Devices and Methods for Establishing Communication Between Chambers in a Multi-Chambered Vessel
20180333331 ยท 2018-11-22
Inventors
Cpc classification
A61M5/284
HUMAN NECESSITIES
A61M2005/3132
HUMAN NECESSITIES
B01F2101/2202
PERFORMING OPERATIONS; TRANSPORTING
A61J1/2093
HUMAN NECESSITIES
A61M5/2066
HUMAN NECESSITIES
B01F35/7174
PERFORMING OPERATIONS; TRANSPORTING
A61M2005/1787
HUMAN NECESSITIES
A45D2200/055
HUMAN NECESSITIES
A45D34/04
HUMAN NECESSITIES
B01F35/522
PERFORMING OPERATIONS; TRANSPORTING
A61M5/19
HUMAN NECESSITIES
International classification
A61J1/20
HUMAN NECESSITIES
B65B3/00
PERFORMING OPERATIONS; TRANSPORTING
A45D34/04
HUMAN NECESSITIES
A61M5/19
HUMAN NECESSITIES
Abstract
The present invention relates in part to vessels comprising a first chamber a second chamber and a seal separating the first and second chambers. In particular, the invention concerns means and methods for establishing communication between the first chamber and a second chamber of such vessels. Vessels of the invention may comprise one or more projections on an internal wall of the vessel and an actuator configured to cause the seal and the one or more projections to engage one another. The one or more projections are configured to urge a portion of the seal away from the internal wall upon engagement with the seal. This causes one or more channels to open between the first chamber and the second chamber. Vessels of the invention allow a user to establish communication between the first chamber and the second chamber at a desired time, for example in order to contact components contained within the chambers or in order to sequentially release components or doses of components from the vessel.
Claims
1. A vessel (700, 900) having a proximal end (901) and a distal end (903) and comprising a removable seal (106, 908) for defining a first chamber (704, 912) at the distal end (903) of the vessel and a second chamber (706, 910) at the proximal end (901) of the vessel (700, 900), a proximal bypass zone (902) comprising one or more proximal projections (800a, 800b, 902a) on an internal wall of the vessel (700, 900) or one or more proximal bypass channels (1502) on an internal wall of the vessel (700, 900), a distal bypass zone (904) comprising one or more distal projections (800c, 800d, 904a) on an internal wall of the vessel (700, 900), or one or more distal bypass channels (1502) on an internal wall of the vessel (700, 900), an opening at the proximal end (901) of the vessel (700, 900) for introducing a component into the vessel (700, 900), and an actuator configured to move the seal (106, 908) through the vessel (700, 900), wherein the proximal (800a, 800b, 902a) and distal projections (800c, 800d, 904a) are configured to urge a portion of the seal (106, 908) away from the internal wall of the vessel (700, 900) upon engagement with the seal (106, 908) thereby opening one or more channels (114) which bypass the seal (106, 908), and wherein the proximal and distal bypass channels are configured such that a proximal bypass zone comprising a proximal bypass channel and a distal bypass zone comprising a distal bypass channel each have a cross section that is greater than the cross section of the seal (106, 908), such that the seal (106, 908) cannot prevent communication between the first (704, 912) and second (706, 910) chambers when it is positioned in the proximal bypass zone (902) or in the distal bypass zone (904), wherein the proximal bypass zone 002) and the distal bypass zone (904) are arranged to allow fluid to bypass the seal (106, 908) are separated by a distance (802) that is greater than or equal to the thickness of the seal (106, 908), the proximal bypass zone (902) and seal (106, 908) being arranged to expel gas, that would otherwise be trapped in the first chamber (704, 912) between the seal (106, 908) and the distal end (903) of the vessel (700, 900), from the first chamber (704, 912) as the seal (106, 908) is moved through the proximal bypass zone (902) towards the distal end (903) of the vessel (700, 900), wherein the length of the proximal bypass zone (902) is selected according to the volume of a first component (906) to be contained within the first chamber (704, 912) such that the first component (906) can be stored in the first chamber (704, 912) in the absence of gas.
2. The vessel (700, 900) of claim 1, wherein the vessel goo, 900) comprises at least two circumferentially spaced proximal projections (800a, 800b, 902a) and/or at least two circumferentially spaced distal projections (800c, 800d, 904a).
3. The vessel (700, 900) of claim 1, wherein the one or more proximal projections (800a, 800b, 902a) extend to the proximal end (901) of the vessel (700, 900), and/or wherein the one or more distal projections (800c, 800d, 904a) extend to the distal end (903) of the vessel (700, 900).
4. The vessel (700, 900) of claim 1, wherein at least a portion of at least one projection tapers towards the proximal end (901) of the vessel (700, 900).
