The present technology relates to systems, devices, and methods for providing and/or mixing a medical agent.
Fluid medical agents are commonly used in the medical field for multiple purposes, including for temporary or permanent embolization or occlusion of blood vessels. Medical agents designed for these and other purposes are often prepared just prior to usage (e.g., delivery to a patient) because the functionality of the medical agent can alter over time to become less effective. For example, solutes of the medical agent can undesirably precipitate over time after mixing, and/or the visualization quality of the agent can undesirably degrade over time after mixing. As a result, healthcare professional often need to spend extra time mixing or remixing the medical agents immediately prior to usage. However, such extra time can be detrimental to the patient being treated. For example, the mixing or remixing of the medical agent often occurs during surgery and thus prolongs the length of the surgery, thereby increasing risk for the patient. For these and other reasons, there is a need for innovation in the mixing of medical agents.
The subject technology is illustrated, for example, according to various aspects described below, including with reference to
Clause 1. A device for mixing a medical agent, the device comprising:
a housing defining a chamber configured to contain a fluid and having a longitudinal axis;
a plunger assembly configured to be received by the chamber, the plunger assembly comprising a plunger and a stirring member extending along the longitudinal axis, the plunger being rotatably coupled to the stirring member, the stirring member having a distal portion disposed within the chamber of the housing; and
an actuating assembly operably coupled to the stirring member, the actuating assembly having an active state in which the actuating assembly causes the distal end portion of the stirring member to rotate at a predetermined speed.
Clause 2. The device of any one of the clauses herein, wherein the actuating assembly comprises a motor disposed along the longitudinal axis, and wherein rotation of the motor causes the distal end portion of the stirring member to rotate.
Clause 3. The device of any one of the clauses herein, wherein the motor is a step motor configured to rotate at a plurality of speeds including a first speed, and a second speed different than the first speed.
Clause 4. The device of any one of the clauses herein, further comprising a coupling member coupled directly to the actuating assembly and the stirring member such that rotation of the actuating assembly causes corresponding rotation of at least one of the coupling member or the stirring member.
Clause 5. The device of any one of the clauses herein, further comprising a biasing member disposed between the plunger and the actuating assembly, the biasing member urging the plunger distally toward the housing.
Clause 6. The device of any one of the clauses herein, wherein the plunger is movable relative to the housing from a first position adjacent a distal portion of the chamber to a second position spaced apart from the distal portion of the chamber, wherein, when the biasing member is in a first state when the plunger is in the first position and a second state when the plunger is in the second position, and wherein the biasing member in the second state is more compressed than the biasing member in the first state.
Clause 7. The device of any one of the clauses herein, further comprising a coupling member having a proximal end and a distal end opposite the proximal end, the coupling member receiving a portion of the actuating assembly at the proximal end and a portion of the stirring member at the distal end, wherein the biasing member is disposed between the coupling member and the plunger such that the biasing members acts against the coupling member and the plunger to urge the plunger distally.
Clause 8. The device of any one of the clauses herein, wherein the stirring member is longitudinally moveable relative to the plunger.
Clause 9. The device of any one of the clauses herein, wherein the plunger includes a slot extending along the longitudinal axis, and wherein the stirring member extends through the slot and is longitudinally moveable relative to the plunger.
Clause 10. The device of any one of the clauses herein, further comprising an exit port at a distal end of the housing, the exit port being configured to be coupled to a connection assembly via luer lock connection fittings.
Clause 11. The device of any one of the clauses herein, wherein the stirring member comprises a flared portion at the distal portion of the stirring member, the flare portion extending at an angle relative to the longitudinal axis.
Clause 12. A medical device system, comprising:
a mixing device including—
Clause 13. The system of any one of the clauses herein, further comprising a connection assembly including a first port coupled to an exit port of the housing, and a second port exposed to the atmosphere, wherein a flow path between the first and second ports is configured to release trapped air within the chamber.
