CAPSULE TO BE INGESTED BY A SUBJECT
20190321208 ยท 2019-10-24
Inventors
- Boris Voznesensky (Raanana, IL)
- Alexander Melamud (Haifa, IL)
- Michael Taborisky (Migdal HaEmeq, IL)
- Rita ZUCKER (Haifa, IL)
Cpc classification
A61B5/01
HUMAN NECESSITIES
A61K9/4808
HUMAN NECESSITIES
International classification
Abstract
A capsule to be ingested by a subject, the capsule may include an outer enclosure configured to dissolve in gastric juice; a secondary enclosure that is permeable for gastric juice, is at least partially surrounded by the outer enclosure when in a folded state, and has a fully expanded volume; and an expandable polymer element that is surrounded by the secondary enclosure; wherein a fully expanded volume of the expandable polymer element exceeds the fully expanded volume of the secondary enclosure.
Claims
1. A capsule to be ingested by a subject, the capsule comprises: an outer enclosure configured to dissolve in gastric juice; a secondary enclosure that is permeable for gastric juice, is at least partially surrounded by the outer enclosure when in a folded state, and has a fully expanded volume; and an expandable polymer element that is surrounded by the secondary enclosure; wherein a fully expanded volume of the expandable polymer element exceeds the fully expanded volume of the secondary enclosure.
2. The capsule of claim 1 wherein the secondary enclosure is configured to at least partially self-disintegrate after a first period of time in gastric juice.
3. The capsule of claim 1 wherein the secondary enclosure is configured to withstand gastric juice until exiting the stomach.
4. The capsule of claim 1 wherein the expandable polymer element is configured to be formed from at least one out of dry granules, pellets, powders, micro tablets, mini tablets, and compressed element.
5. The capsule of claim 4 wherein the secondary enclosure comprises multiple apertures with shapes and sizes that prevents exit of the at least one of the dry granules, pellets, powders, micro tablets, mini tablets, and compressed element.
6. The capsule of claim 1 wherein the secondary enclosure is hydrophilic.
7. The capsule of claim 1 wherein the secondary enclosure comprises at least two sections.
8. The capsule of claim 1, wherein the secondary enclosure, when in an expanded state, is configured to be stuck in an antrum region of the subject until an expiration of the first period of time.
9. The capsule of claim 1, comprising secondary enclosures that are at least partially surrounded by the outer enclosure when in a folded state.
10. The capsule according to claim 9, wherein the secondary enclosures are connected to each other by at least one connector that is configured to at least partially self-disintegrate after a second period of time in gastric juice.
11. The capsule of claim 10, wherein the secondary enclosures, while in an expanded state and while connected to each other, form a structure that is stuck in the stomach.
12. The capsule of claim 10, wherein the secondary enclosures, while in an expanded state and after disconnecting from each other, are small enough to individually exit through the pylorus of the subject.
13. The capsule of claim 10, wherein a first secondary enclosure surrounds a first set of expandable polymer elements having a first swelling ratio and a first expansion profile; and wherein a second enclosure surrounds a second set of expandable polymer elements having a second swelling ratio and a second expansion profile; and wherein the first swelling ratio is smaller than the second swelling ratio.
14. The capsule of claim 13, wherein the first expansion profile exhibits a higher expansion rate than the second expansion profile.
15. The capsule of claim 1, comprising a housing that surrounds an electronic block.
16. The capsule of claim 15, wherein the housing comprises electrodes, and wherein the electronic block comprises a power source, a control unit with a wireless communication module and a generator.
17. The capsule of claim 15, comprising a temperature sensor
18. The capsule of claim 15, wherein the housing is hermetically sealed.
19. The capsule of claim 15, wherein the housing is partially transparent.
20. The capsule of claim 19, comprising a camera that is configured to obtain images through the housing.
21. The capsule of claim 19, comprising a light source.
22. The capsule of claim 15, comprising a pH sensor.
23. The capsule of claim 1, comprising a drug storage and a third secondary enclosure that surrounds the drug storage.
24. The capsule of claim 23, wherein the drug storage stores a drug in a slowrelease packaging having a pre-determined period of self-disintegration.
25. The capsule of claim 23, wherein the third secondary enclosure comprises an electronic block.
26. The capsule of claim 23, wherein the electronic block comprises a power source, a control unit and a drug delivery system.
27. The capsule of claim 26, wherein drug delivery system is a drug delivery pump.
28. The capsule according to claim 1 comprising a control switch and an internal power supply unit; wherein the control switch, once fed with a control signal from a capsule activator, is configured to activate the internal power supply unit.