5. The vessel of claim 1, wherein at least one of the projections includes a barbed or hooked region towards a distal end of the projection, adapted to cause partial deformation of the seal (106, 908) as the seal (106, 908) passes over the barb or hook.
6. The vessel of claim 1, wherein the vessel (700, 900) has an opening at its proximal end (901) via which the seal (106, 908) is inserted into the vessel (700, 900) and/or via which gas can escape as the seal (106, 908) is moved through the vessel (700, 900).
7. The vessel (700, 900) of claim 1, wherein the actuator comprises a piston.
8. The vessel (700, 900) of claim 1, wherein the actuator is incorporated into a lid (702) configured to close an opening at the proximal end (901) of the vessel (700, 900).
9. The vessel (700, 900) of claim 8, wherein the actuator comprises a bulb or pump.
10. The vessel (700, 900) of claim 1, wherein at least one projection is generally rectangular, triangular, circular or trapezoidal in cross section.
11. The vessel (700, 900) of claim 1, wherein at least one projection comprises an opening (115) extending through an entire longitudinal axis of the projection.
12. The vessel (700, 900) of claim 1, wherein the vessel (700, 900) is a syringe or a vial.
13. A method for introducing at least two components into a vessel (700, 900) having a proximal end (901) and a distal end (903), the method comprising steps (i), (ii), (iiia), (iva), (va) and (v), or steps (i), (ii), (iiib), (ivb), (vb) and (vi), wherein the steps are defined as follows: (i) introducing a first component (906) into the vessel (700, 900); (ii) inserting a seal (106, 908) into the vessel (700, 900) to create a first chamber (704, 902) containing the first component (906) at the distal end (903) of the vessel (700, 900) and a second chamber (706, 910) at the proximal end (901) of the vessel (700, 900); (iiia) engaging the seal (106, 908) with one or more proximal projections (800a, 800b, 902a) located in a proximal bypass zone 002) of the vessel (700, 900) such that a portion of the seal (106, 908) is urged away from the internal wall thereby opening one or more channels (114) which bypass the seal; (iva) sliding the seal (106, 908) along the one or more projections towards the first component (906) thereby expelling gas from the first chamber (704, 912) via the one or more channels (114) such that no gas is present in the first chamber (704, 912); (va) disengaging the seal (106, 908) from the one or more proximal projections (800a, 800b, 902a) thereby closing the one or more channels (114); (iiib) moving the seal (106, 908) to a proximal bypass zone (902) of the vessel (700, 900) which comprises one or more proximal bypass channels, the proximal bypass (902) zone having a cross section that is greater than the cross section of the seal (106, 908); (ivb) moving the seal (106, 908) through the proximal bypass zone (902) towards the first component (906) thereby expelling gas from the first chamber (704, 912) of the vessel (700, 900) via the one or more proximal bypass channels such that no gas is present in the first chamber (704, 912); (vb) moving the seal (106, 908) out of the proximal bypass zone (902) to a sealing position; (vi) introducing a second component (914) into the second chamber (706, 910) vessel such that the seal (106, 908) separates the second component (914) from the first component (906).
14. The method of claim 13, wherein steps (ii) and (iiia) occur simultaneously.
15. The method of claim 13, further comprising after step (vi), either (1) engaging the seal (106, 908) with either (a) the one or more proximal projections (800a, 800b, 902a), or (b) one or more distal projections (800c, 800d, 904a) located in a distal bypass zone (904) of the vessel (700, 900), thereby opening one or more channels (114) which bypass the seal (106, 908) such that the first component (906) and the second component (914) can contact each other, or (2) moving the seal (106, 908) (a) back into the proximal bypass zone (902), or (b) into a distal bypass zone (904) of the vessel (700, 900) having a cross section that is greater than the cross section of the seal (106, 908) thereby allowing the first component (906) and the second component (914) to contact each other, wherein the proximal bypass zone (902) and the distal bypass zone (904) are separated by a distance that is greater than or equal to the thickness of the seal (106, 908).
