METAL-ORGANIC FRAMEWORK MATERIALS IN GASES DELIVERY SYSTEMS
20200360646 ยท 2020-11-19
Inventors
Cpc classification
F17C2250/03
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F17C11/00
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
B01J20/226
PERFORMING OPERATIONS; TRANSPORTING
A61M16/024
HUMAN NECESSITIES
A61M16/142
HUMAN NECESSITIES
F17C2270/025
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
F17C2201/0138
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
Y02C20/10
GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
F17C5/00
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
A61M2205/12
HUMAN NECESSITIES
International classification
A61M11/04
HUMAN NECESSITIES
A61M16/00
HUMAN NECESSITIES
A61M16/08
HUMAN NECESSITIES
F17C11/00
MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
Abstract
A gases delivery system for medical use is disclosed that has a container configured to house a metal-organic framework material within at least one section of the container. An activation mechanism may be associated with the container. The metal-organic framework material may contain one or more substances such that the one or more substances may be released from the metal-organic framework material when energy is applied to the container via the activation mechanism. The activation mechanism may be a heating mechanism. One or more containers housing metal-organic framework materials may be used in a gases recirculation system.
Claims
1. (canceled)
2. A method of preloading a metal-organic framework material, the method comprising: providing a metal-organic framework material into a container; starting a flow of a gas into the container, wherein the flow of the gas into the container carries at least one substance into the metal-organic framework material in a vapour form; stopping the flow of the gas into the container; and sealing the container.
3. The method of claim 2, further comprising, prior to starting the flow of the gas into the container, applying energy to the metal-organic framework material.
4. The method of claim 3, wherein the applying energy to the metal-organic framework material comprises applying heat energy to the metal-organic framework material.
5. The method of claim 3, wherein the applying energy to the metal-organic framework material comprises applying heat energy and vibration energy to the metal-organic framework material.
6. The method of claim 2, wherein the stopping the flow of the gas occurs when a selected amount of time has elapsed after the starting the flow of the gas.
7. The method of claim 2, wherein the gas flows into the container under pressure.
8. The method of claim 7, further comprising measuring the pressure of the gas within the container, wherein stopping the flow of gas occurs when the pressure reaches a selected pressure.
9. The method of claim 7, wherein the container comprises an inlet and an outlet, wherein the gas flows into the container through the inlet, and wherein the gas flows out of the container through the outlet.
10. The method of claim 9, wherein the inlet or the outlet is covered by a gas permeable membrane preventing the metal-organic framework material escaping the container through the inlet or the outlet.
11. The method of claim 9, wherein the inlet and the outlet are covered by a gas permeable membrane preventing the metal-organic framework material escaping the container through the inlet or the outlet.
12. The method of claim 9, wherein a diameter of the inlet is larger than a diameter of the outlet.
13. The method of claim 9, wherein the outlet is coupled to a delivery circuit for delivering the at least one substance to a patient interface.
14. The method of claim 2, wherein the metal-organic framework material is selective to the gas.
15. The method of claim 2, wherein the metal-organic framework material is non-selective to the gas.
16. The method of claim 2, wherein the container comprises a tube comprising a wall, and wherein the providing the metal-organic framework material in the container comprises providing at least a portion of the metal-organic framework material into the wall.
17. The method of claim 2, wherein the applying energy to the metal-organic framework material comprises applying energy to the metal-organic framework material by an activation mechanism disposed within the container.
18. The method of claim 2, wherein applying energy to the metal-organic framework material comprises applying energy to the metal-organic framework material by an activation mechanism disposed external to the container.
19. The method of claim 2, wherein applying energy to the metal-organic framework material comprises applying energy to the metal-organic framework material by an activation mechanism acting as part of the container.
20. The method of claim 2, wherein the container is disposed in-line between a gases source and a patient interface.
21. A method of preloading a metal-organic framework material, the method comprising: providing a metal-organic framework material into a container having an inlet and an outlet, the inlet and the outlet each covered by a gas permeable membrane; applying heat and vibration energy to the metal-organic framework; starting a flow of a gas into the container through the gas permeable membrane on the inlet, wherein the flow of the gas into the container carries at least one substance into the metal-organic framework material in a vapour form, wherein the gas is under a pressure; stopping the flow of the gas into the container when the pressure reaches a selected pressure or after a selected amount of time has elapsed after the starting; and sealing the container.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0025] The disclosed apparatus and systems will now be described with reference to the following figures which are intended to illustrate and not to limit the preferred embodiments.