Clause 14. The system of any one of the clauses herein, further comprising a syringe and a connection assembly, the connection assembly including a first port coupled to an exit port of the housing, and a second port coupled to the syringe, wherein the chamber of the device and the syringe are in fluid communication with one another via a flow path extending between the first and second ports.
Clause 15. The system of any one of the clauses herein, further comprising a connection assembly including:
a flow control element,
a first port coupled to an exit port of the housing,
a second port configured to be exposed to the atmosphere, and
a third port configured to be coupled to a syringe,
wherein movement of the flow control element creates a flow path between the first port and one of the second port or the third port.
Clause 16. A method for mixing a medical agent, the method comprising:
providing a mixing device including—
operating the actuating assembly such that the stirring member mixes the fluid.
Clause 17. The method of any one of the clauses herein, wherein the mixing device is in a first configuration in which the plunger is positioned at a distal portion of the chamber, the method further comprising urging the plunger proximally along the longitudinal axis toward the actuating assembly, thereby compressing a biasing member of the device.
Clause 18. The method of any one of the clauses herein, wherein the actuating assembly comprises a motor, and wherein operating the actuating assembly comprises activating the motor to rotate at a predetermined speed for a predetermined period of time.
Clause 19. The method of any one of the clauses herein, further comprising:
coupling a first port of a connection assembly to an exit port of the housing; and
enabling trapped air in the chamber to be released via a second port of the connection assembly.
Clause 20. The method of any one of the clauses herein, further comprising:
coupling a first port of a connection assembly to an exit port of the housing;
coupling a syringe to a second port of the connection assembly; and
transferring the fluid from the chamber to the syringe via a path include the first and second ports of the connection assembly.
Clause 21. A mixing device for use with medical agents, the device comprising:
a housing having a chamber configured to contain a fluid, and a longitudinal axis;
a plunger at least partially disposed within the chamber of the housing such that the plunger is movable along the longitudinal axis relative to the housing;
a rotatable stirring member having a distal end portion disposed within the chamber of the housing, the stirring member extending along the longitudinal axis; and
an actuating assembly operably coupled to the stirring member, the actuating assembly having an active state in which the actuating assembly causes the distal end portion of the stirring member to rotate.
Clause 22. The device of any one of the clauses herein, wherein the actuating assembly comprises a motor operably coupled to the stirring member, the motor being configured to rotate the stirring member at a plurality of different speeds.
Clause 23. The device of any one of the clauses herein, wherein the actuating assembly comprises a motor operably coupled to the stirring member, the motor being configured to rotate the stirring member in a first direction and a second direction opposite the first direction.
Clause 24. The device of any one of the clauses herein, wherein the actuating assembly is proximal to at least one of the housing, the plunger, or the stirring member.
Clause 25. The device of any one of the clauses herein, wherein the motor is generally disposed along the longitudinal axis.
Clause 26. The device of any one of the clauses herein, wherein the actuating assembly is configured to rotate at a speed based on the fluid.
Clause 27. The device of any one of the clauses herein, wherein the actuating assembly is configured to rotate at a speed based on an upper temperature limit of the fluid.
Clause 28. The device of any one of the clauses herein, further comprising a biasing member disposed along the longitudinal axis between the actuating assembly and the plunger.
Clause 29. The device of any one of the clauses herein, wherein the biasing member urges the plunger in a distal direction.
Clause 30. The device of any one of the clauses herein, wherein the biasing member is configured to transition from a first state to a second state more compressed than the first state, and wherein transitioning from the first state to the second state causes the plunger to move proximally toward the actuating assembly.
Clause 31. The device of any one of the clauses herein, wherein the biasing member is configured to transition from a first state to a second state more compressed than the first state, wherein transitioning from the first state to the second state causes the plunger to move proximally relative to the stirring member.
Clause 32. The device of any one of the clauses herein, wherein the biasing member is configured to transition from a first state to a second state less compressed than the first state, wherein transitioning from the first state to the second state causes the plunger to move distally.
