CA2052562A1

CA2052562A1 - Medical capsule device actuated by radio-frequency (rf) signal

Info

Publication number: CA2052562A1
Application number: CA002052562A
Authority: CA
Inventors: Robert A. Casper; Warren J. Jochem; Michael L. Mccartney; Alan F. Parr
Original assignee: Robert A. Casper; Warren J. Jochem; Michael L. Mccartney; Alan F. Parr; Glaxo, Inc.
Current assignee: GlaxoSmithKline LLC
Priority date: 1990-10-02
Filing date: 1991-10-01
Publication date: 1992-04-03
Also published as: US5170801A; WO1992005822A1; JPH0623020A

Abstract

Abstract of the Disclosure MEDICAL CAPSULE DEVICE ACTUATED BY
RADIO-FREQUENCY (RF) SIGNAL

A medical capsule device for releasing and/or collecting a substance at a defined location in the gastrointestinal tract. The device has a capsule body defining one or more apertures in the circumferential wall thereof and a sleeve valve rotatably positioned therein having one or more corresponding apertures in the circumferential wall thereof. The sleeve valve comprises a coil and electrically connected heatable resistor which are operatively associated with an actuator member formed of a shape memory alloy responsive to heat and which will move from a non-heated first shape to a heated second shape. Actuator stop means are provided in the capsule body for being engaged by the actuator member during movement from the non-heated first shape to the heated second shape so that the actuator member movement will serve to rotate the sleeve valve to either an open or closed position.

Description

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Ci;h~r~ E. Jcnllins Regis'ra~l~?. 2,8428 Description MEDICAL CAPSULE DEVICE ACTUATED BY
RADIO-FREQUENCY (RF) SIGNAL

Technical Field The present invention relates to an improved medical capsule device, and more particularly to an improved medical capsule device adapted for use to relea~e and/or collect a substance at a defined location in the gastrointestinal tract.

Related Art The delivery of drugs to specific sites within the gastrointestinal tract of humans as well as animals is a challenge in both clinical and research applications.
During the research phase of pharmaceutical drug development, nasogastric catheters are often used to deliver a drug to a target site within the gastrointestinal tract as a means of evaluating the absorption thereof. While this is a direct and highly accurate means of establishing the relationship between location and absorption, it does pose some uncertainties.
The procedure of insertion of the catheter can result in the release of catecholimines in the subject, and it . .

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could introduce responses which would interfere with the absorption or action of the drug. Moreover, the presence of the catheter in the gastrointestinal teact can cause local mechanical disturbances which further distort the responses to the drug.
One conventional solution to the problem of site-specific drug delivery is to place the drug in an untethered ingestible enclosure and to thereafter release the drug by remote control. The location of the drug prior to release can be continuously monitored by radio-graphic methods such as X-ray or scintigraphy as well as by radio-frequency (RF) goniometry.
Several conventional remote control drug release capsules are well known to those skilled in the art. For example, U.S. Patent No. 4,425,117 to Hugeman et al.
discloses a remote control drug release capsule which is actuated by application of a radio-frequency signal thereto. The radio-frequency energy serves to heat a thin wire within the capsule which in turn burns through a thread so as to release a spring-actuated lance. The lance is driven into a latex sphere contained within the capsule which is filled with a pharmaceutical drug and thereby releases the drug into the environment of the ca,psule. However, this complex capsule device has been found to be very difficult to load with a drug since the latex sphere must be filled under slight pressure and then sealed.

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Another conventional, remote-control medical capsule device is disclosed in U.S. Patent No. 4,507,115 to Kambara et al. The capsule device comprises a capsule body defining a chamber therein and a thcough-hole at the top thereof which is dimensioned so that it prevents medical fluid contained in the chamber from easily leaking. A slidably movable piston is positioned within the body member so as to move axially in the chamber from a liquid-receiving position to a liquid-pushing position.
The piston is actuated by a shape memory alloy helical spring which will force the piston to the liquid-pushing position when heated by ultrasonic waves applied from a remote ultrasonic heating means. This capsule has certain shortcomings in view of the ultrasonic actuation as well as the drug release from only a single aperture which could possibly render specific site application more difficult in the gastrointestinal tract. Also, the high concentration of drug at the singular release site could potentially be damaging to the intestinal mucosa.

