EP2167011A1 - Pochette à chambres multiples destinée à l'utilisation dans la nutrition entérale - Google Patents
Pochette à chambres multiples destinée à l'utilisation dans la nutrition entéraleInfo
- Publication number
- EP2167011A1 EP2167011A1 EP08773501A EP08773501A EP2167011A1 EP 2167011 A1 EP2167011 A1 EP 2167011A1 EP 08773501 A EP08773501 A EP 08773501A EP 08773501 A EP08773501 A EP 08773501A EP 2167011 A1 EP2167011 A1 EP 2167011A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- chamber
- nutrient solution
- fluid
- bag
- enteral nutrient
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 235000016709 nutrition Nutrition 0.000 title claims abstract description 16
- 230000035764 nutrition Effects 0.000 title claims abstract description 15
- 235000015097 nutrients Nutrition 0.000 claims abstract description 73
- 239000012530 fluid Substances 0.000 claims abstract description 71
- 238000004806 packaging method and process Methods 0.000 claims abstract description 3
- 239000007788 liquid Substances 0.000 claims description 51
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 17
- 239000003925 fat Substances 0.000 claims description 9
- 235000018102 proteins Nutrition 0.000 claims description 9
- 102000004169 proteins and genes Human genes 0.000 claims description 9
- 108090000623 proteins and genes Proteins 0.000 claims description 9
- 150000001720 carbohydrates Chemical class 0.000 claims description 8
- 235000014633 carbohydrates Nutrition 0.000 claims description 8
- 239000000523 sample Substances 0.000 claims description 4
- 230000037213 diet Effects 0.000 claims 1
- 235000005911 diet Nutrition 0.000 claims 1
- 229920000642 polymer Polymers 0.000 abstract 1
- 235000019197 fats Nutrition 0.000 description 7
- 230000000050 nutritive effect Effects 0.000 description 6
- 230000005484 gravity Effects 0.000 description 5
- 239000000203 mixture Substances 0.000 description 5
- 235000016236 parenteral nutrition Nutrition 0.000 description 5
- 239000000306 component Substances 0.000 description 4
- 235000012041 food component Nutrition 0.000 description 3
- 239000012528 membrane Substances 0.000 description 3
- 244000068988 Glycine max Species 0.000 description 2
- 235000010469 Glycine max Nutrition 0.000 description 2
- 244000269722 Thea sinensis Species 0.000 description 2
- 235000013305 food Nutrition 0.000 description 2
- 239000005428 food component Substances 0.000 description 2
- 229940057917 medium chain triglycerides Drugs 0.000 description 2
- 235000013336 milk Nutrition 0.000 description 2
- 239000008267 milk Substances 0.000 description 2
- 210000004080 milk Anatomy 0.000 description 2
- 230000002093 peripheral effect Effects 0.000 description 2
- 230000002572 peristaltic effect Effects 0.000 description 2
- 235000013343 vitamin Nutrition 0.000 description 2
- 239000011782 vitamin Substances 0.000 description 2
- 229940088594 vitamin Drugs 0.000 description 2
- 229930003231 vitamin Natural products 0.000 description 2
- 235000013162 Cocos nucifera Nutrition 0.000 description 1
- 244000060011 Cocos nucifera Species 0.000 description 1
- 235000019484 Rapeseed oil Nutrition 0.000 description 1
- 235000019486 Sunflower oil Nutrition 0.000 description 1
- 238000005273 aeration Methods 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 238000011109 contamination Methods 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 235000013325 dietary fiber Nutrition 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 239000003792 electrolyte Substances 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 235000021323 fish oil Nutrition 0.000 description 1
- 229920002457 flexible plastic Polymers 0.000 description 1
- 239000011888 foil Substances 0.000 description 1
- 235000015203 fruit juice Nutrition 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 150000004676 glycans Chemical class 0.000 description 1
- 230000036571 hydration Effects 0.000 description 1
- 238000006703 hydration reaction Methods 0.000 description 1
- 229910052500 inorganic mineral Inorganic materials 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 235000010755 mineral Nutrition 0.000 description 1
- 239000011707 mineral Substances 0.000 description 1
- 235000021049 nutrient content Nutrition 0.000 description 1
- 229920001542 oligosaccharide Polymers 0.000 description 1
- 150000002482 oligosaccharides Chemical class 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 239000003346 palm kernel oil Substances 0.000 description 1
