The present disclosure relates to an auto-injector retainer and a drug administration device for assisting simultaneous administration by a plurality of auto-injectors.
In the related art, there is known a device (auto-injector) for automatically or semi-automatically injecting (administering) a medical liquid (drug). In such an auto-injector, for example, as disclosed in Japanese Patent Publication No. 2015-533562A (US Patent Publication No. 2015-273162A, EP Patent Publication No. 2903670B, PCT Publication No. WO2014/053451A; “Patent Literature 1”), a driving mechanism (90) for delivering a certain amount of drug is released by a predetermined operation, and the drug in a drug container (24) is ejected through a delivering member (28).
Auto-injectors are standardized to some extent depending on types and applications of medical liquids. Therefore, some patients may require a plurality of auto-injectors to administer a medical liquid according to an appropriate dose of the medical liquid.
Using a plurality of auto-injectors to administer a medical liquid increases the time and effort for the administration. To solve this problem, what is called simultaneous administration is performed to operate a plurality of auto-injectors at the same time. However, the simultaneous administration by a plurality of auto-injectors complicates the operation and is not always performed appropriately. In addition, depending on medical liquids, a problem may occur if administration sites (injection sites) of a medical liquid to be administered by a plurality of auto-injectors are not appropriate (for example, if the administration sites are too close).
An object of the present invention is to provide an auto-injector retainer and a drug administration device for assisting simultaneous administration by a plurality of auto-injectors. The auto-injector retainer and the drug administration device appropriately retain the plurality of auto-injectors in parallel without inhibiting functions of the auto-injectors.
The object is achieved by certain embodiments of an auto-injector retainer according to the disclosure.
According to one embodiment, an auto-injector retainer is capable of retaining a plurality of auto-injectors each having a housing that has a cylindrical shape and houses a prefilled syringe and a gasket pushing mechanism. The auto-injector retainer is used for assisting simultaneous administration by the plurality of auto-injectors, and includes: a plurality of retaining units capable of retaining the auto-injectors and placed in parallel. The retaining units each include a casing that covers a proximal end of the housing of each of the auto-injectors from outside to house the proximal end. The casing includes a distal opening into which the proximal end of the housing is inserted, a proximal wall abutting on or facing a proximal end face of the housing, and a cylindrical peripheral wall elastically deformed when the proximal end of the housing is housed in the casing to hold the proximal end of the housing housed in the casing by an elastic restoring force.
Furthermore, object is achieved by certain embodiments of a drug administration device according to the disclosure.
According to one embodiment, a drug administration device includes: the auto-injector retainer; and at least two of the auto-injectors.
An auto-injector retainer of the present disclosure will be described with reference to embodiments illustrated in the drawings.
As illustrated in
The auto-injector retainer 10 includes a plurality of (herein, two) retaining units 11, 11 capable of retaining the auto-injectors 50 and placed in parallel. The retaining units 11, 11 each include a casing 12 that covers a proximal end of the housing 51 of each auto-injector 50 from outside to house the proximal end. The casing 12 includes a distal opening 13 into which the proximal end of the housing 51 is inserted, a proximal wall 14 abutting on or facing a proximal end face 54 of the housing 51, and a cylindrical peripheral wall 15 elastically deformed when the proximal end of the housing 51 is housed in the casing 12 to hold the proximal end of the housing 51 housed in the casing 12 by an elastic restoring force.
A drug administration device of the present disclosure includes the auto-injector retainer 10 and at least two auto-injectors 50.
With reference to embodiments illustrated in the drawings, hereinafter first described is the outline of an auto-injector used in this embodiment. Various known auto-injectors are employable, and details of each auto-injector 50 will be omitted herein except for a predetermined configuration. In the auto-injector 50 of this embodiment, the prefilled syringe 52 provided with an injection needle 61 and the gasket pushing mechanism 53 are housed in the cylindrical housing 51.