Clause 33. The device of any one of the clauses herein, wherein the biasing member is a spring.
Clause 34. The device of any one of the clauses herein, wherein the stirring member is directly coupled to a motor of the actuating assembly.
Clause 35. The device of any one of the clauses herein, wherein the stirring member is movable along the longitudinal axis relative to at least one of the housing, the chamber, or the plunger.
Clause 36. The device of any one of the clauses herein, wherein the stirring member is rotatably coupled to the plunger.
Clause 37. The device of any one of the clauses herein, wherein the distal end portion of the stirring member comprises a flared portion or wings extending in an axial direction angled relative to the longitudinal axis.
Clause 38. The device of any one of the clauses herein, wherein the chamber includes a distal end portion having a first angled surface, and wherein the distal end portion of the stirring member has a second angled surface corresponding to the first angled surface.
Clause 39. The device of any one of the clauses herein, wherein the plunger has a slot through which the stirring member is disposed.
Clause 40. The device of any one of the clauses herein, wherein a distal end portion of the slot has a shape corresponding to that of the flared portion or wings of the distal end portion of the stirring member.
Clause 41. The device of any one of the clauses herein, wherein the plunger is disposed within the chamber such that the plunger provides an air-tight seal for the chamber.
Clause 42. The device of any one of the clauses herein, wherein the plunger comprises one or more rings configured to provide an air-tight seal for the chamber.
Clause 43. The device of any one of the clauses herein, wherein a distal end portion of the plunger includes a conical surface corresponding to a surface at a distal end portion of the chamber of the housing.
Clause 44. The device of any one of the clauses herein, wherein at least one of the housing or the plunger comprises silicon.
Clause 45. The device of any one of the clauses herein, further comprising a coupling member disposed between the actuating assembly and the plunger, the coupling member including a recess configured to receive a proximal end portion of the stirring member.
Clause 46. The device of any one of the clauses herein, further comprising a coupling member directly coupling the actuator assembly to the stirring member such that movement of the actuator assembly causes corresponding movement of the coupling member and the stirring member.
Clause 47. The device of any one of the clauses herein, further comprising (i) a coupling member disposed between the actuating assembly and the plunger, and (ii) a biasing member disposed around a portion of the coupling member and urging the coupling member proximally.
Clause 48. The device of any one of the clauses herein, further comprising a luer lock connection fitting at a distal end portion of the housing, the connection fitting disposed adjacent or around an exit port of the housing.
Clause 49. The device of any one of the clauses herein, wherein the fluid is a medical agent.
Clause 50. The device of ally one of the clauses herein, wherein the medical agent comprises an agent configured to cause temporary or permanent embolization or occlusion within a blood vessel of a patient.
Clause 51. The device of any one of the clauses herein, wherein the medical agent comprises at least one of a liquid agent, sclerosant, polymer, ethanol, sodium tetradecyl sulfate, N-butyl cyanoacrylate, ethylene vinyl alcohol, polyvinyl alcohol, dimethyl sulfoxide, tantalum powder, cellulose, collagen and/or gelatin.
Clause 52. The device of any one of the clauses herein, wherein the fluid comprises ethylene vinyl alcohol copolymer, dimethyl sulfoxide and/or tantalum powder.
Clause 53. A medical device system, comprising:
the mixing device of any one of the clauses herein; and
a connection assembly comprising a plurality of ports including (i) a first port operably coupled to an exit port of the mixing device, and (ii) a second port able to fluidly communicate with the first port.
Clause 54. The system of any one of the clauses herein, further comprising a syringe operably coupled to the second port of the connection assembly.
Clause 55. The system of any one of the clauses herein, wherein the syringe includes a barrel defining a chamber, and a plunger slidably coupled to the barrel and moveable within the chamber.
Clause 56. The system of any one of the clauses herein, wherein the connection assembly comprises a third port able to fluidly communicate with the first port, wherein the third port is configured to release trapped air in the fluid contained in the chamber of the housing.
