Literature DB >> 18716497

Effect of microneedle design on pain in human volunteers.

Harvinder S Gill1, Donald D Denson, Brett A Burris, Mark R Prausnitz.   

Abstract

OBJECTIVES: To design microneedles that minimize pain, this study tested the hypothesis that microneedles cause significantly less pain than a 26-gauge hypodermic needle, and that decreasing microneedle length and the number of microneedles reduces pain in normal human volunteers.
METHODS: Single microneedles with lengths ranging from 480 to 1450 microm, widths from 160 to 465 microm, thicknesses from 30 to 100 microm, and tip angles from 20 to 90 degrees; and arrays containing 5 or 50 microneedles were inserted into the volar forearms of 10 healthy, human volunteers in a double-blinded, randomized study. Visual analog scale pain scores were recorded and compared with each other and to the pain from a 26-gauge hypodermic needle.
RESULTS: All microneedles investigated were significantly less painful than the hypodermic needle with microneedle pain scores varying from 5% to 40% of the hypodermic needle. Microneedle length had the strongest effect on pain, where a 3-fold increase in length increased the pain score by 7-fold. The number of microneedles also affected the pain score, where a 10-fold increase in the number of microneedles increased pain just over 2-fold. Microneedle tip angle, thickness, and width did not significantly influence pain. DISCUSSION: Microneedles are significantly less painful than a 26-gauge hypodermic needle over the range of dimensions investigated. Decreasing microneedle length and number of microneedles reduces pain.

Entities:  

Mesh:

Year:  2008        PMID: 18716497      PMCID: PMC2917250          DOI: 10.1097/AJP.0b013e31816778f9

Source DB:  PubMed          Journal:  Clin J Pain        ISSN: 0749-8047            Impact factor:   3.442


  25 in total

1.  Lack of pain associated with microfabricated microneedles.

Authors:  S Kaushik; A H Hord; D D Denson; D V McAllister; S Smitra; M G Allen; M R Prausnitz
Journal:  Anesth Analg       Date:  2001-02       Impact factor: 5.108

2.  Improved genetic immunization via micromechanical disruption of skin-barrier function and targeted epidermal delivery.

Authors:  John A Mikszta; Jason B Alarcon; John M Brittingham; Diane E Sutter; Ronald J Pettis; Noel G Harvey
Journal:  Nat Med       Date:  2002-04       Impact factor: 53.440

3.  Microfabricated needles for transdermal delivery of macromolecules and nanoparticles: fabrication methods and transport studies.

Authors:  Devin V McAllister; Ping M Wang; Shawn P Davis; Jung-Hwan Park; Paul J Canatella; Mark G Allen; Mark R Prausnitz
Journal:  Proc Natl Acad Sci U S A       Date:  2003-11-17       Impact factor: 11.205

Review 4.  Microneedles for transdermal drug delivery.

Authors:  Mark R Prausnitz
Journal:  Adv Drug Deliv Rev       Date:  2004-03-27       Impact factor: 15.470

Review 5.  Cutaneous innervation: form and function.

Authors:  Anne Louise Oaklander; Sandra M Siegel
Journal:  J Am Acad Dermatol       Date:  2005-12       Impact factor: 11.527

6.  Coated microneedles for transdermal delivery.

Authors:  Harvinder S Gill; Mark R Prausnitz
Journal:  J Control Release       Date:  2006-10-24       Impact factor: 9.776

7.  Pain following controlled cutaneous insertion of needles with different diameters.

Authors:  Lars Arendt-Nielsen; Henrik Egekvist; Peter Bjerring
Journal:  Somatosens Mot Res       Date:  2006 Mar-Jun       Impact factor: 1.111

8.  The global burden of disease attributable to contaminated injections given in health care settings.

Authors:  Anja M Hauri; Gregory L Armstrong; Yvan J F Hutin
Journal:  Int J STD AIDS       Date:  2004-01       Impact factor: 1.359

9.  Transdermal delivery of insulin using microneedles in vivo.

Authors:  Wijaya Martanto; Shawn P Davis; Nicholas R Holiday; Jenny Wang; Harvinder S Gill; Mark R Prausnitz
Journal:  Pharm Res       Date:  2004-06       Impact factor: 4.200

Review 10.  Needle phobia: a neglected diagnosis.