The present invention is therefore intended to eliminate the shortcomings of these and other remote control drug delivery capsules and to provide a remote control drug delivery capsule device which is safe and reliable in use and possesses capabilities not heretofore known.

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Disclosure of the Invention The medical capsule device according to the invention comprises a capsule body having one or more apertures in the circumferential wall thereof. A
rotatably movable sleeve member is positioned within the capsule body which has one or more apertures in the circumferential wall thereof corresponding to the apertures in the capsule body, and the sleeve member is rotatably movable either from a closed position at which the apertures thereof are not in circumferential registration with the capsule body apertures to an open pos.ition at which the apertures thereof are in circumferential registration with the capsule body apertures or from the open position to the closed po8ition.

An actuator means is positioned in the sleeve member for providlng rotatable movement to the sleeve member from the closed position to the open position or vice versa wherein a drug may be released from the capsule or 2~ an external substance collected by the capsule. The actuator means comprises (1) a circuit tuned to a magnetic field of high frequency comprising a coil and capacitor electrically connected to a heatable resistance member and (2) an actuator member which is operatively associated with the circuit and made of a shape memory alloy responsive to heat applied thereto by the resistance member so as to move from a non-heated first ~0~2~

shape to a heated second shape. An actuator stop means associated with the capsule body is provided for being engaged by the actuator member during movement from its non-heated first shape to its heated second shape so that the actuator member movement will thereby serve to rotatably move the sleeve member relative to the capsule body either from the closed position to the open position or from the open position to the closed position.

It is therefore the object of this invention to provide a remote control medical capsule device which will safely and reliably release and/or collect a substance at a predetermined location in the gastrointestinal tract of a human or animal.

It is another object of the present invention to provide a remote control medical capsule device which will safely and precisely deliver drugs (e.g., anti-ulcer and chemotherapeutic drugs) to specific predetermined sites in the gastrointestinal tract.

It is yet another object of the present invention to provide a remote control medical capsule device which is adapted to be easily actuated and to provide a large aperture area upon actuation thereof.

It is yet another object of the present invention to provide a remote control medical capsule device which is adapted to receive and be actuated by a radio-frequency ~05~62 signal regardless of the orientation of the device within the gastrointestinal tract.

Some of the objects of the invention having been stated, other objects will become evident as the description proceeds, when taken in connection with the accompanying drawings.

Brief Description of the Drawings Figure 1 is a perspective view of a medical capsule device according to the present invention;

Figure 2 is an exploded view of the capsule device;

Figure 3 is a vertical cross-sectional view of the capsule device;

Figure 4 is an enlarged view of the actuator mechanism for opening the apertures in the capsule device;

Figures 5A and 5B are taken on the lines A-A and B-B
of Figures 2 and 3 and show the capsule device in its closed position prior to actuation by application of a magnetic field;

Figures 6A and 6B are taken on the lines A-A and B-B
of Figures 2 and 3 and show the capsule device in its open position subsequent to actuation by application of a magnetic field; and - 2~2~2 Figure 7 is a scbematic diagram of the circuit of the capsule device for receiving radio-frequency (RF) signals when a magnetic field is applied thereto.

Best Mode for Carrying Out the Invention Referring now more specifically to the drawings, Figures 1-3 show an embodiment of the present invention which is generally designated 10. Although applicant hereinafter describes in specific detail capsule device 10 capable of being actuated to move from a closed to an open or drug release mode, applicant contemplates that the instant invention also includes the embodiment of the capsule device capable of being actuated to move from an open to a closed or material collection mode.

Capsule device 10 includes a capsule body 12 and a sleeve member 14 which is slidably received and rotatably mounted within capsule body 12. Capsule body 12 and sleeve member 14 each include a plurality of apertures, 12A and 14A, respectively, which are in circumferential registration when capsule device 10 is actuated and sleeve member 14 rotates therein to the capsule's open position. An actuator mechanism 16 resides in the top portion of sleeve member 14 and is separated from the bottom portion of ~leeve member 14 by a fluid impermeable wall or partition 14B. A pair of retainer wires 20 are fixedly positioned within retainer wire groove 12B

defined around the inner surface of the top of capsule .

