WO1999027885A1 - Conteneur a compartiments multiples pour solution medicale - Google Patents
Conteneur a compartiments multiples pour solution medicale Download PDFInfo
- Publication number
- WO1999027885A1 WO1999027885A1 PCT/SE1998/002146 SE9802146W WO9927885A1 WO 1999027885 A1 WO1999027885 A1 WO 1999027885A1 SE 9802146 W SE9802146 W SE 9802146W WO 9927885 A1 WO9927885 A1 WO 9927885A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- glucose
- concentration
- calcium
- contents
- compartment
- Prior art date
Links
- 239000008155 medical solution Substances 0.000 title claims abstract description 24
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 claims abstract description 75
- 239000008103 glucose Substances 0.000 claims abstract description 74
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 claims abstract description 57
- 239000011575 calcium Substances 0.000 claims abstract description 57
- 229910052791 calcium Inorganic materials 0.000 claims abstract description 57
- BHPQYMZQTOCNFJ-UHFFFAOYSA-N Calcium cation Chemical compound [Ca+2] BHPQYMZQTOCNFJ-UHFFFAOYSA-N 0.000 claims abstract description 28
- 229910001424 calcium ion Inorganic materials 0.000 claims abstract description 28
- 239000000243 solution Substances 0.000 claims abstract description 22
- 239000000385 dialysis solution Substances 0.000 claims abstract description 21
- WQZGKKKJIJFFOK-VFUOTHLCSA-N beta-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 claims abstract description 18
- 238000000502 dialysis Methods 0.000 claims abstract description 11
- 238000002156 mixing Methods 0.000 claims abstract description 10
- 238000003860 storage Methods 0.000 claims abstract description 7
- 230000007774 longterm Effects 0.000 claims abstract description 6
- BVKZGUZCCUSVTD-UHFFFAOYSA-M Bicarbonate Chemical compound OC([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-M 0.000 claims description 18
- JLVVSXFLKOJNIY-UHFFFAOYSA-N Magnesium ion Chemical compound [Mg+2] JLVVSXFLKOJNIY-UHFFFAOYSA-N 0.000 claims description 4
- 229910001425 magnesium ion Inorganic materials 0.000 claims description 4
- 238000000034 method Methods 0.000 claims description 3
- 238000002360 preparation method Methods 0.000 claims description 2
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 abstract description 22
- 239000011780 sodium chloride Substances 0.000 abstract description 11
- CYDQOEWLBCCFJZ-UHFFFAOYSA-N 4-(4-fluorophenyl)oxane-4-carboxylic acid Chemical compound C=1C=C(F)C=CC=1C1(C(=O)O)CCOCC1 CYDQOEWLBCCFJZ-UHFFFAOYSA-N 0.000 abstract description 4
- 239000001540 sodium lactate Substances 0.000 abstract description 4
- 229940005581 sodium lactate Drugs 0.000 abstract description 4
- 235000011088 sodium lactate Nutrition 0.000 abstract description 4
- 238000000108 ultra-filtration Methods 0.000 abstract description 4
- UIIMBOGNXHQVGW-DEQYMQKBSA-M Sodium bicarbonate-14C Chemical compound [Na+].O[14C]([O-])=O UIIMBOGNXHQVGW-DEQYMQKBSA-M 0.000 abstract 1
- 235000002639 sodium chloride Nutrition 0.000 abstract 1
- 239000000203 mixture Substances 0.000 description 16
- TWRXJAOTZQYOKJ-UHFFFAOYSA-L Magnesium chloride Chemical compound [Mg+2].[Cl-].[Cl-] TWRXJAOTZQYOKJ-UHFFFAOYSA-L 0.000 description 14
- VTYYLEPIZMXCLO-UHFFFAOYSA-L Calcium carbonate Chemical compound [Ca+2].[O-]C([O-])=O VTYYLEPIZMXCLO-UHFFFAOYSA-L 0.000 description 12
- 239000012528 membrane Substances 0.000 description 11
- UXVMQQNJUSDDNG-UHFFFAOYSA-L Calcium chloride Chemical compound [Cl-].[Cl-].[Ca+2] UXVMQQNJUSDDNG-UHFFFAOYSA-L 0.000 description 7
- 239000000872 buffer Substances 0.000 description 7
- 239000001110 calcium chloride Substances 0.000 description 7
- 229910001628 calcium chloride Inorganic materials 0.000 description 7
- 229910001629 magnesium chloride Inorganic materials 0.000 description 7
- FYYHWMGAXLPEAU-UHFFFAOYSA-N Magnesium Chemical compound [Mg] FYYHWMGAXLPEAU-UHFFFAOYSA-N 0.000 description 6
