NON-ADHESIVE MEDICAL ATTACHMENT ARTICLES USING MICRONEEDLES

1 . A composite medical article comprising:

an attachment article comprising:

a discontinuous base layer comprising distinct segments with a first major surface and a second major surface;

a first rotationally distinct segment, where the first rotational segment is circular or semicircular, has a first major surface and a second major surface, wherein the second major surface is attached to a portion of a segment of the discontinuous base layer, and wherein the first major surface comprises a first sequential circular or semi-circular array of angled microneedles;

a second rotationally distinct segment, where the second rotational segment is circular or semicircular, has a first major surface and a second major surface, and wherein the second major surface is attached to a portion of a segment of the discontinuous base layer, and wherein the first major surface comprises a second sequential circular or semi-circular array of angled microneedles; and

a communication member disposed between and at least in contact with the first rotationally distinct segment and the second rotationally distinct segment, wherein the angle of a microneedle of the first array of microneedles, relative to a point on the first major surface of the first rotational segment is such that the point, the point of attachment of the microneedle to the first major surface of the first rotational segment, and the tip of the microneedle forms an angle of 40-80°, and the angle of a microneedle of the second array of microneedles, relative to the same point on the first major surface of the first rotational segment is such that the point, the point of attachment of the microneedle to the first major surface of the second rotational segment, and the tip of the microneedle forms an angle of 140-100°; and

a device attached to at least a portion of the first major surface of the base layer of the attachment article.

2 . The composite medical article of claim 1 , wherein the communication member comprises a compliant member or a rolling member.

3 . The composite medical article of claim 2 , wherein the communication member comprises a compliant member selected from a spring or a flexible bar, or a rolling member comprising a ball bearing or a disc.

4 . The composite medical article of claim 1 , wherein the device comprises a sensor, a monitor, tubing, a vascular access device, a drainage catheter, a drive line device, or a wearable medical device.

5 . The composite medical article of claim 1 , wherein the microneedles of the attachment article comprise tapered cones comprising a point.

6 . The composite medical article of claim 1 , wherein the microneedles further comprise at least one barb or a stopping portion to limit the depth that the microneedle can penetrate the substrate surface.

7 . The composite medical article of claim 1 , wherein some of the microneedles in the first array of angled microneedles, the second array of angled microneedles, or both are different from the majority of the angled microneedles, the difference being different in shape, configuration, composition or a combination thereof.

8 . The composite medical article of claim 7 , wherein the different microneedles in the microneedle array or arrays are hollow permitting the flow of fluids through the microneedles, are conductive permitting electric monitoring through the microneedle, are bioabsorbable, or a combination thereof.

9 . The composite medical article of claim 1 , wherein the microneedles of the first and second arrays comprise plastics, metals, absorbable materials, or a combination thereof.

10 . The composite medical article of claim 1 , wherein the microneedles of the first or the second arrays or both comprise absorbable materials.

11 . A medical construction comprising:

a substrate comprising mammalian skin;

an attachment article attached to the substrate surface by a plurality of angled microneedles, such that only the microneedles of the attachment article are in contact with substrate surface, wherein the attachment article comprises:

a discontinuous base layer comprising distinct segments with a first major surface and a second major surface;

a first rotationally distinct segment, where the first rotational segment is circular or semicircular, has a first major surface and a second major surface, wherein the second major surface is attached to a portion of a segment of the discontinuous base layer, and wherein the first major surface comprises a first sequential circular or semi-circular array of angled microneedles;

a second rotationally distinct segment, where the second rotational segment is circular or semicircular, has a first major surface and a second major surface, and wherein the second major surface is attached to a portion of a segment of the discontinuous base layer, and wherein the first major surface comprises a second sequential circular or semi-circular array of angled microneedles; and

a communication member disposed between and at least in contact with the first rotationally distinct segment and the second rotationally distinct segment, wherein the angle of a microneedle of the first array of microneedles, relative to a point on the first major surface of the first rotational segment is such that the point, the point of attachment of the microneedle to the first major surface of the first rotational segment, and the tip of the microneedle forms an angle of 40-80°, and the angle of a microneedle of the second array of microneedles, relative to the same point on the first major surface of the first rotational segment is such that the point, the point of attachment of the microneedle to the first major surface of the second rotational segment, and the tip of the microneedle forms an angle of 140-100°; and

a device attached to at least a portion of the attachment article, wherein there is a void space between the substrate surface and the first major surfaces of the first and second rotational segments of the attachment article.

