Dual-chamber cylinder-piston unit for the lyophilisation, storage, reconstitution and application of injection solutions for an injector, and method for filling the cylinder-piston unit
10022500 · 2018-07-17
Assignee
Inventors
Cpc classification
A61M5/3007
HUMAN NECESSITIES
A61M5/30
HUMAN NECESSITIES
B65B3/003
PERFORMING OPERATIONS; TRANSPORTING
A61M5/31596
HUMAN NECESSITIES
A61M2005/3118
HUMAN NECESSITIES
International classification
B65B3/00
PERFORMING OPERATIONS; TRANSPORTING
A61M5/315
HUMAN NECESSITIES
Abstract
A method for filling a cylinder/piston unit (1) for a needle-free injector comprising a chamber (3) arranged in a cylinder (2), for receiving an injection solution (4), a front wall (5) having at least one nozzle borehole or an outlet element (6), and a second piston (7) arranged to move in the chamber. The chamber (3) is made in two parts with a first chamber (8) and a concentric second chamber (9) having a smaller cross section than the first chamber. A first piston (10) closes the first chamber (8) and the second piston closes the second chamber (9). The second piston comprises at least one flow channel (16) or the first chamber comprises at least one closable, axially oriented freeze-drying channel (34), and the second chamber (9) comprises at least one axially oriented flow channel (36), on the respective rear ends of the chambers (8, 9).
Claims
1. A method for filling a cylinder-piston unit (1) for a needle-free disposable injector, the cylinder-piston unit (1) for providing a sterile injection solution, the cylinder-piston unit (1) comprising a cylinder (2) having a cylinder wall (35), a chamber (3) which is arranged in the cylinder (2) and is intended for receiving an injection solution (4), and a second piston (7) arranged movably in the chamber (3), the chamber (3) of two-part design with a first chamber (8) and a concentric second chamber (9), the cross section of the first chamber (8) being larger than the cross section of the second chamber (9), a transition region of the cylinder (2) having an annular surface (18) between the first chamber (8) and the second chamber (9), the first chamber (8) formed such that it is closed by a first piston (10) having a first outer piston ring (10.2) in surrounding relationship with a first inner piston body (10.1), the first outer piston ring (10.2) in slidable relationship with the first chamber 8, the first inner piston body (10.1) in slidable relationship with respect to the first outer piston (10.2) and the second chamber (9) formed such that it is closed by the second piston (7), the first chamber (8) being separated from the second chamber (9), the second chamber (9) delimited by an end wall (5) of the cylinder (2) with at least one nozzle bore or outlet element (6), an outer cylinder (13) encasing the cylinder (2) proximate the second chamber (9), each nozzle bore or outlet element (6) configured to end in a truncated cone (29) on an outer side (12) of the outer cylinder (13), on the outer side (12) of the outer cylinder (13) a membrane (26) is stretched over each nozzle bore or outlet element (6), a closure cap (11) is connected directly or indirectly to a circumferential surface of the outer cylinder (13), and the second piston (7) having a second outer piston ring (7.2) in surrounding relationship with a second inner piston body (7.1), the second outer piston ring (7.2) in slidable relationship with respect to the first chamber (8), the second inner piston body (7.1) in slidable relationship with respect to the second outer piston ring (7.2) and the second chamber (9), and, wherein either the second outer piston ring (7.2) having at least one closable transfer passage (16) therein, the second inner piston body (7.1) maintaining each transfer passage (16) closed until a rear edge (21) of the second inner piston body (7.1) is pressed in the direction of the end wall (5) and reaches the transfer passage (16), or the cylinder wall (35) proximate the first chamber (8) having at least one closable, axially aligned freeze-drying passage (34) therein defined by an area of reduced wall thickness of the cylinder wall (35) and the cylinder wall (35) proximate the second chamber (9) having at least one axially aligned transfer passage (36) therein defined by an area of reduced wall thickness of the cylinder wall (35), the at least one closable, axially aligned freeze-drying passage (34) and the at least one closable, axially aligned transfer passage (36) at a respective rear end of the first chamber (8) and the second chamber (9), the second inner piston body (7.1) maintaining each axially aligned transfer passage (36) closed until a rear edge (21) of the second inner piston body (7.1) is pressed in the direction of the end wall (5) and reaches the axially aligned transfer passage (36), the method comprising at least the following steps: filling the second chamber (9) with a lyophilizate or a first drug component (14) of an injection solution (4), wherein the volume of the first drug component (14) is smaller than the volume of the second chamber (9); inserting the second piston (7), which is compressed and allows the air to escape, into the first chamber (8) until it makes contact with the annular surface (18) in order to close the second chamber (9), the second chamber (9) containing a gas cushion (31); filling the first chamber (8) above the second piston (7) with a solvent (19), or with a second drug component (15), inserting the first piston (10), which is compressed, into the first chamber (8) and closing the first chamber (8), pushing in the first piston (10), with nozzle(s) (6) pointing upward in order to produce the injection solution (4) from the lyophilizate or the first drug component (14), and the solvent (19) or the second drug component (15) by means of a piston slide (20), wherein, by positive pressure in the first chamber (8), the second inner piston body (7.1) is pushed in the second outer piston ring (7.2) in the direction of the second chamber (9) until a previously closed transfer passage (16, 36) connects the second chamber (9) to the first chamber (8) and the solvent (19) or the second drug component (15) entirely enters the second chamber (9) and is dissolved or mixed with the lyophilizate or the first drug component (14) to provide the finished injection solution (4); subsequently pushing in the first inner piston body (10.1) together with the second inner piston body (7.1) with the aid of the piston slide (20), by screwing a thread (24) of the piston slide (20) into a threaded bore (23) of a flange (22), and squeezing the gas cushion (31) out of the cylinder-piston unit (1), wherein the gas cushion (31) is displaced out of the second chamber (9) through the upwardly pointing nozzle bore(s) or outlet element(s) (6) and the stretched membrane (26) which is fastened to the outer cylinder (13) or to the closure cap (11) lifts off from the nozzle bore(s) or outlet element(s) (6) due to positive pressure in the second chamber (9) when the gas cushion (31) emerges, and the stretched membrane (26) functioning as a pressure control valve closes the nozzle bore(s) or the outlet element(s) (6) again in a sterile manner after the gas cushion emerges and there is no longer positive pressure in the second chamber (9).
2. The method as claimed in claim 1, further comprising the step of freeze drying the first drug component (14) in the second chamber (9).
3. The method as claimed in claim 1, further comprising the step of checking the full emergence of the gas cushion (31).
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) Further features and details of the invention emerge from exemplary embodiments of the invention that are illustrated in the following schematic drawings, in which:
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
(15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
(25)
(26)
(27)
(28)
(29)
(30)
(31)
(32)
(33)
(34)
(35)
(36)
(37)
(38)
(39)
(40)
(41)
(42)
(43)
(44)
(45)
DETAILED DESCRIPTION OF THE PARTICULAR EMBODIMENTS
(46) In the description below of the exemplary embodiments, the front end of the cylinder-piston unit means the end closest to the surface of a patient. The rear end of the cylinder-piston unit is the end which is remote from the surface of the patient when the unit is used.
(47) In all of the figures, identical technical elements are referred to by identical reference numbers.
(48)
(49) A transition region, preferably in the form of an annular surface 18, is formed between the first chamber 8 and the second chamber 9. A first configuration of the transition region provides radii (not illustrated) in the transition from the cylindrical wall of the first chamber 8 to the annular surface 18 and from the annular surface 18 to the cylindrical wall of the second chamber 9. A second configuration of said region provides bevels (not illustrated). Further configurations, even combinations of, for example, radii and bevels, a negative or positive camber angle or concave or convex, can be taken into consideration. The configurations firstly assist in the insertion of the injection solution 4 or of the first drug component 14, see
(50) The drug provided for an injection is stored in the cylinder-piston unit 1 for a relatively long amount of time. It is known that drugs are stored in two components until the injection, since, for example, the shelf life is extended. The drug comprising the first drug component 14 and a second drug component 15 is mixed and/or dissolved shortly prior to the injection. The drug component 14 may be a liquidsuch as an injection solution 4or a powder. A lyophilizate is an example of a powdery component. Like the solvent 19, a second drug component 15 is present in liquid form. Other forms of drug components 14, 15 are hereby expressly taken into consideration.
(51) In an alternative embodiment, at the rear end of the chamber 8 and of the chamber 9, at least one freeze-drying passage 34 (in chamber 8) and a transfer passage 36 (in chamber 9) are in each case formed in the cylinder wall 35 (see
(52) As viewed from the rear end, the cross section of the freeze-drying passage/freeze-drying passages 34 and of the transfer passage/transfer passages 36 is in the form of a rectangle. However, other shapes are also conceivable, in particular shapes which take into consideration the flow behavior and the strength of the cylinder. See in this regard
(53) In a first working section, illustrated in
(54) As an alternative, as illustrated in
(55) All further components and working steps are sterile without this being restated below.
