Self-restoring items

Abstract

Providing self-restoring items [Solution] Self-restoring articles, such as self-restoring capsules, are generally provided for administration to a subject. The self-restoring article can be configured to orient itself relative to a surface (such as the surface of a tissue of a subject). The self-restoring articles described herein can include one or more tissue-engaging surfaces configured to engage (e.g., conform to, inject, anchor to) a surface (such as the surface of a tissue of a subject). The self-restoring article can have, for example, a particular shape and / or density (or mass) distribution that enables the self-restoring behavior of the article. The self-restoring article can include a tissue interface component and / or a pharmaceutical agent (e.g., for delivery of a pharmaceutically active agent to a location within the body of a subject). The self-restoring article can be configured to release one or more tissue interface components when tissue contacts the tissue-engaging surface of the article. The tissue interface component can include a self-actuating component.

Description

[Technical Field]

[0001] Related Applications This application claims priority under 35 U.S.C. §119(e) to U.S. Provisional Application No. 62 / 507,647, entitled "SELF-RIGHTING ARTICLES," filed May 17, 2017, U.S. Provisional Application No. 62 / 507,653, entitled "SELF-ACTUATING ARTICLES," filed May 17, 2017, and U.S. Provisional Application No. 62 / 507,665, entitled "COMPONENTS WITH HIGH API LOADING," filed May 17, 2017, each of which is incorporated herein by reference in its entirety.

[0002] Field The present invention relates to self-righting systems and related components, such as self-righting articles, self-actuating articles (including, for example, self-actuating needles and / or self-actuating biopsy punches), and components having relatively high active pharmaceutical ingredient (API) loadings. [Background technology]

[0003] background The GI tract offers incredible opportunities for diagnosing and treating patients. The development of smart medication systems and articles to enable this has seen significant progress over the past decade. One of the most important challenges in maximizing delivery and mucosal interaction is ensuring apposition of the article and / or administration system with the GI mucosa. Previous attempts to do this have included the introduction of mucoadhesives and texturing one side of two-sided systems. Orally ingested drugs generally diffuse through the GI tract tissue wall to enter the bloodstream. A typical ingested pill or article releases its cargo randomly within the GI tract, allowing it to migrate across the tissue wall via convection and diffusion. However, many biologics, such as insulin, even when packaged in a solid formulation, cannot travel via the fluid in the GI tract because they would be degraded, for example, by enzymes.

[0004] Additionally, many pharmaceutical preparations on the market, including numerous vaccines, RNAs, and peptides, require administration by injection. Injections traditionally involve the use of liquid preparations that are passed through a hollow needle into the body intravenously or intramuscularly. However, these liquid preparations can destabilize the active pharmaceutical ingredient (API) and therefore require refrigeration, and / or significantly increase the bulk of the dose due to the required dilution.

[0005] Therefore, improved systems, articles and methods are needed. Summary of the Invention [Means for solving the problem]

[0006] Abstract FIELD OF THE INVENTION The present invention relates generally to self-righting articles, such as self-righting capsules.

[0007] In one aspect, a self-righting article is provided. In some embodiments, the self-righting article includes a first portion, a second portion adjacent to the first portion, the second portion having a different average density than the first portion, and a hollow portion, wherein the self-righting article is configured or arranged to be enclosed in a 000 capsule or smaller.

[0008] In some embodiments, the self-restoring article is configured for potential inclusion in a 000 capsule or smaller, although the self-restoring article need not necessarily be enclosed in such a capsule. In embodiments in which the self-restoring article is to be administered, e.g., by ingesting the self-restoring article, the self-restoring article may also be so administered without being enclosed.

[0009] In some embodiments, the self-restoring article comprises a first portion; a second portion adjacent to the first portion, the second portion having a different average density than the first portion; and a tissue-connecting component associated with the self-restoring article; and wherein the ratio of the average density of the first material to the average density of the second material is greater than or equal to 2.5:1. In some embodiments, the ratio of the average density of the second material to the average density of the first material is greater than or equal to 2.5:1.

[0010] In some embodiments, the self-righting article is configured to be tethered to a location within a subject's body and has a resistance of 1 g / cm 3 At least a first portion having an average density greater than 0.09×10 -4 The self-righting article comprises a first portion configured to maintain an orientation of 20 degrees or less from vertical upon application of an externally applied torque of 1000 Nm or less, and at least one tethering mechanism associated with the self-righting article.

[0011] In some embodiments, the self-righting article is configured to be administered to a location within a subject's body; 3 at least one first portion having a greater average density, wherein the self-righting article has a self-righting time in water from 90 degrees that is less than or equal to 0.05 seconds; at least two tissue connection components having tissue contact portions configured to contact tissue, each tissue contact portion having a conductive portion configured to be in electrical communication with tissue and an insulating portion configured not to be in electrical communication with tissue; and a power source in electrical communication with the at least two tissue connection components.

[0012] In another aspect, a self-actuating article is provided, in some embodiments, the article includes an outer shell, a spring at least partially enclosed within the outer shell, a support associated with the spring for maintaining at least a portion of the spring under a compressive strain of at least 5% under ambient conditions, and a tissue-connection component associated with the spring.

[0013] In some embodiments, the article is configured to be anchored to a location within a subject's body and comprises: an outer shell; a spring at least partially encapsulated by the outer shell, the spring being maintained in an at least partially compressed state under a compressive strain of at least 5% by a support; and at least one anchoring mechanism operably coupled to the spring.

[0014] In some embodiments, the article is configured to be administered to a location within a subject's body and comprises: an outer shell; a spring at least partially enclosed within the outer shell, the spring being maintained in an at least partially compressed state under a compressive strain of at least 5% by a support; at least two tissue connection components having tissue contacting portions configured to contact tissue, each tissue contacting portion comprising a conductive portion configured to be in electrical communication with the tissue and an insulating portion configured not to be in electrical communication with the tissue; and a power source in electrical communication with the at least two tissue connection components.

[0015] In another aspect, a tissue-connecting component is provided, in some embodiments, the component comprises a solid therapeutic agent and a support material, the solid therapeutic agent is present in the tissue-connecting component in an amount greater than or equal to 10% by weight based on the total weight of the tissue-connecting component, the solid therapeutic agent and the support material are substantially uniformly distributed, and the tissue-connecting component is configured to penetrate tissue.

[0016] In some embodiments, the component has a tip and comprises a solid therapeutic agent and a support material having the solid therapeutic agent associated therewith, wherein at least a portion of the solid therapeutic agent is associated with one or more tips of the tissue-connecting component, and wherein the solid therapeutic agent is present in the tissue-connecting component in an amount greater than or equal to 10% by weight based on the total weight of the tissue-connecting component.

[0017] In another aspect, a method is provided. In some embodiments, the method includes a capsule comprising an outer shell and a self-righting article, the self-righting article comprising a first portion and a second portion. The method includes administering to a subject a capsule having a second portion adjacent to the first portion and having an average density different from that of the first portion.

[0018] In some embodiments, a method includes administering to a subject a capsule comprising an outer shell and a self-righting article, the self-righting article comprising a first portion comprising a first material, a second portion adjacent to the first portion and comprising a second material different from the first material, and a needle having a pharmaceutically active agent associated therewith, wherein a ratio of an average density of the first material to an average density of the second material is greater than or equal to 2.5:1; orienting the self-righting article at a location within the subject's body so that the needle pierces tissue adjacent to the location within the subject's body; and releasing at least a portion of the pharmaceutically active agent into the tissue.

[0019] In some embodiments, the method includes administering to a subject an article comprising an outer shell, a spring at least partially encapsulated by the outer shell, a support associated with the spring for maintaining at least a portion of the spring under a compressive strain of at least 5% under ambient conditions, and a tissue-connection component associated with the spring.

[0020] In some embodiments, the method includes administering to a subject an article comprising an outer shell, a spring at least partially encapsulated by the outer shell, a support material associated with the spring, the support material for maintaining at least a portion of the spring under ambient conditions under a compressive strain of at least 5%, and a tissue connection component associated with the spring, and degrading at least a portion of the support material, such that the spring elongates and / or the tissue connection component penetrates tissue located within the subject's body.

[0021] In some embodiments, the method comprises: 3The method includes administering to a subject an article having at least a first portion having a greater average density and at least one anchoring mechanism, the article being configured to be retained in position under a force greater than or equal to 0.6 N and / or a change in orientation greater than or equal to 30 degrees.

[0022] In some embodiments, a method includes administering to a subject an article comprising at least one tissue connection component disposed therein, each tissue connection component comprising a conductive material; releasing at least one matching component from the article; inserting the at least one matching component into tissue at a location within the subject's body; and applying an electric current between two or more tissue connection components generated by a power source in electrical communication with the tissue connection components, wherein the article comprises a spring maintained in an at least partially compressed state under at least 5% compressive strain by a support material, and each tissue connection component is operably coupled to the spring.

[0023] In another aspect, a method of forming a tissue-connecting component is provided. In some embodiments, the method includes providing a solid therapeutic agent and a support material; and compressing the solid therapeutic agent and the support material together using a pressure of at least 1 MPa and / or heating to form a tissue-connecting component; the tissue-connecting component is configured to penetrate tissue.

[0024] Other advantages and novel features of the present invention will become apparent from the following detailed description of various non-limiting embodiments of the invention when considered in conjunction with the accompanying drawings. In cases where the specification and any document incorporated by reference include conflicting and / or inconsistent disclosure, the specification shall control.

[0025] Non-limiting embodiments of the present invention will now be described by way of example with reference to the accompanying drawings, in which: The drawings are schematic and are not intended to be drawn to scale. Each identical or nearly identical component illustrated in the drawings is typically represented by a single numeral. For clarity, not every component is labeled in every drawing, and not every component is shown for each embodiment of the invention unless its illustration is necessary to enable one skilled in the art to understand the invention. In the drawings, [Brief explanation of the drawings]

[0026] [Figure 1] FIG. 1 is a schematic diagram of a self-righting system, according to one set of embodiments. [Figure 2] FIG. 2 is a cross-sectional schematic diagram of an exemplary self-righting system, according to one set of embodiments. [Figure 3] FIG. 3 is a schematic illustration of administration of a self-righting system, according to one set of embodiments. [Figure 4] FIG. 4 is a schematic diagram of an exemplary self-righting article, according to one set of embodiments. [Figure 5] FIG. 5 is a cross-sectional schematic diagram of an exemplary self-righting system, according to one set of embodiments. [Figure 6] FIG. 6 is a cross-sectional schematic diagram of an exemplary self-actuating component, according to one set of embodiments. [Figure 7] FIG. 7 is a plot of an exemplary self-restoring shape graph, according to one set of embodiments. [Figure 8] FIG. 8 is a photograph of an exemplary self-righting article in a 000 capsule according to one set of embodiments. [Figure 9] FIG. 9 is a plot of self-righting article righting rates as tested (predicted) by a computer model, according to one set of embodiments. [Figure 10] FIG. 10 is a plot of (poly) self-righting article righting speed from high speed camera analysis, according to one set of embodiments. [Figure 11]FIG. 11 is a plot of (poly) self-righting article righting speed from high speed camera analysis, according to one set of embodiments. [Figure 12] FIG. 12 is a photograph of an exemplary self-righting article according to one set of embodiments. [Figure 13] FIG. 13 is a series of X-ray images of an exemplary self-righting article at 0, 45, and 90 degree orientations compared to a control (a washer) according to one set of embodiments. [Figure 14] FIG. 14 is an exemplary series of x-rays of self-righting articles in the GI of a pig, according to one set of embodiments. [Figure 15] FIG. 15 is an endoscopic view of an exemplary self-restoring article in the GI of a pig, according to one set of embodiments. [Figure 16] FIG. 16 is a plot of the fraction of articles restored according to one set of embodiments. [Figure 17] FIG. 17 is a plot for the shape of maximum slope according to one set of embodiments. [Figure 18] FIG. 18 is a photograph of a maximum tilt test apparatus according to one set of embodiments. [Figure 19] FIG. 19 is a photograph of an exemplary self-righting article with air / water vents according to one set of embodiments. [Figure 20] FIG. 20 is a photograph of an exemplary self-righting article comprising a magnetic portion attached to a magnetic object, according to one set of embodiments. [Figure 21] FIG. 21 is a schematic illustration of a self-actuating article according to one set of embodiments. [Figure 22] FIG. 22 is a schematic diagram of an exemplary self-actuated article, a photograph of the article in vivo, and a photograph of the article compared to an uncompressed spring, according to one set of embodiments. [Figure 23] FIG. 23 is a plot of force versus displacement for various spring constants according to one set of embodiments. [Figure 24] FIG. 24 is a plot of diameter versus time for sugar dissolution according to one set of embodiments. [Figure 25] FIG. 25 is a plot of spring actuation time versus diameter according to one set of embodiments. [Figure 26] FIG. 26 is a photograph and illustration of an exemplary tissue connection component (eg, a biopsy punch) associated with a spring, according to one set of embodiments. [Figure 27] FIG. 27 is a histology image of a needle from a spring-bearing article being inserted into tissue in vitro to reach the muscle layer of stomach tissue, according to one set of embodiments. [Figure 28] FIG. 28 is a schematic illustration of a tissue-connecting component, according to one set of embodiments. [Figure 29] FIG. 29 is a photograph of an in-plane needle made of 80% BSA and 20% PEG 200k w / w exposed to 3 metric tons of pressure at 100° C. for 2 minutes according to one set of embodiments. [Figure 30] FIG. 30 is a photograph of an in-plane needle made of 80% human insulin and 20% PEG 200k w / w exposed to 3 metric tons of pressure at 100° C. for 2 minutes according to one set of embodiments. [Figure 31] FIG. 31 is a photograph of an in-plane needle made of 80% human insulin and 20% PEG 200k w / w, with the tip created by dip coating with maltose, exposed to 2 metric tons of pressure, according to one set of embodiments. [Figure 32] FIG. 32 is a plot of insulin release versus time for components with relatively high API loading, according to one set of embodiments. [Figure 33] FIG. 33 is a plot of load (side load) versus elongation for various components having relatively high API loadings according to one set of embodiments. [Figure 34] FIG. 34 is a plot of load (axial load) versus elongation for various components having relatively high API loadings, according to one set of embodiments. [Figure 35]FIG. 35 is a plot of penetration force versus insertion depth for an exemplary component having a relatively high API load compared to a 32 gauge stainless steel needle, according to one set of embodiments. [Figure 36] FIG. 36 is a photograph of a component (e.g., spicules on a base plate) with a relatively high API loading made with 83% human insulin, 5% HPMC, 2% magnesium stearate, and 10% PEG 35k w / w, exposed to 3 metric tons of pressure at 100° C. for 2 minutes, according to one set of embodiments. [Figure 37] FIG. 37 is a schematic diagram of a method for fabricating components (e.g., needles) with relatively high API loading and a non-API baseplate, i.e., needle-like projections on a baseplate, made of 85% human insulin, 5% HPMC, and 10% PEG 35k w / w, exposed to 3 metric tons of pressure at 100° C. for 2 minutes, according to one set of embodiments. [Figure 38] 38 is a schematic diagram of a method for fabricating components with relatively high API loading (e.g., needle tips) and non-API baseplates and needle bases. According to one set of embodiments, needle-like projections on a baseplate made of 85% human insulin, 5% HPMC, and 10% PEG 35k w / w exposed to 3 metric tons of pressure at 100° C. for 2 minutes. [Figure 39] FIG. 39 is a plot of axial load for components (eg, microneedles) having relatively high API loading according to one set of embodiments. [Figure 40-1] Figure 40A is a photograph of an exemplary tissue-connecting component comprising 95% API by weight according to one set of embodiments. Figures 40B-40C are compression tests of the tissue-matching component tissue-connecting component in Figure 11A. [Figure 40-2] 40B-40C are compression tests of the tissue-matching and tissue-connecting components in FIG. 11A. [Figure 40-3]Figure 40D is a plot of percent insulin recovery versus temperature for a tissue-connecting component, according to one set of embodiments. Figure 40E is a plot of percent insulin dimer formation versus temperature, according to one set of embodiments. [Figure 41] FIG. 41 is a schematic diagram of an exemplary method for fabricating a component having multiple microneedles and a relatively high API loading, according to one set of embodiments. [Figure 42] 42A-42B are confocal microscope images of exemplary components carrying FITC-dextran, according to one set of embodiments. [Figure 43] FIG. 43 shows the dissolution of a tissue-connecting component with multiple microneedles and a relatively high API load after administration to various tissues according to one set of embodiments. [Figure 44] FIG. 44 shows the dissolution of a tissue-connecting component comprising multiple microneedles and a relatively high API load after administration to ex vivo human cheek tissue according to one set of embodiments. [Figure 45] FIG. 45 is a plot of blood concentration of insulin versus time following application to the small intestine of a pig for a tissue-connecting component comprising multiple microneedles and a relatively high insulin load, according to one set of embodiments. [Figure 46] FIG. 46 is a plot of blood concentration of insulin versus time following application to porcine palate tissue for a tissue-connecting component comprising multiple microneedles and a relatively high insulin load, according to one set of embodiments. [Figure 47] FIG. 47 is a plot of blood levels of human growth hormone versus time following application to the lips of a pig for a tissue-connecting component comprising multiple microneedles and a relatively high human growth hormone loading, according to one set of embodiments. [Figure 48]FIG. 48 is a plot of blood levels of human growth hormone versus time following application to porcine palate tissue for a tissue-connecting component comprising multiple microneedles and a relatively high human growth hormone loading according to one set of embodiments. [Figure 49] FIG. 49 is a plot of blood levels of human growth hormone versus time following application to the lips of a pig for a tissue-connecting component comprising multiple microneedles and a relatively high human growth hormone loading, according to one set of embodiments. [Figure 50] FIG. 50 is a plot of the activity of adalimumab before and after exposure to relatively high pressure and relatively high temperature, according to one set of embodiments. [Figure 51] 51 is a schematic diagram of a self-restoring system used for tissue localization and ejection of hooked microposts (i.e., hooks). An example of a 32-gauge stainless steel needle with a hook is shown on the left, according to one set of embodiments. [Figure 52] FIG. 52 is a plot of penetration force into porcine stomach tissue using hooked microposts according to one set of embodiments. [Figure 53] FIG. 53 is a plot of latching force based on penetration into porcine stomach tissue using hooked microposts according to one set of embodiments. [Figure 54] Figure 54 is a photograph of a hooked micropost attaching itself to a muscle fiber in porcine stomach tissue. [Figure 55] FIG. 55 is a plot of latching force based on penetration into human stomach tissue using hooked microposts according to one set of embodiments. [Figure 56] FIG. 56 is a plot of latching force based on penetration into porcine small intestine tissue using hooked microposts according to one set of embodiments. [Figure 57] FIG. 57 is a plot of lift height based on penetration into porcine small intestine tissue using hooked microposts according to one set of embodiments. [Figure 58]FIG. 58 is a photograph of hooked microposts attaching themselves to porcine small intestine tissue according to one set of embodiments. [Figure 59] Figure 59 is a schematic diagram of a horizontal tissue retention test model. According to one set of embodiments, a probe presses down on a device tethered to tissue via a needle and records the force required to release the device. [Figure 60] FIG. 60 is a plot of the force required to disengage a self-righting system according to one set of embodiments, which increases linearly with the number of needles inserted into the porcine stomach tissue. [Figure 61] FIG. 61 is a plot of the force required to detach a self-righting system from porcine stomach tissue versus needle distance according to one set of embodiments. [Figure 62] FIG. 62 is a schematic demonstrating the design of an in-vitro experiment in which a self-orienting device is tethered to porcine gastric tissue while undergoing pulsatile flow, according to one set of embodiments. [Figure 63] Figure 63 is a plot demonstrating that three devices with hooked microposts according to one set of embodiments retained their position for a full week, in contrast to the comparative system, which became dislodged in less than two days. [Figure 64] Figure 64 is a plot of tethering force for in-vivo and ex-vivo porcine stomachs. The ex-vivo measurements represent a study using three separate tissue samples from different stomachs, according to one set of embodiments. [Figure 65-1] FIG. 65A is a plot demonstrating in vivo, using a pig model, that a tethered self-orienting device, according to one set of embodiments, can maintain its position while being rotated up to 30 degrees and subjected to forces between 0.5 N and 0.75 N when encountering a force parallel to the stomach tissue (peaks and valleys correspond to the animal's breathing). [Figure 65-2]FIG. 65B is a plot showing the relationship between the number of auxiliary bodies attached to a self-righting device and the drag torque imposed on the system by stomach acid, according to one set of embodiments. [Figure 65-3] FIG. 65C is a plot comparing the size of a food loaf colliding with a self-righting device to the torque applied to the self-righting device, according to one set of embodiments. [Figure 66] FIG. 66 is a schematic diagram demonstrating how a parylene-coated electric probe, according to one set of embodiments, can conduct electricity through tissue, bypassing mucus (e.g., without the coating, electricity would flow through the mucus, which has lower resistance, and would not irritate the tissue). [Figure 67] FIG. 67 is a schematic diagram demonstrating an electrical stimulation pill according to one set of embodiments, including a self-orienting device containing two probes and a power source and programmable microcontroller encapsulated in an insulating shell (e.g., PDMS). [Figure 68] FIG. 68 is a plot demonstrating that current does not change significantly as the radius of a tissue stimulation electrical probe increases when powered by two silver oxide batteries (1.55 V, 6.8 mm coin cells) according to one set of embodiments. [Figure 69] FIG. 69 is a plot demonstrating that current decreases as the distance between tissue stimulating electrical probes increases when powered by two silver oxide batteries (1.55 V, 6.8 mm coin cells) according to one set of embodiments. [Figure 70] 70A-70B are plots showing that, according to one set of embodiments, an electrical probe powered by a voltage source delivers a pulse stimulus through tissue as measured by an oscilloscope (FIG. 70A), which can be compared to the background voltage measured within the tissue (FIG. 70B). [Figure 71-1]Figures 71A-71D show mechanical API localization and injection for oral gastric delivery. (Figure 71A) The exemplary system localizes to the stomach lining and leverages its unique shape to rapidly orient its injection mechanism to the tissue wall. Within one minute, the device is activated, injecting the drug payload into the mucosa and submucosa. The drug-loaded microposts then slowly dissolve, and the remainder of the device is expelled from the body. [Figure 71-2] Figures 71A-71D show mechanical API localization and injection for oral gastric delivery. (Figure 71B) Fabricated exemplary device. (Figure 71C) Comparison of a leopard tortoise (Stigmochelys pardalis) with a computationally optimized shape for self-orientation and stability within the stomach. The optimized shape has a more elongated body shape to allow for faster orientation times while still maintaining desirable stability in the gastric environment. (Figure 71D) The exemplary device, according to one set of embodiments, utilizes compression springs anchored within caramelized sucrose to provide force for micropost insertion. [Figure 72-1] Figures 72A-72E show the optimization and in vivo self-orientation of an exemplary system. (Figure 72A) High-speed imaging at 1000 FPS reveals that a SOMA device fabricated from a mixture of PCL and stainless steel self-aligns from 90° in 64 ms. (Figure 72B) Theoretical alignment times from a given initial angle for an ellipsoid, a sphere, and exemplary system shapes, all fabricated from the same mass of PCL and stainless steel. [Figure 72-2] Figures 72A-72E show the optimization and in vivo self-orientation of an exemplary system. (Figure 72C) Experimental measurements of the relative recovery time from a 90° starting angle of a weighted shape in different fluids when normalized to the recovery time in water (n=6, error bars=SEM). (Figure 72D) Experimental determination of the maximum tilt angle of a weighted 3D shape when exposed to a 15° rocking motion at 0.25 rad / s (n=3, error bars=SEM). [Figure 72-3]72A-72E show the optimization and in vivo self-orientation of exemplary systems. (E) According to one set of embodiments, two exemplary systems fabricated from PCL and stainless steel oriented in vivo after being dropped from a height of 5 cm in a pig stomach, while three exemplary devices fabricated solely from PCL failed to properly orient. [Figure 73-1] Figures 73A-73I show micropost fabrication and insertion force characterization of an exemplary system. (Figure 73A) (i) Five-part stainless steel mold for microposts. (ii) API mixture is screen printed into the tip compartment. (iii) Vibration ensures powder packing into the cavity. (iv) Top compartment is filled with biodegradable polymer. (v) Material is compressed at 550 MPa. [Figure 73-2] Figures 73A-73I show micropost fabrication and insertion force characterization of an exemplary system. (Figure 73B) Insulin microposts. (Figure 73C) MicroCT imaging shows an exemplary system delivering (i) barium sulfate microposts into (ii) porcine stomach tissue, with larger bases to ensure micropost stability during imaging. [Figure 73-3] Figures 73A-73I show micropost fabrication and insertion force characterization of an exemplary system. (Figure 73D) In ​​vivo insertion force profile measured in a pig stomach using insulin microposts propelled at 0.2 mm / s (n=2 stomachs, n=8 insertions, error bars = SEM). [Figure 73-4] Figures 73A-73I show micropost fabrication and insertion force characterization of an exemplary system. (Figure 73E) In vivo H&E stained histology results from Carr-Locke needle insertion into pig stomach tissue. (Figure 73F) H&E and insulin stained histology, and (Figure 73H) smooth muscle stained histology from insulin microposts injected in situ into a pig with a 5N spring in the exemplary system. (Figure 73G) H&E stained histology, and (Figure 73I) smooth muscle stained histology of steel microposts inserted ex vivo into a pig stomach with a 9N spring, according to one set of embodiments. [Figure 73-5] Figures 73A-73I show micropost fabrication and insertion force characterization of an exemplary system. (Figure 73E) In vivo H&E stained histology results from Carr-Locke needle insertion into pig stomach tissue. (Figure 73F) H&E and insulin stained histology, and (Figure 73H) smooth muscle stained histology from insulin microposts injected in situ into a pig with a 5N spring in the exemplary system. (Figure 73G) H&E stained histology, and (Figure 73I) smooth muscle stained histology of steel microposts inserted ex vivo into a pig stomach with a 9N spring, according to one set of embodiments. [Figure 74-1] Figures 74A-74D show in vivo API micropost delivery and device evaluation for an exemplary system. Plasma human insulin levels (Figures 74A and 74B) and plasma blood glucose (BG) levels (Figures 74C and 74D) were recorded in pigs after manual subcutaneous (SC) or intragastric (IG) injection of microposts containing human insulin (n=5, error bars = SEM). These pigs are compared to pigs administered with an exemplary system designed to localize the microposts to the tissue wall but not inject them (IG-free). 280 ± 15 μg of human insulin was implanted under the tissue for each injection test. The manually placed microposts contain 20% PEO 200kJ in addition to human insulin. BG drop was measured relative to the 15-minute time point, as BG levels fluctuated dramatically during this time due to anesthesia. BG drop was observed during both administration methods. The IG dataset, according to one set of embodiments, includes only pigs that were successfully fasted and had no residual food or significant gastric juices. [Figure 74-2] Same as above. [Figure 74-3] Same as above. [Figure 74-4] Same as above. [Figure 75]Figure 75 shows stainless steel toxicity testing for an exemplary system. Histology from the digestive tract of one of six rats given a single dose of 2000 mg / kg 316 stainless steel particles suspended in 1 mL canola oil by 15G oral gavage shows no abnormalities compared to a rat receiving only 1 mL canola oil, according to one set of embodiments. [Figure 76] Figure 76 shows an X-ray of the in vivo SOMA shape for an exemplary system. Six SOMA devices were administered to a pig, along with one control device with the same SOMA shape but uniform density. Due to the circular metal base of the SOMA, the device appeared on the X-ray as a perfect circle when fully oriented and a missing circle when unoriented. The control device was also marked with a thin metal washer. The pig was then rotated axially by up to 180° and tilted in the other direction by up to 30° to simulate walking and extensive exercise stress. The pig was then examined with an X-ray. This process was repeated 10 times, resulting in a 100% correct orientation rate for the SOMA devices and a 50% correct orientation rate for the control devices, according to one set of embodiments. [Figure 77] Figure 77 shows the gastric retention characteristics of an exemplary system. Six SOMA devices are shown passing through the GI tract of a pig over an 8-day period. The SOMA devices spent days 1-7 in the stomach. An x-ray on day 1 shows one SOMA device being delivered through the esophagus and five SOMA devices in the stomach. By day 2, all of the SOMA devices are in the stomach, where they remain until day 7. By day 8, four SOMA devices are shown to have entered the intestine. By day 9, no SOMA devices are present in the x-ray, indicating that the SOMA devices have been expelled from the pig. The pig showed no signs of obstruction throughout the experiment, according to one set of embodiments. [Figure 78]Figure 78 shows Raman spectroscopy of compressed insulin for an exemplary system. Several microposts were fabricated with insulin and PEO compressed at various pressures. Raman spectroscopy was used to analyze these API mixtures to determine whether any protein folding changes occurred during exposure to high pressure. (A) Human insulin and PEO 200k standard. The black circles represent peaks present in the insulin readings that are absent in the PEO readings. These peaks are analyzed in figures (C-E). (B) The differences between the two components allowed for the generation of visualizations of the mixture using built-in preprocessing and chemometrics by imaging software. The blue areas in this image contain higher amounts of PEO. All but five of the insulin Raman bands overlapped with the PEO bands. (C) Amide I band appearing at 1660 cm, Tyr peak appearing at 1613 cm, (D) phenylalanine (Phe) peak appearing at 1003 cm, (E) Phe peak appearing at 622.5 cm, and Tyr peak appearing at 644.3 cm. No increase in band shift or band width was observed, demonstrating no protein folding changes according to one set of embodiments. [Figure 79] Figure 79 shows compression insulin needle crush testing for an exemplary system. Rectangular pellets with dimensions of 3.3 x 0.55 x 0.55 mm were fabricated from the described insulin / PEO 200k mixture. These pellets demonstrated a Young's modulus of 730 ± 30 MPa during crush testing, which is similar to the Young's modulus of PEO. The ultimate strength of the pellets is 36 ± 2 N according to one set of embodiments. [Figure 80]Figure 80 shows the micropost dissolution profile for an exemplary system. Microposts containing 80% (wt) human insulin and 20% (wt) PEO 200k were dissolved in 2 mL of PBS in a Falcon tube at 37°C while shaking at 50 rpm on a laboratory shaker. 200 μL samples were taken every 3 minutes for the first 15 minutes, then every 5 minutes, and the removed liquid was replaced with fresh PBS. According to one set of embodiments, complete dissolution occurred within 1 hour. [Figure 81] 81A-81B show micropost API stability studies for an exemplary system: (A) Insulin purity and (B) high molecular weight protein (HMWP) concentration during a 16-week stability study according to one set of embodiments (n=3, error bars=SEM). [Figure 82] Figure 82 shows a schematic and photograph of the needle insertion mechanism for an exemplary system. Video-required in vivo and ex vivo insertion data was acquired using a tracking device consisting of a linear glide, a stepper motor, a 0.5N or 10N load cell, and a video camera. The bottom right photograph shows the 10N load cell attached to the device. According to one set of embodiments, all of the devices were controlled by a custom-built LabView instrument. [Figure 83]Figures 83A-83E show characterization of the sucrose actuation mechanism for an exemplary system. The concentration gradient for sucrose, modeled in COMSOL Multiphysics, as a sucrose cylinder dissolves in (A) a volume of water flowing at 0.02 m / s and (B) a volume of water without convection. The black circle indicates the contraction boundary of the sugar cylinder, with concentrations shown in mol / m³. (C) Dissolution rate of the sucrose cylinder for four experiments; the slope indicates the mass transfer coefficient between water and sucrose. (D) Time to actuation of the sucrose-coated spring, measured from the time the spring was immersed in DI water. The bar represents the experimental actuation time (n=3, error bars = standard deviation), and the line represents the time indicated by COMSOL. (E) High-speed images of a spring popping out of the sucrose coating as DI water is dripped onto the sucrose coating from above, according to one set of embodiments. [Figure 84] Figures 84A-84D show the zero-order kinetic release of implantable insulin microposts for an exemplary system. (A) Micropost shafts inserted into the subcutaneous (SC) cavity deliver insulin over 30 hours (n=6, error bars = SEM). (B) A sustained BG drop is seen over the first 15 hours. The pig ate at 22 hours, which caused a BG spike. These implants did not have sharp tips, but instead had 1.2 mm diameter rods that were 1 mm high. (C) Micropost shafts inserted into the intragastric (IG) cavity via laparotomy and gastrotomy deliver insulin over a 2-hour sampling period (n=5, error bars = SEM). (D) A dramatic BG drop is observed, which, according to one set of embodiments, can be attributed in part to the surgery. [Figure 85]Figures 85A-85D show enzyme activity assays of fabricated microposts for an exemplary system. (A) Micropost tips fabricated with 80% lysozyme and 20% PEO 200k, and (B) micropost tips fabricated with 40% glucose-6-phosphate dehydrogenase and 60% PEO 200k were dissolved, and (C-D) enzyme activity assays were performed to ensure the proteins remained active after the fabrication process. Controls represent uncompressed powder. According to one set of embodiments, the scale bar is 1 mm (error bars = SEM). [Figure 86] Figure 86 shows the sugar-coated spring fabrication workflow for an exemplary system. The sugar-coated springs were fabricated in a short four-step process: (I) a compressed spring was placed in a silicone mold; (II) caramelized sucrose heated to 210°C in an oven for 15 minutes was poured into the mold. Isomalt was also used. A custom-made plunger compressed the spring into the caramelized sucrose, and the mold was left to cool for several minutes; (III) the plunger was then removed; and (IV) the sucrose-encapsulated spring was pulled out of the mold. According to one set of embodiments, the size of the mold hole determined the width of the sugar-encapsulated spring. [Figure 87] Figure 87 shows an insulin quantification assay for an exemplary system. The ELISA and AlphaLisa experiments utilize a homogeneous bead assay that utilizes two monoclonal antibodies to human insulin. The assay, according to one set of embodiments, is more specific for human insulin than for porcine insulin. [Figure 88] FIG. 88 shows computational results from a self-oriented shape optimization for an exemplary system, according to one set of embodiments. DETAILED DESCRIPTION OF THE INVENTION

[0027] Detailed Description overview Self-restoring articles, such as self-restoring capsules, for administration to a subject are generally provided. In some embodiments, the self-restoring article may be configured to allow the article to be oriented relative to a surface (e.g., the surface of a tissue of a subject). The self-restoring articles described herein may include one or more tissue-engaging surfaces configured to engage with (e.g., align with, inject into, or tether to) a surface (e.g., the surface of a tissue of a subject). For example, the self-restoring article may be placed in proximity to a surface in any orientation, and the self-restoring article will (re)orient so that the tissue-engaging surface is in contact (e.g., direct contact) with the surface. In some embodiments, the self-restoring article may have a particular shape and / or density (or mass) distribution that, for example, enables the self-restoring behavior of the article. In some such embodiments, a capsule containing the self-restoring article can be administered to a subject (e.g., for delivery of the self-restoring article to a location within the subject's body, such as the gastrointestinal tract). In some embodiments, the self-restoring article may include a tissue-connecting component and / or a pharmaceutical agent (e.g., for delivery of a pharmaceutically active agent to a location within the subject's body). In some cases, the self-restoring article may be configured to release one or more tissue-connecting components when tissue contacts the tissue-engaging surface of the article. In some cases, the tissue-connecting components are associated with a self-actuating component. For example, the self-restoring article may include a self-actuating component configured to release the tissue-connecting component from the self-restoring article upon exposure to a fluid. In some cases, the tissue-connecting component may comprise and / or be associated with a medicinal agent (e.g., for delivery to a location within the subject's body).

