ADMINISTRATION APPARATUS
20180304019 ยท 2018-10-25
Inventors
- Shingo Oda (Osaka, JP)
- Shinji Nagamatsu (Osaka, JP)
- Kunihiko Yamashita (Hyogo, JP)
- Aya Hashimoto (Tokyo, JP)
Cpc classification
A61M5/30
HUMAN NECESSITIES
A61M5/2046
HUMAN NECESSITIES
International classification
A61M5/30
HUMAN NECESSITIES
A61M5/315
HUMAN NECESSITIES
Abstract
Provided is an administration apparatus for administering a dosing liquid. The administration apparatus includes a storage unit storing the dosing liquid, a drive unit imparting administration energy and a pressurization unit pressurizing the stored dosing liquid with the administration energy. The administration apparatus also includes an injection unit injecting the pressurized liquid to an object region through an injection port. In a pressure transition of the dosing liquid at the injection port, a vibration in the pressure transition reaches a converged state from a rising time of pressure. Furthermore, a ratio of a peak value of an initial vibration element to a peak value of subsequent vibration elements other than the first vibration element is higher than 1 and equal to or lower than a prescribed first ratio. As a result, invasiveness to the object region during administration is reduced.
Claims
1. An administration apparatus which administers a dosing liquid containing a prescribed substance to an object region, the administration apparatus comprising: a storage unit which stores the dosing liquid; a drive unit which imparts administration energy; a pressurization unit which pressurizes the dosing liquid stored in the storage unit with the administration energy in the drive unit; and an injection unit which injects the dosing liquid having been pressurized by the pressurization unit to the object region through an injection port, wherein the pressurization unit pressurizes the dosing liquid so that, in a pressure transition of the dosing liquid at the injection port in response to imparting the administration energy, a vibration in the pressure transition reaches a converged state within a prescribed period of time from a rising time of pressure, and a ratio of a peak value of an initial first vibration element in the vibration within the prescribed period of time to a peak value of subsequent vibration elements other than the first vibration element is higher than 1 and equal to or lower than a prescribed first ratio.
2. The administration apparatus according to claim 1, wherein the drive unit includes at least a high-energy substance and generates the administration energy by burning the high-energy substance.
3. The administration apparatus according to claim 1, wherein the first vibration element is a vibration that reaches pressure equal to or higher than 10 MPa that is the peak value within 0.5 msec from the rising time.
4. The administration apparatus according to claim 1, wherein within the prescribed period of time from the rising time, pressure of the dosing liquid reaches the converged state while vibrating in a damped manner at a frequency belonging to a prescribed frequency range.
5. The administration apparatus according to claim 4, wherein the prescribed frequency range is 500 to 10000 Hz.
6. The administration apparatus according to claim 1, wherein a total amplitude of the other vibration elements included in the vibration in the prescribed period of time is equal to or less than 15 MPa.
7. An administration apparatus which administers a dosing liquid containing a prescribed substance to an object region, the administration apparatus comprising: a storage unit which stores the dosing liquid in a storage chamber; a drive unit which imparts administration energy; a pressurization unit which pressurizes the dosing liquid stored in the storage unit with the administration energy in the drive unit; and an injection unit which injects the dosing liquid having been pressurized by the pressurization unit to the object region through an injection port, wherein the pressurization unit pressurizes the dosing liquid so that, in a pressure transition of the dosing liquid at the injection port in response to imparting the administration energy, a vibration in the pressure transition dampens over time within a prescribed period of time from a rising time of pressure and the vibration within the prescribed period of time is a damped vibration at a frequency belonging to a prescribed frequency range.
8. The administration apparatus according to claim 7, wherein the drive unit includes at least a high-energy substance and generates the administration energy by burning the high-energy substance.
9. The administration apparatus according to claim 7, wherein the prescribed frequency range is 500 to 10000 Hz.
10. The administration apparatus according to claim 7, wherein a ratio of a peak value of an initial first vibration element in the vibration within the prescribed period of time to a peak value of subsequent vibration elements other than the first vibration element is higher than 1 and equal to or lower than a prescribed first ratio.
11. The administration apparatus according to claim 10, wherein the first vibration element is a vibration that reaches pressure equal to or higher than 10 MPa that is the peak value within 0.5 msec from the rising time.
12. The administration apparatus according to claim 7, wherein a total amplitude of vibration elements other than the initial first vibration element in the vibration within the prescribed period of time is equal to or lower than 15 MPa.
13. The administration apparatus according to claim 1, wherein the prescribed period of time is a period of 2 msec or less from the rising time.
14. The administration apparatus according to claim 13, wherein the prescribed period of time is a period of 1.5 msec or less from the rising time.
15. The administration apparatus according to claim 2, further comprising: a gas generating agent which generates prescribed gas by combustion and which is arranged at a position exposed to combustion products generated by the combustion of the high-energy substance, wherein the pressurization unit further pressurizes the dosing liquid by energy created by the combustion of the gas generating agent in a vicinity of a time at which the prescribed period of time has elapsed from the rising time of pressure of the dosing liquid.
16. The administration apparatus according to claim 15, wherein: when the administration energy is defined as first administration energy, and energy created by the combustion of the gas generating agent is defined as second administration energy, a peak value in a pressure transition of the dosing liquid by the second administration energy is equal to or higher than a peak value in a pressure transition excluding the first vibration element in the pressure transition of the dosing liquid by the first administration energy.
17. The administration apparatus according to claim 1, wherein the administration apparatus administers the dosing liquid to the object region from the injection port without involving an introduction unit.
18. The administration apparatus according to claim 7, wherein the prescribed period of time is a period of 2 msec or less from the rising time.
19. The administration apparatus according to claim 18, wherein the prescribed period of time is a period of 1.5 msec or less from the rising time.
20. The administration apparatus according to claim 8, further comprising: a gas generating agent which generates prescribed gas by combustion and which is arranged at a position exposed to combustion products generated by the combustion of the high-energy substance, wherein the pressurization unit further pressurizes the dosing liquid by energy created by the combustion of the gas generating agent in a vicinity of a time at which the prescribed period of time has elapsed from the rising time of pressure of the dosing liquid.