- 235000019865 palm kernel oil Nutrition 0.000 description 1
- 239000002985 plastic film Substances 0.000 description 1
- 229920001282 polysaccharide Polymers 0.000 description 1
- 239000005017 polysaccharide Substances 0.000 description 1
- 238000002360 preparation method Methods 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 239000002600 sunflower oil Substances 0.000 description 1
- 239000011573 trace mineral Substances 0.000 description 1
- 235000013619 trace mineral Nutrition 0.000 description 1
- 150000003626 triacylglycerols Chemical class 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J1/00—Containers specially adapted for medical or pharmaceutical purposes
- A61J1/14—Details; Accessories therefor
- A61J1/20—Arrangements for transferring or mixing fluids, e.g. from vial to syringe
- A61J1/2093—Containers having several compartments for products to be mixed
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J1/00—Containers specially adapted for medical or pharmaceutical purposes
- A61J1/05—Containers specially adapted for medical or pharmaceutical purposes for collecting, storing or administering blood, plasma or medical fluids ; Infusion or perfusion containers
- A61J1/10—Bag-type containers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J1/00—Containers specially adapted for medical or pharmaceutical purposes
- A61J1/14—Details; Accessories therefor
- A61J1/20—Arrangements for transferring or mixing fluids, e.g. from vial to syringe
- A61J1/2003—Accessories used in combination with means for transfer or mixing of fluids, e.g. for activating fluid flow, separating fluids, filtering fluid or venting
- A61J1/202—Separating means
- A61J1/2024—Separating means having peelable seals
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
Definitions
- Multi-compartment bag for use in enteral nutrition
- the invention relates to a multi-compartment bag for use in enteral nutrition containing an enteric nutrient solution.
- enteral and parenteral nutrition differs from enteral nutrition in that it bypasses the gastrointestinal tract. Therefore, in principle, enteral and parenteral nutrient solutions differ in composition.
- enteral nutrient solutions must be suitable for covering the energy and nutrient content. They generally contain proteins, carbohydrates, fats, vitamins and minerals. Enteral nutrient solutions may also contain fiber.
- the industrially produced enteral nutrient solutions are provided as tube feed in rigid or flexible containers.
- containers serve bottles or bags.
- the containers have a connection piece for connecting a transfer system, with which the enteral nutrient solution is transferred from the container into the stomach of the patient.
- the transfer of the nutrient solution can be carried out by gravity or by means of a pump.
- the known transfer systems have a hose line which has at one end a connector for connection to the connection piece of the nutrient solution container and at the other end a connector for connection to the connection piece of a probe tube.
- a hose line section is designed as a pump segment, which is inserted into a roller pump. While in enteral nutrition all nutritional components can be provided in a single solution, in parenteral nutrition the food components, especially protein sources, carbohydrates and fats, must be stored separately for stability.
- EP 0 790 051 B1 describes a pouch for use in parenteral nutrition, which contains a plurality of chambers separated from each other for separately storing the individual food components. Shortly before the administration of the parenteral nutrient solution, a fluid connection is established between the individual chambers, so that the different components can mix with one another.
- the welds may also be formed as separable or tearable seams. These seams are also called peel seams.
- Multi-chambered bags for use in parenteral nutrition are also known from EP 0 619 998 B1, EP 0 893 982 B1 and EP 0 883 396 B1.
- enteral nutritive solutions As storage problems for enteral nutritive solutions generally do not pose stability problems due to the mixture of components, which include protein sources, carbohydrates and fats, there are no known receptacle containers for use in enteral nutrition, which have several compartments for the intake of the components of the enteral Nutrient solution.