- UIIMBOGNXHQVGW-UHFFFAOYSA-M Sodium bicarbonate Chemical compound [Na+].OC([O-])=O UIIMBOGNXHQVGW-UHFFFAOYSA-M 0.000 description 6
- 229910000019 calcium carbonate Inorganic materials 0.000 description 6
- 239000011777 magnesium Substances 0.000 description 6
- 229910052749 magnesium Inorganic materials 0.000 description 6
- 229910019142 PO4 Inorganic materials 0.000 description 5
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 5
- 239000010452 phosphate Substances 0.000 description 5
- JVTAAEKCZFNVCJ-UHFFFAOYSA-M Lactate Chemical compound CC(O)C([O-])=O JVTAAEKCZFNVCJ-UHFFFAOYSA-M 0.000 description 4
- 239000008280 blood Substances 0.000 description 4
- 210000004369 blood Anatomy 0.000 description 4
- 229940001447 lactate Drugs 0.000 description 4
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical compound C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 230000007935 neutral effect Effects 0.000 description 3
- 239000011734 sodium Substances 0.000 description 3
- 229910052708 sodium Inorganic materials 0.000 description 3
- 235000017557 sodium bicarbonate Nutrition 0.000 description 3
- 229910000030 sodium bicarbonate Inorganic materials 0.000 description 3
- 208000024891 symptom Diseases 0.000 description 3
- 208000007101 Muscle Cramp Diseases 0.000 description 2
- 150000004649 carbonic acid derivatives Chemical class 0.000 description 2
- 238000000354 decomposition reaction Methods 0.000 description 2
- 238000001802 infusion Methods 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 239000011259 mixed solution Substances 0.000 description 2
- 238000001556 precipitation Methods 0.000 description 2
- 230000001105 regulatory effect Effects 0.000 description 2
- 102000009027 Albumins Human genes 0.000 description 1
- 108010088751 Albumins Proteins 0.000 description 1
- 208000005392 Spasm Diseases 0.000 description 1
- 206010047700 Vomiting Diseases 0.000 description 1
- 230000002308 calcification Effects 0.000 description 1
- 238000004364 calculation method Methods 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000010790 dilution Methods 0.000 description 1
- 239000012895 dilution Substances 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 208000035475 disorder Diseases 0.000 description 1
- 208000002173 dizziness Diseases 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 238000001631 haemodialysis Methods 0.000 description 1
- 238000011065 in-situ storage Methods 0.000 description 1
- 150000002500 ions Chemical class 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000004220 muscle function Effects 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 239000002244 precipitate Substances 0.000 description 1
- 102000004169 proteins and genes Human genes 0.000 description 1
- 108090000623 proteins and genes Proteins 0.000 description 1
- 238000005070 sampling Methods 0.000 description 1
- 238000004088 simulation Methods 0.000 description 1
- 230000008673 vomiting Effects 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
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/16—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis with membranes
- A61M1/1654—Dialysates therefor
- A61M1/1656—Apparatus for preparing dialysates
- A61M1/1668—Details of containers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
- A61M1/287—Dialysates therefor
-
- 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
- A61J1/2027—Separating means having frangible parts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
Definitions
- the present invention relates to peritoneal dialysis, where a dialysis solution is present in a multiple compartment container provided with three or more compartments.
- the invention relates particularly to such a container in which the dialysis solution contains bicarbonate as buffer, as well as glucose and calcium ions.
- a container for peritoneal dialysis is disclosed in WO 97/05852.
