The present invention generally relates to a liquid medicine administration device.
Conventionally, a syringe pump type liquid medicine administration device has been known which administers a liquid medicine from a liquid medicine container into a living body by a pressing action of a plunger. The plunger can be configured to, for example, discharge the liquid medicine from the liquid medicine container when pushed into the liquid medicine container by a rotational driving force of a drive mechanism.
For example, Japanese Patent Application Publication No. 2015-181835 discloses a drive mechanism including a motor that generates a drive torque, a gear reduction mechanism that decreases the speed of rotation of the motor, and a feed screw that rotates in response to torque from the gear reduction mechanism. The plunger is configured as a bearing of the feed screw, and is also configured to advance by rotation of the feed screw.
However, in the liquid medicine administration device as described above, when blockage occurs in a liquid delivery path of the liquid medicine, a load is applied to a region on the upstream side of the blockage portion in the liquid delivery path by the plunger that is going to advance. As a result, the liquid medicine may leak out in the region upstream of the blockage portion in the liquid delivery path.
The liquid medicine administration device disclosed here is capable of preventing leakage of a liquid medicine when blockage occurs in a liquid delivery path of the liquid medicine.
A liquid medicine administration device according to the present invention includes: a liquid medicine container filled with a liquid medicine and having, at a tip, an opening through which the liquid medicine is discharged; a gasket for expelling the liquid medicine in the liquid medicine container, the gasket being slidable on an inner wall of the liquid medicine container; a plunger capable of pressing the gasket; a housing that holds the liquid medicine container and the plunger; a drive mechanism that advances the plunger toward the tip of the liquid medicine container; and a rotation restriction unit that restricts rotation of the plunger with respect to the housing. The drive mechanism includes: a motor that generates a drive torque; a feed screw that rotates in response to the drive torque; and a transmission unit that transmits the drive torque from the motor to the feed screw, and the plunger includes a threaded portion threadedly engaged with the feed screw. The plunger advances with rotation of the feed screw while the rotation of the plunger with respect to the housing is being restricted by the rotation restriction unit, and the transmission unit includes a canceling unit that cancels the transmission of the drive torque from the motor to the feed screw when receiving a torque equal to or greater than a preset cancellation torque from the motor.
The liquid medicine administration device is able to prevent leakage of the liquid medicine when blockage occurs in a liquid delivery path of the liquid medicine.
According to another aspect, a liquid medicine administration device comprises: a liquid medicine container filled with liquid medicine, with the liquid medicine container including a tip at which is located an opening through which the liquid medicine is discharged during administration of the liquid medicine; a gasket positioned inside the liquid medicine container and connected to a plunger, with the gasket being movable in the liquid medicine container toward the opening of the liquid medicine container to discharge the liquid medicine through the opening; a housing in which is housed the liquid medicine container and the plunger; and a motor that is operatively connected to the plunger by at least two gears in engagement with one another so that rotational output produced by the motor is applied to the plunger. At least one guide wall engages the plunger to restrict rotation of the plunger so that the rotational output produced by the motor and applied to the plunger by way of the at least two gears results in axial movement of the plunger. The at least two gears remain in engagement with one another when the at least two gears receive torque less than a preset torque, and the engagement of the at least two gears ends when the at least two gears receive torque equal to or greater than the preset torque.
According to another aspect, a method comprises: inserting a needle tube into a living body, wherein the needle tube is connected to a liquid medicine container containing liquid medicine so that sliding movement of a gasket connected to a plunger and positioned in the liquid medicine container causes the liquid medicine to flow from the liquid medicine container to the needle tube, and wherein the plunger is operatively connected to a motor so that a drive torque produced by the motor is transferred to the plunger to slidably move the gasket. The method also involves: operating the motor to produce the drive torque, and transferring the drive torque to the plunger to slidably move the gasket in the liquid medicine container so that the liquid medicine in the liquid medicine container flows from the liquid medicine container to the needle tube, wherein the transferring of the drive torque to the plunger occurs when the drive torque is less than a preset torque; and stopping the transferring of the drive torque to the plunger when the drive torque is equal to or greater than the preset torque.
Set forth below with reference to the accompanying drawings is a detailed description of embodiments of a liquid medicine administration system, a liquid medicine administration device and an administration instrument representing examples of the inventive liquid medicine administration system, liquid medicine administration device and administration instrument disclosed here. The following description is not intended to limit the technical scope and meanings of terms set forth in the claims of the present application. Further, the dimensional ratios in the drawings are exaggerated for convenience of description, and may differ from the actual ratios.