- enteral nutrient solutions alone can not cover the fluid requirement of the patient. Therefore, it is necessary to administer the patient next to the enteral nutrient solution nor a liquid.
- This liquid can have a lower energy content.
- water is administered to the patient in addition to the enteral nutrient solution, which has no nutritional value.
- separate containers are used in the prior art, which are also referred to as hydrobags.
- a container which is subdivided by a dividing wall into two chambers of equal size.
- a common outlet opening which is in communication with both chambers.
- a shut-off or mixing device is connected, with which the liquids contained in the chambers can be removed in the desired dosage or in succession.
- One chamber is intended to contain an enteral nutrient solution and the other chamber a tea or water.
- the two chambers should be refilled with enteral nutrient solution or tea or water. Therefore, the chambers each have a filling opening, which can be closed with a lid.
- the enteric nutrient solution which is packed in tubular bags made of aluminum composite foil protected from light and oxygen, should only be transferred to the container immediately before administration.
- the invention is based on the object to simplify an enteral nutrition with a sufficient hydration.
- the container according to the invention for use in enteral nutrition is characterized in that the container is a multi-chamber bag with at least two separate chambers, wherein at least one chamber contains an enteral nutrient solution with a first energy content and at least one chamber with a liquid to cover the fluid requirement contains an energy content that is smaller than the energy content of the enteral nutrient solution. Since with the multi-chamber bag according to the invention both the enteral nutritive solution and the liquid still required to cover the fluid requirement are provided directly, the use in enteral nutrition is simplified. A transfer of liquids from other containers is not required. Both liquids are put together in provided a bag that can easily collapse when emptying and can be produced inexpensively. Since the bag can collapse, aeration of the bag is basically not required. Therefore, there is no increased risk of contamination.
- a decisive advantage of the multi-chamber bag according to the invention is to provide both the enteric nutrient solution and the liquid to meet the fluid requirement so that the individual requirements of the patient with regard to the composition and amount of the two fluids can be taken into account.
- either only the enteric nutrient solution from the one chamber can be administered to the patient, or both the enteral nutrient solution and the liquid can be administered to cover the fluid requirement. Both liquids are ready in the multi-chamber bag. If the multi-compartment bag has more than two chambers, different amounts of fluids can be provided, which can be administered depending on the individual needs of the patient. For example, several chambers for enteral nutrient solutions and / or several chambers for liquids may be provided to cover the fluid requirements, which have different volumes and absorb different amounts of fluid. Depending on the individual needs of the patient then only some or all of the chambers are emptied.
- the enteral nutritive solution has an energy content of at least 0.5 kcal / ml, preferably of at least 0.8 kcal / ml, more preferably of at least 1 kcal / ml, to meet the energy requirement of the patient. It preferably contains a source of protein, carbohydrates and fats. Milk and soya proteins can be used as protein sources. As carbohydrates, polysaccharides and oligosaccharides can be used. Soya, sunflower oils, coconut and milk fats and fish oil, MCT (medium chain triglycerides), palm kernel oil, rapeseed oil and structured triglycerides may be considered as sources of fat.
- the enteral nutrient solution It is also possible to add vitamins, trace elements and electrolytes as well as roughage.
- the liquid to cover the fluid requirement differs from the enteral nutrient solution essentially by the lower energy content.
- the fluid requirement is covered by water.
- the at least one chamber, which is filled with the enteral nutrient solution preferably has a larger volume than the at least one chamber which is filled with the liquid to cover the fluid requirement.
- one compartment contains from 750 to 1500 ml enteral nutrient solution while the other compartment contains from 250 to 750 ml of fluid.
- the multi-chamber bag has means for establishing a fluid connection between the individual chambers containing enteral nutrient solution or fluid to meet the fluid requirement.
- a single connector is sufficient for both the removal of the enteral nutrient solution and the liquid to cover the fluid requirement.
- the fluid connection between the chambers can be established and the liquid can be administered instead of the already administered nutrient solution to cover the fluid requirement. Both liquids can basically be mixed in advance.
