EP3429545A1 - Installation pour élaborer une préparation médicinale - Google Patents
Installation pour élaborer une préparation médicinaleInfo
- Publication number
- EP3429545A1 EP3429545A1 EP17710550.9A EP17710550A EP3429545A1 EP 3429545 A1 EP3429545 A1 EP 3429545A1 EP 17710550 A EP17710550 A EP 17710550A EP 3429545 A1 EP3429545 A1 EP 3429545A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- pump
- plant
- valve
- module
- preparation
- 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
- 238000002360 preparation method Methods 0.000 title claims abstract description 65
- 238000009434 installation Methods 0.000 title claims abstract description 9
- 239000007788 liquid Substances 0.000 claims abstract description 43
- 238000005303 weighing Methods 0.000 claims abstract description 17
- 230000002572 peristaltic effect Effects 0.000 claims description 23
- 238000004519 manufacturing process Methods 0.000 claims description 7
- 235000016709 nutrition Nutrition 0.000 claims description 5
- 230000005540 biological transmission Effects 0.000 claims description 4
- 230000002093 peripheral effect Effects 0.000 claims description 4
- 238000012546 transfer Methods 0.000 claims description 2
- 235000016236 parenteral nutrition Nutrition 0.000 abstract description 3
- 238000010276 construction Methods 0.000 abstract 1
- 239000002699 waste material Substances 0.000 description 7
- 238000013461 design Methods 0.000 description 6
- 239000012530 fluid Substances 0.000 description 5
- 238000005429 filling process Methods 0.000 description 4
- 238000001802 infusion Methods 0.000 description 3
- 239000000203 mixture Substances 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 238000005086 pumping Methods 0.000 description 3
- 230000008961 swelling Effects 0.000 description 3
- 235000021476 total parenteral nutrition Nutrition 0.000 description 3
- 241000408529 Libra Species 0.000 description 2
- 238000011156 evaluation Methods 0.000 description 2
- 239000004615 ingredient Substances 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 230000004913 activation Effects 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 230000018109 developmental process Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000011010 flushing procedure Methods 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 150000002632 lipids Chemical class 0.000 description 1
- 239000002075 main ingredient Substances 0.000 description 1
- 238000005259 measurement Methods 0.000 description 1
- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 description 1
- 235000015097 nutrients Nutrition 0.000 description 1
- 235000013619 trace mineral Nutrition 0.000 description 1
- 239000011573 trace mineral Substances 0.000 description 1
- 238000009423 ventilation Methods 0.000 description 1
- 235000013343 vitamin Nutrition 0.000 description 1
- 239000011782 vitamin Substances 0.000 description 1
- 229940088594 vitamin Drugs 0.000 description 1
- 229930003231 vitamin Natural products 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
- A61J3/00—Devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms
- A61J3/002—Compounding apparatus specially for enteral or parenteral nutritive solutions
-
- 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
- A61J2200/00—General characteristics or adaptations
- A61J2200/70—Device provided with specific sensor or indicating means
- A61J2200/74—Device provided with specific sensor or indicating means for weight
-
- B—PERFORMING OPERATIONS; TRANSPORTING
- B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
- B65B—MACHINES, APPARATUS OR DEVICES FOR, OR METHODS OF, PACKAGING ARTICLES OR MATERIALS; UNPACKING
- B65B3/00—Packaging plastic material, semiliquids, liquids or mixed solids and liquids, in individual containers or receptacles, e.g. bags, sacks, boxes, cartons, cans, or jars
- B65B3/003—Filling medical containers such as ampoules, vials, syringes or the like
Definitions
- the invention relates to a plant for producing a medicinal preparation.
- the invention relates to a system with which e.g. Infusion bag and / or syringes are filled for parenteral nutrition.
- TPN Total Parenteral Nutrition
- the system MultiComp® the company Fresenius, include a
- the scales used in conventional systems can not achieve a very accurate weighing result. This is not only due to the tolerance of the load cell used, but also because, for example, a scale to which a target container is attached, is exposed to changing tensile forces of the connection hose, which affects the measurement result.
- the invention is the object of the invention to provide a system for producing a medical preparation, in particular a plant for the preparation of a parenteral nutritional preparation, which can be set up comfortably and safely and / or operated.
- the object of the invention is already achieved by a plant for the production of a medical preparation, as well as by a valve unit for a plant for
- the invention relates on the one hand to a plant for the production of a medicinal preparation, which in particular for the production of a parenteral
- Nutritional preparation is formed.
- the system comprises a pump, in particular a peristaltic pump.
- the peristaltic pump in one embodiment may be a roller pump.
- the pump can be transferred from a plurality of source containers liquid in a target container.
- the plant for this purpose comprises a valve unit, with each of which the connection to a source container can be opened, so that liquid can be withdrawn from a source container with the pump.
- This is preferably computer controlled.
- the user can program patient-specific recipes or select from a database.
- the system is then started by the user and a filling process for a target container, in particular an infusion bag or a syringe, is carried out by pumping liquids from different source containers into the target container in a plurality of metering steps.
- the system is modular and comprises at least one balance module and / or a screen module, and a main module with the pump.
- a balance module is understood to mean a device with a balance, which can preferably be set up next to the main module.
- the balance module comprises at least one load cell and a receptacle for a target container. Further, the balance module may also include electronic control and regulation components of the balance. The balance module is preferably connected via an electrical cable, in particular via an electronic interface with the main module and / or an external control device.
- the system includes a screen module. It is therefore provided a modular component in the form of a screen over which the system can be operated, preferably touch-controlled.
- the display module is preferably connected to the main module via an electrical cable and / or an electronic interface.
- the main module comprises at least the pump for transferring the liquids.
