WO2000056221A1 - Method and device for mixing and applying components of differing viscosities, such as tissue adhesives - Google Patents

Method and device for mixing and applying components of differing viscosities, such as tissue adhesives Download PDF

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Publication number
WO2000056221A1
WO2000056221A1 PCT/EP2000/002367 EP0002367W WO0056221A1 WO 2000056221 A1 WO2000056221 A1 WO 2000056221A1 EP 0002367 W EP0002367 W EP 0002367W WO 0056221 A1 WO0056221 A1 WO 0056221A1
Authority
WO
WIPO (PCT)
Prior art keywords
viscous component
component
less viscous
mixing
flow
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.)
Ceased
Application number
PCT/EP2000/002367
Other languages
English (en)
French (fr)
Inventor
Heinz Redl
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Baxter AG
Original Assignee
Baxter AG
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Baxter AG filed Critical Baxter AG
Priority to EP00916967A priority Critical patent/EP1162916B1/en
Priority to AT00916967T priority patent/ATE241317T1/de
Priority to CA002364697A priority patent/CA2364697C/en
Priority to DK00916967T priority patent/DK1162916T3/da
Priority to DE60003005T priority patent/DE60003005T2/de
Priority to JP2000606130A priority patent/JP4156198B2/ja
Priority to AU38124/00A priority patent/AU3812400A/en
Publication of WO2000056221A1 publication Critical patent/WO2000056221A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00491—Surgical glue applicators
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65D—CONTAINERS FOR STORAGE OR TRANSPORT OF ARTICLES OR MATERIALS, e.g. BAGS, BARRELS, BOTTLES, BOXES, CANS, CARTONS, CRATES, DRUMS, JARS, TANKS, HOPPERS, FORWARDING CONTAINERS; ACCESSORIES, CLOSURES, OR FITTINGS THEREFOR; PACKAGING ELEMENTS; PACKAGES
    • B65D81/00—Containers, packaging elements, or packages, for contents presenting particular transport or storage problems, or adapted to be used for non-packaging purposes after removal of contents
    • B65D81/32—Containers, packaging elements, or packages, for contents presenting particular transport or storage problems, or adapted to be used for non-packaging purposes after removal of contents for packaging two or more different materials which must be maintained separate prior to use in admixture
    • B65D81/325—Containers having parallel or coaxial compartments, provided with a piston or a movable bottom for discharging contents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00491—Surgical glue applicators
    • A61B2017/00495—Surgical glue applicators for two-component glue