- the multi-chamber bag preferably has a hanger to which the container can be hung on a stand or the like. This hanger is arranged on the opposite side of the multi-chamber bag for removing the liquids.
- An alternative embodiment provides that not only the at least one chamber, which is filled with the enteral nutrient solution, but also the at least one chamber, which is filled with the solution for covering the fluid requirement, having a connector for removing liquid.
- each chamber may be drained via the respective fitting, with no need to establish fluid communication between the chambers.
- the multi-chamber bag preferably also has a hanger on the opposite side of the connector for removing the liquid to cover the fluid requirement.
- a hanger on the opposite side of the connector for removing the liquid to cover the fluid requirement.
- the multi-chamber bag is provided together with a device for transferring the enteral nutrient solution and / or the liquid to cover the fluid requirement to the patient.
- the multi-chamber bag and the transfer system are preferably sterile packed in a package.
- transfer systems it is possible to use all known transfer devices which have a hose line which at one end has a connection piece for the multi-chamber bag and at the other end a connector for an enteral feeding tube.
- the packaging enclosing the multi-chamber bag and the transfer system is again a bag.
- the multi-chamber bag can be made from the materials known to those skilled in the art according to known methods.
- the means for establishing fluid communication between the chambers are preferably formed as separable or tearable seams, called peel seams.
- the seams separating the individual chambers are non-separable seams.
- Fig. 1 is a simplified schematic representation of a first
- Exemplary embodiment of the multi-chamber bag according to the invention for use in enteral nutrition which has two chambers,
- Fig. 2 shows a second exemplary embodiment of the invention
- Multi-chamber bag in a schematic representation, which has two chambers,
- Fig. 3 shows a further exemplary embodiment of the invention
- Multi-chamber bag which has three chambers
- Fig. 4 shows an alternative exemplary embodiment of the invention
- Multi chamber bag with three chambers and
- Fig. 5 shows an arrangement in a simplified schematic representation, which comprises the multi-chamber bag according to the invention together with a transfer system, wherein the multi-chamber bag and the transfer system are enclosed by a package.
- Fig. 1 shows a simplified schematic representation of an exemplary embodiment of the multi-chamber bag according to the invention for use in enteral nutrition.
- the multi-chamber bag according to the invention is a polymeric bag in the present exemplary embodiment.
- the bag 1 consists in the present embodiment of two superimposed flexible plastic films 2, 3, which are welded at their edges with a peripheral weld 4, which in the position shown in Fig. 1, a lower Section 4A and an upper portion 4B and two lateral portions 4C and 4D.
- the bag may also consist of a film tube, which is welded at the top and bottom.
- the bag is divided into a lower chamber 5 and an upper chamber 6.
- the lower chamber 5 has a larger volume than the upper chamber 6.
- the lower chamber can accommodate 1500 ml of liquid while the upper chamber can hold 500 ml of liquid.
- Both chambers 5, 6 are separated from each other by a non-separable weld 7, which runs in the upper third of the bag between the lateral sections 4C, 4D of the circumferential weld 4.
- the bag 1 has two connecting pieces 8A and 8B, of which one connecting piece 8A is welded into the lower portion 4A of the circumferential weld 4 and the other connecting piece 8B is welded into the upper portion 4B of the circumferential weld 4.
- a connector for connecting a transfer system to a bag for receiving enteral nutrient solution is known, for example, from EP 1 010 412 A2 or EP 0 830 874 B1, which is expressly incorporated by reference for the purpose of disclosure.
- Such a connector is also referred to as a port.
- the connecting pieces 8 A and 8 B each have a pierceable membrane 8 A 'and 8 B', which is shown only hinted.
- the pierceable membranes seal the two chambers 5, 6 sterile.
- the bag In the region of the lower portion 4A of the circumferential seam 4, the bag has a lower hanger 9A and in the region of the upper portion 4B of the peripheral weld 4, an upper hanger 9B. Both hangers 9A, 9B are formed as tabs formed on the lower and upper portions of the bag. When Hanger can also serve as recesses in the upper and lower portions of the bag or its welds.