21. The administration apparatus according to claim 20, wherein: when the administration energy is defined as first administration energy, and energy created by the combustion of the gas generating agent is defined as second administration energy, a peak value in a pressure transition of the dosing liquid by the second administration energy is equal to or higher than a peak value in a pressure transition excluding the first vibration element in the pressure transition of the dosing liquid by the first administration energy.
22. The administration apparatus according to claim 7, wherein the administration apparatus administers the dosing liquid to the object region from the injection port without involving an introduction unit.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0028]
[0029]
[0030]
[0031]
[0032]
[0033]
[0034]
[0035]
[0036]
[0037]
DETAILED DESCRIPTION OF EMBODIMENTS
[0038] Hereinafter, an administration apparatus 1 according to embodiments of the described technology will be described with reference to the drawings. As described below, the administration apparatus 1 administers a dosing liquid to an object region, and an administration operation of the dosing liquid corresponds to the administration operation of the administration apparatus according to the described technology. Therefore, the dosing liquid corresponds to the dosing liquid according to the described technology. It is to be understood that configurations of the embodiments described below are illustrative and that the described technology is not limited to the configurations of the embodiments described below. Moreover, in the present embodiment, a distal end side and a proximal end side will be used as terms representing a relative positional relationship in a longitudinal direction of the administration apparatus 1. The distal end side represents a position near to a distal end of the administration apparatus 1 to be described later or, in other words, a position near to an injection port 31a, and the proximal end side represents a direction opposite to the distal end side in the longitudinal direction of the administration apparatus 1 or, in other words, a direction of a side of a drive unit 7.
[0039] <Configuration of Administration Apparatus 1>
[0040]
[0041] Examples of the prescribed substance contained in the dosing liquid include not only drugs and medicines which can be administered in the object region that is a living organism but also biologically-derived substances and substances which produce desired physiological activity, examples of the biologically-derived substances include DNA, RNA, nucleic acids, antibodies, cells, and examples of the physiologically active substances include low molecular medicine, inorganic material such as metal particles for hyperthermia and radiotherapy, and substances and the like having various pharmacological and therapeutic effects including carriers. In addition, the liquid that is the medium of the dosing liquid need only be a substance preferable for administering the prescribed substances into the object region and may be either water-based or oil-based. Furthermore, as long as the prescribed substance can be administered with the administration apparatus 1, a viscosity of the liquid that is the medium is also not particularly limited. In addition, the object region that is an administration object of the dosing liquid is a region to which the prescribed substance is to be administered, and examples of the object region include cells or tissue (skin or the like), an organ or system (an eye, the heart, a liver, or the like), and the like of a living organism. Moreover, a component of a living organism can be set as the object region in a state where the component is separated from a main body of the living organism as long as such separation does not pose any problems. In other words, both ex-vivo administration of the prescribed substance to an object region (tissue or an organ) and in-vitro administration of the prescribed substance to an object region (cultured cells or cultured tissue) are also included in the scope of the administration apparatus according to the described technology.
[0042] As described above, the apparatus assembly 10 is configured to be detachable from and attachable to the housing 2. A storage chamber 32 (refer to
[0043] Configurations of the sub-assemblies 10A and 10B and detailed configurations of the syringe section 3, the plunger 4, the piston 5, the administration apparatus main body 6, and the drive unit 7 which are included in both sub-assemblies will now be described with reference to
[0044] As a body 30 of the syringe section 3, for example, known nylon 6-12, polyallylate, polybutylene terephthalate, polyphenylene sulfide, a liquid crystal polymer, or the like can be used. In addition, these resins may contain a filler such as glass fiber or a glass filler, in which case polybutylene terephthalate can contain 20% by mass to 80% by mass of glass fiber, polyphenylene sulfide can contain 20% by mass to 80% by mass of glass fiber, and a liquid crystal polymer can contain 20% by mass to 80% by mass of minerals.
[0045] In addition, in the storage chamber 32 formed inside the body 30, the plunger 4 is arranged so as to be slidable in a direction of the nozzle section 31 (a distal end-side direction), and a space formed between the plunger 4 and the body of the syringe section 3 is a space in which a dosing liquid 320 is to be stored. As the plunger 4 slides inside the storage chamber 32, the dosing liquid 320 stored in the storage chamber 32 is pressed and injected from the injection port 31a provided on a distal end side of the nozzle section 31. To this end, the plunger 4 is formed of a material which enables the plunger 4 to slide smoothly in the storage chamber 32 and which prevents the dosing liquid 320 from leaking out from the side of the plunger 4. Specific examples of a material of the plunger 4 include butyl rubber and silicone rubber. Further examples include a styrene-based elastomer, a hydrogenated styrene-based elastomer, and a styrene-based elastomer or a hydrogenated styrene-based elastomer mixed with a polyolefin such as polyethylene, polypropylene, polybutene, or alpha-olefin copolymer, an oil such as liquid paraffin or processing oil, or a powdered inorganic substance such as talc, cast, or mica. In addition, a polyvinyl chloride-based elastomer, an olefin-based elastomer, a polyester-based elastomer, a polyamide-based elastomer, a polyurethane-based elastomer, various rubber materials (in particular, vulcanized rubber materials) such as natural rubber, isoprene rubber, chloroprene rubber, nitrile-butadiene rubber, styrene-butadiene rubber, and mixtures thereof can also be adopted as the material of the plunger 4. Furthermore, for the purpose of securing or adjusting slidability between the plunger 4 and the syringe section 3, a surface of the plunger 4 or a surface of the storage chamber 32 of the syringe section 3 may be coated or surface-treated using various substances. As the coating agent, PTFE (polytetrafluoroethylene), silicone oil, diamond-like carbon, nanodiamond, and the like can be used, and an injection pressure transition and vibration elements thereof to be described later may be controlled by using these material to adjust slidability to a desired range.
[0046] As shown in
[0047] Furthermore, the plunger 4 is provided with a rod section 44 which extends further in a direction of the proximal end side from an end surface on the proximal end side of the barrel section 42. While a diameter of the rod section 44 is sufficiently smaller than that of the barrel section 42, the diameter is large enough to enable the user to grip the rod section 44 and move the rod section 44 inside the storage chamber 32. In addition, a length of the rod section 44 is determined so that the rod section 44 protrudes from the end surface on the proximal end side of the syringe section 3 and the user can grip the rod section 44 even when the plunger 4 is at the deepest position of the storage chamber 32 of the syringe section 3.