Definitions

  • the invention relates to a method for mixing at least two
  • liquid components of different viscosities of a multi-component material such as a tissue adhesive, during application thereof, the components being pressed out of separate containers, mixed, and applied by aid of an application part, e.g. a cannula.
  • the invention also relates to a device for mixing
  • a device for applying a tissue adhesive in which the two components of the tissue adhesive, i.e. thrombin, on the one hand, and fibrinogen, on the other hand (or, strictly speaking, solutions thereof), by means of a double-syringe reach a device designed as a one-piece collecting head or connecting head, where the two components are supplied to
  • the mixing cannula, or mixing catheter, respectively thus the two components are mixed if required; in doing so, the gas is continuously supplied so as to keep clear the individual conveying channels whenever the tissue adhesive components are not being supplied.
  • a double syringe which has a connecting head having entrances connected to the delivery ends of the syringes and having a forward end side facing away from the syringes provided with a conical spray top latchingly engaging with the connecting body and in which a flat, disk-shaped mixing space is formed into which the conveying channels for the tissue adhesive components end at the outer periphery thereof, and from which centrally an axial exit leads away.
  • a cannula e.g., can be put.
  • the design of this device may allow formation of clot within the device which would lead to clogging.
  • the device of the present invention is characterized in that the entrance for the less viscous component is followed by a guiding part for pressing the less viscous component directly into a flow passage for the more viscous component, which flow passage leads from the entrance to the exit.
  • the less viscous component is actively pressed into the other, more viscous component, e.g. by injecting a jet of the less viscous component directly into the jet or flow of the more viscous component.
  • This ensures good mixing of the two components, the more viscous component being entrained by the less viscous component - which preferably is pressed in at an approximately right angle to the flow direction of the more viscous component. Since subsequently the component jet or flow may immediately be supplied to the exit or to the applicator tip respectively, with dead spaces being avoidable without any problem, undesired clot formation is avoided.
  • the less viscous component Before the less viscous component is pressed into the jet or flow of the more viscous component, the less viscous component may deliberately be delayed so that the two components will arrive practically simultaneously in the mixing region despite the higher flow rate of the less viscous component due to its lower viscosity.
  • This delay could as such be attained by a delayed supply of the component to the entrance, e.g. by a delayed pressing out of a syringe body as compared to the other, more viscous component.
  • an embodiment of the device according to the invention which is particularly advantageous as regards such a delay is characterized in that the guiding part simultaneously defines a delaying path for the less viscous component.
  • the guiding part will guide the less viscous component on a longer path, the delaying path, as far as to the flow passage for the highly viscous component, i.e. the flow paths for the different components of the multi-component material are differently configured.
  • the entrance for the less viscous component has a smaller passage cross-section than the entrance for the more viscous component. Namely, if the piston paths from the commonly used syringe bodies are equal at a simultaneous actuation of the syringe pistons and corresponding component amounts are pressed out, by the narrowing of the entry channel for the less viscous component, i.e.
  • the less viscous component is delayed as mentioned before, by being detoured, or deflected, respectively, so as to compensate the lower flow velocity of the other component given on account of its higher viscosity.
  • the jet of the less viscous component can be deflected on a guiding surface or impacting surface for the purpose of retarding it. In doing so, the jet of the less viscous component impacts on the guiding or impacting surface and is deflected by the latter to the preferably substantially straight-line jet or flow of the more viscous component.
  • the delay by pressing the jet of the less viscous component into a blind tube arranged adjacent the jet or flow of the more viscous component and having at least one lateral nozzle opening at a distance from the forward, closed end face and through at least one lateral nozzle opening into the jet or flow of the more viscous component.
  • the less viscous component enters the blind tube passes as far as to the closed forward end face and only then emerges through at least one lateral nozzle opening so as to get into the jet or flow of the more viscous component.
  • an advantageous embodiment of the device according to the invention is characterized in that the guiding part defines an angularly arranged, optionally curved guiding face for deflecting the jet of the less viscous component towards the flow passage for the more viscous component.
  • a blind tube is provided as a guide part adjacent the flow passage for the more viscous component, which blind tube, at a distance from its forward, closed end face, has at least one nozzle opening ending in the flow passage for the more viscous component, the blind tube being connected with the inlet for the less viscous component.
  • the flow passage for the more viscous component may also be formed by a cannula or a cannula holder, by a flexible tube or also by a channel in a connecting head.
  • the device according to the present invention may advantageously comprise a one-piece collecting or connecting head with a connecting part for a cannula or a catheter, in particular a double lumen catheter, the guiding part being provided in the region of the connecting part.
  • the guiding face is moulded to the forward end face of the connecting head and opens towards the mixing region which is outwardly delimited by a cannula holder slipped thereto.
  • the entrances of the device moreover are connected with discharge parts of syringe bodies; in this case, the syringe bodies contain the different components of the multi-component material.
  • Fig. 1 shows an exploded view of a device for mixing the components of a tissue adhesive, comprising a one-piece connecting head and a cannula holder which can be slipped thereto and includes a cannula, these two parts being illustrated in section; in addition, in Fig. 1 the ends of syringe bodies in which the tissue adhesive components are contained are shown in dot-and- dash lines; Fig. 2 shows a top view onto the connecting head according to line II of Fig. 1;
  • Fig. 3 shows a side view of a front-side end region of the connecting head according to line III in Fig. 1, to illustrate the conical, roof- shaped guiding part at the end side of the connecting head;
  • Fig. 4 shows the region of the connecting head with the guiding part and the slipped-on cannula holder in section, to illustrate the mode of action of the present device;
  • Fig. 5 shows a section of a further mixing device including a connecting head and a cannula holder
  • FIG. 6 shows yet another, present particulary preferred mixing device, in this instance with a slipped-on catheter in a comparable sectional representation
  • Fig. 7 shows a cross-section through a fourth embodiment of the present mixing device, according to line Nil- VII of Fig. 8;
  • Fig. 8 shows an axial section through the essential part of this mixing device of Fig. 7, in accordance with line VIII- VIII of Fig. 7.
  • the mixing device according to Fig. 1 comprises a one-piece, synthetic material injection-moulded connecting head 1 which has a joining part 2 with plug-in coni 3 which are, or will be, put on