- the lower chamber 5 with the larger volume is filled with an enteral nutrient solution A containing various components, including a source of protein, carbohydrates and fats.
- the enteric nutrient solution A alone can not cover the fluid requirement of the patient.
- the patient requires another fluid B contained in the upper chamber 6.
- this liquid is water (H 2 O).
- the enteral nutritive solution A differs from the fluid B for covering the fluid requirements of the patient in that the enteral nutritive solution has a substantially higher energy content than the fluid B for covering the fluid requirement.
- the enteral nutritive solution has an energy content of at least 0.5 kcal / ml, preferably of at least 0.8 kcal / ml, more preferably of at least 1 kcal / ml, while the liquid has an energy content of less than 0 to cover the fluid requirement. 5 kcal / ml, preferably water which has no energy content.
- a transfer system 10 which will be described below with reference to FIG. 5, is used to administer the enteral nutrient solution A or the fluid B for fluid balancing.
- Fig. 5 shows an arrangement comprising the bag 1 and the transfer system 10, wherein the bag and the transfer system are packaged in a package 20 sterile.
- the package 20 is in turn a bag of superimposed films 12, 13, which are welded together with a circumferential weld 14.
- the bag 20 may also consist of a film tube which is welded at the top and bottom. At least part of the circumferential weld 14 is formed as a separable or tearable weld (peel seam). Therefore, it is possible to simply rupture the package 20 to remove the bag 1 and the transfer system 10.
- the transfer system 10 has a hose 11, wherein at the one end of the hose 11, a connector 16 for connecting the transfer system to one of the two connectors 8A, 8B of the bag 1 is provided and at the other end of the hose a connector 23 for connecting the Transfer system is connected to a corresponding connector of a probe tube, not shown, for enteral nutrition.
- the promotion of liquids can be done by gravity alone. But it can also be used a metering pump.
- metering pumps are peristaltic peristaltic pumps, in which a hose line section IA of the hose 11 is inserted.
- the closure member 15 includes a break part 15 A, which is broken to open the tubing, so that a fluid connection is made.
- the connector 16 of the transfer system is already connected to the lower connector 8A of the bag 1.
- the transfer system can also be attached to the bag only.
- the connector 16 of the transfer system has a spike 16 A, with which the membrane 8 A 'and 8 B' of the connecting pieces 8 A or 8 B can be pierced, so that a fluid connection to the two chambers 5, 6 of the bag 1 can be produced.
- an enteral nutrition and fluid balance can be carried out in a simple manner.
- the enteral nutrient solution A is supplied from the lower chamber 5 under the influence of gravity or by means of a metering pump via the tubing 11 of the transfer system 10 and the probe tube, not shown, to the patient.
- the bag is hung on the upper hanger 9B.
- the bag is turned over and hung on the lower hanger 9A, wherein the connector 16 of the transfer system 10 is connected to the then lower connector 8B, so that the then filled with water B chamber 6 emptied. Both chambers can be emptied at different times without a connection between the chambers. If the administration of additional fluid is not required, the chamber filled with water need not be emptied.
- the chamber 5 filled with enteral nutrient solution A generally has a larger volume than the chamber 6 filled with water B. However, it is also possible to fill the larger chamber with water and the smaller chamber with enteral nutrient solution.
- Fig. 2 shows an alternative exemplary embodiment of the two-chamber bag according to the invention.
- the two-chamber bag 16 of FIG. 2 differs from the bag 1 of FIG. 1 in that the weld 7 separating both chambers 5, 6 is not a permanent seam, but at least in one section as a manually separable or tearable peel seam T is formed.
- the bag 12 has only in the position shown in Fig. 2 lower connector 8 A and the upper hanger 9 B, but not an upper connector and a lower hanger. Otherwise, the bags 1 and 16 do not differ from each other. Therefore, the same reference numerals are used for the corresponding parts.