[0048] Let us now return to the description of the syringe section 3. An inner diameter of a flow path provided in the nozzle section 31 on the side of the syringe section 3 is formed narrower than an inner diameter of the storage chamber 32. According to such a configuration, the dosing liquid 320 having been pressurized to high pressure is injected to the outside from the injection port 31a of the flow path. In consideration thereof, a vicinity of the nozzle section 31 on a distal end side of the syringe section 3 is provided with an annular shield section 31b so as to surround a periphery of the injection port 31a. For example, when the dosing liquid is to be injected by pressing the injection port 31a against a superficial layer of an administration object region such as human skin, the injected dosing liquid can be shielded by the shield section 31b and prevented from spattering around the injection port 31a. Moreover, a certain amount of yielding of the skin when the injection port is pressed against the skin increases contactability between the injection port and the skin and can suppress scattering of the dosing liquid. In consideration thereof, as shown in
[0049] In addition, in the neck section 33 that is positioned on the proximal end side of the syringe section 3, a screw section 33a for coupling the administration apparatus main body 6 on the side of the sub-assembly 10B to be described later and the syringe section 3 to each other is formed. A diameter of the neck section 33 is set smaller than the diameter of the body 30.
[0050] Next, the sub-assembly 10B that includes the piston 5, the administration apparatus main body 6, and the drive unit 7 will be described with reference to
[0051] In addition, the piston 5 is made of metal and has a first barrel section 51 and a second barrel section 52. The piston 5 is arranged inside the through-hole 64 so that the first barrel section 51 faces a side of the coupling depression 61 and, at the same time, the second barrel section 52 faces a side of the drive unit depression 65. The piston 5 slides inside the through-hole 64 of the administration apparatus main body 6 while the first barrel section 51 and the second barrel section 52 oppose an inner wall surface of the through-hole 64. Moreover, the first barrel section 51 and the second barrel section 52 are connected by a coupling section that is narrower than diameters of the respective barrel sections, and an O ring or the like is arranged in a space between the barrel sections which is formed as a result of the barrel sections being connected by the coupling section in order to enhance adhesiveness with the inner wall surface of the through-hole 64. In addition, the piston 5 may be made of resin, in which case metal may be used in combination with the resin in portions that require heat resistance or pressure resistance.
[0052] An end surface on a distal end side of the first barrel section 51 is provided with a pressing column section 53 of which a diameter is smaller than the first barrel section 51 and also smaller than the diameter of the communicating section 63 of the administration apparatus main body 6. The pressing column section 53 is provided with a storage hole 54 which opens on an end surface on a distal end side of the pressing column section 53, of which a diameter is equal to or larger than the diameter of the rod section 44, and of which a depth is greater than the length of the rod section 44. As a result, when the piston 5 is pressurized by a combustion product of the igniter 71, the pressing column section 53 can transfer the combustion energy of the combustion product to the end surface on the proximal end side of the barrel section 42 of the plunger 4 via the end surface on the distal end side of the pressing column section 53. Moreover, a shape of the piston 5 is similarly not limited to the shape illustrated in
[0053] Next, the drive unit 7 will be described. The drive unit 7 has a body 72 thereof formed in a cylindrical shape and has, inside the drive unit 7, the igniter 71 which is an electric igniter that burns an ignition charge to generate energy for injection, and the drive unit 7 is arranged in the drive unit depression 65 as described above so as to be capable of transferring combustion energy by the igniter 71 to the second barrel section 52 of the piston 5. Specifically, the body 72 of the drive unit 7 may be constructed by fixing an injection-molded resin to a metal collar. Known methods can be used to perform the injection molding. A resin material of the body 72 of the drive unit 7 is the same resin material used to form the body 30 of the syringe section 3.
[0054] The ignition charge used in the igniter 71 corresponds to the high-energy substance according to the described technology. In addition, the combustion energy of the ignition charge corresponds to the administration energy according to the described technology and, consequently, the generation of the combustion energy or, in other words, the combustion of the ignition charge corresponds to the imparting of the administration energy. Favorable examples of the ignition charge include gunpowder (ZPP) containing zirconium and potassium perchlorate, gunpowder (THPP) containing titanium hydride and potassium perchlorate, gunpowder (TiPP) containing titanium and potassium perchlorate, gunpowder (APP) containing aluminum and potassium perchlorate, gunpowder (ABO) containing aluminum and bismuth oxide, gunpowder (AMO) containing aluminum and molybdenum oxide, gunpowder (ACO) containing aluminum and copper oxide, and gunpowder (AFO) containing aluminum and iron oxide, and gunpowder consisting of a combination of a plurality of these gunpowders. These gunpowders exhibit characteristics in that, while high-temperature and high-pressure plasma is generated during combustion immediately after ignition, generated pressure drops abruptly once a combustion product reaches normal temperature and condenses since the combustion product does not have a gaseous component. Gunpowders other than the above may be used as the ignition charge insofar as appropriate administration can be performed.
[0055] In addition, although a gas generating agent is not particularly arranged inside the administration apparatus main body 6 shown in
[0056] Moreover, filling of the dosing liquid 320 in the sub-assembly 10A is performed in a state where the plunger 4 has been inserted to the deepest position by immersing the injection port 31a into a container filled with the dosing liquid and drawing back the plunger 4 to an opening side of the storage chamber 32 or, in other words, the proximal end side of the syringe section 3 while maintaining this state. At this point, the plunger 4 has been drawn out until an end surface on the proximal end side of the barrel section 42 of the plunger 4 reaches a position slightly protruding from the end surface on the proximal end side of the syringe section 3.
[0057] In addition, in the sub-assembly 10B, the piston 5 is first inserted from the proximal end side of the administration apparatus main body 6 shown in
[0058] The sub-assembly 10A configured in this manner is mounted to the sub-assembly 10B by screwing of the screw sections 33a and 62a to form the apparatus assembly 10. At this point, as coupling of both sub-assemblies advances, the rod section 44 of the plunger 4 enters the storage hole 54 provided in the pressing column section 53 of the piston 5 and becomes stored in the storage hole 54 and, finally, the end surface on the distal end side of the pressing column section 53 comes into contact with the end surface on the proximal end side of the barrel section 42 of the plunger 4. Moreover, since the storage hole 54 is large enough to store the rod section 44, in this contact state, an inner wall surface at the back of the storage hole 54 (in particular, a bottom surface of the storage hole 54) is not in contact with the end section on the proximal end side of the rod section 44 and, therefore, the rod section 44 is not subjected to a load from the side of the piston 5. Furthermore, once the coupling advances to a final screwing position, since a position of the piston 5 is fixed to the through-hole 64 with a sufficient friction force, the plunger 4 is pushed by the pressing column section 53 so as to advance toward the side of the injection port 31a and the plunger 4 is positioned inside the syringe section 3. Moreover, a part of the dosing liquid 320 corresponding to the amount by which the plunger 4 is pushed is discharged from the injection port 31a.