29. The capsule according to claim 28 wherein the control switch is coupled to electrodes of the capsule.
30. The capsule according to claim 1 comprising a control unit, a first electrode, a second electrode, a control switch that has a first input and a second input, and an internal power supply; wherein the first input is coupled to the first electrode; wherein the second input is coupled to the control unit; wherein the control switch is coupled to the internal power supply; wherein the control switch, once fed with a voltage from an external power supply is configured to activate the internal power supply.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0038] In order to better understand the subject matter that is disclosed herein and to exemplify how it may be carried out in practice, embodiments will now be described, by way of non-limiting example only, with reference to the accompanying drawings, in which:
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DETAILED DESCRIPTION OF EMBODIMENTS
[0056] Any reference to a capsule should be applied, mutatis mutandis to a method that is executed by a capsule.
[0057] Any reference to method should be applied, mutatis mutandis to a capsule that is configured to execute the method.
[0058] The term and/or is additionally or alternatively.
[0059] There may be provided various capsules include a secondary enclosure that surrounds expandable polymer elements. The aggregate volume of the expandable polymer elements when fully expanded exceed the volume of the fully expanded secondary enclosure.
[0060] During a certain period of time, when located inside a subjectespecially when located within the stomach of the subjectthe secondary enclosure expands to a fully expanded state and the expandable polymer elements expand to a partial expanded stateas the secondary enclosure (even when fully expanded) prevents the expandable polymer elements to reach their fully expanded state.
[0061] When in the partially expanded state the expandable polymer elements apply a force against the secondary enclosurethus forming a structure that is rigid and/or uncompressed.
[0062] The rigidness of the structure allows the structure to stay in the stomach even when pressure is applied on the structure.
[0063] The structure may be big enough (length, width and depth) to remain in the stomachand not exit through the pylorus. For exampleat least two dimensions out of the length, width and depth of the structure may exceed the depth and width of the pylorus antrum. Each dimension of the at least two dimensions may exceedfor example30 mm.
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[0072] Capsule 2000 undergoes three stages.
[0073] The top left part of
[0074] Secondary enclosure 2020 is within outer enclosure 2010. Expandable polymer elements 2030 are within secondary enclosure 2020.
[0075] The bottom left part of
[0076] During the second stage the secondary enclosure 2020 fully expands to a fully expanded state and the expandable polymer elements 2030 expand to a partial expanded stateas the secondary enclosure 2020 (even when fully expanded) prevents the expandable polymer elements to reach their fully expanded state.
[0077] The fully expanded secondary enclosure 2020 is shown in the upper right part of
[0078] Accordinglythe aggregate volume of the expandable polymer elements 2030 when fully expanded exceeds the volume of the fully expanded secondary enclosure 2020.
[0079]
[0080] The fully expanded secondary enclosure 2020 may remain in the stomach until it is partially or fully self-disintegrated.
[0081] The third stage starts when the secondary enclosure is partially or fully self-disintegrated and the expandable polymer elements 2030 exit from the stomach. This stage is illustrated in the bottom right part of
[0082]
[0083] Capsule 2002 undergoes three stages.
[0084] The top part of
[0085] The secondary enclosures are within outer enclosure 2010. Expandable polymer elements 2030 are within the secondary enclosures. Expandable polymer elements 2030 are within the secondary enclosures.
[0086]
[0087] The bottom part of
[0088]
[0089] The fully expanded secondary enclosures 2021, 2021, 2022, 2022, 2023, 2023, 2024, 2024, 2025, 2025, 2026, 2026, 2027 and 2028 are shown in
[0090] The secondary enclosures may remain intacteven after exiting the stomach.
[0091] The secondary enclosures are connected to each other by connectors 2040 that are configured to at least partially self-disintegrate after a period of time in the stomach.
[0092] The third stage starts when the connectors are dissolved.
[0093] Each secondary enclosure (when in fully expanded state) should be shaped and sized to exit the stomachand may be, for example long and elongated. It may have a length of about 30 mm but a width of about 5 mm.
[0094] The right part of
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[0096] Capsule 2004 includes a first set 2091 of secondary enclosures, a second set 2092 of secondary enclosures and a third set 2093 of secondary enclosures.
[0097] First set 2091 of secondary enclosures includes secondary enclosures 2021, 2021, 2022, 2022, 2023, 2023 and 2027. The first set 2901 of secondary enclosures surrounds expandable polymer elements 2030 of a first type.
[0098] Second set 2092 of secondary enclosuresthat includes secondary enclosures 2121, 2122, 2123, 2124, 2125, 2126 and 2127. The second set 2092 of secondary enclosures surrounds expandable polymer elements 2031 of a second type.