- the main module also includes electronic control and
- Control components in particular a computer, with which the pump and the valves are controlled.
- the main module preferably comprises the valve unit.
- a valve unit as a disposable component which is exchanged after a predetermined operating time and / or after passage of a predetermined volume.
- valve unit preferably comprises hoses together with connections for connecting the source containers, as well as a further connection for connecting the target container to the valve unit, which may likewise be designed as a hose.
- connection hose for the target container is inserted into a peristaltic pump.
- the transferred liquids thus come only with the one-way component
- Valve unit but not in contact with other components of the system.
- Balance module and / or screen module are preferably separable from the main module without tools.
- the scale module and / or screen module are separate units that can be lifted and turned on their own.
- a positioning means is provided at least for the balance module, which ensures a defined, so always the same distance when discontinuing the balance module in addition to the main module.
- the system comprises a frame on which scale module and
- Main module are arranged in a defined position to each other.
- the frame is designed in particular as a base, on which the
- Balance module and the main module can be placed.
- the frame preferably comprises a receptacle for the main module and a receptacle for the balance module, wherein the receptacles for the main module and the receptacles for the balance module may have interlocking elements, in which interlocking elements of the balance module and the main module engage.
- the frame has recesses, in particular bores, into which feet of the main module and the balance module can be inserted.
- the frame has recesses, in particular bores, into which feet of the main module and the balance module can be inserted.
- only the rear feet of the main module and the scale module are inserted into the frame. So the frame in the front area of the system is not in the way.
- the frame ensures that the main module and the balance module occupy a defined position relative to one another. In particular, a constant distance of the connection of a target container is ensured to a system-side connection.
- the generally lighter weighing module is present due to the connection to the main module, which is preferably heavier than the weighing module
- the balance module comprises a weighing pan which at least partially spans a gap between the main module and the balance module.
- a port of an inserted destination container can be placed closer to the main module.
- the weighing pan is inclined obliquely upwards in the direction of the main module.
- a target container which is designed as an infusion bag, can be suspended in such a pan on positive-locking elements, for example on pins, and thus has opposite the balance pan and also with respect to the other
- connection hose which also reduces the introduction of forces on the balance through the connection hose.
- the screen module preferably comprises a hinged on a hinge touch screen.
- the display module is not fixed to another component of
- Plant in particular connected to the frame, but can be freely positioned by the user of the system.
- a screen with a pedestal which can be positioned on a right and on a left side of the system, so that the system of operation for right-handed and left-handed users can be easily adapted.
- the socket comprises at least one
- the base is fork-shaped or shaped so that it can be pushed under the main module. This allows for a compact design and on the other hand, that the screen module can be pushed under a right and left side under the main module, wherein the respective front foot of the main module or a receptacle for the main module in the recess between the two forks of
- the system preferably the screen module, comprises a reading device for an electronic memory, in particular a memory chip.
- This memory is preferably used for easy identification of the user of the system.
- an RFI D reader is provided in the screen module.
- the user carries an RFID chip, for example on a card, and can thus wirelessly log on to the system in order to release the system for operation via the touchscreen.
- the main module includes a receptacle for a scanner.
- the scanner enables the reading of barcodes, for example barcodes from source and / or destination containers. These barcodes can be used to control the system.
- the holder for the scanner is positionable according to a preferred embodiment of the invention at various locations to adapt the system different users, especially right-handed and left-handers.
- the receptacle for the scanner is magnetically held on an upper housing front of the main module.
- the receptacle for the scanner may comprise a magnet and be easily removed.
- the invention further relates to a plant for producing a medicinal preparation, in particular a plant having one or more of the features described above and / or below.
- the system comprises a pump, in particular a peristaltic pump, with which liquids can be transferred from a plurality of source containers into a destination container.
- the pump is arranged on a housing front, wherein the pump is arranged tilted relative to a vertical plane.
- a vertical plane is understood to be the plane which, in the erected state of the system, is clamped by vertical outer edges of a housing of the system.
- the position of the pump, in particular the peristaltic pump, is defined by a plane which is perpendicular to the axis of rotation of a pump wheel of the peristaltic pump.
- the plane described by the rotation of the impeller is not vertically aligned, but tilted obliquely.
- the pump with respect to the vertical plane at an angle of 10 ° to 80 °, preferably from 15 ° to 50 °, more preferably from 20 ° to 40 °, tilted.
- the pump is thus arranged obliquely on a front housing front of the system.
- an upper portion of the housing front is angled. So it's not just the pump tilted but an entire section of an upper
- This sloping section creates space for a slanted screen, allowing a more compact design.
- the scanner or the receptacle for the scanner is preferably also arranged in the angled section of the housing front, which also facilitates the accessibility of the scanner to the user.
- the invention further relates to a plant for producing a medicinal preparation, in particular a plant having one or more of the features described above and / or below.
- the system comprises at least one pump, in particular a peristaltic pump, with which a plurality of
- Source containers liquids are transferable into a destination container.
- the system comprises at least two, preferably three, cascaded valve nodes, which each have connections for the source containers.
- valve units for generic system are preferably designed as a disposable component.
- a valve unit has a plurality of valves that can be opened and closed via an actuator so as to control the dosage from different source containers.
- System side drivers are provided for the actuators.
- the valve unit can be mounted on the system and the valves can be opened and closed via the system side computer-controlled operated drivers.
- valve units with a large number of valves are used, even if the system is then operated by the user with only a few source containers.
- valve nodes are cascaded, that is, connected in series.
- the outlets of the individual valves open into a central channel.
- a valve unit with a different number of connections can thus be provided in a simple manner.
- a valve node has 4 to 20 connections for a respective source container.