[0059] The formation of the apparatus assembly 10 is completed once the plunger 4 is positioned at a final position in this manner. In the apparatus assembly 10, the piston 5 is in a state of being positioned at a prescribed position with respect to the administration apparatus main body 6, and a position of the plunger 4 in the storage chamber 32 of the syringe section 3 is finally mechanically determined with the piston 5 as a reference. Since the final position of the plunger 4 is a position that is uniquely determined in the apparatus assembly 10, an amount of the dosing liquid 320 to be finally stored in the storage chamber 32 can be adjusted to a prescribed amount determined in advance.
[0060] Subsequently, the apparatus assembly 10 is mounted to the housing 2, and when the button 8 is pressed by the user in a state where the injection port 31a is in contact with the object region, the dosing liquid 320 is pressurized via the piston 5 and the plunger 4, injection of the dosing liquid 320 is executed, and the dosing liquid 320 is administered into the object region.
[0061] <Injection Control of Dosing Liquid>
[0062] Examples of the object region of the administration apparatus 1 include a skin structure of a living organism such as a human or livestock.
[0063] Specifically, the stratum corneum is mainly made up of keratinocytes and functions as a so-called barrier layer due to its position on an outermost side of skin. Generally, a thickness of the stratum corneum is around 0.01 to 0.015 mm and the keratinocytes provide surface protection for a human. Therefore, the stratum corneum is required to be relatively strong in order to physically cut off the inside of a human body from the external environment. In addition, the intradermal layer is made up of dendritic cells (Langerhans cells) and pigment cells (melanocytes), the epidermis is made up of the stratum corneum and the intradermal layer, and a thickness of the epidermis is generally around 0.1 to 2 mm. The dendritic cells in the intradermal layer are thought to be cells involved in antigen-antibody reactions. This is because ingesting an antigen makes the dendritic cells aware of the presence of the antigen and an antigen-antibody reaction which activates lymphocytes that attack foreign objects is more readily induced. On the other hand, pigment cells in the intradermal layer have a function of preventing the effect of ultraviolet rays irradiated from the external environment. In addition, the dermis is lined with cutaneous blood vessels and capillaries that form a complex pattern, and sweat glands for regulating body temperature, roots of body hair (including head hair) and sebaceous glands that accompany roots are also present in the dermis. Furthermore, the dermis is a layer that communicates between the inside of the human body (subcutaneous tissue, muscular tissue) and the epidermis, and is constructed so as to contain fibroblasts and collagen cells. Therefore, a state of the dermis plays a major role in the occurrence of so-called wrinkles, hair loss, and the like due to a shortage of collagen and elastin.
[0064] As described above, the skin structure of a human is generally formed in layers and unique anatomical functions are exhibited by cells, tissue, and the like which primarily make up each layer. This means that, when using medical treatment or the like on skin, a substance for the treatment is desirably administered to a location (depth) of the skin structure corresponding to a therapeutic purpose of the medical treatment. For example, since dendritic cells are present in the intradermal layer, a more effective antigen-antibody reaction can be expected by administering a vaccine to the intradermal layer. In addition, since pigment cells are present in the intradermal layer, even when performing a beauty treatment for so-called skin whitening, prescribed substances for skin whitening are required to be administered to the intradermal layer. Furthermore, since fibroblasts and collagen cells are present in the dermis, an effective beauty treatment effect is expected when injecting proteins, enzymes, vitamins, amino acids, minerals, sugars, nucleic acids, and various growth factors (epithelial cells and fibroblasts) for removing wrinkles of the skin. Moreover, it is said that a favorable hair regrowth treatment involves stem cell infusion in which hair papilla cells, epidermal stem cells, and the like are autologously cultured and autologously transplanted into the scalp or injecting several types of growth factors and nutritional components extracted from stem cells into a vicinity of the dermis.
[0065] As described above, while a prescribed substance administered according to a therapeutic purpose and a position (depth) in the skin structure at which the prescribed substance is desirably administered individually correspond to each other, it is not easy to deliver the substance to a targeted arrival position. In addition, even when the prescribed substance is able to reach the target arrival position, a sufficient desired effect by the prescribed substance cannot be expected if cells in the vicinity of the arrival position end up being destroyed by a dosing liquid including the prescribed substance. Furthermore, if the dosing liquid had applied some kind of load to tissue and cells through which the dosing liquid had passed in the process of reaching the arrival position and has damaged or destroyed the tissue or cells, such damage or destruction is to be recognized by the user as an internal hemorrhage, pain, and the like and therefore impart a feeling of discomfort to the user. In particular, when no structure (introduction unit) which guides the dosing liquid to the inside of an object region is present between an apparatus to administer the dosing liquid such as the administration apparatus 1 and the object region, a constant amount of energy (in the case of the described technology, this energy is combustion energy by the igniter 71) is to be imparted to the dosing liquid to enable the dosing liquid to penetrate to the inside of the object region. Since the dosing liquid is imparted with relatively high energy and injected toward the object region to enable the dosing liquid to penetrate into the object region, an unnecessary dynamic action is likely to be performed on components (for example, cells) of the object region and invasiveness to the object region cannot be necessarily described as being low. In addition, in conventional art, injections of a dosing liquid which sufficiently take such invasiveness to the object region into consideration are not carried out and, consequently, efficacy and the like due to the prescribed substance are not sufficiently elicited.
[0066] In consideration thereof, in the described technology, for example, minimal invasiveness to an object region is defined as administering a dosing liquid so that functions of organs, tissue, and the like of a living organism are not damaged during administration or administering the dosing liquid so that damage to such functions are minimized. Alternatively, when cells of a living organism are used as an object region, minimal invasiveness to an object region is defined as administering a dosing liquid so as not to cause unnecessary cell death or administering the dosing liquid so as to minimize unnecessary cell death. Based on the above, the administration apparatus 1 according to the described technology adopts a configuration in which pressurization of a dosing liquid by combustion energy generated by the drive unit 7 is adjusted so that a pressure transition of the dosing liquid injected from the administration apparatus 1 exhibits minimal invasiveness with respect to an object region. Details thereof will be described below.