- the bag 12 For application of the enteral nutrient solution, the bag 12 is suspended on the hanger 9B, so that under the influence of gravity or by means of a metering pump, the enteral nutrient solution A from the chamber 5 can be required.
- the peel seam T is separated by hand, so that the liquid B, for example water, can be administered to the patient. In this embodiment, it is not necessary to turn the bag over and reconnect the connector of the transfer system.
- FIG. 3 shows a further exemplary embodiment, which differs from the exemplary embodiments described with reference to FIGS. 1 and 2 in that the bag 17 has three chambers.
- the corresponding parts are again provided with the same reference numerals.
- 1 differs from the exemplary embodiment of Fig. 1 by a further peel seam 7 "which extends from the permanent seam 7 to the lateral section 4C of the circumferential weld seam 4.
- the permanent weld 7 and the peel seam 7" share the bag 17 in three chambers 5, 6 and 21.
- the larger chamber 5 is filled with 1000 ml of enteral nutrient solution A and the smaller chamber 21 with 500 ml of enteral nutrient solution A ', while the smaller chamber 6 is filled with 500 ml of liquid B to cover the fluid requirements, in particular water.
- the three-chamber bag 17 of Fig. 3 allows a more accurate dosage of the food or liquid needs of the patient than the two-chamber bag 1, 16 of Fig. 1 and Fig. 2.
- the two-chamber bag 1, 16 of Fig. 1 and Fig. 2 can either only contained in the chamber 5 enteral nutrient solution A or both the nutrient solution A and A 'contained in the chamber 5 and in the chamber 21 are administered.
- the peel seam 7 "In addition, after the bag has been turned over and the transfer system has been connected to the other connecting piece, the liquid B, in particular water, can be administered to cover the fluid requirement.
- Fig. 4 shows a further exemplary embodiment of the bag 22, which differs from the exemplary embodiment of Fig. 3 only in that the smaller chamber 21 is not filled with enteral nutrient solution, but with a liquid B 'to cover the fluid requirements, especially water.
- the bag 22 thus allows application of different amounts of water.
- the bags 17 and 22 shown in Fig. 3 and Fig. 4 each have two connectors and two hangers. But it is also possible that in analogy to the exemplary embodiment of Fig. 2, the bag of Fig. 3 and Fig. 4 grouting only a connector and a hanger.
- the permanent seam 7 is to be formed as a separable or tearable peel seam. But it is also possible to form the peel seam T 'as a permanent seam, the bag then has a further connector and another hanger.
- the bag according to the invention can also have further chambers which are separated from one another by permanent sutures or peel sutures and filled with either an enteral nutrient solution or a liquid for fluid balance of the patient, so that a particularly accurate Adjustment of the food or liquid needs to the individual needs of the patient is possible.
- the chamber or chambers containing enteric nutrient solution contain enteral nutrient solutions with different compositions.
- the chamber or chambers containing liquid to cover the fluid requirement to contain different fluids for fluid balance, for example water and, for example, fruit juice on the one hand. But here, too, it is assumed that the energy content of the liquids for fluid balance is smaller than the energy content of the enteral nutrient solutions.
