WO2013073650A1 - Injection device provided with temperature measurement unit - Google Patents

Injection device provided with temperature measurement unit Download PDF

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Publication number
WO2013073650A1
WO2013073650A1 PCT/JP2012/079737 JP2012079737W WO2013073650A1 WO 2013073650 A1 WO2013073650 A1 WO 2013073650A1 JP 2012079737 W JP2012079737 W JP 2012079737W WO 2013073650 A1 WO2013073650 A1 WO 2013073650A1
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WO
WIPO (PCT)
Prior art keywords
syringe
injection device
temperature
piston rod
unit
Prior art date
Application number
PCT/JP2012/079737
Other languages
French (fr)
Japanese (ja)
Inventor
花田 崇
Original Assignee
日本ケミカルリサーチ株式会社
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Filing date
Publication date
Application filed by 日本ケミカルリサーチ株式会社 filed Critical 日本ケミカルリサーチ株式会社
Publication of WO2013073650A1 publication Critical patent/WO2013073650A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/20Automatic syringes, e.g. with automatically actuated piston rod, with automatic needle injection, filling automatically
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3368Temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/50General characteristics of the apparatus with microprocessors or computers
    • A61M2205/52General characteristics of the apparatus with microprocessors or computers with memories providing a history of measured variating parameters of apparatus or patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/58Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/581Means for facilitating use, e.g. by people with impaired vision by audible feedback
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/58Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/583Means for facilitating use, e.g. by people with impaired vision by visual feedback
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/24Ampoule syringes, i.e. syringes with needle for use in combination with replaceable ampoules or carpules, e.g. automatic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31533Dosing mechanisms, i.e. setting a dose
    • A61M5/31545Setting modes for dosing
    • A61M5/31546Electrically operated dose setting, e.g. input via touch screen or plus/minus buttons

Definitions

  • the present invention relates to an injection device having a function of issuing a warning to a user when it is exposed to a temperature outside a preset range for a certain period of time.
  • a dry drug component by freeze-drying, etc.
  • the preparation is provided in the form of a two-drug form consisting of a drug component (dissolution solution such as a buffer).
  • a two-chamber prefilled syringe multi-chamber in which these components are separately stored in a single syringe (syringe) Cylinder ampules are also widely used (Patent Documents 1 to 3).
  • This type of preparation is used in such a manner that before use, a dry drug component and a drug component are mixed to form a solution preparation containing a peptide, which is then administered to a patient. Since peptides in solution are highly sensitive to temperature changes, they are generally stored at 2-8 ° C., avoiding freezing.
  • Solution preparations containing peptides include ones in which a drug solution for a plurality of doses is stored in a syringe and used in a dedicated injection device for the convenience of administration (Patent Documents 1 to 3). .
  • the solution preparation containing the peptide is generally handled as a syringe loaded in the injection device, and stored at 2-8 ° C. in the refrigerator together with the injection device to avoid freezing.
  • the injection device is taken out of the refrigerator, and after one dose of the drug solution is administered, the injection device is returned to the refrigerator for storage for the next administration. Accordingly, the temperature of the chemical solution in the syringe is generally kept low, and the time for exposure to a temperature other than the predetermined time is short.
  • the syringe containing the drug solution loaded in the injection device is exposed to a temperature outside the predetermined time for a long time. It is also conceivable to store the injection device in the freezer by mistake. Furthermore, the temperature inside the refrigerator may become a predetermined temperature due to a failure, the environment where the refrigerator is installed, the temperature setting in the refrigerator, frequent opening / closing of the refrigerator door, and the like. For example, when the outside air is extremely cold, the temperature in the refrigerator set to 2 to 8 ° C. may be below freezing, and the aqueous solution stored in the refrigerator may freeze.
  • a solution preparation containing a peptide loaded in an injection device when exposed to a temperature other than a predetermined temperature, the peptide may be denatured and the original medicinal effect may be lost. Further, the denatured peptide may induce side effects such as antigen-antibody reaction. When the peptide is denatured, the peptide may aggregate and the solution may become cloudy. However, the appearance of the peptide may not be discernable. In such a case, the risk of injecting the modified peptide is increased. Therefore, strict temperature control is required for storage of solution preparations containing peptides.
  • the solution formulation containing the peptide it may be necessary to carry it outdoors due to the fact that it must be administered after meals.
  • the peptide drug solution for multiple doses is stored in a syringe and used by loading it into a dedicated injection device. There is something to do.
  • it is difficult to maintain the peptide solution at a low temperature of 2 to 8 ° C. it should be allowed to be stored at room temperature within a certain period.
  • peptide denaturation may occur when left at room temperature for a certain period of time or when exposed to excessively high temperatures.
  • Pharmaceuticals are not limited to peptide preparations, and the temperature during storage is determined. Therefore, for a pharmaceutical used by being loaded into an injection device, even if it is not a peptide preparation, strict temperature control is similarly required.
  • an object of the present invention is an injection device for injecting a medicine (medicine solution) contained in a syringe, and prevents the heat-denatured medicine from being used by mistake. Therefore, it is an object of the present invention to provide an injection device that issues a warning to a user when exposed to a temperature outside a set temperature range with a syringe containing a medicine loaded for a certain period of time.
  • the present inventors have introduced a temperature sensor to the injection device, and when the temperature sensor detects a temperature outside the preset temperature range, or out of such a set range.
  • a misuse prevention unit that issues a warning and / or prevents the use of the device when the length of time during which the temperature is detected exceeds a preset length of time, it is outside the set range.
  • the present invention has been completed by discovering that it is possible to prevent injection of a drug that has been exposed to the temperature of a certain time for a certain period of time. That is, the present invention provides the following. 1.
  • An injection device for injecting a medicine accommodated in a syringe having a barrel having a front end and a cylindrical side wall and a gasket fitted in the side wall so as to be slidable in a liquid-tight manner.
  • the temperature measuring unit has a temperature sensor, and at least in a state where the syringe is held by the holding unit, the temperature sensed by the temperature sensor is out of a preset temperature range.
  • An injection device that is configured such that the misuse prevention unit can be activated to issue a warning when the error occurs. 2.
  • An injection device for injecting a medicine accommodated in a syringe having a barrel having a front end and a cylindrical side wall and a gasket fitted in the side wall so as to be slidable in a liquid-tight manner.
  • the temperature measuring unit has a temperature sensor, and at least when the temperature sensed by the sensor unit is outside the preset temperature range in a state where the syringe is held by the holding unit. And a timer capable of measuring the length of time during which the temperature sensed by the sensor unit is outside the preset temperature range.
  • prevention portion for said error is configured to be able to issue a warning and activated when exceeding a predetermined time length, the injection device. 3. 3. The injection device according to 1 or 2 above, wherein the warning is caused by any one or a combination of visual indication, luminescent signal, sound, and movement prevention of the piston rod. 4). 4. The injection device according to 3 above, comprising a display monitor, wherein the visual display is displayed on the display monitor. 5. 5. The injection device according to 3 or 4 above, wherein the movement of the piston rod is prevented by engagement of the piston rod and a blocking member. 6). 6. The injection device according to 5 above, wherein the blocking member is a latch claw. 7).
  • control unit includes a motor capable of moving the piston rod forward, and the control unit includes a recording medium on which a program for controlling the motor is recorded.
  • the warning is caused by blocking movement of the piston rod, and blocking movement of the piston rod is performed by cutting off power supply to the drive unit.
  • the holding unit is provided with a sensor for sensing holding of the syringe by the holding unit.
  • the sensor for sensing holding of the syringe is a pressure sensor. 11. Even when the syringe is not attached to the holding part, the misuse prevention part or the timer can be operated when the temperature detected by the temperature sensor is outside the temperature range set in advance. 11.
  • the present invention when using an injection device loaded with a syringe containing a medicine, it is possible to prevent the medicine that has been exposed to a temperature outside the preset range for a certain period of time, and thereby to perform secondary injection. In particular, handling such that the drug is exposed to a temperature outside the preset range can be suppressed. In addition, even when the syringe is not held, when the device is exposed to a temperature outside a preset range (for example, which may adversely affect the structure and function of the device) for a predetermined length of time. The use of the device can be warned or prevented from being used, and secondarily, the handling of the device itself is exposed to temperatures outside such pre-set ranges. it can.
  • the control block diagram which shows typically the structure of the injection apparatus with a temperature measurement part which contains a motor in a drive part of Example 1.
  • FIG. PS indicates a pressure sensor.
  • the flowchart which shows the operation control of the injection apparatus of Example 1.
  • Schematic side cross-sectional view of a syringe loaded in a holder with a double-ended needle attached Schematic side sectional view of the injection device of Example 1 Schematic side view of the injection device of Example 1 Warning display displayed on the LCD panel.
  • the control block diagram which shows typically the structure of the injection apparatus with a temperature measurement part of Example 2 which does not include a motor in a drive part. PS indicates a pressure sensor.
  • the flowchart which shows the operation control of the injection apparatus of Example 2.
  • Schematic sectional view of the injection device of Example 2 Front side end view of injection device of Examples 1 and 2 The perspective view of the L-shaped groove
  • Glow Jector registered trademark
  • the term “injection device” refers to a device that holds a syringe and injects a medicine contained in the syringe, and the syringe includes a front end portion and a barrel portion formed of a cylindrical side wall, And a gasket fitted in the side wall so as to be slidable in a liquid-tight manner.
  • the medicine in the syringe is injected into the patient via the injection needle at the front end of the syringe.
  • the injection needle may be formed integrally with the syringe body so as not to be removable, or may be removable later.
  • a septum through which a double-ended needle can be inserted is provided at the front end of the syringe, and a double-ended needle can be attached during use and removed after use.
  • the double-ended needle should be securely locked to the syringe by providing a male luer or male screw at the front end of the side wall of the barrel of the syringe according to the shape of the female luer or female screw provided on the base that supports the double-ended needle. Can do.
  • the syringe held by the injection device is a two-chamber prefilled chamber whose interior is divided into two front and rear chambers by two gaskets, a front movable wall and a rear movable wall, which are slidably housed in the syringe body. It may be a syringe.
  • Such a two-chamber prefilled syringe is used by storing a dry drug component by freeze-drying or the like in a front space and a liquid drug component for dissolving or suspending it into an injection solution in the rear space.
  • the rear movable wall is pushed in with a piston rod and the components contained in each space are mixed and used (FIG. 1).
  • Such a two-chamber prefilled syringe is that used in Growjector (registered trademark) (Nippon Chemical Research), which is a commercially available growth hormone preparation. Further, the present invention is not limited to this, and the two-chamber prefilled syringe may contain a liquid drug component in any of the front and rear spaces and mix them before using them.
  • the syringe held by the injection device is preferably loaded in a generally cylindrical holder in advance.
  • a holder preferably protects the syringe from an externally applied impact and ensures that the medicine is properly mixed. Since the cross section of the barrel of the syringe is generally circular, if it is loaded as it is into the holder, it may rotate within the holder and the medicine may not be mixed properly.
  • the rotation of the syringe in such a holder is, for example, provided with a protrusion or a protrusion on the outer peripheral surface of the barrel of the syringe, and when the syringe is loaded in the holder, the holder is engaged with the protrusion or the protrusion.
  • One to three such protrusions or protrusions can be provided on the outer peripheral surface of the body of the syringe, or four or more radially.
  • the shape of the tip of the holder is formed so that the syringe can be fixed forward so that it cannot fall off.
  • an approximately circular hole for exposing the injection needle to the outside of the holder is provided at the tip of the holder so that injection into the patient is possible with the syringe held in the holder, and the inner diameter of this hole is set to the syringe.