The housing 51 of the auto-injector 50 is a cylindrical member formed of hard or semi-hard resin, having a substantially hexagonal cross section perpendicular to the axial direction as illustrated in
A proximal end (upper end in
The auto-injector 50 is provided with a window 57 that is formed in a side wall of the housing 51 and used for visually checking the inside of the prefilled syringe 52. A typical auto-injector includes a window for visually checking the inside of a prefilled syringe, specifically, the movement of a gasket housed inside the prefilled syringe. Checking the movement of the gasket from this window enables an understanding of progress and completion of medical liquid administration.
As illustrated in
The prefilled syringe 52 is housed inside the housing 51. The prefilled syringe 52 includes a barrel 58, the gasket 59 slidably housed in the barrel 58 in a liquid-tight manner, and a medical liquid 60 filled in the barrel 58.
The barrel 58 is a transparent or translucent cylindrical member. A proximal end (upper end in
The gasket 59 is housed in the barrel 58 (barrel body). The gasket 59 is movable, being in contact with the inner surface of the barrel 58 in a liquid-tight manner. A preferable example of the material for the gasket 59 includes rubber having elasticity.
The inside of the prefilled syringe 52, specifically, a space defined by the inner surface of the barrel 58 and the gasket 59 inside the barrel 58 is filled with the medical liquid 60. The medical liquid 60 filled in the prefilled syringe 52 is, for example, a solution, gel, or suspension containing a drug. An employable drug is not substantially limited as long as it is not a drug unsuitable for transdermal administration.
Examples of the drug include a protein preparation, an antibody preparation, hyaluronic acid, an antibacterial drug, an antiviral drug, a vaccine, an antitumor drug, an immunosuppressant, a steroid, an anti-inflammatory drug, an antirheumatic drug, an arthritis therapeutic drug, an antihistamine, an antiallergic drug, a diabetes therapeutic drug, a hormone agent for growth hormone, a bone calcium metabolic drug, a vitamin, a blood preparation, a hematopoietic drug, an antithrombotic drug, an antihyperlipidemic drug, an antiarrhythmic drug, a vasodilator, a prostaglandin, a calcium antagonist, an ACE inhibitor, a β-blocker, an antihypertensive, a diuretic, a xanthine derivative, a β-agonist, an anti-asthmatic drug, a cough suppressant, an expectorant, an anticholinergic drug, an anti-diarrheal drug, a gastrointestinal drug, an antiulcer drug, a purgative, a sleep medication, a sedative, an antipyretic, a cold medication, an antiepileptic drug, an antipsychotic, an antidepressant, an antianxiety drug, a central nervous system stimulant, a parasympathomimetic, a sympathomimetic, an antiemetic, a central stimulant, an anti-parkinsonian drug, a muscle relaxer, an antispasmodic, an anesthetic, an antipruritic, an anti-migraine drug, an oligonucleotide, and a genetic disease drug.
The gasket pushing mechanism 53 is housed inside the housing 51. The detailed structure of the gasket pushing mechanism 53 is omitted herein, but note that, for example, the gasket pushing mechanism 53 includes a coil spring 62 capable of pushing the gasket 59 as illustrated in
The actuation of the auto-injector 50 of this embodiment will now be described briefly. When using the auto-injector 50, first, the cap 56 is detached from the auto-injector 50. Next, the housing 51 is gripped and the pressing portion 55 is pressed against an administration site 70, and the housing 51 is advanced toward the administration site 70. Accordingly, as illustrated in
The auto-injector 50 of this embodiment is what is called a two-step auto-injector in which the gasket pushing mechanism 53 is automatically actuated by advancing the housing 51 (by allowing a predetermined length of the pressing portion 55 to enter the housing 51) in a state where the pressing portion 55 is pressed against the administration site 70, thereby administering the medical liquid 60 to a patient. What is called a three-step auto-injector may also be employed in which a gasket pushing mechanism is actuated by a predetermined operation (for example, by pushing a separate actuation button) in a state where the administration site 70 of a patient is punctured with an injection needle.