[0026]
[0027]
[0028]
[0029]
[0030]
[0031]
[0032]
[0033]
[0034]
[0035]
[0036]
DETAILED DESCRIPTION
[0037] A container as herein described may refer to, for example, a canister, cartridge, chamber, or tube, wherein the canister, cartridge, chamber, or tube is configured to hold one or more substances and may be in gaseous or fluid communication with a gases supply and/or a patient interface. It is to be understood that variations or modifications may still be within the scope of the disclosed apparatus and systems.
[0038] A gases source as herein described may refer to, but is not limited to, a gases canister, an insufflator, a ventilator, a blower, or a wall supply, for example.
[0039] An activation mechanism as herein described may refer to a mechanism for releasing molecules from a metal-organic framework material. Activation mechanisms can include, for example, heating mechanisms or heating and vibration mechanisms. A heating mechanism as herein described may refer to, for example, at least one heater wire, at least one heating filament, at least one heater element, or other ways of heating.
[0040] A substance or substances as herein described may refer to, for example, gases, such as carbon dioxide, oxygen, nitrous oxide, argon, nitrogen, helium, and/or vapour, such as but not limited to, water vapour, or volatiles, such as medicaments or anaesthetics.
[0041] A patient interface as herein described may refer to, for example, a face mask, endotracheal tube, nasal cannula, nasal mask, oral mask, tracheal mask, laparoscopic cannula, or diffuser.
[0042] A circuit as herein described may refer to, for example, a tube, conduit, or gases transportation pathway.
[0043] In-line as herein described may refer to a component that fits within a circuit or other aspect of a gases delivery system such that the component does not need additional external electrical and/or pneumatic connections over those required to connect the circuit with the system. The in-line component may be lightweight and may not require additional support, such as anchoring on a surface. Thus, the in-line component may have improved flexibility and portability within the gases delivery system.
[0044] A mixture as herein described may refer to a substantially homogeneous combination of substances that has substantial uniformity or may be sufficiently mixed. The mixture may comprise different concentrations of the substances as desired by a user.
[0045] A metal-organic framework material as herein described may refer to clusters of metal ions that may be coordinated to form a porous structure that can be used for storage of one or more substances. The structure may be provided in the form of one or more of pellets, a powder, a mesh, a box, a monolith, or a lattice, and may comprise a mixture of the metal-organic framework material with different structures such that the selectivity of the material can be specified. The pellets may comprise a mixture or in some cases may comprise stacked individual layers of the metal-organic framework material with different structures. Other forms of metal-organic framework materials may also be envisioned, without limitation, by the embodiments disclosed herein.
[0046] Referring to
[0047] In other embodiments, other mechanisms instead of or in addition to a heating mechanism can be used as the activation mechanism 110 to release a substance from the metal-organic framework material 120. For example, a substance can be released from the metal-organic framework material 120 by heating and vibration. In some embodiments in which vibration or another mechanism is used to release a substance in addition to heat, less heat may be needed to release the substance.
[0048] In some embodiments, an outer housing or shell of the container 100 is transparent, or at least partially transparent, or includes a transparent, or at least partially transparent, section. Some types of the metal-organic framework material 120 change color upon the addition or removal of a particular substance to or from the metal-organic framework material 120. For example, some types of the metal-organic framework material 120 change from dark blue to light blue upon the removal of humidity or vapour. The transparent housing or section allows a user to view such a color change.
[0049]
[0050] In some embodiments, one or more of the sections 130 can be separately removed from, replaced, and/or recharged (meaning additional substances can be loaded into the metal-organic framework material 120) from other of the sections 130. For example, in some embodiments, the container 100 can include one or more removable cartridges each containing one or more of the sections 130. The cartridge(s) can be selectively removed, replaced, and/or recharged as needed or desired. In some such embodiments, one or more of the sections 130 includes its own one of the activation mechanism 110. The one or more of the activation mechanism 110 can be included in the removable cartridge(s) or can remain in the container 100. In other embodiments, one or more of the sections 130 can share a common one of the activation mechanism 110 that remains in the container 100 as various ones of the sections 130 are removed and/or replaced, and portions of the activation mechanism 110 can be selectively activated to differentially apply energy to different ones of the sections 130. In some embodiments, the metal-organic framework material 120 in different ones of the sections 130 can be loaded with different substances.
[0051] In use, the one or more of the activation mechanism 110 can be selectively or differentially activated to selectively release substances from different ones of the sections 130. If a greater amount of a particular substance or substances is needed or used and is exhausted during the course of a procedure or treatment, the one or more of the sections 130 or cartridges containing that substance can be removed and recharged or replaced with other of the sections 130 or cartridges pre-loaded with that substance. In some embodiments, the separability of the one or more of the sections 130 or cartridges can allow for optional additional substances, for example, oxygen or one or more medicaments, to be added to the container 100 to customize the container 100 for a particular patient, procedure, or treatment or to add optional additional substances to the container 100 if the need arises during the procedure or treatment.