Clause 57. The system of any one of the clauses herein, wherein the connection assembly includes male or female connection fittings at the first port and/or the second port.
Clause 58. The system of any one of the clauses herein, further comprising a flow control element disposed between the first and second ports, the flow control element being movable to control fluid flow from the first port to (i) the second port and/or (ii) the third port.
Clause 59. A method of operating a mixing device, the method comprising:
providing the mixing device of any one of the clauses herein; and
operating the actuating assembly, thereby causing the distal end portion of the stirring member of the mixing device to rotate and mix the fluid contained in the chamber of the housing of the mixing device.
Clause 60. The method of any one of the Clauses herein, further comprising coupling a connection assembly to an exit port of the mixing device such that the connection assembly and mixing device are in fluid communication.
Clause 61. The method of any one of the Clauses herein, further comprising adjusting a flow control element of the connection assembly to create a flow path from the exit port to a port of the connection assembly, thereby enabling air to escape from the fluid via a path including the exit port of the mixing device and the port of connection assembly.
Clause 62. The method of any one of the Clauses herein, wherein the port of the connection assembly is a first port, the method further comprising coupling a syringe to a second port of the connection assembly.
Clause 63. The method of any one of the Clauses herein, further comprising adjusting the flow control element of the connection assembly to create a flow path from the exit port of the mixing device to the second port of the connection assembly.
Clause 64. The method of any one of the Clauses herein, wherein adjusting the flow control element to create the flow path from the exit port to the second port comprises adjusting the flow control element to create the flow path from the exit port to the second port after releasing trapped air from the fluid via the first port of the connection assembly.
Clause 65. The method of any one of the Clauses herein, further comprising transferring the fluid from the mixing device to the syringe via the connection assembly.
Clause 66. The method of any one of the Clauses herein, further comprising drawing the fluid into the chamber of the housing by moving the plunger proximally relative the housing.
Clause 67. The method of any one of the Clauses herein, wherein urging the plunger proximally causes the biasing member of the mixing device to compress.
Clause 68. The method of any one of the Clauses herein, wherein operating the actuating assembly comprises operating the actuating assembly at one of a plurality of speeds the actuating assembly is capable of operating at.
Clause 69. The method of any one of the Clauses herein, wherein operating the actuating assembly comprises operating the actuating assembly at a first speed for a predetermined first period of time and then operating the actuating assembly at a second, different speed for a predetermined period of time.
Clause 70. The method of any one of the Clauses herein, wherein operating the actuating assembly occurs for a period of time no more than 20 minutes, 15 minutes, 10 minutes, 5 minutes, or 1 minute.
Clause 71. The method of any one of the Clauses herein, further comprising, disposing the mixing device in a cooling bath.
Many aspects of the present disclosure can be better understood with reference to the following drawings. The components in the drawings are not necessarily to scale. Instead, emphasis is placed on illustrating clearly the principles of the present technology. For ease of reference, throughout this disclosure identical reference numbers may be used to identify identical or at least generally similar or analogous components or features.
Fluid medical agents used in the medical field, e.g., for temporary or permanent embolization or occlusion of blood vessels, are often prepared just prior to usage (e.g., delivery to a patient via catheter) due to their decreased functionality and/or effectiveness over time. For example, solutes of the medical agents can begin to undesirably precipitate over time after mixing, and/or the visualization quality of the agents cam undesirably degrade over time after mixing. As a result, healthcare professionals often need to spend extra time mixing or remixing the medical agents prior to use, which can be detrimental to the patient being treated, e.g., by increasing the length of a surgery.