  • the inner surface is compatible with a screwing method (luer lock method) around the female luer so that the double-ended needle can be fixed.
  • An annular protrusion having an internal thread may be provided at the tip of the holder.
  • an internal thread may be provided on the inner peripheral surface of the base that supports the double-ended needle, and an external thread that is screwed into the internal thread may be provided at the tip of the holder.
  • FIG. As a two-chamber prefilled syringe loaded in such a holder, a commercially available one is 8 mg for Gloject BC injection (Nippon Chemical Research Co., Ltd.).
  • the syringe held in the injection device or the syringe loaded in the holder can be attached so that it cannot be removed once attached to the injection device, or it can be detachably attached to the injection device.
  • the syringe can be removed from the injection device after the medicine has been used up or after a single dose has been completed, and the syringe can be attached again for the next use, so the injection device is repeated. It can also be used.
  • the injection device is provided with a holding unit for holding the syringe (as it is or loaded in the holder).
  • the holding part is designed in accordance with the form of the syringe to be attached (or the holder in which the syringe is loaded).
  • the syringe is held on the holding portion by providing a male screw on the rear outer surface of the syringe (or a holder in which the syringe is loaded) and screwing it onto a female screw provided on the holding portion of the injection device. Can do.
  • the syringe can also be held on the holding portion by providing a protrusion on the rear outer surface of the syringe (or a holder loaded with the syringe) and fitting the protrusion into a groove provided on the holding portion.
  • the syringe can be held on the holding portion by an appropriate latch.
  • the syringe can contain multiple doses of drug for convenience during administration. In this case, once the syringe is held, it is handled as it is integrated with the syringe until the medicine is used up.
  • the double-ended needle is inserted into the septum of the syringe immediately before injection, and the double-ended needle is inserted after injection.
  • the sample can be extracted and stored in a refrigerator or the like while holding the syringe for the next administration.
  • the syringe may be detachably attached to the injection device or may be detachably attached. In the former, when the medicine is used up, the injection device is discarded together with the syringe. In the latter, when the medicine is used up, the injection device is reused with a new syringe attached.
  • Commercially available Gloject BC 8 mg for injection is the latter type of injection device.
  • injection devices are of a type in which the forward movement of the piston rod is driven by a motor.
  • this type if this is stored in a refrigerator or the like while holding a syringe or a syringe loaded in a holder, there is a risk that condensation will occur on the electronic components including the motor when it is removed from the refrigerator during use. , Not good. Therefore, in the case of this type of injection device, the injection device is stored at room temperature separately from the syringe, and in use, the syringe is taken out of a storage place such as a refrigerator and attached to a holding part for use.
  • the syringe After use, the syringe is removed from the holder, the syringe is stored in a cold place such as a refrigerator, and the injection device is stored separately at room temperature.
  • a cold place such as a refrigerator
  • the injection device is stored separately at room temperature.
  • An example of such an injection device is that used in Growjector (registered trademark) (Nippon Chemical Research Co., Ltd.), which is a commercially available growth hormone preparation.
  • the gasket is pushed forward through a piston rod that pushes the rear side of the gasket.
  • the front end of the piston rod is arranged so that the front surface of the piston rod and the back surface of the gasket are simply in contact with each other. It is also possible to mold the male screw so that the male screw is screwed onto the female screw on the rear side of the gasket.
  • the front end of the piston rod can be an integral part of the rest of the piston rod or a separate member. In this case, the front end of the piston rod is in relation to the rest of the piston rod. If it is attached so that it can freely rotate around the central axis, it can prevent torque from being applied to the gasket even if the latter rotates.
  • the drive unit for moving the piston rod forward moves the piston rod manually or electrically.
  • the drive unit When the drive unit is for manually advancing the piston rod, the drive unit is mainly composed of an injection amount adjusting device and a medicine injection button.
  • the medicine injection button is provided outside the rear end of the injection device, and pushes the piston rod and / or the injection amount adjusting device forward by pushing it forward.
  • the injection amount adjusting device is drawn backward from a predetermined stop position by a distance corresponding to the dose of the drug or moves the piston rod back and forth during drug administration, thereby determining the amount of piston that can be pushed by the piston rod. Therefore, as long as the purpose is achieved, the structure, shape, etc. are not limited.
  • the drug injection button is preferably attached to the injection amount adjusting device so as to be freely rotatable so that no extra torque is applied to the injection amount adjusting device when it is pressed.
  • the injection amount adjusting device is engaged directly or indirectly with the piston rod. For example, at the time of drug administration, the injection amount adjusting device is first pulled backward from a predetermined stop position by a distance corresponding to the dose. The piston rod is provided so as not to move back and forth when the injection amount adjusting device is pulled backward. Next, when the medicine injection button is pressed, the injection amount adjusting device moves forward according to the distance drawn rearward until it reaches a predetermined stop position.
  • the piston rod is directly or indirectly engaged with the injection amount adjusting device so that when the injection amount adjusting device moves forward, the piston rod is pushed forward according to the moving distance, thereby causing the gasket in the syringe to move forward. As a result, the drug is released from the needle.
  • the piston rod moves forward according to the distance the injection amount adjusting device is pulled backward from the predetermined stop position, the dose of the medicine is determined by the rearward drawing distance of the injection amount adjusting device. Can be adjusted.
  • the mechanism for engaging the injection amount adjusting device with the piston rod is not particularly limited. For example, Japanese Patent Application Laid-Open No. 63-501271, Japanese Patent Application Laid-Open No. 4-259470, Japanese Patent Application Laid-Open No.
  • the drive unit When the drive unit is for electrically moving the piston rod forward, the drive unit is mainly composed of a motor capable of moving the piston rod forward to the injection device and a necessary power transmission mechanism (for example, a gear). As the piston rod advances by the rotation of the motor, the gasket is pushed forward accordingly, so that a corresponding amount of drug is released from the injection needle.
  • a gear structure for converting the rotational motion of the motor into the linear motion of the piston can be selected as appropriate from various known structures.
  • a controller for controlling the operation of the motor is connected to the motor.
  • the control unit includes a recording medium and a central processing unit, and a program for applying a desired force to the piston rod by the motor is recorded in advance on the recording medium, and the control unit controls the motor based on the program. .
  • the recording medium contains information on the remaining amount of medication, past medication records, dosage per dose, medication schedule, voltage and / or current applied to the motor, etc. It is possible to record necessary programs and information.
  • the control unit manages and controls information and programs recorded on the recording medium according to the type of injection device.
  • the injection device includes a temperature measuring unit, which includes a temperature sensor.
  • the temperature measuring unit may further include a timer, which measures the length of time during which the temperature sensed by the sensor unit is outside a preset temperature range.
  • the injection device includes a misuse prevention unit.
  • the misuse prevention unit has a length of time (measured by a timer) when the temperature sensed by the sensor unit of the temperature measurement unit goes out of the preset temperature range or outside the temperature range. When a predetermined time length is exceeded, it is activated to issue a warning to the user.
  • the temperature sensor achieves the purpose of preventing the medicine in the syringe held in the injection device from being exposed to a temperature outside the set range (or beyond the set range for a predetermined length of time). Therefore, it is desirable to install in the vicinity of the syringe.
  • a place where a human hand directly touches at the time of injection is not preferable as a position where the temperature sensor is installed because the human body temperature may be detected by the temperature sensor.
  • the temperature range to be measured by the temperature sensor is appropriately changed depending on the type of medicine, the injection device, the material of the holder, etc., for example, -40 to 120 ° C, -30 to 100 ° C And so on.
  • thermocouple a sheathed thermocouple in which a thermocouple element is hermetically filled with an inorganic insulator in a metal protective tube can be suitably used.
  • iron-constantan or copper-constantan can be used as the thermocouple wire.
  • Resistance temperature detectors that incorporate a device made of a substance whose electrical resistance changes with temperature change, for example, a device made of silicon diode, platinum wire, rhodium iron, ceramic thin film, germanium or ruthenium oxide pressure film Or, a thermistor built-in can be used.
  • a device made of a substance whose electrical resistance changes with temperature change for example, a device made of silicon diode, platinum wire, rhodium iron, ceramic thin film, germanium or ruthenium oxide pressure film Or, a thermistor built-in can be used.
  • the temperature sensor is connected to the misuse prevention part through the control part.
  • the control unit can be configured to immediately activate the misuse prevention unit and generate a warning.
  • the temperature sensor can be connected to a timer via the control unit.
  • the control unit activates a timer and measures the length of time when the temperature is outside the preset temperature range.
  • the misuse prevention unit may be configured to operate so that a warning is issued when the length of time exceeds a predetermined time length.
  • the control unit is activated and a warning is issued when the value expressed by the formula using the temperature sensed by the temperature sensor and the time measured by the timer exceeds a certain value.
  • the misuse prevention unit can be configured to operate.
  • the control unit that controls the temperature measurement unit may be provided separately from the control unit for controlling the motor, or the single control unit can control both the temperature measurement unit and the motor.
  • the control unit includes a central processing unit and a recording medium.
  • set temperature range and a predetermined time length that must not be outside such a temperature range (hereinafter referred to as “set time length”) are recorded on the recording medium of the control unit. Is done.
  • the set temperature range is generally preferably 1 to 15 ° C., more preferably 2 to 8 ° C.
  • the set temperature is 1 to 30 ° C., 2 to 30 ° C., 1 to 35 ° C. according to the storage temperature individually permitted in such preparation. , 2 to 35 ° C., etc.
  • the set time length is generally in the range of 1 to 72 hours depending on the type of peptide, dosage form, etc., for example, 1, 2, 6, 12, It is set to an appropriate value such as 24, 48, 72 hours or the like.
  • peptide preparations may be rapidly denatured when exposed to a certain high temperature or higher, setting such a temperature is effective in preventing injection of denatured peptide preparations.
  • setting such a temperature is effective in preventing injection of denatured peptide preparations.
  • the drug may become extremely hot (for example, 70 ° C.) and the components of the drug may be denatured.
  • Such temperature is in the range of 40 to 80 ° C., for example, 40, 50, 60, 70, 80 ° C., etc., depending on the type of peptide when the drug in the syringe held in the injection device is a peptide preparation.
  • the misuse prevention unit can immediately issue a warning without measuring the time with a timer, and when the temperature is detected by setting the set time length to, for example, 0.01 to 1 second. , It can also be set to issue a warning substantially immediately.
  • a warning can be immediately issued when a low temperature below a certain temperature is detected in order to prevent injection of the frozen peptide.
  • a temperature is suitably in the range of 0 to -20 ° C., for example, 0 ° C., ⁇ 2 ° C., ⁇ 4 ° C., ⁇ 10 ° C., ⁇ 20 ° C., etc., depending on the type of peptide, dosage form, etc. Set to a value.
  • the misuse prevention unit may issue a warning when a value indicated by a function of temperature and time exceeds a preset value. For example, [Temperature over the upper limit of the set temperature range (Tm 1 )-Upper limit of the set temperature range (Tm 2 )] is taken on the y axis and time (t) over the upper limit of the set temperature range is taken on the x axis.
  • Tm 1 set temperature range
  • Tm 2 Upper limit of the set temperature range
  • t time over the upper limit of the set temperature range
  • a warning can be issued.
  • the weight corresponding to the measured temperature level is reflected in the timing of issuing the warning.
  • Such calculation can be performed by a central processing unit constituting the control unit.
  • the time measured by the timer the integral value of the function obtained by using the time as one of the parameters (for example, the area S described above), etc., for example, when the temperature measured by the sensor unit is outside the set temperature range.