- the container contains conventional dialysis solution with lactate as buffer.
- the container thus comprises a first large compartment containing sodium lactate, sodium chloride, calcium chloride and magnesium chloride, as well as two small compartments containing glucose of high concentration and low pH.
- the container is sterilized in an autoclave with the solutions in situ in said compartments.
- either one or both of the compartments are connected to the large compartment by frangible pins whereby the dialysis solution contains a desired concentration of glucose, such as 1.5%, 2.5% or 4%.
- Using a three compartment container it is possible to employ a single container for all three degrees of concentration, which reduces costs for logistics and storage.
- An object to the present invention is to adapt the container according to WO 97/05852 for such type of peritoneal dialysis in which the lactate buffer is entirely or partially exchanged for a buffer consisting of bicarbonate.
- bicarbonate cannot, however, be combined with calcium or magnesium in the large compartment since this may lead to precipitation of, for example, carbonates during long term storage or at high pH. Accordingly, bicarbonate and calcium/magnesium must be separated until shortly before use.
- Glucose and calcium/magnesium are largely compatible, i.e. they do not precipitate.
- the divalent ions catalyse glucose decomposition to a certain extent .
- a conventional peritoneal dialysis solution has a calcium ion concentration of 1.75 mM (mmol/1) and a magnesium ion concentration between 0.25-0.50 mM.
- the buffer may be solely bicarbonate which thereby normally exists at a concentration of 30-40 mM or a combination of bicarbonate and lactate, for example 25 mM bicarbonate and 15 mM lactate.
- a further object of the present invention is to propose a three compartment container of the above-mentioned type in which the above-mentioned problem is solved.
- hypocalciemia results in i.a. the following symptoms: cramps, hyper-reflexes, spasms, ECG- changes and hyperparatyroidism.
- hypocalciemia is normally counteracted by increased intake of calcium carbonate, while the calcium concentration in the dialysis solution is normally kept constant .
- a peritoneal dialysis solution is to be neutral (in- and outflow the same) with regard to the calcium transport during a four hour period, it should comprise about 1.2 mM calcium at 1.5% glucose, about 1.6 mM at 2.5% glucose and, finally, about 2.3 mM calcium at 4.0% glucose, i.e. the calcium concentration should be substantially proportional to the glucose concentration in the final solution.
- the final glucose concentration in the mixed solution is determined by the volume of the small compartments since the glucose concentration is identical in the small glucose compartments, for example 50%. This results in that the calcium concentration will always remain proportional to the glucose concentration. The higher the glucose concentration (greater volume) , the more ultrafiltration and thus also higher calcium concentration in the mixed solution.
- the calcium concentration may in that respect be selected so that the patient either has a net loss, net gain or neutral calcium balance irrespective of the ultra- filtration and the glucose concentration.
- a further object in the present invention is to provide a three compartment container of the above-mentioned type with bicarbonate in the large compartment and glucose together with calcium in the two small compartments, whereby the increase in the calcium concentration at the highest glucose concentration results in better calcium control than previously.
- This invention is completely different from previously known methods in which the same calcium concentration has always been used irrespective of the glucose concentration.
- the large compartment comprises bicarbonate ions and the small compartments comprises glucose and calcium ions .
- the glucose concentration is substantially proportional to the calcium ion concentration in the finally prepared medical solution.
- the two small compartments may comprises solutions having the same concentration of glucose and calcium, though having different volumes, or the first of the small compartments contains glucose and calcium ions with such a concentration that the glucose concentration when mixing the contents of said first small compartment with the contents of the large comparment obtains a first predetermined value, such as 1.5%, and the calcium ion concentration obtains a second predetermined value, such as 1.0 mM, while the second of the small compartments contains glucose and calcium ions having such a concentration so that the glucose concentration in the finally prepared solution when mixing the contents of said second small compartment with the contents of the large comparment obtains a third predetermined value, such as 2.5%, and the calcium ion concentration obtains a fourth predetermined value, such as 1.6 mM, and finally the contents of the first and the second of the small compartments may be mixed with the contents of the large compartment to obtain a finally prepared solution with higher concentrations of glucose and calcium ions, such as 4% glucose concentration and 2.5 mM calcium.