Embodiments of the present technology provide an improved ability to mix medical agents and can mitigate the risks previously described. For example, as explained in additional detail elsewhere herein, embodiments of the present technology can comprise a device for mixing a medical agent comprising (i) a housing defining a chamber configured to contain a fluid and having a longitudinal axis, (ii) a plunger assembly comprising a plunger and a stirring member extending along the longitudinal axis, and (iii) an actuating assembly operably coupled to the stirring member. The actuating assembly can have an active state in which the actuating assembly causes the distal end portion of the stirring member to rotate at a predetermined speed. By utilizing the actuating assembly, or a motor of the actuating assembly, the fluid contained in the chamber can be efficiently mixed, e.g., at a predetermined speed and/or a predetermined period of time. In doing so, healthcare professionals no longer need to spend extra time mixing or remixing the medical agents prior to usage and/or during surgery. Accordingly, in addition to ensuring a medical agent to be delivered to a patient is properly and/or efficiently mixed prior to usage, embodiments of the present technology can also help decrease the overall time of a surgery, and thereby generally decrease risk for the patient.
As used herein, the terms “distal” and “proximal” define a position or direction with respect to an operator or an operator's control device (e.g., a handle of a mixing device or syringe). For example, the terms, “distal” and “distally” refer to a position distant from or in a direction away from an operator or an operator's control device along the length of the device. In a related example, the terms “proximal” and “proximally” refer to a position near or in a direction toward an operator or an operator's control device along the length of the device. The headings provided herein are for convenience only and should not be construed as limiting the subject matter disclosed.
The connection assembly 30 can comprise a stopcock, and can include a plurality of ports configured to be in fluid communication with one another. For example, as shown in
As an operational example, after a medical agent is mixed in the mixing device 100, the flow control element 32 may be operated to create the first flow path between the first and third ports 34a, 34c and thereby allow any trapped air in the mixed medical agent and/or chamber of the mixing device to be released to the atmosphere. Here, the mixing device 100 may be operated to urge the mixed medical agent in the mixing device 100 toward the connection assembly 30. Subsequently, the flow control element 32 may be operated to create the second flow path between the first and second ports 34a, 34b and thereby allow the mixed medical agent (with substantially no trapped air) to be transferred from the mixing device 100 to the syringe 20. Here, the mixing device 100 may be operated to urge the medical agent toward the connection assembly 30 and/or the syringe 20 may be operated (e.g., simultaneously operated with the mixing device 100) to urge the mixed medical agent toward the syringe 20 (e.g., by pulling the plunger 26 proximally). Subsequently, the flow control element 32 may be operated to the fourth position to close off all flow paths between the ports.
As shown in
The actuating assembly 110 can include a motor and associated components 112 (collectively referred to as “motor 112”; shown schematically in
The plunger assembly 120 can include a coupling member 130, a biasing member 140, a plunger 150, and a stirring member 160. With reference to
The biasing member 140 can include a spring, coiled or helical structure, or other resilient member configured to store and provide mechanical energy to an adjacent component. The biasing member 140 can be disposed distal to the coupling member 130 and proximal to plunger 150. In such embodiments, a proximal end of the biasing member 140 may be positioned directly against the lip 134 of the coupling member and around the second portion 132b, and a distal end of the biasing member 140 may be positioned against the plunger 150. The biasing member 140 can include any number of coils or turns so as to provide the necessary stiffness to the plunger 150, e.g., depending on the medical agent to be mixed by the device 100. As explained in additional detail elsewhere herein, the biasing member 140 is moveable between a compressed state to an uncompressed or less compressed state.
The plunger 150 (e.g., a plunger cap) is positioned distal to the biasing member 140 and is configured to be disposed within the housing 102. The plunger 150 can include a first portion 152 (e.g., a proximal portion;
The stirring member 160 can be an elongate structure extending along the longitudinal axis of the device 100, and can include a distal end portion 161a and a proximal end portion 161b (
As previously described, the device 100 further includes the housing 102, which can comprise a chamber 104 (
The device 100 shown in
The device 100 shown in
The plunger 550 (e.g., a plunger cap) is positioned distal to the biasing member 140 and is configured to be disposed within the housing 102. With reference to
The stirring member 560 can be an elongate structure extending along the longitudinal axis of the device 500, and can include a distal end portion 561a and a proximal end portion 161b. As described elsewhere herein, the proximal end portion 161b of the stirring member 160 can extend through the opening 558 of the plunger 550 and the biasing member 140 to be positioned within the coupling member 130. The distal end portion 561a can be positioned within the chamber 104 of the housing 102. The stirring member 560 can include a flared portion 564 (e.g., wings) at the distal end portion 561a that protrude axially from the elongate structure. In some embodiments, the stirring member 560 may include other flared portions, e.g., at an intermediate portion of the elongate structure between the distal and proximal ends 561a, 561b. Additionally or alternatively, the flared portion 564 and/or the distal end portion 561a (or distal terminus) of the stirring member 560 can have a conical or other shape that compliments or is similar to an internal surface of the chamber 104.
