WO2009048366A1 - Mixing system and mixing method for medical purposes - Google Patents
Mixing system and mixing method for medical purposes Download PDFInfo
- Publication number
- WO2009048366A1 WO2009048366A1 PCT/SE2008/000552 SE2008000552W WO2009048366A1 WO 2009048366 A1 WO2009048366 A1 WO 2009048366A1 SE 2008000552 W SE2008000552 W SE 2008000552W WO 2009048366 A1 WO2009048366 A1 WO 2009048366A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- cylinder
- injection syringe
- liquid component
- piston
- component
- Prior art date
Links
- 238000002156 mixing Methods 0.000 title claims abstract description 52
- 238000000034 method Methods 0.000 title claims abstract description 30
- 238000002347 injection Methods 0.000 claims abstract description 94
- 239000007924 injection Substances 0.000 claims abstract description 94
- 239000007788 liquid Substances 0.000 claims abstract description 49
- 239000000203 mixture Substances 0.000 claims abstract description 38
- 230000001954 sterilising effect Effects 0.000 claims description 22
- 239000002639 bone cement Substances 0.000 claims description 21
- 238000013022 venting Methods 0.000 claims description 7
- 238000004659 sterilization and disinfection Methods 0.000 claims description 6
- 239000000316 bone substitute Substances 0.000 claims description 5
- 230000005855 radiation Effects 0.000 claims description 5
- 238000005273 aeration Methods 0.000 claims description 3
- 230000036512 infertility Effects 0.000 claims description 3
- 238000012371 Aseptic Filling Methods 0.000 claims description 2
- 238000001914 filtration Methods 0.000 claims description 2
- 239000012535 impurity Substances 0.000 claims description 2
- 239000007789 gas Substances 0.000 description 34
- 238000011049 filling Methods 0.000 description 14
- 239000000463 material Substances 0.000 description 10
- 230000008569 process Effects 0.000 description 6
- 210000000988 bone and bone Anatomy 0.000 description 4
- 238000003032 molecular docking Methods 0.000 description 3
- 238000013019 agitation Methods 0.000 description 2
- 239000003708 ampul Substances 0.000 description 2
- 239000004568 cement Substances 0.000 description 2
- 230000005670 electromagnetic radiation Effects 0.000 description 2
- 230000005865 ionizing radiation Effects 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 229920002972 Acrylic fiber Polymers 0.000 description 1
- 230000004913 activation Effects 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 229910010293 ceramic material Inorganic materials 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000008878 coupling Effects 0.000 description 1
- 238000010168 coupling process Methods 0.000 description 1
- 238000005859 coupling reaction Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 210000004394 hip joint Anatomy 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 230000010354 integration Effects 0.000 description 1
- 210000000629 knee joint Anatomy 0.000 description 1
- 239000011873 medical mixture Substances 0.000 description 1
- 230000000116 mitigating effect Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 230000000241 respiratory effect Effects 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 230000000087 stabilizing effect Effects 0.000 description 1
- 239000007858 starting material Substances 0.000 description 1
- 229920002994 synthetic fiber Polymers 0.000 description 1
- 231100000331 toxic Toxicity 0.000 description 1
- 230000002588 toxic effect Effects 0.000 description 1
- 210000000707 wrist Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J1/00—Containers specially adapted for medical or pharmaceutical purposes
- A61J1/14—Details; Accessories therefor
- A61J1/20—Arrangements for transferring or mixing fluids, e.g. from vial to syringe
- A61J1/2096—Combination of a vial and a syringe for transferring or mixing their contents
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
- B01F—MIXING, e.g. DISSOLVING, EMULSIFYING OR DISPERSING
- B01F31/00—Mixers with shaking, oscillating, or vibrating mechanisms
- B01F31/40—Mixers with shaking, oscillating, or vibrating mechanisms with an axially oscillating rotary stirrer
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
- B01F—MIXING, e.g. DISSOLVING, EMULSIFYING OR DISPERSING
- B01F31/00—Mixers with shaking, oscillating, or vibrating mechanisms
- B01F31/44—Mixers with shaking, oscillating, or vibrating mechanisms with stirrers performing an oscillatory, vibratory or shaking movement