  • the length of a certain time returns to the set temperature range before reaching the set time length, it can be deleted and returned to the initial state.
  • the temperature sensor senses a temperature outside the set range for a number of times, it returns to the set temperature range before the length of time at that temperature reaches the set time length. As long as there is no warning.
  • data such as the time measured by the timer and the integral value of the function obtained by using the time as one of the parameters (for example, the area S described above), for example, the temperature detected by the sensor unit within the set temperature range
  • the data is recorded on the recording medium of the control unit, and when a temperature outside the set temperature range is sensed again, the data such as the time and integral value of the function during that time are added to the previously recorded record. It can also be recorded. By doing so, it is possible to issue a warning from the control unit to the misuse prevention unit when the sum of the time and the integrated value of the total exceed the set value.
  • the piston rod of the injection device is of the type driven forward by a motor, remove the syringe from the holding part after one use, and place only the syringe in a cold place such as a refrigerator. In some cases, they are stored separately. In such a state where the syringe is removed, the operation of the temperature measuring unit relating to the medicine is unnecessary, and it is preferable that such an extra operation is not performed.
  • Such a configuration is provided with a syringe attachment / recognition recognition unit for recognizing whether or not the syringe is held in the holding unit which is the syringe attachment position of the injection device, and a signal for informing that the syringe has been removed from the syringe attachment / detachment recognition unit.
  • a syringe attachment / recognition unit for recognizing whether or not the syringe is held in the holding unit which is the syringe attachment position of the injection device, and a signal for informing that the syringe has been removed from the syringe attachment / detachment recognition unit.
  • the syringe attachment / recognition unit is, for example, a pressure arranged at an appropriate position of the holding unit so as to sense a change in the pressing force applied to the holding unit due to the attachment / detachment of the syringe to / from the holding unit
  • the pressure sensor that can be used is not particularly limited, but a semiconductor pressure sensor in which a silicon substrate is incorporated in a pressure receiving portion (diaphragm) can be suitably used.
  • the pressure receiving unit is arranged so as to sense a pressing force applied to the holding unit when the syringe is attached to the holding unit.
  • the pressure sensor is an L-shaped groove that comes into contact with a protrusion provided on the base of the syringe holder to fix the syringe to the injection apparatus when the protrusion is fitted in the L-shaped groove of the holding part of the injection apparatus. Attached to the surface.
  • the resistance value of the pressure receiving portion changes due to the distortion of the diaphragm caused by the pressing force, and thereby the attachment / detachment state of the syringe is detected.
  • the misuse prevention unit issues a warning in response to a command from the control unit.
  • the warning can be done by any means that can issue a warning to the user, such as visual display, luminescent signal, and / or audio output.
  • a display monitor is provided as a display device.
  • the display monitor can be provided using a liquid crystal panel, an organic EL panel, or the like at an easily visible portion of the injection device.
  • the display monitor displays that the medicine in the syringe is no longer suitable for use according to a command from the control unit, and the user can know this fact.
  • the visual display can be performed by displaying the character itself or blinking the character display.
  • the warning is divided into two stages, and a preliminary warning is given to notify that the drug in the syringe is no longer suitable for use before the final warning that informs the user that the drug is no longer suitable for use.
  • Such a display may be a bar display, a sector display, or the like with a set upper limit of 100% so that the user can intuitively understand.
  • Such a display is effective as a means for prompting the user to thoroughly control the temperature of the injection device.
  • the liquid crystal display also contains other information related to the injection device, such as the state of attachment of the syringe to the holder, the remaining amount of the medicine, the past medication record, the dosage per dose, the medication schedule, and the voltage applied to the motor. And / or a current value or the like can also be displayed.
  • Growjector registered trademark (Nippon Chemical Research Co., Ltd.) marketed as an electric injection device is, as shown schematically in FIG. 12, information such as the attachment state of the syringe to the holding part and the remaining amount of the medicine.
  • a warning can be issued through the liquid crystal panel.
  • the schematic external perspective view of the Growjector (registered trademark) shown in FIG. 12 is the same as that disclosed as FIG. 1 in the Design Gazette No. 1198737.
  • the injection device When a warning is issued by a luminescent signal, the injection device is provided with a luminescent part.
  • the light emitting unit can be provided at a place where the injection device is easily visible using a small light source such as a light emitting diode.
  • the light emitting unit emits predetermined light so as to notify the user that the medicine is no longer suitable for use according to a command from the control unit.
  • Light emission can be performed, for example, by continuously turning on or blinking a light emitting diode or the like.
  • the warning can be divided into two stages, and a preliminary warning that it will soon be unsuitable for use can be made before the final warning that notifies the user that it is no longer suitable for use.
  • the light emitting part emits light from blue to yellow some time before the set time length is outside the set temperature range, and when the set time length is reached, the light emitting part emits red light.
  • the user can take measures such as returning the syringe to the refrigerator immediately after seeing that the light-emitting portion emits yellow light.
  • the injection device When issuing a warning by sound (including voice), the injection device is provided with an acoustic unit.
  • the acoustic unit is provided in the injection device using a buzzer, a speaker, or the like.
  • the sound unit In response to a command from the control unit, the sound unit emits a sound notifying the user that the medicine is no longer suitable for use.
  • the warning may be divided into two stages and may be configured to give a preliminary warning that it will soon be unsuitable for use before the final warning that informs the user that it is no longer suitable for use. .
  • the misuse prevention unit is provided in the injection device by any one of the display monitor, the light emitting unit, and the acoustic unit, or a combination thereof.
  • the specific configuration of the injection blocking mechanism is not particularly limited as long as the injection device disables the injection of a drug that is no longer suitable for use.
  • a blocking member that can prevent the movement of the piston rod by engaging with the piston rod.
  • the blocking member is not engaged with the piston rod so that the piston rod can be moved.
  • it can be set as the structure which engages the said blocking member with a piston rod, and blocks
  • the shape and structure of the blocking member there is no particular limitation on the shape and structure of the blocking member.
  • a latch that operates under the control of the control unit and engages the latch pawl with the piston rod is suitable. Used for.
  • the blocking mechanism can be, for example, a means for interrupting the current supply to the motor.
  • the injection device is provided with a warning release unit for releasing the warning and blocking mechanism.
  • the warning release unit By operating the warning release unit, the warning disappears, the blocking of the piston rod movement by the blocking mechanism is released, and when the injection device includes a timer, the timer is returned to the initial state.
  • the operation of the warning release unit can be performed by removing the syringe from the injection device or pressing a warning release button provided on the injection device.
  • the warning or the like can be automatically released by removing the syringe from the injection device.
  • the warning release unit is configured not to operate unless the syringe is removed. Such a configuration makes it easy to prevent a situation where the user cancels the warning and continues to use the syringe that is no longer suitable for use, despite the warning.
  • the warning release button is set so that it does not operate after a certain period of time, for example, 30 seconds, after removing the syringe, the user is prompted to prepare a new syringe during that time. be able to.
  • the removal of the injection device from the syringe may be detected by providing the aforementioned attachment / detachment recognition unit.
  • the injection device itself can also be affected when placed in a too hot environment.
  • a material such as a synthetic resin
  • the shape may be deformed by a high temperature. Therefore, an injection device that has been exposed to excessively high temperatures should not be used to administer drugs that require precise dosages.
  • a warning that the injection device should not be used The user's attention can be alerted by issuing. For example, by displaying “This injection device cannot be used”, it is possible to prevent the injection device from being used without knowing it.
  • Warnings and use prohibitions in the event that such an injection device itself is no longer suitable for the specification may be, for example, a separate temperature measurement unit and misuse prevention unit for the injection device if the drug is no longer suitable for injection. This can be achieved by allowing the control unit to control the temperature range setting and time setting.
  • the power supply unit is not particularly limited as long as it can supply power to the injection device, but is preferably a rechargeable battery or a dry battery.
  • the present invention is not limited to this, and external power connected via a DC adapter can also be used as the power supply unit.
  • FIG. 1 is a control block diagram schematically showing an example of the configuration of an injection device with a temperature measurement unit for administering a growth hormone preparation and including a motor in a drive unit.
  • the injection device of the present invention includes a control unit including a central processing unit and a recording medium, a temperature measurement unit including a temperature sensor and a timer, a misuse prevention unit for preventing misuse of the injection device, a power supply unit, and the like.
  • the device is activated by pressing the activation button.
  • the recording medium of the control unit stores a program necessary for the injection device to perform a predetermined operation.
  • the central processing unit includes a microprocessor, and the microprocessor executes the program recorded on the recording medium to control the operation of the injection device. On the recording medium, for example, a value of 2 to 30 ° C. as the first set temperature range relating to the medicine and a value of 3 hours as the set time length associated therewith are recorded, respectively.
  • the recording medium separately records, for example, a value of 2 to 60 ° C. as a second set temperature range relating to the injection device itself, and a value of 0.1 seconds as a set time length associated therewith, for example.
  • the misuse prevention unit includes a display device (here, a liquid crystal panel) for notifying the user when the injection device should not be used.
  • a display device here, a liquid crystal panel
  • the control unit receives the signal, the control unit activates the timer, and when the time measured by the timer exceeds 3 hours, the control unit The display device displays a warning that the injection device cannot be used.
  • the control unit Display a warning. That is, when the temperature detected by the temperature sensor exceeds 60 ° C., the above command is made substantially immediately. At the same time as the warning is displayed on the display device, the device is configured such that the control unit prohibits the power supply from the power supply unit to the motor, and thus the injection device is in an injectable state.
  • control unit when the syringe is attached to the holding unit of the injection device, when the deviation from the first (and in addition to this, the second) set temperature range, and when the syringe is attached If not, the timer is activated only when the temperature deviates from the second set temperature range. Therefore, after injection of the drug, the syringe is removed from the injection device and stored refrigerated, while the injection device is stored at room temperature until the next use, but only the injection device is in the first set temperature range in that state. The timer will not operate if it only deviates from.
  • the holding unit is equipped with a pressure sensor that measures the pressure applied to the holding unit by attaching a syringe under the control of the control unit, and when the pressure on the pressure sensor becomes substantially equal to zero, The unit receives a corresponding signal from the pressure sensor, and determines that the syringe has been removed from the holding unit.
  • the timer will not operate unless the temperature of the injection device is outside the second set temperature range.
  • the pressure sensor detects the pressure, and the control unit that receives the corresponding signal determines that the syringe is attached to the holding unit, and deviates from the first set temperature range.
  • the timer is immediately put into a ready standby state.
  • the user of the injection device removes the syringe from the holding unit in accordance with the warning display instructions when the misuse prevention unit is activated and a warning is displayed on a display device such as a liquid crystal panel.
  • the holding unit is provided with a pressure sensor for measuring the pressure applied from the syringe to the holding unit, and when the pressure on the pressure sensor becomes almost equal to zero by removing the syringe, a signal indicating that is sent to the control unit.
  • the control unit determines that the syringe has been removed from the holding unit.
  • the injection device is provided with a warning release unit under the control unit, and the warning release unit is provided with a warning release button.
  • pressing the warning release button clears the warning display and cancels the prohibition of power supply to the motor.
  • the warning is locked and is not released even when the warning release button is pressed, and the prohibition of power supply to the motor is not released. In this way, injection can be prevented without replacing the syringe.
  • the central processing unit determines that the syringe is attached, and the control unit initializes time data recorded for the previous syringe. , Set the timer to the new standby state.
  • the syringe Prior to injection, the syringe is fitted with a double-ended needle at the tip, and the injection needle is inserted into the user's body.