[0028] The self-restoring articles described herein can be useful, for example, as a general platform for the delivery of a wide variety of pharmaceutical agents that would normally be delivered by injection directly into tissue due to degradation within the GI tract. In some cases, the self-restoring article can be configured to deliver the pharmaceutical agent to a subject at a desired location and / or at a desired time and / or for a desired period of time. In some embodiments, the self-restoring articles described herein can be used, for example, to deliver sensors and / or take biopsies without the need for endoscopic observation. In certain embodiments, the self-restoring articles described herein can be used to anchor one or more articles to the surface of tissue, for example, within the GI tract. In some cases, the self-restoring articles described herein can be used to deliver electrical stimulation directly to tissue.

[0029] Advantageously, in some embodiments, the self-restoring articles and / or self-actuating components described herein may be useful as a general platform for delivery of a wide variety of pharmaceutical agents (e.g., APIs) that are typically delivered by injection directly into tissue due to degradation within the GI tract. For example, the self-restoring articles may localize in a specified orientation to the tissue wall (which, for example, allows the loaded drug to pass through the GI tract fluids for an extended period of time before diffusing into the bloodstream). (This can avoid over-absorption.) The article can, in some cases, serve as a platform for increased bioavailability of drugs that are currently degraded by enzymes in the GI tract. Additionally, the article can allow mechanical and electrical mechanisms, such as needles, plungers, anchors, sensors, etc., to act directly at and / or through the tissue wall. Thus, in certain embodiments, the article can serve as a vehicle for delivering electronic devices or other items to the GI tract.

[0030] In some embodiments, a tissue-connecting component (e.g., a tissue-connecting component associated with a self-actuating component) can comprise a relatively high loading of an active pharmaceutical ingredient (e.g., a drug). For example, in certain embodiments, the tissue-connecting component comprises a solid therapeutic agent (e.g., a solid API) and, optionally, a support material (e.g., a binder such as a polymer) for the solid therapeutic agent to be present in the component in a relatively large amount relative to the total weight of the tissue-connecting component (e.g., greater than or equal to 80% by weight). Such tissue-connecting components can be useful for the delivery of API doses (e.g., to a subject). Advantageously, in some embodiments, the reduced volume required to deliver the required API dose compared to liquid formulations enables the creation of solid-needle delivery systems for a wide variety of drugs in various locations / tissues (e.g., the tongue, GI mucosal tissue, skin) and / or reduces and / or eliminates the application of external force to inject a drug solution through a small needle opening. In some cases, a physiologically relevant dose can be present in a single tissue-connecting component (e.g., a single tissue-connecting component has a relatively high API loading).

[0031] In an exemplary embodiment, the self-restoring article can include a tissue-connecting component and a self-actuating component associated with the tissue-connecting component (e.g., a self-actuating component comprising a spring and / or support).

[0032] As illustrated in FIG. 1 , in some embodiments, system 100 (e.g., a self-restoring article) comprises a tissue-engaging surface 150. While the embodiments described herein refer to a single tissue-engaging surface, in some embodiments, two or more tissue-engaging surfaces may be present. In certain embodiments, the self-restoring article may be designed and configured so that the tissue-engaging surface contacts a surface (e.g., a surface of tissue at a location within a subject's body, such as the surface of a subject's stomach). In some embodiments, system 100 will self-restoring (e.g., will orient without requiring or using an external force applied to the self-restoring article) so that the tissue-engaging surface 150 contacts the surface. In certain embodiments, the self-restoring article is configured such that an axis essentially perpendicular to the tissue-engaging surface preferentially aligns parallel to the direction of gravity. As described in more detail herein, the self-restoring article may be configured such that an axis essentially perpendicular to the tissue-engaging surface can maintain an orientation of 20 degrees or less from perpendicular under an externally applied torque. In some embodiments, the self-restoring article is configured such that the tissue-connecting component has its longest longitudinal axis oriented within 15 degrees of vertical when self-restoring.

[0033] Without wishing to be bound by theory, a self-righting article may be designed to self-right as a result of density (and / or mass) distribution within the self-righting article. For example, in some embodiments, system 100 (e.g., a self-righting article) comprises first portion 110 and second portion 115, where the first and second portions have different densities and / or different masses. Different densities / masses of self-righting articles are described in more detail herein. In certain embodiments, a self-righting article can have a particular shape that enables self-righting behavior. For example, as illustrated in FIG. 1 , system 100 has a monostatic shape (e.g., a rubber-box shape) as indicated by outer surface 170 of system 100. The term "monostatic," as used herein, is given its ordinary meaning in the art and refers to a single Monostatic generally refers to a three-dimensional shape that has a stable rest position (e.g., an equilibrium point). The term "monostatic," as used herein, is given its ordinary meaning in the art and generally refers to a three-dimensional shape that has a single stable rest position and a single unstable rest position. By way of example, and without wishing to be bound by theory, a sphere with a center of mass offset from the geometric center is generally considered to be a monostatic shape. The term "rubber bock," as used herein, is given its ordinary meaning in the art and generally refers to a convex three-dimensional shape that, when placed on a flat surface, has a single stable equilibrium point (or orientation) and a single unstable equilibrium point (or orientation). For example, and without wishing to be bound by theory, a rubber bock-type shape, when placed on a surface in any orientation other than the shape's single stable orientation, will tend to reorient to that single stable orientation. Such shapes are described in more detail below.

[0034] 2 shows a cross-sectional illustration of an exemplary system 102. In some embodiments, the system 102 comprises a self-actuating component 120. The self-actuating component 120 may be configured to release a tissue connection component 130 associated with the self-actuating component 120 from the system 102, for example, upon exposure to a particular fluid. For example, in some cases, the self-actuating component 120 comprises a spring 125, such that upon actuation of the self-actuating component, the spring 125 deploys and pushes the tissue connection component 130 out of the system 102 through a hole 140 (associated with the tissue engaging surface 150). In some cases, the spring 125 comprises a support 160 that maintains the spring 125 under compression (e.g., under a compressive strain of at least 5%). In some cases, the spring may be configured to release at least 10% (e.g., at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, including any percentage therein) of the spring's stored compressive energy (e.g., resulting in release of tissue-connecting component 130) when support material 160 and / or spring 125 are exposed to a fluid. In some embodiments, the spring is associated with the support material (e.g., at least partially enclosed by the support material and in direct contact with the support material).

[0035] In certain embodiments, the tissue-connecting component 130 includes a pharmaceutically active agent. In some embodiments, the pharmaceutically active agent can be present in the tissue-connecting component in a relatively large amount (e.g., greater than or equal to 10% by weight, greater than or equal to 80% by weight, or greater than or equal to 90% by weight, based on the total weight of the tissue-connecting component). The self-restoring articles described herein can, in some cases, be administered to a subject, for example, to deliver a pharmaceutical agent to the subject. For example, in some cases, the article can be administered to a subject, and the pharmaceutical agent is released from the article at a location within the subject's body. Administration of the article and release of the pharmaceutical agent are described in more detail herein.

[0036] In some embodiments, the system is administered to the subject (e.g., orally). In certain embodiments, the system is administered orally, rectally, intravaginally, nasally, or uretherally. In certain embodiments, upon reaching a location within the subject's body (e.g., the gastrointestinal tract), at least a portion of the support material degrades, causing the spring to elongate and / or the tissue-connecting component to align with (e.g., contact or penetrate) tissue located within the subject's body. In some embodiments, the location within the subject's body is the colon, duodenum, ileum, jejunum, stomach, or esophagus. As described above and herein, in some embodiments, the active pharmaceutical ingredient may be released during and / or after penetration of tissue located within the subject's body.

[0037] By way of example, and not wishing to be limited by such exemplary set of embodiments, the system may be orally administered to a subject, and the system may, in some cases, progress to the stomach of the subject. The system 100 then sinks to the fundus of the subject's stomach, and the system self-rights, such that the tissue-engaging surface of the system contacts the stomach tissue (e.g., the system is at least partially supported by the stomach tissue). For example, as schematically illustrated in FIG. 3 , exemplary system 100 is administered (e.g., orally) to a subject, such that system 100 enters the subject's digestive system 198. System 100 progresses through digestive system 198 until it reaches the subject's stomach 199 (system 100a). In some embodiments, system 100 sinks to the fundus of stomach 199 (system 100b), such that it contacts the surface of stomach 199. In certain embodiments, system 100 self-rights (system 100c), such that the tissue-engaging surface 150 of system 100 contacts the surface of stomach 199, and system 100 self-actuates, such that tissue connection component 130 conforms to the tissue at the location within the subject's body (e.g., the surface of stomach 199). While FIG. 3 illustrates alignment of the tissue connection component with the surface of the stomach 199, one skilled in the art will understand, based on the present teachings, that the tissue connection component may contact one or more layers below the surface of the stomach (or other locations within the subject's body), including, for example, the mucosal layer, the submucosal layer, and / or the muscle tissue layer.

[0038] In some cases, as described herein, the self-righting of system 100 can be driven by gravity (e.g., gravity acting against the center of mass of system 100). After a desired period of time, in some embodiments, system 100 degrades (e.g., tissue-connecting component 130 dissolves and / or is released) and exits stomach 199 (system 100d). The above description is not intended to be limiting, and one of ordinary skill in the art will appreciate that other interactions between the systems described herein and a subject's digestive system may occur. In some embodiments, system 100 is a monostatic body, as described in more detail below.

[0039] The following description provides various embodiments of the self-restoring, self-actuating, and relatively API-heavy components of the systems described herein. Self-restoring

[0040] As noted above, in some embodiments, the self-righting article comprises two or more portions having different average densities, such that, for example, the self-righting article can be oriented substantially perpendicular to a surface (e.g., a surface substantially perpendicular to gravity, a surface of a tissue, e.g., a wall of the digestive tract). In some cases, the self-righting article can have a particular shape, for example, that enables the self-righting behavior of the article. In some embodiments, the self-righting article can be disposed (e.g., encapsulated) within a capsule. In certain embodiments, the self-righting article is not provided within a capsule. In some embodiments, a capsule containing the self-righting article can be administered to a subject (e.g., to deliver the self-righting article to a location within the subject's body, such as the digestive tract). In some embodiments, the self-righting article and / or capsule can comprise a pharmaceutical agent (e.g., to deliver a pharmaceutically active agent to a location within the subject's body).

[0041] The self-restoring articles described herein can be useful, for example, as a general platform for delivery of a wide variety of pharmaceutical ingredients that would otherwise typically be delivered by injection directly into tissue due to degradation within the GI tract. In some embodiments, the self-restoring articles described herein can be used, for example, to deliver sensors and / or take biopsy samples without the need for endoscopic observation.

[0042] Advantageously, the self-restoring article can localize in a specified direction to the tissue wall (allowing, for example, a loaded drug to avoid prolonged passage through GI tract fluids before diffusing into the bloodstream). As described herein, the article can, in some cases, provide higher bioavailability for the absorption of drugs that are currently degraded enzymatically in the GI tract. In addition, the articles can allow mechanical and electrical mechanisms, such as needles, plungers, anchors, sensors, etc., to act directly at and / or within the tissue wall. Thus, in certain embodiments, the articles can serve as vehicles for delivering electronic devices or other items to the GI tract.

[0043] In some embodiments, the self-righting article can have a particular cross-sectional shape. In certain embodiments, the shape can be any suitable cross-sectional shape, including circular, oval, triangular, irregular, trapezoidal, square, rectangular, or the like. In certain embodiments, the self-righting article is non-spherical. In some embodiments, the self-righting article can be monostatic and / or have only one stable point (e.g., the self-righting article can stably maintain a particular orientation at only one given orientation). In exemplary embodiments, the self-righting article has a rubber block shape and / or includes rubber block-shaped components. A self-righting article having a rubber block shape can self-right to a particular orientation without additional force upon displacement from that orientation. In some cases, the self-righting article can self-right in a fluid (e.g., a liquid with a relatively low viscosity, a liquid with a relatively high viscosity). Advantageously, this shape is such that the self-restoring article is described as orienting the self-restoring article predictably and quickly, and further minimizing movement due to forces within the GI tract. In some cases, at least a surface of the self-restoring article comprises a flat surface. For example, as illustrated in Figures 1 and 2, in some embodiments, tissue-engaging surface 150 can be flat.

[0044] 1 , in some embodiments, a self-righting article comprises a first portion 110 and a second portion 115 adjacent to the first portion 110, the second portion having a different average density and / or a different mass than the first portion. For example, in some embodiments, a self-righting article comprises a first portion and a second portion adjacent to the first portion, the second portion having a different average density than the first portion. For example, the first portion can have a first average density and the second portion can have a second average density that is different from the first average density. In some embodiments, the ratio of the average density of the first portion to the average density of the second portion can be greater than 1:1, greater than or equal to 2:1, greater than or equal to 2.5:1, greater than or equal to 3:1, greater than or equal to 3.5:1, greater than or equal to 4:1, greater than or equal to 4.5:1, greater than or equal to 5:1, greater than or equal to 5.5:1, greater than or equal to 5.5:1, greater than or equal to 6:1, greater than or equal to 6.5:1, greater than or equal to 7:1, greater than or equal to 8:1, greater than or equal to 9:1, or greater than or equal to 10:1. In certain embodiments, the ratio of the average density of the first portion to the average density of the second portion can be less than or equal to 15:1, less than or equal to 10:1, less than or equal to 9:1, less than or equal to 8:1, less than or equal to 7:1, less than or equal to 6.5:1, less than or equal to 6:1, less than or equal to 5.5:1, less than or equal to 5:1, less than or equal to 4.5:1, less than or equal to 4:1, less than or equal to 3.5:1, less than or equal to 3:1, less than or equal to 2.5:1, less than or equal to 2:1, or less than or equal to 1.5:1.Combinations of the above-referenced ranges are possible (e.g., greater than or equal to 1:1 and less than or equal to 15:1). Other ranges are possible. Without wishing to be bound by theory, it is believed that a self-righting article having a first portion and a second portion with different average densities may result in a more uniform and more uniform distribution of the material. and to have a specific orientation relative to a surface (e.g., the wall of the gastrointestinal track). It can be a self-restoring article that remains substantially intact.

[0045] In some embodiments, the ratio of the average density of the second portion to the average density of the first portion can be greater than 1:1, greater than or equal to 2:1, greater than or equal to 2.5:1, greater than or equal to 3:1, greater than or equal to 3.5:1, greater than or equal to 4:1, greater than or equal to 4.5:1, greater than or equal to 5:1, greater than or equal to 5.5:1, greater than or equal to 5.5:1, greater than or equal to 6:1, greater than or equal to 6.5:1, greater than or equal to 7:1, greater than or equal to 8:1, greater than or equal to 9:1, or greater than or equal to 10:1. In certain embodiments, the ratio of the average density of the second portion to the average density of the first portion can be less than or equal to 15:1, less than or equal to 10:1, less than or equal to 9:1, less than or equal to 8:1, less than or equal to 7:1, less than or equal to 6.5:1, less than or equal to 6:1, less than or equal to 5.5:1, less than or equal to 5:1, less than or equal to 4.5:1, less than or equal to 4:1, less than or equal to 3.5:1, less than or equal to 3:1, less than or equal to 2.5:1, less than or equal to 2:1, or less than or equal to 1.5:1. Combinations of the above-mentioned ranges are possible (e.g., greater than or equal to 1:1 and less than or equal to 15:1). Other ranges are also possible.

[0046] In some embodiments, a self-righting article comprises a first portion and a second portion adjacent to the first portion, the second portion having a different mass than the first portion. For example, the first portion can have a first mass, and the second portion can have a second mass different from the first mass. In some embodiments, the ratio of the mass of the first portion to the mass of the second portion can be greater than 1:1, greater than or equal to 2:1, greater than or equal to 2.5:1, greater than or equal to 3:1, greater than or equal to 3.5:1, greater than or equal to 4:1, greater than or equal to 4.5:1, greater than or equal to 5:1, greater than or equal to 5.5:1, greater than or equal to 5.5:1, greater than or equal to 6:1, greater than or equal to 6.5:1, greater than or equal to 7:1, greater than or equal to 8:1, greater than or equal to 9:1, or greater than or equal to 10:1. In certain embodiments, the ratio of the mass of the first portion to the mass of the second portion can be less than or equal to 15:1, less than or equal to 10:1, less than or equal to 9:1, less than or equal to 8:1, less than or equal to 7:1, less than or equal to 6.5:1, less than or equal to 6:1, less than or equal to 5.5:1, less than or equal to 5:1, less than or equal to 4.5:1, less than or equal to 4:1, less than or equal to 3.5:1, less than or equal to 3:1, less than or equal to 2.5:1, less than or equal to 2:1, or less than or equal to 1.5:1. Combinations of the above-mentioned ranges are possible (e.g., greater than or equal to 1:1 and less than or equal to 15:1). Other ranges are also possible. While not wishing to be bound by theory, it is believed that a self-righting article having a first portion and a second portion with different masses may result in a surface (e.g., The article can be a self-restoring article that substantially maintains a particular orientation relative to the wall of the gastrointestinal tract (for example, the wall of the gastrointestinal tract).

[0047] In some embodiments, the ratio of the mass of the second portion to the mass of the first portion can be greater than 1:1, greater than or equal to 2:1, greater than or equal to 2.5:1, greater than or equal to 3:1, greater than or equal to 3.5:1, greater than or equal to 4:1, greater than or equal to 4.5:1, greater than or equal to 5:1, greater than or equal to 5.5:1, greater than or equal to 5.5:1, greater than or equal to 6:1, greater than or equal to 6.5:1, greater than or equal to 7:1, greater than or equal to 8:1, greater than or equal to 9:1, or greater than or equal to 10:1. In certain embodiments, the ratio of the mass of the second portion to the mass of the first portion can be less than or equal to 15:1, less than or equal to 10:1, less than or equal to 9:1, less than or equal to 8:1, less than or equal to 7:1, less than or equal to 6.5:1, less than or equal to 6:1, less than or equal to 5.5:1, less than or equal to 5:1, less than or equal to 4.5:1, less than or equal to 4:1, less than or equal to 3.5:1, less than or equal to 3:1, less than or equal to 2.5:1, less than or equal to 2:1, or less than or equal to 1.5:1. Combinations of the above-mentioned ranges are possible (e.g., greater than or equal to 1:1 and less than or equal to 15:1). Other ranges are also possible.

[0048] 4, system 100 may include a first portion 110 and a second portion 120 adjacent to first portion 110. As used herein, when a portion is said to be "adjacent" to another portion, it may be directly adjacent to (e.g., in contact with) that portion, or there may be one or more intervening components (e.g., liquid, hollow portion). A portion "directly adjacent" to another portion means that there are no intervening components present.

[0049] For example, referring again to Figure 1, first portion 110 can occupy a first volume of the self-righting article having a first average density and / or mass, and second portion 115 can occupy the remaining volume of the self-righting article having a second average density and / or mass. In certain embodiments, referring back to Figure 4, first portion 110 can occupy the first volume of the self-righting article, second portion 115 can occupy the second volume of the self-righting article, and third portion 130 can be hollow and / or contain one or more (additional) components.

[0050] In some embodiments, the first portion comprises greater than or equal to 1 volume percent, greater than or equal to 5 volume percent, greater than or equal to 10 volume percent, greater than or equal to 20 volume percent, greater than or equal to 25 volume percent, greater than or equal to 30 volume percent, greater than or equal to 40 volume percent, greater than or equal to 45 volume percent, greater than or equal to 50 volume percent, greater than or equal to 55 volume percent, greater than or equal to 60 volume percent, greater than or equal to 65 volume percent, greater than or equal to 70 volume percent, greater than or equal to 75 volume percent, greater than or equal to 80 volume percent, greater than or equal to 90 volume percent, or greater than or equal to 95 volume percent of the total volume of the self-righting article. In certain embodiments, the first portion comprises greater than or equal to 1 volume percent of the total volume of the self-righting article. The percentage by volume is less than or equal to 99% by volume, less than or equal to 95% by volume, less than or equal to 90% by volume, less than or equal to 80% by volume, less than or equal to 75% by volume, less than or equal to 70% by volume, less than or equal to 60% by volume, less than or equal to 55% by volume, less than or equal to 50% by volume, less than or equal to 45% by volume, less than or equal to 40% by volume, less than or equal to 30% by volume, less than or equal to 25% by volume, less than or equal to 20% by volume, less than or equal to 10% by volume, or less than or equal to 5% by volume. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 1% by volume and less than or equal to 99% by volume, greater than or equal to 40% by volume and less than or equal to 60% by volume). Other ranges are also possible.

[0051] In certain embodiments, the second portion comprises greater than or equal to 1 volume percent, greater than or equal to 5 volume percent, greater than or equal to 10 volume percent, greater than or equal to 20 volume percent, greater than or equal to 25 volume percent, greater than or equal to 30 volume percent, greater than or equal to 40 volume percent, greater than or equal to 45 volume percent, greater than or equal to 50 volume percent, greater than or equal to 55 volume percent, greater than or equal to 60 volume percent, greater than or equal to 65 volume percent, greater than or equal to 70 volume percent, greater than or equal to 75 volume percent, greater than or equal to 80 volume percent, greater than or equal to 90 volume percent, or greater than or equal to 95 volume percent, relative to the total volume of the self-righting article. In some embodiments, the second portion accounts for less than or equal to 99% by volume, less than or equal to 95% by volume, less than or equal to 90% by volume, less than or equal to 80% by volume, less than or equal to 75% by volume, less than or equal to 70% by volume, less than or equal to 60% by volume, less than or equal to 55% by volume, less than or equal to 50% by volume, less than or equal to 45% by volume, less than or equal to 40% by volume, less than or equal to 30% by volume, less than or equal to 25% by volume, less than or equal to 20% by volume, less than or equal to 10% by volume, or less than or equal to 5% by volume, based on the total volume of the self-righting article. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 1% by volume and less than or equal to 99% by volume, greater than or equal to 40% by volume and less than or equal to 60% by volume). Other ranges are also possible.

[0052] In some embodiments, the third portion (e.g., the hollow portion) comprises, relative to the total volume of the self-righting article, greater than or equal to 1 volume %, greater than or equal to 5 volume %, greater than or equal to 10 volume %, greater than or equal to 20 volume %, greater than or equal to 25 volume %, greater than or equal to 30 volume %, greater than or equal to 40 volume %, greater than or equal to 45 volume %, greater than or equal to 50 volume %, greater than or equal to 55 volume %, greater than or equal to 60 volume %, greater than or equal to 65 volume %, greater than or equal to 70 volume %, greater than or equal to 75 volume %, greater than or equal to 80 volume %, greater than or equal to 90 volume %, or greater than or equal to 95 volume %. In certain embodiments, the third portion is less than or equal to 99% by volume, less than or equal to 95% by volume, less than or equal to 90% by volume, less than or equal to 80% by volume, less than or equal to 75% by volume, less than or equal to 70% by volume, less than or equal to 60% by volume, less than or equal to 55% by volume, less than or equal to 50% by volume, less than or equal to 45% by volume, less than or equal to 40% by volume, less than or equal to 30% by volume, less than or equal to 25% by volume, less than or equal to 20% by volume, less than or equal to 10% by volume, or less than or equal to 5% by volume, based on the total volume of the self-righting article. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 1% by volume and less than or equal to 99% by volume, greater than or equal to 40% by volume and less than or equal to 60% by volume). Other ranges are also possible.

[0053] In some embodiments, the self-righting article can include any suitable ratio of a first volume occupied by a first portion to a second volume occupied by a second portion. In certain embodiments, the ratio of the first volume to the second volume is greater than or equal to 1:100, greater than or equal to 1:50, greater than or equal to 1:25, greater than or equal to 1:10, greater than or equal to 1:8, greater than or equal to 1:6, greater than or equal to 1:4, greater than or equal to 1:3, greater than or equal to 1:2, greater than or equal to 1:1.5, greater than or equal to 1:1.1, greater than or equal to 1:1, greater than or equal to 1.1:1, greater than or equal to 1.5:1, greater than or equal to 2:1, greater than or equal to 3:1, greater than or equal to 4:1, greater than or equal to 6:1, greater than or equal to 8:1, greater than or equal to 10:1, greater than or equal to 25:1, or greater than or equal to 50:1.In certain embodiments, the ratio of the first volume to the second volume is less than or equal to 100:1, less than or equal to 50:1, less than or equal to 25:1, less than or equal to 10:1, less than or equal to 8:1, less than or equal to 6:1, less than or equal to 4:1, less than or equal to 2:1, less than or equal to 1.5:1, less than or equal to 1.1:1, less than or equal to 1:1, less than or equal to 1:1.1, less than or equal to 1:1.5, less than or equal to 1:2, less than or equal to 1:4, less than or equal to 1:6, less than or equal to 1:8, less than or equal to 1:10, less than or equal to 1:25, or less than or equal to 1:50. Combinations of the above-mentioned ranges are possible (e.g., greater than or equal to 1:100 and less than or equal to 100:1; greater than or equal to 1:10 and less than or equal to 10:1; greater than or equal to 1:2 and less than or equal to 2:1). Other ranges are possible. Other volume ratios are also possible. While not wishing to be bound by theory, in some embodiments, the ratio of a first volume occupied by a first portion to a second volume occupied by a second portion can be selected such that the center of mass of the self-righting article has a minimum value of 1.

[0054] In some embodiments, the self-restoring article is configured to be administered directly to a subject (e.g., without encapsulation). In certain embodiments, the self-restoring article comprises a shell ( For example, the self-restoring article may be configured or arranged to be encapsulated in a capsule having a surface 170 (e.g., outer surface 170 of FIG. 4 constitutes a shell). In some such embodiments, and referring now to FIG. 4, the self-restoring article may include a third portion 130 (e.g., a hollow portion). In certain embodiments, a tissue-connecting component and / or an active pharmaceutical ingredient may be disposed within the hollow portion.

[0055] In some embodiments, the capsule is a 000 capsule or smaller (e.g., the capsule has a shape or size as described in the USP, including, but not limited to, a 000 capsule, a 00 capsule, a 0 capsule, a 1 capsule, a 2 capsule, a 3 capsule, a 4 capsule, or a 5 capsule). In certain embodiments, the capsule at least partially encloses a first portion and a second portion of the self-righting article. In some embodiments, multiple devices can be disposed within the capsule.

[0056] In some embodiments, the self-restoring article may be configured for potential inclusion in a 000 capsule or smaller, although the self-restoring article need not necessarily be enclosed in such a capsule. In embodiments in which the self-restoring article is to be administered, e.g., by ingesting the self-restoring article, the self-restoring article may therefore also be administered without being enclosed.

[0057] In certain embodiments, a self-righting article can include a coating on at least a portion of the exterior surface of the self-righting article. In certain embodiments, a system (e.g., a system including a self-righting article) includes a coating (e.g., a film disposed on at least a surface of the system). In some embodiments, the coating can be coated as an aqueous or organic solvent-based polymer system, a fat, and / or a wax. In certain embodiments, the coating includes one or more of a polymer, a plasticizer, a colorant, a solvent, a fat, and a wax. Non-limiting examples of suitable fats and / or waxes include beeswax, carnauba wax, cetyl alcohol, and cetostearyl alcohol.