[0067]
[0068] In
[0069] More specifically, in the prescribed period of time t from the rise timing T0, a pressure vibration element S1 (hereinafter, referred to as a first vibration element S1) is initially generated. The first vibration element S1 is an injection pressure transition of a period after a peak value Px1 (approximately 45 MPa) once arrives from injection pressure (approximately 0 MPa) at the rise timing T0 and before a next local minimum value arrives. In addition, a variation width (peak to peak) of the injection pressure in the period is defined as a total amplitude of the first vibration element S1 and, specifically, the total amplitude of the first vibration element S1 is approximately 45 MPa. The first vibration element S1 is further followed by a second vibration element S2, a third vibration element S3, and a fourth vibration element S4. The second vibration element S2 is an injection pressure transition of a period after a peak value Px2 (approximately 37 MPa) arrives from a timing of the end of the first vibration element S1 and before a next local minimum value arrives. In addition, a variation width (peak to peak) of the injection pressure in the period is defined as a total amplitude of the second vibration element S2 and, specifically, the total amplitude of the second vibration element S2 is approximately 10 MPa. With respect to the third vibration element S3 and the fourth vibration element S4, a period that defines each vibration element and a total amplitude of each vibration element are similar to those of the second vibration element S2 and, although a detailed description thereof will be omitted, the total amplitude of the third vibration element S3 and the total amplitude of the fourth vibration element S4 have decreased with the passage of time. In other words, in the prescribed period of time t, the pressure transition becomes a damped vibration with the passage of time, and after the lapse of the prescribed period of time t, the pressure transition enters a state where the vibration has more or less converged.
[0070] Furthermore, let us focus on a period of the pressure vibration in the prescribed period of time t. A period calculated from a peak value of the first vibration element S1 and a peak value of the second vibration element S2 is approximately 0.5 milliseconds, and a period calculated from the peak value of the second vibration element S2 and a peak value of the third vibration element S3 is approximately 0.5 milliseconds. While a period immediately before arrival of a converged state is slightly shorter, it is evident that the transition of injection pressure takes place at a generally constant period in the prescribed period of time t. Accordingly, it is shown that the injection pressure transition in the prescribed period of time t is a pressure vibration at a frequency of around 2000 Hz.
[0071] Moreover, a pressure fluctuation in the prescribed period of time t is mainly attributable to combustion of the ignition charge of the igniter 71. In addition, in a vicinity of a timing at which the prescribed period of time t lapses, combustion of the gas generating agent inside the through-hole 64 is started by a combustion product of the ignition charge and combustion energy thereof starts to further act on the dosing liquid. As a result, as shown in
[0072] How a dosing liquid affects components of an object region and exhibits minimal invasiveness due to injection pressure indicating such transition characteristics will be described using an example of administrating the dosing liquid to the epidermis of the skin structure shown in
[0073] As described above, in the skin structure of a living organism, cells themselves are enclosed in the cell membrane and, at the same time, various bonding means are present between the cells. Therefore, in order to demonstrate minimal invasiveness to cells and the like when the skin structure is used as an object region of administration of a dosing liquid, control of injection pressure which suitably counteracts a bonding force between cells created by the bonding means while avoiding unnecessary dynamic action to cell membranes is conceivably important. In addition, technical concepts related to such injection pressure are conceivably applicable in a similar manner to object regions in a living organism other than the skin structure.
[0074] In the injection pressure transition shown in
[0075] Moreover, the total amplitude of each of the vibration elements S2 to S4 other than the first vibration element S1 in the pressure vibration in the injection pressure transition in the prescribed period of time t is favorably equal to or lower than a total amplitude value (for example, 15 MPa) that is used as a reference. As a result, unnecessary dynamic action on cell membrane due to an excessively large total amplitude can be avoided.
[0076] Furthermore, the present inventors have focused on the fact that, in the pressure transition indicating a damped vibration within the prescribed period of time t, the peak value of the first vibration element S1 is relatively higher than those of the second, third, and fourth vibration elements S2 to S4. When an initial rise of injection pressure is an instantaneous pressure vibration element such as the first vibration element S1 described above, a minute distortion is created between cell membranes, thereby enabling forces directly acting on the cell membranes themselves to be suppressed while effectively canceling out the bonding force created by the bonding means described earlier. In other words, an instantaneous variation in injection pressure by the first vibration element S1 conceivably exerts dynamic action on the object region so as to mutually shift cells and to make it easier for the dosing liquid to flow along interfaces between the cells, and enables unnecessary dynamic action applied to cell membranes themselves to be suppressed. However, since the dynamic action to the cell membranes themselves conceivably becomes non-negligible when the peak value Px1 of the first vibration element S1 is excessively large, in consideration of minimal invasiveness, a prescribed upper limit ratio is favorably set for the peak value Px1 based on peak values of other vibrations (for example, the peak value Px2 of the second vibration element S2 which is a next highest peak value). A ratio of the peak value Px1 to the peak value Px2 corresponds to the prescribed first ratio according to the described technology. Therefore, in the present embodiment, the ratio is a value larger than 1 and lower than the prescribed upper limit ratio.
[0077] Based on the above, minimal invasiveness of the dosing liquid during administration can be demonstrated based on the fact that, in a transition of pressure (injection pressure) of the dosing liquid entering the object region in an initial stage of administration, the injection pressure vibrates in a damped manner and a peak value of the initial first vibration element S1 in vibrations of the injection pressure becomes larger within a range of a ratio larger than 1 and smaller than the prescribed upper limit ratio relative to peak values of other vibration elements (S2 to S4). The present inventors do not consider both conditions to be requisites in the transition of injection pressure for realizing minimally invasive administration. Minimally invasive administration can conceivably be realized by adopting any one of the conditions. However, more preferable minimally invasive administration can be realized by adopting both conditions in the transition of injection pressure.