- a first predetermined value such as 1.5%
- the small compartments may further comprise magnesium ions, for example in a concentration such that the resulting concentration in the finally prepared medical solution is about 0.25-0.75 mM.
- the invention also relates to a method for preparing a medical solution, particularly for peritoneal dialysis, in a container consisting of a first large compartment having a volume which is sufficiently large to contain the finally prepared medical solution, and a plurality of small compartments which contain partial quantities of the medical solution which are not compatible for long term storage with the contents of the large compartment.
- the large compartment comprises bicarbonate ions and the small compartments comprise glucose and calcium ions.
- the contents of one or more of the small compartments are mixed with the contents of the large compartment to produce a medical solution in which the concentration of glucose is substantially proportional to the concentration of calcium ions.
- the invention also relates to a use of a container for preparation of a peritoneal dialysis solution in which the concentrations of glucose and calcium ions are substantially proportional.
- Fig. 1 is a plan view of a container which may be used in the present invention.
- Figs. 2, 3 and 4 are computer-simulated diagrams which show the calcium balance across the peritoneal membrane.
- Fig. 1 discloses a three compartment container which may be used in the present invention.
- the container 1 is of the type which is sealed at both ends with weld seams 20 and 21.
- the container is divided into a large compartment 10 and two small compartments 14 and 15 by weld seams 11, 12 and 13.
- the small compartment 14 and/or 15 may communicate with the large compartment 10 by means of frangible pins 18, 19 which are normally sealed but can be manually opened. When the frangible pin 18 and/or 19 is opened, the contents in the compartments 14 and/or 15 flow down into the large compartment
- suitable solution is supplied to the various compartments 10, 14 and 15 via inlet tubes 16, 17 and 22 extending through the weld seams 20 and 21.
- a sample and/or infusion port 23 extending through the weld seam 21 permits sampling from, and infusion to, the compartment 10.
- the solution in the compartment 10 is supplied to a patient via a conduit 24.
- the container is placed on a stand by means of an opening 25 in the upper weld seam 20.
- the bag described so far is substantially identical to the one disclosed in WO 97/05852.
- the container preferably has a size such that two litres of peritoneal dialysis solution are accommodated in the large compartment 10 in a ready-mixed state. Larger or smaller containers are of course feasible according to the invention.
- the container 1 is to be used to prepare a peritoneal dialysis solution in which the buffer consists of bicarbonate. Accordingly, the solutions in the various compartments may be the following.
- EXAMPLE 1 The compartment 10 contains 1900 ml with the composition:
- Compartment 14 contains 100 ml of the composition:
- Compartment 15 contains 100 ml of the composition:
- a peritoneal dialysis solution is obtained with the following composition:
- a dialysis solution having the following composition:
- each of the small compartments has the same composition according to the following:
- Compartment 10 contains 1950 ml of the composition:
- Compartment 14 contains 60 ml of the composition:
- solutions are employed with the following compositions in the various compartments 10, 14 and 15.
- Compartment 10 contains 1850 ml of the composition:
- Compartment 14 contains 150 ml of the composition:
- Compartment 15 contains 260 ml of the composition:
- the calcium concentration will be somewhat lower than in the first two examples .
- the pH- value in the small compartments is normally low, about 3.0, in order to prevent glucose decomposition during autoclaving.