As illustrated in
The retaining unit 11 includes the casing 12 that covers the proximal end of the housing 51 of the auto-injector 50 from outside to house the proximal end. As illustrated in
The internal shape (inner edge shape, interior configuration) of the distal opening 13 corresponds to the external shape (exterior configuration) of the proximal end of the housing 51 of the auto-injector 50 (herein, a substantially hexagonal shape). In addition, the internal shape of the distal opening 13 is similar to or slightly larger than the external shape of the proximal end of the housing 51 of the auto-injector 50, and the proximal end of the housing 51 is inserted from the distal opening 13. The distal opening 13 allows the proximal end of the housing 51 to enter the casing 12 (the cylindrical peripheral wall 15).
The proximal wall 14 is disposed at a proximal end of the cylindrical peripheral wall 15. In this embodiment, proximal walls 14, 14 of two casings 12, 12 are plates that close the proximal end of each cylindrical peripheral wall 15, and the two proximal walls 12, 12 form one continuous wall (plate) as illustrated in
The cylindrical peripheral wall 15 has a predetermined internal (cross sectional) shape (herein, as illustrated in
The cylindrical peripheral wall 15 is elastically deformed when the proximal end of the housing 51 is housed in the casing 12 and holds the proximal end of the housing 51 by an elastic restoring force. In this embodiment, although the internal shape of the cylindrical peripheral wall 15 is slightly larger than the external shape of the proximal end of the housing 51 of the auto-injector 50, the proximal end of the housing 51 housed in the casing 12 can be held by providing the cylindrical peripheral wall 15 with the ribs 16 to be described.
Specifically, as illustrated in
More specifically, as illustrated in
A distal end of each rib 16 is provided with an inclined portion 18 protruding and tapering toward the distal direction. The inclined portion 18 guides the proximal-ward movement of the proximal end of the housing 51 inserted into (allowed to enter) the casing 12 from the distal opening 13. In addition, the outer surface of the proximal end of the housing 51 abuts on the ribs 16 from each inclined portion 18, whereby the cylindrical peripheral wall 15 is gradually elastically deformed.
As illustrated in
In this embodiment, when each rib 16 abuts on the outer surface of the proximal end of the housing 51, a gap (space) is formed between the inner surface of the cylindrical peripheral wall 15 excluding the portions provided with the ribs 16 and the outer surface of the proximal end of the housing 51. In addition, in this embodiment, each rib 16 abuts on the outer surface of the proximal end of the housing 51, that is to say, the inner surface of the cylindrical peripheral wall 15 does not entirely abut on the outer surface of the proximal end of the housing 51. Therefore, a contact area between the outer surface of the proximal end of the housing 51 and the inner surface of the cylindrical peripheral wall 15 is small and frictional resistance is also small as compared with a case where the outer surface of the proximal end of the housing 51 and the entire inner surface of the cylindrical peripheral wall 15 are brought into contact with each other. This configuration provides the advantage that the movement of the auto-injector 50 in the axial direction (proximal direction) is facilitated inside the casing 12 (cylindrical peripheral wall 15).
While the casing 12 (cylindrical peripheral wall 15) houses the proximal end of the housing 51 of the auto-injector 50, it is preferable that the casing 12 does not cover the window 57 formed in the housing 51. In other words, it is preferable that the casing 12 (cylindrical peripheral wall 15) is not extended to a part where the window 57 is formed. Accordingly, the casing 12 (cylindrical peripheral wall 15) does not impede the visibility of the inside of the prefilled syringe through the window 57.
The auto-injector retainer 10 includes a partition unit 19 for maintaining the auto-injectors 50, 50 retained by two adjacent retaining units 11, 11 in a state of mutual separation. The partition unit 19 is a part of the casings 12, 12 in the two adjacent retaining units 11, 11 and includes a casing partition 20 having a predetermined thickness. In addition, the partition unit 19 includes an extending partition 21 extending from distal ends (lower ends in
Specifically, as illustrated in
The casing partition 20 is formed between the two casings 12, 12 and placed between the two auto-injectors 50, 50 in a state where the two auto-injectors 50, 50 are retained by the auto-injector retainer 10. With the casing partition 20, as illustrated in
Furthermore, in this embodiment, as illustrated in
Particularly, in this embodiment, the retaining unit 11 (casing 12) of the auto-injector retainer 10 retains (houses) the proximal end of the auto-injector 50. For this reason, when a patient grips distal portions of the two auto-injectors 50, 50 (a portion of each auto-injector 50 closer to the distal end than a portion housed in the casing 12) at the time of administration, the interval between the distal portions narrows, and the distal ends (injection needles 61, 61) of the auto-injectors 50, 50 may move in directions in which they approach each other. The extending partition 21 maintains the distal portions of the two adjacent auto-injectors 50, 50 at a predetermined interval, thereby maintaining the injection needles 61, 61 of the auto-injectors 50, 50 at a predetermined interval more reliably.