~'' 2~r32~32 body 12. Retainer wires 20 serve as a fulcrum when actuator mechanism 16 is energized by heat derived from a magnetic field and thereby imparts rotatable movement to sleeve member 14 to which it is secured. A cap 22 is provided to seal the top of the capsule when sleeve member 14 is positioned therein, and a fill plug 24 is provided in an aperture 12C in the bottom of capsule body 12 in order to facilitate introduction of a selected material and/or removal of a collected material. It is presently contemplated that capsule body 12, sleeve member 14, cap 22 and fill plug 24 may be formed from a PTFE compound (e.g., TEFLON) or acetal resin (e.g., DELRIN) although any other radio-frequency transparent materials could suitably be used.

With specific reference now to Figures 4 and 7, actuator mechanism 16 will be described in more detail for a more complete appreciation of the instant invention. Three copper wire coils 16A-16C (see Figure 4) are orthogonally wound around a common ferrite core C.
Ferrite core C serves to increase the effective cross-sectional area of coils 16A-lfiC and to thereby provide for the interception of more flux from the magnetic field transmitter (not shown) and minimize the dependence of received radio-frequency signal energy on the orientation of capsule device 10 within the gastrointestinal tract.
Most suitably, coils 16A-16C are tuned to the transmitter frequency with capacitors so as to apply the received 2 ~ 2 radio-frequency signal directly to resistive heaters 16D-16F (for example, Bourns CR1206 brand 1000 ohm resistors) without the necessity of rectification and filtering of the signal. Resistive heaters 16D-16F are mounted on circuit board 16G which is in turn secured to metallic heat plate 16H by a screw S passing through circuit board 16G and into a tapped hole 16H' in metallic heat plate 16H. Resistive heaters 16D-16F are each electrically connected to a respective one of coils 16A-16C by corresponding capacitors 16K-16M mounted beneath circuit board 16G so that any magnetic flux received by one or more of respective coils 16A-16C will induce an RF
current which will be converted to heat by resistive heaters 16D-16F and applied to heat plate 16H. Thermally conductive grease (not shown) is used to improve thermal energy transfer between resistive heaters 16D-16F and metallic heat plate 16H. Two shape memory metal fingers 16I, 16J are each secured at one respective end thereof to heat plate i6H, and each extends across and parallel with heat plate 16H. Thermally conductive grease is also used to insure good thermal contact between metal fingers 16I, 16J and heat plate 16H. Although many materials would be suitable for forming fingers 16I, 16J, nickel titanium was used for the instant invention.

It is desirable to form fingers 16I, 16J from shape memory alloys since the material can be made to have a transition temperature in the range of normal mammalian 2~2~62 body temperatures. This is advantageous since the shape or configuration transition occurs relatively abruptly with temperature, and it is generally necessary to elevate the temperature of fingers 16I, 16J only a few degrees to effect rotatable movement of sleeve member 14 within capsule body 12. This is desirable for an ingestible device such as capsule device 10 since it is not necessary to raise the temperature of any part of device 10 significantly above that of the body temperature to cause actuation thereof, and thus the total energy delivered can be limited to a safe, nominal amount.

As can now be appreciated, actuator mechanism 16 and sleeve member 14 essentially serve as a sleeve valve to release a drug or other substance from the reservoir space in capsule device 10 defined generally between the lower compartment of sleeve membee 14 and capsule body 12. Shape memory alloy fingers 16I, 16J will tend to straighten when acted on by heat from resistive heaters l~D-16F and by applying force against retainer wires 20 (see Figures 5A-5B and 6A-6B) will thus serve to rotate sleeve member 14 within capsule body 12. This movement opens the capsule by positioning apertures 14A of sleeve member 14 and apertures 12A of capsule body 12 in circumferential registration (or, in an alternative embodiment of the instant invention, closes the open capsule by moving apertures 14A and 12A out of ~ 2~52~?, circumferential registration). The sleeve valve takes advantage of the relatively large aperture area which may be achieved with only a small rotational relative displacement of sleeve member 14 within capsule body 12.
Though the instant invention may be made with only a single through-put aperture in capsule device 10, preferably a plurality of apertures are provided around the circumference of sleeve member 14 and capsule body 12 to ~1) assure that the release time of a drug carried thereby is not dependent on the orientation of the capsule device in the gastrointestinal tract and (2) to decrease the possible negative effects of high drug concentration on the gastrointestinal mucosa.
Although other means are possible, location of capsule device 10 may most suitably be determined by scintigraphy. By introducing a small amount of radioactive material into the drug or other material carried by capsule device 10, the device may be followed in the gastrointestinal tract with a conventional scintigraphic imaging system. Radioactive material could also be placed on capsule device 10 in order to follow the capsule as well as the drug released thereby. Other methodology to determine the movement and location o~
capsule device 10 in the gastrointestinal tract would include X-ray, radar and sonar techniques which would be familiar to those skilled in the art.

