The present invention relates to a syringe, and particularly to a syringe made of a material having a lower rate of metal ion elution in the presence of a hydrogen peroxide solution compared with glass.
A hydrogen peroxide solution is used industrially as a bleaching agent, and as a disinfectant in the food industry. A hydrogen peroxide solution containing 2.5 to 3.5% (w/v) hydrogen peroxide (known as “oxydol” in the Japanese Pharmacopoeia) is used for medical purposes as a disinfectant.
This hydrogen peroxide solution can be used as a radiosensitizer by mixing it with a solution of hyaluronic acid or a salt thereof such as sodium hyaluronate in a pre-determined ratio, and then injecting the mixture into a tumor just before the therapeutic radiation dose (Patent Document 1).
Patent Document 1: WO2008/041514
Because hydrogen peroxide decomposes rapidly when removed from a special storage container that shields it from light, it must be drawn out in the appropriate volume or weight and then mixed with the sodium hyaluronate solution just before injection, when used as a radiation sensitizer as in Patent Document 1. This places an extra burden on the medical personnel treating the patient. Either the hospital pharmacy must draw out the hydrogen peroxide solution and mix it with the sodium hyaluronate, or a physician must do so at the patient's bedside. In the former case, the pharmacy personnel are burdened and there is risk of delay in transporting the injection mixture from the pharmacy to the patient's bedside. In the latter case, medical personnel at the patient's bedside, who are preparing the patient for radiotherapy, are burdened. In both cases, the complications of drawing out and mixing the solutions increase risks of mistakes that might compromise medical treatment or endanger the patient.
In addition, if the hydrogen peroxide solution is prefilled using a syringe made of conventional glass (for example, borosilicate glass), the glass syringe expands during storage of the hydrogen peroxide solution and the gasket thereof is pushed back. This might interfere with the long-term storage of the hydrogen peroxide solution in such a glass syringe.
An object of the present invention is to provide a syringe including a portion thereof contacting a hydrogen peroxide solution, in which the portion is made of cycloolefin polymer (COP) or cycloolefin copolymer (COC).
By using the syringe, it is possible to limit the decomposition of hydrogen peroxide in the hydrogen peroxide solution. Thus, using the pre-filled syringe, a hydrogen peroxide solution can be stored for a long time.
The syringe may be suitable for prefilling with a hydrogen peroxide solution.
The syringe may further include the hydrogen peroxide solution in the syringe. The hydrogen peroxide solution may incudes hydrogen peroxide and water.
The hydrogen peroxide solution may include an additive.
The syringe may further include a nozzle in a needle mounting part of the syringe.
When the syringe is already equipped with a nozzle, rapid administration is possible.
The nozzle may include a nozzle part and an adapter part connected to the needle mounting part of the syringe.
The nozzle part may be a needle or a spray nozzle.
The needle may have a groove in an echogenic pattern on an outer surface thereof.
The syringe may further include a protector. The nozzle part may be covered with the protector.
The protector may include a support member, a nozzle protection part connected to one end of the support member, and an engagement part connected to the other end of the support member.
The nozzle protection part may include a space capable of accommodating the nozzle part.
The engagement part may include a movable part and may be movably connected to the other end of the support member via the movable part.
The space may be located along the inner surface of the lateral wall of the nozzle protection part.
The support member may include a first arm, a second arm, a first movable part, a second movable part, and a third movable part.
One end of the first arm may be movably connected to the nozzle protection part via the first movable part. The other end of the first arm may be movably connected to one end of the second arm via the second movable part. One end of the second arm may be movably connected to the engagement part via the third movable portion.
The movable part may include a rail part connected to the nozzle protection part and a rail holding part connected to the engagement part.
The rail holding part may hold the rail part slidably.
The space may be positioned inside the nozzle protection part.
The nozzle protection part may have a hollow structure.
The syringe may further include a syringe pump.
Concentration of the hydrogen peroxide in the hydrogen peroxide solution may be 0.01 to 40% (w/v).