16. The method of claim 13, wherein the vessel has a proximal end (901) and a distal end and comprising a removable seal (106, 908) for defining a first chamber (704, 912) at the distal end (903) of the vessel and a second chamber (706, 910) at the proximal end (901) of the vessel (700, 900), a proximal bypass zone (902) comprising one or more proximal projections (800a, 800db, 902a) on an internal wall of the vessel (700, 900) or one or more proximal bypass channels (1502) on an internal wall of the vessel (700, 900), a distal bypass zone (904) comprising one or more distal projections (800c, 800d, 904a) on an internal wall of the vessel (700, 900), or one or more distal bypass channels (1502) on an internal wall of the vessel (700, 900), an opening at the proximal end (901) of the vessel (700, 900) for introducing a component into the vessel (700, 900), and an actuator configured to move the seal (106, 908) through the vessel (700, 900), wherein the proximal (800a, 800b, 902a) and distal projections (800c, 800d, 904a) are configured to urge a portion of the seal (406, 908) away from the internal wall of the vessel (700, 900) upon engagement with the seal (106, 908) thereby opening one or more channels (114) which bypass the seal (106, 908), and wherein the proximal and distal bypass channels are configured such that a proximal bypass zone comprising a proximal bypass channel and a distal bypass zone comprising a distal bypass channel each have a cross section that is greater than the cross section of the seal (106, 908), such that the seal (106, 908) cannot prevent communication between the first (704, 912) and second (706, 910) chambers when it is positioned in the proximal bypass zone (902) or in the distal bypass zone (904), wherein the proximal bypass zone (902) and the distal bypass zone (904) are arranged to allow fluid to bypass the seal (106, 908) are separated by a distance (802) that is greater than or equal to the thickness of the seal (106, 908) the proximal bypass zone (902) and seal (106, 908) being arranged to expel gas, that would otherwise be trapped in the first chamber (704, 912) between the seal (106, 908) and the distal end (903) of the vessel (700, 900), from the first chamber (704, 912) as the seal (106, 908) is moved through the proximal bypass zone (902) towards the distal end (903) of the vessel (700, 900), wherein the length of the proximal bypass zone (902) is selected according to the volume of a first component (906) to be contained within the first chamber (704, 912) such that the first component (906) can be stored in the first chamber (704, 912) in the absence of gas.
17-22. (canceled)
23. The vessel (700, 900) of claim 1 wherein the seal 006, 908) includes a bypass slit (1402) that is adapted to open when the seal (106, 908) engages a projection and close when the seal (106, 908) disengages the projection.
24-28. (canceled)
29. The vessel (700, 900) of claim 1, wherein the distal bypass zone (904) extends to the distal end (903) of the vessel (700, 900) such that the seal (106, 908) can be used to force the entire contents of the first chamber (704, 912) into the second chamber (706, 910) by moving the seal (106, 908) to the distal end (903) of the vessel (700, 900).
30. The method of claim 13, wherein the distal bypass zone (904) extends to a distal end (903) of the vessel (700, 900) and the seal (106, 908) is moved to the distal end (903) of the vessel (106, 908) such that all of the first component is forced passed the seal (106, 908) into the second chamber (706, 910), and contacts the second component (914), optionally wherein the first (906) and second (914) components are subsequently dispensed from the vessel (700, 900) via an opening in the proximal end (901) of the vessel (700, 900).
31. A kit comprising: (i) a seal (106, 908) suitable for defining a first chamber (704, 912) at a distal end (903) of a vessel and a second chamber (706, 910) at a proximal end (901) of the vessel (700, 900), and (ii) an insert sleeve (1302) adapted to fit inside the vessel (700, 900), wherein, when the insert sleeve (1302) is secured inside the vessel (700, 900), it defines a proximal bypass zone and a distal bypass zone inside the vessel (700, 900), the proximal (902) and distal bypass zones being arranged to allow fluid to bypass the seal (106, 908) and being separated by a distance that is greater than or equal to the thickness of the seal (106, 908), wherein the proximal bypass zone (902) comprises (a) at least one proximal projection (800a, 800b, 902a) or (b) a proximal bypass channel (1502) configured such that the cross section of the proximal bypass zone (902) is greater than the cross section of the seal (106, 908), wherein the distal bypass zone (904) comprises (a) at least one distal projection or (b) a distal bypass channel configured such that the cross section of the distal bypass zone (904) is greater than the cross section of the seal (106, 908), wherein the proximal bypass zone (902) and seal (106, 908) are arranged to expel gas, that would otherwise be trapped in the first chamber (704, 9102) between the seal (106, 908) and the distal end (903) of the vessel (700, 900), from the first chamber (704, 912) as the seal (106, 908) is moved through the proximal bypass zone (902) towards the distal end (903) of the vessel (700, 900), and wherein the length of the proximal bypass zone (902) is selected according to the volume of a first component (906) to be contained within the first chamber (704, 910) such that the first component (906) can be stored in first chamber (704, 912) in the absence of gas.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DESCRIPTION OF THE FIGURES
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[0163] The engagement of the seal and the projections to cause the formation of channels will be described with reference to
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[0172] The function of the third 800c and fourth 800d projections is to engage the seal 106 to open a channel through which component B can move from the first chamber 704 into the second chamber 706 in the manner described with reference to
[0173] The first 800a and second 800b projections are provided to allow air/oxygen to be removed from the first chamber 704 during filling of the vessel. Such vessels may be provided to a user pre-filled and hence it is advantageous to remove or exclude oxygen/air from one or more of the chambers to increase shelf life. This can be achieved using the following steps.