[0058] Non-limiting examples of polymers suitable for coating include cellulosics (e.g., hydroxypropyl methylcellulose, hydroxypropyl cellulose, hydroxyethyl cellulose, hydroxyethyl cellulose phthalate, ethyl cellulose, cellulose acetate phthalate, cellulose acetate trimellitate), vinyls (e.g., poly(vinylpyrrolidone), poly(vinyl alcohol), poly(vinylpyrrolidone)-poly(vinyl acetate) copolymer, poly(vinyl alcohol)-poly(ethylene glycol) copolymer, poly(vinyl acetate phthalate), glycols (e.g., poly(ethylene glycol)), acrylics (e.g., aminoalkyl methacrylate copolymers), other carbohydrates (e.g., maltodextrin, polydextrose), and combinations thereof.

[0059] Non-limiting examples of suitable colorants include natural colors (e.g., riboflavin, beta-carotene, carmine lake), inorganic pigments (e.g., titanium dioxide, iron oxide), water-soluble dyes (FD&C Yellow #5, FD&C Blue #2), FD&C lakes (FD&C Yellow #5 Lake, FD&C Blue #2 Lake), and D&C lakes (D&C Yellow #10 Lake, D&C Red #30 Lake).

[0060] Non-limiting examples of suitable plasticizers include polyhydric alcohols (e.g., propylene glycol, glycerol, polyethylene glycol), acetate esters (e.g., triacetin, triethyl citrate, acetyltriethyl citrate), phthalate esters (e.g., diethyl phthalate), glycerides (e.g., acylated monoglycerides), and oils (e.g., castor oil, mineral oil).

[0061] The polymer, plasticizer, colorant, solvent, fat, and / or wax can be combined in any suitable amount to form the coating. The coating can be applied by any suitable method, including, for example, dip coating and / or spray atomization. Other methods of depositing the coating are also possible.

[0062] In some embodiments, a tissue-connecting component is associated with the self-restoring article. Non-limiting examples of tissue-connecting components include needles (e.g., stainless steel needles, needles containing an API), biopsy punches, microneedles (e.g., microneedles containing an API), protrusions, or the like.

[0063] In certain embodiments, the tissue-connecting component includes a jet injection component (e.g., for liquid jet injection into tissue within a subject using a high-velocity stream). In an exemplary embodiment, the jet injection component includes a chamber comprising a polymeric portion. In certain embodiments, the polymeric portion can include an acid (e.g., a weak acid) and / or a base. In some cases, a fluid (e.g., gastric fluid) enters the chamber and reacts with the acid and / or base to form a gas. In some cases, the chamber can include a coating (e.g., to prevent fluid from contacting the polymeric portion under the coating dissolves). In another exemplary embodiment, the jet injection component includes a plunger / piston (e.g., activated by a spring associated with the plunger / piston) for rapidly expelling material from the system.

[0064] In some embodiments, the tissue-connecting component comprises a spring-actuated component. Such tissue-connecting components are generally described in commonly owned U.S. Provisional Patent Application No. 62 / 507,653, filed May 17, 2017, entitled "SELF-ACTUATING ARTICLES," which is incorporated herein by reference in its entirety. For example, a self-righting article comprising a tissue-connecting component (e.g., a needle) can be administered to a subject, such that the self-righting article orients itself at a location within the subject's body so that the tissue-connecting component pierces tissue adjacent to the location within the subject's body. In some such modified embodiments, an active pharmaceutical ingredient associated with the self-righting article can be released into and / or adjacent to the tissue. In some embodiments, the tissue-connecting component can penetrate tissue. In some embodiments, the tissue is penetrated with a force greater than or equal to 1 mN and less than or equal to 20,000 mN (e.g., greater than or equal to 10 mN and less than or equal to 20 mN, greater than or equal to 10 mN and less than or equal to 100 mN, greater than or equal to 100 mN and less than or equal to 20,000 mN, greater than or equal to 5,000 mN and less than or equal to 20,000 mN).

[0065] In certain embodiments, the tissue connection component can be oriented within the self-restoring article such that, upon administration to a subject, the tissue connection component is aligned substantially perpendicular (e.g., within 15° of perpendicular) with a tissue within the subject's body (e.g., GI mucosal tissue). In some embodiments, the tissue connection component can be positioned within a hollow portion of the self-restoring device such that the tissue connection component is released from the self-restoring device along the longitudinal axis of the hollow portion. For example, referring again to FIG. 2 , the self-restoring article can have a longest longitudinal axis 180 that is aligned within 15° of perpendicular to the tissue engaging surface 150. In certain embodiments, the longest longitudinal axis 180 is parallel to the major axis of the tissue connection component 130. In some embodiments, the tissue connection component 130 is released (e.g., upon activation of the self-actuating component 120 and / or the spring 125), resulting in the spring 125 unfolding along the longitudinal axis 180 and / or the tissue connection component running parallel to the direction of the longitudinal axis 180. In some such embodiments, the tissue connection component can exit hole 140 and enter the tissue of the subject in a direction substantially parallel to longitudinal axis 180. However, in other embodiments, the tissue connection component is not aligned substantially orthogonally with the tissue within the subject's body.

[0066] In some embodiments, the self-righting article has a longest longitudinal axis that is oriented within a range of less than or equal to 15 degrees, less than or equal to 10 degrees, less than or equal to 5 degrees, less than or equal to 2 degrees, or less than or equal to 1 degree from vertical when self-righting. In certain embodiments, the self-righting article has a longest longitudinal axis that is oriented within a range of greater than or equal to 0.1 degrees, greater than or equal to 1 degree, greater than or equal to 2 degrees, greater than or equal to 5 degrees, or greater than or equal to 10 degrees. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 0.1 degrees and less than or equal to 15 degrees). Other ranges are also possible.

[0067] In certain embodiments, the tissue-connecting component has a longest longitudinal axis that is oriented within a range of less than or equal to 15 degrees, less than or equal to 10 degrees, less than or equal to 5 degrees, less than or equal to 2 degrees, or less than or equal to 1 degree from the vertical when self-restoring. In some embodiments, the tissue-connecting component has a longest longitudinal axis that is oriented within a range of greater than or equal to 0.1 degrees, greater than or equal to 1 degree, greater than or equal to 2 degrees, greater than or equal to 5 degrees, or greater than or equal to 10 degrees. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 0.1 degrees and less than or equal to 15 degrees). Other ranges are also possible.

[0068] In some embodiments, the hollow portion may be cylindrical in shape. Other shapes are possible.

[0069] In an exemplary embodiment, the tissue connection component comprises a plurality of microneedles. In another exemplary embodiment, the tissue connection component comprises a single needle. In yet another exemplary embodiment, the tissue connection component comprises a biopsy component (e.g., a biopsy jaw). In some cases, the tissue connection component may comprise an anchoring mechanism (e.g., a hook, a mucoadhesive). Tissue connection components are described in more detail below.

[0070] As noted above, in some embodiments, the first portion comprises a first material having a first average density, hi some embodiments, the first material and / or the second material can be selected to impart a particular mass and / or density to the first portion and / or the second portion.

[0071] In some embodiments, the average density of the first portion is less than or equal to 2 g / mL, less than or equal to 1.8 g / mL, less than or equal to 1.6 g / mL, less than or equal to 1.4 g / mL, less than or equal to 1.2 g / mL, less than or equal to 1 g / mL, less than or equal to 0.8 g / mL, less than or equal to 0.6 g / mL, less than or equal to 0.4 g / mL, less than or equal to 0.2 g / mL, less than or equal to 0.1 g / mL, less than or equal to 0.05 g / mL, or less than or equal to 0.02 g / mL. In certain embodiments, the first portion is greater than or equal to 0.01 g / mL, greater than or equal to 0.02 g / mL, greater than or equal to 0.05 g / mL, greater than or equal to 0.1 g / mL, greater than or equal to 0.2 g / mL, greater than or equal to 0.4 g / mL, greater than or equal to 0.6 g / mL, or The average density is greater than or equal to 0.8 g / mL, greater than or equal to 1 g / mL, greater than or equal to 1.2 g / mL, greater than or equal to 1.4 g / mL, greater than or equal to 1.6 g / mL, or greater than or equal to 1.8 g / mL. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 0.01 g / mL and less than or equal to 2 g / mL, greater than or equal to 0.6 g / mL and less than or equal to 2 g / mL). Other ranges are also possible.

[0072] In certain embodiments, the second portion comprises a second material having a second average density (e.g., different from the first average density). In some embodiments, the average density of the second portion (e.g., and / or the second material) is less than or equal to 20 g / mL, less than or equal to 18 g / mL, less than or equal to 16 g / mL, less than or equal to 14 g / mL, less than or equal to 12 g / mL, less than or equal to 10 g / mL, less than or equal to 8 g / mL, less than or equal to 6 g / mL, less than or equal to 4 g / mL, or less than or equal to 3 g / L. In certain embodiments, the average density of the second portion is greater than or equal to 2 g / mL, greater than or equal to 3 g / mL, greater than or equal to 4 g / mL, greater than or equal to 6 g / mL, greater than or equal to 8 g / mL, greater than or equal to 10 g / mL, greater than or equal to 12 g / mL, greater than or equal to 14 g / mL, greater than or equal to 16 g / mL, or greater than or equal to 18 g / mL. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 2 g / mL and less than or equal to 20 g / mL). Other ranges are also possible. In some embodiments, the second portion may have an average density in one or more ranges described above in connection with the first portion (e.g., greater than or equal to 0.6 g / mL and less than or equal to 2 g / mL), or may have an average density that is different from the average density of the first portion.

[0073] The first and second portions can be selected to have any suitable mass. In some embodiments, the first portion can have a total mass (e.g., including all components in the first portion) of greater than or equal to 20 mg, greater than or equal to 50 mg, greater than or equal to 75 mg, greater than or equal to 100 mg, greater than or equal to 200 mg, greater than or equal to 300 mg, greater than or equal to 400 mg, greater than or equal to 500 mg, greater than or equal to 750 mg, greater than or equal to 1 g, greater than or equal to 1.5 g, greater than or equal to 2 g, greater than or equal to 3 g, greater than or equal to 4 g, greater than or equal to 5 g, greater than or equal to 7 g, greater than or equal to 10 g, or greater than or equal to 15 g, including any mass between 20 mg and 15 g. In certain embodiments, the first portion comprises any mass between 15 g and 20 mg, less than or equal to 15 g, less than or equal to 10 g, less than or equal to 7 g, less than or equal to 5 g, less than or equal to 4 g, less than or equal to 3 g, less than or equal to 2 g, less than or equal to 1.5 g, less than or equal to 1 g, less than or equal to 750 mg, less than or equal to 500 mg, less than or equal to 400 mg, less than or equal to 300 mg, less than or equal to 200 mg, less than or equal to 100 mg, less than or equal to 75 mg, less than or equal to 50 mg The first or second portion may have a total mass of 100 mg or less than 20 mg. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 50 mg and less than 4 g, greater than or equal to 50 mg and less than 15 g). In some embodiments, the first or second portion has a mass in the range of greater than or equal to 20 mg and less than 15 g. In some embodiments, the first or second portion has a mass in the range of greater than or equal to 20 mg and less than 1 g. In some embodiments, the first or second portion has a mass in the range of greater than or equal to 300 mg and less than 12 g. In some embodiments, the first or second portion has a mass in the range of greater than or equal to 100 mg and less than 250 mg. In some embodiments, the first or second portion has a mass in the range of greater than or equal to 20 mg and less than 15 g. In some embodiments, the first portion or the second portion has a mass in the range of greater than or equal to 1.5 and less than or equal to 6.5 g. Other ranges are possible.

[0074] In certain embodiments, the second portion can have a total mass (e.g., including all components in the second portion) of greater than or equal to 50 mg, greater than or equal to 75 mg, greater than or equal to 100 mg, greater than or equal to 200 mg, greater than or equal to 400 mg, greater than or equal to 500 mg, greater than or equal to 750 mg, greater than or equal to 1 g, greater than or equal to 1.5 g, greater than or equal to 2 g, greater than or equal to 3 g, greater than or equal to 4 g, greater than or equal to 5 g, greater than or equal to 7 g, or greater than or equal to 10 g. In certain embodiments, the second portion may have a total mass of less than or equal to 15 g, less than or equal to 10 g, less than or equal to 7 g, less than or equal to 5 g, less than or equal to 4 g, less than or equal to 3 g, less than or equal to 2 g, less than or equal to 1.5 g, less than or equal to 1 g, less than or equal to 750 mg, less than or equal to 500 mg, less than or equal to 400 mg, less than or equal to 200 mg, less than or equal to 100 mg, or less than or equal to 75 mg. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 50 mg and less than or equal to 4 g, greater than or equal to 50 mg and less than or equal to 15 g). Other ranges are also possible.

[0075] In some embodiments, the first material and / or the second material is selected from the group consisting of a polymer, a ceramic, a metal, and combinations thereof (e.g., a metal-filled polymer). In some cases, the first material and / or the second material can be biocompatible. In some cases, the metal can be selected from the group consisting of stainless steel, iron-carbon alloys, field metals, tungsten, molybdenum, gold, zinc, iron, and titanium.

[0076] In some embodiments, the ceramic can be selected from the group consisting of hydroxyapatite, aluminum oxide, calcium oxide, tricalcium phosphate, silicates, silicon dioxide, and zirconium oxide.

[0077] In certain embodiments, the polymer is selected from the group consisting of polycaprolactone, polylactic acid, polyethylene glycol, polypropylene, polyethylene, polycarbonate, polystyrene, and polyetheretherketone, and polyvinyl alcohol. can be done.

[0078] In an exemplary embodiment, the first material comprises a metal and the second material comprises a polymer.

[0079] A self-righting article generally has a geometric center (e.g., a geometric center of volume). In certain embodiments, the density, mass, and / or volume of the first and / or second portions can be selected so that the self-righting article exhibits self-righting behavior. For example, in some embodiments, the center of mass of the self-righting article can be offset from the geometric center, such that an article suspended via an axis passing through the geometric center will have a center of mass that is laterally offset from the geometric center, resulting in a 0.09×10 -4 It is configured to maintain an orientation of 20 degrees or less from vertical when subjected to an externally applied torque of Nm or less.

[0080] In some embodiments, the self-righting article has a resistance of 0.09×10 -4Nm or less, the self-righting article maintains an orientation of 20° or less from vertical. -4 When subjected to an externally applied torque of 0.09×10 Nm or less, the self-righting article maintains an orientation of 15° or less, 12° or less, 10° or less, 8° or less, 6° or less, 4° or less, or 2° or less from vertical. -4 When subjected to an externally applied torque of Nm or less, the orientation is maintained at greater than or equal to 1°, greater than or equal to 2°, greater than or equal to 4°, greater than or equal to 6°, greater than or equal to 8°, greater than or equal to 10°, greater than or equal to 12°, or greater than or equal to 15° from vertical. Combinations of the above-mentioned ranges are also possible (e.g., 20° or less and greater than or equal to 1°). Other ranges are also possible.

[0081] In some embodiments, a self-righting article may be characterized as having a particular self-righting time from 90° in a particular fluid. The self-righting time can be determined by placing the self-righting article in a particular fluid at 90° and allowing the self-righting object to return to a particular orientation that would otherwise be maintained by the self-righting article in the absence of that fluid (e.g., an orientation that corresponds to the article's stable equilibrium (or orientation) point).

[0082] In certain embodiments, the fluid is oil. In some such embodiments, the self-righting article has a self-righting time from 90° in oil that is less than or equal to 0.15 seconds, less than or equal to 0.1 seconds, less than or equal to 0.05 seconds, or less than or equal to 0.02 seconds. In certain embodiments, the self-righting article has a self-righting time from 90° in oil that is greater than or equal to 0.01 seconds, greater than or equal to 0.02 seconds, greater than or equal to 0.05 seconds, greater than or equal to 0.1 seconds, or greater than or equal to 0.12 seconds. Combinations of the above-mentioned ranges are also possible (e.g., less than or equal to 0.15 seconds and greater than or equal to 0.01 seconds). Other ranges are also possible. The self-righting time in oil is determined with the system / article fully immersed.

[0083] In some embodiments, the fluid is gastric fluid. In some such embodiments, the self-righting article has a self-righting time from 90° in gastric fluid of less than or equal to 0.06 seconds, less than or equal to 0.05 seconds, less than or equal to 0.04 seconds, less than or equal to 0.03 seconds, or less than or equal to 0.02 seconds. In certain embodiments, the self-righting article has a self-righting time from 90° in gastric fluid of more than or equal to 0.005 seconds, more than or equal to 0.01 seconds, more than or equal to 0.02 seconds, more than or equal to 0.03 seconds, or less than or equal to 0.02 seconds. The self-righting time is greater than or equal to 0.04 seconds, or greater than or equal to 0.05 seconds. Combinations of the above-mentioned ranges are possible (e.g., less than or equal to 0.06 seconds and greater than or equal to 0.005 seconds). Other ranges are also possible. The self-righting time in gastric fluid is determined with the system / article fully immersed.

[0084] In certain embodiments, the fluid is mucus. In some such embodiments, the self-righting article has a self-righting time from 90° in mucus that is less than or equal to 0.05 seconds, less than or equal to 0.04 seconds, less than or equal to 0.03 seconds, or less than or equal to 0.02 seconds. In certain embodiments, the self-righting article has a self-righting time from 90° in mucus that is greater than or equal to 0.005 seconds, greater than or equal to 0.01 seconds, greater than or equal to 0.02 seconds, greater than or equal to 0.03 seconds, greater than or equal to 0.04 seconds, or greater than or equal to 0.045 seconds. Combinations of the above-mentioned ranges are also possible (e.g., less than or equal to 0.05 seconds and greater than or equal to 0.005 seconds). Other ranges are also possible. The self-righting time in mucus is determined with the system / article fully immersed.

[0085] In some embodiments, the fluid is water. In some such embodiments, the self-righting article has a self-righting time from 90° in water that is less than or equal to 0.05 seconds, less than or equal to 0.04 seconds, less than or equal to 0.03 seconds, or less than or equal to 0.02 seconds. In certain embodiments, the self-righting article has a self-righting time from 90° in water that is greater than or equal to 0.005 seconds, greater than or equal to 0.01 seconds, greater than or equal to 0.02 seconds, greater than or equal to 0.03 seconds, greater than or equal to 0.04 seconds, or greater than or equal to 0.045 seconds. Combinations of the above-mentioned ranges are also possible (e.g., less than or equal to 0.05 seconds and greater than or equal to 0.005 seconds). Other ranges are also possible. The self-righting time in water is determined with the system / article fully immersed.

[0086] In some embodiments, the self-righting article includes one or more vents (e.g., to allow air and / or fluid flow through the self-righting article). In some embodiments, the self-righting article includes one or more (e.g., two or more, three or more, four or more) vents associated with at least a portion (e.g., first portion, second portion) of the self-righting article. In some such embodiments, the vents can allow fluid (e.g., gastric fluids) to enter at least a portion of the self-righting article, such that, for example, the self-actuating component and / or spring are exposed to the fluid (e.g., such that the self-actuating component and / or spring are actuated). For example, referring again to FIG. 2 , system 102 includes vent 190 associated with at least a portion (e.g., first portion 110) of the self-righting article. In some cases, vent 190 can be in fluid communication with self-actuating component 120, support 160, and / or spring 125. Although the vents are depicted herein as being associated with a first portion of the self-righting article in some embodiments, one of ordinary skill in the art will understand based on the teachings herein that one or more vents may be associated with a second portion of the self-righting article.

[0087] In certain embodiments, the self-righting article does not include a vent.

[0088] In some embodiments, the self-righting article may have large cross-sectional dimensions. In some embodiments, the largest cross-sectional dimension of the self-righting article is less than 2.0 cm or or equal to, less than or equal to 1.8 cm, less than or equal to 1.6 cm, less than or equal to 1.4 cm, less than or equal to 1.2 cm, less than or equal to 1.1 cm, less than or equal to 1 cm, less than or equal to 0.8 cm, less than or equal to 0.6 cm, less than or equal to 0.4 cm, or less than or equal to 0.2 cm, including any dimension less than 2.0 cm (e.g., 0.1 cm, 0.3 cm, 0.5 cm...1.7 cm, etc.). In certain embodiments, the maximum cross-sectional dimension of the self-restoring article is greater than or equal to 0.1 cm, greater than or equal to 0.2 cm, greater than or equal to 0.4 cm, greater than or equal to 0.6 cm, greater than or equal to 0.8 cm, greater than or equal to 1 cm, greater than or equal to 1.2 cm, greater than or equal to 1.4 cm, greater than or equal to 1.6 cm, and greater than or equal to 1.8 cm, including any dimension greater than 0.1 cm and less than or equal to 2.0 cm (e.g., 0.3 cm, 0.5 cm, 1.7 cm, 1.9 cm, etc.). Combinations of the above-mentioned ranges are also possible (e.g., less than or equal to 2 cm and greater than or equal to 0.1 cm, less than or equal to 1.1 cm and greater than or equal to 0.1 cm). Other ranges are also possible.

[0089] In some embodiments, the self-restoring article can be administered (e.g., orally) to a subject. In some such embodiments, the self-restoring article can include one or more active pharmaceutical ingredients. In certain embodiments, the active pharmaceutical ingredients are released at a location within the subject's body (e.g., in the GI tract).

[0090] In certain embodiments, one or more sensors may be associated with the self-righting article. For example, in some cases, one or more sensors may be used to determine the position of the self-righting article (e.g., within a subject's body) and / or trigger the actuation of one or more tissue-connecting components associated with the self-righting article. Non-limiting examples of suitable sensors include pH, gas, light, GPS, Bluetooth, orientation, proximity, thermal, fluid, and others.

[0091] In some cases, one or more of the first portion and / or the second portion may be magnetic.

[0092] In exemplary embodiments, the self-righting article is ingestible. According to certain embodiments, the ingestible self-righting article comprises a first portion having an average density; a second portion having an average density different from the average density of the first portion; and a payload portion carrying a drug for release into the body of a subject ingesting the article. In certain embodiments, the self-righting article has a density of 1 g / cm 3 The self-righting article comprises at least a first portion having a greater average density than the first portion. According to certain embodiments, the ratio of the average density of the first portion to the average density of the second portion is greater than or equal to 2.5:1. In certain exemplary embodiments, the self-righting article comprises a first portion including a first material having a first average density; and a second portion including a second material having a second average density different from the first average density. In certain embodiments, the self-righting article comprises a first material and a second material different from the first material, and a pharmaceutically active agent associated with the self-righting article. According to some embodiments, the ratio of the average density of the first material to the average density of the second material is greater than or equal to 2.5:1. In some embodiments, the self-righting article has a maximum cross-sectional dimension less than or equal to 2 cm (e.g., less than or equal to 1.1 cm).

[0093] In certain embodiments, the article is suspended via an axis passing through the geometric center of the article, Since the center of mass is laterally shifted from the geometric center, gravity causes a 0.09 × 10 -4 The self-restoring article has a geometric center and a center of mass offset from the geometric center such that it is subject to an externally applied torque of 0.09×10 or less. According to some embodiments, the self-restoring article is configured to be encapsulated in a capsule of 0.000 or less. In other embodiments, the self-restoring article is not encapsulated. In certain embodiments, the self-restoring article comprises a tissue-connecting component associated with the self-restoring article. Some exemplary embodiments have a 0.09×10 -4 The self-righting article is configured to maintain an orientation of 20 degrees or less from vertical when subjected to an externally applied torque of 1000 Nm or less, relative to an axis essentially perpendicular to the tissue-engaging surface of the self-righting article. According to some embodiments, the self-righting article has a most stable, lowest potential energy physical configuration and a self-righting time of less than or equal to 0.05 seconds from an orientation that is 90 degrees off in any direction from the most stable configuration in water. According to certain embodiments, the self-righting article has an occlusion rate of less than or equal to 1% (e.g., less than or equal to 0.5%, less than or equal to 0.1%).

[0094] Certain exemplary embodiments relate to a method of delivering a pharmaceutical agent to a location within a body of a subject. According to some embodiments, the method includes administering to a subject a capsule including an outer shell and a self-restoring article, and orienting the self-restoring article at the location within the body of the subject such that the tissue-connecting component pierces tissue proximate the location within the body of the subject. Tissue tethering

[0095] In some embodiments, the article (e.g., a self-restoring article) may be configured to be anchored to a location within the body of a subject (e.g., tissue at a location within the body of a subject). As noted above, in some embodiments, the self-restoring article can include one or more tissue connection components comprising one or more anchoring mechanisms (e.g., hooks, mucoadhesives). Hooks are described in more detail below. Mucoadhesives are described in more detail below. In ... -4 In some cases, the article may have a longitudinal axis perpendicular to the tissue-engaging surface of the article configured to maintain an orientation of 20 degrees or less from perpendicular upon application of an externally applied torque of Nm or less; and at least one anchoring mechanism associated with the self-righting article. In another exemplary embodiment, the article may include a spring associated with (e.g., at least partially encapsulated by) a support (e.g., such that the spring is maintained in an at least partially compressed state under at least 5% compressive strain by the support); and at least one anchoring mechanism operably coupled to the spring. The spring and support are described in more detail below. Other embodiments are possible that include at least one anchoring mechanism associated with the self-righting article and / or self-actuating component.

[0096] In some embodiments, the anchoring mechanism includes a hook (e.g., a hooked needle). For example, as illustrated in FIG. 5 , system 104 includes first portion 110 and second portion 115. In certain embodiments, tissue engaging surface 150 is associated with second portion 115. In some cases, system 104 can include tissue connection component 130 including anchoring mechanism 135. In some embodiments, anchoring mechanism 135 can be a hook. In certain embodiments, anchoring mechanism 135 can be disposed within system 104 and released (e.g., via hole 140) under a desired set of conditions (e.g., at a specific location within the subject's body). In certain embodiments, not depicted in FIG. 5 , hook 135 can be disposed on the exterior surface of system 104.

[0097] 6, in certain embodiments, the system 106 comprises an anchoring mechanism 135 associated with a self-actuating component 120 (e.g., comprising a spring 125 and / or a support 160). In certain embodiments, the self-actuating component is configured to actuate a fluid (e.g., a stomach ulcer) to release the fluid. When exposed to a fluid) and / or under a particular set of conditions (e.g., physiological conditions of the digestive tract, such as those within the stomach), the anchoring mechanism is activated to insert into tissue located within the subject's body.

[0098] In some embodiments, the anchoring mechanism (and / or article comprising the anchoring mechanism) is configured to remain at a location within the subject's body. For example, in some embodiments, the anchoring mechanism engages with a surface (e.g., a tissue surface) of the location within the subject's body, thereby remaining at the location.

[0099] Advantageously, systems comprising one or more anchoring mechanisms described herein may be inserted onto the surface of tissue at a location within a subject's body, and these systems can maintain contact with the tissue under relatively large applied forces and / or relatively large orientation changes (e.g., due to compressive forces exerted by and / or under high flow rates within the digestive tract). In some embodiments, the systems described herein do not substantially block an opening within the digestive tract (e.g., at the pylorus), e.g., restricting flow and allowing for longer contact times. In certain embodiments, natural replenishment of the walls of the digestive tract may allow for desirable detachment and / or expulsion of the systems described herein without the need for surgical and / or endoscopic retrieval.

[0100] For example, in some embodiments, the anchoring mechanism may be inserted into the surface of tissue at a location within the subject's body, and the anchoring mechanism maintains contact with the tissue (e.g., the system remains tethered) under changes in the orientation of the system greater than or equal to 1 degree, greater than or equal to 2 degrees, greater than or equal to 5 degrees, greater than or equal to 10 degrees, greater than or equal to 15 degrees, greater than or equal to 20 degrees, greater than or equal to 25 degrees, greater than or equal to 30 degrees, greater than or equal to 45 degrees, greater than or equal to 60 degrees, greater than or equal to 75 degrees, or greater than or equal to 85 degrees. In certain embodiments, the system can remain tethered under changes in system orientation of less than or equal to 90 degrees, less than or equal to 85 degrees, less than or equal to 75 degrees, less than or equal to 60 degrees, less than or equal to 45 degrees, less than or equal to 30 degrees, less than or equal to 25 degrees, less than or equal to 20 degrees, less than or equal to 15 degrees, less than or equal to 10 degrees, less than or equal to 5 degrees, or less than or equal to 2 degrees. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 1 degree and less than or equal to 90 degrees, greater than or equal to 1 degree and less than or equal to 45 degrees, greater than or equal to 2 degrees and less than or equal to 30 degrees). Other ranges are also possible.

[0101] In certain embodiments, the system (e.g., including the anchoring mechanism) has a force of greater than or equal to 0.002 N, greater than or equal to 0.004 N, greater than or equal to 0.006 N, greater than or equal to 0.008 N, greater than or equal to 0.01 N, greater than or equal to 0.012 N, greater than or equal to 0.014 N, greater than or equal to 0.016 N, greater than or equal to 0.018 N, greater than or equal to 0.02 N, greater than or equal to 0.025 N, greater than or equal to 0.03 N, greater than or equal to 0.04 N, greater than or equal to 0.05 N, greater than or equal to 0.1 N, greater than or equal to 0.15 N, greater than or equal to 0.2 N, greater than or equal to 0.25 N, or greater than or equal to The system is configured to remain at a location within a subject's body under a normal holding force for a normal applied force of less than or equal to 1 N, less than or equal to 0.9 N, less than or equal to 0.8 N, less than or equal to 0.7 N, less than or equal to 0.6 N, less than or equal to 0.5 N, less than or equal to 0.4 N, less than or equal to 0.35 N, less than or equal to 0.4 N, less than or equal to 0.5 N, less than or equal to 0.6 N, less than or equal to 0.7 N, less than or equal to 0.8 N, less than or equal to 0.9 N. In some embodiments, the system is configured to remain at a location within a subject's body under a normal holding force for a normal applied force of less than or equal to 1 N, less than or equal to 0.9 N, less than or equal to 0.8 N, less than or equal to 0.7 N, less than or equal to 0.6 N, less than or equal to 0.5 N, less than or equal to 0.4 N, less than or equal to 0.35 N, less than or equal to 0.3 N, less than or equal to 0.25 N, less than or equal to 0.2 N, less than or equal to 0.15 N, less than or equal to 0.1 N, less than or equal to 0.05 N per anchoring feature. The vertical holding force against a vertically applied force of less than or equal to 0.04 N, less than or equal to 0.03 N, less than or equal to 0.025 N, less than or equal to 0.02 N, less than or equal to 0.018 N, less than or equal to 0.016 N, less than or equal to 0.014 N, less than or equal to 0.012 N, less than or equal to 0.01 N, less than or equal to 0.008 N, less than or equal to 0.006, or less than or equal to 0.004 N. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 0.002 N and less than or equal to 1 N, greater than or equal to 0.02 N and less than or equal to 0.08 N, greater than or equal to 0.1 N and less than or equal to 1 N). Other ranges are also possible.The normal retention force described herein can be determined by inserting the anchoring mechanism of the system into the surface of tissue (e.g., ex vivo porcine stomach) to a penetration depth of at least 0.9 mm, and then pulling the system perpendicular to the surface of the tissue until the system detaches from the tissue. The maximum force before the system detaches is the normal retention force.