Landscapes
- Health & Medical Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Urology & Nephrology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pharmacology & Pharmacy (AREA)
- Emergency Medicine (AREA)
- Hematology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Anesthesiology (AREA)
- Vascular Medicine (AREA)
- Physics & Mathematics (AREA)
- Fluid Mechanics (AREA)
- External Artificial Organs (AREA)
- Medical Preparation Storing Or Oral Administration Devices (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
Priority Applications (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
BR9815055-3A BR9815055A (pt) | 1997-11-28 | 1998-11-27 | Recipiente contendo uma solução médica, uso do mesmo, e, processo de preparar uma solução médica |
JP2000522874A JP2001524353A (ja) | 1997-11-28 | 1998-11-27 | 複数の区画を有する医療用溶液用容器 |
AU15153/99A AU742793B2 (en) | 1997-11-28 | 1998-11-27 | Multiple compartment container for medical solution |
EP98959333A EP1035823A1 (fr) | 1997-11-28 | 1998-11-27 | Conteneur a compartiments multiples pour solution medicale |
KR1020007005381A KR20010032191A (ko) | 1997-11-28 | 1998-11-27 | 의료용액 수용을 위한 다중 격실 용기 |
CA002311903A CA2311903A1 (fr) | 1997-11-28 | 1998-11-27 | Conteneur a compartiments multiples pour solution medicale |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
SE9704386A SE512349C2 (sv) | 1997-11-28 | 1997-11-28 | Flerkammarbehållare för medicinsk lösning, förfarnde för beredning av medicinsk lösning för peritonealdialys samt användning av sådan behållare vid beredning av medicinsk lösning |
SE9704386-3 | 1997-11-28 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1999027885A1 true WO1999027885A1 (fr) | 1999-06-10 |
Family
ID=20409165
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/SE1998/002146 WO1999027885A1 (fr) | 1997-11-28 | 1998-11-27 | Conteneur a compartiments multiples pour solution medicale |
Country Status (9)
Country | Link |
---|---|
EP (1) | EP1035823A1 (fr) |
JP (1) | JP2001524353A (fr) |
KR (1) | KR20010032191A (fr) |
CN (1) | CN1280481A (fr) |
AU (1) | AU742793B2 (fr) |
BR (1) | BR9815055A (fr) |
CA (1) | CA2311903A1 (fr) |
SE (1) | SE512349C2 (fr) |
WO (1) | WO1999027885A1 (fr) |
Cited By (14)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
KR100381326B1 (ko) * | 1997-10-27 | 2003-04-23 | 가부시키가이샤 오츠까 세이야꾸 고죠 | 안관류·세정액 백포장체 |
WO2004052268A1 (fr) * | 2002-12-10 | 2004-06-24 | Gambro Lundia Ab | Procede de preparation d'une solution pharmaceutique permettant de produire un medicament de dialyse peritoneale |
WO2004052269A1 (fr) * | 2002-12-10 | 2004-06-24 | Gambro Lundia Ab | Procede de preparation d'une solution medicale destine a l'elaboration d'un medicament pour dialyse peritoneale |
US6818179B1 (en) | 1999-03-30 | 2004-11-16 | Gambro Lundia Ab | Method and apparatus for sterilizing a heat sensitive fluid |
US6967002B1 (en) | 1999-09-16 | 2005-11-22 | Gambro Lundia Ab | Method and apparatus for producing a sterile fluid |
US7011855B2 (en) | 1994-07-01 | 2006-03-14 | Baxter International Inc. | Biochemically balanced peritoneal dialysis solutions |
WO2012022775A1 (fr) * | 2010-08-18 | 2012-02-23 | Fresenius Medical Care Deutschland Gmbh | Concentré pour solutions médicales, sa production et son utilisation dans la dialyse |
EP1038552B2 (fr) † | 1999-03-22 | 2013-11-20 | Fresenius Medical Care Deutschland GmbH | Solution, en particulier une solution de hemodialyse ou de dialyse peritoneale, ainsi que son procédé de fabrication |
WO2014197806A2 (fr) | 2013-06-07 | 2014-12-11 | Allena Pharmaceuticals, Inc. | Compositions, méthodes et dispositifs de dialyse |