  • the motor is driven by the control unit, and the piston rod is pushed forward in conjunction with this.
  • the tip of the piston rod is in contact with the back of the gasket in the syringe at the front and pushes it forward with a predetermined pressing force.
  • the recording medium of the injection device stores information on dosage per dose, dosing schedule, voltage and / or current applied to the motor, and a program for operating the injection device.
  • the central processing unit executes the program recorded on the recording medium, and one medicine is pushed out from the syringe through the injection needle.
  • the injection needle After injection of the drug, the injection needle is removed, and then the syringe is removed from the holding part and stored in the refrigerator until the next use.
  • the injection device is stored at room temperature, and the syringe is newly attached to the holding portion of the injection device at the next use.
  • FIG. 2 is an example of a flowchart showing a series of operations of the injection apparatus of FIG.
  • the pressure sensor provided in the holding unit senses the pressing force applied from the syringe to the holding unit, and the timer enters a standby state. In this state, if the injection device is left in an environment where the temperature exceeds 30 ° C, the timer starts measuring the time when the temperature measured by the temperature sensor exceeds 30 ° C, and the temperature exceeds 30 ° C. Keep measuring time as long as you can. When the time length thus measured exceeds 3 hours, the control unit displays a warning on the liquid crystal panel and prohibits power supply to the motor.
  • the warning display and the prohibition of power supply to the motor are locked, and cannot be released simply by pressing the warning release button.
  • the timer During the time measurement by the timer, when the temperature measured by the temperature sensor falls below 30 ° C in less than 3 hours, the timer returns to the standby state and the time measurement stops, but the time length measured so far The data is stored, and when the temperature rises above 30 ° C again, the time measurement starts again.
  • the timer is set to standby and the time length data measured so far May be initialized to zero.
  • a warning display is immediately displayed on the liquid crystal panel without requiring the pressure sensor to detect pressure, and the motor is turned on.
  • the control unit is configured to cut off the power supply.
  • the user of the injection device can know this by the warning display.
  • the pressure sensor detects that the pressing force has become almost zero, and the warning display is unlocked.
  • the warning release button is pressed in this state, the warning display disappears and the prohibition of power supply to the motor is also released.
  • a new syringe is attached to the holding part of the injection device, and injection is performed.
  • FIG. 3 shows an example of the syringe 2 loaded in the holder 1 with the double-ended needle 3 attached.
  • the tip of the holder 1 is formed in a shape in which the syringe 2 is fixed to the front so as not to drop off.
  • the holder 1 includes an annular protrusion 4 having an outer thread formed on the outer peripheral surface at the front end so that the double-ended needle 3 inserted into the septum 5 at the front end of the syringe can be fixed to the front end.
  • the double-ended needle 3 has a base portion 3a that supports it at the center.
  • the base portion is cylindrical and has an internal thread formed on the inner peripheral surface, and is screwed onto the external thread formed on the annular protrusion 4 of the holder.
  • the double-ended needle is not yet attached to the syringe.
  • a gasket 6 is fitted inside the syringe so as to be fluid-tight and move forward along the inner wall of the syringe, and a medicine 8 is filled in the front thereof.
  • a syringe for example, there is a syringe filled with a growth hormone preparation having the composition shown in Table 1, which needs to be stored in a refrigerator (2 to 8 ° C.).
  • the syringe is made of hard borosilicate glass having an inner diameter of 9.8 mm, and the gasket is made of chlorinated butyl rubber.
  • FIG. 4 is a schematic cross-sectional view of the injection device of this example.
  • the injection device includes a control unit 10, a temperature sensor 12, a timer 13, a motor 14, a piston rod 16, and a pressure sensor 18 inside.
  • the piston rod 16 is advanced through an appropriate power transmission mechanism (for example, a combination of gears) 20.
  • the syringe placed in the holder 1 is taken out of the refrigerator and attached to the holding unit 9a of the injection device stored at room temperature.
  • the base of the holder is provided with a pair of protrusions 7 protruding outward.
  • a pair of grooves through which the pair of protrusions 7 pass is formed in the longitudinal direction through the tip of the holding part (24, FIG. 10), It bends in the lateral direction at the back and stops, forming an L-shaped groove 24 (FIG. 11) as a whole.
  • the holder protrusion is held in the holding portion together with the syringe by the protrusions of the holder being passed through these L-shaped grooves and rotated in the horizontal direction at the back.
  • a pressure sensor 18 is provided on the inner wall at the end at the back of the L-shaped groove at a position to receive a pressing force from the fitted protrusion. The pressure sensor is connected to the control unit 10.
  • a temperature sensor 12 is provided near the front side inside the injection apparatus, and this is also connected to the control unit.
  • the piston rod 16 for pushing the gasket of the syringe advances the piston rod by a distance proportional to the rotation amount (°) of the shaft of the motor 14 in accordance with a proportional constant determined by the reduction ratio of the power transmission mechanism 20.
  • the control unit uses this proportionality constant and the advance distance of the piston rod required for each administration of the drug to control the amount of rotation (°) of the motor, thereby controlling the movement distance of the piston rod.
  • the amount of drug injection can be controlled.
  • FIG. 5 shows an example of a side view of the injection device 9.
  • a liquid crystal panel 26 as a display device is provided outside the injection device.
  • the liquid crystal panel 26 is under the control of the control unit, and displays a warning according to a command from the control unit.
  • 6A and 6B show examples of warnings displayed on the liquid crystal panel 26.
  • FIG. 6 (a) "This drug cannot be used. Please replace the drug.”
  • b) it is displayed in plain expression using hiragana.
  • the plurality of display contents are recorded in advance on the recording medium so that the display contents can be changed.
  • information about the state of the injection device for example, temperature
  • All of these displays are also performed according to commands from the control unit.
  • a warning release button 28 is provided outside the injection device.
  • the warning release button 28 forms part of the warning release unit under the control of the control unit.
  • the injection device is configured such that once the warning is issued, the control unit does not permit the warning to be released even if the warning release button is pressed, unless the syringe is removed.
  • An activation button 30 for switching ON / OFF of the entire injection device is provided outside the injection device.
  • a drug injection button 32 for starting injection of a drug into the patient is provided at the rear end (opposite side of the holding unit) of the injection device.
  • FIG. 7 is a control block diagram schematically showing an example of the configuration of the injection device 34 with a temperature measurement unit that does not include a motor in the drive unit of Example 2 that is a type in which an injection operation is manually performed.
  • the configuration and functions of the parts other than the mechanism for controlling the motor and transmitting the power of the motor to the piston rod are the same as those of the injection unit that includes the motor in the drive unit of the first embodiment. This is basically the same for devices.
  • the injection device of the present embodiment includes a control unit including a central processing unit and a recording medium, and the operation of each part of the injection device is controlled by a program recorded on the recording medium by the microprocessor of the central processing unit. .
  • a control unit including a central processing unit and a recording medium
  • the operation of each part of the injection device is controlled by a program recorded on the recording medium by the microprocessor of the central processing unit.
  • values of 2 to 30 ° C. as the first set temperature range relating to the medicine and 3 hours as the set time length associated therewith are recorded.
  • the recording medium separately records a value of 2 to 60 ° C. as the second set temperature range relating to the injection device itself, and a value of 0.1 seconds as the set time length associated therewith. .
  • the control unit When the temperature detected by the temperature sensor exceeds 30 ° C, the control unit receives the signal, the control unit activates the timer, and when the time measured by the timer exceeds 3 hours, the control unit , A warning that the injection device is unusable is displayed.
  • the control unit displays a predetermined warning on the display device. Let That is, when the temperature detected by the temperature sensor exceeds 60 ° C., the above command is made substantially immediately.
  • the injection device is configured such that a warning is displayed on the display device, and at the same time, the control unit disables the piston rod from being pushed in (and therefore cannot be injected).
  • an electromagnetic latch described later using a latch claw as a blocking member that operates under the control of the control unit so as to be engaged with the piston rod.
  • the user of the injection device removes the syringe from the holding unit in accordance with the warning display instructions when the misuse prevention unit is activated and a warning is displayed on the display device (liquid crystal panel).
  • the holding unit is provided with a pressure sensor for measuring the pressure applied from the syringe to the holding unit, and when the pressure on the pressure sensor becomes almost equal to zero by removing the syringe, a signal indicating that is sent to the control unit.
  • the control unit determines that the syringe has been removed from the holding unit.
  • the warning display disappears by pressing the warning release button, and the engagement between the latch claw and the piston rod is released.
  • the control unit determines that the syringe has been removed from the holding unit, the warning is locked and is not released even when the warning release button is pressed, and the engagement of the latch claw with the piston rod is not released.
  • the central processing unit determines that the syringe is attached, and the control unit initializes time data recorded for the previous syringe. , Set the timer to the new standby state.
  • the injection amount adjusting device 34 included in the injection device of this embodiment is rotated counterclockwise as viewed from the rear of the injection device. By this rotation, the injection amount adjusting device protrudes backward from the injection device while retreating from the piston rod from a predetermined stop position.
  • a scale is attached to the side of the injection amount adjusting device so as to correspond to the amount of liquid to be injected, and the injection amount adjusting device is rotated until the scale indicates a desired dose.
  • a double-ended needle is attached to the tip of the syringe, the injection needle is inserted into the user's body, and then the medicine injection button is pressed, whereby the injection amount adjusting device moves forward to the stop position.
  • the injection amount adjusting device is engaged with the piston rod, the piston rod is pushed forward by that amount, and a corresponding amount of medicine is injected from the injection needle.
  • the injection needle After injection of the drug, the injection needle is removed, and then the syringe is removed from the holding part and stored in the refrigerator until the next use. On the other hand, the injection device is stored at room temperature. At the next use, the syringe is reattached to the holding part of the injection device.
  • FIG. 8 is an example of a flowchart showing a series of operations of the injection apparatus of FIG.
  • the pressure sensor provided in the holding unit senses the pressing force applied from the syringe to the holding unit, and the timer enters a standby state. In this state, if the injection device is left in an environment where the temperature exceeds 30 ° C, the timer starts measuring the time when the temperature measured by the temperature sensor exceeds 30 ° C, and the temperature exceeds 30 ° C. Keep measuring time as long as you can.
  • the control unit displays a warning on the liquid crystal panel and operates the electromagnetic latch to engage the latch claw with the piston rod.
  • the warning display and latch pawl engagement are locked, and cannot be released simply by pressing the warning release button.
  • the timer During the time measurement by the timer, when the temperature measured by the temperature sensor falls below 30 ° C in less than 3 hours, the timer returns to the standby state and the time measurement stops, but the time length measured so far The data is stored, and when the temperature rises above 30 ° C again, the time measurement starts again.
  • the timer is set to standby and the time length data measured so far May be initialized to zero.
  • the controller is configured to operate and engage the latch pawl with the piston rod.
  • the user of the injection device can know this by the warning display.
  • the pressure sensor detects that the pressing force has become almost zero, and the warning display and the latch claw engagement are unlocked.
  • the warning release button is pressed in this state, the warning display disappears, the electromagnetic latch returns to its original position, and the latch claw disengages from the piston rod.
  • a new syringe is attached to the holding part of the injection device, and injection is performed.
  • FIG. 9 is a schematic cross-sectional view of the injection device of this example.
  • the injection device is provided with a control unit 10, a temperature sensor 12, a piston rod 36, a pressure sensor 18, and an electromagnetic latch inside, and the electromagnetic latch is provided with a latch claw 40.
