Rubber plunger surface texturing for friction reduction in medical syringes

Assessing texturometer-derived rheological data for predicting the printability of gummy formulations in SSE 3D printing

Semi-solid extrusion (SSE), an additive manufacturing technique, is gaining significant attention for the printing of thermosensitive drugs. Hydrogels, one of the materials used in SSE, have emerged as a focus in pharmaceutical applications due to their ability to control the release of therapeutic agents spatially and temporally. Understanding the non-Newtonian flow and evaluating the mechanical properties of hydrogel-based materials during extrusion is, however, essential for successful 3D printing. Thus, users often find themselves conducting both rheological and texture profile analyses to characterize the hydrogel. While texturometers are primarily used to evaluate mechanical or sensory properties, viscosity measurements are typically performed using rotational rheometers or viscometers. In this study, we demonstrated how comparable rheological information can be obtained using a texturometer as a capillary rheometer. By preparing similar formulations to a previous study, we compared the rheological data obtained from a rotational rheometer to the data obtained from the texturometer. The means of the parameters obtained by fitting the data from both techniques to the power law model showed insignificant differences. In addition, three clusters were formed based on the flow behaviour and printability of the samples using principal component analysis. Furthermore, the printability was predicted using the samples' consistency and flow indexes, and the regression coefficient was 96.62 and 60.03% for capillary and rotational flow parameters, respectively. This approach thus holds the potential to streamline the time, expertise and equipment required for the rheological characterization of hydrogels for applications in semi-solid extrusion.

In Situ Observation of Micro-Patterned Elastomeric Surfaces: The Formation of the Area of Real Contact and the Influence on Its Friction and Deformation Behaviour

Structured surfaces, which are the basis of the lotus blossom effect, have great potential to serve/operate as functionalised surfaces, i.e., surfaces with specific and/or adjustable properties. In the present study, the aim is to use micro-structured elastomeric surfaces to specifically influence the friction and deformation behaviours on the basis of the shape and arrangement of the structures. Thiol-acrylate-based photopolymers patterned via nanoimprint lithography were investigated by using an in situ tribological measurement set-up. A clear influence of the different structures on the surface's friction behaviour could be shown, and, furthermore, this could be brought into relation with the real area of contact. This finding provides an important contribution to further development steps, namely, to give the structures switchable properties in order to enable the control of friction properties in a targeted manner.

Influence of Surface Texturing on the Dry Tribological Properties of Polymers in Medical Devices

There is a constant need to improve patient comfort and product performance associated with the use of medical devices. Efforts to optimise the tribological characteristics of medical devices usually involve modifying existing devices without compromising their main design features and functionality. This article constitutes a state-of-the-art review of the influence of dry friction on polymeric components used in medical devices, including those having microscale surface features. Surface tribology and contact interactions are discussed, along with alternative forms of surface texturing. Evident gaps in the literature, and areas warranting future research are highlighted; these include friction involving polymer Vs polymer surfaces, information regarding which topologies and feature spacings provide the best performing textured surfaces, and design guidelines that would assist manufacturers to minimise or maximise friction under non-lubricated conditions.

Effect of bionic hexagonal texture on squeezing films inside soft contacts with high adhesion and high friction

To understand the mechanisms of high friction and high adhesion in bioinspired textured surfaces under wet conditions, the evolution behavior of squeezing films across lubricated interfaces is experimentally investigated using optical interferometry. The results show that the splitting of the continuous large-scaled liquid film into numerous isolated micro zones is an important function of the hexagonal texture. Both the orientation and the size of the hexagonal texture have noticeable effects on the drainage rate: either downscaling the hexagonal texture or orienting the texture with two sides of each micro-hexagon parallel to the inclining direction could accelerate the draining process. While the draining process is completed, residual micro-droplets turn out to be entrapped within the contact regions of single hexagonal micro-pillars. The entrapped micro-droplets gradually shrink as the hexagonal texture downsizes. Moreover, a novel geometrical shape for the micro-pillared texture is proposed to improve the drainage efficiency.

The hypodermic syringe performance based on the ISO 7886-1:2017: A narrative review

A syringe is used to inject fluid or medicine into the patient's soft tissue. The main components of the syringe were the needle, barrel, and plunger. The use of syringes in the medical world is relatively high, and especially since the COVID-19 pandemic, the use of hypodermic syringes increased sharply due to vaccination. The syringe used must be effective and of good quality, so the International Organization for Standardization (ISO) has published test procedures and minimum specifications for hypodermic syringes. The performance of the syringe can be observed from the dead space, force piston operation, water and air leakage, and fitting position of the plunger in the barrel. This review shows that most researchers use the weighing method to measure the dead space, although some use other methods. The researchers found that most of the products met the minimum specifications of the ISO, and that the dimensions and shape of the syringe affected the dead space. Researchers have not examined other performance measures recommended by the ISO. Researchers have focused more on force injection than force piston operation, leakage after injection or back spray than air and water leakage, and reduction the friction of the plunger without considering the fitting position of the plunger in the barrel.