12 . The medical construction of claim 11 , wherein the communication member comprises a compliant member or a rolling member.

13 . The medical construction of claim 12 , wherein the communication member comprises a compliant member selected from a spring or a flexible bar, or a rolling member comprising a ball bearing or a disc.

14 . The medical construction of claim 11 , wherein the device comprises a sensor, a monitor, tubing, a vascular access device, a drainage catheter, a drive line device, or a wearable medical device.

15 . The medical construction of claim 11 , wherein some of the microneedles in the first array of angled microneedles, the second array of angled microneedles, or both are different from the majority of the angled microneedles, the difference being different in shape, configuration, composition or a combination thereof.

16 . The medical construction of claim 15 , wherein the different microneedles in the microneedle array are hollow permitting the flow of fluids through the microneedles, are conductive permitting electric monitoring through the microneedle, are bioabsorbable, or a combination thereof.

17 . The medical construction of claim 11 , wherein the microneedles of the first and second arrays comprise plastics, metals, absorbable materials, or a combination thereof.

18 . The medical construction of claim 11 , further comprising an adhesive article, wherein the adhesive article seals at least a portion of the attachment article of the medical construction from the outside environment, aids in the attachment of the medical construction to the substrate surface, or both.

19 . A method of attaching a medical device to mammalian skin comprising:

providing a substrate comprising mammalian skin;

providing a composite medical article, wherein the composite medical article comprises:

an attachment article comprising:

a discontinuous base layer comprising distinct segments with a first major surface and a second major surface;

a first rotationally distinct segment, where the first rotational segment is circular or semicircular, has a first major surface and a second major surface, wherein the second major surface is attached to a portion of a segment of the discontinuous base layer, and wherein the first major surface comprises a first sequential circular or semi-circular array of angled microneedles;

a second rotationally distinct segment, where the second rotational segment is circular or semicircular, has a first major surface and a second major surface, and wherein the second major surface is attached to a portion of a segment of the discontinuous base layer, and wherein the first major surface comprises a second sequential circular or semi-circular array of angled microneedles; and

a communication member disposed between and at least in contact with the first rotationally distinct segment and the second rotationally distinct segment, wherein the angle of a microneedle of the first array of microneedles, relative to a point on the first major surface of the first rotational segment is such that the point, the point of attachment of the microneedle to the first major surface of the first rotational segment, and the tip of the microneedle forms an angle of 40-80°, and the angle of a microneedle of the second array of microneedles, relative to the same point on the first major surface of the first rotational segment is such that the point, the point of attachment of the microneedle to the first major surface of the second rotational segment, and the tip of the microneedle forms an angle of 140-100°; and

a device attached to at least a portion of the first major surface of the base layer of the attachment article;

contacting at least some of the angled microneedles of the attachment article to a surface of the substrate; and

rotating the first rotationally distinct segment of the attachment device in a direction that causes at least some of the angled microneedles of the first sequential circular or semi-circular array to penetrate the surface of the substrate.

20 . The method of claim 19 , further comprising rotating the second rotationally distinct segment of the attachment device in a direction that causes at least some of the angled microneedles of the second sequential circular or semi-circular array to penetrate the surface of the substrate.

21 . The method of claim 20 , further comprising counter-rotating the second rotationally distinct segment of the attachment device in a direction that causes at least some of the angled microneedles of the second sequential circular or semi-circular array to withdraw from the surface of the substrate; and counter-rotating the first rotationally distinct segment of the attachment device in a direction that causes at least some of the angled microneedles of the first sequential circular or semi-circular array to withdraw from the surface of the substrate.