- a valve unit with cascaded valve nodes preferably comprises 2 to 4
- the cascaded valve units are attached to a receptacle on a housing, in particular snapped, and connected by means of hoses.
- valve nodes different number of valve nodes to provide.
- the system manufacturer can be easily offered in different versions, such as a system for a valve unit with only one valve node or as a system with multiple valve nodes, which has a correspondingly larger number of connections for source container.
- the user may, depending on how many source containers are in use, temporarily different valve units with a different number of
- the invention further relates to a valve unit for a plant described above, which comprises at least two valve nodes, which are connected to a hose. Via this hose, liquid is passed from an external valve node via an internal valve node to a port for a target container.
- the invention further relates to a plant for producing a medicinal preparation, in particular a plant having one or more of the features described above and / or below.
- the system comprises at least one pump, in particular a peristaltic pump, with which liquids can be transferred from a plurality of source containers into a destination container.
- the system comprises a directional control valve arranged in the flow direction, via which a target container having at least two chambers or at least two different target containers can be filled.
- a directional control valve is arranged between the valve unit and the target container.
- the directional control valve is, in particular, a three-way valve which has an inlet, from which, starting from which the liquid, e.g. into one or the other chamber of the target container can be passed.
- the directional control valve is designed as a disposable component, so it is also replaced regularly.
- the directional control valve is connected to the target container.
- the directional control valve can be inseparably connected to the target container and, after the filling process is completed, together with the
- Target container removed from the system.
- the directional control valve is actuated in accordance with an embodiment of the invention via a system-side driver.
- This driver can be arranged depending on the embodiment both on the previously described main module, as well as on the balance module.
- the directional control valve is manually operated.
- the directional control valve is part of the valve unit, in particular inseparably connected to the valve unit.
- the directional control valve is designed as a separate disposable component which has connections for the target container, as well as a further connection in order to be connected to the valve unit present on the system side.
- the directional control valve can also be used to connect another target container parallel to the target container, in particular a destination container which serves as a so-called "waste bag", which is thus discarded after use it is possible, among other things, individual
- the invention further relates to a system, in particular a system with one or more of the features described above and / or below, wherein the system comprises at least one pump, in particular a peristaltic pump, with the transfer of liquids from a plurality of source containers in a target container.
- the system comprises at least one pump, in particular a peristaltic pump, with the transfer of liquids from a plurality of source containers in a target container.
- the system has at least one valve node, which may in particular be part of a valve unit.
- the valve node can be latched onto a receptacle.
- the receptacle is designed in particular as a plate, which driver for
- Actuators of the valve node includes, these may protrude in particular from the plate.
- an edge in particular a peripheral edge of the
- the valve node has latching means for latching on the receptacle.
- the housing of the valve node has latching means for latching on the receptacle.
- Ventilknotens on the bottom of a web which engages in the locked state under the edge of the recording.
- a resilient handle is preferably arranged, which also serves as a handle for the opposite side of the web of the housing.
- About the resilient handle of the web can be removed to remove the valve node on the resilient tab under the edge and the valve nodes are removed.
- the invention further relates to a plant for producing a medicinal preparation, in particular a plant having one or more of the features described above and / or below.
- liquids can be transferred from a plurality of source containers to a destination container.
- the system comprises at least two pumps.
- the pumps are designed as peristaltic pumps.
- the smaller pump promotes a smaller amount in a full revolution of an impeller, in particular an amount which is less than half as large as the amount that promotes the larger pump in one revolution of the impeller.
- the quantity is understood in each case as meaning the volume of the relevant liquid.
- a smaller pump for dosing micro quantities allows a more precise dosage.
- a pump is used as a smaller pump, in which a tube with a smaller diameter is inserted.
- the pumps are connected in series.
- pumps are connected in parallel, wherein, preferably via a directional control valve, can be switched back and forth between the pumps.
- each pump comprises a separate inlet to the target container.
- This embodiment of the invention is e.g. provided for filling a target container with two chambers.
- Each of the pumps can be connected via a respective valve unit with different source containers.
- valve unit may in particular be connected to a hose which leads in the direction of the target container and which has a first portion, which is designed for insertion into the smaller pump, and a second portion with a larger diameter , which is designed for insertion into the larger peristaltic pump.
- the invention further relates to a plant for producing a medicinal preparation, in particular a plant having one or more of the features described above and / or below.
- This system also includes a peristaltic pump with which liquids can be transferred from a plurality of swelling containers into a destination container.
- the plant comprises a combined flow / bubble sensor.
- the flow / bubble sensor is particularly designed as an ultrasonic sensor and detects both, when bubbles are transported through the tube, as well
- incorrect filling can be avoided via the bubble sensor, for example after complete emptying of a source container or if air is drawn in front of the combined flow / bubble sensor.
- the flow sensor can be used to control the amount of fluid delivered by the pump (s).
- the problem is that in an occlusion, for example, the connection of the source container, yet liquid in the
- Target container is transferred because hoses, in particular the connecting hose of the target container contract and thus allow the promotion of a small amount of liquid.
- the tube can relax and the seemingly removed from the source container micro amount is from the other
- the flow rate in particular the flow velocity between the valve unit and the peristaltic pump, drops markedly, which can be detected via the combined flow / bubble sensor.
- the combined flow / bubble sensor is therefore preferably, based on the
- the hose length between the combined flow / bubble sensor and the valve unit is small.
- the hoses which are connected to the source container with the valve unit, usually have a much smaller diameter, so that through this
- Tubing existing dead volume is lower, which in turn means that the risk of apparent flow is lower despite occlusion due to contracting hoses.
- the invention further relates to a plant for the production of a medicinal preparation with a pump, with which from a plurality of source containers
- Liquids are transferable into a target container.