- B01F31/441—Mixers with shaking, oscillating, or vibrating mechanisms with stirrers performing an oscillatory, vibratory or shaking movement performing a rectilinear reciprocating movement
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
- B01F—MIXING, e.g. DISSOLVING, EMULSIFYING OR DISPERSING
- B01F33/00—Other mixers; Mixing plants; Combinations of mixers
- B01F33/50—Movable or transportable mixing devices or plants
- B01F33/501—Movable mixing devices, i.e. readily shifted or displaced from one place to another, e.g. portable during use
- B01F33/5011—Movable mixing devices, i.e. readily shifted or displaced from one place to another, e.g. portable during use portable during use, e.g. hand-held
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B01—PHYSICAL OR CHEMICAL PROCESSES OR APPARATUS IN GENERAL
- B01F—MIXING, e.g. DISSOLVING, EMULSIFYING OR DISPERSING
- B01F33/00—Other mixers; Mixing plants; Combinations of mixers
- B01F33/50—Movable or transportable mixing devices or plants
- B01F33/501—Movable mixing devices, i.e. readily shifted or displaced from one place to another, e.g. portable during use
- B01F33/5011—Movable mixing devices, i.e. readily shifted or displaced from one place to another, e.g. portable during use portable during use, e.g. hand-held
- B01F33/50112—Movable mixing devices, i.e. readily shifted or displaced from one place to another, e.g. portable during use portable during use, e.g. hand-held of the syringe or cartridge type
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J1/00—Containers specially adapted for medical or pharmaceutical purposes
- A61J1/14—Details; Accessories therefor
- A61J1/20—Arrangements for transferring or mixing fluids, e.g. from vial to syringe
- A61J1/2003—Accessories used in combination with means for transfer or mixing of fluids, e.g. for activating fluid flow, separating fluids, filtering fluid or venting
- A61J1/2068—Venting means
- A61J1/2075—Venting means for external venting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J1/00—Containers specially adapted for medical or pharmaceutical purposes
- A61J1/14—Details; Accessories therefor
- A61J1/20—Arrangements for transferring or mixing fluids, e.g. from vial to syringe
- A61J1/2003—Accessories used in combination with means for transfer or mixing of fluids, e.g. for activating fluid flow, separating fluids, filtering fluid or venting
- A61J1/2079—Filtering means
- A61J1/2082—Filtering means for gas filtration
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/178—Syringes
- A61M5/1782—Devices aiding filling of syringes in situ
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T137/00—Fluid handling
- Y10T137/0318—Processes
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T137/00—Fluid handling
- Y10T137/8593—Systems
- Y10T137/85978—With pump
- Y10T137/86075—And jet-aspiration type pump
Definitions
- the invention concerns a system for achieving a mixture for medical purposes that can be injected in accordance with the preamble of claim 1 and a method according to the preamble of claim 16.
- bone cements and bone replacement materials can be of different types, for example based on synthetic or ceramic material and be used for filling voids in bone tissue or for supporting fastening of implants on bone tissue .
- a known bone replacement material or bone cement is based on settable synthetic material, in particular an acrylic plastic - polymethylmetacrylate (PMMA) , which is commonly used in different orthopaedic applications.
- PMMA acrylic plastic - polymethylmetacrylate
- Characterizing for bone cement is that it is a two-component material wherein the starting materials are comprised of one pulverulent component and one liquid component, which have to be thoroughly mixed in accurately measured amounts for obtaining a good result.
- mixing is often undertaken by providing measured amounts of the two components into a mixing bowl wherein mixing is obtained through manual agitation. Thereupon the mixture is transferred over a funnel and a supply pipe to an injection device including a piston cylinder unit.
- pulverulent and liquid components are provided separately to a mixing device wherein a mechanical mixer provides the agitation.
- a system which is simple to handle for a user, and which is suitable for larger as well as very small mixture amounts, for example very small amounts of bone cement, as example about 1 - 20 ml, for precision application in narrow cavities in connection with open surgery as well as minimal -invasive surgery.