Preparation and characterization of flexible furosemide-loaded biodegradable microneedles for intradermal drug delivery

Transdermal drug delivery systems are a useful and minimally invasive alternative to other drug administration routes. Biodegradable polymeric microneedles (MNs) are widely used in controlled-release drug delivery due to their tunable properties and ease of patient self-administration. Polylactic-co-glycolic acid (PLGA) is often used for sustained drug release owing to special intrinsic properties including biocompatibility and biodegradability, which offer excellent applicability in preparing MNs. Congestive heart failure (CHF) is characterized by fluid overload during acute exacerbation, necessitating frequent patient hospitalization for continuous intravenous (i.v.) diuretic therapy. In the present study, we incorporated furosemide (FUR) as a model drug into flexible PLGA MN skin patches for potential intradermal delivery to overcome the limitations associated with i.v. diuresis. The MNs were fabricated by a casting-mold technique and consisted of two main parts, PLGA needle tips loaded with varying concentrations of FUR and a flexible backing layer comprising sodium alginate and glycerol. MN formulations were characterized by SEM and exhibited a uniform pyramidal shape. The measured surface pH of all samples suggested that no skin irritation is expected upon application. High encapsulation efficiency was obtained for FUR-MN formulations in which a decrease was noted as the FUR/PLGA ratio decreased. Drug loading content ranged from 19.1 ± 1% to 28.9 ± 1.4%. Successful insertion of MNs into a Parafilm® skin simulant model suggested that MNs will easily penetrate the skin's outermost layer, the stratum corneum, and will permit intradermal delivery of FUR. The MNs were further characterized by analytical methods. Finally, the MNs exhibited an initial burst release followed by a sustained release of FUR. Self-administered FUR-MNs can open new avenues to overcome i.v. drip limitations and increase patient compliance.

Friction control of elastic materials on glass by means of textured surfaces

To investigate the friction behaviors of elastomer and polyacetal writing tips sliding on various textured glass surfaces, the influences of the pitch size and height of sub-millimeter to millimeter sized texture on friction were examined via reciprocating friction tests. The friction coefficients of each writing tip could be systematically varied by changing the pitch and height of the texture. These changes in friction were based on the relationship between the convex-concave shapes and the contact parts of the writing tip, and hence, influence the adhesive, abrasive, and deformation frictions. By inducing a surface texture with a pitch smaller than the contact area of the writing tip, the friction coefficient could be reduced effectively. By inducing a surface texture with a larger height, the friction coefficient of the elastomer could be increased due to deformation friction. These behaviors indicate the possibility of controlling the friction by changing the parameters such as the pitch and height of the textured glass surfaces.

Biosimilar Pegfilgrastim: Improving Access and Optimising Practice to Supportive Care that Enables Cure

Febrile neutropenia (FN) is a serious complication of chemotherapy, which can cause significant morbidity and mortality, result in dose delays and reductions and, ultimately, reduce cancer survival. Over the past decade, the availability of biosimilar filgrastim (short-acting granulocyte colony-stimulating factor [G-CSF]) has transformed patient access, with clear evidence of clinical benefit at preventing FN at reduced costs. In 2019, seven biosimilar pegfilgrastims (long-acting G-CSFs) were licensed, creating optimal market conditions and choice for prescribers. FN affects up to 117 per 1000 cancer patients, with mortality rates in the range of 2–21%. By reducing FN incidence and improving chemotherapy relative dose intensity (RDI), G-CSF has been associated with a 3.2% absolute survival benefit. Guidelines recommend primary prophylaxis and that filgrastim be administered for 10–14 days, while pegfilgrastim is administered once per cycle. When taken according to the guidelines, pegfilgrastim and filgrastim are equally effective. However, in routine clinical practice, filgrastim is often under-dosed (< 7 days) and has been shown to be inferior to pegfilgrastim at reducing FN incidence, hospitalisations and maintaining RDI. Once-per-cycle administration with pegfilgrastim might also aid patient adherence. The introduction of biosimilar pegfilgrastim should instigate a rethink of neutropenia management. Biosimilar pegfilgrastim offers countries using biosimilar filgrastim opportunities to improve adherence and thus cancer survival, whilst offering economic benefits for countries using reference pegfilgrastim. These benefits can be realised in full if biosimilar pegfilgrastim becomes part of routine clinical practice supported by drug and therapeutic committees implementing guidelines with multidisciplinary support in the hospital.