The liquid medicine administration system 1 is used to administer a liquid medicine into a living body. As illustrated in
As illustrated in
The liquid medicine administration system 1 can continuously administer a liquid medicine, with which the liquid medicine container 110 is filled included in the liquid medicine administration device 100, into a living body for relatively a long period of time (for example, several minutes to several hours) by a pressing action of a later-described plunger 130. The liquid medicine administration system 1 may administer the liquid medicine at intervals into the living body.
As illustrated in
As illustrated in
As illustrated in
As illustrated in
A bottom surface 121b of the housing body 121 is provided with a sheet-shaped adhesive portion that can adhere to the body surface H of the user. In an initial state before the liquid medicine administration device 100 is attached to the user, a releasable protective sheet is attached to an adhesive surface of the adhesive portion.
As illustrated in
The liquid medicine container 110 is a so-called prefilled type liquid medicine container. Therefore, the liquid medicine is charged (located) in advance in a lumen 111 of the liquid medicine container 110. Examples of the liquid medicine include protein preparations, narcotic analgesics, and diuretics.
A sealing member for preventing the liquid medicine from leaking is disposed at a tip opening (discharge port) formed at a tip 112 of the liquid medicine container 110. As illustrated in
As illustrated in
The plunger 130 is composed of a cylindrical member. As described above, in
As illustrated in
As illustrated in
In the present specification, the set cancellation torque means a torque having a magnitude received by the transmission unit 10 from the motor 141 when blockage occurs in the liquid delivery path (for example, the tube 240 or the like of the administration instrument 200 to be described later).
In the present embodiment, each of the gears 11, 12, and 13 is constituted by a bevel gear. The intermediate gear 13 is slidably connected to a shaft core, and both ends of the shaft core are fixed to the chassis 122 of the housing 120.
Specifically, engagement surfaces of the intermediate gear 13 and the first gear 11 and engagement surfaces of the intermediate gear 13 and the second gear 12 are inclined (see
As illustrated in
When the transmission unit 10 receives a torque equal to or greater than the preset cancellation torque from the motor 141, the canceling unit 20 cancels the transmission of the drive torque from the motor 141 to the feed screw 142. The structure of the canceling unit 20 will be described later.
The rotation restriction unit 150 restricts rotation of the plunger 130 with respect to the housing 120. As illustrated in
As illustrated in
The detector 160 can be constituted by, for example, a known contact sensor that transmits a predetermined electric signal when a detected portion (not illustrated) provided at the base end of the plunger 130 comes into contact therewith.
The controller 170 controls the operation of delivering the liquid medicine by the liquid medicine administration device 100 on the basis of the detection result by the detector 160. The controller 170 can be implemented by, for example, a known microcomputer (electronic circuit element) mounted with a CPU, a RAM, a ROM, and the like. The controller 170 centrally controls operation of the drive mechanism 140, the detector 160, and the power supply unit 180.
In the present embodiment, the controller 170 determines that a predetermined amount of the liquid medicine is not expelled from the liquid medicine container 110 when a predetermined time has elapsed after a command to start the operation is given to the drive mechanism 140, and the detector 160 does not detect the advancement of the plunger 130 to the predetermined position L1. For example, the predetermined time can be set to be longer than a time during which the plunger 130 can sufficiently move to the predetermined position L1 after the controller 170 gives a command to start the operation to the drive mechanism 140 in a case where blockage does not occur in the liquid delivery path of the liquid medicine. When determining that a predetermined amount of the liquid medicine is not expelled, the controller 170 stops the motor 141 and notifies the user of the current situation.
The power supply unit 180 can be composed of, for example, a known battery.
Next, the structure of the canceling unit 20 will be described with reference to
As illustrated in
The biasing portion 21 can be made of, for example, a super elastic alloy such as an alloy of titanium and nickel. The material of the biasing portion 21 is not particularly limited, and a metal material or a resin material may be used as long as it is an elastically deformable elastic member.
In the present embodiment, the biasing portion 21 is formed of a spring member wound around the central axis of the intermediate gear 13. One end of the biasing portion 21 is fixed to the chassis 122 of the housing 120. The other end of the biasing portion 21 is in contact with the intermediate gear 13.