[0078] Once the prescribed period of time t lapses, combustion of the gas generating agent is started by a combustion product of the ignition charge. As a result, the injection pressure of the dosing liquid of which pressure vibration had generally converged rises once again and the peak value Py described earlier arrives. Due to such pressurization of the dosing liquid by the gas generating agent, the dosing liquid having entered the object region at minimal invasiveness can be further diffused inside the object region in an effective manner.
[0079] In addition, even when the purpose of administration by the administration apparatus 1 is to introduce a prescribed substance to the inside of cells, a minimally invasive introduction of the substance into the cells can be achieved by adopting at least one of the two conditions described above in an injection pressure transition. Conceivably, by making the peak value of a first vibration element which is an initial vibration element in a group of vibration elements within the prescribed period of time t a steep peak value or by setting a frequency of the group of vibration elements to a frequency that belongs to the prescribed frequency range described earlier, at the same time as the entry of dosing liquid into the object region, cell membranes are pressurized over a wide range by the dosing liquid at a faster rate than a propagation of distortion through cells inside the object region and gaps are temporarily created in the cell membranes and, as a result, the introduction of the substance into the cells in a minimally invasive manner is promoted.
[0080] Moreover, instead of an aspect in which the peak value of the first vibration element which is an initial vibration element in pressure vibration within the prescribed period of time t is set using a peak value of other vibration elements (for example, the second vibration element) as a reference as described above, the peak value of the first vibration element or a flow rate corresponding to the peak value may be set higher than reference injection pressure or a reference flow rate set independently of parameters of the pressure vibration in the prescribed period of time t. The reference injection pressure or the reference flow rate may be appropriately changed in accordance with an object region to be an object of administration. For example, when the object region is an organ such as a liver or the heart, according to the minimal invasiveness provided by the described technology, a prescribed substance can be administered to tissue that does not constitute blood vessels in the organ while minimizing the effect on the blood vessels in the organ. Administration with minimal invasiveness is particularly useful for organs that contain a large amount of blood vessels such as the livers. In consideration thereof, the reference injection pressure and the reference flow rate described above are set so that minimal invasiveness on the blood vessels in organs can be achieved.
[0081] The formation of an injection pressure transition which enables minimally invasive administration to be performed by the administration apparatus 1 will now be described with reference to
[0082] As is evident from the pressure transitions, initially, pressure inside the through-hole 64 rises abruptly as the ignition charge of the igniter 71 burns. As the pressure rises, the piston 5 is propelled so as to push the plunger 4, and the dosing liquid is pressurized via the plunger 4. The pressure of the dosing liquid inside the storage chamber 32 due to the pressurization rises somewhat earlier than a rising time of injection pressure as indicated by the line L2, but exhibits a transition that is more or less steep as or even steeper than the rise of the injection pressure, and a subsequent pressure vibration exhibits a damped vibration at generally the same period as the injection pressure transition and at a generally constant frequency. In other words, in the example shown in
[0083] The prescribed substance that is administered into the object region by the administration apparatus 1 will now be further described. When the prescribed substance is a substance which undergoes a change in physical properties when pressurized inside a liquid medium, efficiency of introduction of the substance into the object region can be enhancing using a reaction of the change. For example, Japanese Patent Application Laid-open No. 2003-261777 discloses a technique of forming a particulate hydrogel by placing polyvinyl alcohol and a water-soluble natural product capable of hydrogen bonding under high pressure. Under high pressure, since a hydroxyl group, an amino group, and a carboxylic group of the natural product bond to generate a microscopic hydrogen-bonded assembly, a three-dimensional molecular structure changes and may enable the natural product to more readily pass through membranes. In consideration thereof, using this characteristic of membrane permeability improvement due to pressure, administering the natural product with the administration apparatus 1 enables the prescribed substance to reach the inside of the object region in an efficient manner. In addition, when pressurization causes a reaction related to the prescribed substance to accelerate, the substance after the reaction can be introduced into the object region.
Practical Example 1
[0084] A result of an experiment regarding vibration in an object region when using the administration apparatus 1 according to the described technology will now be described with reference to
[0085] A line L11 in
[0086] In addition, in the spring-driven injector, an amplitude (a total amplitude) of the pressure vibration that continues for a long period of time after a rise timing of pressure varies irregularly. For example, in a range from 7.5 milliseconds to 9 milliseconds on the abscissa, the amplitude of the pressure vibration increases with the passage of time. Therefore, with the spring-driven injector, an amplitude variation of pressure vibration similar to the damped vibration exhibited by the administration apparatus 1 cannot be observed.
[0087] Therefore, when comparing the administration apparatus 1 according to the described technology with the spring-driven injector as a comparative example, while a pressure vibration in an initial stage of administration reaches a converged state within an extremely short period of time such as the prescribed period of time t with the administration apparatus 1, a pressure vibration continues for a relatively long period of time with the spring-driven injector. In addition, compared to the pressure vibration according to the administration apparatus 1 of which a pressure amplitude decreases with the passage of time during the prescribed period of time t, while the pressure vibration of the spring-driven injector eventually converges, a pressure amplitude thereof irregularly increases and decreases during the convergence of the pressure vibration. As described above, it is evident that the administration apparatus 1 according to the described technology and the spring-driven injector according to the comparative example exhibit completely different characteristics with respect to a transition of injection pressure.
[0088] In addition,
[0089] In this case, as shown in
Practical Example 2
[0090] Experimental conditions and experimental results of an intradermal administration experiment to rabbit in vivo by the administration apparatus 1 according to the described technology and a needled injector according to a comparative example are described below. Moreover, an object of the following experimental conditions is to confirm, when an inflammatory substance is administered to the intradermal layer which is skin tissue of the rabbit in vivo, a presence or absence of an inflammatory response (formation of erythema and eschar, and formation of edema) for each elapsed time (after 24 hours, 48 hours, and 72 hours). In addition, the injection of an injection solution with the needled injector was performed at a constant pressurization rate.
<Experimental Conditions>
(Administration Object)
[0091] 16-week-old male Std: JW/CSK rabbit, already shaved and smooth skin-verified, was used.
(Dosing Liquid and Injection Solution)
[0092] An aqueous solution of the following inflammatory substance was used as the dosing liquid and the injection solution.
[0093] Inflammatory substance: acetic acid, diluted to a predetermined concentration with distilled water, dose 100 l
[0094] <Experimental Results>
[0095] Experimental results are shown in Tables 1 and 2 presented below. Definitions of numerical values representing the experimental results in the tables with respect to each of erythema and eschar formation and edema formation are as follows.