The method 700 can further comprise coupling a syringe (e.g., the syringe 20) to the connection assembly 30 (process portion 708), and transferring the medical agent from the device to the syringe via the connection assembly (process portion 710). Coupling the syringe to the connection assembly may occur before or after process portion 706. In some embodiments, transferring the medical agent from the device to the syringe can comprise adjusting the flow control element to create a second flow path from the device to the syringe, and then urging the plunger of the device distally such that the medical agent is pushed from the device toward the connection assembly and syringe. After being transferred to the device, the flow control element may be adjusted to close the second flow path, and the syringe may be decoupled from the connection assembly.
This disclosure is not intended to be exhaustive or to limit the present technology to the precise forms disclosed herein. Although specific embodiments are disclosed herein for illustrative purposes, various equivalent modifications are possible without deviating from the present technology, as those of ordinary skill in the relevant art will recognize. In some cases, well-known structures and functions have not been shown and/or described in detail to avoid unnecessarily obscuring the description of the embodiments of the present technology. Although steps of methods may be presented herein in a particular order, in alternative embodiments the steps may have another suitable order. Similarly, certain aspects of the present technology disclosed in the context of particular embodiments can be combined or eliminated in other embodiments. Furthermore, while advantages associated with certain embodiments may have been disclosed in the context of those embodiments, other embodiments can also exhibit such advantages, and not all embodiments need necessarily exhibit such advantages or other advantages disclosed herein to fall within the scope of the present technology. Accordingly, this disclosure and associated technology can encompass other embodiments not expressly shown and/or described herein.
Throughout this disclosure, the singular terms “a,” “an,” and “the” include plural referents unless the context clearly indicates otherwise. Similarly, unless the word “or” is expressly limited to mean only a single item exclusive from the other items in reference to a list of two or more items, then the use of “or” in such a list is to be interpreted as including (a) any single item in the list, (b) all of the items in the list, or (c) any combination of the items in the list. Additionally, the terms “comprising” and the like are used throughout this disclosure to mean including at least the recited feature(s) such that any greater number of the same feature(s) and/or one or more additional types of features are not precluded. Directional terms, such as “upper,” “lower,” “front,” “back,” “vertical,” and “horizontal,” may be used herein to express and clarify the relationship between various elements. It should be understood that such terms do not denote absolute orientation. Reference herein to “one embodiment,” “an embodiment,” or similar formulations means that a particular feature, structure, operation, or characteristic described in connection with the embodiment can be included in at least one embodiment of the present technology. Thus, the appearances of such phrases or formulations herein are not necessarily all referring to the same embodiment. Furthermore, various particular features, structures, operations, or characteristics may be combined in any suitable manner in one or more embodiments.
Although many of the embodiments are described above with respect to systems, devices, and methods for manufacturing core members for use with medical devices, the technology is applicable to other applications and/or other approaches. Moreover, other embodiments in addition to those described herein are within the scope of the technology. Additionally, several other embodiments of the technology can have different configurations, components, or procedures than those described herein. A person of ordinary skill in the art, therefore, will accordingly understand that the technology can have other embodiments with additional elements, or the technology can have other embodiments without several of the features shown and described above with reference to
Filing Document | Filing Date | Country | Kind |
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PCT/CN2020/085631 | 4/20/2020 | WO | 00 |