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While not shown in the drawings and not a per se element of the instant invention, it is contemplated that the external transmitter for creating a high-frequency magnetic field to actuate capsule device 10 will be an electrostatically shielded coil which is energized by a radio-frequency power amplifier. Electrostatic shielding should be used to remove the large electrical field generated in the vicinity of the coil and thereby prevent electrical shock hazards and dielectric heating of tissues associated with the fields. The shielding results in a radio-frequency field which has only a magnetic component. Most suitably, the external transmitter will be positioned in proximity to the body of a person or animal having ingested capsule device 10 and will generate a radio-frequency magnetic field at 6.78 MHz (a frequency set aside for industrial heating applications) which coils 16A-16C and capacitors 16K-16M
have been tuned to receive.

Applications for the Capsule Device Capsule device 10 may be used to evaluate the absorption of a drug from various sites of the gastrointestinal tract under non-invasive conditions.
The information contained about regional drug absorption via the capsule device will aid in future development of complex site-specific drug dosage forms. Another application for capsule device 10 would be to sample the liquid environment of the gastrointestinal tract. This , 2~2.~62 would permit the monitoring of drugs, enzymes, and bacteria as well as other intestinal compounds under non-invasive conditions. For this application, capsule device 10 would be administered orally as with the first S described application but would be empty and the apertures open when administered so as to collect the desired gastrointestinal tract samples when actuated and the apertures closed by the high-frequency magnetic field created by the external transmitter located outside of but proximate to the body. Yet another application of capsule device 10 would be to deliver highly toxic drugs to specific sites in the gastrointestinal tract in a clinical setting. For example, the capsule device could be used to deliver chemotherapeutic drugs to the colon of patients who have colon cancer as well as to deliver drugs that are effective at treating ulcerative colitis of the colon but which are irritating to the small intestine. In this application, capsule device 10 would be administered and function in the same manner as under the first application.

It will be understood that various details of the invention may be changed without departing from the scope of the invention. Furthermore, the foregoing description is for the purpose of illustration only, and not for the purpose of limitation--the invention being defined by the claims.

Claims

1. A medical capsule device adapted for release and/or collection of a substance at a defined location in the alimentary tract, said device comprising:

a capsule body defining one or more apertures in the circumferential wall thereof;

a rotatably movable sleeve member positioned within said capsule body and defining one or more apertures in the circumferential wall thereof corresponding to said apertures in said capsule body, said sleeve member adapted to be rotatably movable either from a closed position at which said apertures thereof are not in registration with said capsule body apertures to an open position at which said apertures thereof are in registration with said capsule body apertures or from said open position to said closed position;

actuator means positioned in said sleeve member for rotatably moving said sleeve member and comprising (1) a circuit receptive to an alternating magnetic field and operatively associated with (2) an actuator member made of a shape memory alloy responsive to heat obtained from said circuit so as to move from a non-heated first shape to a heated second shape; and actuator stop means associated with said capsule body for being engaged by said actuator member during movement from said non-heated first shape to said heated second shape so that said actuator member movement will thereby serve to rotatably move said sleeve member either from said closed position to said open position or from said open position to said closed position.

2. A medical capsule device according to claim 1 wherein said capsule body defines a plurality of spaced-apart apertures around the circumference thereof.

3. A medical capsule device according to claim 1 wherein said capsule body includes a removable plug at one end thereof to facilitate the insertion of a substance therein or the removal of a substance therefrom.

4. A medical capsule device according to claim 3 wherein said capsule body further includes a removable cap at the other end thereof to facilitate insertion and removal of said sleeve member therefrom.

5. A medical capsule device according to claim 1 wherein said sleeve member defines a first open compartment at one end for receiving said actuator means and a second open compartment at the other end for receiving a substance to be released and/or collected, said compartments being separated by a fluid impermeable wall therebetween and said one or more apertures being located in the circumferential wall of said second compartment.

6. A medical capsule device according to claim 5 wherein said one or more apertures in said sleeve member comprises a plurality of spaced-apart apertures around the circumference of said second open compartment thereof.