A preferable material for the auto-injector retainer 10 is hard or semi-hard resin that is elastically deformable to some extent. Examples of the material include polyvinyl fluoride, polycarbonates, acrylic resins (such as polyacrylates (specifically, polymethyl methacrylate, or PMMA), polyacrylamides, acrylonitrile-styrene copolymers, and acrylonitrile-butadiene-styrene copolymers), polyesters (such as polyethylene terephthalate and polybutylene terephthalate), polyolefins (such as polyethylene, polypropylene, and ethylene-propylene copolymers), styrene-based resins (such as polystyrene, MS resin (methacrylate-styrene copolymers), and MBS resin (methacrylate-butylene-styrene copolymers)), polyvinyl chloride (hard vinyl chloride), and polyamides (such as Nylon 6 and Nylon 66). Alternatively, examples of the material for the auto-injector retainer 10 include rubbers having elasticity (for example, butyl rubber, latex rubber, silicone rubber, styrene-butadiene rubber, and isoprene) and thermoplastic elastomers (for example, styrene-based elastomers such as SBS elastomer, SEBS elastomer, and SEPS elastomer and olefin-based elastomers such as ethylene-α-olefin copolymer elastomer).
Hereinafter briefly described is simultaneous administration of a medical liquid by a plurality of (herein, two) auto-injectors 50 using the auto-injector retainer 50 of this embodiment.
First, as illustrated in
In addition, each auto-injector 50 (the proximal end of the housing 51) are preferably pushed into the casing 12 (the cylindrical peripheral wall 15) with some degree of force (specifically, a force larger than a force required for puncturing the after-mentioned administration site 70 with the injection needle 61). Accordingly, it is possible to prevent relative displacement of the auto-injector retainer 10 and the auto-injectors 50 during the administration.
It is preferable that the two auto-injectors 50, 50 are at substantially the same axial position. In this embodiment, the two auto-injectors 50, 50 are of the same type, and the two retaining units 11, 11 have substantially the same configuration. Accordingly, when each auto-injector 50 (the proximal end of the housing 51) is allowed to enter the casing 12 (cylindrical peripheral wall 15) by substantially the same force, the two auto-injectors 50, 50 are placed at substantially the same axial position. Furthermore, each auto-injector 50 may enter the casing 12 (the cylindrical peripheral wall 15) until the proximal end face 54 abuts on the proximal wall 14. Accordingly, it is possible to align the proximal ends of the two auto-injectors 50, 50.
While the two auto-injectors 50, 50 are retained by the auto-injector retainer 50, aligning the two auto-injectors 50, 50 at substantially the same axial position makes it possible to retain a distal end (cutting edge) of each injection needle 61 and a distal end of the pressing portion 55 at substantially the same position with respect to the axial direction of the auto-injector retainer 50.
Next, as illustrated in
Each pressing portion 55 moves inside the housing 51, and the injection needles 61 are exposed (protrude) from the pressing portions 55, whereby the administration site 70 is punctured with the injection needles 61. This operation actuates the gasket pushing mechanism 13. The gasket pushing mechanism 13 moves the gasket 59 in the distal direction of the prefilled syringe 52 (barrel 58), and the medical liquid 60 is ejected from the injection needle 61, thereby administering the medical liquid 60 to a patient (see
As described above, the auto-injector retainer of the present invention (auto-injector retainer 10) is capable of appropriately bundling and retaining a plurality of auto-injectors 50 and appropriately assisting simultaneous administration of a medical liquid by the plurality of auto-injectors 50 without inhibiting functions of the auto-injectors 50.