US9004761B2 (en) | 2006-05-01 | 2015-04-14 | Baxter International Inc. | Multiple chamber container with mistake proof administration system |
EP2962683A1 (fr) | 2003-05-28 | 2016-01-06 | Fresenius Medical Care Deutschland GmbH | Solution à faible teneur en sodium |
DK201500380A1 (en) * | 2015-07-05 | 2017-04-24 | Dorte Dyrsborg | Intravenous Bag |
US20180280239A1 (en) * | 2015-09-03 | 2018-10-04 | Futoshi Miyazaki | Kit preparation and dose adjustment method |
EP1465688B2 (fr) † | 2002-01-11 | 2019-12-04 | Nikkiso Co., Ltd. | Solutions a base de bicarbonate pour traitements de dialyse |
Families Citing this family (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SE524531C2 (sv) * | 2002-12-10 | 2004-08-24 | Gambro Lundia Ab | Metod för att framställa en medicinsk lösning för peritonealdialys där en lösning innehållandes ett eller flera acetylerade eller deacetylerade aminosocker värme- eller strålningssteriliseras med bestämda pH-värden och med bestämda viktsprocent för att undvika att cytotoxiska produkter bildas |
SE524530C2 (sv) * | 2002-12-10 | 2004-08-24 | Gambro Lundia Ab | Metod för att framställa en medicinsk lösning för peritonealdialys där en lösning innehållandes ett eller flera acetylerade eller deacetylerade aminosocker värme- eller strålningssteriliseras med bestämda pH-värden och med bestämda viktsprocent för att undvika att cytotoxiska produkter bildas. |
DE102018103937A1 (de) * | 2018-02-21 | 2019-08-22 | Fresenius Medical Care Deutschland Gmbh | Vorrichtung enthaltend Dialyselösung oder Dialyselösungskonzentrat |
US20210205172A1 (en) | 2018-08-17 | 2021-07-08 | Regimen Kit, Inc. | Drug management method for kit formulation requiring dose adjustment |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
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EP0295204A1 (fr) * | 1987-05-29 | 1988-12-14 | Vifor Medical AG | Récipient destiné au stockage séparé de composés actifs et à leur mélange subséquent |
EP0442406A1 (fr) * | 1990-02-14 | 1991-08-21 | Material Engineering Technology Laboratory, Inc. | Récipient de mélange autocontenu, rempli et scellé |
-
1997
- 1997-11-28 SE SE9704386A patent/SE512349C2/sv not_active IP Right Cessation
-
1998
- 1998-11-27 CA CA002311903A patent/CA2311903A1/fr not_active Abandoned
- 1998-11-27 WO PCT/SE1998/002146 patent/WO1999027885A1/fr not_active Application Discontinuation
- 1998-11-27 CN CN98811625A patent/CN1280481A/zh active Pending
- 1998-11-27 BR BR9815055-3A patent/BR9815055A/pt unknown
- 1998-11-27 EP EP98959333A patent/EP1035823A1/fr not_active Withdrawn
- 1998-11-27 JP JP2000522874A patent/JP2001524353A/ja active Pending
- 1998-11-27 KR KR1020007005381A patent/KR20010032191A/ko not_active Application Discontinuation
- 1998-11-27 AU AU15153/99A patent/AU742793B2/en not_active Ceased
Patent Citations (2)
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EP0295204A1 (fr) * | 1987-05-29 | 1988-12-14 | Vifor Medical AG | Récipient destiné au stockage séparé de composés actifs et à leur mélange subséquent |
EP0442406A1 (fr) * | 1990-02-14 | 1991-08-21 | Material Engineering Technology Laboratory, Inc. | Récipient de mélange autocontenu, rempli et scellé |
Cited By (24)
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US7011855B2 (en) | 1994-07-01 | 2006-03-14 | Baxter International Inc. | Biochemically balanced peritoneal dialysis solutions |
KR100381326B1 (ko) * | 1997-10-27 | 2003-04-23 | 가부시키가이샤 오츠까 세이야꾸 고죠 | 안관류·세정액 백포장체 |