- the system is, however, also suitable for use in respect of greater amounts of bone cement as well as other types of mixtures for medical purposes.
- the first injection syringe and the separate reservoir can be connected or "be docked" in connection with the transfer of the liquid component.
- the closed transfer is safe and according to high hygienic requirements at the same time as the different components, the first injection syringe and the second piston/cylinder arrangement, can be handled separately and be treated in such ways that are suitable for the different components.
- the two components of some bone cements can not be sterilized with the same method, because one method which is suitable for the one component can be ineffective or harmful for the other component.
- a system that can be used for a plurality of different cements on the market has separate containers for the different component so that the system gives the possibility of applying different sterilizing methods when used for bone cements where it is necessary.
- the liquid component has generally one commercially and technically applied sterilizing method which is aseptic filling over a sterile filter.
- the pulverulent component can be gas sterilized (ETO) or be sterilized through radiation.
- ETO gas sterilized
- a pulverulent component which is prefilled and inside a package for a packed syringe inside a package of a material which is permeable to the sterilizing gas but micro biologically tight is subjected to an atmosphere with this sterilizing gas.
- the gas can thus penetrate a package material, reach the syringe and subsequently reach and sterilize the pulverulent component through the gas transferring channel means.
- the packaged syringe is put inside a kind of a gas vessel, wherein for example is created an under-pressure, whereupon supplied sterilizing gas is sucked into the syringe and thereby the pulverulent component over said gas transferring channel means. After completed gas treatment, the gas is sucked out from the package over the same channel means and through the package material .
- the gas transferring channel means being displaceable arranged inside the cylinder and in particular a mouth of the gas transferring channel means being displaceable in the axial direction of the cylinder, very effective de-aerating of the mixture after completed mixing is possible.
- air enclosures are created inside the mixture, which could seriously deteriorate the quality of the mixture/the bone cement or the like.
- Bone cement is namely often relatively highly viscous and air enclosures can therefore not simply be shaken or pressed out in an effective manner.
- a gas transferring channel means can be brought to "search" for these air enclosures through its displacement inside the cylinder, normally during simultaneous activation of the first injection syringe, such that a minor over-pressure prevails therein. Considerably more effective de-aeration of the complete mixture body can therefore be achieved through the invention.
- the invention is particularly suited for preparing paste- like mixtures, wherein it's usual that the air enclosures remain in the completed paste.
- the invention has, however, also its application for other mixtures wherein air bubbles easily become more permanently remaining after completed mixing procedure. It can be in respect of somewhat jelly-like or syrupy mixtures.
- the first injection syringe can be freed from the second piston cylinder arrangement after completed transfer of liquid component for further handling of the completed mixture.
- a means for manoeuvring the mixing element also includes said gas transferring means.
- said gas transferring channel means is comprised of a transfer channel means for transferring the liquid component from the second piston/cylinder arrangement, whereby further integration of different functions into the system is achieved.
- a means for manoeuvring the mixing element includes said transfer channel means .
- the system is adapted for use in connection with the application of bone cement into a patient, but also use within other medical applications are envisaged such as for medical mixtures with the property that they bind air enclosures and therefore should be de-aerated before being administered.
- Fig. la-c show different step for filling and sterilizing of a pulverulent component into a first injection syringe.
- Fig. id shows a free holder means in the form a needle shaped element
- Fig. 2a and 2b show two steps in connection with filling of a liquid component into a second injection syringe
- Fig. 3a-f show different steps in connection with mixing of components before application of the mixture
- FIG. 4a-c show a somewhat modified first injection syringe in different views
- FIG. 5a and b show filling of a somewhat modified second injection syringe
- Fig. 5c shows in an enlarged scale an adapter for filling
- Fig. 6 shows the modified first injection syringe docked to the modified second injection syringe
- Fig. 7 shows a injection needle for use with a system according to the invention
- Fig. 8 shows the modified first injection syringe in connection with associated components.
- FIG. Ia is diagrammatically shown a first filling station, whereby a dosing and filling device 3 is arranged to deliver a measured amount of the pulverulent component 2, which falls down into a cylinder 2 of the first injection syringe 1.