In addition, the auto-injector retainer of the present invention (auto-injector retainer 10) holds the proximal ends of the auto-injectors 50 by an elastic restoring force of the cylindrical peripheral wall 15, thereby hardly causing breakage and deformation (plastic deformation) of the auto-injectors 50 which are attributed to the retaining of the auto-injectors 50. Therefore, the auto-injector retainer of the present invention is suitable for repeated use or use outside one's house (where there is no alternative auto-injector retainer).
Ribs included in a cylindrical peripheral wall may be ribs extending in the circumferential direction of a cylindrical peripheral wall or ribs distributed on the inner surface of the cylindrical peripheral wall. For example, in an auto-injector retainer 10a (retaining unit 11a, casing 12a) illustrated in
In the auto-injector retainer 10a, a plurality of openings 22 are formed in the cylindrical peripheral wall 15. Each opening 22 is formed in such a manner that its peripheral edge on the distal side coincides with the proximal edge of each rib 16a. Such an opening 22 is intended to eliminate undercuts of the cylindrical peripheral wall 15 provided with the ribs 16a and to ensure moldability (particularly, during injection molding) of the auto-injector retainer 10a, but forming the opening 22 easily enables elastic deformation of the cylindrical peripheral wall 15.
Other embodiments of the auto-injector retainer of the present invention will be described with reference to the drawings. Note that the following auto-injector retainer is similar to the auto-injector retainer 10 in basic configuration but different in configuration of a retaining unit (casing). Unless otherwise specified, configurations substantially similar to those in the auto-injector retainer 10 are denoted by the same or corresponding names and reference numerals, and details thereof will be omitted.
As illustrated in
Specifically, as illustrated in
In the auto-injector retainer 10b, the cylindrical peripheral wall 15 is elastically deformed with ease due to the plurality of peripheral wall slits 23, and the proximal end of the housing 51 housed in the casing 12b is appropriately held by an elastic restoring force. Particularly, in this embodiment, the peripheral wall slits 23 are formed in the corners 17 extending in the axial direction of the polygonal cylindrical peripheral wall (cylindrical peripheral wall 15), whereby a portion of the cylindrical peripheral wall 15 between two adjacent peripheral wall slits 23, 23 is deformed elastically in an appropriate manner.
As illustrated in
In addition, as illustrated in
Alternatively, like an auto-injector retainer 10c illustrated in
Providing the auto-injector retainer 10c with a plurality of proximal corner slits 25 facilitates elastic deformation of the cylindrical peripheral wall 15, which enables the auto-injector retainer 10c to appropriately hold the proximal end of the housing 51 housed in the casing 12c of a retaining unit 11c by an elastic restoring force.
In an auto-injector retainer 10d illustrated in
In this embodiment, the proximal wall slits 26 extend from all the peripheral wall slits 23 formed in a retaining unit 11d (casing 12d) toward a central portion of the proximal wall 14. The central portion of the proximal wall 14 is cut out, and each proximal wall slit 26 is connected to the central cutout. Accordingly, each proximal wall 14 is divided into six proximal segments 27.
In the auto-injector retainer 10d, the cylindrical peripheral wall 15 (each face of the cylindrical peripheral wall 15) between two adjacent peripheral wall slits 23, 23 and the proximal segments 27 are combined and displaceable (elastically deformable) independently of the other portion of the cylindrical peripheral wall 15 and the proximal segments 27. Accordingly, the overall cylindrical peripheral wall 15 is elastically deformed more easily, and this configuration is employable in a case, for example, where it is desired to retain (hold) the proximal end of the housing 51 with a relatively weak force in the retaining unit 11d. In the auto-injector retainer 10d, the central portion of the proximal wall 14 is cut out and not provided with a configuration corresponding to the abutting projection 24 but ensures the ease of elastic deformation of the cylindrical peripheral wall 15 as described above.
As illustrated in
In addition, the auto-injector retainer 10e includes a proximal cutout 29 formed by cutting out a part of the cylindrical peripheral wall 15 facing the protrusion 28 and a part of the proximal wall 14 continuous to the cylindrical peripheral wall 15, and a portion of the cylindrical peripheral wall 15 facing the protrusion 28 where the proximal cutout 29 is not formed serves as a clamping wall 30 that clamps the proximal end of the housing 51 together with the protrusion 28.
