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Novel Robust Needle Tip Design Enables Needle Reuse and Reduced Skin Trauma in Combination With Autoinjector Needle
Anne-Sofie Madsen Staples1,2, Julie Schwartz2, Kezia Ann Friis Præstmark2
1Department of Biomedical Sciences, University of Copenhagen, Copenhagen, Denmark.
Journal of Diabetes Science and Technology
|August 10, 2023
Summary
A novel robust needle tip (EXP) shows durability against hooking and comparable tissue trauma to single-use needles. This reusable injection system offers pharmacoeconomic and environmental benefits.
Area of Science:
- Biomaterials Science
- Medical Device Engineering
- Pharmacoeconomics
Background:
- Injectable drug delivery using pen needles and autoinjectors presents significant economic and environmental challenges.
- A multi-use, durable needle could mitigate these burdens, reduce costs, and enhance patient experience.
- This study introduces a novel robust needle tip (EXP) engineered for durability and repeated use.
Purpose of the Study:
- To evaluate the structural robustness and in-vivo performance of a novel durable needle tip (EXP).
- To compare the tissue trauma and skin blood perfusion (SBP) induced by the EXP needle against conventional needles (NF30, NF28).
- To assess the impact of autoinjector shields and applied force on SBP with worn EXP needles.
Main Methods:
- Structural analysis was performed to assess needle robustness against hooking.
- An in-vivo porcine model was used to evaluate EXP and control needles in pen needle and autoinjector configurations.
- Skin blood perfusion (SBP) was quantified using laser speckle contrast analysis (LASCA) following 192 randomized, blinded needle insertions.
Main Results:
- The EXP needle demonstrated superior resistance to forming a hook (5.38 N) compared to the NF30 control (0.92 N).
- EXP needles showed comparable tissue trauma to NF30 needles; increased needle diameter correlated positively with SBP (P < .05).
- Autoinjector shields and a 10 N applied force significantly reduced SBP for worn EXP needles (P < .05).
Conclusions:
- The robust EXP needle tip performs comparably to single-use needles regarding tissue trauma.
- Combining the needle with a shield further reduces tissue trauma.
- These findings support the development of reusable injection systems for pharmacoeconomic, environmental, and user experience benefits.