[0052] Referring to
[0053] As described with respect to
[0054] Referring to
[0055] The container 100, or more specifically the activation mechanism 110 of the container 100, can receive power from another component of the gases delivery system 290, such as the gases source 340, or from an external or internal power source, such as a battery. In some embodiments, the gases source 340 can supply preheated and/or prehumidified gases. In some such embodiments, preheated gases act as the activation mechanism 110 and cause the water vapour or other substances stored in the metal-organic framework material 120 to be released from the metal-organic framework material 120 as the preheated gases flow through the container 100.
[0056] In some embodiments, the container 100 can be integrated with the gases source 340, or the gases source 340 and the container 100 can be co-located in the same housing. In some embodiments, the container 100 can be coupled to or integrated with the patient interface 360. In some embodiments, the circuit 370, or at least the portion of the circuit 370 extending between the container 100 and the patient interface 360, is heated and/or insulated to reduce the formation of condensate in the circuit 370.
[0057] In some embodiments, the circuit 370 can include a pressure management system (not shown) to ensure that desired pressure levels are maintained at the patient interface 360. Such a pressure management system can include, for example, a gases reservoir, a pressure regulator, a valve, a filter, and/or a controller. An example embodiment of a gases delivery system comprising such a pressure management system is disclosed in International Patent Publication No. WO 2014/112886, published 24 Jul. 2014, the entirety of which is herein incorporated by reference.
[0058] In some embodiments, the metal-organic framework material 120 can also or alternatively be loaded with one or more volatile medicaments. The activation mechanism 110 applies energy to release the medicaments from the metal-organic framework material 120, and the medicaments can be delivered to the patient through the patient interface 360.
[0059] In some embodiments, the container 100 is or includes a tube, such as the circuit 370. For example, instead of or in addition to the container 100 being a separate component of the gases delivery system 290, part or all of the circuit 370 can include the metal-organic framework material 120. For example, in some embodiments, at least part of a wall of the circuit 370 includes or is made of the metal-organic framework material 120.
[0060]
[0061]
[0062] In some embodiments, for example as shown in
[0063] The metal-organic framework material 120 according to the present disclosure can be provided in the form of, for example, one or more of pellets, a powder, a mesh, a box, a monolith, or a lattice. Gases passing through the metal-organic framework material 120 are exposed to a tailored surface area of the stored substances. In some embodiments, the form of the metal-organic framework material 120 can affect the surface area exposed to the gases. For example, a form such as a mesh shape or pellets can provide a tortuous path through the metal-organic framework material 120 for the gases. If the container 100 contains a smaller available surface area of the metal-organic framework material 120, then more energy, e.g., heat, may be required to release the stored substances into the gases flowing through the container to achieve the desired concentration of the substances in the gas flow. Therefore, a larger surface area may reduce the energy needed. However, the metal-organic framework material 120 having a larger surface area may also take up more space. Therefore, the size and/or shape or the metal-organic framework material 120 can be selected to optimize surface area based on considerations of space and energy usage. The size of the metal-organic framework material 120 can also be selected based on considerations of the amounts of the particular substances needed to be stored for the particular intended use for the patient and the amounts of those particular substances that the metal-organic framework material 120 can hold per volume or weight of the material. For example, in some embodiments, the metal-organic framework material 120 can hold 100 liters of CO.sub.2 per kilogram.
[0064] The exposed surface area of the metal-organic framework material 120 can also be selected for dose control. In other words, the exposed surface area can be selected to help control the amount of the stored substances released from the metal-organic framework material 120 in a given time period. Dose control can be particularly important when the substances includes one or more medicaments that may be more beneficial to the patient if released over a longer period of time and/or that may be expensive such that it may be beneficial to reduce the total amount used during a particular procedure, for example, to the lowest beneficial dose.
