Structural Updates to the Implant and Refill Needle of the Port Delivery Platform.

IF 2.6 3区 医学 Q2 OPHTHALMOLOGY
Dante J Pieramici, Peter A Campochiaro, Margaret Chang, Ian Pearce, Carl D Regillo, Shamika Gune, Nancy Holekamp, Carlos Quezada-Ruiz, Shrirang V Ranade, Natasha Singh, Geoffrey Wise, Joshua Horvath
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Abstract

Purpose: The purpose of this study was to report the impact of component-level changes and manufacturing process improvements on septum durability in the ocular implant of the Port Delivery Platform (PD-P), more commonly known as the Port Delivery System with ranibizumab (PDS) with its current formulation.

Methods: Laboratory tests were conducted to determine (1) the bond strength of the septum to the overmold, (2) the amount of force utilized for the refill needle to puncture the septum, and (3) septum durability over 50 years. To simulate multiple refill-exchanges over long-term clinical use, implants were aged at elevated temperature in saline and the septum was repetitively punctured at random locations using the refill needle every 3.5 days, simulating 6 months of use.

Results: Updates to the septum-overmold interface of the implant and manufacturing process improvements doubled the bond strength between the overmold and septum (1.2 N to 2.4 N). Light lubrication of the refill needle reduced needle insertion force into the septum by >50% (1 N to 0.4 N). Together, these modifications increased long-term septum durability, with no septum dislodgements being observed after over 50 years of simulated use.

Conclusions: Structural updates to the PD-P implant and refill needle have met and exceeded performance specifications, mitigating the risk of future septum dislodgement in the updated product.

Translational relevance: Structural updates to the PD-P implant and refill needle resulted in the ability to withstand the equivalent of over 50 years of simulated use without septum dislodgement and should improve the longevity of the device in clinical use.

Port给药平台植入针和补针的结构更新。
目的:本研究的目的是报告组件水平变化和制造工艺改进对Port Delivery Platform (PD-P)眼植入物中隔膜耐久性的影响,Port Delivery Platform (PD-P)通常被称为Port Delivery System with ranibizumab (PDS),其目前的配方。方法:进行了实验室试验,以确定(1)鼻中隔与上模的结合强度,(2)补针穿刺鼻中隔所用的力的大小,以及(3)鼻中隔50年以上的耐久性。为了模拟长期临床使用中的多次换药,植入物在生理盐水中高温老化,每3.5天使用换药针在随机位置重复穿刺间隔,模拟6个月的使用。结果:植入物的隔膜-上模界面的更新和制造工艺的改进使上模和隔膜之间的结合强度增加了一倍(1.2 N至2.4 N)。填充针的轻度润滑将针插入隔膜的力降低了50% (1 N至0.4 N)。这些改进共同提高了隔膜的长期耐用性,在模拟使用50多年后没有观察到隔膜移位。结论:PD-P植入物和填充针的结构更新已经达到并超过了性能规范,降低了更新产品未来鼻中隔脱位的风险。翻译相关性:PD-P植入物和填充针的结构更新导致能够承受相当于超过50年的模拟使用而没有隔膜移位的能力,并且应该提高设备在临床使用中的寿命。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Translational Vision Science & Technology
Translational Vision Science & Technology Engineering-Biomedical Engineering
CiteScore
5.70
自引率
3.30%
发文量
346
审稿时长
25 weeks
期刊介绍: Translational Vision Science & Technology (TVST), an official journal of the Association for Research in Vision and Ophthalmology (ARVO), an international organization whose purpose is to advance research worldwide into understanding the visual system and preventing, treating and curing its disorders, is an online, open access, peer-reviewed journal emphasizing multidisciplinary research that bridges the gap between basic research and clinical care. A highly qualified and diverse group of Associate Editors and Editorial Board Members is led by Editor-in-Chief Marco Zarbin, MD, PhD, FARVO. The journal covers a broad spectrum of work, including but not limited to: Applications of stem cell technology for regenerative medicine, Development of new animal models of human diseases, Tissue bioengineering, Chemical engineering to improve virus-based gene delivery, Nanotechnology for drug delivery, Design and synthesis of artificial extracellular matrices, Development of a true microsurgical operating environment, Refining data analysis algorithms to improve in vivo imaging technology, Results of Phase 1 clinical trials, Reverse translational ("bedside to bench") research. TVST seeks manuscripts from scientists and clinicians with diverse backgrounds ranging from basic chemistry to ophthalmic surgery that will advance or change the way we understand and/or treat vision-threatening diseases. TVST encourages the use of color, multimedia, hyperlinks, program code and other digital enhancements.
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