  • the syringe is taken out of the refrigerator and attached to the holding unit 9a of the injection device stored at room temperature.
  • a pair of protrusions 7 are provided at the base of the holder, and these protrusions are fitted into an L-shaped groove 24 formed in the holding part of the injection device, so that the syringe is held in the holding part together with the holder. .
  • a pressure sensor is provided on the inner wall of the L-shaped groove 24 at a position where a pressing force is received from the fitted protrusion.
  • the pressure sensor 18 is connected to the control unit 10 provided inside the injection device.
  • a temperature sensor 22 provided near the front side inside the injection apparatus is also connected to the control unit.
  • a male screw 42 is formed in the latter half region of the piston rod 36 for pushing the gasket of the syringe.
  • the injection amount adjusting device 34 has a female screw 44 formed on its inner wall surface, and the female screw 44 is rotatably engaged with a male screw 42 formed on a piston rod.
  • the piston rod 36 can be moved forward by a piston rod support member 46 provided at an intermediate position between the holding portion in the injection device and the injection amount adjusting device, but the backward movement and rotation are limited.
  • the piston rod support member 46 is provided with a piston rod passage hole 47 that matches the shape of the cross section of the piston rod for allowing the piston rod to pass therethrough.
  • a longitudinal groove is formed in the piston rod 36.
  • the piston rod passage hole is provided with a movable projection (not shown) that fits into the vertical groove, thereby preventing the piston rod from rotating.
  • a series of check claws arranged in the longitudinal direction is provided in the longitudinal groove of the piston rod, and the movable projection is one of the series of check claws when the syringe is attached to the injection device. Projects into the hole until it engages, preventing the piston rod from moving backwards.
  • the movable protrusion retracts to the extent that it does not engage with the check pawl and allows the piston rod to move backward, but still remains in the longitudinal groove and the piston rod rotates. Keeps blocking. That is, the position of the movable protrusion is switched depending on whether or not the syringe is attached to the injection device.
  • the above-described electromagnetic latch may be used instead of such a series of check pawls and movable protrusions. This is because, for example, when the syringe is attached, the control unit operates the electric latch to keep the latch claw 40 engaged with the male screw 42 of the piston rod.
  • the piston rod push-in button 56 at the rear end is pressed, it can be achieved by programming to release the electric latch and allow the piston rod to advance unless a warning is issued.
  • the injection amount adjusting device when the injection amount adjusting device is rotated counterclockwise as viewed from the rear of the injection device from a predetermined stop position and retracted by a desired distance with respect to the piston rod 36, the injection amount adjusting device protrudes from the rear of the injection device by that amount. .
  • the injection amount adjusting device when the double-ended needle attached to the front end of the syringe was inserted into the patient's skin and the rear end of the injection amount adjusting device was pushed back to the stop position, the injection amount adjusting device was retracted.
  • the piston rod moves forward by the same distance, the gasket is pushed in, and one dose of medicine is ejected from the injection needle.
  • the electromagnetic latch in the present embodiment includes a bar 50 that can rotate within a predetermined range with the center as a fulcrum, and the fulcrum 52 is provided at a position away from the inner wall surface of the injection device. Yes.
  • the electromagnetic latch is not activated, the bar is supported against the inner wall surface by a spring 53 so as to be substantially parallel to the piston rod.
  • a latch claw 40 is provided at one end of the bar, and the tip of the bar faces a male screw 42 on the side of the piston rod.
  • the part of the latch claw opposite to the fulcrum is formed using a ferromagnetic material.
  • the inner wall of the injection device is provided with an electromagnet 54 facing the ferromagnetic part of the bar, which is under the control of the control unit.
  • the electromagnet 54 overcomes the force of the spring and attracts the ferromagnetic portion of the bar, thereby rotating the bar and causing the latch pawl 40 to move to the thread of the male thread 42 of the piston rod. Engage to prevent movement of the piston rod.
  • the control unit cuts off the current to the electromagnet, the latch returns to the original position by the force of the spring.
  • a warning release button is provided outside the injection device.
  • the injection device is controlled so that the warning cannot be released even if the warning release button is pressed unless the syringe is removed after the warning display is issued.
  • the present invention is useful as an injection device that can prevent injection of drugs exposed to high or low temperatures inappropriate for storage.

Abstract

Disclosed is an injection device that generates an alarm to the user when exposed for at least a set period of time to a temperature outside a set temperature range when in the state of a syringe that houses a drug having been filled. The injection device is for injecting a drug contained in the syringe, which has a body section comprising a front end and a tubular side wall, and a gasket, which is slidably fitted inside the side wall in a fluid-tight manner, wherein: the injection device has a holding section, which is for holding the syringe, a piston rod, which can press the gasket forward, a drive unit, which is for causing the piston rod to progress forward, a temperature measurement unit, which has the function of sensing temperature, and a misuse prevention unit; the temperature measurement unit has a temperature sensor; and the configuration is such that at least in the state of the syringe being held at the holding section, when the temperature sensed by the temperature sensor becomes outside a pre-set temperature range, the misuse prevention unit can operate and generate an alarm.

Description

温度測定部付き注射装置Injection device with temperature measuring unit
 本発明は,予め設定した範囲外の温度にある一定時間曝されたときに,使用者に警告を発する機能を有する注射装置に関する。 The present invention relates to an injection device having a function of issuing a warning to a user when it is exposed to a temperature outside a preset range for a certain period of time.
 成長ホルモン等のペプチドを含む注射用ペプチド製剤では,一般に,製剤の安定性を担保するために,凍結乾燥等による乾燥薬剤成分と,これを溶解又は懸濁させて注射液とするための液状の薬剤成分(緩衝剤等の溶解液)とからなる,2剤形の形態で製剤が提供されている。また患者における扱いを簡便かつ確実にするために,例えばヒト成長ホルモン製剤の場合,1本のシリンジ(注射筒)内にそれらの成分を区分して別々に収容した2室式プレフィルドシリンジ(多室シリンダーアンプルともいう)が広く用いられている(特許文献1~3)。このようなタイプの製剤は,使用前に,乾燥薬剤成分と薬剤成分を混和してペプチドを含む溶液製剤とし,これを患者に投与する,という仕方で用いられる。溶液中のペプチドは,温度変化への感受性が高いことから,概ね,凍結を避け,2~8℃で保存することとされている。 In the case of injectable peptide preparations containing peptides such as growth hormone, in general, in order to ensure the stability of the preparation, a dry drug component by freeze-drying, etc. The preparation is provided in the form of a two-drug form consisting of a drug component (dissolution solution such as a buffer). In addition, in order to make handling in patients simple and reliable, for example, in the case of human growth hormone preparations, a two-chamber prefilled syringe (multi-chamber) in which these components are separately stored in a single syringe (syringe) Cylinder ampules are also widely used (Patent Documents 1 to 3). This type of preparation is used in such a manner that before use, a dry drug component and a drug component are mixed to form a solution preparation containing a peptide, which is then administered to a patient. Since peptides in solution are highly sensitive to temperature changes, they are generally stored at 2-8 ° C., avoiding freezing.
 近年は,ペプチドの溶液中での安定性を高めて,予め溶液として調製されたペプチドを含む溶液製剤が開発されており,エリスロポエチン,成長ホルモン,インスリン等を有効成分として含む溶液製剤が,医療用医薬品として市販されている。ペプチドの溶液製剤は,安定化剤,賦形剤等によりある程度ペプチドの安定性が高められているとはいえ,温度変化への感受性が依然高い。従って,やはり概ね,凍結を避けて2~8℃で保存することとされている。 In recent years, a solution preparation containing a peptide prepared in advance as a solution with improved stability in a solution of the peptide has been developed, and a solution preparation containing erythropoietin, growth hormone, insulin, etc. as an active ingredient has been developed. It is marketed as a pharmaceutical product. Peptide solution preparations are still highly sensitive to temperature changes, although the stability of the peptides is enhanced to some extent by stabilizers, excipients, and the like. Therefore, it is generally said that it should be stored at 2-8 ° C, avoiding freezing.
 ペプチドを含む溶液製剤は,投与時の利便を図るため,複数回の投与分の薬液をシリンジに収容し,これを専用の注射装置に装填して使用するものがある(特許文献1~3)。この場合,ペプチドを含む溶液製剤は,一般に,注射装置に装填されたシリンジとして一体に取り扱われて,注射装置とともに冷蔵庫内で凍結を避けて2~8℃で保存される。投与時には,冷蔵庫から注射装置を取り出し,1回分の薬液を投与した後,次回の投与のために注射装置を冷蔵庫に戻して保存する。従って,シリンジ内の薬液の温度は概ね低温に保たれ,且つ所定外の温度に曝される時間も短い。しかし,注射装置を冷蔵庫に戻し忘れた場合,注射装置に装填された薬液を収容したシリンジが,所定外の温度に長時間曝されることになる。また,誤って注射装置を冷凍庫に保存することも考えられる。更に,冷蔵庫内の温度が,故障,冷蔵庫の設置された環境,冷蔵庫内の温度の設定,頻繁な冷蔵庫ドアの開閉等により,所定外の温度となることも考えられる。例えば,外気が極めて低温な場合,2~8℃に設定した冷蔵庫内の温度が氷点下となり,冷蔵庫内に保存した水溶液が凍結することがある。 Solution preparations containing peptides include ones in which a drug solution for a plurality of doses is stored in a syringe and used in a dedicated injection device for the convenience of administration (Patent Documents 1 to 3). . In this case, the solution preparation containing the peptide is generally handled as a syringe loaded in the injection device, and stored at 2-8 ° C. in the refrigerator together with the injection device to avoid freezing. At the time of administration, the injection device is taken out of the refrigerator, and after one dose of the drug solution is administered, the injection device is returned to the refrigerator for storage for the next administration. Accordingly, the temperature of the chemical solution in the syringe is generally kept low, and the time for exposure to a temperature other than the predetermined time is short. However, when the injection device is forgotten to be returned to the refrigerator, the syringe containing the drug solution loaded in the injection device is exposed to a temperature outside the predetermined time for a long time. It is also conceivable to store the injection device in the freezer by mistake. Furthermore, the temperature inside the refrigerator may become a predetermined temperature due to a failure, the environment where the refrigerator is installed, the temperature setting in the refrigerator, frequent opening / closing of the refrigerator door, and the like. For example, when the outside air is extremely cold, the temperature in the refrigerator set to 2 to 8 ° C. may be below freezing, and the aqueous solution stored in the refrigerator may freeze.
 このようにして,注射装置に装填されたペプチドを含む溶液製剤が所定外の温度に曝されると,ペプチドが変性し,本来の薬効を喪失するおそれがある。また,変性したペプチドは,抗原抗体反応等の副作用を誘発するおそれもある。ペプチドの変性が起こると,ペプチドが凝集して溶液が白濁する場合もあるが,外見上ペプチドの変性が判別できない場合もある。このような場合,変性したペプチドを注射してしまう危険性が高まる。従って,ペプチドを含む溶液製剤の保存には厳重な温度管理が求められる。 Thus, when a solution preparation containing a peptide loaded in an injection device is exposed to a temperature other than a predetermined temperature, the peptide may be denatured and the original medicinal effect may be lost. Further, the denatured peptide may induce side effects such as antigen-antibody reaction. When the peptide is denatured, the peptide may aggregate and the solution may become cloudy. However, the appearance of the peptide may not be discernable. In such a case, the risk of injecting the modified peptide is increased. Therefore, strict temperature control is required for storage of solution preparations containing peptides.