Landscapes
- Health & Medical Sciences (AREA)
- Pharmacology & Pharmacy (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Medical Preparation Storing Or Oral Administration Devices (AREA)
- Bag Frames (AREA)
Abstract
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DE200710028733 DE102007028733A1 (de) | 2007-06-21 | 2007-06-21 | Behältnis zur Verwendung in der enteralen Ernährung |
PCT/EP2008/004911 WO2008155112A1 (fr) | 2007-06-21 | 2008-06-19 | Poche à compartiments multiples à utiliser pour la nutrition entérale |
Publications (2)
Publication Number | Publication Date |
---|---|
EP2167011A1 true EP2167011A1 (fr) | 2010-03-31 |
EP2167011B1 EP2167011B1 (fr) | 2013-01-09 |
Family
ID=39791176
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP08773501A Active EP2167011B1 (fr) | 2007-06-21 | 2008-06-19 | Pochette a chambres multiples destinee a l'utilisation dans la nutrition enterale |
Country Status (7)
Country | Link |
---|---|
US (1) | US20100198185A1 (fr) |
EP (1) | EP2167011B1 (fr) |
CN (1) | CN101720217B (fr) |
DE (1) | DE102007028733A1 (fr) |
ES (1) | ES2401919T3 (fr) |
HK (1) | HK1138178A1 (fr) |
WO (1) | WO2008155112A1 (fr) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE102015200663A1 (de) | 2015-01-16 | 2016-07-21 | B. Braun Melsungen Ag | Geschlossenes Mehrkammerbehältnis und diätetisches Kit zur Anwendung bei der enteralen Ernährung |
DE102017125281A1 (de) | 2017-10-27 | 2019-05-02 | Dermatools Biotech Gmbh | Vorrichtung zur Bereitstellung einer Haut- oder Wundauflage |
Families Citing this family (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP2386284A1 (fr) * | 2010-05-10 | 2011-11-16 | B. Braun Melsungen AG | Forme |
CA2801776C (fr) | 2010-06-28 | 2020-02-25 | Nestec S.A. | Procedes d'administration de formulations d'alimentation par sonde |
TW201637643A (zh) * | 2015-03-25 | 2016-11-01 | Terumo Corp | 醫療用袋 |
CN104839727A (zh) * | 2015-06-05 | 2015-08-19 | 南阳市汇博生物技术有限公司 | 一种医用全营养配方乳剂型食品及其制备方法 |
KR101964384B1 (ko) * | 2017-08-25 | 2019-04-01 | 씨제이헬스케어 주식회사 | 의료용 수액백 |
KR101964383B1 (ko) * | 2017-08-25 | 2019-04-01 | 씨제이헬스케어 주식회사 | 의료용 수액백 |
DE102020113383A1 (de) | 2020-05-18 | 2021-11-18 | Cytopharma Gmbh | Pharmazeutische Zubereitung zur Verwendung bei der Behandlung von SIRS |
Family Cites Families (36)
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2007
- 2007-06-21 DE DE200710028733 patent/DE102007028733A1/de not_active Ceased
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2008
- 2008-06-19 ES ES08773501T patent/ES2401919T3/es active Active
- 2008-06-19 CN CN2008800210680A patent/CN101720217B/zh not_active Expired - Fee Related
- 2008-06-19 EP EP08773501A patent/EP2167011B1/fr active Active
- 2008-06-19 US US12/665,359 patent/US20100198185A1/en not_active Abandoned
- 2008-06-19 WO PCT/EP2008/004911 patent/WO2008155112A1/fr active Application Filing
-
2010
- 2010-04-13 HK HK10103600.4A patent/HK1138178A1/xx not_active IP Right Cessation
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See references of WO2008155112A1 * |
Cited By (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE102015200663A1 (de) | 2015-01-16 | 2016-07-21 | B. Braun Melsungen Ag | Geschlossenes Mehrkammerbehältnis und diätetisches Kit zur Anwendung bei der enteralen Ernährung |
DE102015200663B4 (de) | 2015-01-16 | 2021-12-16 | B. Braun Melsungen Aktiengesellschaft | Geschlossenes Mehrkammerbehältnis und diätetisches Kit zur Anwendung bei der enteralen Ernährung |
DE102017125281A1 (de) | 2017-10-27 | 2019-05-02 | Dermatools Biotech Gmbh | Vorrichtung zur Bereitstellung einer Haut- oder Wundauflage |
Also Published As
Publication number | Publication date |
---|---|
CN101720217B (zh) | 2013-07-10 |
DE102007028733A1 (de) | 2008-12-24 |
HK1138178A1 (en) | 2010-08-20 |
CN101720217A (zh) | 2010-06-02 |
US20100198185A1 (en) | 2010-08-05 |
EP2167011B1 (fr) | 2013-01-09 |
WO2008155112A1 (fr) | 2008-12-24 |
ES2401919T3 (es) | 2013-04-25 |
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