Abstract

Needle-free jet injectors have been proposed as an alternative to injections with hypodermic needles. Currently, a handful of commercial needle-free jet injectors already exist. However, these injectors are designed for specific injections, typically limited to large injection volumes into the deeper layers beneath the skin. There is growing evidence of advantages when delivering small volumes into the superficial skin layers, namely the epidermis and dermis. Injections such as vaccines and insulin would benefit from delivery into these superficial layers. Furthermore, the same technology for small volume needle-free injections can serve (medical) tattooing as well as other personalized medicine treatments.The research dedicated to needle-free jet injectors actuated by laser energy has increased in the last decade. In this case, the absorption of the optical energy by the liquid results in an explosively growing bubble. This bubble displaces the rest of the liquid, resulting in a fast microfluidic jet which can penetrate the skin. This technique allows for precise control over volumes (pL to µL) and penetration depths (µm to mm). Furthermore, these injections can be tuned without changing the device, by varying parameters such as laser power, beam diameter and filling level of the liquid container. Despite the published research on the working principles and capabilities of individual laser-actuated jet injectors, a thorough overview encompassing all of them is lacking. In this perspective, we will discuss the current status of laser-based jet injectors and contrast their advantages and limitations, as well as their potential and challenges.

Highlights

  • Injections using hypodermic needles are among the most common procedures in modern medicine, but pain and phobia affect patience compliance [1,2,3]

  • A handful of commercial needle-free jet injectors rely on either a compressed spring or gas as energy source to displace a piston, which pushes the liquid through a small orifice, resulting in a fast jet which can penetrate the skin

  • Weber number (We) have covered in this review a gap in published studies on laser-based microjet injection

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Summary

Introduction

Injections using hypodermic needles are among the most common procedures in modern medicine, but pain and phobia affect patience compliance [1,2,3]. A handful of commercial needle-free jet injectors rely on either a compressed spring or gas as energy source to displace a piston, which pushes the liquid through a small orifice, resulting in a fast jet which can penetrate the skin. These commercial injectors overcome some of the problems associated with hypodermic needles, they are still very limited in application. One of their drawbacks is that the adjustability of the amount of input energy to displace the liquid is limited For this reason, most of these injectors can only create jets within a small range of jet volume and velocity [13].

Current needle-free jet injection technology
Mechanical energy
Electro-mechanical energy
Small volume injections
Applications
Advantages of repeated small volume injections
Current small volume delivery methods
Laser based needle-free jet injectors
Working principle and energy conversion of laser-based microjet injection
Jet velocity
Injection depth
Jet volume
Liquid temperature and potential degradation of injectate
Temperature measurements Pulsed laser
Outlook
Improvement of energy conversion
Alternative cavitation methods Plasmonic bubbles
Investigation of jet characteristics
Skin research
Synergy with micro-needles
Findings
Conclusion

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