Another object of the present invention is to provide a kit including the syringe and the nozzle.
By using the kit, it is not necessary to choose the nozzle for the syringe. As a result, rapid administration can be facilitated.
The kit may further include a protector for covering the nozzle part.
According to the present invention, it is possible to provide the prefilled syringe capable of storing the hydrogen peroxide solution for a long period of time until it can be used as a radiosensitizer. As a result, rapid administration can be performed. Moreover, safe administration can be performed by providing the nozzle with the protector. By using a needle as the nozzle, the hydrogen peroxide solution can be administered easily and safely. Alternatively, by using a spray nozzle as the nozzle, the hydrogen peroxide solution can be administered by spraying easily and safely. By using the syringe pump, the prefilled syringe can be operated stably, delivering the prefilled solution at a pre-determined appropriate rate.
The foregoing aspects and many of the attendant advantages of this invention will become more readily appreciated as the same become better understood by reference to the following detailed description, when taken in conjunction with the accompanying drawings, wherein:
For convenience, certain terms employed in the context of the present disclosure are collected here. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of the ordinary skilled in the art to which this invention belongs. The singular forms “a”, “and”, and “the” are used herein to include plural referents unless the context clearly dictates otherwise.
Notwithstanding that the numerical ranges and parameters setting forth the broad scope of the invention are approximations, the numerical values set forth in the specific examples are described as precisely as possible. Any numerical value, however, inherently contains certain errors necessarily resulting from the standard deviation found in the respective testing measurements. Also, as used herein, the term “about” generally means within 10%, 5%, 1%, or 0.5% of a given value or range. Alternatively, the term “about” means within an acceptable standard error of the mean when considered by one of ordinary skill in the art.
“Protection mode” in the present specification herein means a state in which skin cannot access a tip of a nozzle part by a protector, that is, a state where administration cannot be performed. “Administration mode” used in the present specification means a state in which the tip of the nozzle part is exposed from the protector, that is, a state where administration can be performed.
Hereinafter, embodiments of the present invention are illustrated in detail. The following embodiments are illustrative only and do not limit the scope of the present invention. In order to avoid redundancy, explanation for similar contents is not repeated.
Syringe
A syringe according to the present embodiment includes a portion thereof contacting a hydrogen peroxide solution,
in which the portion is made of cycloolefin polymer (COP) or cycloolefin copolymer (COC).
The syringe may be suitable for prefilling with a hydrogen peroxide solution. The syringe may further include the hydrogen peroxide solution in the syringe. The hydrogen peroxide solution may incudes hydrogen peroxide and water. The hydrogen peroxide solution may include an additive.
In the present embodiment, the syringe for hydrogen peroxide solution means a syringe having a low decomposition capability of hydrogen peroxide in the hydrogen peroxide solution. In the present embodiment, the hydrogen peroxide solution means a solution in which a solvent (for example, water) contains hydrogen peroxide and if necessary, additives (for example, phosphoric acid and phenacetin, other than gel substrate). In an embodiment, the hydrogen peroxide solution is substantially free of the gel substrate (e.g., hyaluronic acid, salt of hyaluronic acid, hydrogel and gelatin). “Substantially free” means, for example, that the concentration of the gel substrate in the solution is less than 0.1% by mass, less than 0.05% by mass, less than 0.01% by mass, less than 0.005% by mass or less than 0.001% by mass or less than 0.1% (w/v), less than 0.05% (w/v), less than 0.01% (w/v), less than 0.005% (w/v) or less than 0.001% (w/v).
In another embodiment, the hydrogen peroxide solution does not include the gel substrate. In the present embodiment, the syringe may be manufactured from a single material or may be made with a plurality of materials (including a multilayer structure such as a coating). In the case of the syringe manufactured from the single material, the entire syringe is made of plastic such as COP and COC.