- it is a system with one or more of the features described above and / or below.
- the system comprises a device for the wireless transmission of a user identifier.
- a device for the wireless transmission of a user identifier This may in particular be the above-described reader based on RFID technology.
- the device for the wireless transmission of a user identifier is integrated in particular in a screen module of the system.
- Fig. 1 shows a perspective view of an embodiment of a
- FIG. 2 and FIG. 3 are perspective views of a subframe as part of the system shown in FIG. 1.
- Fig. 4 shows a perspective view of the underframe, which forms a frame together with rods, which have holders for swelling containers.
- FIGS. 5 and 6 are perspective views of the balance module already shown in FIG. 1.
- Fig. 7 is a detail view of the valve nodes.
- Fig. 8 is a detail view of the main module with valve nodes removed.
- FIGS. 9 and 10 are perspective detail views of a valve node.
- Fig. 1 1 is a perspective view of the valve node with connection hoses.
- Fig. 12 shows the hoses for connection of the source container and Fig. 13 shows the hose for connection of the target container.
- Figs. 14 to 16 are perspective views of the main module.
- Figs. 17 and 18 are perspective views of the display module.
- Fig. 19 is a perspective view of a valve unit consisting of three
- FIG. 20 is a detail view of a receptacle for a valve node.
- Fig. 21 is another perspective view of the underside of the valve node.
- Fig. 22 is a detail view of the main module of the plant.
- Fig. 23 shows schematically the basic principle of an alternative embodiment of a plant for the preparation of a medical preparation, which, in contrast to the previously illustrated embodiment comprises two pumps, and a directional control valve for filling a target container with two chambers.
- FIGS. 24 to 27 show further exemplary embodiments of the schematic
- Fig. 28 shows the schematic basic principle of a system in which over a
- FIGS. 23 to 28 the possible deviations of the installation from the installation shown in FIGS. 1 to 22 are shown.
- Fig. 1 shows a perspective view of a plant 1 for the preparation of a medicinal preparation in the form of parenteral nutritional preparation.
- the system 1 has a modular structure and comprises a main module 2.
- the main module 2 comprises a pump 9, which is designed as a peristaltic pump.
- the main module 2 comprises a scanner 12 with which recipe data or barcodes can be read in to destination containers 5 and / or source containers 6.
- a scanner 12 with which recipe data or barcodes can be read in to destination containers 5 and / or source containers 6.
- three valve nodes 10a to 10c are arranged, which together form a valve unit.
- the valve nodes 10a to 10c are connected in cascade, which will be explained in more detail below.
- the system 1 comprises a balance module 3, as well as a
- the balance module 3 comprises a weighing pan 7, in which a target container 6 is inserted.
- Balance module 3 and main module 2 are placed on a base frame 1 1, which ensures a constant position of the scale module 3 and main module 2 to each other.
- the gap between the scale module 3 and main module 2 is partially covered by the weighing pan 7, so that the connection of the target container 6 is close to the top of the housing of the main module 2.
- the balance pan 7 is inclined with respect to a horizontal plane obliquely upward in the direction of the main module 2. As a result, also moves the connection of the target container 6 close to the top of the main module 2, which is the length of a
- Hose 36 for connecting the target container 6 to the valve node 10 a reduced.
- the hoses 36, 37 are not shown in this view. Further to be recognized are rods 8, on which a plurality of source containers 5 are arranged.
- Valve node 10a connected to 10c. Further, the valve nodes 10a to 10c are arranged cascaded, so that only the valve node 10a is directly connected to the target container 6.
- the tube 36 used to connect the target container is replaced by the
- Hose pump 9 out.
- the desired preparation can be transferred into the target container 6 by computer control via the valve unit 60 consisting of the valve node 10a to 10c.
- the valve unit 60 consisting of the valve node 10a to 10c.
- one of the valves 63 is opened so that liquid is pumped from a source container 5 into the destination container with the pump 9 during a metering step. Then, the next valve 63 is opened. It will be the
- a single valve 63 leading to a source container 5 is opened during each individual metering step. So it is always taken only one source container 5 liquid.
- a so-called universal liquid also called “Universal Ingredient” (Ul)
- Ul Universal Ingredient
- the universal fluid is usually isotonic water.
- Valve unit 60 (see, for example, Fig. 19) is connected and the leading to all source containers 5 hoses 37 are vented by a respective required amount of liquid is removed.
- the screen module 4 which has a touch screen for operating the system 1, is freely movable relative to the underframe 1 1 and thus relative to the remaining system components. This view is on the right side of Appendix 1. If a left-hander operates the system, the display module 4 can be moved to the left.
- the scanner 12 can be placed further to the right.
- Fig. 2 shows a perspective view of the underframe 1 1.
- the undercarriage 1 1 has a receptacle 13 for the balance module 3.
- the receptacle 13 includes holes 14, in which feet 28b of the balance module 3 can be used.
- the subframe 1 1 further comprises a receptacle 15 for the main module 2.
- the receptacle 15 projects like a fork out of the rest of the frame 1 1 out.
- the receptacle 15 for the main module 2 includes holes 16, in which two feet 42 b of the main module 2 can be used.
- scale module 3 and main module 2 are firmly positioned relative to one another in the horizontal plane.
- the distance between the scale module 3 and main module 2 is defined by the portion 17 of the underframe 1 1.
- the base 1 1 has behind the receptacle 15 for the main module 2 receptacles 18 for the rods 8, where the source container 5 can be attached.
- 8 source containers 5 are attached to these rods for smaller quantities, while, for example, bags from which the main components of the medical preparation are fed, can be hung remotely to a rack by means of hooks (not shown).