[0099] Third set 2093 of secondary enclosuresthat includes secondary enclosures 2121, 2122, 2123, 2124, 2125, 2126 and 2127. The third set 2093 of secondary enclosures surrounds expandable polymer elements 2031 of a second type.
[0100] Secondary enclosures of the first, second and third sets are connected to each other by connectors 2040 that are configured to at least partially self-disintegrate thereby disconnecting the secondary enclosures from each other after a period of time in the stomach.
[0101] The expandable polymer elements 2030 of the first type may expand faster than the expandable polymer elements 2031 of the second typein order to prevent the structure to exit the stomach immediately after entering the stomach. The expandable polymer elements 2031 of the second type may have a bigger swelling ratio than the expandable polymer elements 2030 of the first typein order to occupy a bigger space with the stomach.
[0102] Any capsule may or may not include electrical components and/or optical components.
[0103] These electrical components and/or optical components may be assembled to form an electronic blockalthough any other arrangement may be provided.
[0104] The electrical components and/or optical components may include at least some out of sensors (radiation sensors, impedance sensors, pH sensors, location sensors, temperature sensors), electrical signal generators, controllers, electrodes, switches, power source, and the like.
[0105] Radiation sensors may include light sensors, radars, sonars, infrared sensors, and the like.
[0106] Impedance sensors, pH sensors and radiation sensors may be used as location sensors for determining the location of the capsule in the subject.
[0107] Electrodes may be part of a location sensor and/or may be used to output electrical signalsfor examplefor stimulating the vagus nerve.
[0108] Various examples of electrical components and/or optical components that can be included in the capsule are illustrated in PCT patent application PCT/IL2018/050043 which is incorporated herein by reference in its entirety.
[0109] Each of the capsules mentioned in the specification and/or drawings can include none of these electrical components and/or optical components or at least one of these electrical components and/or optical components.
[0110]
[0111] In
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[0113] Expandable polymer elements 2030 are positioned in a right space defined between secondary enclosure 2222 and a right sidewall of housing 2260.
[0114] Expandable polymer elements 2030 are positioned in a left space defined between secondary enclosure 2221 and a left sidewall of housing 2260.
[0115] The top left part of
[0116] During the second stage the secondary enclosures 2221 and 2222 fully expands to fully expanded state and the expandable polymer elements 2030 expand to a partial expanded stateas the secondary enclosures 2221 and 2222 (even when fully expanded) prevent the expandable polymer elements to reach their fully expanded state.
[0117] The fully expanded secondary enclosures 2221 and 2222 are shown in the bottom left part of
[0118] During the third stage the secondary enclosures 2221 and 2222 detach from the housing 2260 due to the dissolving of the connectorsand each individually exits the stomach. See the right side of
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[0120] After determining the location of the capsuleand especially which side of the capsule contacts the stomach wallthe capsule may select to activate only the electrodes that are in contact with the stomachthereby saving energy and providing a more efficient stimulation.
[0121] The top right part of
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[0123] In
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[0125] Expandable polymer elements 2030 are positioned in a right space defined between secondary enclosure 2271 and a right portion of an exterior of housing 2260. The right portion is illustrated as including a right sidewall, a right part of the bottom of the housing and a right part of the top of the housing.
[0126] Expandable polymer elements 2030 are positioned in a left space defined between secondary enclosure 2271 and a left portion of an exterior of housing 2260. The left portion is illustrated as including a left sidewall, a left part of the bottom of the housing and a left part of the top of the housing.
[0127] The top left part of
[0128] The bottom left part of
[0129] During the second stage the secondary enclosures 2271 and 2272 fully expands to fully expanded state and the expandable polymer elements 2030 expand to a partial expanded stateas the secondary enclosures 2271 and 2272 (even when fully expanded) prevent the expandable polymer elements to reach their fully expanded state.
[0130] The fully expanded secondary enclosures 2271 and 2272 are shown in the right part of
[0131] The third stage is not shown. During the third stage the secondary enclosures 2271 and 2272 detach from the housing 2260 due to the dissolving of the connectorsand each individually exits the stomach.
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[0135] Expandable polymer elements 2030 are positioned in a right space defined between secondary enclosure 2222 and a right sidewall of housing 2260. Expandable polymer elements 2030 are positioned in a left space defined between secondary enclosure 2221 and a left sidewall of housing 2260.
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[0137] The interleaved coaxial layers are positioned in housing 2780. Expandable polymer elements 2030 are positioned in a right space defined between secondary enclosure 2222 and a right sidewall of housing 2780. Expandable polymer elements 2030 are positioned in a left space defined between secondary enclosure 2221 and a left sidewall of housing 2780.