In the case of the syringe made with a plurality of materials, the part where the syringe contacts with the hydrogen peroxide solution directly is made of the plastic, the remaining part may be made of a material having high decomposition capability of the hydrogen peroxide such as glass. In addition, all parts that come into contact with the hydrogen peroxide solution need to be made of the plastic. Thus, the main part such as the inner surface of the barrel of the syringe may be made of the plastic. In other words, parts that may come into contact with the hydrogen peroxide solution, such as a plunger rod, luer lock, cap and gasket, need to be made of the plastic. In addition, a lubricant such as silicone oil may be applied to the inner surface of the barrel of the syringe body.
The decomposition capability of hydrogen peroxide can be determined from the ratio of the concentration of hydrogen peroxide in the hydrogen peroxide solution after start of storage to the concentration of hydrogen peroxide in the hydrogen peroxide solution before the start of the storage under specific temperature condition (residual rate of hydrogen peroxide). The storage is performed in a sealed state. Temperature condition is not limited, but may be 35° C., 37° C., 40° C., or 60° C. A period of the storage is not limited, but may be one week, two weeks, three weeks, or four weeks, or four weeks or more. The concentration of hydrogen peroxide in the hydrogen peroxide solution before the start of the storage may be any concentration, for example in the range of 0.01 to 40% (w/v). In an embodiment, the decomposition capability of hydrogen peroxide to the plastic is lower than that of a glass. The residual rate of hydrogen peroxide in the plastic may be 70% or more, preferably 75% or more, more preferably 78% or more, still more preferably 80% or more under the condition that a solution containing 2.5 to 3.5% (w/v) hydrogen peroxide is hermetically stored at 60° C. for 4 weeks. The amount of hydrogen peroxide in the hydrogen peroxide solution can be determined by titration with a potassium permanganate solution according to an oxydol determination method described in Japanese Pharmacopoeia.
In the present embodiment, the plastic may include COP, COC and a polypropylene, but not limited to them as long as the plastic has a lower decomposition capability of hydrogen peroxide than glass.
Nozzle
The nozzle (100) includes a nozzle part (110) and adapter part (120) connected to the nozzle part (110). The adapter part (120) is connected to the needle mounting part (30) of the prefilled syringe (1). The inside of nozzle part (110) is in fluid communication with the inside of the adapter part (120).
The prefilled syringe 1 shown in
The needle (111) may have a groove with an echogenic pattern groove on an outer surface thereof. The echogenic pattern is not particularly limited as long as it is the groove pattern that improves the visibility of the needle (111) even under an ultrasonic image.
Protector
Movable Protector
The movable protector (300) includes a support member (320), a nozzle protection part (310) connected to one end (321) of the support member (320), and an engagement part (330) connected to the other end of (322) of the support member (320). The engagement part (330) is connected to the other end (322) of the support member (320) via the movable part (340). The engagement part (330) is detachably connected to the adapter part (120).
The nozzle protection part (310) of the movable protector (300) has a space that can accommodate the nozzle part (110) of the nozzle (100) in the nozzle protection part (310). In the present embodiment, the space is groove (311). The groove (311) is formed on a side wall (314) of the nozzle protection part (310). A front end (312) of the nozzle protection part (310) is closed. A rear end (313) of the nozzle protection part (310) is open.
The moveable protector (300) can expose the nozzle part (110) of the nozzle (100) from the groove (311) of the nozzle protection part (310) by rotating the movable protector (300) around the movable part (340) as a rotation axis without physically separating the movable protector (300) from the adapter part (120), and vice versa.
The movable protector (300) may include a plurality of the support members (320). When the movable protector (300) includes a plurality of the support members (320), each of the support members (320) may be connected via a movable part. The engagement part (330) may be engaged with the adapter part (120) of the nozzle (100) or the prefilled syringe (1). In the present embodiment, the movable part (340) is a pivot part including a shaft but is not limited thereto. The movable part (340) may be a bent part that can be bent. When the movable part (340) is the bent part, the support member (320) and the engagement part (330) may be integrally formed.