[0102] In some embodiments, the system (e.g., including the anchoring mechanism) has a force of greater than or equal to 0.002 N, greater than or equal to 0.004 N, greater than or equal to 0.006 N, greater than or equal to 0.008 N, greater than or equal to 0.01 N, greater than or equal to 0.012 N, greater than or equal to 0.014 N, greater than or equal to 0.016 N, greater than or equal to 0.018 N, greater than or equal to 0.02 N, greater than or equal to 0.025 N, greater than or equal to 0.03 N, greater than or equal to 0.04 N, or or equal to, greater than or equal to 0.05 N, greater than or equal to 0.1 N, greater than or equal to 0.15 N, greater than or equal to 0.2 N, greater than or equal to 0.25 N, greater than or equal to 0.3 N, greater than or equal to 0.35 N, greater than or equal to 0.4 N, greater than or equal to 0.5 N, greater than or equal to 0.6 N, greater than or equal to 0.7 N, greater than or equal to 0.8 N, or greater than or equal to 0.9 N. In some embodiments, the system provides a force of less than or equal to 1 N per anchoring mechanism, less than or equal to 0.9 N, less than or equal to 0.8 N, less than or equal to 0.7 N, less than or equal to 0.6 N, less than or equal to 0.5 N, less than or equal to 0.4 N, less than or equal to 0.35 N, less than or equal to 0.3 N, less than or equal to 0.25 N, less than or equal to 0.2 N, less than or equal to 0. The perpendicular holding force to a normally applied force of less than or equal to 15 N, less than or equal to 0.1 N, less than or equal to 0.05 N, less than or equal to 0.04 N, less than or equal to 0.03 N, less than or equal to 0.025 N, less than or equal to 0.02 N, less than or equal to 0.018 N, less than or equal to 0.016 N, less than or equal to 0.014 N, less than or equal to 0.012 N, less than or equal to 0.01 N, less than or equal to 0.008 N, less than or equal to 0.006, or less than or equal to 0.004 N. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 0.002 N and less than or equal to 1 N, greater than or equal to 0.02 N and less than or equal to 0.08 N, greater than or equal to 0.1 N and less than or equal to 1 N). Other ranges are also possible. The orthogonal retention force described herein can be determined by inserting the anchoring mechanism of the system into the surface of tissue (e.g., ex vivo porcine stomach) to a penetration depth of at least 0.9 mm, and then applying a force to the system in a direction parallel to the surface of the tissue until the system detaches from the tissue (see, e.g., FIG. 59). The maximum force before the system detaches is the orthogonal retention force.

[0103] In some embodiments, the system is configured to remain tethered to the surface of tissue located within the subject's body under an orientation change of less than or equal to 30 degrees and an applied (e.g., normal, perpendicular) force of less than or equal to 1 N.

[0104] In some embodiments, the system includes two or more anchoring mechanisms. In some cases, the system may include a single self-righting article including two or more anchoring mechanisms. In certain embodiments, the system includes two or more self-righting articles, each including one or more anchoring mechanisms. In certain embodiments, the force required to disengage an anchoring mechanism (e.g., vertical retention force, orthogonal retention force) can be increased by increasing the number of anchoring mechanisms associated with the system. Without wishing to be bound by theory, the spacing between anchoring mechanisms may be related to the retention force (e.g., vertical retention force, orthogonal retention force) of the system.

[0105] In some embodiments, the system may have an average spacing between anchoring features that is greater than or equal to 0.1 mm, greater than or equal to 0.2 mm, greater than or equal to 0.3 mm, greater than or equal to 0.4 mm, greater than or equal to 0.5 mm, greater than or equal to 0.6 mm, greater than or equal to 0.7 mm, greater than or equal to 0.8 mm, greater than or equal to 0.9 mm, greater than or equal to 1 mm, greater than or equal to 1.2 mm, greater than or equal to 1.4 mm, greater than or equal to 1.5 mm, greater than or equal to 1.6 mm, greater than or equal to 1.8 mm, or greater than or equal to 2 mm. In certain embodiments, the system may have an average spacing between anchoring features that is less than or equal to 2.5 mm, less than or equal to 2 mm, less than or equal to 1.8 mm, less than or equal to 1.6 mm, less than or equal to 1.4 mm, less than or equal to 1.2 mm, less than or equal to 1 mm, less than or equal to 0.9 mm, less than or equal to 0.8 mm, less than or equal to 0.7 mm, less than or equal to 0.6 mm, less than or equal to 0.5 mm, less than or equal to 0.4 mm, less than or equal to 0.3 mm, or less than or equal to 0.2 mm. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 0.1 mm and less than 2.5 mm). (greater than or equal to 1 mm and less than or equal to 1.5 mm). Other ranges are possible.

[0106] The anchoring feature can have any suitable size and / or shape. For example, in some embodiments, the maximum dimension (e.g., length) of a tissue-connecting component comprising an anchoring feature can be less than or equal to 1 cm, less than or equal to 0.8 cm, less than or equal to 0.6 cm, less than or equal to 0.5 cm, less than or equal to 0.4 cm, less than or equal to 0.3 cm, less than or equal to 0.25 cm, less than or equal to 0.23 cm, or less than or equal to 0.2 cm. In certain embodiments, the maximum dimension (e.g., length) of a tissue-connecting component comprising an anchoring feature can be greater than or equal to 0.15 cm, greater than or equal to 0.2 cm, greater than or equal to 0.23 cm, greater than or equal to 0.25 cm, greater than or equal to 0.3 cm, greater than or equal to 0.4 cm, greater than or equal to 0.5 cm, greater than or equal to 0.6 cm, or greater than or equal to 0.8 cm. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 0.2 cm and less than or equal to 1 cm, greater than or equal to 0.15 cm and less than or equal to 1 cm). Other ranges are also possible.

[0107] In some embodiments, the anchoring mechanism has a particular anchor length. By way of example, for an anchoring mechanism comprising a hook, the anchor length corresponds to the maximum cross-sectional diameter of the bent length of the hook (e.g., the diameter of the hook not including any unbent portion). In certain embodiments, the anchor length is greater than or equal to 10 micrometers, greater than or equal to 20 micrometers, greater than or equal to 23 micrometers, greater than or equal to 25 micrometers, greater than or equal to 30 micrometers, greater than or equal to 34 micrometers, greater than or equal to 35 micrometers, greater than or equal to 40 micrometers, greater than or equal to 50 micrometers, greater than or equal to 60 micrometers, greater than or equal to 70 micrometers, greater than or equal to 80 micrometers, greater than or equal to 90 micrometers, greater than or equal to 100 micrometers, greater than or equal to 120 micrometers, greater than or equal to 140 micrometers, greater than or equal to 160 micrometers, greater than or equal to 180 micrometers, greater than or equal to 200 micrometers, or greater than or equal to 225 micrometers.In certain embodiments, the anchor length is less than or equal to 250 micrometers, less than or equal to 225 micrometers, less than or equal to 200 micrometers, less than or equal to 180 micrometers, less than or equal to 160 micrometers, less than or equal to 140 micrometers, less than or equal to 120 micrometers, less than or equal to 100 micrometers, less than or equal to 90 micrometers, less than or equal to 80 micrometers, less than or equal to 70 micrometers, less than or equal to 60 micrometers, less than or equal to 50 micrometers, less than or equal to 40 micrometers, less than or equal to 30 micrometers, or less than or equal to 20 micrometers. Combinations of the above-mentioned ranges are also possible (e.g., greater than 10 micrometers). (greater than or equal to 250 micrometers and less than or equal to 250 micrometers). Other ranges are possible.

[0108] In some cases, the anchoring mechanism may be configured to have an optimal penetration depth (e.g., a depth at which the anchoring mechanism is positioned just below the surface of tissue located within a subject's body). In some embodiments, the anchoring mechanism has a penetration depth greater than or equal to 0.5 mm, greater than or equal to 0.6 mm, greater than or equal to 0.7 mm, greater than or equal to 0.8 mm, greater than or equal to 0.9 mm, greater than or equal to 1 mm, greater than or equal to 1.2 mm, greater than or equal to 1.4 mm, greater than or equal to 1.5 mm, greater than or equal to 1.7 mm, greater than or equal to 1.9 mm, greater than or equal to 2 mm, greater than or equal to 2.2 mm, greater than or equal to 2.4 mm, greater than or equal to 2.5 mm, greater than or equal to 3 mm, greater than or equal to 3.5 mm, greater than or equal to 4 mm, greater than or equal to 4.5 mm, or greater than or equal to 5 mm. In certain embodiments, the anchoring feature has a penetration depth of less than or equal to 6 mm, less than or equal to 5 mm, less than or equal to 4.5 mm, less than or equal to 4 mm, less than or equal to 3.5 mm, less than or equal to 3 mm, less than or equal to 2.5 mm, less than or equal to 2.4 mm, less than or equal to 2.2 mm, less than or equal to 2 mm, less than or equal to 1.9 mm, less than or equal to 1.7 mm, less than or equal to 1.5 mm, less than or equal to 1.4 mm, less than or equal to 1.2 mm, less than or equal to 1 mm, less than or equal to 0.9 mm, less than or equal to 0.8 mm, less than or equal to 0.7 mm, or less than or equal to 0.6 mm.Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 0.5 mm and less than or equal to 6 mm, greater than or equal to 0.9 mm and less than or equal to 2.5 mm). Other ranges are also possible. Without wishing to be bound by theory, the tissue displacement can be greater than or equal to the penetration depth of the anchoring mechanism. By way of example only, and in a particular set of embodiments, the anchoring mechanism can displace tissue by 14 mm or less to achieve a penetration depth of, for example, 4 mm or less.

[0109] Advantageously, systems comprising the anchoring mechanisms described herein may remain in place for relatively long periods of time under physiological conditions and fluid flow (e.g., exposed to fluids flowing at approximately 0.1 m / s). For example, in some embodiments, a system comprising an anchoring mechanism remains on the surface of tissue located within a subject's body for a period of greater than or equal to 1 hour, greater than or equal to 2 hours, greater than or equal to 4 hours, greater than or equal to 8 hours, greater than or equal to 12 hours, greater than or equal to 24 hours, greater than or equal to 2 days, greater than or equal to 3 days, greater than or equal to 5 days, greater than or equal to 7 days, or greater than or equal to 10 days. In certain embodiments, the system dwells for a period of less than or equal to 14 days, less than or equal to 10 days, less than or equal to 7 days, less than or equal to 5 days, less than or equal to 3 days, less than or equal to 2 days, less than or equal to 24 hours, less than or equal to 12 hours, less than or equal to 8 hours, less than or equal to 4 hours, or less than or equal to 2 hours. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 1 hour and less than or equal to 14 days). Other ranges are also possible. In some cases, the anchoring mechanism may be configured to remain in place for a relatively long period of time under physiological conditions and fluid flow. For example, in certain embodiments, the anchoring mechanism may remain in place at a tissue surface location within a subject's body for a period of more than or equal to one month, more than or equal to two months, more than or equal to three months, more than or equal to six months, or more than or equal to one year. In some embodiments, the anchoring mechanism may remain in place at a tissue surface location within a subject's body for a period of less than or equal to two years, less than or equal to one year, less than or equal to six months, less than or equal to three months, or less than or equal to two months. Combinations of the above-mentioned ranges are also possible (e.g., more than or equal to one hour and less than or equal to two years, more than or equal to one month and less than or equal to two years). Other ranges are also possible.

[0110] The anchoring mechanisms described herein can comprise any suitable material. In some embodiments, the anchoring mechanism material is relatively non-degradable. In certain embodiments, the anchoring mechanism may be configured to degrade within a certain period of time. In some embodiments, the anchoring mechanism is configured to degrade within one or more of the time ranges described above under retention conditions. For example, in some embodiments, the anchoring mechanism is configured to degrade (e.g., such that the system is no longer retained in place within the subject's body) in a period of greater than or equal to 1 hour, greater than or equal to 2 hours, greater than or equal to 4 hours, greater than or equal to 8 hours, greater than or equal to 12 hours, greater than or equal to 24 hours, greater than or equal to 2 days, greater than or equal to 3 days, greater than or equal to 5 days, greater than or equal to 7 days, or greater than or equal to 10 days. In certain embodiments, the anchoring mechanism is configured to degrade in a period of less than or equal to 14 days, less than or equal to 10 days, less than or equal to 7 days, less than or equal to 5 days, less than or equal to 3 days, less than or equal to 2 days, less than or equal to 24 hours, less than or equal to 12 hours, less than or equal to 8 hours, less than or equal to 4 hours, or less than or equal to 2 hours. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 1 hour and less than or equal to 14 days). Other ranges are also possible. In some cases, the anchoring mechanism may be configured to degrade (e.g., so that the system is no longer retained in place within the subject's body) in a period of more than or equal to 1 month, more than or equal to 2 months, more than or equal to 3 months, more than or equal to 6 months, or more than or equal to 1 year.In some embodiments, the tethering mechanism can be broken down into periods of less than or equal to 2 years, less than or equal to 1 year, less than or equal to 6 months, less than or equal to 3 months, or less than or equal to 2 months. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 1 hour and less than or equal to 2 years, greater than or equal to 1 month and less than or equal to 2 years). Other ranges are also possible.

[0111] In some cases, the anchoring mechanism may include a conductive material, as described below. Electrical stimulation

[0112] In some embodiments, the systems, articles, and methods described herein may be useful for providing electrical stimulation to a location within a subject's body. Advantageously, the systems described herein can be used, for example, with endoscopic placement and / or electrical devices to provide transient electrical stimulation to the gastrointestinal tract. The system can be administered orally (e.g., in a capsule), compared to traditional methods such as device placement. In some embodiments, the system includes one or more anchoring mechanisms, where at least one anchoring mechanism includes a conductive portion (e.g., for electrical communication with tissue at a location within the subject's body). Such a system can be useful, for example, for iontophoresis (e.g., introducing an API into tissue within the subject's body during application of a local current). In certain embodiments in which the systems described herein are configured for iontophoresis, the system can include a first tissue-connecting component (e.g., contained within a first self-righting article) including a conductive tip; and a second tissue-connecting component (e.g., a blunt cylindrical body) configured to contact but not penetrate tissue (e.g., contained within a second self-righting article). In some embodiments, one or more electrodes can be in electrical communication with the first and / or second tissue-connecting components.

[0113] In some embodiments, the system (e.g., a self-righting system) comprises two or more tissue-connecting components. In certain embodiments, each of the tissue-connecting components comprises a tissue-contacting portion configured to contact tissue. In some cases, the tissue-contacting portion can be electrically conductive. In certain embodiments, the tissue-contacting portion can be electrically insulating.

[0114] In some embodiments, the tissue contacting portion comprises a first conductive portion and a second insulating portion, In some such embodiments, the conductive portion may be configured to be in electrical communication with the tissue and the insulating portion may be configured not to be in electrical communication with the tissue.

[0115] Without wishing to be bound by theory, in some embodiments, the length of the insulating portion may be configured to prevent electrical communication with a particular layer of tissue (e.g., the length for stomach muscle stimulation may correspond to the outer muscle layer (e.g., 2-4 mm), while the length for SI mucosa may be, for example, 0.1-1 mm). In some cases, the insulating portion may be configured to prevent gastrointestinal fluids and / or mucus coatings of the tissue from contacting the conductive portion (e.g., without wishing to be bound by theory, gastrointestinal fluids and mucus coatings are generally conductive and therefore may, in some cases, prevent electrical stimulation from reaching the underlying tissue).

[0116] The tissue contacting portion can have any suitable ratio of conductive portion to insulating portion. For example, in some embodiments, the conductive portion is present in the tissue contacting portion in an amount greater than or equal to 0.1%, greater than or equal to 0.5%, greater than or equal to 1%, greater than or equal to 2%, greater than or equal to 5%, greater than or equal to 10%, greater than or equal to 20%, greater than or equal to 30%, greater than or equal to 40%, greater than or equal to 50%, greater than or equal to 60%, greater than or equal to 70%, greater than or equal to 80%, or greater than or equal to 90% of the total surface area of ​​the tissue contacting portion of the tissue-connecting component. In certain embodiments, the conductive portion is present in the tissue-contacting portion in an amount less than or equal to 100%, less than or equal to 90%, less than or equal to 80%, less than or equal to 70%, less than or equal to 60%, less than or equal to 50%, less than or equal to 40%, less than or equal to 30%, less than or equal to 20%, less than or equal to 10%, less than or equal to 5%, less than or equal to 2%, less than or equal to 1%, or less than or equal to 0.5% of the total surface area of ​​the tissue-contacting portion of the tissue-connecting component. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 0.1%, less than or equal to 100%, greater than or equal to 10%). (e.g., greater than or equal to 30% and less than or equal to 90%; greater than or equal to 30% and less than or equal to 90%; etc.). Other ranges are possible. In some embodiments, the tip of the tissue contacting portion is conductive and the remainder of the tissue contacting portion is insulating.

[0117] In certain embodiments, the insulating portion is present in the tissue-contacting portion in an amount greater than or equal to 10%, greater than or equal to 20%, greater than or equal to 30%, greater than or equal to 40%, greater than or equal to 50%, greater than or equal to 60%, greater than or equal to 70%, greater than or equal to 80%, or greater than or equal to 90% of the total surface area of ​​the tissue-contacting portion of the tissue-connecting component. In certain embodiments, the insulating portion is present in the tissue-contacting portion in an amount less than or equal to 100%, less than or equal to 90%, less than or equal to 80%, less than or equal to 70%, less than or equal to 60%, less than or equal to 50%, less than or equal to 40%, less than or equal to 30%, or less than or equal to 20% of the total surface area of ​​the tissue-contacting portion of the tissue-connecting component. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 10% and less than or equal to 100%, greater than or equal to 30% and less than or equal to 90%). Other ranges are also possible.

[0118] In some embodiments, a system includes a self-restoring article described herein and at least one tissue-connecting component, each including a tissue-contacting portion associated with the tissue-connecting component and configured to contact tissue. In certain embodiments, a system includes two or more self-restoring articles described herein, each including at least one tissue-connecting component, each including a tissue-contacting portion configured to contact tissue. For example, in an exemplary set of embodiments, a single self-restoring article including two or more tissue-connecting components can be administered to a subject, and the self-restoring article can include a power source in electrical communication with the two or more tissue-connecting components, thereby applying an electric current to tissue in direct contact with the tissue-contacting portion of the tissue-connecting component. In another exemplary set of embodiments, two (or more) self-restoring articles, each having at least one tissue-connecting component, can be administered to a subject, and the self-restoring articles can be equipped with a power source in electrical communication therewith, such that such savings are applied to tissue in direct contact with the tissue-contacting portion of each tissue-connecting component from each self-restoring article. Other combinations are possible. Those skilled in the art will know how to combine self-restoring articles, tissue-connecting components, and tissue-contacting portions based on the teachings herein.

[0119] As described herein, in some embodiments, a system including a self-restoring and / or self-actuating article can be administered to a subject, the system including at least one tissue-connecting component disposed within the article (e.g., a self-describing and / or self-actuating article). The system can be administered, resulting in at least one matching component being released from the article and / or inserted into tissue at a location within the subject's body. In certain embodiments, an electrical current can be applied (e.g., a power source can cause knowledgeable communication with the tissue-connecting components) such that the current flows between two or more tissue-connecting components. In some such embodiments, the tissue-connecting components are not in electrical communication with the tissue.

[0120] The conductive portion may comprise any suitable conductive material. Non-limiting examples of suitable conductive materials include conductive polymers, silver, copper, gold, stainless steel, platinum, zinc, and steel. Other conductive materials are possible.

[0121] The insulating portion may comprise any suitable electrically insulating material. Non-limiting examples of suitable insulating materials include polymers such as parylene, polycaprolactone, and polyethylene. Other insulating materials are also possible.

[0122] The conductive and / or insulating material may, in some cases, be provided as a coating on the tissue-connecting component. In certain embodiments, the tissue-contacting portion may comprise a bulk material that includes conductive and / or insulating material.

[0123] In some embodiments, the current applied (e.g., applied between tissue contact portions to electrically stimulate tissue) can be greater than or equal to 0.001 milliamps, greater than or equal to 0.01 milliamps, greater than or equal to 0.1 milliamps, greater than or equal to 0.5 milliamps, greater than or equal to 1 milliamp, greater than or equal to 5 milliamps, greater than or equal to 10 milliamps, greater than or equal to 50 milliamps, greater than or equal to 100 milliamps, or greater than or equal to 250 milliamps. In certain embodiments, the applied current can be less than or equal to 500 milliamps, less than or equal to 250 milliamps, less than or equal to 100 milliamps, less than or equal to 50 milliamps, less than or equal to 10 milliamps, less than or equal to 5 milliamps, less than or equal to 1 milliamp, less than or equal to 0.5 milliamps, less than or equal to 0.1 milliamps, or less than or equal to 0.01 milliamps. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 0.001 milliamps and less than or equal to 500 milliamps, greater than or equal to 0.1 milliamps and less than or equal to 10 milliamps). Other ranges are also possible. The current can be applied using any suitable means, including, for example, an external power source (e.g., a battery).

[0124] In certain embodiments, the system is configured to remain in position within the subject's body under a force of greater than or equal to 0.1 N (e.g., greater than or equal to 0.6 N) and / or an orientation change of greater than or equal to 30 degrees, as described above. self-actuated

[0125] For example, self-actuating articles are generally provided that include self-actuating tissue connection components, such as self-actuating needles, self-actuating anchoring mechanisms, and / or self-actuating biopsy punches. Advantageously, in some embodiments, the self-actuating articles described herein, due to their degradation within the GI tract, may be useful as a general platform for the delivery of a wide variety of pharmaceutical agents that are typically delivered by injection directly into tissue. The self-actuating articles described herein can also be used to deliver the sensors, electrical stimulation, anchoring systems described herein to tissue and / or to obtain biopsy samples without the need for endoscopic observation. In some embodiments, the article comprises a spring (e.g., a coil spring, a wave spring, a Belleville washer, a beam, a membrane, a material with specific mechanical recovery properties). The term spring is not intended to be limited to a coil spring, but rather refers to a spring that, upon release of a compressive force applied to a material / component, returns to substantially (e.g., within 40%, 50%, 60%, 70%, 80%, 90%, 95%, or any percentage therebetween) the uncompressed length of the material / component under ambient conditions. Those skilled in the art will appreciate that the term generally encompasses any reversibly compressed material and / or component that returns to the original state.

[0126] In certain embodiments, the term spring of a self-actuating article may be provided as or further comprise an expansion component. Those skilled in the art will understand that the term extension component includes reversible and irreversible compressive materials, and is a component that expands in at least one direction (e.g., along its length) when stimulated and / or restrained against the expansion component. In some embodiments, the expansion component includes a gas composition (e.g., a mixture of baking soda and vinegar) that expands the gas volume of the expansion component.

[0127] In some embodiments, the spring and / or expansion component can elongate in at least one direction by thermal expansion, swelling (e.g., due to fluid absorption), a gas-driven process, a pneumatic process, a hydraulic process, an electric motor, a magnetic mechanism, a torsion spring mechanism, a chemical gas generator, and / or an autocatalytic reaction. In an exemplary set of embodiments, the spring and / or expansion component can elongate in at least one direction when the spring and / or expansion component is exposed to a fluid (e.g., gastrointestinal fluids).

[0128] In some cases, the spring and / or expanding component can be activated by any suitable activation mechanism (e.g., can be stretched in at least one direction, returning it to its uncompressed length). Non-limiting examples of suitable activation mechanisms include release of a pressure differential, an electrical timer, a light sensor, a color sensor, an enzymatic sensor, capacitance, magnetism, activation by applied stress (e.g., shape memory material), external activation (e.g., applied magnetic field, applied light, reaction with gastrointestinal fluids such as stomach acid), and combinations thereof. In an exemplary set of embodiments, the spring and / or expanding component is activated by interaction with (e.g., reaction with) gastrointestinal fluids.

[0129] In some cases, the actuation mechanism displaces the tissue-connection component a particular distance (e.g., a distance less than or equal to 10 mm, less than or equal to 8 mm, less than or equal to 6 mm, less than or equal to 4 mm, less than or equal to 2 mm) and / or with a particular force (e.g., a force greater than or equal to 0.1 N, greater than or equal to 0.3 N, greater than or equal to 0.5 N, greater than or equal to 1 N, greater than or equal to 1.5 N).

[0130] 21 , in some embodiments, article 100 comprises spring 110 and support 120 associated with (e.g., operably connected to) spring 110. Support 120, in certain embodiments, maintains the spring under compressive strain under a first set of conditions (e.g., under ambient conditions (e.g., room temperature, atmospheric pressure, and relative humidity)). In some embodiments, the support at least partially releases the spring from compressive strain (e.g., at least a portion of the support degrades) under a second set of conditions that are different from the first set of conditions. For example, in some embodiments, the second set of conditions includes physiological conditions (e.g., in physiological fluids such as gastric fluids at or about 37° C.).

[0131] In some cases, the spring 110 may be adjacent (e.g., directly adjacent) the support 120. As used herein, when a component is said to be "adjacent" to another component, it may be directly adjacent to (e.g., in contact with) that component, or there may be one or more intervening components. A component "directly adjacent" to another component means that there are no intervening components. In some cases, the spring may be at least partially embedded in the support. In certain embodiments, the spring is coated with a support material.

[0132] In certain embodiments, referring again to FIG. 21 , article 100 includes an exterior shell 170 (e.g., such that spring 110 is at least partially enclosed within exterior shell 170). In some cases, the support material can be a coating. In some embodiments, the support material is a biodegradable coating. In certain embodiments, the coating can have any suitable thickness. For example, the coating thickness can be greater than or equal to 3 mm, greater than or equal to 4 mm, or greater than or equal to 5 mm. In certain embodiments, the coating thickness can be less than or equal to 6 mm, less than or equal to 5 mm, or less than or equal to 4 mm. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 3 mm and less than or equal to 6 mm). In certain embodiments, the biodegradable coating at least partially degrades under physiological conditions. In some cases, the support material can be a brittle material. Non-limiting examples of suitable support materials include sugars and / or polymers (eg, polyethylene glycol, polyvinylpyrrolidinone, polyvinyl alcohol).

[0133] The support can have any suitable cross-sectional dimension. In some embodiments, the average cross-sectional dimension of the support is greater than or equal to 0.1 mm, greater than or equal to 0.5 mm, greater than or equal to 1 mm, greater than or equal to 2 mm, greater than or equal to 3 mm, greater than or equal to 4 mm, or greater than or equal to 5 mm. In certain embodiments, the average cross-sectional dimension of the support is less than or equal to 10 mm, less than or equal to 6 mm, less than or equal to 5 mm, less than or equal to 4 mm, less than or equal to 3 mm, less than or equal to 2 mm, less than or equal to 1 mm, or less than or equal to 0.5 mm. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 0.1 mm and less than or equal to 10 mm). Other ranges are also possible.

[0134] In some embodiments, the support, spring, and / or expansion component comprises one or more materials configured to dissolve (e.g., in an acidic environment, a pH-neutral environment, in water, in a basic environment), melt at physiological temperatures (e.g., 37°C), change stiffness (e.g., in response to a change in temperature, in response to fluid absorption), thermally expand, and / or change shape (e.g., in response to fluid absorption, by degassing, by leakage).

[0135] Advantageously, the configuration and / or materials used for the support material may allow for the dissolution of the support material to be tailored, in some cases, so that the tissue-connecting component is released from the article at a desired location and / or time.

[0136] The support material can comprise any suitable material. Non-limiting examples of suitable materials include sugars and their derivatives (e.g., sugar alcohols such as isomalt, sugar mixtures such as taffy), starch, calcium carbonate, zinc, sodium chloride, and / or polymers (e.g., polyethylene glycol, polyvinylpyrrolidinone, polyvinyl alcohol, polyethylene oxide, diethyl pyrocarbonate, hydrogels). Other materials are possible. Without wishing to be bound by theory, the support material can be selected to be relatively brittle (e.g., so that the spring is released when the support material dissolves).

[0137] In certain embodiments, the support material may be configured to have a particular structure that provides a desirable dissolution profile. For example, in some embodiments, the support material may be configured to enhance the dissolution profile, have a failure control mode (e.g., breakdown into small pieces at relatively predictable locations), and / or provide structural integrity to the support material.

[0138] In some embodiments, the support has desirable mechanical properties (e.g., for the spring to recover at least a portion of its uncompressed length relatively quickly.) For example, in certain embodiments, the support may have a limit stress of greater than or equal to 0.01 N, greater than or equal to 0.1 N, greater than or equal to 0.5 N, greater than or equal to 1 N, greater than or equal to 2 N, greater than or equal to 3 N, greater than or equal to 5 N, greater than or equal to 7 N, greater than or equal to 10 N, greater than or equal to 15 N, greater than or equal to 20 N, greater than or equal to 25 N, greater than or equal to 30 N, greater than or equal to 35 N, greater than or equal to 40 N, greater than or equal to 45 N, greater than or equal to 50 N, or greater than or equal to 60 N (including any limit stress value therebetween). In certain embodiments, the support may have a limit stress of less than or equal to 70 N, less than or equal to 60 N, less than or equal to 50 N, less than or equal to 45 N, less than or equal to 40 N, less than or equal to 35 N, less than or equal to 30 N, less than or equal to 25 N, less than or equal to 20 N, less than or equal to 15 N, less than or equal to 10 N, less than or equal to 7 N, less than or equal to 5 N, less than or equal to 3 N, less than or equal to 2 N, less than or equal to 1 N, less than or equal to 0.5 N, or less than or equal to 0.1 N (including any limit stress value therebetween). Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 10 N and less than or equal to 70 N, greater than or equal to 30 N and less than or equal to 45 N). Other ranges are also possible.The critical stress is generally the maximum force (e.g., as applied by an adjacent spring) that a support can withstand before cracking; critical stress:

number

[0139] In some embodiments, the support maintains at least a portion of the spring under a compressive strain of at least 5%, at least 10%, at least 15%, at least 20%, at least 25%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, or at least 80% under a first set of conditions. In certain embodiments, the support maintains at least a portion of the spring under a compressive strain of less than or equal to 90%, less than or equal to 80%, less than or equal to 70%, less than or equal to 60%, less than or equal to 50%, less than or equal to 40%, less than or equal to 30%, less than or equal to 25%, less than or equal to 20%, less than or equal to 15%, or less than or equal to 10% under a first set of conditions.