- This first injection syringe is in shown station also provided with a mixing element 4 which is connected to a manoeuvring means 7 - 8 for making it possible to rotate the mixing element and to make it possible to displace it in axial direction of the cylinder during a later mixing operation.
- a tubular portion 7 of the manoeuvring means 7 - 8 having an inside channel extends from the mixing element 4 through a (not shown) passage in a connection portion 5, to a first engagement means in the form of an outside thread outermost on a rotation portion 8.
- the connection portion 5 has outermost a (not shown) outer male thread for later application of a chosen injection needle when the completed mixture is to be inj ected.
- fastening principals can be envisaged such as bayonet connection means.
- the aim of the free holding means 28 is that after filling with pulverulent component and until the point where mixing of the two components is to be made, prevent that the pulverulent component penetrates into the channel inside the tubular portion 7, which otherwise could risk blocking the later for gas transfer and later transferring of a liquid component.
- the needle- shaped element 30 of the free holding means 28 is hollow all over its length and together with the sleeve shaped element 29, which has a recess 31, there is formed a gas penetrable connection through the free holding means 28 such that gas can penetrate from the outside to the inside of the first injection syringe for sterilizing purposes.
- Fig. Ib is known in a second station that a piston 20 with a piston rod 21 for its manoeuvring is introduced into the free end of the cylinder of the injection syringe 1, which is filled with pulverulent component 2 for forming of a first piston/cylinder arrangement.
- Fig. Ic is shown in a third station the first injection syringe 1, filled with pulverulent component, placed in a chamber 9, which is arranged from a gas container 10 over a gas conduit 11 to feed a sterilizing gas into the chamber enclosing a package with the first injection syringe 1.
- sterilizing gas can thus penetrate into the inside of the first injection syringe 1 over, to start with, the recess 31. After completed sterilization, the first injection syringe is ready for delivery/use.
- other solutions for achieving gas transfer is within the scope of the invention such as for example that all gas transfer is between an envelope surface of a non hollow needle-shaped element 30 and the channel wall of the tubular portion 7.
- other per se known sterilizing methods for different uses of the invention are within the scope of the invention. It is thus possible to use radiation sterilization with ionizing radiation or for example certain electro magnetic radiation with sufficient power for the purpose. It is also possible to use heating in dry heat or dry heat atmosphere in certain instances.
- Fig. 2a a first station for filling a liquid component 13 into a second injection syringe 12.
- the second injection syringe 12 arranged for receiving a measured amount of the liquid component 13 contained inside a supply 16 over a feed pump 15, which is arranged to provide the inside of the second injection syringe 12 with said measured amount of the liquid component over a liquid conduit 17 and a sterile filter 14.
- Fig. 2b is shown in a second station that the filled second injection syringe 12 has been provided with the piston 23 with associated piston rod 24 for manoeuvring of the piston.
- the second injection syringe is ready for delivery/use.
- Fig. 3a - f are shown a sequence for conducting the mixing of the two components for achieving of an injectable mixture of, in the shown example, bone cement.
- Fig. 3a shows the first 1 and the second 12 injection syringe taken out from their sterile packages and prepared for being connected through the first and second engagement means 8' and 18, respectively. These are here in the form of an outside thread 8' outermost at the rotational portion 8 as concerns the first injection syringe 1 and said inner thread at 18 as concerns the second injection syringe 12.
- the free holding means 28 shown in Fig. Id has already been removed from the first injection syringe 1 and left the channel inside the manoeuvring means 7 - 8 open for introduction of the liquid component.
- Fig. 3b is shown the second injection syringe connected or docked to the first injection syringe.
- Fig. 3c the process is illustrated with feeding of the liquid component from the second, 12, to the first, 1, injection syringe through pressing-in of the piston 23.
- Fig. 3d is shown the very mixing process, wherein the mixing element 4 is rotated at the same time as it is moved in axial direction of the cylinder 22 through actuation of the manoeuvring means 7 - 8.