- Fig. 3 shows a perspective view of the underside of the underframe 1 1. It can be seen that the underframe 1 1 has a plurality of feet 19, which may be formed, for example, as inserted or glued elastomeric elements. Between the feet 19 1 1 recesses 20 are placed on the underside of the base frame, which serve better ventilation under the main module 2.
- Fig. 4 shows a perspective view of the underframe 1 1, in which now the rods 8 are used, which serve to attach the source container 5.
- the rods 8 consist of a lower part 8a and an upper part 8b and are telescopically extendable.
- holders 21 for the source containers 5 can be attached to the rods 8, which are preferably designed to be vertically displaceable. This will be a flexible one
- the base frame 1 1 is fixed in the erected state by the heavier main module 2 by the modular concept, which means that at the same time connected to the base frame 1 1 rods 8 are secured against tipping over.
- the balance module 3 comprises a housing 26, in which the load cell (not shown) and optionally
- the weighing pan 7 is designed to be slippery or trough-shaped or similar.
- a target container 6 is mounted in the pins 27 of the weighing pan 7.
- the weighing pan 7 is mounted on the balance 22, in which the weighing cell is arranged.
- the weighing pan 7 comprises a tube holder 25, in which the
- FIG. 6 is another perspective view of the balance module 3. It can be seen that the housing 26 has cylindrical or conical feet 28a, 28b at the bottom.
- the feet 28b are inserted into the bores 14 of the underframe 1 1.
- connection 40 with which the balance 22 is connected to the main module 2.
- the connection is a
- FIG. 7 shows a detailed view of the main module 2 already shown in FIG. 1.
- valve nodes 10a to 10c are arranged on the upper side of the housing of the main module 2.
- valve nodes 10a to 10c each have two ports 29a to 29f.
- the port 29a is connected to a hose 36 leading to the target container 6 (see also, e.g., Fig. 19).
- the port 29f is closed.
- Fig. 8 is a further detail view in which, compared to Fig. 7, the valve nodes 10a to 10c are removed.
- the valve nodes 10a to 10c can be snapped onto the system-side receptacles 30a to 30c.
- Each of these receptacles 30a to 30c comprises drivers 31, which are in this
- Embodiment schraubencarderartig formed, and which serve to move the actuators 35a to 35f, with which the valves 63 of the valve unit 60 can be actuated (see also eg Fig. 9 and 10).
- 9 is a perspective detail view of a valve node 10a without connection hoses.
- the valve node 10c includes the ports 32a to 32I for connecting the
- Each of the ports 32a-32I is connected to a hose 37 leading to a source container 5 (see also, e.g., Figures 1 1 and 12).
- the terminals 32a to 32I are an integral part of the housing 31 of the
- the port 29f is closed with a plug 34.
- Fig. 10 shows a perspective view of the underside of the valve node 10a.
- a central channel 62 extends between the connections 29a and 29b.
- the valves 63 are formed in this embodiment as 3-way valves.
- valves 63 which are designed as 3/3-way valves with a closed center position.
- connection 32e or 32f can be opened via the actuating member 35a.
- the individual valve nodes 10a to 10c are preferably identical. In this illustration, the actuators 35a to 35c are closed
- Fig. 1 1 shows a valve node 10a with hoses 36, 37.
- the hoses 37 are used to connect the source container 5, and the hose 36 is guided by the pump 9 and serves to connect the target container. 6
- the hoses 36 and 37 are connected to the ports 29a to 29f and 32a to 32i of the respective valve node 10a to 10c in such a way that they can not be removed nondestructively.
- the valve unit 60 consisting of the valve nodes 10a to 10c together with hoses 36, 37 is thus designed as a disposable component.
- FIG. 12 shows a detailed view of the end of the hoses 37 for connecting the source containers 6.
- terminals 38 which are formed in this embodiment as a Luer lock connection with a connected spike.
- FIG. 13 is a reduced perspective view of the hose 36 for connecting the target container 8.
- This is connected to the port 29 a of the valve node 10 a and comprises a connection 39 for the destination container 6.
- the terminal 39 may also be formed as a Luer-lock connection. 14 shows a perspective view of the main module 2.
- the main module 2 comprises the pump 9, which is designed as a peristaltic pump and has the removable impeller 50.
- the impeller 50 is preferably sprung.
- the pump 9 When the hose 36 is inserted, the pump 9 has a suction side 48 and a pressure side 49, which are determined by the direction of rotation of the impeller 50.
- On the upper side of the housing 41 are three receptacles 30a to 30c for the
- Valve node 10a to 10c formed.
- the plant 1 may also comprise only one (e.g., 10a) or two valve nodes (e.g., 10a and 10b).
- the state shown here shows the full occupancy with three shots 30a to 30c.
- a combined flow / bubble sensor 46 and a hose holder 47 are arranged on the upper side of the housing 41.
- the hose 36 connected to the valve node 10 a is first inserted into the housing of the combined flow / bubble sensor 46, then passed through the hose pump 9 and then through the hose holder 47. Furthermore, the front feet 42a of the main module 2, which are not inserted into the underframe 11, can be seen.
- the main module 2 has an electrical connection 44 for the screen module 4 on one side and an electrical connection 43 for the balance module 3 on the other side.
- the receptacle 59 for the scanner 12 includes a magnet and can be easily removed. For example, it can be placed on the positive-locking element 45 in order to convert the installation 1 to operation by a left-hander.
- FIG. 15 shows another perspective view of the main module 2.
- FIG. 16 which likewise shows a perspective view of the main module 2
- a grip recess 51 is provided on the other side, namely on the side of the electrical connection 43 for the balance module 3.
- housing 41 has a bevelled upper housing front 53.