(56) The drug component 14 placed in the second chamber 9 is subsequently freeze-dried and remains in the form of a lyophilizate 17 in the second chamber 9, as illustrated in
(57) After the lyophilizate 17 is enclosed in the second chamber 9 by means of the second piston 7, the second drug component 15 of the drug is placed above the second piston 7, and therefore into the first chamber 8, as illustrated in
(58) The second and the first piston 7, 10 are respectively formed from at least one inner piston body 7.1, 10.1 and one outer piston ring 7.2, 10.2, the inner piston bodies 7.1, 10.1 being arranged in a sliding manner in the outer piston rings 7.2, 10.2. The embodiment which is now present and has two separately sealed chambers 8, 9 serves to store the otherwise unstable injection solution 4 in the form of the lyophilizate 17 which is present separately and the solvent 19 which is likewise present separately.
(59) Before injecting the injection solution 4, it is necessary to mix the lyophilizate 17 with the solvent 19 and to wait for it to dissolve, which may take up to 30 minutes. Only then is the gas cushion 31 which has remained squeezed out by (an) upwardly pointing nozzle(s) 6.
(60)
(61) At the instant at which the rear edge 21 of the inner piston body 7.1 of the second piston 7 releases the overflow passage 16 formed in the second outer piston ring 7.2, the solvent 19 flows out of the first chamber 8 into the second chamber 9 and mixes with the lyophilizate 17 (first alternative).
(62) At the instant at which the rear edge 21 of the inner piston body 7.1 of the second piston 7 releases the overflow passage 36 formed in the cylinder wall 35, the solvent 19 flows out of the first chamber 8 into the second chamber 9 and mixes with the lyophilizate 17 (second alternative).
(63) The injection solution 4 is available for injection only once the lyophilizate 17 has completely dissolved. In order to improve the dissolving operation, the second chamber 9 is not completely filled with the solvent 19 and the lyophilizate 17. The second chamber 9 also contains a gas cushion 31 which has to be removed by further advancing of the piston slide 20 prior to the injection.
(64)
(65) For this purpose, the first inner piston body 10.1 of the first piston 10 is pushed in the longitudinal direction toward the end wall 5 of the cylinder 2 until the thread 24 of the piston slide 20 can be screwed into the threaded bore 23 of the flange 22. As the piston slide 20 is pushed in and subsequently screwed in, the successively following inner first and second piston bodies 10.1 and 7.1 displace the gas bubble 31 out of the second chamber 9 through the nozzle or the outlet element 6. Upon further screwing in of the piston slide 20, the gas bubble 31 escapes from the second chamber 9, the closure cap 11 being designed with a membrane 26 which releases the nozzle or the outlet element 6 when there is positive pressure in the second chamber 9. The complete squeezing out of the gas bubble from the second chamber 9 by further screwing in of the thread is monitored visually by the user through opposite windows (not illustrated) in the membrane 26 and through the transparent closure cap 11. The solvent 19 can also be caused to flow in even as the then correspondingly longer thread of the piston slide 20 is being screwed in.
(66) To inject the injection solution 4, the closure cap 11 which is latched in place is pulled off the outer cylinder 13. The truncated cone 29 of the outlet element 6 is then pressed against or onto the body part which has been previously disinfected and into which the injection solution 4 is to be injected. By means of a triggering device (not illustrated), the pretensed spring 25 is released, as a result of which the piston slide 20 shoots onto the first inner piston body 10.1 of the first piston 10 and causes the first inner piston body 10.1 and the second inner piston body 7.1 of the second piston 7 in the second chamber 9 to shoot forward in the longitudinal direction onto the end wall 5. The injection solution 4 escapes at a very high speed from the second chamber 9 through the at least one nozzle bore or the outlet element 6, as illustrated in
(67) When the injection solution 4 has been fully pressed out of the second chamber 9, the second inner piston body 7.1 bears against the end wall 5 and closes the nozzle(s) 6, as illustrated in
(68)
(69) It goes without saying that the number of passages 16.1, 34 and 36 can vary. Instead of the transfer passage 36, in a further embodiment at least one transfer passage may also be formed in the second outer piston ring 7.2. There is therefore the option, depending on requirements or possibility, to form the passages either only in the cylinder wall 35 or in the cylinder wall 35 and the second outer piston ring 7.2.
(70)
(71)
(72) The version from
(73)
(74) The first function of the second outer piston ring 7.2 illustrated in
(75) A further design is illustrated in
(76) A second outer piston ring 7.2 designed with two functionally separate transfer passages 16 is illustrated in
(77)
(78)
(79) The form of the second outer piston ring 7.2 of
(80) Of course, in the case of all of the second outer piston rings 7.2, the overflow passage 16.2 can be closed not only at the upper end, but also at the lower endi.e. on both sides.