- the mixture is de-aerated by a minor pressure being applied to the piston 20 over the piston rod 21 in order to create a minor over-pressure inside the cylinder at the same time as the manoeuvring means 7 - 8 (with connected mixing element 4) is moved for movement in axial direction.
- the completed mixture which is put somewhat on over-pressure, is effectively de-aerated by gas enclosures in the mixture being "searched" by a mouth 24 to a de-aerating channel, which in this case is the said channel inside the tubular manoeuvring means 7 - 8.
- the de-aerating channel can also have more than one mouth 25, for example two on opposite sides of the tubular manoeuvring means. Since the second injection syringe 12 is still connected to the first injection syringe, captured, in many cases harmful gases, will be received inside the second injection syringe 12 such that they will not reach the operators respiratory organs.
- Fig. 3e is shown that after completed mixing, the manoeuvring means 7, 8 for the mixing element 4 is released by simply pulling out the manoeuvring means 7 - 8 entirely axially from the first injection syringe.
- the mixing element 4 can be invisible in some of the sequence steps above because of obscuring (bone cement) mixture. It is, however, for clarity shown throughout the Figures.
- a. chosen injection needle 26 is applied on the first injection syringe 1, in this case with a connected finger grip 27, whereupon the first injection syringe is ready for application of bone cement.
- the first injection syringe 1 which is shown in Fig. 4a, is provided with a mixing element 4 with a plurality of, here four, mixing wings 4' in the direction of the outlet of the syringe and, in the opposite direction, a plurality of, here four, pins 4" for providing a good mixing of the components.
- the detail 4"' is a ring-shaped stabilizing element, which defines axial through openings for allowing the mixing components easily to pass through the mixing element 4 during axial movements thereof.
- a wiper plate 32 which tightly lies against the tubular portion of the manoeuvring means 7 for the purpose of wiping off in particular pulverulent component from this tubular portion when it is pulled in and out from the cylinder 22.
- the pulverulent material will reach out into the area of the outlet of the injection syringe 1 and not being part of the mixing. Pulverulent material in this region would also unnecessarily increase friction between the tubular portion of the manoeuvring means and the syringe in this area.
- a first grip 44 which is rigidly fastenable to the syringe, and which has the function of facilitating handling, through a lock washer 46, which can be snapped into a recess in the first grip 44 with radially outside extending wings (shown with full lines on the Figure) , whereby the locking washer 46 lies in axial direction against an end flange 45 on the first injection syringe.
- the first grip 44 has a portion at 50 for lying against a second side of this end flange 45.
- the locking washer 46 further has portions (not shown) which are radially extending inwardly inside the section of the cylinder 22, such that they act like a stop and prevent the piston of the first injection syringe 1 to come out from the cylinder. 8 indicates a rotational portion for a manoeuvring means for the mixing element 4.
- Fig. 4c is shown the first injection syringe 1 with removed free holding means 28 corresponding to what is described above in respect of the first embodiment.
- Fig. 5a is shown an arrangement for filling the second injection syringe 12, wherein it is docked to a first side of an adapter 33, which on its other side, in a vial docking space, is arranged to receive a vial 34 with the liquid component.
- a second grip 35 for the second injection syringe 12 which grip in an axial direction from an outlet end towards a piston rod end lies against an end flange 51 (Fig. 5b) .
- the second grip 35 has a stop 36, which outermost on the piston end side has a hook means 37 for engagement with an end side of a piston rod which is introducible into the second injection syringe 12.
- the purpose of the this stop 36 is to avoid that during later use of the second injection syringe 12, the piston contained therein is moved axially outwardly because of arising overpressure, which is explained below.
- Fig. 5b a second through the arrangement in Fig. 5a, wherein the vial 34 is shown with an opening 39 after braking away of an enclosure end.
- the adapter 33 further has a liquid filter 40 for filtering away of impurities such as for example glass particles resulting from breaking of the opening end of the vial.
- the adapter 33 has a venting channel with a venting pipe 42, which is arranged to be introduced somewhat into the vial in its applied position.
- An air filter 41 is arranged in the venting channel for ensuring sterility of the air provided through the venting channel.