- the vertical plane is defined by the here drawn vertical straight lines 52, which are arranged at the corners of the housing 41.
- the impeller 50 or its upper side to be seen here and thus the entire pump 9 is tilted relative to this vertical plane by the angle ⁇ .
- the angle ⁇ is between 20 ° and 40 °, in this embodiment, the angle ⁇ is about 30 °.
- the pump 9 is easily accessible to insert the tube 39 and / or to clean the pump after removing the impeller 50. Furthermore, a particularly compact embodiment of the main module 2 is made possible.
- the screen of the screen module 4 can be pivoted into the area created by the inclination of the upper housing front 53 area.
- the screen module 4 comprises a touch screen 56, which is connected via a hinge 55 to the base 54.
- the touchscreen 56 is pivotable.
- the touchscreen 56 includes terminals 57 for connection to the
- FIG. 18 is another perspective view of the display module 4.
- the base 54 has a recess 58.
- the base 54 is formed like a fork.
- the base 54 can also be pushed under the main module 2 in the region of the feet 42a of the main module 2.
- FIG. 19 is a perspective view of a valve unit 60 incorporated therein.
- Embodiment of the three valve nodes 10a to 10c consists.
- the valve nodes 10a and 10b and 10b and 10c are each connected to each other by a hose 61.
- Port 29 a is connected to the hose 36, which is guided by the pump 9 and which is connected to the target container 6.
- All ports 32a-32l of each valve unit 10a-10c are thus located on a, preferably single, central channel, which is formed from the respective channel 62 of the respective valve node 10a to 10c and the hoses 61 and 36.
- valve nodes 10a to 10c are arranged so cascaded.
- Valve unit 60 may be used, which, as shown here, three valve nodes 10a-10c or even only two or a valve node (not shown).
- FIG. 20 is a detailed illustration of the receptacle 30a for a valve node 10a which can already be seen in FIGS. 14 to 16.
- the receptacle 30a comprises a base 65 and is formed plate-shaped above the base, wherein a peripheral edge 64 protrudes.
- the peripheral edge 64 serves as a positive-locking element for the corresponding valve node 10a. It can be seen that from the plate-shaped receptacle 30 a the
- Carrier 31 for the actuators 35a - 35f of the valve node 10a protrude.
- the drivers 31 may also be sunk into the receptacle 30a (not shown).
- the underside of the valve node 10a can be seen in FIG.
- the housing 33 of the valve node 10a on a rear side has a web 68, which can be pushed under the edge 64 of the receptacle 30a.
- a handle 66 is arranged, which is resilient, and also has a web 67 which engages in the locked state under the edge 64 of the receptacle 30 a.
- the handle 66 with the web 67 is preferably formed as a resilient plastic component, which may in particular also be integrally formed with the housing 33.
- the housing 33 may be formed, for example, as a plastic injection molded part.
- Fig. 22 is a detail view of Fig. 14, in which the combined flow / bubble sensor 46 can be seen.
- the receptacle 30a for the valve node 10a is also visible.
- the tube 36 connecting the valve node 10a to the target container 6 is first passed through the combined flow / bubble sensor 46, then through the pump 9 and then through the tube holder 47.
- the hose holder 47 ensures a defined position of the hose, which reduces the risk of introducing fluctuating forces to the target container 5 located on the balance module 3.
- the combined flow / bubble sensor 46 is thus arranged close to the valve unit 60 at the same time.
- the combined flow / bubble sensor 46 has a lid 71, which in this embodiment can be opened to one side so that the tube 36 is then inserted.
- it is a sensor in which the evaluation electronics is integrated, which thus outputs a measured value for the flow rate and a further measured value for the presence or absence of bubbles in the tube 46. Via an interface, the sensor can thus be connected to the evaluation electronics of the system 1.
- the threshold value can be defined as a flow rate that is 20 percent below that calculated flow rate, which would have to be present at the respective dosing step due to the control of the pump 9.
- Fig. 23 is a schematic schematic diagram of an alternative embodiment of a system 1 a, in which two possible modifications are to be described with respect to the system described above.
- the system 1 a has a plurality of source containers 5.
- the source container 5a comprises water or universal liquid for rinsing the valve unit 60.
- the system 1 a comprises two pumps, namely a larger pump 9a and a smaller pump 9b.
- the pump 9a has a larger capacity than the pump 9b and serves the
- both pumps 9a and 9b can be peristaltic pumps, wherein a hose is inserted into the pump 9a which has a larger diameter than the hose which is inserted in the pump 9b.
- the hose 36 which connects the valve unit 60 with the target container 6a, thus preferably comprises two sections with different diameters.
- system 1 a can be configured in the same way as the system 1 described above.
- the system comprises a directional control valve 70, which is arranged in front of the target container 6a. It is understood that this modification with respect to the system 1 alone, ie without the two pumps 9a and 9b, may be present or even the system 1 a may comprise only the two pumps 9a and 9b and no directional control valve 70.
- the target container 6a includes the chambers 69a and 69b.
- the chambers 69 a and 69 b can be filled with a medicinal preparation of different composition.
- the directional control valve 70 is preferably part of a disposable component.
- the directional control valve 70 by a plant side
- the directional control valve 70 is manually actuated, that is, the user begins to target the reservoir 6a, first starts a fill operation for, for example, the chamber 69a, then reverses the directional control valve 70 so that fluid can flow into the chamber 69b , and starts another one
- Fig. 24 is another embodiment of a system 1 b with two pumps 9 a, 9 b.
- the pumps 9a and 9b are not connected in series.
- connection branches to the target container 6, seen in the flow direction, after the valve unit. Via a directional control valve 72, either fluid can be guided via the pump 9a or via the pump 9b.