  • the connecting head 1 is provided with first channel 7, and second channel 8 in the form of channels leading away from plug-in coni 3 and provided for the different components contained in the first syringe body 5, and second syringe body 6 to be mixed with each other; in particular, the components are tissue adhesive components, i.e. a fibrinogen component which has a relatively high viscosity and is contained in second syringe body 6, and from there gets to second channel 8, and a thrombin component of relatively low viscosity which is contained in first syringe body 5 and is pressed via first channel 7 through the connecting head 1.
  • tissue adhesive components i.e. a fibrinogen component which has a relatively high viscosity and is contained in second syringe body 6, and from there gets to second channel 8, and a thrombin component of relatively low viscosity which is contained in first syringe body 5 and is pressed via first channel 7 through the connecting head 1.
  • the first and second channels 7 and 8, respectively, continue through the connecting head 1 as far as to its connecting part 9, which, on its outer side, is slightly conically designed and acts as a slip-on conus for the inner conus 10 of a cannula holder 1 1.
  • the cannula holder 1 1 in a per se common manner carries a cannula 12 only partly illustrated in Fig. 1.
  • the cannula holder 1 1 may also be made in one piece of a synthetic material conventionally used in medicine, such as, e.g., a polyolefin (polyethylene, polypropylene), polyurethane, PVC or ABS (acrylonitrile- butadiene-styrene). These parts 1, 1 1 preferably may be injection moulded.
  • a guiding part 14 is moulded which has the shape of a cut-off cone, its inner side constituting a guiding face 15 to the thrombin component jet emerging from first channel 7.
  • the cut-out of the conical guiding part 14 which has the shape of a quarter- circle sector, is particularly visible from Fig. 2 in top view at 16, cf. also Figs. 1 and 3.
  • Fig. 4 that region of the present device which is essential for mixing of the two components is illustrated in the instance of operation.
  • the fibrinogen component is forced, and through first channel 7, the thrombin component is forced, in conventional manner by inward movement of syringe pistons not illustrated in Fig. 1 into first and second syringe bodies 5, 6.
  • the jet of the thrombin component in general the less viscous component, is illustrated at 17, and the jet or flow of the fibrinogen component is illustrated at 18.
  • these two components are mixed, i.e.
  • the cannula holder 1 1 with its inner wall defines a flow passage 21 for the mixing region 19, which is provided on the other side, adjacent the guiding part 14.
  • the mixing region 19 within the connecting head 1, e.g. by providing a wall at the side of the connecting head opposite the guiding part 14 as indicated in dashed lines at 22 in Fig. 1, in which case the upper opening remaining between the guiding part 14 and this wall 22 will define an alternate exit 23.
  • the cannula 12 de facto forms the exit.
  • a cannula holder 1 1 delimits the mixing region 19 or an alternate flow passage 24 for the more viscous component, respectively, cf. arrow 18, into which the less viscous component is pressed in.
  • a connecting head 1 ' is provided which has first and second channels 7, 8 for the two components.
  • the first channel 7 for the less viscous component (thrombin) is followed by a tube 25 which is closed at its forward end 26 so that a blind tube portion 27 is provided as guiding part for the less viscous component.
  • This blind tube portion 27 forms a dam-up portion extending from nozzle openings 28 in the tube 25 to the closed forward end 26; through the nozzle openings 28, the less viscous component is pressed out after the blind tube portion 27 has been filled, cf. also the transversely extending arrows in Fig. 5.
  • the embodiment of the mixing device according to Fig. 5 corresponds to the embodiment according to Figs. 1 to 4, primarily as regards the connecting part 2 of the connecting head 1' for connection with first and second syringe bodies 5, 6, as well as for applying the mixed components through the cannula 12.
  • the device according to Fig. 6 is similar to that according to Fig. 5 as regards the provision of a blind tube portion 27, yet it differs from that according to Fig. 5 in that instead of a synthetic material connecting head, first and second ducts 7', 8' for the two components are provided which are guided one within the other, the first duct 7' merging into the blind tube portion 27, with nozzle openings 28 being provided in the preceding region.
  • the two ducts T, 8' are slipped onto the Luer-type coni of syringe bodies 5, 6, and a catheter tube 29, e.g., is put on second duct 8' which is provided for the highly viscous component.
  • This catheter tube 29 forms the flow passage for the highly viscous component following second duct 8', and in combination with the latter it also defines the mixing region 19, where the less viscous component, after a time delay caused by filling of the blind tube portion 27, is pressed into the flow 18 of the more viscous component through the nozzle openings 28.
  • a blind tube portion 27' is provided to delay the less-viscous component (cf. arrow 17) relative to the more viscous component 18.
  • a tube- shaped part 30, e.g. of synthetic material is provided which may, e.g., form an extension of a connecting head 1 or 1' according to Figs. 1 to 4 or 5, and which inwardly is subdivided as far as to the closed end 32 of the blind tube portion 27' by a separating wall 31 so as to form separate flow passages for the two components of different viscosities, cf. arrows 17 and 18.
  • nozzle openings 28 are provided at a distance in front of the closed end 32, through which the less viscous component 17, after having been delayed, e.g. after filling of the blind tube portion 27', is pressed out and actively pressed into the flow 18 of the more viscous liquid; the mixing region therefor again is indicated by 19. Subsequently, the component mixture continues to flow at 20 in tube-shaped part 30, e.g. to a cannula not illustrated in detail or to a catheter not illustrated in detail, either.
  • pressing in of the less viscous component into the more viscous component is effected in the application part itself, i.e., e.g., in a cannula or needle, in particular in such an exchangeable part.
  • a means for pressing in e.g. a deflection means, may be provided. After a single use of the device, the respective application part may simply be exchanged and replaced by a new part.
  • the device comprises at least one further channel.
  • the latter may, e.g., be used for supplying a gas, e.g. air or CO j , or for cleaning the device or the application part, respectively.
  • the device may also comprise two further channels, wherein one channel serves to supply a gas and the second channel serves for cleaning the device.
  • a pressure regulating means may be provided for the gas supply.
  • Cleaning of the device from contaminations or deposits that have formed may, e.g., be effected by simple sucking off by means of a vacuum in the additional channel. Cleaning may also be effected by other methods known from the prior art.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Mechanical Engineering (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Surgical Instruments (AREA)
  • Coating Apparatus (AREA)
  • Application Of Or Painting With Fluid Materials (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Treatment Of Fiber Materials (AREA)
  • Adhesives Or Adhesive Processes (AREA)
  • Processing And Handling Of Plastics And Other Materials For Molding In General (AREA)
PCT/EP2000/002367 1999-03-19 2000-03-17 Method and device for mixing and applying components of differing viscosities, such as tissue adhesives Ceased WO2000056221A1 (en)

