaih et al., 2005; George et The microchip device can be made infinitesimal to bring
al., 2000). about the local chemical delivery possible. The principal
4. Microfluidic cell treatment benefit of local drug delivery is that high concentrations of
Assessment of compounds existing in the living cells is a drug can be attained at the site where it is required while
significant part of the drug discovery process, but optimum drug keeping the systemic concentrations low. For instance,
testing requires conditions that are as close to the physiological BCNU (carmustine) is expansively used in the therapy of
context as possible (Haruyama, 2002). Micro fluidic devices malignant brain tumors. Large amount of BCNU must be
make it possible to manipulate single objects of cellular size and administered systematically to a patient to acquire its
thus analysis under controlled yet physiologically relevant minimal adequate concentrations at the tumor site in the

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Asian Journal of Biomaterial Research 2016; 2(1):22-28 28
brain which brings about damage to liver, spleen and kidney. Compliance with tricyclic antidepressants: the value
Insertion of polymer wafers containing BCNU at site of tumor of four different methods of assessment. British
permits the local concentration of BCNU at tumor to be 1000 Journal of Clinical Pharmacology, 50(2):166-71A.
times higher than that attained by systemic delivery while Haruyama T. 2002. Micro- and Nanobiotechnology for
keeping systemic concentrations low (Santini et al., 2000). Biosensing Cellular Responses. Advanced Drug
9. Complex release patterns Delivery Reviews, 1-9.
The concomitant constant and pulsatile release (Complex Idbaih A, Marie Y, Pierron G. Brennetot C, Hoang-Xuan K,
release patterns) can be acquired from the microchip. Any Kujas M, Mokhtari K, Sanson M, Lejeune J, Aurias A,
complex chemical or drug release pattern can be broken down Delattre O, Delattre JY. 2005. Two types of
into a combination of two parameters: release time and release chromosome 1p losses with opposite significance in
rate. A distinctive characteristic of controlled release microchip gliomas.Annals of Neurology, 58:483- 487.
is its capability to control both of these parameters (Santini et al., Jones DA. 1996. Principles and prevention of corrosion,
2000). Prentice Hall, Upper saddle river, New Jersey, 185.
10. Compounds to be released Kim K, Lee JB. 2006. MEMS for drug delivery, Bio-
There are many substances which can be deposited inside the MEMS, Technologies and Applications. Boca Raton,
reservoir unit of the microchip device and can be discharged FL; CRC Press, 325– 348.
timely from the microchip. Each reservoir can be filled with a Langer R. 1998. Drug delivery and targeting. Nature,
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gel form. Microfluidic devices such as pumps are restricted for 293(5527):58-59.
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