- the pump 9b has a smaller capacity than the pump 9a and serves the dosage of the micro amount.
- Fig. 25 is another rowsbespiel a plant 1 c with two pumps 9a, 9b.
- valve units 60a, 60b are provided.
- a part of the source container 5 is connected to the target container 6 via the valve unit 60a. Liquids from these source containers are conveyed via the pump 9a into the target container 6, whereas liquids from the source containers 5, which are connected via the valve unit 60b to the target container, are conveyed via the pump 9b into the target container 6.
- the pump 9b and the separate valve unit 60b serve to dose
- Both valve units 60a, 60b are each connected to a source container 5a, which comprises universal liquid, in order, among other things, to be able to rinse the valve units.
- Fig. 26 is an embodiment of a system 1 d with two pumps 9a, 9b.
- a target container 6a is filled with two chambers 69a, 69b.
- the chamber 69b is connected via the pump 9a and the valve unit 60 to a plurality of source containers 5, 5a. Via the pump 9a, liquid is transferred only in chamber 69b. The metering from the various source containers takes place by activation of the valve unit 60.
- the other chamber 69a of the target container 6a is connected via the pump 9b with the
- Source container 5c connected.
- the second chamber 69a is filled with liquid from the source container 5c via the pump 9b.
- the source container 5c has a lipid-containing
- FIG. 27 shows a further embodiment of a system 1 e for producing a medical preparation.
- the pump 9b is also connected to source containers 5 via a further valve unit 60b.
- the chamber 69a can thus be filled via the pump 9b, wherein the dosage from the various source containers 5 is controlled via the valve unit 60b.
- the chamber 69b is filled in accordance with the pump 9a, wherein the dosage is controlled via the valve unit 60a.
- a source container 5a with universal liquid is connected to both valve units.
- FIG. 28 shows a further embodiment of a system 1f for producing a medical preparation.
- Valve unit 60 a directional control valve 74 is provided, via which liquid from a plurality of source containers 5, 5 a both into the two chambers 69 a, 69 b of a
- Target container 6a as well as in a waste bag 75 can be transferred.
- the feeds to individual source containers 5 can thus be purged at any time, for instance to exchange a single source container 5, if this is emptied. It is not necessary to flush the entire system when a source container 5 is exchanged. Rather, a source container 5 can also be exchanged while the target container 6a is connected.
- the directional control valve 74 is preferably designed as at least 4-way valve.
- the target container 6a may also be designed as a container with only one chamber.
- a system 1f shown here for the production of a medical preparation may also comprise two pumps, in particular as previously described with reference to FIGS. 23 to 27.
- a compact system for the preparation of a medical preparation can be provided, which is simple and safe to use.
Landscapes
- Health & Medical Sciences (AREA)
- Nutrition Science (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- External Artificial Organs (AREA)
Abstract
Priority Applications (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP24195306.6A EP4438024A2 (fr) | 2016-03-15 | 2017-03-15 | Installation de production d'une préparation médicale |
EP20199834.1A EP3795132B1 (fr) | 2016-03-15 | 2017-03-15 | Équipement pour fabriquer une préparation médicale |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP16160331 | 2016-03-15 | ||
PCT/EP2017/056099 WO2017158009A1 (fr) | 2016-03-15 | 2017-03-15 | Installation pour élaborer une préparation médicinale |
Related Child Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP24195306.6A Division EP4438024A2 (fr) | 2016-03-15 | 2017-03-15 | Installation de production d'une préparation médicale |
EP20199834.1A Division EP3795132B1 (fr) | 2016-03-15 | 2017-03-15 | Équipement pour fabriquer une préparation médicale |
Publications (2)
Publication Number | Publication Date |
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EP3429545A1 true EP3429545A1 (fr) | 2019-01-23 |
EP3429545B1 EP3429545B1 (fr) | 2020-10-28 |
Family
ID=55646297
Family Applications (3)
Application Number | Title | Priority Date | Filing Date |
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EP20199834.1A Active EP3795132B1 (fr) | 2016-03-15 | 2017-03-15 | Équipement pour fabriquer une préparation médicale |
EP17710550.9A Active EP3429545B1 (fr) | 2016-03-15 | 2017-03-15 | Installation pour élaborer une préparation médicinale |
EP24195306.6A Pending EP4438024A2 (fr) | 2016-03-15 | 2017-03-15 | Installation de production d'une préparation médicale |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
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EP20199834.1A Active EP3795132B1 (fr) | 2016-03-15 | 2017-03-15 | Équipement pour fabriquer une préparation médicale |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
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EP24195306.6A Pending EP4438024A2 (fr) | 2016-03-15 | 2017-03-15 | Installation de production d'une préparation médicale |