(81)
(82)
(83) The corresponding method of the present invention for filling the cylinder-piston unit (1) for a needle-free disposable injector is applicable where the cylinder-piston unit (1) comprises a piston-cylinder unit (1) for a needle-free injector, for example for providing a sterile injection solution, with a chamber (3) which is arranged in a cylinder (2) and is intended for receiving an injection solution (4), an end wall (5) with at least one nozzle bore or an outlet element (6), and a second piston (7) arranged movably in the chamber (3), chamber (3) of two-part design with a first chamber (8) and a concentric second chamber (9), the cross section of the first chamber (8) being larger than the cross section of the second chamber (9), the first chamber (8) formed such that it is closed by a first piston (10) and the second chamber (9) formed such that it is closed by the second piston (7), the first chamber (8) being separated from the second chamber (9), and the second piston (7) formed with at least one transfer passage (16), or the first chamber (8) formed with at least one closable, axially aligned freeze-drying passage (34) and the second chamber (9) formed with at least one axially aligned transfer passage (36), at the rear ends in each case of the chambers (8, 9).
(84) The method of the present invention comprising at least the following steps:
(85) filling the second chamber (9) with a first drug component (14) of an injection solution (4), wherein the volume of the first drug component (14) is smaller than the volume of the second chamber (9);
(86) inserting the second piston (7), which is compressed and allows the air to escape, into the first chamber (8) until it makes contact with an annular surface (18) in order to close the second chamber (9), the second chamber (9) containing a gas cushion (31);
(87) filling the first chamber (8) above the second piston (7) with a solvent (19), for example water, or with the second drug component (15),
(88) inserting a first compressed piston (10) into the first chamber (8) and closing the first chamber (8),
(89) pushing in the first piston (10), with nozzle(s) (6) pointing upward in order to produce the injection solution (4) from the lyophilizate or the first drug component (14), and the solvent (19) or the second drug component (15) by means of a piston slide (20), wherein, by positive pressure in the first chamber (8), a second inner piston body (7.1) is pushed in a second outer piston ring (7.2) in the direction of a second chamber (9) until a previously closed transfer passage (16, 36) connects the second chamber (9) to the first chamber (8) and the solvent (19) or the second drug component (15) entirely enters the second chamber (9) and is dissolved or mixed with the lyophilizate or the first drug component (14) to provide the finished injection solution (4);
(90) subsequently pushing in a first inner piston body (10.1) together with the second inner piston body (7.1) with the aid of the piston slide (20), by screwing the piston slide (20) into a thread, partial thread or latching element, and squeezing a gas bubble (31) out of the cylinder-piston unit (1), wherein the gas bubble (31) is displaced out of the second chamber (9) through (an) upwardly pointing nozzle bore(s) or outlet element(s) (6) and a membrane (26) which is fastened to the outer cylinder (13) or to the closure cap (11) and lifts off from the nozzle bore(s) or outlet element(s) (6) when the gas cushion (31) emerges, and
(91) closes the nozzle bore(s) or the outlet element(s) (6) again in a sterile manner (pressure control valve) after the gas cushion emerges.
(92) The method of the present invention may also further comprise the step of freeze drying the first drug component (14) in the second chamber (9). The method of the present invention may also further comprise the step of checking the full emergence of the gas cushion (31).
LIST OF REFERENCE NUMBERS
(93) 1 Cylinder-piston unit 2 Cylinder 3 Chamber 4 Injection solution 5 End wall 6 Nozzle bore or outlet element 7 Second piston 7.1 Second inner piston body 7.2 Second outer piston ring 7.2a Quad ring 7.2b Slotted ring 8 First chamber 9 Second chamber 10 First piston 10.1 First inner piston body 10.2 First outer piston ring 11 Closure cap with latching element 12 Outer side of the pressure-stable outer cylinder 13 13 Outer cylinder, pressure-stable with latching groove 14 First component 15 Second component 16 Transfer passage, overflow passage, bypass, slot, combined, trifunctional 16.1 Freeze-drying passage, alternatively there is a slotted ring 7.2b in the second outer piston ring 7.2 16.2 Transfer passage, overflow passage, bifunctional 17 Lyophilizate 18 Annular surface 19 Solvent 20 Piston slide 21 Threaded flange 23 Threaded bore 24 Thread 25 Spring 26 Membrane on closure cap 11 27 Membrane alternatively on outer cylinder 13 28 Inner side of the chamber 9 or of the discharge funnel 30 29 Cone, truncated 30 Discharge funnel 31 Gas cushion, gas bubble 32 Retaining element 33 Spring hook 34 Freeze-drying passage 35 Cylinder wall 36 Transfer passage 37 Slot in outer cylinder 13 38 sealing lip