Slide-Type Protector
The slide-type protector (400) includes a support member (420), a nozzle protection part (410) connected to one end of the support member (420), and an engagement part (430) connected to the other end of the support member (420). The engagement part (430) is detachably connected to the adapter part (120). The support member (420) includes a first arm (421), a second arm (422), a first movable part (441), a second movable part (442), and a third movable part (443). In the present embodiment, the nozzle protection part (410) has a hollow structure, and has a space that can accommodate a front end of the nozzle part (110) from a rear end (413) of the nozzle protection part (410). When the slide-type protector (400) is in a protection mode, the front end of the nozzle part (110) is accommodated in the nozzle protection part (410). When the slide-type protector (400) is in an administration mode, the front end of the nozzle part (110) protrudes from an opening (411) of the nozzle protection part (410). In the present embodiment, the opening (411) has a cross shape, but may have another shape.
One end (421A) of the first arm (421) is movably connected to the nozzle protection part (410) via the first movable part (441). The other end (421B) of the first arm (421) is movably connected to one end (422A) of the second arm (422) via the second movable part (442). The other end (422B) of the second arm (422) is movably connected to the engagement part (430) via the third movable part (443).
By rotating each arm with respect to the central axis of each movable part so that the second movable part (442) is away from the nozzle (100), the nozzle protection part (410) can be moved in the direction of the adapter part (120), resulting that the nozzle part (110) of the nozzle (100) can be exposed from the opening (411) of the nozzle protection part (410) without physically separating the slide-type protector (400) from the adapter part (120), and vice versa.
The number of the arms and the number of the movable parts can be changed as necessary. The length of the arm can be changed according to the length of the nozzle part (110).
In another embodiment, the slide-type protector (400) includes a rail part, a nozzle protection part (410) connected to one end of the rail part, and a rail holding part connected to the other end of the rail part. The rail holding part hold the rail part slidably. The rail holding part is detachably connected to the adapter part (120). The opening (411) is provided at the front end of the nozzle protection part (410). By sliding the nozzle protection part (410) in the longitudinal direction of the prefilled syringe (1), the nozzle part (110) can be accommodated in or exposed from the opening (411).
Syringe Pump
The monitor (540) and switches (550) are provided on the first surface (501A) of the syringe pump (500). The movable wall (530) is provided on the second surface (501B) of the syringe pump (500). The second surface (501B) of the syringe pump (500) is provided at a lower position than the first surface (501A) of the syringe pump (500). The first surface (501A) of the syringe pump (500) is connected to the second surface (501B) of the syringe pump (500) via the first wall (502A) of the syringe pump (500). The slits (510) are formed so as to pass through the first surface (501A) and first wall (502A) of the syringe pump (500).
The movable wall (530) is connected to two threaded rods (570A) and (570B) provided on the second surface (501B). When the threaded rods (570A) and (570B) are rotated by, for example, the electric motor (564), the movable wall (530) can move in the direction of pushing (or pulling) the plunger rod (70) of the prefilled syringe (1). The movable wall (530) of the syringe pump (500) is electrically driven but may be mechanically driven.
When the syringe pump (500) is used, one end of the flange (90) of the prefilled syringe (1) is inserted into any one of the slits (510). By inserting one end of the flange (90) of the prefilled syringe (1) into the slit (510), the movement of the prefilled syringe (1) in the moving direction of the movable wall (530) is prevented. Depending on the length of the prefilled syringe (1), any one of the slits (510) can be selected.
The prefilled syringe (1) is further fixed by the holder (520). The holder (520) is configured to press the prefilled syringe (1) against the first wall (502A) and second surface (501B). By fixing the prefilled syringe (1) using the holder (520), the prefilled syringe (1) is prevented from falling off the syringe pump (500).
Operation of the syringe pump (500) will be described with reference to
The syringe pump (500) can set a flow rate, administration time, an inner diameter of the syringe, a pressure threshold, and the like, thereby enabling stable administration.
Kit
In yet another embodiment, a kit including: the syringe and the nozzle is provided.