 ペプチドを含む溶液製剤によっては,食後に投与しなければならない等の事情により,屋外に持ち運ぶ必要が生じる場合がある。このように持ち運びして用いられるペプチドを含む溶液製剤においても,投与時の利便性を図るため,複数回の投与分のペプチド薬液をシリンジに収容し,これを専用の注射装置に装填して使用するものがある。この場合,ペプチド溶液を2~8℃の低温に維持することは困難であることから,一定期間内であれば室温で保存することが許容されるべきである。しかしながら,ある一定の期間を超えて室温に放置された場合や,過度の高温に曝された場合には,ペプチドの変性が起こるおそれがある。例えば,夏場に直射日光の当たる駐車中の車内に放置した場合,車内温度は非常に高温となるため,ペプチドが変性するおそれが高い。従って,ペプチド製剤を使用のために持ち運ぶことが許容される場合でも,製剤の保存には厳重な温度及び時間管理が求められる。 Depending on the solution formulation containing the peptide, it may be necessary to carry it outdoors due to the fact that it must be administered after meals. Even in the case of solution formulations containing peptides that are carried and used in this way, for the convenience of administration, the peptide drug solution for multiple doses is stored in a syringe and used by loading it into a dedicated injection device. There is something to do. In this case, since it is difficult to maintain the peptide solution at a low temperature of 2 to 8 ° C., it should be allowed to be stored at room temperature within a certain period. However, peptide denaturation may occur when left at room temperature for a certain period of time or when exposed to excessively high temperatures. For example, when left in a parked vehicle exposed to direct sunlight in summer, the temperature inside the vehicle becomes very high, and the peptide is likely to be denatured. Therefore, even when the peptide preparation is allowed to be carried for use, strict temperature and time management are required for storage of the preparation.
 医薬品は,ペプチド製剤に限らず,保存時の温度が定められている。従って,注射装置に装填して用いられる医薬品については,特にペプチド製剤でなくても,同様に厳重な温度管理が求められる。 Pharmaceuticals are not limited to peptide preparations, and the temperature during storage is determined. Therefore, for a pharmaceutical used by being loaded into an injection device, even if it is not a peptide preparation, strict temperature control is similarly required.
特開昭64-80371号公報JP-A-64-80371 特開平10-033676号公報Japanese Patent Laid-Open No. 10-033676 特開2005-287676号公報JP 2005-287676 A
 上記背景の下で,本発明の目的は,シリンジ内に収容された薬剤(薬液)の注射を行うための注射装置であって,熱変性した該薬剤が誤って使用されるのを防止する等のため,薬剤を収容したシリンジを装填した状態で設定された温度範囲外の温度に一定時間以上曝されたときに,使用者に警告を発する注射装置を提供することである。 Under the above background, an object of the present invention is an injection device for injecting a medicine (medicine solution) contained in a syringe, and prevents the heat-denatured medicine from being used by mistake. Therefore, it is an object of the present invention to provide an injection device that issues a warning to a user when exposed to a temperature outside a set temperature range with a syringe containing a medicine loaded for a certain period of time.
 上記目的に向けた研究において,本発明者らは,注射装置に,温度センサーと,該温度センサーが,予め設定された温度範囲から外れた温度を検出したとき,又はそのような設定範囲外の温度が検出される時間の長さが予め設定された時間の長さを超えたときに,警告を発し及び/又は装置の使用を阻止する誤用防止部を設けることにより,該設定された範囲外の温度に一定時間以上曝された薬剤が注射されることを防止できることを見出し,本発明を完成した。すなわち,本発明は以下を提供する。
 1.前端及び筒状の側壁からなる胴部と該側壁内に液密にスライド可能にはめ込まれたガスケットとを有するシリンジ内に収容された薬剤の注射を行うための注射装置であって,該シリンジを保持するための保持部と,該ガスケットを前方へ押すことができるピストンロッドと,該ピストンロッドを前進させるための駆動部と,温度を感知する機能を有する温度測定部と,誤用防止部とを有し,該温度測定部は,温度センサーを有しており,そして少なくとも該シリンジが該保持部に保持されている状態において,該温度センサーが感知した温度が予め設定された温度範囲外となったときに該誤用防止部が作動して警告を発することができるように構成されているものである,注射装置。
 2.前端及び筒状の側壁からなる胴部と該側壁内に液密にスライド可能にはめ込まれたガスケットとを有するシリンジ内に収容された薬剤の注射を行うための注射装置であって,該シリンジを保持するための保持部と,該ガスケットを前方へ押すことができるピストンロッドと,該ピストンロッドを前進させるための駆動部と,温度を感知する機能を有する温度測定部と,誤用防止部とを有し,該温度測定部は,温度センサーと,そして少なくとも該シリンジが該保持部に保持されている状態において,該センサー部が感知した温度が,予め設定された温度範囲外となったときに作動して,該センサー部が感知した温度が該予め設定された温度範囲外にある時間の長さを計測できるタイマーとを有しており,該タイマーにより計測された時間の長さが,所定の時間長を超えたときに該誤用防止部が作動して警告を発することができるように構成されているものである,注射装置。
 3.該警告が,視覚表示,発光シグナル,音,又は該ピストンロッドの移動阻止の,何れか一つまたはこれらの組み合わせによるものである,上記1又は2の注射装置。
 4.表示用モニターを備え,該視覚表示が該表示用モニターに表示されるものである,上記3の注射装置。
 5.該ピストンロッドの移動阻止が,該ピストンロッドと阻止部材の係合により行われるものである,上記3又は4の注射装置。
 6.該阻止部材が,ラッチ爪である,上記5の注射装置。
 7.制御部を備え,該駆動部が,該ピストンロッドを前進させることのできるモーターを含み,該制御部が,該モーターを制御するためのプログラムを記録した記録媒体を含むものである,上記1~6の何れかの注射装置。
 8.該警告が,該ピストンロッドの移動阻止によるものであり,該ピストンロッドの移動阻止が,該駆動部への電力の供給を遮断することによりなされるものである,上記7の注射装置。
 9.該保持部に,該保持部による該シリンジの保持を感知するためのセンサーが設けられているものである,上記1~8の何れかの注射装置。
 10.シリンジの保持を感知するための該センサーが圧力センサーである上記9の注射装置。
 11.シリンジが保持部に取りけられていない状態においても,該温度センサーが感知した温度が予め別途設定された温度範囲外となったとき該誤用防止部又は該タイマーが作動することができるように構成されているものである,上記1~10の何れかの注射装置。
In the research aimed at the above object, the present inventors have introduced a temperature sensor to the injection device, and when the temperature sensor detects a temperature outside the preset temperature range, or out of such a set range. By providing a misuse prevention unit that issues a warning and / or prevents the use of the device when the length of time during which the temperature is detected exceeds a preset length of time, it is outside the set range. The present invention has been completed by discovering that it is possible to prevent injection of a drug that has been exposed to the temperature of a certain time for a certain period of time. That is, the present invention provides the following.
1. An injection device for injecting a medicine accommodated in a syringe having a barrel having a front end and a cylindrical side wall and a gasket fitted in the side wall so as to be slidable in a liquid-tight manner. A holding part for holding, a piston rod capable of pushing the gasket forward, a driving part for advancing the piston rod, a temperature measuring part having a function of sensing temperature, and a misuse preventing part The temperature measuring unit has a temperature sensor, and at least in a state where the syringe is held by the holding unit, the temperature sensed by the temperature sensor is out of a preset temperature range. An injection device that is configured such that the misuse prevention unit can be activated to issue a warning when the error occurs.
2. An injection device for injecting a medicine accommodated in a syringe having a barrel having a front end and a cylindrical side wall and a gasket fitted in the side wall so as to be slidable in a liquid-tight manner. A holding part for holding, a piston rod capable of pushing the gasket forward, a driving part for advancing the piston rod, a temperature measuring part having a function of sensing temperature, and a misuse preventing part The temperature measuring unit has a temperature sensor, and at least when the temperature sensed by the sensor unit is outside the preset temperature range in a state where the syringe is held by the holding unit. And a timer capable of measuring the length of time during which the temperature sensed by the sensor unit is outside the preset temperature range. The length of time measured by the timer But in which prevention portion for said error is configured to be able to issue a warning and activated when exceeding a predetermined time length, the injection device.
3. 3. The injection device according to 1 or 2 above, wherein the warning is caused by any one or a combination of visual indication, luminescent signal, sound, and movement prevention of the piston rod.
4). 4. The injection device according to 3 above, comprising a display monitor, wherein the visual display is displayed on the display monitor.
5. 5. The injection device according to 3 or 4 above, wherein the movement of the piston rod is prevented by engagement of the piston rod and a blocking member.
6). 6. The injection device according to 5 above, wherein the blocking member is a latch claw.
7). 1 to 6, wherein the control unit includes a motor capable of moving the piston rod forward, and the control unit includes a recording medium on which a program for controlling the motor is recorded. Any injection device.
8). 8. The injection device according to 7 above, wherein the warning is caused by blocking movement of the piston rod, and blocking movement of the piston rod is performed by cutting off power supply to the drive unit.
9. 9. The injection device according to any one of 1 to 8, wherein the holding unit is provided with a sensor for sensing holding of the syringe by the holding unit.
10. 10. The injection device according to 9 above, wherein the sensor for sensing holding of the syringe is a pressure sensor.
11. Even when the syringe is not attached to the holding part, the misuse prevention part or the timer can be operated when the temperature detected by the temperature sensor is outside the temperature range set in advance. 11. The injection device according to any one of 1 to 10 above.
 本発明によれば,薬剤を収容したシリンジを装填した注射装置を用いる際に,予め設定された範囲外の温度に一定時間曝された薬剤が注射されることを防止でき,またそれにより二次的に,薬剤が予め設定された範囲外の温度に曝される様な取り扱いを抑止できる。また,たとえシリンジが保持されていない状態でも,装置が(例えば,装置の構造や機能に悪影響を及ぼし得るような)予め別途設定された範囲外の温度に所定の時間長にわたり曝されたときにその装置の使用に警告を発し又は装置の使用を阻止することができ,またそれにより二次的に,装置自体がそのような予め別途設定された範囲外に温度にさらされるような取り扱いを抑止できる。 According to the present invention, when using an injection device loaded with a syringe containing a medicine, it is possible to prevent the medicine that has been exposed to a temperature outside the preset range for a certain period of time, and thereby to perform secondary injection. In particular, handling such that the drug is exposed to a temperature outside the preset range can be suppressed. In addition, even when the syringe is not held, when the device is exposed to a temperature outside a preset range (for example, which may adversely affect the structure and function of the device) for a predetermined length of time. The use of the device can be warned or prevented from being used, and secondarily, the handling of the device itself is exposed to temperatures outside such pre-set ranges. it can.