- the stop 36 is released such that the second injection syringe 12 can be filled by axial pulling out of the piston in per se known manner until a predetermined amount of the liquid component contained in the vial 34 has been drawn into the second injection syringe.
- the second injection syringe is released from the adapter 33 preferably by screwing out of a threaded connection there between.
- Fig. 5c is further shown the adapter 33 more clearly, freed from the vial and from the second injection syringe.
- a thread (not shown) for secure mutual connection of these components.
- an injection needle unit with an injection needle 26 for driving into bone as for example a vertebra of a patient, into which bone cement is to be injected.
- the injection needle 26 is shown with an insert point, which has good properties for allowing driving- in of the unit.
- 27 indicate a finger grip for the unit and 49 a press portion, with the aid of which the unit is applied and guided.
- the unit could be subjected to minor strikes in a driving direction, which most simply is conducted by removing the press portion 49 and application of strikes against a particular strike receiving element which can be screwed- in to the upper end of the unit.
- the manoeuvring means is shown with threads for engagement with the mixing element 4 but also other releasable connection can be used such as axial ridges in engagement with the grooves.
- the invention can be modified within the scope of the following claims. The filling of the pulverulent and the liquid component respectively can thus be made differently, even manually, even if automatic filling is preferred.
- the docking means/engagement means can be constructed differently and gas transferring channels can be arranged differently from what is shown in Fig. Ia - c .
- the gas transferring channel means for de-aerating can be separated from the shown manoeuvring means 7 - 8 for the mixing element, but it is highly preferred that these elements are integrated for simple function and good economy.
- the separate reservoir is preferably included, which is described above, in a second piston cylinder arrangement and preferably it is in form of an injection needle. It is, however, also within the scope of the invention, that the separate reservoir is of a different construction, for example a breakable ampoule or without means for pressurising the liquid component.
- the separate reservoir which can be or include such an ampoule, is on one side possible to dock to the first injection syringe and on a second side connected or connectable to a piston cylinder device or any other pressure creating device for driving purposes, whereby can be created an over-pressure such that the liquid component can be introduced into the first cylinder of the first injection syringe.
- an under-pressure in the cylinder of the first injection syringe whereby can be initiated that the liquid component can be sucked into this cylinder.
- the invention can be used in respect of other mixtures for medical purposes but is particular preferred in more highly viscous or paste-like mixtures such as bone replacement material - bone cement, even if it is not excluded that the invention is also applicable in more low viscous mixtures with the property of binding air enclosures and therefore should be de-aerated.
- a pulverulent component can for example be sterilized in dry hot atmosphere and a liquid in moist hot atmosphere .
- the invention can be modified further and one example of that is that it can be given an indication on when the mixture is completed and as an example also has reached a certain viscosity by using a coupling between the manoeuvring means and the mixing element, which releases from rotation at reaching a certain viscosity and corresponding rotational resistant of the mixture.
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- Chemical Kinetics & Catalysis (AREA)
- Chemical & Material Sciences (AREA)