The kit includes the prefilled syringe (1) and nozzle (100). The kit may include a plurality of the prefilled syringes (1) and nozzles (100). The kit may include the protector (200), (300) or (400) that covers the nozzle (100). The kit may include additional elements (e.g., instructions or dosing schedules) for treatment of tumors with anti-cancer drug or radiation.
In the present embodiment, the concentration of hydrogen peroxide in the hydrogen peroxide solution in the prefilled syringe is, for example, 0.01, 0.02, 0.03, 0.04, 0.05, 0.06, 0.07, 0.08, 0.09, 0.1, 0.5, 1, 5, 10, 15, 20, 25, 30, 35 or 40%, or may be in the range between any two of the numerical values exemplified herein, for example, 0.01 to 40% (w/v), preferably, 0.05 to 30% (w/v).
Material
The material of the nozzle part (110) can be changed according to the purpose and situation of the use of the present embodiment. When the nozzle part (110) is the needle (111), the material of the nozzle part (110) (that is, the needle (111)) may be a metal such as stainless steel. The material of the adapter part (120) may be a resin (e.g., COP, COC, polypropylene, and polycarbonate), metal, rubber or glass. When the nozzle part (110) is the spray nozzle (112), the material of the nozzle part (110) (i.e., spray nozzle (112)) may be resin (e.g., COP, COC, polypropylene and polycarbonate), metal, rubber or glass. When the spray nozzle (112) is formed integrally with the adapter part (120), the same material as that of the adapter part (120) is used.
The material of the protector (200) can include, but not limited to, resins (for example, COP, COC, polypropylene, and polycarbonate), metal, rubber and glass. The material of the movable protector (300) and the slide-type protector (400) may be the same as the material of the protector (200). The material of the movable parts of the movable protector (300) and the slide-type protector (400) (the movable part (340), first movable part (441), second movable part (442) and third movable part (443)) may be different from the material of other parts of the movable protector (300) and slide-type protector (400) depending on the purpose and situation of the use of the present embodiment.
A housing of the syringe pump (500) may be made of metal or resin (for example, polycarbonate). The material of the movable wall (530) may be the same as or different from the material of the housing of the syringe pump (500). The holder (520) may be made of metal, rubber or resin. The threaded rods (570A) and (570B) are preferably made of metal but may be resin.
Hydrogen Peroxide Solution Stability Test
Stability test of a hydrogen peroxide solution was performed using a glass syringe, a COP syringe, and a COC syringe. 1 mL of the hydrogen peroxide solution was added to each syringe, sealed, and then stored at 60° C. for 4 weeks. The residual rates of hydrogen peroxide in the hydrogen peroxide solutions after storage were measured. Oxydol “KENEI” (containing 2.5 to 3.5% (w/v) hydrogen peroxide, phosphoric acid and phenacetin) manufactured by Kenei Pharmaceutical Co., Ltd. was used as the hydrogen peroxide solution. The amount of hydrogen peroxide in the hydrogen peroxide solution was detected by titration with a potassium permanganate solution according to oxydol determination method described in the Japanese Pharmacopoeia.
The results are shown in
Number | Date | Country | Kind |
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JP2018-215913 | Nov 2018 | JP | national |
JP2019-022388 | Feb 2019 | JP | national |
JP2019-115440 | Jun 2019 | JP | national |
This application is a continuation of U.S. patent application Ser. No. 16/879,589 filed, May 20, 2020 which is a continuation of International Application No. PCT/JP2019/041116, filed Oct. 18, 2019, which claims the benefit of Japanese Application No. 2018-215913, filed Nov. 16, 2018, Japanese Application No. 2019-022388, filed Feb. 12, 2019, and Japanese Application No. 2019-115440, filed Jun. 21, 2019, the disclosures of which are expressly incorporated herein by reference in their entirety
Number | Date | Country | |
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Parent | 16879589 | May 2020 | US |
Child | 17469289 | US | |
Parent | PCT/JP2019/041116 | Oct 2019 | US |
Child | 16879589 | US |