[0140] In certain embodiments, the spring recovers (e.g., in less than 10 minutes, less than 5 minutes, less than 1 minute, less than 30 seconds, less than 10 seconds, less than 5 seconds, less than 1 second, less than 0.1 seconds, less than 0.01 seconds) to greater than or equal to 10%, greater than or equal to 20%, greater than or equal to 30%, greater than or equal to 40%, greater than or equal to 50%, greater than or equal to 60%, greater than or equal to 70%, greater than or equal to 80%, greater than or equal to 85%, greater than or equal to 90%, greater than or equal to 95%, greater than or equal to 98%, or greater than or equal to 99% of the length of the spring (e.g., uncompressed spring length) before and / or in the absence of the application of compressive strain (e.g., by a support material), including any percentage between 10% and 99%. In some embodiments, the spring recovers to a length that is less than or equal to 100%, less than or equal to 99%, less than or equal to 98%, less than or equal to 95%, less than or equal to 90%, less than or equal to 85%, less than or equal to 80%, less than or equal to 75%, less than or equal to 70%, less than or equal to 60%, less than or equal to 50%, less than or equal to 40%, less than or equal to 30%, or less than or equal to 20% of the length of the spring before and / or in the absence of the application of compressive strain, including any percentage between 20% and 100%. Advantageously, the use of springs and supports described herein can enable, for example, the release of a tissue connection component (e.g., a needle) associated with (e.g., operably coupled to) the spring, such that the tissue connection component contacts and / or penetrates tissue adjacent to the article. In an illustrative example, in some embodiments, a needle attached to a spring is administered to a subject, such that as the support material degrades, the spring recovers and the needle is forced into tissue adjacent to the article such that the needle penetrates the tissue (e.g., the GI mucosal layer).In some such embodiments, the active pharmaceutical ingredient can be delivered to tissue by the tissue-connecting component. For example, in some embodiments, the article includes the active pharmaceutical ingredient, such that upon release of the spring at a location within the subject's body, the active pharmaceutical ingredient is released (e.g., into tissue proximate to the location within the subject's body). In other embodiments, upon release of the spring by the support, a biopsy can be performed (e.g., by a tissue-connecting component such as a biopsy device). Referring again to FIG. 21 , in some embodiments, the article 100 includes a tissue-connecting component 115 associated with the spring 110. Tissue-connecting components (e.g., needles, hooks, API-laden components) are described in more detail herein.

[0141] In certain embodiments, the tissue connection component comprises a needle, a patch or array of needles (e.g., microneedles), a biopsy component, a hook, a mucoadhesive patch, or a combination thereof.

[0142] In some embodiments, the spring comprises a resilient material, hi certain embodiments, the spring comprises a material selected from the group consisting of nitinol, a metal, a polymer, and combinations thereof.

[0143] In certain embodiments, the spring can have a particular spring constant. For example, in some embodiments, the spring has a spring constant greater than or equal to 100 N / m, greater than or equal to 150 N / m, greater than or equal to 200 N / m, greater than or equal to 250 N / m, greater than or equal to 300 N / m, greater than or equal to 350 N / m, greater than or equal to 400 N / m, greater than or equal to 450 N / m, greater than or equal to 500 N / m, greater than or equal to 600 N / m, or greater than or equal to 700 N / m. greater than or equal to 800N / m, greater than or equal to 900N / m, greater than or equal to 1000N / m, greater than or equal to 1100N / m, greater than or equal to 1200N / m, greater than or equal to 1300N / m, or greater than or equal to 1400N / m, less than or equal to 1500N / m, less than or equal to 1800N / m, or greater than or equal to 2000N / m, including any spring constant between these values.In certain embodiments, the spring constant of the spring is less than or equal to 2200 N / m, less than or equal to 2000 N / m, less than or equal to 1800 N / m, less than or equal to 1500 N / m, less than or equal to 1400 N / m, less than or equal to 1300 N / m, less than or equal to 1200 N / m, less than or equal to 1100 N / m, less than or equal to 1000 N / m, less than or equal to 900 N / m, or less than 800 N / m. The spring constant may be less than or equal to 700 N / m, less than or equal to 600 N / m, less than or equal to 500 N / m, less than or equal to 450 N / m, less than or equal to 400 N / m, less than or equal to 350 N / m, less than or equal to 300 N / m, less than or equal to 250 N / m, less than or equal to 200 N / m, or less than or equal to 150 N / m, including any spring constant therebetween. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 100 N / m and less than or equal to 500 N / m, greater than or equal to 100 N / m and less than or equal to 1500 N / m). Other ranges are also possible.

[0144] In some embodiments, the spring is compressed (e.g., by a support) by a length along the longitudinal axis of the spring that is greater than or equal to 1 mm, greater than or equal to 2 mm, greater than or equal to 3 mm, greater than or equal to 4 mm, greater than or equal to 5 mm, greater than or equal to 6 mm, greater than or equal to 7 mm, greater than or equal to 8 mm, greater than or equal to 9 mm, greater than or equal to 10 mm, greater than or equal to 12 mm, or greater than or equal to 15 mm compared to the uncompressed length of the spring. In certain embodiments, the spring is compressed along the longitudinal axis of the spring by a length less than or equal to 20 mm, less than or equal to 15 mm, less than or equal to 12 mm, less than or equal to 10 mm, less than or equal to 9 mm, less than or equal to 8 mm, less than or equal to 7 mm, less than or equal to 6 mm, less than or equal to 5 mm, less than or equal to 4 mm, less than or equal to 3 mm, or less than or equal to 2 mm compared to the uncompressed length of the spring. Combinations are possible (e.g., greater than or equal to 1 mm and less than or equal to 5 mm, greater than or equal to 5 mm and less than or equal to 10 mm). Other ranges are also possible.

[0145] In certain embodiments, the spring is configured to release a desired amount of the spring's stored compressive energy (e.g., upon exposure of the support material to fluid, such as gastrointestinal fluids). For example, the spring and / or support material can be exposed to the fluid, and upon at least partial dissolution of the support material, the spring at least partially releases the stored compressive energy, e.g., to displace a tissue-connection component operably coupled to the spring (e.g., to release it into tissue located within the subject's body). For example, in some embodiments, the spring is configured to release at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, or at least 80% (including any percentage between these values) of the spring's stored compressive energy. In certain embodiments, the spring is configured to release (e.g., upon exposure of the support to fluids such as gastrointestinal fluids) at least 90% of the spring's stored compression energy, at least 92% of the spring's stored compression energy, at least 94% of the spring's stored compression energy, at least 96% of the spring's stored compression energy, at least 98% of the spring's stored compression energy, or at least 99% of the spring's stored compression energy (including any percentages therebetween). In certain embodiments, the spring is configured to release less than or equal to 100% of the spring's stored compression energy, less than 99% of the spring's stored compression energy, less than 98% of the spring's stored compression energy, less than 96% of the spring's stored compression energy, less than 94% of the spring's stored compression energy, less than 92% of the spring's stored compression energy, or less than 91% of the spring's stored compression energy.In some embodiments, the spring is configured to release less than or equal to 90%, less than or equal to 80%, less than or equal to 70%, less than or equal to 60%, less than or equal to 50%, less than or equal to 40%, less than or equal to 30%, or less than or equal to 20% of the spring's stored compression energy (e.g., upon exposure of the support to fluids such as gastrointestinal fluids), including any percentage therebetween. Combinations of the above-mentioned ranges are also possible (e.g., at least 92% and less than 98% of the spring's stored compression energy, at least 94% and less than 96%, at least 10% and less than or equal to 99% of the spring's stored compression energy). Other ranges are also possible.

[0146] In some embodiments, the spring is configured to release its stored compressive energy within any suitable time of exposure of the support to fluid and / or mechanical failure (e.g., cracking, breakage) of the support. For example, in some embodiments, the spring is configured to release its stored compressive energy (at least 10% of the stored compressive energy) within less than 5 ms, less than 4 ms, less than 3 ms, less than 2 ms, less than 1 ms, less than 0.5 ms, or less than 0.2 ms of mechanical failure of the support. In certain embodiments, the spring is configured to release its stored compressive energy within / within a time greater than 0.1 ms, more than 0.2 ms, more than 0.5 ms, more than 1 ms, more than 2 ms, more than 3 ms, or more than 4 ms of mechanical failure of the support. Combinations of the above-mentioned ranges are also possible (e.g., less than 5 ms and more than 1 ms, less than 2 ms and more than 0.1 ms). Other ranges are also possible.

[0147] In certain embodiments, the spring may be configured to release the stored compressive energy (e.g., at least 10% of the stored compressive energy) of the spring described herein in less than 10 minutes, less than 9 minutes, less than 7 minutes, less than 5 minutes, less than 3 minutes, or less than 1 minute of exposure of the support material to the fluid. In some embodiments, the spring is configured to release its stored compression energy within a time period greater than 30 seconds, greater than 1 minute, greater than 3 minutes, greater than 5 minutes, greater than 7 minutes, or greater than 9 minutes, including any time period between these values. Combinations of the above-mentioned ranges (e.g., within a time period less than 10 minutes and greater than 30 seconds, less than 7 minutes and greater than 5 minutes). Other ranges are also possible.

[0148] Any combination of the above-mentioned ranges is also possible. For example, in certain embodiments, the spring is configured to release at least 10% (e.g., at least 90%) of the spring's stored compression energy within 10 minutes of exposing the support to the fluid. In certain embodiments, the spring is configured to release at least 10% (e.g., at least 90%) of the spring's stored compression energy within 30 seconds of exposing the support to the fluid. In some embodiments, the spring is configured to release less than or equal to 100% of the spring's stored compression energy within 10 minutes of exposing the support to the fluid. In certain embodiments, the spring is configured to release less than or equal to 100% of the spring's stored compression energy within 30 seconds of exposing the support to the fluid.

[0149] In certain embodiments, the spring is configured to release at least 10% (e.g., at least 90%) of the spring's stored compressive energy within 5 ms of mechanical failure of the support. In certain embodiments, the spring is configured to release at least 10% (e.g., at least 90%) of the spring's stored compressive energy within 0.1 ms of mechanical failure of the support. In some embodiments, the spring is configured to release less than or equal to 100% of the spring's stored compressive energy within 5 ms of mechanical failure of the support. In certain embodiments, the spring is configured to release less than or equal to 100% of the spring's stored compressive energy within 0.1 ms of mechanical failure of the support.

[0150] The spring can have any suitable cross-sectional dimension. In some embodiments, the maximum cross-sectional dimension of the (uncompressed) spring is greater than or equal to 1 mm, greater than or equal to 2 mm, greater than or equal to 3 mm, greater than or equal to 4 mm, or greater than or equal to 5 mm. In certain embodiments, the maximum cross-sectional dimension of the (uncompressed) spring is less than or equal to 10 mm, less than or equal to 6 mm, less than or equal to 5 mm, less than or equal to 4 mm, less than or equal to 3 mm, or less than or equal to 2 mm. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 1 mm and less than or equal to 10 mm). Other ranges are also possible.

[0151] In some embodiments, the article is administered to a subject (e.g., orally). In certain embodiments, the article can be administered orally, rectally, intravaginally, nasally, or urethrally. In certain embodiments, at least a portion of the support material degrades upon reaching a location within the subject's body (e.g., the gastrointestinal tract), causing the spring to elongate and / or the tissue-connecting component to interface with (e.g., contact, penetrate) tissue located within the subject's body. In some embodiments, the location within the subject's body is the colon, duodenum, ileum, jejunum, stomach, or esophagus. In certain embodiments, the location within the subject's body is within the buccal crevice, the venous system (e.g., arteries), the respiratory system (e.g., lungs), the renal system, the urinary system, or the digestive system. As described above and herein, in some embodiments, the active pharmaceutical ingredient is released during and / or after penetration of tissue located within the subject's body.

[0152] In some embodiments, the tissue connection component comprises a needle, and the tissue is penetrated with a force greater than or equal to 1 mN and less than or equal to 100 mN (e.g., greater than or equal to 10 mN and less than or equal to 20 mN). In certain embodiments, the tissue connection component comprises a plurality of microneedles, and the tissue is penetrated with a force greater than or equal to 100 mN and less than or equal to 10 N (e.g., greater than or equal to 1 N and less than or equal to 2 N, greater than or equal to 100 mN and less than or equal to 6 N).

[0153] In some cases, and as described herein, the article can be oriented so that the longitudinal axis of the tissue-connecting component is perpendicular to the tissue located adjacent to the article (e.g., within a range of less than or equal to 10%, less than or equal to 5%, or less than or equal to 1% of 90°). In some embodiments, a self-actuating article (e.g., including a tissue-connecting component) described herein can be associated with one or more self-righting articles. Non-limiting examples of suitable self-righting articles are generally described in commonly owned U.S. Provisional Patent Application No. 62 / 507,647, filed May 17, 2017, entitled "SELF-RIGHTING ARTICLES," which is incorporated herein by reference in its entirety.

[0154] In exemplary embodiments, the article comprises an outer shell; a spring at least partially enclosed within the outer shell; a support associated with the spring, the support maintaining at least a portion of the spring under at least 5% compressive strain under ambient conditions; and a tissue-connection component operably coupled to the spring. In certain embodiments, the article comprises a tissue-connection component and a spring associated with the tissue-connection component, the spring being maintained in a partially compressed state under at least 5% compressive strain by the support. According to certain embodiments, the spring is configured to release at least 10% (e.g., at least 90%) of the spring's stored compressive energy within 0.1 ms of mechanical failure of the support. According to certain embodiments, the article compresses a medicinal agent associated with the tissue-connection component. In some embodiments, the article comprises a self-restoring article associated with a tissue-connection component. High API

[0155] In some embodiments, as described above and herein, a system includes a component (e.g., a tissue-connecting component) that includes a solid therapeutic agent (e.g., a solid API) and a second material (e.g., a support material for the solid API, such as a binder and / or polymer), such that the solid therapeutic agent is present in the component in an amount greater than or equal to 10% by weight, based on the total weight of the tissue-connecting component. Such a tissue-connecting component can be useful for delivering an API dose (e.g., to a subject). Advantageously, in some embodiments, the reduced volume required to deliver the required API dose compared to liquid formulations enables the creation of solid-needle delivery systems for a wide variety of drugs in various locations / tissues (e.g., the tongue, GI mucosal tissue, skin) and / or reduces and / or eliminates the application of external forces to inject a drug solution through a small needle opening. In some cases, a physiologically relevant dose can be present in a single tissue-connecting component (e.g., a single tissue-connecting component with a relatively high API loading).

[0156] In certain embodiments, the API is substantially solid (e.g., powder, compressed powder, crystalline solid, amorphous solid), i.e., a solid therapeutic agent. In some embodiments, the API may be in liquid form. In certain embodiments, the API may be:

[0157] In some embodiments, the tissue connection component may be a needle, a biopsy component, a protrusion, a plurality of micro- The tissue-connecting component may comprise a needle, a hook, a mucoadhesive patch, or a combination thereof. In certain embodiments, as described herein and above, the tissue-connecting component is configured to penetrate tissue (e.g., skin, tongue, tissue of the GI tract, such as GI mucosal tissue). In some embodiments, the tissue is penetrated with a force greater than or equal to 1 mN and less than or equal to 20 mN (e.g., greater than or equal to 10 mN and less than or equal to 20 mN, greater than or equal to 1 mN and less than or equal to 100 mN, greater than or equal to 20 mN and less than or equal to 1 N, greater than or equal to 1 N and less than or equal to 20 N, greater than or equal to 10 N and less than or equal to 20 N).

[0158] Advantageously, tissue-connecting components comprising needles and / or multiple microneedles with a relatively high API loading (e.g., greater than or equal to 10% by weight, based on the total weight of the component) can significantly reduce the number of needles and / or the overall size of the microneedle array required to deliver a particular API dose, as compared to traditional microneedles (e.g., which generally contain less than 10% by weight loading and / or require multiple microneedles, on the order of thousands to tens of thousands of microneedles, to deliver a similar dose).

[0159] In some embodiments, the tissue-connecting component has a particular maximum dimension (e.g., length). In certain embodiments, the maximum dimension of the tissue-connecting component is greater than or equal to 1 mm, greater than or equal to 2 mm, greater than or equal to 3 mm, greater than or equal to 5 mm, greater than or equal to 7 mm, greater than or equal to 10 mm, greater than or equal to 12 mm, greater than or equal to 15 mm, greater than or equal to 20 mm, greater than or equal to 25 mm, greater than or equal to 30 mm, or greater than or equal to 50 mm. In some embodiments, the maximum dimension of the tissue-connecting component is less than or equal to 100 mm, less than or equal to 50 mm, less than or equal to 30 mm, less than or equal to 25 mm, less than or equal to 20 mm, less than or equal to 15 mm, less than or equal to 12 mm, less than or equal to 10 mm, less than or equal to 7 mm, less than or equal to 5 mm, less than or equal to 3 mm, or less than or equal to 2 mm. Combinations of the above-mentioned ranges are also possible.

[0160] In certain embodiments, the tissue-connecting component has an average cross-sectional dimension (e.g., diameter) that is greater than or equal to 0.25 mm, greater than or equal to 0.5 mm, greater than or equal to 0.6 mm, greater than or equal to 0.7 mm, greater than or equal to 0.8 mm, greater than or equal to 0.9 mm, greater than or equal to 1 mm, greater than or equal to 1.1 mm, greater than or equal to 1.2 mm, greater than or equal to 1.3 mm, greater than or equal to 1.4 mm, greater than or equal to 1.5 mm, greater than or equal to 1.7 mm, greater than or equal to 1.9 mm, greater than or equal to 2.5 mm, greater than or equal to 3.0 mm, greater than or equal to 4.0 mm, or greater than or equal to 5.0 mm. In some embodiments, the tissue-connecting component has a thickness of less than or equal to 6.0 mm, less than or equal to 5.0 mm, less than or equal to 4.0 mm, less than or equal to 3.0 mm, less than or equal to 2.5 mm, less than 1.9 mm. The average cross-sectional dimension is less than or equal to 1.7 mm, less than or equal to 1.5 mm, less than or equal to 1.4 mm, less than or equal to 1.3 mm, less than or equal to 1.2 mm, less than or equal to 1.1 mm, less than or equal to 1 mm, less than or equal to 0.9 mm, less than or equal to 0.8 mm, less than or equal to 0.7 mm, or less than or equal to 0.6 mm, or less than or equal to 0.5 mm. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 0.5 mm and less than or equal to 2.0 mm). Other ranges are also possible.

[0161] In some embodiments, the tissue-connecting component may comprise a plurality of microneedles, and in some such embodiments, the plurality of microneedles may have a particular base maximum cross-sectional dimension (e.g., base diameter), a particular height, and / or a particular spacing.

[0162] In some embodiments, the average diameter of the base of the plurality of microneedles is greater than or equal to 100 micrometers, greater than or equal to 150 micrometers, greater than or equal to 200 micrometers, greater than or equal to 250 micrometers, greater than or equal to 300 micrometers, greater than or equal to 350 micrometers, greater than or equal to 400 micrometers, or greater than or equal to 450 micrometers. In certain embodiments, the average diameter of the base of the plurality of microneedles is less than or equal to 500 micrometers, less than or equal to 450 micrometers, less than or equal to 400 micrometers, less than or equal to 350 micrometers, less than or equal to 300 micrometers, less than or equal to 250 micrometers, less than or equal to 200 micrometers, or less than or equal to 150 micrometers. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 100 micrometers and less than or equal to 500 micrometers). Other ranges are possible.

[0163] In certain embodiments, the average height of the microneedles is greater than or equal to 0.1 mm, greater than or equal to 0.2 mm, greater than or equal to 0.5 mm, greater than or equal to 0.7 mm, greater than or equal to 1 mm, greater than or equal to 1.2 mm, greater than or equal to 1.5 mm, or greater than or equal to 2 mm. In some embodiments, the average height of the microneedles is less than or equal to 2.5 mm, less than or equal to 2 mm, less than or equal to 1.5 mm, less than or equal to 1.2 mm, less than or equal to 1 mm, less than or equal to 0.7 mm, less than or equal to 0.5 mm, or less than or equal to 0.2 mm. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 0.1 mm and less than or equal to 2.5 mm). Other ranges are also possible.

[0164] In some cases, the average spacing of the plurality of microneedles (e.g., the spacing between adjacent microneedles in the plurality of microneedles) is greater than or equal to 100 micrometers, greater than or equal to 200 micrometers, greater than or equal to 300 micrometers, greater than or equal to 400 micrometers, greater than or equal to 500 micrometers, greater than or equal to 600 micrometers, greater than or equal to 700 micrometers, or greater than or equal to 800 micrometers. It may be greater than or equal to, greater than or equal to, 800 micrometers, greater than or equal to, 900 micrometers, greater than or equal to, 1000 micrometers, greater than or equal to, 1100 micrometers, greater than or equal to, 1200 micrometers, greater than or equal to, 1300 micrometers, or greater than or equal to, 1400 micrometers. In certain embodiments, the average spacing of the microneedles is less than or equal to 1500 micrometers, less than or equal to 1400 micrometers, less than or equal to 1300 micrometers, less than or equal to 1200 micrometers, less than or equal to 1100 micrometers, less than or equal to 1000 micrometers, less than or equal to 900 micrometers, less than or equal to 800 micrometers, less than or equal to 700 micrometers, less than or equal to 600 micrometers, less than or equal to 500 micrometers, less than or equal to 400 micrometers, less than or equal to 300 micrometers, or less than or equal to 200 micrometers. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 100 micrometers and less than or equal to 1500 micrometers). Other ranges are also possible.

[0165] Advantageously, in some embodiments, the tissue-connecting component (e.g., needle) dissolves relatively quickly, thereby reducing and / or eliminating the risk of secondary penetration by the component in an undesired location. In some embodiments, the maximum cross-sectional dimension (e.g., length) of the component is designed to be delivered to any organ that the component is to target, preventing pain and / or undesired perforation of the GI tract.

[0166] In some embodiments, the tissue-connecting component comprises a base portion and a tip portion. For example, as illustrated in FIG. 28 , tissue-connecting component 100 comprises a base portion 110 and a tip portion 115. In some embodiments, the base portion and / or the tip portion comprise a mucoadhesive material. Non-limiting examples of suitable mucoadhesive materials include polymers such as poly(vinyl alcohol), hydroxylated methacrylates and poly(methacrylic acid), polyacrylates (e.g., polyacrylic acid, thiolated poly(acrylic acid), Carbopol®), cyanoacrylates, sodium carboxymethylcellulose, hyaluronic acid, hydroxypropyl cellulose, polycarbophil, chitosan, mucin, alginate, xanthan gum, gellan, poloxamer, cellulose acetophthalate, methylcellulose, hydroxyethylcellulose, poly(amidoamine) dendrimers, poly(dimethylsiloxane), poly(vinylpyrrolidone), polycarbophil, combinations thereof, and copolymers thereof.

[0167] In some embodiments, the base portion and / or tip portion comprise a solid therapeutic agent (e.g., API) and a second material (if present) such that the solid therapeutic agent is present in the tissue-connecting component in an amount greater than or equal to 10% by weight, based on the total weight of the tissue-connecting component. In certain embodiments, the solid therapeutic agent is present in the tissue-connecting component in an amount greater than or equal to 10% by weight, greater than or equal to 20% by weight, greater than or equal to 30% by weight, greater than or equal to 40% by weight, greater than or equal to 50% by weight, greater than or equal to 60% by weight, greater than or equal to 70% by weight, greater than or equal to 80% by weight, greater than or equal to 90% by weight, greater than or equal to 95% by weight, greater than or equal to 98% by weight, or greater than or equal to 99.1% by weight, based on the total weight of the tissue-connecting component. In some embodiments, the solid therapeutic agent is present in the tissue-connecting component in an amount greater than or equal to 10% by weight, greater than or equal to 20% by weight, greater than or equal to 30% by weight, greater than or equal to 40% by weight, greater than or equal to 50% by weight, greater than or equal to 60% by weight, greater than or equal to 70% by weight, greater than or equal to 80% by weight, greater than or equal to 90% by weight, greater than or equal to 95% by weight, greater than or equal to 98% by weight, or greater than or equal to 99.1% by weight, based on the total weight of the tissue-connecting component. The solid therapeutic agent is present in the tissue-connecting component in an amount of less than or equal to 100% by weight, less than or equal to 99% by weight, less than or equal to 98% by weight, less than or equal to 95% by weight, less than or equal to 90% by weight, less than or equal to 80% by weight, less than or equal to 70% by weight, less than or equal to 60% by weight, less than or equal to 50% by weight, less than or equal to 40% by weight, less than or equal to 30% by weight, or less than or equal to 20% by weight, based on the total weight of the tissue-connecting component. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 10% by weight and less than or equal to 100% by weight, greater than or equal to 80% by weight and less than or equal to 100% by weight). Other ranges are also possible. In an exemplary set of embodiments, the solid therapeutic agent is present in the tissue-connecting component in an amount of greater than or equal to 80% by weight and less than or equal to 100% by weight, based on the total weight of the tissue-connecting component.

[0168] In certain embodiments, the solid therapeutic agent is present in the base portion in an amount greater than or equal to 0 wt.%, greater than or equal to 5 wt.%, greater than or equal to 10 wt.%, greater than or equal to 20 wt.%, greater than or equal to 30 wt.%, greater than or equal to 40 wt.%, greater than or equal to 50 wt.%, greater than or equal to 60 wt.%, greater than or equal to 70 wt.%, greater than or equal to 80 wt.%, greater than or equal to 90 wt.%, greater than or equal to 95 wt.%, greater than or equal to 98 wt.%, or greater than or equal to 99 wt.% based on the total weight of the base portion. In some embodiments, the solid therapeutic agent is present in the base portion in an amount of less than or equal to 100% by weight, less than or equal to 99% by weight, less than or equal to 98% by weight, less than or equal to 95% by weight, less than or equal to 90% by weight, less than or equal to 80% by weight, less than or equal to 70% by weight, less than or equal to 60% by weight, less than or equal to 50% by weight, less than or equal to 40% by weight, less than or equal to 30% by weight, less than or equal to 20% by weight, less than or equal to 10% by weight, or less than or equal to 5% by weight, based on the total weight of the base portion. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 10% by weight and less than or equal to 100% by weight, greater than or equal to 80% by weight and less than or equal to 100% by weight). Other ranges are also possible. In exemplary embodiments, the base portion comprises substantially only solid therapeutic agent.

[0169] In certain embodiments, the solid therapeutic agent is present in the tip in an amount greater than or equal to 0% by weight, greater than or equal to 5% by weight, greater than or equal to 10% by weight, greater than or equal to 20% by weight, greater than or equal to 30% by weight, greater than or equal to 40% by weight, greater than or equal to 50% by weight, greater than or equal to 60% by weight, greater than or equal to 70% by weight, greater than or equal to 80% by weight, greater than or equal to 90% by weight, greater than or equal to 95% by weight, greater than or equal to 98% by weight, or greater than or equal to 99% by weight, based on the total weight of the tip. In some embodiments, the solid therapeutic agent is present in the tip in an amount of less than or equal to 100% by weight, less than or equal to 99% by weight, less than or equal to 98% by weight, less than or equal to 95% by weight, less than or equal to 90% by weight, less than or equal to 80% by weight, less than or equal to 70% by weight, less than or equal to 60% by weight, less than or equal to 50% by weight, less than or equal to 40% by weight, less than or equal to 30% by weight, less than or equal to 20% by weight, less than or equal to 10% by weight, or less than or equal to 5% by weight based on the total weight of the tip. Combinations of ranges are possible (e.g., greater than or equal to 10% by weight and less than or equal to 100% by weight, greater than or equal to 80% by weight and less than or equal to 100% by weight). Other ranges are possible. In an exemplary embodiment, the tip portion includes substantially only the solid therapeutic agent. In another exemplary embodiment, the tip portion is substantially free of the solid therapeutic agent.

[0170] In certain embodiments, the tissue-connecting component comprises greater than or equal to 10% by weight (e.g., greater than or equal to 80% by weight) of solid therapeutic agent relative to the total weight of the tissue-connecting component, regardless of the configuration of the base portion and / or tip portion.

[0171] In certain embodiments, the tissue-connecting component contains more than or equal to 0.1 mg, more than or equal to 0.5 mg, more than or equal to 0.8 mg, more than or equal to 1 mg, more than or equal to 1.5 mg, more than or equal to 2 mg, more than or equal to 2.5 mg, more than or equal to 3 mg, more than or equal to 4 mg, more than or equal to 5 mg, more than or equal to 7 mg, or more than or equal to 9 mg of therapeutic agent (e.g., solid therapeutic agent). In certain embodiments, the tissue-connecting component contains less than or equal to 10 mg, less than or equal to 9 mg, less than or equal to 7 mg, less than or equal to 5 mg, less than or equal to 4 mg, less than or equal to 3 mg, less than or equal to 2.5 mg, less than or equal to 2 mg, less than or equal to 1.5 mg, less than or equal to 1 mg, less than or equal to 0.8 mg, less than or equal to 0.5 mg, or less than or equal to 0.2 mg of therapeutic agent. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 0.1 mg and less than or equal to 10 mg). Other ranges are also possible.

[0172] In certain embodiments, at least a portion of the solid therapeutic agent (e.g., API) is associated with the base portion and / or one or more tip portions of the tissue-connecting component. For example, in some embodiments, the solid therapeutic agent and second material (if present) are substantially uniformly distributed throughout the tissue-connecting component (e.g., throughout the base portion and / or tip portion). In some cases, the solid therapeutic agent can be a coating (e.g., disposed on a portion of the tip portion) such that the tissue-connecting component contains greater than or equal to 10% by weight of the solid therapeutic agent relative to the total weight of the tissue-connecting component.

[0173] In some embodiments, the tissue-connecting component may include an additional coating. In some embodiments, the additional coating may include, for example, a material configured to slow the dissolution time compared to the dissolution of the tissue-connecting component without the additional coating. Non-limiting examples of suitable additional coating materials include Zn, Al, Mg, polymers (e.g., enteric polymers, polycaprolactone, parylene, hypromellose, polyethylene glycol), and combinations thereof. Other additional coating materials are also possible. In some embodiments, the additional coating may be configured to release the solid therapeutic agent over a specific period of time. For example, in some embodiments, the additional coating is configured such that the solid therapeutic agent is released (e.g., upon exposure of the additional coating to fluids such as gastric fluids) over a period of less than or equal to 6 months, less than or equal to 3 months, less than or equal to 1 month, less than or equal to 2 weeks, less than or equal to 1 week, less than or equal to 4 days, less than or equal to 2 days, less than or equal to 1 day, less than or equal to 12 hours, less than or equal to 6 hours, less than or equal to 3 hours, less than or equal to 1 hour, less than or equal to 30 minutes, less than or equal to 15 minutes, less than or equal to 10 minutes, less than or equal to 5 minutes, or less than or equal to 2 minutes. In certain embodiments, the additional coating is configured to release the solid therapeutic agent for a period of greater than or equal to 1 minute, greater than or equal to 2 minutes, greater than or equal to 5 minutes, greater than or equal to 10 minutes, greater than or equal to 15 minutes, greater than or equal to 30 minutes, greater than or equal to 1 hour, greater than or equal to 3 hours, greater than or equal to 6 hours, greater than or equal to 12 hours, greater than or equal to 1 day, greater than or equal to 2 days, greater than or equal to 4 days, greater than or equal to 1 week, greater than or equal to 2 weeks, greater than or equal to 1 month, or greater than or equal to 3 months. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 1 minute and less than or equal to 1 day, greater than or equal to 1 day and less than or equal to 2 weeks, greater than or equal to 1 week and less than or equal to 6 months). Other ranges are possible.

[0174] In certain embodiments, the tissue-connecting component comprises a plurality of microneedles containing a solid therapeutic agent and a second material, if present.

[0175] In some embodiments, at least a portion of the solid therapeutic agent is present on at least a surface of the tip. In certain embodiments, at least a portion of the second material is present on at least a surface of the tip.