(Erythema and Eschar Formation)
[0096] 0 No erythema
[0097] 1 Very slight erythema (barely perceptible erythema)
[0098] 2 Slight erythema (clearly perceptible erythema)
[0099] 3 Moderate to severe erythema
[0100] 4 Severe erythema to eschar formations
(Edema Formation)
[0101] 0 No edema
[0102] 1 Very slight edema (barely perceptible edema)
[0103] 2 Slight edema (edema with edges perceptible due to definite raising)
[0104] 3 Moderate edema (raised approximately 1 mm)
[0105] 4 Severe edema (raised 1 mm or more and extending beyond the area of exposure)
[0106] Experiment results with respect to rabbit in vivo are shown in Table 1.
TABLE-US-00001 TABLE 1 Comparative example Injector 1 (needled injector) Acetic acid Erythema etc. Edema Erythema etc. Edema concentration 24 h 48 h 72 h 24 h 48 h 72 h 24 h 48 h 72 h 24 h 48 h 72 h 0.25% 1 1 1 0 0 0 1 1 1 0 0 0 0.5% 1 1 1 0 0 0 1 1 1 0 0 0 1.0% 1 1 1 0 0 0 1 1 1 1 1 1 1.5% 1 1 1 0 0 0 1 1 1 2 2 2 2.0% 1 1 1 1 1 1 1 1 1 3 3 2
[0107] As is evident from the comparison in the table presented above, according to the administration apparatus 1, an inflammatory response in intradermal cells due to the inflammatory substance contained in the dosing liquid is effectively suppressed as compared to the comparative example. This conceivably indicates that the inflammatory substance is successfully administered and diffused into the intradermal layer without invading the intradermal cells. As described above, according to the described technology, administration which suppresses invasiveness to cells and which diffuses a dosing liquid over a wide range of skin tissue can be realized.
Practical Example 3
[0108] Experimental conditions and experimental results of an administration experiment to porcine abdominal skin tissue by the administration apparatus 1 according to the described technology and a needled injector and a spring-driven injector (a needle-free injector) according to a comparative example are described below. Moreover, an object of the following experimental conditions is to administer an MRI contrast medium to porcine abdominal skin tissue and check a state of entry of the MRI contrast medium inside the porcine abdominal skin tissue based on an image captured by an MRI apparatus.
<Experimental Conditions>
(Administration Apparatus 1)
[0109] Flow rate: 202 m/s (corresponding to injection pressure of approximately 40 MPa)
[0110] Nozzle diameter: 0.17 mm
(Needled Injector of Comparative Example)
[0111] The injection of an injection solution with the needled injector was performed at a constant pressurization rate.
[0112] Needle: 27 G
(Spring-Driven Injector of Comparative Example)
[0113] Flow rate: 205 m/s (corresponding to injection pressure of approximately 40 MPa)
[0114] Nozzle diameter: 0.17 mm
(Administration Object)
[0115] Porcine skin tissue collected from abdominal area of a 3-month old female pig (approximately 50 kg)
(Dosing Liquid and Injection Solution)
[0116] Contrast agent Magnevist manufactured by Bayer Yakuhin, Ltd. was diluted to be used as a dosing liquid and an injection solution. In imaging by an MRI apparatus, contrast of an MRI image peaks when concentration of a contrast agent in a dosing liquid or the like is further diluted. In addition, the dose was 100 l.
[0117] <Experimental Results>
[0118]
[0119] On the other hand, as shown in (3) in
[0120] Such a distinct difference between the administration apparatus 1 and the needled injector and the spring-driven injector is conceivably due to a presence or absence of the characteristic injection pressure transition of a dosing liquid according to the described technology described heretofore. In other words, with the dosing liquid injected by the administration apparatus 1, it is evident that invasiveness of the dosing liquid to cells is suppressed and the dosing liquid is injected so as to enable the dosing liquid to be diffused over a wide range of tissue by entering the porcine abdominal skin tissue with the pressure transition shown in
Practical Example 4
[0121] Experimental conditions and experimental results of an administration experiment to rat skin tissue by the administration apparatus 1 according to the described technology and a needled injector according to a comparative example are described below. Moreover, an object of the following experimental conditions is to check a state of diffusion of a dosing liquid inside the rat skin tissue.
<Experimental Conditions>
(Administration Apparatus 1)
[0122] Injection pressure: 10.9 MPa
[0123] Nozzle diameter: 0.11 mm
(Needled Injector of Comparative Example)
[0124] The injection of a dosing liquid with the needled injector was performed at a constant pressurization rate.
[0125] Needle: 27 G
(Administration Object)
[0126] SD rat skin tissue of a 10-week-old male rat.
(Dosing Liquid)
[0127] The dosing liquid was India ink and a dose thereof was 10 l.
[0128] <Experimental Results>
[0129] An upper part (1) in
[0130] Such a distinct difference between the administration apparatus 1 and the needled injector is conceivably due to a presence or absence of the characteristic injection pressure transition of a dosing liquid according to the described technology described heretofore. In other words, with the dosing liquid injected by the administration apparatus 1, it is evident that invasiveness of the dosing liquid to cells is suppressed and the dosing liquid is injected so as to enable the dosing liquid to be diffused over a wide range of tissue by entering the rat skin tissue with the pressure transition shown in
Other Embodiments
[0131] The administration apparatus 1 according to the described technology can also be preferably utilized to introduce a biologically-derived substance such as genes. For example, for the purpose of regenerative medicine with respect to humans, cultured cells, stem cells, or the like can be seeded to cells or scaffold tissue/scaffolds to be used as administration objects. For example, as described in Japanese Patent Application Laid-open No. 2008-206477, cells which can be appropriately determined by a person skilled in the art in accordance with a site of implantation and a purpose of recellularization such as endothelial cells, endothelial progenitor cells, bone marrow cells, preosteoblasts, chondrocytes, fibroblasts, skin cells, muscle cells, liver cells, kidney cells, intestinal cells, stem cells, and any other cells considered in the field of regenerative medicine can be administered by the administration apparatus 1.