[0174] First, component B is introduced into what will form the first chamber 704 of the vessel 700.
[0175] Subsequently, the seal 106 is inserted into the vessel 700. This engages with the first 800a and second 800b projections such that one or more channels are present between the seal 106 and the internal wall of the vessel 700. The seal 106 is then forced longitudinally through the vessel 700 using the actuator (which in this embodiment is an elastic portion of the cap 702) along the first 800a and second 800b projections towards component B. Air/oxygen is forced out of the first chamber 704 through the channels by the movement of the seal 106. Eventually, the seal reaches the ends of the first 800a and second 800b projections and re-engages the internal wall of the vessel 700 at the gap 802 separating the first 800a and second 800b projections from the third 800c and fourth 800d projections. In this position (the position shown in
[0176] When a user wishes to transfer component B into the second chamber 706, the seal 106 is engaged with the third 800c and fourth 800d projections. Alternatively, in certain embodiments, the seal 106 may be re-engaged with the first 800a and second 800b projections to open a channel through which component B may pass into the second chamber 706. In such embodiments, the third 800c and fourth 800d projections may be omitted.
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EXAMPLE 1
[0184] Several proof of concept tests were carried out using single use plastic syringes having a variety of capacities.
[0185] In this example a low capacity syringe was chosen in order to simulate the single use prefilled syringes commonly used for the administration of intra-articular injections of hyaluronic acid in the joints for the treatment of Osteoarthritis. Moreover, such syringes (in combination with the liquid components tested) were considered to represent a high difficulty configuration (due to the narrow barrel) which could prove at the same time that the invention functions and is efficient across a wide range of applications and for use with other components and syringes.
[0186] A 2.5 ml syringe (PIC Solution of Artsana SPA Italy) single use, latex free, pthalates free, pyrogen free, ethylene oxide sterilised was identified as a suitable syringe for the test. The syringe had an inner barrel diameter of 9 mm and comprised a plunger which terminated in a seal. The plunger seal comprised pronounced annular portions having a diameter of 9.2 mm, between which were two furrows, the front furrow (the one closest to the conical terminus) having a depth of 1 mm. The length (side view) of the plunger seal was 5 mm excluding the 2 mm conical terminus.
[0187] A second seal (exactly the same as the plunger seal) was provided for the purpose of forming two chambers within the syringe such that two components could be stored separately (for example prior to administration). The chambers will be referred to as chamber A and chamber B, chamber B being closest to the plunger and chamber A being closest to the syringe's outlet.
[0188] Two individual projections each having a generally cylindrical cross section were fixed on the internal wall of the barrel. Each projection was tapered at both ends and had a maximum height of 0.9 mm extending into the barrel of the syringe. The second projection was provided on the opposite side of the inner wall to the first projection. The length of the projections was equal to that of the second seal (excluding its conical terminus) i.e. 5 mm.
[0189] The syringe was filled with 0.5 of water. The second seal was then inserted to confine the water to chamber B. The projections were situated in chamber A and it was confirmed that water could not pass into chamber A. The plunger was then depressed. This forced the second seal to engage the projections along the entire 5 mm length of the seal (with no significant resistance). This allowed water to pass into chamber A via two channels which had formed around the projections between the second seal and the internal wall of the barrel. It was surprisingly noticed that even one single projection was enough to create a channel or possibly two allowing the water to pass around the projection and enter chamber A.
EXAMPLE 2
[0190] A second experiment was conducted using the syringe and protocol of Example 1 except that water was replaced with a high viscosity liquid component. The selected viscous liquid component was 1.5%.sodium hyaluronate in 0.2M sodium chloride with a measured zero shear viscosity of 530 Pas.
[0191] Again surprisingly, despite the high viscosity of the component, the test was successful and the sodium hyaluronate solution was able to pass into chamber A via channels formed around the projections.
[0192] Surprisingly both forward and backward movement (suction) of the plunger were found to be effective in causing engagement of the second seal and the projections leading to the formation of channels through which either of the components tested could pass. It is worth noting that the resistance in engaging and riding of the projections by the second seal in both cases was insignificant, while a minimal increase in resistance in both movements (forward and backward) was only observed the moment the conical terminus of the plunger itself had to ride the projections. A small deformation of the plunger (in the shape of the projection) was noticed for that reason after the experiment was completed. Adjustments of the various parameters (as described herein) can be made to avoid this if necessary.