[0176] The tissue-connecting components described herein can be formed using any suitable method. In some embodiments, the tissue-connecting component is formed by providing a solid therapeutic agent and a second material (if present), and centrifuging and / or compressing the solid therapeutic agent and the second material together using a pressure of at least 1 MPa to form the tissue-connecting component. In some embodiments, the second material (if present) and the solid therapeutic agent are heated to form the tissue-connecting component.

[0177] In some embodiments, the tissue connection component is formed using a pressure of at least 1 MPa, at least 2 MPa, at least 3 MPa, at least 5 MPa, at least 7 MPa, at least 10 MPa, at least 12 MPa, at least 15 MPa, at least 20 MPa, at least 25 MPa, at least 30 MPa, at least 40 MPa, at least 50 MPa, at least 75 MPa, at least 150 MPa, at least 300 MPa, at least 600 MPa, at least 900 MPa, at least 1 GPa, or at least 1.2 GPa. In some embodiments, the tissue-connecting component is formed using a pressure of less than or equal to 1.4 GPa, less than or equal to 1.2 GPa, less than or equal to 1 GPa, less than or equal to 900 MPa, less than or equal to 600 MPa, less than or equal to 300 MPa, less than or equal to 150 MPa, less than or equal to 100 MPa, less than or equal to 75 MPa, less than or equal to 50 MPa, less than or equal to 40 MPa, less than or equal to 30 MPa, less than or equal to 25 MPa, less than or equal to 20 MPa, less than or equal to 15 MPa, less than or equal to 12 MPa, less than or equal to 10 MPa, less than or equal to 7 MPa, less than or equal to 5 MPa, less than or equal to 3 MPa, or less than or equal to 2 MPa. Combinations of the above-mentioned ranges are also possible (e.g., a pressure of at least 1 MPa and less than or equal to 100 MPa). pressures of at least 20 MPa and less than or equal to 100 MPa; pressures of at least 100 MPa and less than or equal to 1.4 GPa). Other ranges are possible.

[0178] In certain embodiments, the tissue-connecting component can be formed at a particular temperature. For example, the tissue-connecting component, in some embodiments, is formed at a temperature greater than or equal to 50°C, greater than or equal to 60°C, greater than or equal to 70°C, greater than or equal to 80°C, greater than or equal to 90°C, greater than or equal to 100°C, or greater than or equal to 120°C. In some embodiments, the tissue-connecting component is formed at a temperature less than or equal to 150°C, less than or equal to 130°C, less than or equal to 120°C, less than or equal to 110°C, less than or equal to 100°C, less than or equal to 90°C, less than or equal to 80°C, less than or equal to 70°C, or less than or equal to 60°C. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 50°C and less than or equal to 130°C). Other temperatures and ranges are also possible.

[0179] Advantageously, the tissue-connecting component may have desirable mechanical properties (e.g., Young's modulus) to enable the tissue-connecting component to adequately puncture tissue in the gastrointestinal tract. In some embodiments, the tissue-connecting component has a Young's modulus greater than or equal to 100 MPa (e.g., greater than or equal to 125 MPa, greater than or equal to 150 MPa, greater than or equal to 175 MPa, greater than or equal to 200 MPa, greater than or equal to 250 MPa, greater than or equal to 300 MPa, or greater than or equal to 350 MPa). In certain embodiments, the tissue-connecting component has a Young's modulus less than or equal to 400 MPa, less than or equal to 350 MPa, less than or equal to 300 MPa, less than or equal to 250 MPa, less than or equal to 200 MPa, less than or equal to 175 MPa, less than or equal to 150 MPa, or less than or equal to 125 MPa. Combinations of the above-referenced ranges are possible (e.g., greater than or equal to 100 MPa and less than or equal to 250 MPa, greater than or equal to 100 MPa and less than or equal to 400 MPa). Other ranges are also possible.

[0180] In some cases, the tissue connection component may be configured to penetrate a particular depth into human gastrointestinal mucosal tissue with a particular force. For example, the tissue connection component may be configured to penetrate a depth of greater than or equal to 1 mm (e.g., greater than or equal to 2 mm, greater than or equal to 3 mm, or greater than or equal to 4 mm) with a force less than or equal to 20 N (e.g., less than or equal to 10 N, less than or equal to 5 N, less than or equal to 1 N, less than or equal to 500 mN, less than or equal to 100 mN, less than or equal to 50 mN, less than or equal to 20 mN, less than or equal to 15 mN, less than or equal to 10 mN, less than or equal to 5 mN).

[0181] In some embodiments, the second material comprises a polymerizable monomer and / or polymer. In certain embodiments, the second material is biodegradable. Non-limiting examples of materials suitable for the second material include polyethylene glycol, polyvinylpyrrolidone, polylactic acid, polysaccharides (e.g., maltose, lactose, starch, cellulose), gum arabic, methylcellulose, gelatin, tragacanth, clay, HPMC, stearic acid, sodium stearate. Ingredients include sodium thorium, magnesium stearate, talc, polyethylene glycol, mineral oil, preservatives (e.g., phenol, parabens, cetrimide), antioxidants (e.g., gallic acid, tocopherol), derivatives thereof, and combinations thereof.

[0182] In some embodiments, the tissue-connecting component comprises a coating having a yield strength greater than or equal to 50 MPa (e.g., greater than or equal to 60 MPa, greater than or equal to 70 MPa, or greater than or equal to 80 MPa).

[0183] In some embodiments, the coating may be comprised of a thin film metal, ceramic, or diamond-like coating (DLC). In some embodiments, the tissue-connecting component does not include a coating.

[0184] In some embodiments, the coating may be composed of a corrodible material (e.g., iron, zinc, aluminum, or alloys) so that the coating breaks down upon contact with a physiological environment to provide the therapeutic agent. In certain embodiments, the coating may include a polymer described herein, such as parylene.

[0185] In some cases, the tissue-connecting component may be configured to deliver a specific amount of pharmaceutically active agent per square centimeter of the subject's tissue. For example, in some embodiments, the tissue-connecting component is configured to deliver greater than or equal to 0.01 μg, greater than or equal to 0.05 μg, greater than or equal to 0.1 μg, greater than or equal to 0.2 μg, greater than or equal to 0.5 μg, greater than or equal to 0.7 μg, greater than or equal to 1 μg, greater than or equal to 2 μg, greater than or equal to 5 μg, or greater than or equal to 10 μg of pharmaceutical agent per square centimeter of the subject's tissue proximate the location of penetration of the tissue-connecting component. In certain embodiments, the tissue-connecting component is configured to deliver less than or equal to 20 μg, less than or equal to 5 μg, less than or equal to 2 μg, less than or equal to 1 μg, less than or equal to 0.7 μg, less than or equal to 0.5 μg, less than or equal to 0.2 μg, less than or equal to 0.1 μg, or less than or equal to 0.05 μg of pharmaceutical agent per square centimeter of tissue. Combinations of the above-mentioned ranges are also possible (e.g., greater than or equal to 1 μg and less than or equal to 20 μg).In some embodiments, the tissue-connecting component is configured to deliver greater than or equal to 1 μg of pharmaceutical agent per square centimeter of tissue of the subject for any suitable period of time (e.g., greater than or equal to 0.1 second, greater than or equal to 0.5 seconds, greater than or equal to 1 second, greater than or equal to 5 seconds, greater than or equal to 30 seconds, greater than or equal to 1 minute, greater than or equal to 5 minutes, 10 minutes, greater than or equal to 30 minutes, greater than or equal to 1 hour, greater than or equal to 4 hours, greater than or equal to 24 hours, greater than or equal to 48 hours, greater than or equal to 72 hours, greater than or equal to 96 hours, greater than or equal to 120 hours, greater than or equal to 144 hours, greater than or equal to 168 hours).

[0186] In certain embodiments, the tissue-connecting component comprises a binder (e.g., in some cases, the second material is the binder). Non-limiting examples of suitable binders include sugars, such as sorbitol and sucrose; gelatin; polymers, such as polyvinyl alcohol (PVA), polyethylene glycol (PEG), polycaprolactone. (PCL) and polyvinylpyrrolidone (PVP); and polymers containing ethanol or other Class 3 organic solvents (e.g., acetic acid, heptane, acetone, formic acid, isobutyl acetate, etc.).

[0187] In exemplary embodiments, the article comprises greater than or equal to 80% by weight of the solid pharmaceutically active agent, based on the total weight of the article. In certain embodiments, the article comprises greater than or equal to 1 mg of the pharmaceutically active agent. According to some embodiments, the pharmaceutical agent is selected from the group consisting of bacteriophage, DNA, mRNA, insulin, human growth hormone, monoclonal antibody, adalimumab, epinephrine, and ondansetron. In certain exemplary embodiments, the pharmaceutically active agent is poured into a mold to form the article. In some embodiments, the mold is centrifuged. According to certain embodiments, the article further comprises a binder. In certain embodiments, the binder comprises a sugar, such as sorbitol or sucrose, gelatin, a polymer, such as PVA, PEG, PCL, PVA, or PVP, and / or ethanol. According to certain embodiments, the article has a Young's modulus of elasticity greater than or equal to 100 MPa. In some embodiments, the article is configured to penetrate at least 1 mm into human gastrointestinal mucosal tissue with a force less than or equal to 20 mN. According to certain embodiments, the article is configured to deliver at least 1 mg of pharmaceutical agent per square centimeter of tissue of the subject, and / or the article comprises greater than or equal to 1 mg of pharmaceutically active agent per square centimeter.

[0188] Certain exemplary embodiments relate to a method of forming an article, the method comprising the steps of introducing into a mold a composition comprising greater than 80 wt. % of a solid pharmaceutical agent based on the total weight of the composition, applying a pressure greater than or equal to 1 MPa to the composition, and heating the composition to a temperature of at least 70° C. for at least 1 minute. As used herein, the term "active pharmaceutical ingredient" (also referred to as "drug" or "therapeutic agent") refers to an agent administered to a subject to treat or prevent a disease, disorder, or other clinically recognized condition, which has a clinically significant effect on the subject's body to treat and / or prevent the disease, disorder, or condition. Drugs

[0189] In some embodiments, the compositions and methods described herein are compatible with one or more therapeutic, diagnostic, and / or enhancing agents, such as drugs, nutrients, microorganisms, in vivo sensors, and tracers. In some embodiments, the active substance is a therapeutic, nutraceutical, preventative, or diagnostic agent. While most of this specification describes the use of therapeutic agents, other agents listed herein are also possible.

[0190] Agents may include, but are not limited to, any synthetic or naturally occurring bioactive compound or composition that, upon administration to a subject (e.g., a human or non-human animal), induces a desired pharmacological, immunological, and / or physiological effect through local and / or systemic action. For example, useful or potentially useful in the context of certain embodiments are compounds or chemicals traditionally considered drugs, vaccines, and biologics; certain such agents include those used in the medical or veterinary treatment, prevention, diagnosis, and / or mitigation of diseases or conditions (e.g., HMG co-A reductase inhibitors (statins), such as rosuvastatin; nonsteroidal anti-inflammatory drugs, such as meloxicam; selective serotonin reuptake inhibitors, such as escitalopram; antithrombotic agents, such as clopidogrel; steroids, such as prednisone; antipsychotics, such as aripiprazole and risperidone; analgesics, such as buprenorphine; antagonists, such as naloxone, montelukast, and memantine; cardiac glycosides, such as digoxin; alpha-blockers, such as tamsulosin; cholesterol absorption inhibitors, such as ezetimibe; and steroids, such as colchicine). antihistamines such as loratadine and cetirizine; opioids such as loperamide; proton pump inhibitors such as omeprazole; anti(retro)virals such as entecavir, dolutegravir, rilpivirine and cabotegravir; antibiotics such as doxycycline, ciprofloxacin and azithromycin; antimalarials; and synthroid / levothyroxine; substance abuse treatment (e.g., methadone and varenicline); family planning (e.g., hormonal contraceptives); performance enhancement (e.g., stimulants such as caffeine); and nutrition and nutritional supplements (e.g., protein, folic acid, calcium, iodine, iron, zinc, thiamine, niacin, vitamin C, vitamin D and other vitamin or mineral supplements).

[0191] In certain embodiments, the active substance is one or more specific therapeutic agents. As used herein, the term "therapeutic agent," also referred to as "drug," refers to an agent administered to a subject to treat or prevent a disease, disorder, or other clinically recognized condition, and which has a clinically significant effect on the subject's body to treat and / or prevent the disease, disorder, or condition. Lists of examples of known therapeutic agents can be found, for example, in the United States Pharmacopeia (USP), Goodman and Gilman's The Pharmacological Basis of Therapeutics, Vol. 10th edition, McGraw Hill, 2001; Katzung, B. (ed.) Basic and Clinical Pharmacology, McGraw-Hill / Appleton & Lange; 8th edition (September 21, 2000); Physician's Desk Reference (Thomson Publishing), and / or The Merck Manual of Diagnosis and Therapy, 17th Edition (1999) or the first edition following its publication 8th Edition (2006), Mark H. Beers and Robert Berkow (eds.), Merck Publishing Group, or for animals, The Merck Veterinary Manual, 9th Edition, Kahn, CA (eds.), Merck Publishing Group, 2005; and "Approved Drug Products with Therapeutic Equivalence and Evaluations" ("Orange Book") published by the U.S. Food and Drug Administration (FDA). Examples of drugs approved for human use are listed by the FDA in 21 CFR Chapters 330.5, 331-361, and 440-460, which are incorporated herein by reference, and drugs for veterinary use are listed by the FDA in 21 CFR Chapters 500-589, which are incorporated herein by reference. In certain embodiments, the therapeutic agent is a small molecule. Exemplary classes of therapeutic agents include, but are not limited to, analgesics, anti-analgesics, anti-inflammatory agents, antipyretics, antidepressants, antiepileptics, antipsychotics, neuroprotective agents, antiproliferative agents such as anticancer agents, antihistamines, antimigraine agents, hormones, prostaglandins, antimicrobials (including antibiotics, antifungals, antivirals, and antiparasitics), antimuscarinics, anxiolytics, bacteriostatics, immunosuppressants, sedatives, hypnotics, antipsychotics, bronchodilators, antiasthmatics, cardiovascular medications, anesthetics, anticoagulants, enzyme inhibitors, steroids, steroidal or nonsteroidal anti-inflammatory agents, corticosteroids, dopaminergic agents, electrolytes, gastrointestinal agents, muscle relaxants, nutrients, vitamins, parasympathomimetics, stimulants, appetite suppressants, and narcolepsy medications. Nutritional supplements can also be incorporated into the drug delivery device. These can be vitamins, nutritional supplements such as calcium or biotin, or natural ingredients such as plant extracts or plant hormones.

[0192] In some embodiments, the therapeutic agent is one or more antimalarial drugs. Exemplary antimalarial drugs include quinine, lumefantrine, chloroquine, amodiaquine, pyrimethamine, proguanil, chloroproguanil-dapsone, sulfonamides such as sulfadoxine and sulfamethoxypyridazine, mefloquine, atovaquone, primaquine, halofantrine, doxycycline, clindamycin, artemisinin, and artemisinin derivatives. In some embodiments, the antimalarial drug is artemisinin or a derivative thereof. Exemplary artemisinin derivatives include artemether, dihydroartemisinin, and the like. Artemisinin includes artemisinin, arteether, and artesunate. In certain embodiments, the artemisinin is artesunate.

[0193] In another embodiment, the therapeutic agent is an immunosuppressant. Exemplary immunosuppressants include glucocorticoids, cytostatics (e.g., alkylating agents, antimetabolites, and cytotoxic antibodies), antibodies (e.g., antibodies against T cell receptors or 11-2 receptors), drugs acting on immunophilins (e.g., cyclosporine, tacrolimus, and sirolimus), and other drugs (e.g., interferons, opioids, TNF-binding proteins, mycophenolate, and other small molecules such as fingolimod).

[0194] In certain embodiments, the therapeutic agent is a hormone or its derivative. Non-limiting examples of hormones include insulin, growth hormones (e.g., human growth hormone), vasopressin, melatonin, thyroxine, thyrotropin-releasing hormone, glycoprotein hormones (e.g., luteinizing hormone, follicle-stimulating hormone, thyroid-stimulating hormone), eicosanoids, estrogen, progestin, testosterone, estradiol, cortisol, adrenaline, and other steroids.

[0195] In some embodiments, the therapeutic agent is a small molecule drug having a molecular weight of less than about 2500 daltons, less than about 2000 daltons, less than about 1500 daltons, less than about 1000 daltons, less than about 750 daltons, less than about 500 daltons, or less than about 400 daltons. In some cases, the therapeutic agent is a small molecule drug having a molecular weight between 200 and 400 daltons, between 400 and 1000 daltons, or between 500 and 2500 daltons.

[0196] In some embodiments, the therapeutic agent is a pharmaceutically active agent, e.g., insulin, nucleic acids, peptides, bacteriophages, DNA, mRNA, human growth hormone, monoclonal antibodies, adalimumab, epinephrine, GLP-1 receptor agonists, semaglutide, liraglutide, dulaglitide, exenatide, factor VIII, small molecule drugs, progestins, Progrstin, vaccine, subunit vaccine, recombinant vaccine, polysaccharide vaccine , and conjugate vaccines, toxoid vaccines, influenza vaccines, varicella zoster vaccines, Prevnar pneumonia vaccines, MMR vaccines, tetanus vaccines, hepatitis vaccines, HIV vaccine Ad4-env clade C, HIV vaccine Ad4-mGag, DNA vaccines, RNA vaccines, etanercept, infliximab, filgastrim, glatiramer acetate, rituximab, bevacizumab, any molecule encapsulated in nanoparticles, epinephrine, lysozyme, glucose-6-phosphate dehydrogenase, other enzymes, certolizumab pegol, ustekinumab, ixekizumab, golimumab, brodalumab, guseruab, secukinumab, omalizumab, Selected from the group consisting of TNF alpha inhibitors, interleukin inhibitors, vedolizumab, octreotide, teriperatide, CRISPR Cas9, insulin glargine, insulin detemir, insulin lispro, insulin aspart, human insulin, antisense oligonucleotides, and ondansetron.

[0197] In an exemplary embodiment, the therapeutic agent is insulin.

[0198] In some embodiments, the tissue-connecting components described herein include two or more types of therapeutic agents.

[0199] In certain embodiments, the therapeutic agent is present in the tissue-connecting component at a concentration such that the therapeutic agent elicits a therapeutic response upon release from the tissue-connecting component.

[0200] In some cases, the therapeutic agent may be present at a concentration below the minimum concentration typically associated with an active therapeutic agent (e.g., at a microdose concentration). For example, in some embodiments, the tissue-connecting component includes a first therapeutic agent (e.g., a steroid) at a relatively low dose (e.g., without wishing to be bound by theory, a low dose of a therapeutic agent, such as a steroid, may mediate a foreign body response in a subject at a location within the subject's body (e.g., in response to contact by the tissue-connecting component)). In some embodiments, the concentration of the therapeutic agent is a microdose of less than or equal to 100 μg and / or 30 nMol. However, in other embodiments, the therapeutic agent is not provided in a microdose, but is present in one or more of the amounts listed above.

[0201] In some embodiments, the tissue-connecting component comprises a self-actuating component, such as is generally described in commonly owned U.S. Provisional Patent Application No. 62 / 507,653, filed May 17, 2017, entitled "SELF-ACTUATING ARTICLES," which is incorporated herein by reference in its entirety.

[0202] In some embodiments, the tissue-connecting component is administered to a subject (e.g., orally). In certain embodiments, the article can be administered orally, rectally, intravaginally, nasally, or urethrally. In certain embodiments, the tissue-connecting component (e.g., and / or an API contained therein) is administered by contacting the subject's skin with the component. In an exemplary embodiment, the tissue-connecting component (e.g., and / or an API contained therein) is administered by contacting the subject's buccal tissue (e.g., lips, palate region, cheek, sublingual, tongue) with the component. In yet another exemplary embodiment, the tissue-connecting component is administered orally, and upon reaching a location within the subject's body (e.g., the GI tract, e.g., colon, duodenum, ileum, jejunum, stomach, buccal space, esophagus, etc.), the tissue-connecting component aligns with (e.g., contacts) and at least partially penetrates the target's tissue at the location within the subject's body. In certain embodiments, at least a portion of the tissue-connecting component penetrates the target's tissue, and at least a portion of the support material and / or pharmaceutically active agent dissolves within the target's tissue.

[0203] Advantageously, administration of a tissue-connecting component having a relatively high API load to the GI tract may allow for more efficient API delivery compared to older methods. For example, without wishing to be bound by theory, delivery of drugs by injection into the GI tract has been shown to have higher bioavailability compared to other methods.

[0204] In some embodiments, a system comprises a self-righting article (e.g., configured to localize at a location within a subject's body in a particular orientation), a self-actuation component (e.g., configured to activate under a particular set of conditions, e.g., upon exposure to fluid, such as gastrointestinal fluids), and a tissue-connection component associated with the self-actuation component, and includes an API associated with the tissue-connection component. In certain embodiments, a system comprises a self-righting article, a self-actuation component, and a tissue-connection component associated with the self-actuation component. In some embodiments, a system comprises a self-actuation component and a tissue-connection component associated with the self-actuation component. In certain embodiments, a system comprises a self-righting article and includes an API associated with the self-righting article. In some embodiments, a system comprises a tissue-connection component and includes an API associated with the tissue-connection component. In some embodiments, a system comprises a self-actuation component, a tissue-connection component associated with the self-actuation component, and includes an API associated with the tissue-connection component. Self-righting articles, self-actuation components, tissue-connection components, and APIs, and related configurations, are described above and will be described herein.

[0205] "Subject" refers to any animal, such as a mammal (e.g., a human). Non-limiting examples of subjects include humans, non-human primates, cows, horses, pigs, sheep, goats, dogs, cats, or Rodents include mice, rats, hamsters, birds, fish, or guinea pigs. Generally, the present invention relates to use in humans. In some embodiments, a subject may demonstrate beneficial health effects, for example, when administered the self-righting article.

[0206] As used herein, "fluid" is given its ordinary meaning, i.e., a liquid or a gas. A fluid cannot maintain a defined shape for an observable period of time and will flow to fill the container in which it is placed. Thus, a fluid can have any suitable viscosity that allows it to flow. When two or more fluids are present, one skilled in the art can independently select each fluid from essentially any fluid (liquid, gas, and the like). [Example]

[0207] The following examples are intended to illustrate certain embodiments described herein, including certain aspects of the present invention, but do not exemplify the full scope of the invention. Example 1 Self-restoring items

[0208] Provided are self-righting articles that are of a particular shape and / or density distribution and can be enclosed in a standard "000" capsule, a "00" capsule, or potentially smaller or larger capsules, as desired. For example, the density distribution and / or shape can be: 1. The design has only one stable point and one unstable point, and therefore will always restore to a single configuration and orientation; 2. The design of the article has a relatively short recovery time to its stable configuration from any possible orientation; 3. The design minimizes the destabilizing effects perceived from forces within the GI tract, such as fluid flow and muscle contraction; and / or 4. The design allows for the loading of items of various shapes and weights onto the system by creating hollow gaps at specific locations on the item. The density distribution and / or shape may be as follows:

[0209] In some cases, the article shape results from a smooth curve drawn in the right two quadrants of a Cartesian plane and rotated about the y-axis. The shape has several notable features: it has a flat base perpendicular to the y-axis that transitions to corners of higher curvature and then gradually decreases in curvature as the curve continues. The flat base section of the curve can help meet the article's third specification: because the base is flat and surrounded by sharp corners, more force is required to push the article sideways. This is similar to how an ellipsoid, rather than a cube, wobble when pushed.

[0210] The remainder of the curve can be optimized to meet the first and second specifications using the equation below: The recovery time of the article is calculated from the angular momentum equation:

number

number

[0211] In some cases, an article can be manufactured from two different materials, one with a high density and the other with a low density. The density ratio is defined so that the center of mass of the shape is located at the origin of the coordinate system. The lower half of the plane is made of high-density material, while the upper part of the plane is made of low-density material. To maintain material density achievable from currently available materials, certain holes and refinements can be added to the original shape, as illustrated in the examples. These holes and refinements are also utilized to accommodate the article within the system, and therefore are taken into account when determining the density of other materials.

[0212] Once a 3D shape is designed, the recovery time from a given orientation can be tested using the above equations. The weight and volume of the item determine the applied force, which in turn determines the torque, and the weight and volume of the item are set by the generated curve as well as the density of the material. The distance and angle measurements used to determine the torque are determined solely by the generated curve. The curve is generated by drawing a smooth curve through a set of points in radial coordinates using a set of angular coordinates. The code then varies the distance of the point coordinates until a minimum set of recovery times is achieved. Example 2

[0213] A solid shape created by revolving a smooth curve defined by the y-axis around the y-axis (example: Figure 7). This shape is fabricated using biocompatible polymers (e.g., PCL, PLA, PEG) in all regions with positive y values ​​and biocompatible ceramics (e.g., hydroxyapatite) or metals (e.g., stainless steel, field metal) in all regions with negative y values. The density ratio of the two materials should be between 6:1 and 16:1. The dots in Figure 7 depict objects that can fit within a capsule, such as the 000 capsule (Figure 8), but the article can be scaled to any length.

[0214] This shape was tested for its ability to recover against ellipsoids and spheres of the same volume and similar dimensions. The object was tested at 1000 FPS under a high-speed camera in several different liquids, including water, oil, and gastric juice, and on different surfaces, including plastic and porcine stomach tissue. The results (Figures 9-12) showed that the article not only had faster recovery times at angles closer to the stable orientation, but also faster recovery times overall. This shape makes the article better than other shapes because the article was most likely to start near its stable orientation.

[0215] The articles were also tested for their ability to stay in place by placing them on a tilting mixer. The mixer was set to tilt 15 degrees in each direction at 50 rpm. The articles never deviated from their stable orientation, but the sphere tilted 18 degrees from its optimal orientation and the ellipsoid tilted 31 degrees from its optimal orientation (Figures 13-16).

[0216] The objects were also placed in an in vitro suspended whole pig stomach using a plastic tube as an artificial esophagus and the number of times they landed in the correct orientation was compared to a sphere made of PCL alone. Of 60 tests for each of the objects in a water-filled stomach, an oil-filled stomach, and an empty stomach, the article with the shape shown in Figure 7 landed in the correct orientation every time, while the sphere only landed in the correct orientation 25% of the time. was discovered.

[0217] Additionally, similar experiments were performed in vivo. Six self-righting articles and six identical but non-self-righting articles were fed to sedated pigs via stomach tube. The pigs were then vigorously shaken to simulate walking. After shaking, the pigs were placed under X-ray and the number of articles that remained in the correct orientation was counted. These articles were identified by placing metal pieces inside them (Figure 14). Self-righting articles already had a metal hemisphere on the bottom half; they appeared as perfect circles if they self-righted and as crescent moons if they did not. Circular washers were placed inside the target articles, which appeared as perfect circles if they self-righted or as distorted ovals if they did not. 65 / 66 self-righting trials showed correct orientation after shaking, while only 7 / 31 control articles showed correct orientation. Example 3

[0218] An object of a similar shape to that described in Example 2, but incorporating holes, vents, and slits into the article. Such holes and slits could be used to allow fluids to enter the system or could also be used to store objects within the system (FIG. 19). These slits can be used to hollow out the article and keep the density ratio at a reasonable value that can be achieved using the available materials. For example, by hollowing out the top section of the article, a denser material can be used to fill the remaining top region. A denser material is allowed because the only constraints on the article are the outer shape and center of mass. Creating holes should cause the article to attempt to maintain axisymmetricity, or as close to axisymmetric as possible.

[0219] Examples of these holes and slits include, but are not limited to: 1. A cylinder with a radius smaller than the radius of the article centered on the y-axis. 2. A conic section centered on the y-axis whose radius can change as the radius of the system changes. 3. A vertical, linear cut of a predetermined width from the top or bottom of the system. 4. Any other type of break to the article that maintains the overall integrity of the system. Example 4

[0220] An object of a similar shape to those described in Examples 2 and 3, but incorporating a drug delivery article into the system. The article can be a solid or hollow needle loaded with a drug. It can be a hollow needle connected to a reservoir, or it can be a series of needles that are loaded with or coated with a drug. Other drug delivery articles, such as patches, are also possible.

[0221] In the needle example, the needles could be housed inside the system or outside. If they are housed outside the system, they could be attached with an adhesive or fitted into the framework of the article. If they are housed inside the system, they could be housed in a hollowed-out hole in the article.

[0222] The needle puncture could also be passively actuated from gravity against the article. In this implementation, the weight of the article could force the needle into the tissue. Example 5

[0223] An object having a shape similar to that described in Examples 2 to 4, but incorporating electronic components into the system.

[0224] By adding electronic components to the article in combination with the anchor, the article could also be used as a gastroretentive electronics mechanism. Sensors could have access to the tissue wall or within the GI tract due to the directionality of the article. For example, a pH sensor attached to the base of the article could read the pH of the stomach wall region or the inner stomach region depending on its placement on the system. Example 6

[0225] An object similar in shape to those described in Examples 2-4, but capable of remotely attaching other items to the system (Figure 20).

[0226] By applying attractive and / or adhesive forces to the walls of the system, the patient could swallow other new article-filled or drug-filled capsules and cause them to clump together in the system. Such forces could be generated by magnets, adhesives, vacuums, or any number of other mechanisms.

[0227] For example, a magnet could be attached to the wall of the system, or to the wall of the electronic sensor. The patient could first swallow the self-righting system and tether it to the tissue wall as described in Example 4. The patient could then ingest another capsule containing the electronic sensor. The magnetic force generated between the two articles from the positioned magnet would allow the two systems to attach. Because the self-righting system is tethered to the tissue wall, the electronic sensor would also be able to remain in the stomach, even if it does not have any gastroretentive properties. This system could enable any type of article to be gastroretentive. Example 7 self-actuating article

[0228] The device could also be actively actuated. This could include mechanisms such as shape-memory nitinol, expandable elastomers, or compressed springs. The compressed springs could be immobilized in solid biodegradable and biocompatible polymers or sugars (e.g., sucrose, maltose). This mechanism has been shown to function in vivo (Figure 22). These mechanisms could then be housed within hollow compartments of the article or external to the article. Methods of tethering the device to the system article include, but are not limited to, the application of magnets, tying knots, and adhesives.

[0229] Continuing with the spring example, it may be desirable for a needle to penetrate the submucosa of the GI tract to deliver a drug; for example, the needle must penetrate the tissue at least 1 mm. Penetrating the tissue deeper than 5 mm risks perforation to the patient. For this reason, the spring may be compressed to between 1 and 5 mm. Also, the amount of force required to penetrate GI tissue is generally low, roughly 1 to 10 mN, but it may take approximately 100 mN of force to penetrate the stomach muscle layer between the mucosa and submucosa. In some cases, the spring, when compressed, will have sufficient force to push against the tissue with 100 mN plus a 3 to 10 safety factor. This means that the spring may have a spring constant of approximately 100 to 250 N / m in some cases (Figure 23).