- Health & Medical Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Pharmacology & Pharmacy (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Medical Preparation Storing Or Oral Administration Devices (AREA)
- Prostheses (AREA)
- Surgical Instruments (AREA)
- Accessories For Mixers (AREA)
- Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
- Apparatus For Disinfection Or Sterilisation (AREA)
Abstract
Description
Claims
Priority Applications (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP08838237.9A EP2207519B1 (en) | 2007-10-10 | 2008-10-10 | Mixing system and mixing method for medical purposes |
JP2010528829A JP2011500134A (en) | 2007-10-10 | 2008-10-10 | Medical mixing system and method |
CA2701174A CA2701174C (en) | 2007-10-10 | 2008-10-10 | Mixing system and mixing method for medical purposes |
AU2008311495A AU2008311495B2 (en) | 2007-10-10 | 2008-10-10 | Mixing system and mixing method for medical purposes |
US12/384,805 US8267571B2 (en) | 2007-10-10 | 2009-04-08 | Mixing system and mixing method for medical purposes |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SE0702267A SE531600C2 (en) | 2007-10-10 | 2007-10-10 | Mixing system and mixing procedure for medical purposes |
SE0702267-6 | 2007-10-10 |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/384,805 Continuation US8267571B2 (en) | 2007-10-10 | 2009-04-08 | Mixing system and mixing method for medical purposes |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2009048366A1 true WO2009048366A1 (en) | 2009-04-16 |
Family
ID=40549389
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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PCT/SE2008/000552 WO2009048366A1 (en) | 2007-10-10 | 2008-10-10 | Mixing system and mixing method for medical purposes |
Country Status (8)
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US (1) | US8267571B2 (en) |
EP (1) | EP2207519B1 (en) |
JP (1) | JP2011500134A (en) |
KR (1) | KR20100098598A (en) |
AU (1) | AU2008311495B2 (en) |
CA (1) | CA2701174C (en) |
SE (1) | SE531600C2 (en) |
WO (1) | WO2009048366A1 (en) |
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Publication number | Priority date | Publication date | Assignee | Title |
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EP2893888A1 (en) * | 2014-01-10 | 2015-07-15 | Heraeus Medical GmbH | Ampoule system with medical liquid and cap with filter facility |
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Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
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Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20010021820A1 (en) * | 1994-02-15 | 2001-09-13 | Lynn Lawrence A. | Syringe system for transfer of medication from a prefilled medication container |
Family Cites Families (29)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US1718603A (en) * | 1928-01-18 | 1929-06-25 | Arthur E Smith | Ampul |
US3164303A (en) * | 1961-12-04 | 1965-01-05 | Semco Res Inc | Storage and mixing cartridge |
US3343817A (en) * | 1966-06-29 | 1967-09-26 | Interchem Corp | Apparatus for mixing materials in the substantial absence of air |
CH541481A (en) | 1971-08-12 | 1973-09-15 | Lacroix Michel | Fluid product dispenser |
US4469153A (en) * | 1981-05-15 | 1984-09-04 | Kidde, Inc. | Apparatus for mixing and dispensing liquids |
US4516967A (en) * | 1981-12-21 | 1985-05-14 | Kopfer Rudolph J | Wet-dry compartmental syringe |
DE8335529U1 (en) | 1983-12-10 | 1984-03-08 | Upat Gmbh & Co, 7830 Emmendingen | SPRAY CARTRIDGE |
US4808184A (en) * | 1985-05-14 | 1989-02-28 | Laboratorium Fur Experimentelle Chirurgie Forschungsinstitut | Method and apparatus for preparing a self-curing two component powder/liquid cement |
US4889432A (en) * | 1989-02-07 | 1989-12-26 | Roosevelt Patterson | Dental mixer apparatus |
SE462315B (en) | 1989-05-03 | 1990-06-11 | Surgitec Ab | DEVICE FOR MANUFACTURING BENCEMENT |
US5435645A (en) | 1989-12-29 | 1995-07-25 | Tecres Spa | Process and apparatus for the mixing and direct emplacement of a two-component bone cement |
DE9011685U1 (en) * | 1990-08-10 | 1991-12-12 | THERA Patent GmbH & Co. KG Gesellschaft für industrielle Schutzrechte, 82229 Seefeld | Granule syringe |