7. A medical capsule device according to claim 1 wherein said circuit comprises a ferrite core having three coils orthogonally wound thereon wherein each coil is electrically connected to a respective capacitor and a respective heatable resistor.

8. A medical capsule device according to claim 7 wherein a heat conductive plate is operatively connected to said heatable resistors and said actuator member comprises a pair of spaced-apart arcuate arms each being secured at one end to said heat conductive plate and being adapted to engage said actuator stop means with the other end thereof, said arms each extending parallel to said heat conductive plate with its stop means-engaging end terminating adjacent the perimeter of said heat conductive plate.

9. A medical capsule device according to claim 1 wherein said actuator stop means comprises a wire element adapted to fit within said capsule body and against a portion of the inner surface thereof, said wire element having one end thereof turned radially inwardly to be engaged by said actuator member.

10. A medical capsule device according to claims 8 and 9 wherein said actuator stop means comprises two of said wire elements in adjacent relationship within said groove wherein the inwardly turned end of one wire element is adjacent the non-inwardly turned end of the other wire element, said inwardly turned ends of said wire elements each being operatively engaged by a respective one of said pair of arcuate arms.

11. A medical capsule device adapted for release and/or collection of a substance at a defined location in the alimentary tract, said device comprising:

a capsule body defining a plurality of spaced-apart apertures in the circumferential wall thereof;

a rotatably movable sleeve member positioned within said capsule body and defining a plurality of spaced-apart apertures in the circumferential wall thereof corresponding to said apertures in said capsule body, said sleeve member adapted to be rotatably movable either from a closed position at which said apertures thereof are not in registration with said capsule body apertures to an open position at which said apertures thereof are in registration with said capsule body apertures or from said open position to said closed position;

actuator means positioned in said sleeve member for rotatably moving said sleeve member and comprising (1) a circuit receptive to a magnetic field of high frequency and having a ferrite core with a plurality of coils orthogonally wound thereon wherein each coil is electrically connected to a respective tuning capacitor and a respective heatable resistor and (2) an actuator member operatively associated with said circuit and made of a shape memory alloy responsive to heat applied thereto by said resistors so as to move from a non-heated first configuration to a heated second configuration; and actuator stop means associated with the inner surface of said capsule body for being engaged by said actuator member during movement from said non-heated first configuration to said heated second configuration so that said actuator member movement will thereby serve to rotatably move said sleeve member either from said closed position to said open position or from said open position to said closed position.

12. A medical capsule device according to claim 11 wherein said capsule body includes a removable plug at one end thereof to facilitate the insertion of a substance therein or the removal of a substance therefrom.

13. A medical capsule device according to claim 12 wherein said capsule body further includes a removable cap at the other end thereof to facilitate insertion and removal of said sleeve member therefrom.

14. A medical capsule device according to claim 11 wherein said sleeve member defines a first open compartment at one end for receiving said actuator means and a second open compartment at the other end for receiving a substance to be released and/or collected, said compartments being separated by a fluid impermeable wall therebetween and said plurality of apertures being located in the circumferential wall of said second compartment.

15. A medical capsule device according to claim 11 wherein said coils are tuned to receive a 6.78 MHz radio-frequency signal.

16. A medical capsule device according to claim 15 wherein a heat conductive plate is operatively connected to said heatable resistors and said actuator member comprises a pair of spaced-apart arcuate arms each being secured at one end to said heat conductive plate and being adapted to engage said actuator stop means with the other end thereof, said arms each extending parallel to said heat conductive plate with its stop means-engaging end terminating adjacent the perimeter of said heat conductive plate.

17. A medical capsule device according to claim 11 wherein said actuator stop means comprises a wire element adapted to fit within said capsule body in a groove around the inner surface thereof, said wire element having one end thereof turned radially inwardly to be engaged by said actuator member.

18. A medical capsule device according to claims 16 and 17 wherein said actuator stop means comprises two of said wire elements in adjacent relationship within said groove wherein the inwardly turned end of one wire element is adjacent the non-inwardly turned end of the other wire element, said inwardly turned ends of said wire elements each being operatively engaged by a respective one of said pair of arcuate arms.

19. A medical capsule device according to claim 11 wherein said actuator member is formed of nickel titanium and said capsule body and sleeve member are formed of TEFLON.