When the transmission unit 10 receives a torque less than the preset cancellation torque from the motor 141, the biasing portion 21 determines the position of the intermediate gear 13 such that the intermediate gear 13 engages with the first gear 11 and the second gear 12 as illustrated in
On the other hand, when blockage occurs in the liquid delivery path of the liquid medicine, the liquid medicine is not delivered, and thus, the plunger 130 receives a drag in a direction opposite to the direction in which the plunger 130 advances. Therefore, the transmission unit 10 including the intermediate gear 13 receives, from the motor 141, a torque greater than that in a case where blockage does not occur.
Therefore, in a case where the transmission unit 10 receives a torque equal to or greater than the preset cancellation torque from the motor 141 due to the occurrence of blockage in the liquid delivery path of the liquid medicine, the force with which the intermediate gear 13 compresses the biasing portion 21 increases, so that the biasing portion 21 is elastically deformed in the compression direction (P direction) as illustrated in
As illustrated in
The administration instrument 200 includes a connector 210, a needle tube 220 that is inserted into a living body, a puncture portion (cannula housing) 230, the tube 240, and a puncture assistance tool 250 that assists the puncture of the living body with the needle tube 220.
The connector 210 is connectable to the liquid medicine administration device 100 via a mounting portion 215 fixed to the connector 210. The mounting portion 215 can be connected to the liquid medicine administration device 100 by being externally fitted to the mounting portion 115 (see
The mounting portion 215 has inside a connecting needle capable of piercing a sealing member provided at the tip of the liquid medicine container 110. The tube 240 communicates with the lumen 111 of the liquid medicine container 110 via the connecting needle.
A flow path that connects the tube 240 and the lumen of the needle tube 220 is formed inside the puncture portion 230. The liquid medicine delivered to the puncture portion 230 via the tube 240 is administered into the living body through the flow path formed inside the puncture portion 230 and the needle tube 220.
When the liquid medicine is delivered to the user, the puncture assistance tool 250 is attached to the puncture portion 230. The puncture assistance tool 250 holds an introducer needle (inner needle) 251. The introducer needle 251 projects from the tip of the needle tube 220 when the puncture assistance tool 250 is attached to the puncture portion 230. The user can insert the needle tube 220 into the living body, while preventing the needle tube 220 from having any troubles such as breakage, by piercing the living body with the needle tube 220 with the introducer needle 251 inserted into the needle tube 220.
The puncture assistance tool 250 is removed from the puncture portion 230 after the needle tube 220 is inserted into the living body. The introducer needle 251 is withdrawn from the lumen of the needle tube 220 when the puncture assistance tool 250 is removed from the puncture portion 230.
After the needle tube 220 is inserted into the living body, the puncture assistance tool 250 is removed, and the puncture portion 230 is left on the body surface H of the user with the needle tube 220 left in the living body. In this state, the plunger 130 of the liquid medicine administration device 100 advances in the liquid medicine container 110, so that the liquid medicine with which the liquid medicine container 110 is filled is delivered to the lumen of the needle tube 220 through the tube 240 and the flow path of the puncture portion 230.
The introducer needle 251 can be, for example, a metal needle. Further, the needle tube 220 can be composed of, for example, a tubular member (cannula) made of resin.
Similar to the liquid medicine administration device 100, the administration instrument 200 is of a patch type that is attached to the body surface H of the user when used. The contact surface (bottom surface) 231 of the puncture portion 230 of the administration instrument 200 is provided with a sheet-shaped adhesive portion that can adhere to the body surface. In an initial state before the administration instrument 200 is attached to the user, a releasable protective sheet is attached to an adhesive surface of the adhesive portion.
As described above, the liquid medicine administration device 100 according to the present embodiment includes: the liquid medicine container 110 filled with a liquid medicine and having, at a tip, an opening through which the liquid medicine can be discharged; the gasket 135 for expelling the liquid medicine in the liquid medicine container 110, the gasket 135 being slidable on the inner wall of the liquid medicine container 110; the plunger 130 capable of pressing the gasket 135; the housing 120 that holds the liquid medicine container 110 and the plunger 130; the drive mechanism 140 that advances the plunger 130 toward the tip of the liquid medicine container 110; and the rotation restriction unit 150 that restricts the rotation of the plunger 130 with respect to the housing 120. The drive mechanism 140 includes: the motor 141, the feed screw 142 that rotates in response to rotation of the motor 141; and the transmission unit 10 that transmits a drive torque from the motor 141 to the feed screw 142. The plunger 130 has the threaded portion 131 threadedly engaged with the feed screw 142, and advances with the rotation of the feed screw 142 while the rotation of the plunger 130 with respect to the housing 120 is being restricted by the rotation restriction unit 150. The transmission unit 10 includes the canceling unit 20 that cancels the transmission of the drive torque from the motor 141 to the feed screw 143, when receiving a torque equal to or greater than a preset cancellation torque from the motor 141.
