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Ultrasound Promises Non-Invasive Drug Delivery

ISN researchers are studying how ultrasound could be used to replace hypodermic needles in a variety of medical procedures—including administering medication, monitoring blood chemistry, and delivering subcutaneous fluids. The technique uses ultrasound applied directly to the skin to painlessly increase its permeability, creating tiny, reversible channels through which fluids can be extracted and delivered. The treated skin returns to normal within 24 hours or less.

The technique could be of tremendous value on the battlefield, where life-saving medications or fluids could be administered to injured Soldiers quickly and non-invasively. The technology might also be incorporated into a future battlesuit to painlessly monitor physiologic status or to provide autonomous injury treatment in the crucial minutes before medical personnel have arrived.

Prof. Robert Langer, of MIT’s Department of Chemical Engineering, originally developed the technique in the late 1990s with colleagues Joseph Kost, Daniel Blankschtein, and Samir Mitragotri. Sontra Medical, a company that has licensed some of their technology, developed a medical device to anesthetize skin quickly in preparation for a conventional injection. That device, SonoPrep, received approval by the FDA in August 2004. Popular Science named it the most important medical advance in 2004. Sontra is currently testing their commercial system for the delivery of flu vaccine as well as for painkillers like the opiate fentanyl, often used for cancer patients.

Langer and his group are continuing the research within the ISN to broaden the range of compounds that can be delivered through the skin with ultrasound. Their initial studies suggest compounds with molecular weights up to 20,000 can be delivered through the skin—which could include medications such as growth factors and anti-inflammatory drugs.

The researchers also hope to broaden the range of agents the ultrasound can detect within the bloodstream. A system for non-invasively monitoring glucose levels in diabetic individuals is currently in clinical trials, but the technique might also be used one day for continuously monitoring Soldiers for exposure to chemical or biological agents.

Prof. Langer and his colleagues have recently published papers on this work in the Journal of Pharmaceutical Sciences.

More on ISN Project 4.2.

This story original appeared in the March 2005 issue of ISN News (PDF format).

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