[0065] In some embodiments, it may be beneficial to deliver gases with a combination of medicaments, humidity (e.g., water vapour), and/or CO.sub.2 or other gases to the patient. Medicaments, humidity, and/or CO.sub.2 or other gases can be added to a gas flow delivered to a patient in various ways. For example, in some embodiments, CO.sub.2 or other gases, vapour, and one or more medicaments are all stored in one or more of the metal-organic framework material 120 and released from the one or more of the metal-organic framework material 120 by the activation mechanism 110 to be delivered to the patient. In some embodiments, the gases delivery system 290 can include multiple of the container 100, each including one or more substances, such as medicaments, humidity, and CO.sub.2 or other gases. In some embodiments, the container 100 can include multiple sections or cartridges containing different substances, as described in greater detail herein. In some embodiments, one or more of the metal-organic framework material 120 store one or more medicaments and humidity, and CO.sub.2 or other gases is flowed through the one or more of the metal-organic framework material 120. The CO.sub.2 or other gases flowing through the one or more of the metal-organic framework material 120 can be heated and/or the container 100 can include a heating element to heat the gases passing through and leaving the container 100 and release the substances stored in the one or more of the metal-organic framework material 120. In other embodiments, one or more of the metal-organic framework material 120 can store one or more medicaments, and heated and humidified CO.sub.2 or other gases can be flowed through the material(s).
[0066]
[0067] The gases delivery system 290 (shown in
[0068] The gases delivery system 290 can also include various sensors to measure, for example, gas conditions such as flow rate, temperature, humidity, and/or pressure in the system. In some embodiments, it is beneficial to measure the temperature, humidity, and/or pressure of gases at or near the patient interface 360 or point of delivery to the patient. In some embodiments, measurements of properties of the gas flow at various points in the gases delivery system 290 can be used to estimate the values of those properties at other points in the gases delivery system 290. The data from various sensors can be sent to and received by the processor. The processor can use the sensor data as input to, for example, display information to the user via the user interface or determine operational parameters for the system to control the release of the one or more substances stored by the metal-organic framework material 120.
[0069] Preloading of the metal-organic framework material 120 can be achieved by directing a flow of one or more substances through the container 100, such that the metal-organic framework material 120 can selectively take up the one or more substances. In some embodiments, it may be desirable to provide the container 100 preloaded with one or more of a particular substance, such as water vapour and/or carbon dioxide. As an example, water vapour may be preloaded into the container 100 via a gases flow. If it is desirable to preload the metal-organic framework material 120 with only water vapour, a gas to which the metal-organic framework material 120 is not selective may be used as a carrier gas.
[0070] Referring to
[0071] The container 100 as described may be used for a recirculation system, such that one or more substances may be initially preloaded into the metal-organic framework material 120 and then the recirculation system may cycle between release of the one or more substances from the metal-organic framework material 120 in use and storage of the one or more substances within the metal-organic framework material 120 during and/or following use. This cycle may repeat multiple times. In some embodiments, a filter may be positioned so as to filter the one or more substances, or other flow containing the one or more substances, before the one or more substances re-enter the container 100. In some embodiments, the container 100 may form a part of a recirculation system in, for example, laparoscopic surgery.
[0072]
[0073]
[0074]
[0075] The first and second containers 100a, 100b may be configured to alternate in function such that, after a period of time, one or more stored substances are released from the first container 100a via the first outlet 695a by the application of energy via an activation mechanism 110a, either as a whole or differentially to one of the sections 130a, while one or more substances are stored in the second container 100b from a flow of recirculated gases entering the second container 100b via the second inlet 690b. The flow of recirculated gases may exit the second container 100b via the second outlet 695b. It is to be understood that a plurality of the first and second containers 100a, 100b may be used simultaneously and/or alternatively to provide a comprehensive recirculation system. The recirculation system 600 may be able to operate for longer periods of time or may be able to condition one or more substances at a rate desired by the user.
[0076] In some embodiments, the metal-organic framework material 120 may be recharged with one or more substances before, during, or after use. In some embodiments, the container 100 may be recharged a plurality of times.
[0077] The container 100 comprising the metal-organic framework material 120 may require preparation before it can be preloaded with one or more substances. The preparation may comprise applying energy, for example via the activation mechanism 110, such that the metal-organic framework material 120 releases any substances already stored therein. The container 100 may be sealed when not in use, for example using a cap or valve mechanism. Sealing may reduce the amount of substances inadvertently taken up by the metal-organic framework material 120 from the surrounding environment.
[0078] As previously described, in some embodiments, the activation mechanism 110 may be integral to the wall of the container 100. In other embodiments, the activation mechanism 110 may be located within the body 140 of the container 100. In an embodiment where the activation mechanism 110 is a heating mechanism, applying energy refers to heating the container 100, which may cause the one or more substances stored therein to be released. The rate of release of the one or more substances may be proportional to the amount of energy applied. Although some embodiments have been described as including a heating mechanism as the activation mechanism 110 for releasing substances stored in the metal-organic framework material 120, various embodiments according to the present disclosure can also or alternatively include other forms of the activation mechanism 110 that apply other forms of energy instead of or in addition to heat to release the stored substances.
