A nanoliter resolution implantable micropump for murine inner ear drug delivery

Abstract Advances in protective and restorative biotherapies have created new opportunities to use site‐directed, programmable drug delivery systems to treat auditory and vestibular disorders. Successful therapy development that leverages the transgenic, knock‐in, and knock‐out variants of mouse models of human disease requires advanced microsystems specifically designed to function with nanoliter precision and with system volumes suitable for implantation. Here we present results for a novel biocompatible, implantable, scalable, and wirelessly controlled peristaltic micropump. The micropump configuration included commercially available catheter microtubing (250 &mgr;m OD, 125 &mgr;m ID) that provided a biocompatible leak‐free flow path while avoiding complicated microfluidic interconnects. Peristaltic pumping was achieved by sequentially compressing the microtubing via expansion and contraction of a thermal phase‐change material located in three chambers integrated adjacent to the microtubing. Direct‐write micro‐scale printing technology was used to build the mechanical components of the micropump around the microtubing directly on the back of a printed circuit board assembly (PCBA). The custom PCBA was fabricated using standard commercial processes providing microprocessor control of actuation and Bluetooth wireless communication through an Android application. The results of in vitro characterization indicated that nanoliter resolution control over the desired flow rates of 10–100 nL/min was obtained by changing the actuation frequency. Applying 10× greater than physiological backpressures and ± 3 °C ambient temperature variation did not significantly affect flow rates. Three different micropumps were tested on six mice for in vivo implantation of the catheter microtubing into the round window membrane niche for infusion of a known ototoxic compound (sodium salicylate) at 50 nL/min for 20 min. Real‐time shifts in distortion product otoacoustic emission thresholds and amplitudes were measured during the infusion. There were systematic increases in distortion product threshold shifts during the 20‐min perfusions; the mean shift was 15 dB for the most basal region. A biocompatibility study was performed to evaluate material suitability for chronic subcutaneous implantation and clinical translational development. The results indicated that the micropump components successfully passed key biocompatibility tests. A micropump prototype was implanted for one month without development of inflammation or infection. Although tested here on the small murine cochlea, this low‐cost design and fabrication methodology is scalable for use in larger animals and for clinical applications in children and adults by appropriate scaling of the microtubing diameter and actuator volume. Graphical abstract Figure. No Caption available. HighlightsThe first implantable micropump designed for mouse inner ear drug deliveryPeristaltic micropump is scalable, programmable, and wirelessly controlled in vivo.Nanoliter resolution over 10–100 nL/min flow rates at 10× physiological backpressureSubcutaneous implantation of a prototype micropump in a mouse for over one monthMicropump cochlear drug delivery results match our published work using syringe pumps.

[1]  M. McKenna,et al.  Non-Ototoxic Local Delivery of Bisphosphonate to the Mammalian Cochlea , 2015, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[2]  M. McKenna,et al.  A method for intracochlear drug delivery in the mouse , 2006, Journal of Neuroscience Methods.

[3]  Ernest S Kim,et al.  Microfabricated infuse-withdraw micropump component for an integrated inner-ear drug-delivery platform , 2015, Biomedical microdevices.

[4]  A. Flock,et al.  Pressure-induced basilar membrane position shifts and the stimulus-evoked potentials in the low-frequency region of the guinea pig cochlea. , 1997, Acta physiologica Scandinavica.

[5]  D. Preciado,et al.  The Role of Inflammatory Mediators in the Pathogenesis of Otitis Media and Sequelae , 2008, Clinical and experimental otorhinolaryngology.

[6]  R. Frisina,et al.  Murine intracochlear drug delivery: Reducing concentration gradients within the cochlea , 2010, Hearing Research.

[7]  A. Assalian,et al.  MICROCAT: A Novel Cell Proliferation and Cytotoxicity Assay Based on WST-1 , 1996 .

[8]  R. Labadie,et al.  Intratympanic Dexamethasone for Sudden Sensorineural Hearing Loss After Failure of Systemic Therapy , 2007, The Laryngoscope.

[9]  Hsin-Hung Liao,et al.  A novel thermo-pneumatic peristaltic micropump with low temperature elevation , 2009, TRANSDUCERS 2009 - 2009 International Solid-State Sensors, Actuators and Microsystems Conference.

[10]  Hui Li,et al.  Preparation and characteristics of n-nonadecane/cement composites as thermal energy storage materials in buildings , 2010 .

[11]  Jordan M. Berg,et al.  A two-stage discrete peristaltic micropump , 2003 .

[12]  Michael J Cima,et al.  Microsystem technologies for medical applications. , 2011, Annual review of chemical and biomolecular engineering.

[13]  Jeffrey T Borenstein,et al.  Inner ear drug delivery for auditory applications. , 2008, Advanced drug delivery reviews.

[14]  David A. Borkholder,et al.  In-Plane Biocompatible Microfluidic Interconnects for Implantable Microsystems , 2011, IEEE Transactions on Biomedical Engineering.

[15]  Yo Tanaka,et al.  A Peristaltic Pump Integrated on a 100% Glass Microchip Using Computer Controlled Piezoelectric Actuators , 2014, Micromachines.

[16]  A. Eshraghi,et al.  Local Dexamethasone Therapy Conserves Hearing in an Animal Model of Electrode Insertion Trauma-Induced Hearing Loss , 2007, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[17]  Klas Hjort,et al.  Review on miniaturized paraffin phase change actuators, valves, and pumps , 2014 .

[18]  Jason Fiering,et al.  Microfabricated reciprocating micropump for intracochlear drug delivery with integrated drug/fluid storage and electronically controlled dosing. , 2016, Lab on a chip.