According to the liquid medicine administration device 100, when blockage occurs in the liquid delivery path of the liquid medicine, the transmission unit 10 receives a torque equal to or greater than the preset cancellation torque from the motor 141. When the transmission unit 10 receives a torque equal to or greater than the preset cancellation torque from the motor 141, the canceling unit 20 cancels the transmission of the drive torque from the motor 141 to the feed screw 142. As a result, the feed screw 142 cannot obtain a torque for advancing the plunger 130 toward the tip of the liquid medicine container 110. Therefore, according to the liquid medicine administration device 100, it is possible to prevent leakage of the liquid medicine when blockage occurs in the liquid delivery path of the liquid medicine.
In addition, the transmission unit 10 includes: the first gear 11 that is connected to the motor 141 and outputs torque; the second gear 12 that is provided on a rotation shaft of the feed screw 142 and rotates together with the feed screw 142; and the intermediate gear 13 that engages with the first gear 11 and the second gear 12 and transmits the torque from the first gear 11 to the second gear 12. The canceling unit 20 disengages the intermediate gear 13 from the first gear 11 or the second gear 12 when the transmission unit 10 receives a torque equal to or greater than the cancellation torque. Therefore, the intermediate gear 13 cannot transmit the torque from the first gear 11 to the second gear 12 by the canceling unit 20. At this time, the transmission unit 10 cannot transmit the torque to the feed screw 142 rotating together with the second gear 12, and thus, the feed screw 142 cannot obtain a torque for advancing the plunger 130 toward the tip of the liquid medicine container 110. Thus, the configuration described above can prevent leakage of the liquid medicine when blockage occurs in the liquid delivery path of the liquid medicine.
The canceling unit 20 is formed of an elastic member. The canceling unit 20 includes a biasing portion 21 that applies a biasing force to the intermediate gear 13 so that the intermediate gear 13 engages with the first gear 11 and the second gear 12. When the intermediate gear 13 receives a torque equal to or greater than the cancellation torque, the biasing portion 21 is elastically deformed in the compression direction. Then, the biasing portion 21 moves the intermediate gear 13 in a direction in which the intermediate gear 13 is disengaged from the first gear 11 or the second gear 12. As a result, the intermediate gear 13 cannot transmit torque from the first gear 11 to the second gear 12. At this time, the transmission unit 10 cannot transmit the torque to the feed screw 142 rotating together with the second gear 12, and thus, the feed screw 142 cannot obtain a torque for advancing the plunger 130 toward the tip of the liquid medicine container 110. Thus, the configuration described above can prevent leakage of the liquid medicine when blockage occurs in the liquid delivery path of the liquid medicine.
The liquid medicine administration device 100 further includes the detector 160 detecting that the plunger 130 has advanced to the predetermined position L1, and the controller 170 that controls the start and stop of the operation of the drive mechanism 140. The controller 170 determines that a predetermined amount of the liquid medicine is not expelled from the liquid medicine container 110, when a predetermined time has elapsed after a command to start the operation is given to the drive mechanism 140, and the detector 160 does not detect that the plunger 130 has advanced to the predetermined position L1. Therefore, when blockage occurs in the liquid delivery path of the liquid medicine, the controller 170 can give a command to stop the operation of the drive mechanism 140 on the basis of the detection result by the detector 160. Thus, the configuration described above can prevent leakage of the liquid medicine when blockage occurs in the liquid delivery path of the liquid medicine.
While the liquid medicine administration device disclosed here has been described above by way of the embodiment representing one example of the liquid medicine administration device, the present invention is not limited to each of the described configurations, and can be appropriately modified. A modification of the motor will now be described. In the description of the modification, a detailed description of the configuration and details of the liquid medicine administration system 1 described above will not be repeated.