実施例1の,駆動部にモーターを含む温度測定部付き注射装置の構成を模式的に示す制御ブロック図。PSは圧力センサーを示す。The control block diagram which shows typically the structure of the injection apparatus with a temperature measurement part which contains a motor in a drive part of Example 1. FIG. PS indicates a pressure sensor. 実施例1の注射装置の動作制御を示すフローチャートThe flowchart which shows the operation control of the injection apparatus of Example 1. 両頭針が装着された状態でホルダーに装填されたシリンジの模式的な側方断面図Schematic side cross-sectional view of a syringe loaded in a holder with a double-ended needle attached 実施例1の注射装置の模式的な側方断面図Schematic side sectional view of the injection device of Example 1 実施例1の注射装置の模式的な側面図Schematic side view of the injection device of Example 1 液晶パネルに表示される警告表示。(a)大人用,(b)小児用。Warning display displayed on the LCD panel. (A) For adults, (b) For children. 実施例2の,駆動部にモーターを含まない温度測定部付き注射装置の構成を模式的に示す制御ブロック図。PSは圧力センサーを示す。The control block diagram which shows typically the structure of the injection apparatus with a temperature measurement part of Example 2 which does not include a motor in a drive part. PS indicates a pressure sensor. 実施例2の注射装置の動作制御を示すフローチャートThe flowchart which shows the operation control of the injection apparatus of Example 2. 実施例2の注射装置の模式的な断面図Schematic sectional view of the injection device of Example 2 実施例1,2の注射装置の前側端面図Front side end view of injection device of Examples 1 and 2 実施例1,2のL字溝の斜視図The perspective view of the L-shaped groove | channel of Example 1,2. グロウジェクター(登録商標)の模式的外観斜視図Glow Jector (registered trademark) schematic external perspective view
 本発明において,注射装置というときは,シリンジを保持して,シリンジ内に収容された薬剤の注射を行うための装置のことをいい,シリンジは,前端及び筒状の側壁からなる胴部と,該側壁内に液密にスライド可能にはめ込まれたガスケットとを有する。シリンジ内の薬剤は,シリンジ前端の注射針を介して患者に注入される。注射針は,シリンジ本体に着脱不能に一体に成型されたものでもよく,後から着脱可能なものでもよい。例えば,シリンジ前端に両頭針が刺入できる隔壁を設けておき,使用時に両頭針を装着し使用後は取り外せるようにすることができる。このとき,シリンジの胴部の側壁前端に,両頭針を支持する基部に設けられたメスルアーまたは雌ねじの形状に合わせて,オスルアーまたは雄ねじを設けることにより,両頭針をシリンジに確実に係止することができる。 In the present invention, the term “injection device” refers to a device that holds a syringe and injects a medicine contained in the syringe, and the syringe includes a front end portion and a barrel portion formed of a cylindrical side wall, And a gasket fitted in the side wall so as to be slidable in a liquid-tight manner. The medicine in the syringe is injected into the patient via the injection needle at the front end of the syringe. The injection needle may be formed integrally with the syringe body so as not to be removable, or may be removable later. For example, a septum through which a double-ended needle can be inserted is provided at the front end of the syringe, and a double-ended needle can be attached during use and removed after use. At this time, the double-ended needle should be securely locked to the syringe by providing a male luer or male screw at the front end of the side wall of the barrel of the syringe according to the shape of the female luer or female screw provided on the base that supports the double-ended needle. Can do.
 注射装置に保持されるシリンジは,シリンジの胴部内に液密にスライド可能に収容された前側可動壁と後側可動壁である2つのガスケットにより内部が前後2室に区切られた2室式プレフィルドシリンジであってもよい。そのような2室式プレフィルドシリンジは,前側スペースに凍結乾燥等による乾燥薬剤成分と,これを溶解又は懸濁させて注射液とするための液状の薬剤成分を後側スペースに収容し,使用する前に後側可動壁をピストンロッドで押し込んで,それぞれスペースに収容した成分を混和して使用するものが一般的である(図1)。このような2室式プレフィルドシリンジの一例として,市販の成長ホルモン製剤であるグロウジェクター(登録商標)(日本ケミカルリサーチ社)で使用されているものが挙げられる。また,これに限らず,2室式プレフィルドシリンジは,前後いずれのスペースにも液状の薬剤成分を収容し,これらを使用する前に混和するものであってよい。 The syringe held by the injection device is a two-chamber prefilled chamber whose interior is divided into two front and rear chambers by two gaskets, a front movable wall and a rear movable wall, which are slidably housed in the syringe body. It may be a syringe. Such a two-chamber prefilled syringe is used by storing a dry drug component by freeze-drying or the like in a front space and a liquid drug component for dissolving or suspending it into an injection solution in the rear space. In general, the rear movable wall is pushed in with a piston rod and the components contained in each space are mixed and used (FIG. 1). An example of such a two-chamber prefilled syringe is that used in Growjector (registered trademark) (Nippon Chemical Research), which is a commercially available growth hormone preparation. Further, the present invention is not limited to this, and the two-chamber prefilled syringe may contain a liquid drug component in any of the front and rear spaces and mix them before using them.
 注射装置に保持されるシリンジは,好ましくは予め概略筒状のホルダーに装填される。このようなホルダーは,シリンジを外部から加えられる衝撃から保護するとともに,薬剤の混合が適切に行われることを保証するものであることが好ましい。シリンジの胴部の断面は概ね円形であるため,そのままではこれをホルダーに装填するとホルダー内で回転し,薬剤の混合が適切に行われない可能性がある。このようなホルダー内でのシリンジの回転は,例えば,シリンジの胴部の外周面に突起又は突条を設け,シリンジをホルダーに装填したときに,当該突起又は突条と係合するようにホルダー内に溝を設けることにより防止することができる。そのような突起又は突条は,シリンジの胴部の外周面に1~3個又は放射状に4個以上設けることができる。
 ホルダーの先端部の形状は,シリンジが前方に脱落不能に固定できるように形成される。例えば,シリンジをホルダーに保持した状態で患者への注射が可能であるように,注射針をホルダーの外に露出させるための概略円形の穴をホルダーの先端に設け,この穴の内径を,シリンジの胴部の外径より小さくすることにより,シリンジの前方への脱落を不能とすることができる。
The syringe held by the injection device is preferably loaded in a generally cylindrical holder in advance. Such a holder preferably protects the syringe from an externally applied impact and ensures that the medicine is properly mixed. Since the cross section of the barrel of the syringe is generally circular, if it is loaded as it is into the holder, it may rotate within the holder and the medicine may not be mixed properly. The rotation of the syringe in such a holder is, for example, provided with a protrusion or a protrusion on the outer peripheral surface of the barrel of the syringe, and when the syringe is loaded in the holder, the holder is engaged with the protrusion or the protrusion. This can be prevented by providing a groove inside. One to three such protrusions or protrusions can be provided on the outer peripheral surface of the body of the syringe, or four or more radially.
The shape of the tip of the holder is formed so that the syringe can be fixed forward so that it cannot fall off. For example, an approximately circular hole for exposing the injection needle to the outside of the holder is provided at the tip of the holder so that injection into the patient is possible with the syringe held in the holder, and the inner diameter of this hole is set to the syringe. By making it smaller than the outer diameter of the body part of the syringe, it is possible to make it impossible to drop the syringe forward.
 シリンジが,前端に両頭針が刺入できる隔壁を設けたタイプのものである場合,両頭針が固定できるように,メスルアーの周囲をねじ止めする方式(ルアーロック方式)に対応できる,内表面に雌ねじを形成した環状突出部を,ホルダーの先端部に設けておいてもよい。また,両頭針を支持する基部の内周面に雌ねじを設け,これに螺合する雄ねじをホルダーの先端部に設けていてもよい。このようなホルダーの好ましい一例を図3に示す。このようなホルダーに装填された2室プレフィルドシリンジとして,市販のものに,グロウジェクトBC注射用8mg(日本ケミカルリサーチ株式会社)がある。 If the syringe is of the type that has a septum that allows the double-ended needle to be inserted at the front end, the inner surface is compatible with a screwing method (luer lock method) around the female luer so that the double-ended needle can be fixed. An annular protrusion having an internal thread may be provided at the tip of the holder. Further, an internal thread may be provided on the inner peripheral surface of the base that supports the double-ended needle, and an external thread that is screwed into the internal thread may be provided at the tip of the holder. A preferred example of such a holder is shown in FIG. As a two-chamber prefilled syringe loaded in such a holder, a commercially available one is 8 mg for Gloject BC injection (Nippon Chemical Research Co., Ltd.).
 注射装置に保持されるシリンジ又はホルダーに装填されたシリンジは,注射装置に一度取り付けると取り外しができないように取り付けられることも,注射装置に着脱可能に取り付けられることも可能である。注射装置に着脱可能に取り付けられた場合,薬剤を使い切った場合又は一回の投与が完了した後に,シリンジを注射装置から取り外し,次の使用時に再度シリンジを取り付けることができるため,注射装置を繰り返し使用することも可能となる。 The syringe held in the injection device or the syringe loaded in the holder can be attached so that it cannot be removed once attached to the injection device, or it can be detachably attached to the injection device. When it is removably attached to an injection device, the syringe can be removed from the injection device after the medicine has been used up or after a single dose has been completed, and the syringe can be attached again for the next use, so the injection device is repeated. It can also be used.
 注射装置には,シリンジ(そのまま又はホルダーに装填された状態で)を保持するための保持部が設けられる。保持部は,取り付けるべきシリンジ(又はシリンジが装填されるホルダー)の形態に合わせて設計される。シリンジは,例えば,シリンジ(又はシリンジが装填されたホルダー)の後側外面に雄ネジを設け,これを注射装置の保持部に設けられた雌ねじに螺合させることにより,保持部へ保持させることができる。シリンジはまた,シリンジ(又はシリンジが装填されたホルダー)の後側外面に突起を設け,この突起を保持部に設けた溝に嵌合させることにより保持部へ保持させることができる。その他,シリンジは,適宜のラッチにより保持部へ保持させることができる。 The injection device is provided with a holding unit for holding the syringe (as it is or loaded in the holder). The holding part is designed in accordance with the form of the syringe to be attached (or the holder in which the syringe is loaded). For example, the syringe is held on the holding portion by providing a male screw on the rear outer surface of the syringe (or a holder in which the syringe is loaded) and screwing it onto a female screw provided on the holding portion of the injection device. Can do. The syringe can also be held on the holding portion by providing a protrusion on the rear outer surface of the syringe (or a holder loaded with the syringe) and fitting the protrusion into a groove provided on the holding portion. In addition, the syringe can be held on the holding portion by an appropriate latch.
 シリンジには,投与時の利便を図るため,複数回の投与分の薬剤を収容することができる。この場合,注射装置は,一旦シリンジを保持した後は薬剤を使い切るまでシリンジと一体化したままで取り扱い,注射するときは直前にシリンジの隔壁に両頭針を刺入し,注射後は両頭針を抜き取って,次回の投与のためにシリンジを保持したまま冷蔵庫等で保存される態様とすることができる。シリンジは,注射装置に取り外し不能なように取り付けても,取り外し可能に取り付けてもよい。前者においては,薬剤を使い切った場合,注射装置はシリンジとともに廃棄され,後者においては,薬剤を使い切った場合,注射装置は,新しいシリンジが取り付けられて再使用される。市販のグロウジェクトBC注射用8mg(日本ケミカルリサーチ株式会社)は,後者のタイプの注射装置である。 The syringe can contain multiple doses of drug for convenience during administration. In this case, once the syringe is held, it is handled as it is integrated with the syringe until the medicine is used up. When injecting, the double-ended needle is inserted into the septum of the syringe immediately before injection, and the double-ended needle is inserted after injection. The sample can be extracted and stored in a refrigerator or the like while holding the syringe for the next administration. The syringe may be detachably attached to the injection device or may be detachably attached. In the former, when the medicine is used up, the injection device is discarded together with the syringe. In the latter, when the medicine is used up, the injection device is reused with a new syringe attached. Commercially available Gloject BC 8 mg for injection (Nippon Chemical Research Co., Ltd.) is the latter type of injection device.