[19]  A. Salt,et al.  Perilymph pharmacokinetics of marker applied through a cochlear implant in guinea pigs , 2017, PloS one.

[20]  David A. Borkholder,et al.  Towards an Implantable, Low Flow Micropump That Uses No Power in the Blocked-Flow State , 2016, Micromachines.

[21]  Kosuke Akiyama,et al.  Endolymphatic sac is involved in the regulation of hydrostatic pressure of cochlear endolymph. , 2009, American journal of physiology. Regulatory, integrative and comparative physiology.

[22]  Maria E. Holmboe,et al.  Fabrication Methods and Performance of Low-Permeability Microfluidic Components for a Miniaturized Wearable Drug Delivery System , 2009, Journal of Microelectromechanical Systems.

[23]  Borut Pečar,et al.  Piezoelectric peristaltic micropump with a single actuator , 2014 .

[24]  M Igarashi,et al.  Morphometric comparison of endolymphatic and perilymphatic spaces in human temporal bones. , 1986, Acta oto-laryngologica.

[25]  Yves Fouillet,et al.  A low voltage silicon micro-pump based on piezoelectric thin films , 2016 .

[26]  Peter Woias,et al.  A novel two-stage backpressure-independent micropump: modeling and characterization , 2007 .

[28]  David A Borkholder,et al.  Round window membrane intracochlear drug delivery enhanced by induced advection. , 2014, Journal of controlled release : official journal of the Controlled Release Society.

[29]  William E. Brownell,et al.  Outer Hair Cell Electromotility and Otoacoustic Emissions , 1990, Ear and hearing.

[30]  C. Rao,et al.  Diosgenin, a steroid saponin of Trigonella foenum graecum (Fenugreek), inhibits azoxymethane-induced aberrant crypt foci formation in F344 rats and induces apoptosis in HT-29 human colon cancer cells. , 2004, Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology.

[31]  Urban Simu,et al.  A metallic micropump for high-pressure microfluidics , 2008 .

[32]  Jeffrey T Borenstein,et al.  Microsystems technologies for drug delivery to the inner ear. , 2012, Advanced drug delivery reviews.

[33]  R. Frisina,et al.  Age-related hearing loss: prevention of threshold declines, cell loss and apoptosis in spiral ganglion neurons , 2016, Aging.

[34]  Keith W Kelley,et al.  NIH public access policy , 2008, Brain, Behavior, and Immunity.

[35]  Chidong Che,et al.  Theoretical and experimental study of volumetric change rate during phase change process , 2009 .

[36]  J. Fiering,et al.  Local drug delivery with a self-contained, programmable, microfluidic system , 2009, Biomedical microdevices.

[37]  Jeffrey T Borenstein,et al.  Inner ear drug delivery via a reciprocating perfusion system in the guinea pig. , 2005, Journal of controlled release : official journal of the Controlled Release Society.

[38]  H. Yamashita,et al.  Efficacy of intracochlear administration of betamethasone on peripheral vestibular disorder in the guinea pig , 2000, Neuroscience Letters.

[39]  Ernest S Kim,et al.  Kinetics of reciprocating drug delivery to the inner ear. , 2011, Journal of controlled release : official journal of the Controlled Release Society.

[40]  Jun Xie,et al.  Dynamic simulation of a peristaltic micropump considering coupled fluid flow and structural motion , 2007 .

[41]  D. Borkholder State-of-the-art mechanisms of intracochlear drug delivery , 2008, Current opinion in otolaryngology & head and neck surgery.

[42]  J. M. Zárate,et al.  Thermal properties of n-pentadecane, n-heptadecane and n-nonadecane in the solid/liquid phase change region , 2015 .

[43]  H. Yamashita,et al.  Unilateral intra-perilymphatic infusion of substance P enhances ipsilateral vestibulo-ocular reflex gains in the sinusoidal rotation test , 2009, Neuroscience Letters.

[44]  A. Pisano,et al.  Caterpillar locomotion-inspired valveless pneumatic micropump using a single teardrop-shaped elastomeric membrane. , 2014, Lab on a chip.

[45]  Asim Nisar,et al.  MEMS-based micropumps in drug delivery and biomedical applications , 2008 .

[46]  P Dallos,et al.  Intracellular Anions as the Voltage Sensor of Prestin, the Outer Hair Cell Motor Protein , 2001, Science.

[47]  Mi-Ching Tsai,et al.  A stand-alone peristaltic micropump based on piezoelectric actuation , 2007, Biomedical microdevices.

[48]  O W Henson,et al.  Cochlear Fluid Space Dimensions for Six Species Derived From Reconstructions of Three‐Dimensional Magnetic Resonance Images , 1999, The Laryngoscope.

[49]  Urban Simu,et al.  A polymeric paraffin actuated high-pressure micropump , 2006 .

[50]  S. Juhn,et al.  Blood-labyrinth barrier and fluid dynamics of the inner ear. , 2001, The international tinnitus journal.

[51]  P. Alam,et al.  R , 1823, The Herodotus Encyclopedia.

[52]  Bonghwan Kim,et al.  An electrostatically driven peristaltic micropump with an indium tin oxide electrode , 2013, The 8th Annual IEEE International Conference on Nano/Micro Engineered and Molecular Systems.

[53]  R. A. Buckingham,et al.  Inner Ear Fluid Volumes and the Resolving Power of Magnetic Resonance Imaging: Can it Differentiate Endolymphatic Structures? , 2001, The Annals of otology, rhinology, and laryngology.