<First Modification>
A liquid medicine administration device 100 according to the first modification uses a DC motor as a motor 141A for the purpose of miniaturization and cost reduction in order to facilitate handling at the time of use and to save a storage space at the time of storage. The DC motor is a coreless motor which is easily downsized and has high torque efficiency with respect to electric power. The DC motor has a characteristic that a current supplied to the DC motor and the rotation speed of the DC motor are different depending on the magnitude of a load torque. The controller 170 detects an administration abnormality (a situation in which a predetermined amount of the liquid medicine is not expelled from the liquid medicine container 110) using the characteristics of the motor 141A. Therefore, a controller 170A controls the drive mechanism 140 as follows.
A specific operation of the controller 170A will be described with reference to
As illustrated in
As illustrated in
When the controller 170A rotates the motor 141A, the transmission unit 10 is driven, so that the plunger 130 advances in the liquid medicine container 110 (see
As illustrated in
Next, the controller 170A stops the motor 141A (S103) and notifies the user of the administration abnormality (S104). The administration abnormality may be notified by lighting or blinking an LED provided on a case of the liquid medicine administration device 100, or by outputting a sound from a speaker provided inside the case of the liquid medicine administration device 100. In addition, the occurrence of the administration abnormality may be wirelessly reported to an external computer.
As described above, in the liquid medicine administration device 100 according to the first modification, the motor 141A is a DC motor. The liquid medicine administration device 100 further includes the rotation detector 161 that detects rotation of the DC motor and the controller 170A that controls rotation of the DC motor. The controller 170A stops the rotation of the motor 141A when the rotation speed of the motor 141A calculated based on the rotation of the motor 141A detected by the rotation detector 161 becomes equal to or higher than a predetermined speed. Therefore, in a case where blockage occurs in the liquid delivery path of the liquid medicine, the controller 170A can prevent the motor 141A from being continuously driven on the basis of the detection result of the detector 160. Thus, the configuration described above can prevent leakage of the liquid medicine when blockage occurs in the liquid delivery path of the liquid medicine.
While an example of the configuration of a medical device has been described above, the present invention is not limited to the description of the above embodiment, and various modifications are possible without departing from the gist of the present invention.
<Second Modification>
Next, a modification of the canceling unit will be described. A liquid medicine administration device 100 according to the second modification includes a canceling unit 20A having a structure different from that of the canceling unit 20 according to the above embodiment.
As illustrated in
The engagement tooth portion 22 is worn by the first gear 11 when the transmission unit 10 receives a torque equal to or greater than a preset cancellation torque from the motor 141. When the engagement tooth portion 22 is worn, the engagement between the intermediate gear 13 and the first gear 11 is released as illustrated in
Note that the material of the engagement tooth portion 22 is not particularly limited, and a metal material or a resin material may be used as long as it is a soft material that wears when receiving a torque equal to or greater than the cancellation torque from the first gear 11.
As described above, the canceling unit 20A according to the second embodiment has the engagement tooth portion 22 that is formed on the intermediate gear 13 and that engages with the first gear 11. When receiving a torque equal to or greater than the cancellation torque from the first gear 11, the engagement tooth portion 22 is worn by the first gear 11, and the engagement between the engagement tooth portion 22 and the first gear 11 is released. Therefore, the engagement tooth portion 22 disables transmission of torque from the first gear 11 to the intermediate gear 13. Thus, the configuration described above can prevent leakage of the liquid medicine when blockage occurs in the liquid delivery path of the liquid medicine.
The detailed description above describes embodiments of a liquid medicine administration system, a liquid medicine administration device and an administration instrument representing examples of the inventive liquid medicine administration system, liquid medicine administration device and administration instrument disclosed here. The invention is not limited, however, to the precise embodiments, variations and modifications described. Various changes, modifications and equivalents can be effected by one skilled in the art without departing from the spirit and scope of the invention as defined in the accompanying claims. It is expressly intended that all such changes, modifications and equivalents which fall within the scope of the claims are embraced by the claims.
Number | Date | Country | Kind |
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2019-066302 | Mar 2019 | JP | national |
This application is a continuation of International Patent Application No. PCT/JP2020/006283 filed on Feb. 18, 2020, which claims priority to Japanese Patent Application No. 2019-066302 filed on Mar. 29, 2019, the entire content of both of which is incorporated herein by reference.
Number | Date | Country | |
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Parent | PCT/JP2020/006283 | Feb 2020 | US |
Child | 17487681 | US |