EP1038552B2 (fr) † | 1999-03-22 | 2013-11-20 | Fresenius Medical Care Deutschland GmbH | Solution, en particulier une solution de hemodialyse ou de dialyse peritoneale, ainsi que son procédé de fabrication |
US6818179B1 (en) | 1999-03-30 | 2004-11-16 | Gambro Lundia Ab | Method and apparatus for sterilizing a heat sensitive fluid |
US6967002B1 (en) | 1999-09-16 | 2005-11-22 | Gambro Lundia Ab | Method and apparatus for producing a sterile fluid |
EP2322237B1 (fr) * | 2002-01-11 | 2020-10-21 | Nikkiso Co., Ltd. | Solutions à base de bicarbonate pour thérapies de dialyse |
EP1465688B2 (fr) † | 2002-01-11 | 2019-12-04 | Nikkiso Co., Ltd. | Solutions a base de bicarbonate pour traitements de dialyse |
WO2004052269A1 (fr) * | 2002-12-10 | 2004-06-24 | Gambro Lundia Ab | Procede de preparation d'une solution medicale destine a l'elaboration d'un medicament pour dialyse peritoneale |
US7790102B2 (en) | 2002-12-10 | 2010-09-07 | Gambro Lundia Ab | Method for preparing a medical solution for the manufacture of a medicament for peritoneal dialysis |
US9918999B2 (en) | 2002-12-10 | 2018-03-20 | Fresenius Medical Care Deutschland Gmbh | Method for preparing a medical solution for the manufacture of a medicament for peritoneal dialysis |
WO2004052268A1 (fr) * | 2002-12-10 | 2004-06-24 | Gambro Lundia Ab | Procede de preparation d'une solution pharmaceutique permettant de produire un medicament de dialyse peritoneale |
AU2003283940B2 (en) * | 2002-12-10 | 2008-09-11 | Gambro Lundia Ab | A method for preparing a medical solution for the manufacture of a medicament for peritoneal dialysis |
AU2003302889B2 (en) * | 2002-12-10 | 2008-09-11 | Gambro Lundia Ab | A method for preparing a medical solution for the manufacture of a medicament for peritoneal dialysis |
EP2962683A1 (fr) | 2003-05-28 | 2016-01-06 | Fresenius Medical Care Deutschland GmbH | Solution à faible teneur en sodium |
US9004761B2 (en) | 2006-05-01 | 2015-04-14 | Baxter International Inc. | Multiple chamber container with mistake proof administration system |
WO2012022775A1 (fr) * | 2010-08-18 | 2012-02-23 | Fresenius Medical Care Deutschland Gmbh | Concentré pour solutions médicales, sa production et son utilisation dans la dialyse |
CN103068397A (zh) * | 2010-08-18 | 2013-04-24 | 弗雷森纽斯医疗护理德国有限责任公司 | 医用溶液用浓缩物、其制造以及其在透析中的应用 |
AU2011290707B2 (en) * | 2010-08-18 | 2015-11-12 | Fresenius Medical Care Deutschland Gmbh | Concentrate for medical solutions, production thereof and use thereof in dialysis |
US9249345B2 (en) | 2010-08-18 | 2016-02-02 | Fresenius Medical Care Deutschland Gmbh | Concentrate for medical solutions, production thereof and use thereof in dialysis |
WO2014197806A2 (fr) | 2013-06-07 | 2014-12-11 | Allena Pharmaceuticals, Inc. | Compositions, méthodes et dispositifs de dialyse |
DK178893B1 (en) * | 2015-07-05 | 2017-05-01 | Dorte Dyrsborg | Intravenous Bag |
DK201500380A1 (en) * | 2015-07-05 | 2017-04-24 | Dorte Dyrsborg | Intravenous Bag |
US20180280239A1 (en) * | 2015-09-03 | 2018-10-04 | Futoshi Miyazaki | Kit preparation and dose adjustment method |
US11554080B2 (en) | 2015-09-03 | 2023-01-17 | Futoshi Miyazaki | Kit preparation and dose adjustment method |
Also Published As
Publication number | Publication date |
---|---|
AU1515399A (en) | 1999-06-16 |
BR9815055A (pt) | 2002-04-30 |
CN1280481A (zh) | 2001-01-17 |
JP2001524353A (ja) | 2001-12-04 |
AU742793B2 (en) | 2002-01-10 |
SE9704386L (sv) | 1999-05-29 |
CA2311903A1 (fr) | 1999-06-10 |
EP1035823A1 (fr) | 2000-09-20 |
KR20010032191A (ko) | 2001-04-16 |
SE9704386D0 (sv) | 1997-11-28 |
SE512349C2 (sv) | 2000-03-06 |
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