[0132] In addition, the administration apparatus 1 according to the described technology can also be used to deliver DNA or the like to cells, scaffold tissue/scaffolds, and the like such as described in Japanese Translation of PCT Application No. 2007-525192. In this case, since the use of the administration apparatus 1 according to the described technology enables an effect on the cells, scaffold tissue/scaffolds, and the like to be suppressed as compared to delivery using a needle, it can be said that the use of the administration apparatus 1 according to the described technology is more favorable.
[0133] Furthermore, the administration apparatus 1 according to the described technology can also be preferably used when directly delivering various genes, cancer suppressor cells, a lipid envelope, or the like to object tissue or when administering an antigen gene in order to improve immunity to pathogens. Moreover, the administration apparatus 1 can also be used in various fields of disease treatment (the fields described in Japanese Translation of PCT Application No. 2008-508881, Japanese Translation of PCT Application No. 2010-503616, and the like), the field of immunological medicine (the field described in Japanese Translation of PCT Application No. 2005-523679), and the like, and fields in which the administration apparatus 1 is usable are not intentionally limited.
[0134] In the embodiments heretofore described, administration with minimal invasiveness to an object region is realized by performing injection of a dosing liquid using an ignition charge or a combination of an ignition charge and a gas generating agent as a power source and adjusting injection pressure to a pressure transition such as that shown in
[0135] In addition, the characteristic injection pressure transition of a dosing liquid according to the described technology involves a steep rise of pressure as well as a damped vibration in a prescribed period of time t as described earlier. In order to effectively form the damped vibration, a gas layer constituted by air or inert gas may be included in the dosing liquid insofar as the gas layer does not interfere with the administration to the object region. The inclusion of such a gas layer conceivably enables an effective damped vibration to be formed when pressurization is performed with combustion energy of an ignition charge due to an elastic compressive deformation of the air layer. As a result, realization of minimally invasive administration is expected.
[0136] In addition, while the piston 5 is adopted as a configuration (hereinafter, also referred to as a transmission configuration) which transmits combustion energy of the ignition charge to the dosing liquid in the embodiments heretofore described, as an alternative mode, energy may be transmitted by a mechanical element such as a diaphragm or a ram. In particular, as the diaphragm, a membrane-like form made of an elastic material or a plate-like form made of a metallic material can be adopted. Adopting a diaphragm as the transmission configuration enables a combustion space in which combustion of an ignition charge is performed and an arrangement space in which a dosing liquid is arranged to be separated from each other by the diaphragm. Therefore, it is also possible to prevent a combustion product of the combustion of the ignition charge from being mixed into the dosing liquid. Moreover, the transmission configuration is favorably arranged in a similar manner to the piston 5 in a single row between the plunger 4 which pushes the dosing liquid for injection and the drive unit 7. Such an arrangement realizes pressurization of the dosing liquid in an efficient manner and thereby enables the characteristic injection pressure transition of a dosing liquid according to the described technology described earlier to be achieved.
[0137] Furthermore, in the embodiments heretofore described, the dosing liquid is stored in the storage chamber 32 formed in the body 30 of the syringe section 3. Examples of a material of the body 30 include glass, a resin, and a metal. When combustion energy created by combustion of the ignition charge is transmitted to the dosing liquid inside the storage chamber 32 via the piston 5, although pressurization via the plunger 4 conceivably mainly contributes to the formation of the characteristic injection pressure transition of a dosing liquid according to the described technology, the transition may possibly be also formed due to vibration of the piston 5 having received the combustion energy being transmitted to the dosing liquid via the body 30. In consideration thereof, the material of the body 30 may be determined from such a perspective.
[0138] In addition, while a pressurization structure in which injection of the dosing liquid from the body 30 of the syringe section 3 is performed using pressurization by the plunger 4 via the piston 5 is adopted in the embodiments heretofore described, other pressurization structures may be adopted as long as the characteristic injection pressure transition of a dosing liquid according to the described technology described earlier is realized. For example, in another useful pressurization structure, the dosing liquid is stored in advance in a flexible container that deforms when pressurized from the outside and, when the container is pressurized by administration energy from the drive unit 7, the container deforms to cause the dosing liquid inside the container to be injected outward.
[0139] Furthermore, reference will now be made to an administration apparatus in a mode that differs from those of the embodiments heretofore described as an administration apparatus to which the described technology can be applied. For example, the described technology can be preferably applied to apparatuses used in the field of cell processing. While a prescribed substance can also be introduced into a cell in the modes described above, the described technology can be applied to form an introduction apparatus for introducing a biologically-derived substance such as genes into a cell. In this case, the biologically-derived substance to be introduced is included in a liquid, and the liquid is pressurized and injected to an object cell. In addition, a minimally invasive introduction of the substance to the cell is realized by adjusting injection pressure of the liquid to the characteristic injection pressure transition according to the described technology described earlier. Moreover, when introducing the substance, the substance may be simultaneously introduced into a cell from a plurality of paths.
[0140] Examples of an alternative administration apparatus to which the described technology can be applied include a catheter apparatus. The catheter apparatus has a catheter unit capable of entering a living organism and administers a desired drug solution or the like to the living organism from a tip section of the catheter unit. The described technology can be applied to a configuration for the administration of a drug solution from the tip section of the catheter unit. In other words, in a state where the catheter unit has entered inside the living organism, by controlling injection pressure of a drug solution to match the characteristic injection pressure transition according to the described technology described earlier when administering the drug solution from the tip section of the catheter unit, a minimally invasive administration of the drug solution to a prescribed site of an object region (for example, an internal organ such as the heart or a liver) to which the drug solution is to be administered can be achieved.
[0141] As an alternative method of administration using a catheter apparatus to which the described technology is applied, when injecting a drug solution from the tip section of the catheter unit, the drug solution can be administered in the form of successive droplets or, in other words, in a state of a high-speed pulse. According to such an administration mode, the drug solution can be administered in a mode of a finer aerosol and, conceivably, administration of the drug solution with even lower invasiveness can be realized. Such pulsification of a drug solution can be achieved by causing an entire reservoir storing the drug solution or a part of the reservoir to repetitively expand and contract at a high rate. In doing so, the expansion and contraction of the reservoir are repeated so that a transition of injection pressure of the drug solution to be injected matches the characteristic injection pressure transition according to the described technology described earlier. The expansion and contraction of the reservoir can be repeated using a pulse vibration generation apparatus which electrically generates vibrations together with a mechanical configuration capable of transmitting or amplifying the pulse vibration.