[0230] Furthermore, the compressed springs can be encapsulated in a material capable of holding such a force. The material can also be brittle, for example, so that the springs can break away from the material all at once. A brittle material, such as (crystallized) sugar, will generally break quickly and completely when subjected to a given stress. Caramelized sucrose is generally 0.1M It will crumble under a stress of 1000 psi. If a compressed spring exerts a force of 1 N on the sucrose coating it, the sucrose coating may be at least 3.56 mm in diameter to accommodate the spring. Any additional caramelized sucrose added to the coating could also be used as a timing mechanism for the device (e.g., without wishing to be bound by theory, the thickness of the coating may be at least proportional to the time required to degrade the coating).

[0231] Using modeling software that performs a diffusion mass transfer problem with interfacial equilibrium, we determined that coating the spring with between 4 and 6 mm of sucrose could delay actuation for between 1 and 4 minutes as the sucrose coating on the spring dissolved in water. This was confirmed experimentally (Figures 24-25). A delay of at least 20 seconds was found to be sufficient for actuation to occur in the stomach, but not in the mouth or esophagus.

[0232] To ensure that liquid reaches the sucrose and initiates this dissolution process, outlets can be added to the top and bottom of the device to allow fluid flow. These outlets, for example, provide an escape route for trapped air. They can also be hydraulic to allow the easy passage of water.

[0233] In some cases, the anchoring device will allow the system to adhere to the tissue wall of the GI tract by physical or chemical means. Such devices could include hooked needles, mucoadhesive patches, capture and closure mechanisms (FIG. 26), vacuum suction, or any number of other mechanisms. The anchoring device could also be placed on the bottom of the device, ensuring it faces the tissue wall.

[0234] If the anchoring device uses a hook, e.g., a hooked needle, it may be able to reach the muscle layer of tissue between the mucosal and submucosal layers. Figure 27 shows a histology slide of a gastric tissue piece penetrated by a device penetrating the target muscle layer. This penetration was achieved using a sugar-coated spring, such as the one described above, compressed 6 mm and having a spring constant of 210 N / m. Example 8 High API load

[0235] Solid dissolving needles (e.g., tissue-connecting components) were formed containing a high concentration of API (e.g., solid therapeutic agent) and a binder (e.g., support material). The API can consist of anything from small molecules to peptide drugs to vaccines. Needle fabrication used heat and / or pressure to create the needles. Pressure can be applied by a pill press, hydraulic press, centrifugation, or any other method for applying a large amount of force. The applied force was 100 cm. 2 The typical pressure is 1 to 3 metric tons per gram, but can be higher if it does not damage the API, or lower if sufficient heat is applied. Heat is provided either convectively with a heat gun, oven, or similar device, or conductively, to the melting temperature of the binder being used. In the examples below, PEG was used due to its relatively low melting point and relatively high plasticity level. Heat and pressure can be used sequentially or simultaneously to force the powdered API and binder mixture into an in-plane or out-of-plane die, as described in the examples below.

[0236] Dissolvable tissue-connecting components containing a binder and a double-digit percentage loading of solid API are described. The tissue-connecting components (e.g., needles) can be applied to the skin, GI tract, or any other area of ​​the body. In some cases, the needles use the API in powder form. These needles were created by applying pressure and / or heat to a powder mixture. This is an improvement over traditional soluble needles that are drawn or solvent cast. Although different from needles, such traditional methods may be used. Such needles can be added to the actuator to provide sufficient force to penetrate the body.

[0237] The GI tract offers incredible opportunities for such needle formulations. Because the walls of certain regions of the GI tract are generally thick and have a very large surface area, these needles could be elongated and expanded to hold even larger amounts of drug compared to microneedles. For example, a formulation using an 80% insulin load by weight would allow delivery of 1 milligram of API with a needle having a diameter of less than 600 μm and a length of 3.3 mm. Such a needle could be delivered to the stomach without risk of perforation. In addition, less than 100 conical needles having a length of 1 mm and a base diameter of 450 μm could deliver the same dosage of API to the slightly thinner small intestine without risk of perforation. Example 9

[0238] An in-plane mold was used to create needles using a projection two-dimensional design. Needles can be 2 mm or smaller in diameter, but larger needles would hinder penetration. Needles can also be 1 centimeter or shorter in length. Needles can be blunt or have a pointed tip. A laser with a small focal diameter can be used to create the in-plane mold, and the tip radius is limited only by this measurement. Proteins with larger molecular weights or proteins less likely to aggregate, such as BSA, can use larger amounts of binder. However, needles with a tip radius of 40 micrometers can be created using 100% insulin. The amount of binder used can, in some cases, help control the dose of API delivered and the integrity of the needle. No binding issues were observed when 20-30 w / w percentages of binder were added to the mixture. Needles with the following dimensions (510 µm x 510 µm x 3.3 mm) with an 80% API / 20% PEG 200k formulation for both insulin and BSA (Figures 29-30).

[0239] Needles can also be manufactured with two parts, one containing the API and the other not. This allows for the creation of needles that contain the drug only at the tip. Previous literature has shown that as the needle penetrates, it creates a crater in the tissue that prevents the needle from fully penetrating. Loading the drug at the tip helps ensure that the entire API dose is delivered. This type of needle can be created by creating a partition on the needle mold and loading one side with binder only and the other with API plus binder. Because both formulations contain the same binder, the two sides will fuse together under either pressure or heat to create a single needle (Figure 31).

[0240] The high insulin loading needles were shown to dissolve rapidly in PBS at 37°C within 20 minutes (Figure 32). The dissolution profiles of the three needles also demonstrate the uniformity of the drug loading in each of these needles. Furthermore, these needles were tested for their strength using an Instron machine to perform a crush test. The needles performed with a profile similar to that of a ductile material. This is not surprising, since the majority of the needles are made of PEG (Figures 33-34). Finally, the penetration force of these needles was tested in a human stomach. The needles were found to fully penetrate with a force of 18 mN (Figure 35). Example 10

[0241] An out-of-plane mold can create a needle with a three-dimensional shape. This mold was created by first using a 3D printer to fabricate a solid female mold. Such a printer can create a tip radius of approximately 1 micrometer. This female mold was then coated with a thin 10 μm chrome layer and another 200 μm chrome layer using an evaporator, using a small grit size to preserve / retain the tip sharpness seen in the printed prototype. The male mold is then coated with a copper layer to create a metal shell. A few millimeters of nickel is then electroplated onto the copper layer to create the male mold. The resulting nickel mold is then separated from the female mold and flattened and smoothed to allow for even force distribution.

[0242] The needles were made by compressing the powder into a mold in one of the following ways: 1. The powder is loaded into the top of the mold and compressed to create a needle and base all made from one formulation (Figure 36). 2. The powder is loaded onto the top of the mold and compressed to create a needle and base made entirely of one formulation. The base plate is then separated, leaving the needle in the mold. The mold is then re-pressed using the API-free formulation. The entire pressed device is removed, leaving the needle containing the API formulation connected to the API-free base plate (Figure 37). 3. The API formulation is loosely packed into the mold cavity. The API-free formulation is then placed on top of the API formulation. The entire device is pressed at once, leaving the API formulation in the needle tip, the API-free formulation at the needle base, and the base plate (Figure 38).

[0243] These needles have strong integrity as shown by axial load testing on an Instron machine. The needles from Method 3 started with a tip radius of less than 10 μm, and after applying a force of 0.06 N to the apex, the tip had a tip radius of 34 μm (FIG. 39). Example 11

[0244] This example demonstrates the formation of a tissue-connecting component comprising 95% by weight insulin (e.g., API) and 5% by weight hydroxypropyl methylcellulose (HPMC) (e.g., binder material). As described herein, insulin and HPMC were pressed together using a pressure of greater than 1 MPa. A photograph of the component is shown in Figure 40A. The component was shown to withstand a force of greater than 62.7 N before fracturing (Figures 40B-C).

[0245] A tissue-connecting component containing 100% insulin by weight was also formed.

[0246] Another tissue-connecting component was produced using insulin as the API by co-extrusion with PCL. The percentage of insulin recovered was quantified and is shown in Figure 40D. Insulin dimerization was also tested, demonstrating that insulin was stable up to temperatures of 120°C to 150°C (Figure 40E). Example 12

[0247] The following example demonstrates the formation of a tissue-connecting component comprising multiple microneedles with a high API load.

[0248] Briefly, as illustrated in Figure 41, the API was poured into a mold and pressed into the microneedle cavities. The mold was then centrifuged to force the API into the tips of the microneedle cavities. In some cases, a binder was added to the mold. The mold was centrifuged again to force the binder into the microneedle cavities. The microneedles were allowed to dry for 1-3 days. The microneedles were removed from the mold and were ready to use. In some cases, the microneedles contained at least 1 mg of API.

[0249] To visualize the distribution of APIs in the microneedles, FITC-dextrans with molecular weights of 3-5 kDa (e.g., similar to that of insulin) and 20-22 kDa (e.g., similar to that of some human growth hormones) were used as outlined above. FITC-dextran was used in place of API in the method and then imaged using confocal microscopy. Figures 42A-42B show the distribution of FITC-dextran in the microneedles. In some cases, FITC-dextran was most clearly concentrated in the top one-third to two-thirds of the microneedles (e.g., at the tip).

[0250] Microneedles were also fabricated as described above using insulin as the API. All microneedle patches were imaged before application to the buccal cleft of pigs. Microneedle patches were inserted into different areas of the buccal cleft (tongue, sublingual, cheek, lip, and palate) of pigs in vivo (under anesthesia) for different times: 5, 15, and 30 seconds. Microneedle patches were tested as a control (labeled Control (30 s) in Figure 43) and were placed only on the surface of the tissue (e.g., therefore, any possible degradation would be related to the moisture content of the placement surface rather than degradation occurring within the tissue). All microneedle patches were imaged again after application.

[0251] Figure 43 shows the dissolution of microneedles on pig tongue, sublingual, cheek, lip and palate tissue over a 30 second period. This experiment demonstrates that in some cases the microneedles can dissolve and deliver the API to the tissue in less than 30 seconds, and in some cases in less than 15 seconds or even less than 5 seconds.

[0252] Microneedles were again fabricated as described in Example 5 using insulin as the API. Here, microneedle patches were inserted into ex vivo human tissue (e.g., human cheek) for different periods of time: 5, 15, and 30 seconds. Figure 44 shows the dissolution of the microneedles over time. Example 13

[0253] The following examples illustrate the in vivo administration of API-loaded microneedles at locations within the body of a subject. This demonstrates in vivo dissolution.

[0254] Microneedles were fabricated as described in Example 12 using insulin as the API. Microneedle patches were inserted into different regions of the buccal space (lingual, sublingual, cheek, lip, and palate) and small intestine (SI) of anesthetized pigs in vivo. Blood samples were collected at set times (0, 2.5, 5, 7.5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 70, 80, 90, 100, 110, 120, 135, 150, 165, 180, 210, and 240 minutes), from which insulin concentrations were quantified. Figures 45-46 show plots of insulin blood concentrations after microneedle application to small intestine (Figure 45) and palate tissue (Figure 46) for various API loadings (1.4 mg, 1.6 mg, 2.01 mg, 2.42 mg, and 3.56 mg).

[0255] Microneedles were also fabricated using human growth hormone (hGH) as the API, as described in Example 12. Microneedle patches were inserted into different regions of the buccal space (lingual, sublingual, cheek, lip, and palate) and small intestine (SI) of anesthetized pigs in vivo. Blood samples were collected at set times (0, 2.5, 5, 7.5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 70, 80, 90, 100, 110, 120, 135, 150, 165, 180, 210, and 240 minutes), from which hGH concentrations were quantified. Figures 47-48 show plots of hGH blood levels following microneedle application to the lip (Figure 47) and palate (Figure 48) for various API loadings (1.75 mg, 2.35 mg, 2.13 mg).

[0256] Microneedles were also fabricated with hGH using sorbitol (e.g., a sugar) as a binder. Figure 49 shows microneedle application to pig lips in vivo. 4 shows a plot of hGH blood levels after administration. Example 14

[0257] The following example demonstrates the formation of tissue-connecting components with high monoclonal antibody loading.

[0258] Doses of adalimumab were freeze-dried and subjected to relatively high pressure (up to 3 mT) and / or relatively high heat (up to 70°C). PEG 200K was used as the binder. ELISA assays were performed to confirm antibody activity. Figure 50 shows a plot of the activity of lyophilized adalimumab after exposure to high pressure and high heat. Hypothetical Example Embodiment

[0259] (Embodiment 1) An encapsulating article that has the ability to rapidly orient itself to the tissue walls of the GI tract. a. An article whose shape can be represented by rotating the curve in Figure 7 about the y-axis. b. The article is made of a biodegradable, biocompatible polymer (eg, PCL) or metal (eg, stainless steel), or a combination thereof. c. An article having two distinct sections of the article defined by the x-axis in Figure 7 that are made using materials having different densities with a density ratio of 6 to 16:1.

[0260] (Embodiment 2) 10. The article of embodiment 1, which may be hollow to retain self-righting capabilities, with holes or outlets such as cylinders, conical sections, rectangular sections, or other geometric shapes.

[0261] (Embodiment 3) 2. The article of embodiment 1, which is capable of holding a drug delivery system manufactured with a needle (hollow or solid) or a patch and an actuation mechanism. a. The above article, wherein the actuation mechanism can be shape memory nitinol. b. The above article, wherein the actuation mechanism can be a compressed spring. c. The above article, wherein the actuation mechanism can be gravity. d. The above article, wherein the actuation mechanism can be an intumescent material. e. The above article, wherein a needle may be attached to the drug reservoir. f. The above article, wherein the needle may be manufactured from the formulation. g. The above article, wherein the needle is capable of containing a formulation.

[0262] (Embodiment 4) The article of embodiment 3b, wherein the spring has a spring constant of between 100 and 250 N / m, is compressed 1 to 5 mm, and is coated with 3.6 to 6 mm of caramelized sucrose.

[0263] (Embodiment 5) 10. The article of embodiment 1, optionally connected to an anchoring system to maintain gastric retention. a. The article wherein the anchoring mechanism is a hooked needle. b. The article wherein the tethering mechanism is a bare trap mechanism. c. The article wherein the anchoring mechanism is a mucoadhesive patch. d. The article wherein the tethering mechanism is vacuum suction.

[0264] (Embodiment 6) Attached to other ingestible capsules by magnets, chemical adhesives, vacuum forces or other attractive forces The article of embodiment 1.

[0265] (Embodiment 7) 10. The article of embodiment 1, optionally connected to an electronic system such as a sensor. An article in which an electronic system is housed within the article. b. The above article wherein the electronic system is ingested in a separate capsule and then attached to the self-righting system.

[0266] (Embodiment 8) A device having an actuation mechanism. a. The device wherein the actuation mechanism can be shape memory nitinol. b. The device wherein the actuation mechanism can be a compressed spring. c. The device wherein the actuation mechanism can be gravity. d. The device wherein the actuation mechanism can be an expanding material. e. The device wherein a needle may be attached to the drug reservoir. f. The device, wherein the needle may be manufactured from the formulation. g. The device wherein the needle is capable of containing a formulation.

[0267] (Embodiment 9) A device according to embodiment 8b, wherein the spring has a spring constant between 100 and 250 N / m, is compressed 1 to 5 mm, and is coated with 3.6 to 6 mm of caramelized sucrose.

[0268] (Embodiment 10) The device of embodiment 8, optionally connected to an anchoring system to maintain gastric retention. a. The device wherein the anchoring mechanism is a hooked needle. b. The device wherein the tethering mechanism is a bare trap mechanism. c. The device wherein the anchoring mechanism is a mucoadhesive patch. d. The device wherein the anchoring mechanism is vacuum suction.

[0269] (Embodiment 11) A pressed and / or heated formulation of powdered API and binder, with an API loading greater than 10% w / w, that is formed into a penetrable object. a. The penetrating object is a microneedle having a height of 0.3 to 1.5 mm and a base diameter of 200 μm to 700 μm. b. A penetrating object shaped like a traditional needle, having a diameter of 1.5 mm or less and a length of 10 cm or less. c. A penetrating object having a protrusion-like shape with a diameter of 2 mm or less in any direction.

[0270] (Embodiment 12) A penetrating shape where the API and binder are concentrated in the top portion of the body and the bottom portion of the body is binder only.

[0271] (Embodiment 13) A penetrating shape produced from pressing a powder that has the structural integrity to penetrate through GI tissue.

[0272] (Embodiment 14) Produced from pressed powders that have the structural integrity to penetrate through the skin A penetrating shape.

[0273] (Embodiment 15) A penetrating shape where the tip is made using another brittle material such as sugar.

[0274] (Embodiment 16) An intrusion shape where the tip is created by cutting and milling the existing tip of the shape.

[0275] (Embodiment 17) An intruded shape created by forcing the API and binder into an in-plane mold.

[0276] (Embodiment 18) An intruded shape created by forcing the API and binder into an out-of-plane mold.

[0277] (Embodiment 19) A penetrating shape created by pressing the API and binder in a pill press. (Embodiment 20) A pressed and / or heated formulation of a powdered API and a binder, wherein the binder is PEG having a molecular weight between 5,000 and 1,000,000.

[0278] (Embodiment 21) A pressed and / or heated formulation of a powdered API and a binder, wherein the API is insulin or another peptide.

[0279] (Embodiment 22) A pressed and / or heated formulation of a powdered API and a binder, wherein the API is a nucleic acid.

[0280] (Embodiment 23) A pressed and / or heated formulation of a powdered API, a binder and an anti-adherent agent, wherein the anti-adherent agent is selected from waxes, oils and stearates, for example, magnesium stearate, sodium stearyl fumarate, and the like. Example 15 Tethering mechanism

[0281] The following examples demonstrate the formation and use of the anchoring mechanisms associated with the systems described herein.

[0282] This addendum to the disclosure discusses how hooked needles can be used to anchor devices on the tissue walls of the GI tract. The needles can be propelled from a self-orienting device into the GI tract by an on-board spring mechanism (FIG. 51). There are optimal ways to position the needle to allow for greater retention of the device within the stomach, including penetration depth (FIG. 52) and hook size (FIG. 53). For example, a 32-gauge needle needs to displace tissue at least 1.9 mm to actually penetrate the stomach lining. This means that the device will, in some cases, expel the needle this distance to create a latching effect. If the device expels the needle further, the needle will continue to penetrate further into the tissue, maintaining a latching anchor on the tissue. Hook size refers to the length of the bend at the very tip of the needle. Needles are usually sharpened to a good point, but this point of the needle can be intentionally bent to create a hook at the end. As the hook size increases, the penetration force of the needle increases. The 30 μm hook exhibited a length that balanced the penetration force and the amount of tissue retained. As can be seen in Figure 54, the hook grasps the stomach tissue and provides a vertical holding force to the device. This holding force is particularly useful for the device to withstand expulsion by peristalsis. The same experiment was performed in a human stomach using a 30 μm hooked needle, revealing that the device was retained on the tissue (Figure 55). The human stomach requires a slightly greater insertion depth compared to the pig stomach. Retention was also found to occur in the pig small intestine (Figures 56-58).

[0283] Although the hooks at the tips of the needles provide a means of anchoring the device to tissue and provide vertical holding forces, the primary force within the stomach acts perpendicular to the stomach lining and is provided by fluid flow. To test this, the system was inserted into a piece of tissue and pressed down with a constant force using a probe to determine the horizontal holding force of the device (Figure 59). By inserting more needles into the tissue, the relative horizontal holding force increased linearly with each additional needle (Figure 60). Needles further apart also provided greater holding force (Figure 61). The needle-anchored device was capable of withstanding forces from the fluid flow as well as the probe. Figures 62-63 show an in vitro setup for modeling fluid flow within the stomach. The devices were attached to a piece of tissue suspended vertically above the ground and exposed to a pulsatile flow of 0.1 m / s for one week. Each device had only one needle, which anchored it to the tissue. The device with straight needles survived on tissue for one day, while the device with hooked needles survived on tissue for a full week. Horizontal tissue testing was also performed in a live pig model (Figure 64, Figure 65A). These experiments, performed on two different animals, demonstrated that the device was retained with equivalent amounts of force in vivo and ex vivo. On average, the device had a retention force of between 0.6 and 0.8 N and was rotated 30 degrees before detaching from the tissue.

[0284] Because the GI tract contains a thick layer of highly conductive mucus on top of the tissue, the needle shaft was coated with a 5 μm layer of parylene for insulation. Only the base and tip of the needle were conductive, allowing electricity to flow through the tissue rather than the mucus (Figure 66). The entire system consists of a power source, a self-actuating device with a needle-like probe, and a microcontroller for regulating the stimulating pulse (Figure 67). The electrical components must be insulated to prevent short circuits. All of these components fit easily inside the 000 capsule. Figures 68 and 69 show the effect of varying the probe size and the distance between the power source and the probe for a fixed time. The distance between the probes has a significant effect on the resistance of the completed circuit and therefore changes the amount of current passing through the system for a fixed voltage. Surprisingly, varying the probe size had little effect on the current. This is likely due to the fact that the dominant factor in the circuit is the tissue, not the probe. Figure 70A shows the measured voltage from the circuit generated by the final device implanted in the tissue wall. The background noise shown in Figure 70B is negligible compared to the output generated by the circuit. A microcontroller was used to program electrical pulses into the circuit. The circuit was fabricated using a paralyene coating. This was achieved by using needles and attaching them to a self-actuating system connected to a constant voltage source and inserting these probes into the tissue wall. The self-righting / self-actuating system has a metal base that was coated with parylene to insulate it. These graphs demonstrate that the device can indeed deliver a programmed current to the tissue wall of the GI tract.

[0285] Hooked needles pose a few potential safety concerns. First, they must not perforate the tissue. Gastric tissue is approximately 5 mm thick, and the small intestine is approximately 1-1.5 mm thick. Both of these tissues are distensible, and needles can displace them a distance greater than their depth before perforating them. For the small intestine, needles displaced the tissue 5.9 mm ± 1.1 mm for a total sample size of n = 15 tissues from three different pigs. The lowest recorded value was 4.5 mm. For the stomach, it is difficult to displace tissue a full centimeter, but if the displacement is done slowly, the tissue will not be perforated by the displacement. For safety, it is ideal to keep the needle within the thickness of the tissue, especially if the needle is to be penetrated quickly.

[0286] The needles can also be non-degradable or degrade very slowly to provide gastric retention. This allows for the needles to remain in the tissue for an extended period of time. However, tissues in the GI tract regenerate very quickly, so the needles will eventually be expelled from the tissue. As long as the needles remain attached to the device, they can be retrieved using a retrieval protocol. For example, the device could be retrieved by endoscopic observation, or host / guest interactions could be used to attach the needles to another swallowed device, such as an adhesive hydrogel.

[0287] Finally, when the needle separates from the device or when the device detaches from the tissue, the device must be able to safely pass through the GI tract. The literature states that sharp objects, one-dimensional objects less than 1 cm in length, pose no risk of perforation. Generally, needles less than 1 cm in length pose little risk of perforation. However, the ideal length for safety and perforation may depend in some cases on the type of tissue, the type of subject (e.g., animal, human), and the location of the tissue, and may be longer than 1 cm in some cases. Prophetic Example

[0288] 1. A device that uses hooks to anchor to the tissue wall of the GI tract 2. The hooks used should be between 10 and 250 μm in length, with approximately 30 μm being optimal. 3. Penetrate the hook into the tissue 1-3 mm. 4. Space the hooks at least 1.5mm apart. 5. The hook is non-degradable. 6. The needle with the hook is less than 1 cm in length. 7.1 You can use more than one hook per device. 8. The hook provides vertical holding force. 9. The inserted object provides horizontal holding force. 10. Metal needles can be used for electrical stimulation. 11. A circuit can be made from one device with two needle probes, or two devices each with one needle probe. 12. The entire device mechanism can be fitted inside a 000 capsule, which can then be ingested. 13. The stomach lining is shed, so the device's retention is temporary.

[0289] In humans and some animals, such as pigs, the stomach is located at the end of the esophagus (a long fibromuscular tube that connects to the mouth through which food enters the GI tract). The stomach, the primary site of food digestion in the human body, is a significant volume providing a long residence time of 1–4 hours. To digest food, the stomach contains gastric acid, which creates a low pH environment, as well as numerous enzymes, such as pepsin, that break down food into amino acids. Through muscular movement, the stomach exerts a translational force of approximately 0.2 N on its contents, which facilitates solution movement. Once food is sufficiently broken down, it passes through the pyloric sphincter into the duodenum and then into the small intestine. To protect it from the harsh environment inside the stomach, the inner surface of the stomach has a mucus coating that is 40–450 μm thick. Beneath the mucosa is the muscularis mucosa, a thin layer composed of smooth muscle fibers. The muscularis mucosa separates the mucosa from the submucosa, which covers the major muscle fibers of the stomach used for contraction.

[0290] A system was designed to ensure the needle's placement to penetrate the stomach lining. Using the theory of rubber bands, a self-restoring shape was previously designed, allowing the device to invert in stomach acid with the needle pointing downwards. The device itself was fabricated in two distinct components. The heavier bottom component was fabricated from stainless steel, while the top component was fabricated using polycaprolactone (PCL). The needle was located at the center of the device and attached to a compressed sugar-coated spring. When the sugar dissolved, the spring ejected the needle from the interior of the device, thereby functioning as an autoinjector capable of inserting into the muscle lining, as shown in Figure 51. To increase the needle's retention ability, an Instron machine was used to apply a force of 1 N to the needle, bending its tip as shown in Figure 51. This hook at the end of the needle helped the needle to anchor to muscle fibers near the antrum in the distal stomach, as shown in Figure 54.

[0291] To determine the maximum force required to detach a needle from the stomach lining, an ex-vivo model was created using porcine tissue, as the porcine digestive tract has proven to be a good model of its human counterpart. To confirm this, preliminary ex-vivo experiments were performed. To do so, a 10 cm x 10 cm section of tissue was cut from the stomach of a Yorkshire pig. The porcine tissue was then clamped between two acrylic plates, with the stomach interior facing up, beneath a plate with a hole approximately 3 cm in diameter in its center. These plates were then placed on an Instron machine, which consists of a moving arm with an internal force sensor accurate to 0.1 mN. This Instron arm was used to hold a stainless steel hooked needle attached to a screw in place. To determine the force required to penetrate the tissue, the Instron arm was lowered at a constant rate of 0.1 mm / s until it reached a depth of 5 mm, while recording the latching force the device needed to apply to reach that layer. This experiment was then repeated using tissue from a human cadaver stomach. As shown in Figures 52 and 55, the human stomach exhibited very similar characteristics and produced nearly equivalent results compared to the pig study.

[0292] Similar experiments were conducted using porcine tissue, which has proven to be a strong model of its human counterpart, to determine the ideal penetration depth for maximizing retention. To determine the ideal penetration depth for maximizing retention, the Instron arm was lowered at a constant rate of 0.1 mm / sec until it reached 1 mm, 3 mm, or 5 mm of penetration into the tissue. In this experiment, the Instron recorded the latch force that needed to be applied to reach the penetration layer, as shown in Figure 56.

[0293] To verify this measurement and determine which layer of tissue maximized the retention force, the needles were stained with surgical dye before use. Upon completion of the experiment, the tissues were fixed in paraffin. The needle puncture site was located by tissue sectioning using parallel lateral cuts every 10 micrometers. Once located, the site was analyzed under an inverted microscope to determine the penetration depth. These histological findings also confirmed that the needle had anchored to muscle fibers in the mucosal musculae layer beneath the mucosa of the stomach lining.

[0294] Finally, a similar experiment was performed to determine the force required to dislodge a needle anchored to the stomach lining. A stainless steel hooked needle attached to a screw was attached to the moving arm of the Instron. The arm was then lowered at a constant rate of 0.1 mm / sec until the needle penetrated 2.5 mm into the fixed fresh porcine tissue. Once this distance was reached, the arm was raised at a constant rate of 0.1 mm / sec until the needle detached from the tissue. Throughout the experiment, the Instron recorded the penetration depth and the force applied to remove the needle from the tissue. This experiment was repeated several times, and the average forces required to penetrate the tissue and dislodge the needle were found to be 3.86 mN and 10 mN, respectively.

[0295] By determining the force required to release a needle anchored to the stomach lining and confirming that porcine tissue exhibits properties similar to those of the human stomach, a computational model was created to determine the ability of a self-restoring device with hooked needles to retain its position within the human stomach. Additionally, the model determined the gastric retention capabilities of a self-restoring device with a variable number of auxiliary bodies that can be designed for different applications.

[0296] Based on literature, the characteristic fluid flow rate in the stomach has been found to be 2-3 mm / s, with a Reynolds number determined to be approximately 0.1-30. This Reynolds number indicates that the flow in the stomach is laminar and governed by viscous forces. Therefore, Stokes' law, derived from the Navier-Stokes equations modeling a small sphere in a viscous fluid, can be used to determine the drag force on the device. This formula is shown in Equation 1 (where F is the drag force, r is the radius of the device, v is the fluid velocity, and μ is the dynamic viscosity of the fluid). F=6π×r×v×μ Equation 1

[0297] To use this equation, the dynamic viscosity of gastric acid must be found. According to the literature, the dynamic viscosity of gastric acid can vary widely based on the rheological properties of the stomach contents. When a meal of 10% glucose solution is ingested, the stomach contents will have a viscosity of 10 -3 It can be modeled as a Newtonian fluid with a viscosity of 1 Pa·s and a density of 1 kg / L. However, some foods have been shown to have viscosities as high as 10 Pa·s. The introduction of even 1% of more viscous foods has been shown to increase the viscosity of gastric acid. As a result, it has been difficult to establish an average dynamic viscosity. However, for the purposes of this primary simulation, it is assumed that the digested food is glucose-based and therefore has a dynamic viscosity of approximately 10 -3 It was assumed to be Pa·s.

[0298] Using the radius of the self-righting device attached to the needle of 4 mm, the drag force on the device can be determined using Stokes' equation presented in Equation 1. This drag force is 2.26 x 10 as shown using Equation 2. -7 It is established that N. F=6π×0.004m×0.003m / s×0.001Pa·s=2.26×10 -7 N equation 2

[0299] As previously mentioned, this force is significantly lower than the force required to detach the device, as determined by ex-vivo experiments using an Instron, and therefore provides the ability to attach another auxiliary body to the self-restoring device using non-absorbable surgical sutures, which could be used for a wide range of applications that will be discussed in Chapter 4. Using Equation 1 to calculate the drag force for these devices, which would likely have a maximum radius of 4.5 mm to comfortably fit into the 00 capsule, the drag force for each device was found to be 2.54 x 10 -7 It can be seen that N.

[0300] Torque is also important to consider when determining the conditions necessary to disengage the needle from the stomach lining. Using the forces found for the self-righting device and auxiliary body, torque can be calculated using Equation 3, where τ is torque, r is moment arm, and F is force. τ=r×F Equation 3

[0301] This equation can then be used to generate a plot where the moment arm in the equation is the length of the needle from the tissue to the bottom of the device (1.25 mm). A graph was generated to compare the number of assist bodies attached to the self-righting device to the torque applied by the drag force, as shown in Figure 65B (the red dotted line represents the torque at the shaft before the needle was released). (The plot shows the maximum torque that can be applied to the stem. This value was determined from the force required to detach the needle in ex-vivo experiments on an Instron, using the needle's length from the tissue to the base of the device, 1.25 mm, as the moment arm.) However, as shown in this plot, even a device with nine ancillary bodies will experience torques several orders of magnitude less than that required to detach it.