[0138] The top left part of
[0139] The bottom left part of
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[0141] Expandable polymer elements 2030 are positioned in a right space defined between secondary enclosure 2222 and a right sidewall of housing 2880. Expandable polymer elements 2030 are positioned in a left space defined between secondary enclosure 2221 and a left sidewall of housing 2880.
[0142] The top part of
[0143] The bottom part of
[0144] It may be beneficial to deactivate the internal power supply of the capsule after assembly and to activate it only when neededespecially when the capsule may be consumed weeks and even months after it is manufactured and stored.
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[0146] The capsule activator includes an external power supply unit 2999, switch 2998 and resistors 2941 and 2942.
[0147] Capsule power supply 2908 is switched off before use and during storage/shelf life.
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[0149] When switch 2998 is closed (short connection), electrical voltage from external power supply 2999 is applied to the first input of control switch 2910 via resistor 2941, switch 2998, electrode 2251 and resistor 2931. Then, via common wire (GND), diode 2922, electrode 2252 and resistor 2942 voltage closes on return output of 2999.
[0150] Control switch 2910 turns on and turns on power supply 2908. Power supply 2908 supplies voltage to all electronic components of the capsule.
[0151] The control unit 2903 turns on and sets on the second input of 2910 a signal that allows to hold power supply 2908 in the on state after the switch 2998 returns to its disconnected position.
[0152] In
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[0156] Any of these sensors and measurement units may be includes in at least some of the capsules of the previous figures.
[0157] The phrase may be X indicates that condition X may be fulfilled. This phrase also suggests that condition X may not be fulfilled.
[0158] The terms including, comprising, having, consisting and consisting essentially of are used in an interchangeable manner. For exampleany method may include at least the steps included in the figures and/or in the specification, only the steps included in the figures and/or the specification.
[0159] It will be appreciated that for simplicity and clarity of illustration, elements shown in the figures have not necessarily been drawn to scale. For example, the dimensions of some of the elements may be exaggerated relative to other elements for clarity. Further, where considered appropriate, reference numerals may be repeated among the figures to indicate corresponding or analogous elements.
[0160] In the foregoing specification, the invention has been described with reference to specific examples of embodiments of the invention. It will, however, be evident that various modifications and changes may be made therein without departing from the broader spirit and scope of the invention as set forth in the appended claims.
[0161] Moreover, the terms front, back, top, bottom, over, under and the like in the description and in the claims, if any, are used for descriptive purposes and not necessarily for describing permanent relative positions. It is understood that the terms so used are interchangeable under appropriate circumstances such that the embodiments of the invention described herein are, for example, capable of operation in other orientations than those illustrated or otherwise described herein.
[0162] Any arrangement of components to achieve the same functionality is effectively associated such that the desired functionality is achieved. Hence, any two components herein combined to achieve a particular functionality can be seen as associated with each other such that the desired functionality is achieved, irrespective of architectures or intermedial components. Likewise, any two components so associated can also be viewed as being operably connected, or operably coupled, to each other to achieve the desired functionality.
[0163] Furthermore, those skilled in the art will recognize that boundaries between the above described operations merely illustrative. The multiple operations may be combined into a single operation, a single operation may be distributed in additional operations and operations may be executed at least partially overlapping in time. Moreover, alternative embodiments may include multiple instances of a particular operation, and the order of operations may be altered in various other embodiments.
[0164] Other modifications, variations and alternatives are also possible. The specifications and drawings are, accordingly, to be regarded in an illustrative rather than in a restrictive sense.
[0165] In the claims, any reference signs placed between parentheses shall not be construed as limiting the claim. The word comprising does not exclude the presence of other elements or steps then those listed in a claim. Furthermore, the terms a or an, as used herein, are defined as one as or more than one. Also, the use of introductory phrases such as at least one and one or more in the claims should not be construed to imply that the introduction of another claim element by the indefinite articles a or an limits any particular claim containing such introduced claim element to inventions containing only one such element, even when the same claim includes the introductory phrases one or more or at least one and indefinite articles such as a or an. The same holds true for the use of definite articles. Unless stated otherwise, terms such as first and second are used to arbitrarily distinguish between the elements such terms describe. Thus, these terms are not necessarily intended to indicate temporal or other prioritization of such elements the mere fact that certain measures are recited in mutually different claims does not indicate that a combination of these measures cannot be used to advantage.
[0166] Any combination of any component of any capsule that is illustrated in any of the figures and/or specification and/or the claims may be provided.
[0167] Any combination of steps, operations and/or methods illustrated in any of the figures and/or specification and/or the claims may be provided.