Specifically, as illustrated in
In the auto-injector retainer 10e, a rib 16 is disposed on a portion (face) of the cylindrical peripheral wall 15 (the clamping wall 30) facing the protrusion 28. In this embodiment, the rib 16 extends from a distal opening 13 to a proximal end (proximal cutout 29) of the clamping wall 30. When the rib 16 abuts on the outer surface of the proximal end of the housing 51, a gap (space) is formed between the inner surface of the cylindrical peripheral wall 15 (the clamping wall 30) excluding the portion provided with the rib 16 and the outer surface of the proximal end of the housing 51. With this configuration, the cylindrical peripheral wall 15 (the clamping wall 30) is not inhibited from deforming elastically. In this embodiment, the rib 16 is not disposed on other portions (faces) of the cylindrical peripheral wall 15.
Like an auto-injector retainer 10f illustrated in
Alternatively, like an auto-injector retainer 10g illustrated in
Any of the above embodiments employs the same type of auto-injectors as the plurality of auto-injectors, but the auto-injectors may be of different types. In a case where auto-injectors have proximal ends with different shapes, the configuration of each retaining unit of an auto-injector retainer is designed according to the shape of each auto-injector.
The auto-injector retainer of the present invention includes a plurality of retaining units capable of retaining auto-injectors and placed in parallel. Each retaining unit includes a casing that covers a proximal end of a housing of each auto-injector from outside to cover the proximal end. The casing includes a distal opening into which the proximal end of the housing is inserted, a proximal wall abutting on or facing a proximal end face of the housing, and a cylindrical peripheral wall elastically deformed when the proximal end of the housing is housed in the casing to hold the proximal end of the housing housed in the casing by an elastic restoring force. Accordingly, the auto-injector retainer of the present invention appropriately bundles and retains a plurality of auto-injectors and appropriately assists simultaneous administration of a medical liquid by the plurality of auto-injectors without inhibiting functions of the auto-injectors.
The drug administration device of the present invention includes the auto-injector retainer and at least two auto-injectors. Accordingly, the auto-injector retainer of the present invention appropriately bundles and retains a plurality of auto-injectors and appropriately assists simultaneous administration of a medical liquid by the plurality of auto-injectors without inhibiting functions of the auto-injectors.
An auto-injector retainer of the present invention is as follows.
This auto-injector retainer includes the plurality of retaining units capable of retaining auto-injectors and placed in parallel. Each retaining unit includes the casing that covers the proximal end of the housing of each auto-injector from outside to cover the proximal end. The casing includes the distal opening into which the proximal end of the housing is inserted, the proximal wall abutting on or facing the proximal end face of the housing, and the cylindrical peripheral wall elastically deformed when the proximal end of the housing is housed in the casing to hold the proximal end of the housing housed in the casing by an elastic restoring force. Accordingly, the auto-injector retainer of the present invention appropriately bundles and retains a plurality of auto-injectors and appropriately assists simultaneous administration of a medical liquid by the plurality of auto-injectors without inhibiting functions of the auto-injectors.
In addition, the embodiment may be as follows.
Furthermore, the drug administration device of the present invention is as follows.
The drug administration device includes the auto-injector retainer and at least two auto-injectors. Accordingly, the auto-injector retainer of the present invention appropriately bundles and retains a plurality of auto-injectors and appropriately assists simultaneous administration of a medical liquid by the plurality of auto-injectors without inhibiting functions of the auto-injectors.
Number | Date | Country | Kind |
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2022-052079 | Mar 2022 | JP | national |
This is a bypass continuation of PCT Application No. PCT/JP2022/045545, filed on Dec. 9, 2022, which claims priority to Japanese Patent Application No. 2022-052079, filed on Mar. 28, 2022. The entire contents of these application are incorporated herein by reference.
Number | Date | Country | |
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Parent | PCT/JP2022/045545 | Dec 2022 | WO |
Child | 18897130 | US |