Priority Applications (7)

Application Number Priority Date Filing Date Title
EP00916967A EP1162916B1 (en) 1999-03-19 2000-03-17 Device for mixing and applying components of differing viscosities for tissue adhesives
AT00916967T ATE241317T1 (de) 1999-03-19 2000-03-17 Vorrichtung zum vermischen und applizieren von komponenten mit verschiedenen viskositäten für gewebekleber
CA002364697A CA2364697C (en) 1999-03-19 2000-03-17 Method and device for mixing and applying components of differing viscosities, such as tissue adhesives
DK00916967T DK1162916T3 (da) 1999-03-19 2000-03-17 Fremgangsmåde og indretning til at blande og påføre bestanddele med forskellige viskositeter, såsom vævlim
DE60003005T DE60003005T2 (de) 1999-03-19 2000-03-17 Vorrichtung zum vermischen und applizieren von komponenten mit verschiedenen viskositäten für gewebekleber
JP2000606130A JP4156198B2 (ja) 1999-03-19 2000-03-17 組織接着剤のような異なる粘度の成分を混合し塗布する方法および装置
AU38124/00A AU3812400A (en) 1999-03-19 2000-03-17 Method and device for mixing and applying components of differing viscosities, such as tissue adhesives

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
ATA498/99 1999-03-19
AT0049899A ATA49899A (de) 1999-03-19 1999-03-19 Verfahren und vorrichtung zum mischen von komponenten
US09/527,973 US6620125B1 (en) 1999-03-19 2000-03-17 Method and device for mixing and applying components of differing viscosities

Publications (1)

Publication Number Publication Date
WO2000056221A1 true WO2000056221A1 (en) 2000-09-28

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PCT/EP2000/002367 Ceased WO2000056221A1 (en) 1999-03-19 2000-03-17 Method and device for mixing and applying components of differing viscosities, such as tissue adhesives

Country Status (11)

Country Link
US (1) US6620125B1 (https=)
EP (1) EP1162916B1 (https=)
JP (1) JP4156198B2 (https=)
AT (2) ATA49899A (https=)
AU (1) AU3812400A (https=)
CA (1) CA2364697C (https=)
DE (1) DE60003005T2 (https=)
DK (1) DK1162916T3 (https=)
ES (1) ES2199154T3 (https=)
PT (1) PT1162916E (https=)
WO (1) WO2000056221A1 (https=)

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WO2002067785A3 (en) * 2001-02-27 2003-01-09 Tyco Healthcare External mixer assembly
EP1917914A2 (en) 2001-02-27 2008-05-07 Tyco Healthcare Group Lp External mixer assembly
EP2045196A3 (de) * 2007-10-01 2010-01-20 HILTI Aktiengesellschaft Foliengebinde mit nebeneinander angeordneten Folienbeutelkammern
EP2563524A4 (en) * 2010-04-28 2014-07-30 Integra Adhesives Inc DEVICE FOR MIXING AND SPENDING MULTIPLE FLOWABLE COMPONENTS

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CA2364697A1 (en) 2000-09-28
DE60003005D1 (de) 2003-07-03
US6620125B1 (en) 2003-09-16
EP1162916A1 (en) 2001-12-19
ATA49899A (de) 2002-06-15
DK1162916T3 (da) 2003-09-22
JP2002538923A (ja) 2002-11-19
AU3812400A (en) 2000-10-09
EP1162916B1 (en) 2003-05-28
PT1162916E (pt) 2003-10-31
JP4156198B2 (ja) 2008-09-24
ES2199154T3 (es) 2004-02-16
DE60003005T2 (de) 2004-04-08
CA2364697C (en) 2008-09-02
ATE241317T1 (de) 2003-06-15

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