SE500430C2 (en) * | 1993-05-10 | 1994-06-27 | Cemvac System Ab | Device for loading bone cement components into a pressurized mixing vessel |
DE4409610C3 (en) | 1994-03-21 | 2001-09-20 | Scandimed Internat Ab Sjoebo | Mixing device |
DE4425218A1 (en) | 1994-07-16 | 1996-01-18 | Merck Patent Gmbh | Device for mixing and discharging bone cement |
JP3481340B2 (en) * | 1995-03-06 | 2003-12-22 | 株式会社日清製粉グループ本社 | Powder dispersion device |
US5788463A (en) * | 1995-12-22 | 1998-08-04 | Chan; Kwan-Ho | Manual vacuum producing system having pressure indicator |
US5779356A (en) * | 1996-02-21 | 1998-07-14 | Chan; Kwan-Ho | Apparatus and method for mixing first and second components of a bone cement in a vacuum |
ATE222481T1 (en) | 1997-06-05 | 2002-09-15 | Sulzer Orthopaedie Ag | TRANSPORT AND PROCESSING DEVICE FOR TWO-COMPONENT MATERIAL |
US5957166A (en) * | 1997-06-16 | 1999-09-28 | Fusion Medical Technologies, Inc. | Method and apparatus for dispersing fluid into a material |
US5951160A (en) * | 1997-11-20 | 1999-09-14 | Biomet, Inc. | Method and apparatus for packaging, mixing and delivering bone cement |
US6120174A (en) * | 1999-01-14 | 2000-09-19 | Bristol-Myers Squibb | Apparatus and method for mixing and dispensing bone cement |
FR2789369B1 (en) * | 1999-02-10 | 2001-04-27 | Biodome | CONNECTION DEVICE BETWEEN A CONTAINER AND A CONTAINER AND READY-TO-USE ASSEMBLY COMPRISING SUCH A DEVICE |
SE523307C2 (en) * | 2001-11-07 | 2004-04-13 | Biomet Merck Cementing Technol | Device for mixing devices for mixing powdered and liquid substances with each other for the manufacture of medical products |
ATE361725T1 (en) | 2003-12-01 | 2007-06-15 | Broockeville Corp N V | TWO-COMPONENT MIXING AND DISPENSING DEVICE |
EP1750781B1 (en) * | 2004-06-03 | 2010-12-29 | Synthes GmbH | Device for impregnating a porous bone replacement material |
US20060164913A1 (en) * | 2005-01-21 | 2006-07-27 | Arthrocare Corporation | Multi-chamber integrated mixing and delivery system |
US8641667B2 (en) * | 2005-10-20 | 2014-02-04 | DePuy Synthes Products, LLC | Perfusion device and method |
SE531600C2 (en) * | 2007-10-10 | 2009-06-02 | Ortoviva Ab | Mixing system and mixing procedure for medical purposes |
-
2007
- 2007-10-10 SE SE0702267A patent/SE531600C2/en not_active IP Right Cessation
-
2008
- 2008-10-10 CA CA2701174A patent/CA2701174C/en active Active
- 2008-10-10 AU AU2008311495A patent/AU2008311495B2/en not_active Ceased
- 2008-10-10 JP JP2010528829A patent/JP2011500134A/en active Pending
- 2008-10-10 KR KR1020107010029A patent/KR20100098598A/en not_active Application Discontinuation
- 2008-10-10 EP EP08838237.9A patent/EP2207519B1/en active Active
- 2008-10-10 WO PCT/SE2008/000552 patent/WO2009048366A1/en active Application Filing
-
2009
- 2009-04-08 US US12/384,805 patent/US8267571B2/en active Active
Patent Citations (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20010021820A1 (en) * | 1994-02-15 | 2001-09-13 | Lynn Lawrence A. | Syringe system for transfer of medication from a prefilled medication container |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2011100852A1 (en) | 2010-02-22 | 2011-08-25 | Medmix Systems Ag | Syringe-like mixing device having a distally operable mixing element |
CN103506024A (en) * | 2013-07-29 | 2014-01-15 | 江苏省环境监测中心 | Gas mixing dilution device |
EP2893888A1 (en) * | 2014-01-10 | 2015-07-15 | Heraeus Medical GmbH | Ampoule system with medical liquid and cap with filter facility |
Also Published As
Publication number | Publication date |
---|---|
SE531600C2 (en) | 2009-06-02 |
EP2207519B1 (en) | 2016-01-13 |
AU2008311495B2 (en) | 2014-04-10 |
EP2207519A4 (en) | 2014-07-30 |
EP2207519A1 (en) | 2010-07-21 |
CA2701174C (en) | 2016-05-10 |
JP2011500134A (en) | 2011-01-06 |
CA2701174A1 (en) | 2009-04-16 |
US8267571B2 (en) | 2012-09-18 |
US20090266420A1 (en) | 2009-10-29 |
SE0702267L (en) | 2009-04-11 |
AU2008311495A1 (en) | 2009-04-16 |
KR20100098598A (en) | 2010-09-08 |
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