Country Status (4)
Country | Link |
---|---|
US (3) | US11000451B2 (fr) |
EP (3) | EP3795132B1 (fr) |
ES (1) | ES2833926T3 (fr) |
WO (1) | WO2017158009A1 (fr) |
Families Citing this family (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP3600216B1 (fr) * | 2017-03-24 | 2021-04-28 | CareFusion 303, Inc. | Contenant à déchets de mélangeur de médicament automatique |
US11196768B2 (en) * | 2017-08-22 | 2021-12-07 | Cohda Wireless Pty Ltd | Determination of plausibility of intelligent transport system messages |
EP3868861A1 (fr) * | 2020-02-18 | 2021-08-25 | Sartorius Stedim Biotech GmbH | Installation de biotraitement |
CN113493005B (zh) * | 2021-07-29 | 2022-10-28 | 陕西祈飞实业有限公司 | 一种化妆品制备工艺 |
AU2023232562A1 (en) | 2022-03-08 | 2024-09-05 | Equashield Medical Ltd | Fluid transfer station in a robotic pharmaceutical preparation system |
EP4299457A1 (fr) * | 2022-07-01 | 2024-01-03 | Kiro Grifols, S.L. | Machine de préparation de produit médical avec dispositif amovible pour charger des récipients médicaux |
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US3429273A (en) * | 1967-12-05 | 1969-02-25 | Charles B Jones Jr | Peristaltic pump |
IL44372A (en) * | 1974-03-08 | 1976-10-31 | Drori Mordeki | Fluid-driven feeding device for liquid materials |
DE2619160A1 (de) * | 1976-04-30 | 1977-11-17 | Motan Gmbh | Einfaerbegeraet fuer fluessigfarben |
US4513796A (en) * | 1982-06-24 | 1985-04-30 | Baxter Travenol Laboratories, Inc. | High speed bulk compounder |
US4473173A (en) * | 1983-01-10 | 1984-09-25 | Applied Color Systems, Inc. | Apparatus and method for low volume dispensing |
US4587793A (en) * | 1985-01-16 | 1986-05-13 | Home Health Care Of America, Inc. | Pharmaceutical infusion products and the process and apparatus for the making thereof |
US5228485A (en) * | 1986-12-08 | 1993-07-20 | Clintec Nutrition Co. | Flexible tubing occlusion sensor |
IT1219716B (it) * | 1988-06-14 | 1990-05-24 | Dideco Spa | Pompa peristaltica atta ad operare contemporaneamente su due linee |
US5040699A (en) * | 1989-05-15 | 1991-08-20 | Gangemi Ronald J | Fluid compounding method and apparatus |
US5460493A (en) * | 1993-11-17 | 1995-10-24 | Baxter International Inc. | Organizer frame for holding an array of flexible tubing in alignment with one or more peristaltic pump rotors |
US5697407A (en) * | 1995-11-30 | 1997-12-16 | The Metrix Company | Compounding system for multiple chamber receptacles |
JPH09225008A (ja) * | 1996-02-26 | 1997-09-02 | Nikka Micron Kk | 薬液調合装置 |
US5927349A (en) * | 1996-12-09 | 1999-07-27 | Baxter International Inc. | Compounding assembly for nutritional fluids |
CA2360788C (fr) * | 1999-12-03 | 2009-04-14 | Baxter International Inc. | Procede et appareil regulant la strategie de confection de melanges pharmaceutiques |
US7317967B2 (en) * | 2001-12-31 | 2008-01-08 | B. Braun Medical Inc. | Apparatus and method for transferring data to a pharmaceutical compounding system |
US7555437B2 (en) * | 2006-06-14 | 2009-06-30 | Care Cam Innovations, Llc | Medical documentation system |
US20090154764A1 (en) * | 2006-10-20 | 2009-06-18 | Forhealth Technologies, Inc. | Drug vial detection in an automated drug preparation system |
JP5490140B2 (ja) * | 2009-10-14 | 2014-05-14 | パナソニック株式会社 | 薬液調製支援システムおよび薬液調製支援方法 |
ES2551809B1 (es) * | 2014-05-21 | 2016-05-17 | Kiro Robotics Sl | Máquina de preparación de sustancias de aplicación intravenosa |
US11357966B2 (en) * | 2015-04-23 | 2022-06-14 | B. Braun Medical Inc. | Compounding device, system, kit, software, and method |
US10806673B2 (en) * | 2015-12-04 | 2020-10-20 | Carefusion 303, Inc. | Vial puck system for automatic drug compounder |
PL3416891T3 (pl) * | 2016-02-19 | 2021-05-04 | Fresenius Kabi Deutschland Gmbh | Urządzenie do wytwarzania preparatu medycznego |
US11077023B2 (en) * | 2016-03-15 | 2021-08-03 | Fresenius Kabi Deutschland Gmbh | Method for producing a medical preparation using a peristaltic pump |
CN108778247B (zh) * | 2016-03-15 | 2022-04-26 | 费森尤斯卡比德国有限公司 | 秤和用于制造医疗制剂的设备 |
EP4218709A1 (fr) * | 2016-03-15 | 2023-08-02 | Fresenius Kabi Deutschland GmbH | Procede de fabrication d'une preparation medicamenteuse |
-
2017
- 2017-03-15 WO PCT/EP2017/056099 patent/WO2017158009A1/fr active Application Filing
- 2017-03-15 US US16/084,367 patent/US11000451B2/en active Active
- 2017-03-15 EP EP20199834.1A patent/EP3795132B1/fr active Active
- 2017-03-15 EP EP17710550.9A patent/EP3429545B1/fr active Active
- 2017-03-15 ES ES17710550T patent/ES2833926T3/es active Active
- 2017-03-15 EP EP24195306.6A patent/EP4438024A2/fr active Pending
-
2021
- 2021-05-10 US US17/316,052 patent/US11793723B2/en active Active
-
2023
- 2023-10-10 US US18/378,607 patent/US20240180782A1/en active Pending
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US20240180782A1 (en) | 2024-06-06 |
ES2833926T3 (es) | 2021-06-16 |
US11793723B2 (en) | 2023-10-24 |
EP3795132B1 (fr) | 2024-08-21 |
US20190083360A1 (en) | 2019-03-21 |
US11000451B2 (en) | 2021-05-11 |
EP3429545B1 (fr) | 2020-10-28 |
EP4438024A2 (fr) | 2024-10-02 |
EP3795132A2 (fr) | 2021-03-24 |
WO2017158009A1 (fr) | 2017-09-21 |
US20210369568A1 (en) | 2021-12-02 |
EP3795132A3 (fr) | 2021-07-21 |
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