Authors:  J G Hamilton
Journal:  J Fam Pract       Date:  1995-08       Impact factor: 0.493

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  143 in total

1.  Bacillus Calmette-Guérin vaccination using a microneedle patch.

Authors:  Yasuhiro Hiraishi; Subhadra Nandakumar; Seong-O Choi; Jeong Woo Lee; Yeu-Chun Kim; James E Posey; Suraj B Sable; Mark R Prausnitz
Journal:  Vaccine       Date:  2011-01-28       Impact factor: 3.641

2.  Modification of microneedles using inkjet printing.

Authors:  R D Boehm; P R Miller; S L Hayes; N A Monteiro-Riviere; R J Narayan
Journal:  AIP Adv       Date:  2011-06-10       Impact factor: 1.548

3.  In vivo, in situ imaging of microneedle insertion into the skin of human volunteers using optical coherence tomography.

Authors:  Siôn A Coulman; James C Birchall; Aneesh Alex; Marc Pearton; Bernd Hofer; Conor O'Mahony; Wolfgang Drexler; Boris Považay
Journal:  Pharm Res       Date:  2010-05-13       Impact factor: 4.200

4.  Silencing of reporter gene expression in skin using siRNAs and expression of plasmid DNA delivered by a soluble protrusion array device (PAD).

Authors:  Emilio Gonzalez-Gonzalez; Tycho J Speaker; Robyn P Hickerson; Ryan Spitler; Manuel A Flores; Devin Leake; Christopher H Contag; Roger L Kaspar
Journal:  Mol Ther       Date:  2010-06-22       Impact factor: 11.454

5.  Microneedles for drug delivery.

Authors:  Gary W Cleary
Journal:  Pharm Res       Date:  2010-11-17       Impact factor: 4.200

6.  Fiberoptic microneedles: novel optical diffusers for interstitial delivery of therapeutic light.

Authors:  Mehmet A Kosoglu; Robert L Hood; John H Rossmeisl; David C Grant; Yong Xu; John L Robertson; Marissa Nichole Rylander; Christopher G Rylander
Journal:  Lasers Surg Med       Date:  2011-11       Impact factor: 4.025

7.  Recruitment and Collection of Dermal Interstitial Fluid Using a Microneedle Patch.

Authors:  Chandana Kolluru; Mikayla Williams; Jeremy Chae; Mark R Prausnitz
Journal:  Adv Healthc Mater       Date:  2019-01-04       Impact factor: 9.933

Review 8.  Cutaneous immunization: an evolving paradigm in influenza vaccines.

Authors:  Harvinder S Gill; Sang-Moo Kang; Fu-Shi Quan; Richard W Compans
Journal:  Expert Opin Drug Deliv       Date:  2014-02-12       Impact factor: 6.648

9.  An electrically active microneedle array for electroporation.

Authors:  Seong-O Choi; Yeu Chun Kim; Jung-Hwan Park; Joshua Hutcheson; Harvinder S Gill; Yong-Kyu Yoon; Mark R Prausnitz; Mark G Allen
Journal:  Biomed Microdevices       Date:  2010-04       Impact factor: 2.838

10.  Enhanced memory responses to seasonal H1N1 influenza vaccination of the skin with the use of vaccine-coated microneedles.

Authors:  Yeu-Chun Kim; Fu-Shi Quan; Dae-Goon Yoo; Richard W Compans; Sang-Moo Kang; Mark R Prausnitz
Journal:  J Infect Dis       Date:  2010-01-15       Impact factor: 5.226

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