[0079] The metal-organic framework material 120 may differ with regards to structure depending on the substances used. Some embodiments have been described with regards to use of carbon dioxide and/or water vapour, such as for use in a laparoscopic system. In other embodiments, the substance and/or the mixture of the substances used may comprise respiratory gases, for example oxygen, such that the disclosure can be used for a respiratory gases delivery system.
[0080] Other substances and/or uses are also possible. As examples of other substances and uses, the metal-organic framework material 120 according to the present disclosure can store and/or release anaesthetics; chemotherapy drugs (e.g., a combination of a platinum compound, such as cisplatin or carboplatin, and a taxane, such as paclitaxel or docetaxel), to be delivered to the peritoneum during cancer surgery; anti-adhesion agents (e.g., crystalloids, hyaluronic based solutions); vitamins (e.g., vitamins A, C, E), which can aid repair processes in the body; minerals; anti-inflammatory agents (e.g., all-trans-retinoic acid, quinacrine, dipyridamole); antibiotics (e.g., amoxicillin, maxacalcitol, cefuroxime), to help inhibit or reduce the likelihood of surgical site infections; integrin inhibitors (vitaxin, volociximab, intetumumab, resveratrol), to help reduce the likelihood of body tissues sticking to each other and/or other objects; pH altering chemicals (e.g., acids, bases), to increase acidity to increase local tissue oxygenation; anti-coagulants (e.g., heparin); enzymes (e.g., super-oxide); bio-markers (e.g., fluorescein iso-thiocyanate with folate), to tag specific cells; radiation enhancers (e.g., combined fluorouracil and leucovorin), to aid or improve radiography; coagulants (e.g., adrenaline); vaso-constrictors (e.g., amphetamines, antihistamines, methylphenidate, mephedrone); and/or cardioplegia (e.g., calcium chloride, magnesium chloride, potassium chloride, sodium chloride), to reduce heart rate. In some embodiments, the metal-organic framework material 120 according to the present disclosure can be most useful for storing and/or releasing substances having a high boiling point. Such substances, such as medicaments, can therefore be turned into a vapour, taken up by the metal-organic framework material 120, and then released in a controlled manner.
[0081] The metal-organic framework material 120 according to the present disclosure can advantageously be used to deliver medicaments to a patient during surgery, including a laparoscopic procedure. Currently, aerosols may be delivered to the surgical space, such as the peritoneum. However, these aerosols have many drawbacks, and use of the metal-organic framework material 120 according to the present disclosure can overcome at least some of these disadvantages.
[0082] In some embodiments, the metal-organic framework material 120 comprises mmen-Mg2 or Cu-BTC. In some embodiments, the metal-organic framework material 120 that can be used in the devices and systems of the present disclosure is highly selective for CO.sub.2 and H.sub.2O.
[0083] The present disclosure may at least partially overcome or ameliorate at least one disadvantage of the prior art. Use of the metal-organic framework material 120 allows one or more substances to be stored in a solid form, which may allow the container 100 to be less vulnerable to changes in orientation, which may render it more portable and easier to transport than previous systems. In some cases, the container 100 may be preloaded when provided to a user such that the user has only to connect the container 100 to the gases delivery system 290 for use.
[0084] Unless the context clearly requires otherwise, throughout the description and the claims, the words comprise, comprising, and the like, are to be construed in an inclusive sense as opposed to an exclusive or exhaustive sense, that is to say, in the sense of including, but not limited to.
[0085] Reference to any prior art in this specification is not, and should not be taken as, an acknowledgement or any form of suggestion that that prior art forms part of the common general knowledge in the field of endeavour in any country in the world.
[0086] The apparatus and system of the disclosure may also be said broadly to consist in the parts, elements and features referred to or indicated in the specification of the application, individually or collectively, in any or all combinations of two or more of said parts, elements or features.
[0087] Where, in the foregoing description reference has been made to integers or components having known equivalents thereof, those integers are herein incorporated as if individually set forth.
[0088] It should be noted that various changes and modifications to the presently preferred embodiments described herein will be apparent to those skilled in the art. Such changes and modifications may be made without departing from the spirit and scope of the apparatus and systems of the disclosure and without diminishing its attendant advantages. For instance, various components may be repositioned as desired. It is therefore intended that such changes and modifications be included within the scope of the apparatus and systems of the disclosure. Moreover, not all of the features, aspects and advantages are necessarily required to practice the present apparatus and systems of the disclosure. Accordingly, the scope of the present apparatus and systems of the disclosure is intended to be defined only by the claims that follow.