[0302] From Figure 65B, it can be determined that the drag torque remains several orders of magnitude smaller than the torque required to detach the device from the stomach lining. However, as previously mentioned, this dynamic viscosity does not take into account food effects, so a second model must be created. During the mastication process, food is ground into small, spherical boluses that then travel down the esophagus to the stomach. Once these boluses reach the stomach, they mix with gastric acid to form chyme. Using sieving and laser diffraction measurements, studies have demonstrated that the size of these masticated individual particles can vary based on the texture of the ingested food. For example, raw vegetables produce boluses that are larger than 2 mm on average, while more than half of the nut particles are less than 1 mm in diameter. 26 .

[0303] Due to this large variation in food boli size, a model was developed to determine whether a food boli could exert a torque large enough to break away from the self-righting device upon impact. Note that this simulation was developed assuming no assistive body was attached to the device, but the needle would need to overcome the torque from the food boli in addition to its own drag. To do so, the food density was set to 1000 kg / m 3 We assumed that the food bolus would shrink by an average of 50% upon impact with the self-righting device while moving with gastric acid at 3 mm / s. We considered the length of the food bolus to range from 0.1 mm to 100 mm to cover all possible diameters. However, as Figure 65C shows, even if the torque exerted by the food bolus can increase by an order of magnitude depending on the texture of the food bolus, the torque applied to the self-righting device would still be much less than that required to detach the device. (The dotted red line indicates the maximum torque that can be applied to the system before the needle detaches. This value was determined from the force required to detach the needle in ex-vivo experiments on an Instron, using the 1.25 mm tissue-to-device needle length as the moment arm.)

[0304] From the preliminary measurements of penetration depth and withdrawal force determined, in addition to verifying that the device can withstand the forces present in the stomach using computational simulations, experiments were designed to test its retention capabilities. This chapter will discuss the in-vitro and in-vivo tests necessary to adequately simulate gastric conditions to determine whether the device can withstand withdrawal.

[0305] An in vitro experiment was designed to test the ability of microposts to maintain their position within the stomach lining despite the drag from gastric flow. To do so, Tygon PVC tubing was connected to create a closed circuit attached to a water pump. A 10 cm x 10 cm section of tissue was cut from the stomach of a Yorkshire pig and fitted inside the tube, which was perpendicular to the ground. Three self-righting devices with hooked needles were then placed on top of the tissue. Additionally, three self-righting devices with needles without hooks, three self-righting devices without needles, and three spherical objects of the same size as the self-righting devices were placed on the tissue as controls. Water was then introduced into the system, and the pump was turned on, pumping the fluid at 0.1 m / s. Figure 57 illustrates how this experiment was performed.

[0306] The system was operated for one week to compare the hooked needle's ability to withstand fluid flow with its counterpart. As shown in Figure 58, all controls were weaned by day 2, but the self-righting device with hooked needles was able to maintain its position for the entire week, verifying the results of the computer simulation.

[0307] Based on the positive results from the synthetic stomach experiment, which confirmed the predictions from the computational simulation, a multiday in-vivo study was planned for the pig model. Using an overtube, four self-righting devices with hooked needles were aligned on the right side of the stomach. Another four self-righting devices with regular needles were similarly positioned on the left side of the stomach so they could be differentiated. On days 2 and 3, an endoscope was used to monitor whether any of the self-righting devices had migrated. However, when the experiment was conducted, none of the devices, whether with or without hooks, maintained their position within the stomach.

[0308] There are several possible explanations for why the device detached in the pig stomach. Further experiments must be performed in vitro to characterize its retention capabilities to determine if the device is not as resilient as predicted by the computational model. Protocols for some of these experiments will be described in Chapter 4. However, detachment could also be due to differences between the human stomach and the pig model, such as motility. Unlike humans, who digest food in the stomach for 1–4 hours, pigs can take longer than 6 hours to progress their meal into the small intestine. 27 Additionally, based on observations, pig food bounties are much larger than their human counterparts, increasing the forces exerted on the device during impact. Finally, pigs eat large amounts several times a day to keep their stomachs full, whereas humans exercise greater relaxation of food intake restrictions.

[0309] Ex-vivo experiments on an Instron machine determined the force required to penetrate the stomach lining, the depth required to ensure maximum retention, and the force required to remove the hooked needle. Using this data, two or three computational models were created to validate a self-righting device with a hooked needle that would be able to maintain its position regardless of stomach conditions and associated effects. In-vitro experiments were performed to simulate drag forces and ensure that the self-righting device would not detach when exposed to fluid flow. Positive results from this experiment led to in-vivo testing using a porcine model, but none of the hooked needles managed to maintain their position over the multi-day study.

[0310] The long-term retention of microposts in the stomach lining creates several applications. As mentioned previously, it could enable sustained delivery of drugs that traditionally must be administered daily, such as insulin. It could also provide a viable oral delivery method for biologics that traditionally must be injected due to enzymatic degradation in the stomach environment.

[0311] Such microposts could serve as anchors within the stomach for other devices that traditionally could not maintain long residence times in the GI tract. These devices could reside in the stomach as auxiliary bodies attached to self-restoring devices using non-absorbable sutures. One potential application could be for Bluetooth® low energy for medical monitoring. This technology is creating a promising growth field to help doctors and healthcare professionals monitor the status of their patients at home. For example, a miniature Bluetooth® monitor that could fit into a 00 capsule could be used in conjunction with a long-term needle-retention device to monitor various properties within the stomach, such as pH or temperature changes. Finally, electrical stimulation of the stomach has shown promise for addressing several clinical problems, such as gastroparesis and obesity. An auxiliary body attached to a self-restoring device could be a battery, which, if created within a multi-needle system, could create an electrical circuit with the stomach lining, which could facilitate this stimulation. .

[0312] Figure 51: Schematic of the self-righting system used for tissue localization and ejection of hooked microposts. An example of a hooked 32-gauge stainless steel needle is shown on the left.

[0313] Figure 52: Penetration into porcine stomach tissue using hooked microposts shows that the maximum penetration force is required at a depth of 1.9 mm for both the 23 mm and 30 mm hooks.

[0314] Figure 53: Penetration into porcine stomach tissue using hooked microposts shows that the force required to disengage the self-righting system was maximized using 1.9 mm and 2.4 mm hooks when the hooks were 30 mm long.

[0315] Figure 54: Hooked micropost attaching itself to muscle fibers in porcine stomach tissue.

[0316] Figure 55: Penetration of human stomach tissue using hooked microposts shows that the force required to detach the self-righting system from the corpus and antrum tissue was maximized when the penetration depth was 5 mm.

[0317] Figure 56: Penetration into porcine small intestine tissue using hooked microposts shows that the force required to disengage the self-righting system reached a plateau after 1.5 mm of penetration.

[0318] Figure 57: Penetration of porcine small intestine tissue using hooked microposts shows that the height to which the tissue can be elevated reaches a plateau after 1.5 mm of penetration.

[0319] Figure 58: Hooked micropost attaching itself to porcine small intestine tissue.

[0320] Figure 59: Model of horizontal tissue retention test. A probe presses down on a device that is tethered to tissue by a needle, and the force required to release the device is recorded.

[0321] Figure 60: The force required to disengage the self-righting system is shown to increase linearly with the number of needles inserted into the porcine stomach tissue.

[0322] Figure 61: The force required to detach the self-righting system from porcine stomach tissue is shown to increase statistically significantly when the three needles are placed further apart.

[0323] 63A-63B: Schematic demonstrating the design of an in-vitro experiment in which self-orienting devices were tethered to porcine stomach tissue while subjected to pulsatile flow (FIG. 63A). Graph demonstrating that three devices with hooked microposts retained their position for a full week, in contrast to other systems that detached in less than two days (FIG. 63B).

[0324] Figure 64: Graph demonstrating that there is no statistically significant difference between the in vivo and ex-vivo anchoring forces of a self-orienting device to a porcine stomach. The ex-vivo measurements represent a study using three separate tissue samples from different stomachs.

[0325] FIG. 65A: Graph demonstrating in vivo, using a porcine model, that a tethered self-orienting device can maintain its position while being rotated up to 30 degrees and subjected to forces between 0.5N and 0.75N when encountering a force parallel to the stomach tissue. The peaks and valleys are the result of the animal's breathing.

[0326] Figure 66: Schematic demonstrating how a parylene-coated electric probe bypasses mucus and conducts electricity through tissue. Without the coating, electricity would flow through the mucus, where resistance is lower, and would not stimulate the tissue.

[0327] Figure 67: Diagram demonstrating an electrical stimulation pill that includes a self-orienting device containing two probes and a power supply and programmable microcontroller encapsulated in an insulating shell (e.g., PDMS). Insulated wires are used to connect the system in a proper electrical circuit. The circuit is completed through tissue. The entire system can be packaged in a 000 capsule.

[0328] Figure 68: Graph demonstrating that current does not change significantly as the radius of the tissue stimulation electrical probe increases when powered by two silver oxide batteries (1.55V, 6.8mm coin cells).

[0329] Figure 69: Graph demonstrating that current decreases as the distance between tissue stimulating electrical probes increases when powered by two silver oxide batteries (1.55V, 6.8mm coin cells).

[0330] Figures 70A and 70B: An electrical probe powered by a voltage source delivers a pulsed stimulus through the tissue as measured by an oscilloscope (Figure 70A), which can be compared to the background voltage measured in the tissue (Figure 70B). Example 16 Exemplary System (SOMA)

[0331] The following examples demonstrate the construction and design of exemplary self-righting systems described herein.

[0332] The self-orienting capabilities of the exemplary system (SOMA) help ensure that the device is properly positioned for insertion of the microposts into the tissue wall, and in some embodiments, delivers the microposts with enough force to reach only the submucosa, addressing safety and efficacy concerns related to insertion. The natural biology of the stomach provides a wide margin of safety during insertion events. It has been found that in some cases, microposts require an additional force of more than 4 Newtons to penetrate through the adjacent tissue layer, the muscularis externa. The SOMA was fabricated from materials tested for biocompatibility in both rats and pigs. Its small form factor generally prevents blockage in the lower GI tract. The SOMA has a smaller volume than the FDA-approved daily OROS system (φ9 mm × 15 mm), a non-degradable drug delivery system that results in an approximately 1 in 29 million blockage rate. When tested in vivo, the SOMA showed no signs of blockage, did not perforate tissue, and delivered a similar amount of API over a 2-hour period compared to subcutaneously placed microposts. The unique shape of the SOMA provides an optimized mechanism for micropost delivery to the stomach.

[0333] We designed a mono-monostatic body (Figures 71A-71D) optimized for rapid self-orientation that is capable of withstanding external forces (e.g., fluid flow, peristalsis, movement) once it reaches a stable point. For example, the upper section of a turtle's shell, known as the carapace, has a high curvature to aid in self-orientation, while the lower section, known as the plastron, has a lower curvature to increase stability. The turtle's soft tissue occupies the lower region of the shell, thus shifting the center of mass toward the plastron, further stabilizing the preferred orientation. Self-orienting devices generally have their center of mass and A combination of polycaprolactone (PCL) and 316L stainless steel was used to create this density gradient because of its relatively low center of mass. Materials of similar density, such as polypropylene and field metal features, were used interchangeably during the in vitro prototyping process. Because stainless steel is not typically used for oral devices, its oral toxicity was evaluated in rats during both acute and subchronic studies. Consistent with other studies of stainless steel in the GI cavity, including those related to orthodontics, no signs of inflammation or toxicity were observed (Figure 75).

[0334] An axisymmetric shape, described by a plane curve C in polar coordinates (r,θ), was designed using MATLAB's fmincon function to maximize the torque required to tilt the device from its preferred orientation while minimizing the average time required for the object to orient itself toward the GI tract tissue wall from 36 different angles. The theoretical orientation time was calculated using Newton's equation of angular motion, as described below. For the initial guess at the shape, we utilized a geometric model of a turtle shell, combining a hyperbola to represent the carapace and a low-curvature arc to represent the plastron. To mimic the mass distribution of a turtle, the upper portion of the device in this model was hollowed out and used to house the actuation mechanism and API microposts. Additionally, the device was scaled down to have a relatively small volume.

[0335] The fabricated optimized shape versions were compared with uniform-density spheres and ellipsoids. Self-orientation and destabilization tests were performed in vitro using high-speed photography to validate the computer modeling (Figure 2A). The optimized shape oriented fastest, at 69% of all possible orientations, and on average, oriented more quickly than the other shapes (Figure 72B). Under ideal circumstances, the device reached its preferred orientation in less than 100 ms from more than 85% of all starting angles. When placed in fluids found in the GI tract, such as oil, gastric juice, mucus, and water, the optimized device exhibited less deceleration due to viscous effects compared to the ellipsoids (Figure 72C). The device also exhibited stronger resilience after orientation to its preferred state compared to the other shapes, as it did not tilt more than 1 degree when exposed to mixing at 50 rpm on a tilting shaker with a ±15° excursion range (Figure 72D).

[0336] After identifying the final shape, the shape was tested for self-orientation and mucosal engagement persistence 300 times in an ex vivo experimental setup in porcine stomachs and 60 times in fasting animals in vivo. Walking and extensive exercise stress were simulated in vivo by rotating the animal model 180 degrees and tilting it 30 degrees. To determine proper device orientation, endoscopic observations (Figure 72E) and radiographs (Figure 76) were performed on the pigs after abdominal agitation. The optimized device oriented 100% of the time, while a control device with the same shape fabricated solely from PCL oriented 50% of the time. When six SOMA prototypes were administered to pigs at once, no evidence of GI obstruction or other adverse clinical effects was observed (Figure 77). By using a device with rapid and consistent self-orientation capabilities in vivo, tissue-directed drug delivery activation events generally occurred.

[0337] After creating the localization system, compression-machined API microposts were fabricated. Compared to liquid or solvent-cast formulations, compressed solid formulations delivered up to 100-fold more API per unit volume. By compressing a mixture of 80% human insulin and 20% 200k molecular weight poly(ethylene) oxide (PEO) under 550 MPa pressure, 0.5 mg of insulin was loaded into a pointed cone structure measuring 1.7 mm in height and 1.2 mm in diameter, which was attached to a shaft fabricated from PEO and a degradable biocompatible polymer such as hydroxypropylmethylcellulose (Figures 73A-73B).

[0338] Mechanical and chemical characterization studies ensured the stability of the microposts. Raman spectroscopy measurements of the compression-processed microposts revealed uniform AP distribution throughout the micropost tip. The I distribution was revealed to verify the protein structure of the API after high-pressure exposure (Figure 78, Table 1). Compression tests measured a Young's modulus of 730 ± 30 MPa, similar to that of PEO, and an ultimate strength of 20.0 ± 0.7 MPa, ensuring the integrity of the microposts in the presence of external force (Figure 79). In vitro dissolution profiles demonstrated complete dissolution within 60 minutes (Figure 80). Stability studies conducted at 40 °C showed that solid insulin and PEO microposts remained stable in a dry environment for 16 weeks, maintaining greater than 80% purity and less than 5% high-molecular-weight protein (HMWP) formation (Figure 81). This is comparable to the 4-week stability for liquid formulations. Using the same compression concept, microposts with both tips and shafts composed entirely of insulin, free of binders, were fabricated using 100% insulin. 100% insulin microposts were utilized in SOMAs to increase the inserted payload. [Table 1]

[0339] The insertion profile of insulin microposts into porcine gastric tissue in vivo was evaluated. A custom-built controllable stage (Figure 82) was used to insert the tip at a speed of 0.2 mm / s, and a force of approximately 1 N was typically used to displace tissue greater than 7 mm (Figure 73D). Using this measurement as a boundary condition, a time-delay actuation mechanism was implemented on the SOMA with a force sufficient to insert drug-loaded microposts into gastric tissue without perforating them. A spring was used as the power source, e.g., due to its low space requirements and its ability to release energy nearly instantaneously along one axis. The SOMA was equipped with a stainless steel spring that provided a force of 1.7–5 N (k = 0.1–0.5 N / mm) upon full compression. The spring accelerated the microposts 1 mm before inserting them 5 mm into the tissue. After actuation, they remained inside the device. Histological results from the SOMA insertion event were directly compared with those from an in vivo porcine stomach where a dyed Carr-Locke needle was manually inserted (Figure 73E). Micro-computed tomography (CT) imaging confirmed that the spring could propel barium sulfate-loaded microposts from the SOMA into ex vivo porcine tissue, e.g., 2 mm or less (Figure 73C). Histological images from in situ experiments demonstrated that insulin microposts inserted into the submucosa of porcine gastric tissue after being ejected from a SOMA with a 5 N spring (Figures 73F and 73H), reaching the same depth as a Carr-Locke needle. To ensure a safety margin of insertion force, stainless steel microposts were ejected into ex vivo porcine tissue using a 9 N steel spring (k = 1.13 N / mm). Even with the application of additional force and momentum, the stainless steel microposts did not perforate the tissue (Figures 73G and 73I).

[0340] To time the actuation event to occur within the stomach rather than the mouth or esophagus, crystallized sugars and sugar-like materials, such as sucrose and isomalt, were identified as useful spring-encapsulating materials. The brittle nature of the materials allows the spring to fully release within 1 ms after the coating diameter dissolves to a critical size, for example. Simulations with COMSOL and in vitro experiments demonstrated the ability to adjust and release the spring over a 4-minute period with a standard deviation of 11.4 s (Figures 83A-83E). The entire spring-actuation system easily fit into the hollow portion of the SOMA, but holes located above the springs prevented the spring from releasing. Gastrointestinal fluids are able to penetrate and reach the encapsulating material.

[0341] Insulin-loaded microposts were administered to pigs, and blood glucose and insulin levels were measured over a 2-hour period. Microposts inserted into tissue, delivered intragastrically by SOMA and subcutaneously by manual injection, released with near-zero-order kinetics (Figures 74A-74D) (n=5). Laparotomy and gastrotomy were also performed to manually place microposts into the stomach; this delivery method resulted in pharmacokinetic uptake comparable to SOMA (Figures 84A-84D). Human insulin levels in pig plasma remained within the 10-70 pM range throughout the sampling period. Manually inserted microposts fabricated from PEO 200K and human insulin, and SOMA-delivered microposts made from 100% human insulin, embedded 280 ± 20 μg of API in the tissue, as estimated by gravimetric and histological examination. All micropost insertion methods produced a blood glucose-lowering effect, with intragastrically inserted microposts producing a more pronounced drop compared to subcutaneously administered microposts. This data was compared to a study utilizing SOMAs (n = 5) designed to localize the microposts in the stomach without inserting them into tissue. Pigs receiving non-inserted SOMAs experienced neither insulin uptake nor a blood glucose-lowering effect. The near-zero-order release kinetics of inserted microposts demonstrated the potential for using microposts as implantable drug reservoirs, and the ability of these formulations to release API over extended periods remained (Figures 84A-84D). Microposts continued to release API within the subcutaneous space for at least 30 hours when 1 mg or more of API was inserted (n = 6). This could generally allow for reduced dosing frequency. Microposts

[0342] SOMAs generally provide a means for oral delivery of APIs such as insulin and also demonstrate the potential for use with other APIs. Because some methods of micropost fabrication use high amounts of pressure, the delivered molecules must remain active under such stress. Activity assays on microposts fabricated with lysozyme and glucose-6-phosphate dehydrogenase demonstrate that multiple APIs maintain their activity after the fabrication process (Figures 85A–85D). Additionally, the deliverable dose is limited by the volume of the microposts that penetrate the gastric mucosa. Increasing the micropost penetration depth and width would allow for primary and secondary increases in dosing capacity, respectively, but this may also compromise the gastric mucosal barrier and increase the risk of perforation. SOMAs represent a potential platform for delivering a wide range of biologics, including but not limited to those based on other proteins and nucleic acids. The efficacy of drug delivery achieved with this novel technology suggests that this method could replace traditional subcutaneous injections of insulin and warrants further evaluation with other biopolymers. material and method

[0343] Dulbecco's phosphate-buffered saline (PBS) was purchased from Gibco, Life Technologies (Woburn, USA). Human insulin was obtained from Novo Nordisk (Maalov, Denmark). 200,000 molecular weight PEO, 45,000 molecular weight polycaprolactone (PCL), and sucrose were purchased from Sigma Aldrich (Saint Louis, USA). 301 steel springs were custom-made by Madsens Fjedrefabrik (Brondby, Denmark). The three custom-made springs had the specifications shown in Table 2. The 1.7 N spring was purchased from Lee Spring Company (Brooklyn, USA) with serial number CI008B05S316. Isomalt was purchased from CK Products (Fort Wayne, USA). [Table 2] Device fabrication:

[0344] The two-part male mold was designed in Solidworks (Dassault Systemes, Velizy-Villacoublay, France), and the ellipsoid, sphere, and SOMA top sections were printed using a Form 2 3D printer (Formlabs, Somerville, USA). Each device was designed to weigh 0.77 g, with 88% of its weight composed of stainless steel and the remaining weight composed of PCL. The top section of the PCL was poured into the male mold in a molten state to form the top section of the device, and the bottom part was fabricated from 316L stainless steel using a milling machine.

[0345] Molten PCL was then used to fix the spring to the top section of the device, and drug-loaded microposts were attached to the spring using PCL again. Finally, PCL was used to attach the devices to each other.

[0346] Prior to fabricating the stainless steel parts, prototype models were fabricated from field metal purchased from Alfa Aesar (Haverville, USA). The low melting point of this metal alloy allowed for easy device fabrication, and its 7.88 g / cm 3 The density of the material is 7.7 g / cm3, which is the density of stainless steel. 3 These prototypes were used to evaluate the devices in vitro and ex vivo. Stainless steel and PCL devices were used in all in vivo experiments, including experiments measuring the orientation ability of SOMA in air and water, inside excised stomachs, and in the presence of motion. Sugar spring encapsulation:

[0347] Sucrose was heated to 210°C for 15 minutes in a mold made from a SYLGARD 184 Elastomer Kit (Dow Chemical, Midland, USA) with holes of three different diameters (4 mm, 5 mm, and 6 mm) (Figure 86). A spring was placed into the mold filled with molten sucrose and caramelized in an oven for an additional 5 minutes. The mold was removed from the oven, and a custom-made plunger was used to compress the spring into the sucrose. The sucrose spring was allowed to cool and then removed from the mold. Isomalt springs were fabricated using the same method, but the material was not caramelized. Insulin micropost fabrication

[0348] Insulin microposts were fabricated as described herein and in Figure 73A. Self-orientation experiments in various fluids

[0349] To calculate the device recovery speed, recordings were made at 1000 fps using a Vision Research Phantom v7.1 monochrome high-speed video camera (Vision Research, Homewood, USA). SOMAs fabricated from PCL and field metal and from PCL and 316L stainless steel were measured in 2 × 5 × 10 cm 3 The device was released from a 90° angle while immersed in one of the following fluids in a transparent plastic container: canola oil (Crisco, Orrville, USA); gastric juice collected from Yorkshire pigs and filtered using a 10 μm syringe filter; reconstituted mucin from porcine stomach at 10 mg / mL in 1 M NaOH (Sigma-Aldrich, St. Louis, USA); and tap water (Cambridge, USA). A line was drawn in the axial plane of the device to determine the angle within a given frame, and the orientation rate was determined using sequential image analysis in Image J (open source). The device was considered oriented when the drawn line was perpendicular to the bottom of the container. Self-orientation experiments in the moving pig stomach

[0350] Porcine tissue for ex vivo evaluation was obtained from Blood Farm Slaughterhouse (West Groton, USA). Pigs were euthanized, and fresh tissue was obtained and stored on ice. Tissue was examined within 6 hours of euthanasia. To determine the device's orientation efficiency within the stomach, an intact Yorkshire pig stomach was placed in a suspended position with the esophageal and pyloric sphincters elevated above the body of the stomach. A 12.7 cm long, 1.9 cm diameter Tygon tube was then inserted into the esophageal sphincter of the stomach and clamped to mimic the esophagus. The stomach was then filled with water, and the device was passed through the tube and lowered into the stomach. The devi...

Claims

1. A self-righting article, at least one tissue-connecting component and a spring associated with the at least one tissue-connecting component; wherein the self-righting article is monostatic due to its center of mass and / or its shape, such that the self-righting article has a single stable rest position, and such that when placed on a flat surface in any orientation other than the single stable rest position, the self-righting article will orient toward the single stable rest position without the need or use of an external force applied to the self-righting article; and wherein the self-restoring article is configured such that, upon self-restoring, the at least one tissue-connecting component has a longest longitudinal axis oriented within 15 degrees of perpendicular to the tissue within the subject's body as the tissue-connecting component is released and enters the tissue within the subject's body. Self-restoring items.

2. A self-righting article, at least one tissue-connecting component and a spring associated with the at least one tissue-connecting component; wherein the self-righting article has a self-righting time from 90 degrees to a single stable rest position in water that is less than or equal to 0.05 seconds; wherein the self-righting article is monostatic due to its center of mass and / or the shape of the self-righting article, such that the self-righting article has the single stable rest position, and wherein the self-righting article orients toward the single stable rest position without the need or use of an external force applied to the self-righting article; and wherein the self-restoring article is configured such that, upon self-restoring, the at least one tissue-connecting component has a longest longitudinal axis oriented within 15 degrees of perpendicular to the tissue within the subject's body as the tissue-connecting component is released and enters the tissue within the subject's body. Self-restoring items.

3. 3. The self-righting article of claim 1 or 2, wherein the spring is maintained under at least 5% compressive strain by a support.

4. 4. The self-righting article of claim 1 or 3, wherein the self-righting article has a self-righting time from 90 degrees to the single stable rest position in water of less than or equal to 0.05 seconds.

5. 3. The self-righting article of claim 1 or 2, further comprising a support associated with the spring, the spring configured to release at least 10% of the stored compressive energy of the spring within 10 minutes of exposure of the support to a fluid.

6. 3. The self-righting article of claim 1 or 2, wherein the at least one tissue-connecting component comprises an active pharmaceutical ingredient in an amount greater than or equal to 10% by weight, based on the total weight of the at least one tissue-connecting component.

7. 3. The self-restoring article of claim 1 or 2, wherein the at least one tissue-connecting component is selected from the group consisting of a needle, a biopsy punch, a microneedle, a protrusion, and a jet injection component for liquid jet injection.

8. The self-restoring article of claim 1 or 2, wherein the at least one tissue-connecting component has a Young's modulus of elasticity greater than or equal to 100 MPa.

9. 3. The self-righting article of claim 1, wherein the self-righting article is configured such that, when self-righting, the longest longitudinal axis is oriented within 15 degrees of perpendicular relative to a single stable rest position.

10. moreover, a first portion having an average density; a second portion having an average density different from the average density of the first portion; The self-righting article of claim 1 or 2, comprising:

11. 11. The self-righting article of claim 10, wherein the ratio of the average density of the first portion to the average density of the second portion is greater than or equal to 2.5:

1.

12. 11. The self-righting article of claim 10, wherein the second portion has an average density less than or equal to 2 g / mL and greater than or equal to 0.6 g / mL.

13. 11. The self-righting article of claim 10, wherein the first portion has an average density less than 20 g / mL and greater than or equal to 3 g / mL.

14. The self-righting article of claim 10 , wherein the first portion comprises a first material and the second portion comprises a second material.

15. 15. The self-righting article of claim 14, wherein the first material and / or second material is selected from the group consisting of polymers, ceramics, and metals.

16. The self-restoring article of claim 14 , wherein the first material and / or the second material are biocompatible.

17. 15. The self-righting article of claim 14, wherein the first material and / or the second material are biodegradable.

18. 15. The self-righting article of claim 14, wherein the first material is a metal, a ceramic, or a combination thereof.

19. 20. The self-righting article of claim 18, wherein the metal is selected from the group consisting of stainless steel, iron-carbon alloys, field metals, tungsten, molybdenum, gold, zinc, iron, and titanium.

20. 20. The self-restoring article of claim 18, wherein the ceramic is selected from the group consisting of hydroxyapatite, aluminum oxide, calcium oxide, and tricalcium phosphate, zirconium oxide, silicates, and silicon dioxide.

21. The self-righting article of claim 14 , wherein the second material is a polymer.

22. 22. The self-righting article of claim 21, wherein the polymer is selected from the group consisting of polycaprolactone, polylactic acid, polyethylene glycol, polypropylene, polyethylene, polycarbonate, polystyrene, and polyether ether ketone, and polyvinyl alcohol.

23. 3. The self-righting article of claim 1 or 2, wherein the self-righting article has a self-righting time from 90 degrees to a single stable, resting position in oil of less than or equal to 0.15 seconds, a self-righting time from 90 degrees to a single stable, resting position in gastric fluid of less than or equal to 0.06 seconds, and a self-righting time from 90 degrees to a single stable, resting position in mucus of less than or equal to 0.05 seconds.

24. 3. The self-righting article of claim 1 or 2, wherein the self-righting article has a maximum cross-sectional dimension of less than or equal to 2 cm.

25. 3. The self-righting article of claim 1 or 2, wherein the self-righting article is a rubber block shape, wherein the rubber block shape is a convex three-dimensional shape that has a single stable equilibrium point and a single unstable equilibrium point when placed on a flat surface.

26. 7. The self-restoring article of claim 6, wherein the active pharmaceutical ingredient is present in an amount greater than or equal to 80% by weight, based on the total weight of the at least one tissue-connecting component.

27. 3. The self-restoring article of claim 1 or 2, wherein the at least one tissue-connecting component comprises the active pharmaceutical ingredient and a second material selected from the group consisting of polyethylene glycol, polyvinylpyrrolidone, polylactic acid, polysaccharides, gum arabic, methylcellulose, gelatin, tragacanth, clay, HPMC, stearic acid, sodium stearate, magnesium stearate, talc, polyethylene glycol, mineral oil, preservatives, antioxidants, derivatives thereof, and combinations thereof.

28. The active pharmaceutical ingredient is selected from the group consisting of insulin, nucleic acids, peptides, bacteriophages, DNA, mRNA, human growth hormone, monoclonal antibodies, adalimumab, epinephrine, GLP-1 receptor agonists, semaglutide, liraglutide, dulaglutide, exenatide, factor VIII, small molecule drugs, progestins, vaccines, subunit vaccines, recombinant vaccines, polysaccharide vaccines, conjugate vaccines, toxoid vaccines, influenza vaccines, shingles vaccines, prevnar pneumonia vaccines, mmr vaccines, tetanus vaccines, hepatitis vaccines, HIV vaccines, Ad 7. The self-righting article of claim 6, wherein the self-righting agent is selected from the group consisting of 4-env Clade C, HIV vaccine Ad4-mGag, DNA vaccines, RNA vaccines, etanercept, infliximab, filgastrim, glatiramer acetate, rituximab, bevacizumab, any molecule encapsulated in a nanoparticle, epinephrine, lysozyme, glucose-6-phosphate dehydrogenase, other enzymes, certolizumab pegol, ustekinumab, ixekizumab, golimumab, brodalumab, guseruab, secukinumab, omalizumab, TNF alpha inhibitors, interleukin inhibitors, vedolizumab, octreotide, teriparatide, CRISPR Cas9, insulin glargine, insulin detemir, insulin lispro, insulin aspart, human insulin, antisense oligonucleotides, and ondansetron.

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