 また,注射装置には,ピストンロッドの前進移動がモーターで駆動されるタイプのものがある。このようなタイプの場合,これをシリンジ又はホルダーに装填されたシリンジを保持した状態で冷蔵庫等に保存すると,使用時に冷蔵庫から取り出したときに,モーターを含む電子部材に露結が生じるおそれがあり,好ましくない。従って,このようなタイプの注射装置の場合,注射装置は,シリンジとは別に室温で保管し,使用の際には,シリンジを冷蔵庫等の保存場所から取り出し,これを保持部に取り付けて使用し,使用後は,シリンジを保持部から取り外して,シリンジは冷蔵庫等の冷所で,注射装置は室温の下でと別々に保管される。このような注射装置の一例として,市販の成長ホルモン製剤であるグロウジェクター(登録商標)(日本ケミカルリサーチ社)で使用されているものが挙げられる。 Also, some injection devices are of a type in which the forward movement of the piston rod is driven by a motor. In the case of this type, if this is stored in a refrigerator or the like while holding a syringe or a syringe loaded in a holder, there is a risk that condensation will occur on the electronic components including the motor when it is removed from the refrigerator during use. , Not good. Therefore, in the case of this type of injection device, the injection device is stored at room temperature separately from the syringe, and in use, the syringe is taken out of a storage place such as a refrigerator and attached to a holding part for use. After use, the syringe is removed from the holder, the syringe is stored in a cold place such as a refrigerator, and the injection device is stored separately at room temperature. An example of such an injection device is that used in Growjector (registered trademark) (Nippon Chemical Research Co., Ltd.), which is a commercially available growth hormone preparation.
 本発明において,ガスケットの前方への押し出しは,該ガスケットの後側を押すピストンロッドを介して行われる。ピストンロッドの前端部は,ピストンロッドの前面とガスケットの背面が単に接するように配置される以外に,後側可動壁の背面側に雌ねじ備えた凹部を設けるとともに,ピストンロッドの前端部に雄ねじを設けておき,この雄ねじをガスケット後側の雌ねじに螺着させるように成型することもできる。ピストンロッドの前端部は,ピストンロッドの残り部分と一体の部材とすることも,別個の部材とすることもでき,別個の部材とした場合,ピストンロッドの前端部をピストンロッドの残り部分に対して中心軸周りに自由回転可能に取り付けておけば,後者が回転しても,それによるトルクがガスケットに加わることを防止できる。 In the present invention, the gasket is pushed forward through a piston rod that pushes the rear side of the gasket. The front end of the piston rod is arranged so that the front surface of the piston rod and the back surface of the gasket are simply in contact with each other. It is also possible to mold the male screw so that the male screw is screwed onto the female screw on the rear side of the gasket. The front end of the piston rod can be an integral part of the rest of the piston rod or a separate member. In this case, the front end of the piston rod is in relation to the rest of the piston rod. If it is attached so that it can freely rotate around the central axis, it can prevent torque from being applied to the gasket even if the latter rotates.
 本発明において,ピストンロッドを前進させる駆動部は,ピストンロッドを手動若しくは電動で前進させるものである。 In the present invention, the drive unit for moving the piston rod forward moves the piston rod manually or electrically.
 駆動部がピストンロッドを手動により前進させるものである場合,駆動部は,主に射出量調節装置と薬剤注入ボタンから構成される。薬剤注入ボタンは,注射装置の後端外側に設けられて,これを前方に押すことによりピストンロッド及び/又は射出量調節装置を前方に押し込むためのものである。射出量調節装置は,薬剤投与に際して,所定の停止位置から薬剤の投与量に応じた距離だけ後方に引き出され又はピストンロッドを前後に移動させて,それによりピストンロッドによるピストンの押し込み可能量を定めることで薬剤の投与量を調節するためのものであり,その目的が達成される限り,その構造,形状等に制限はない。 When the drive unit is for manually advancing the piston rod, the drive unit is mainly composed of an injection amount adjusting device and a medicine injection button. The medicine injection button is provided outside the rear end of the injection device, and pushes the piston rod and / or the injection amount adjusting device forward by pushing it forward. The injection amount adjusting device is drawn backward from a predetermined stop position by a distance corresponding to the dose of the drug or moves the piston rod back and forth during drug administration, thereby determining the amount of piston that can be pushed by the piston rod. Therefore, as long as the purpose is achieved, the structure, shape, etc. are not limited.
 薬剤注入ボタンは,好ましくは,これを押すときに射出量調節装置に余分なトルクが加わることがないように,射出量調節装置に対して自由回転可能に取り付けられることができる。射出量調節装置は,ピストンロッドと直接に又は間接に係合している。例えば,薬剤投与時は,まず射出量調節装置が所定の停止位置から投与量に応じた距離だけ後方に引き出される。ピストンロッドは,射出量調節装置が後方に引き出されるときには前後に移動しないように設けられている。次いで,薬剤注入ボタンが押されると,射出量調節装置は,後方に引き出されていた距離に応じて前方に,所定の停止位置に到達するまで移動する。ピストンロッドは,射出量調節装置が前方に移動するとき,その移動距離に応じて前方に押し出されるように射出量調節装置と直接又は間接に係合しており,それによりシリンジ内のガスケットを前方へ押し込み,その結果薬剤が注射針から放出される。こうして,射出量調節装置が所定の停止位置から後方に引き出された距離に応じてピストンロッドが前方に移動することになるため,射出量調節装置の後方への引き出し距離により,薬剤の投与量を調節できる。射出量調節装置をピストンロッドに係合されるための機構は,特に制限はなく,例えば,特許文献(特表昭63-501271,特開平4-259470,特表平7-500039,特開平5-337179,特開平5-345024,特開平11-104240,特表2002-501790,特開2007-143957)等に記載された注射量調節のための機構は,薬剤投与時に,薬剤の投与量に応じて後方に引き出されることで薬剤の投与量を調節するように構成されており,本発明においてもそのまま又は適宜改変して,射出量調節装置として好適に使用することができる。 The drug injection button is preferably attached to the injection amount adjusting device so as to be freely rotatable so that no extra torque is applied to the injection amount adjusting device when it is pressed. The injection amount adjusting device is engaged directly or indirectly with the piston rod. For example, at the time of drug administration, the injection amount adjusting device is first pulled backward from a predetermined stop position by a distance corresponding to the dose. The piston rod is provided so as not to move back and forth when the injection amount adjusting device is pulled backward. Next, when the medicine injection button is pressed, the injection amount adjusting device moves forward according to the distance drawn rearward until it reaches a predetermined stop position. The piston rod is directly or indirectly engaged with the injection amount adjusting device so that when the injection amount adjusting device moves forward, the piston rod is pushed forward according to the moving distance, thereby causing the gasket in the syringe to move forward. As a result, the drug is released from the needle. Thus, since the piston rod moves forward according to the distance the injection amount adjusting device is pulled backward from the predetermined stop position, the dose of the medicine is determined by the rearward drawing distance of the injection amount adjusting device. Can be adjusted. The mechanism for engaging the injection amount adjusting device with the piston rod is not particularly limited. For example, Japanese Patent Application Laid-Open No. 63-501271, Japanese Patent Application Laid-Open No. 4-259470, Japanese Patent Application Laid-Open No. 7-500039, Japanese Patent Application Laid-Open No. -337179, JP-A-5-345024, JP-A-11-104240, JP-T-2002-501790, JP-A-2007-143957), and the like. Accordingly, it is configured to adjust the dose of the drug by being drawn backward, and in the present invention, it can be suitably used as an injection amount adjusting device as it is or after being appropriately modified.
 駆動部がピストンロッドを電動により前進させるものである場合,駆動部は,注射装置にピストンロッドを前進させることのできるモーター及び必要な動力伝達機構(例えば,ギア等)から主に構成される。ピストンロッドがモーターの回転によって前進すると,それに応じてガスケットが前方へ押され,その結果これに対応する量の薬剤が注射針から放出される。モーターの回転運動をピストンの直線運動に変換するギア構造は周知の様々なものから適宜選択して採用できる。モーターには,モーターの動作を制御するための制御部が接続されている。制御部は,記録媒体と中央演算処理部を含み,記録媒体には,モーターによりピストンロッドに所望の力を与えるためのプログラムが予め記録されており,当該プログラムに基づき制御部はモーターを制御する。 When the drive unit is for electrically moving the piston rod forward, the drive unit is mainly composed of a motor capable of moving the piston rod forward to the injection device and a necessary power transmission mechanism (for example, a gear). As the piston rod advances by the rotation of the motor, the gasket is pushed forward accordingly, so that a corresponding amount of drug is released from the injection needle. A gear structure for converting the rotational motion of the motor into the linear motion of the piston can be selected as appropriate from various known structures. A controller for controlling the operation of the motor is connected to the motor. The control unit includes a recording medium and a central processing unit, and a program for applying a desired force to the piston rod by the motor is recorded in advance on the recording medium, and the control unit controls the motor based on the program. .
 記録媒体には,薬剤の残量,過去の投薬記録,一回当たりの投薬量,投薬スケジュール,モーターに加えられる電圧及び/又は電流等に関するデータ,注射装置の種類に応じて,注射装置の作動に必要なプログラム及び情報を記録することができる。制御部は,注射装置の種類に応じて,記録媒体に記録された情報及びプログラムの管理,制御を行う。 The recording medium contains information on the remaining amount of medication, past medication records, dosage per dose, medication schedule, voltage and / or current applied to the motor, etc. It is possible to record necessary programs and information. The control unit manages and controls information and programs recorded on the recording medium according to the type of injection device.
 本発明において,注射装置は温度測定部を含んでおり,これは温度センサーを含む。温度測定部は,更にタイマーを含んでもよく,これはセンサー部により感知された温度が予め設定された温度範囲外にある時間の長さを計測する。 In the present invention, the injection device includes a temperature measuring unit, which includes a temperature sensor. The temperature measuring unit may further include a timer, which measures the length of time during which the temperature sensed by the sensor unit is outside a preset temperature range.
 本発明において,注射装置は誤用防止部を含む。誤用防止部は,温度測定部のセンサー部で感知された温度が予め設定された温度範囲外に出たとき,又はそのような温度範囲外にある時間の長さ(タイマーによって計測される)が所定の時間長を超えたときに,作動して使用者に警告を発するものである。 In the present invention, the injection device includes a misuse prevention unit. The misuse prevention unit has a length of time (measured by a timer) when the temperature sensed by the sensor unit of the temperature measurement unit goes out of the preset temperature range or outside the temperature range. When a predetermined time length is exceeded, it is activated to issue a warning to the user.
 温度センサーは,注射装置に保持されたシリンジ内の薬剤が,設定範囲外の温度に(又は設定範囲外の温度に所定の時間長を超えて)曝されることを防止するという目的を達成するため,シリンジの近傍に設置されることが望ましい。一方,注射時にヒトの手が直接触れる場所は,ヒトの体温が温度センサーにより感知されるおそれがあることから,温度センサーを設置する位置として好ましくない。
 また本発明において,温度センサーにより測定されるべき温度範囲は,薬剤の種類,注射装置,ホルダーの材質等により適宜変更されるものであるが,例えば,-40~120℃,-30~100℃等の範囲であることができる。
 本発明において使用できる温度センサーは,測定しようとする温度範囲に適合するものであれば特に限定なく用いることができるが,熱電対や,測温抵抗体が組み込まれたものが特に好適に用いられる。熱電対としては,金属保護管内に熱電対素線が無機絶縁物により密封充填されたシース熱電対が好適に利用できる。熱電対素線としては,例えば,鉄-コンスタンタン,銅-コンスタンタンが利用できる。測温抵抗体としては,温度変化に対して電気抵抗が変化する物質からなる素子が組み込まれたもの,例えば,シリコンダイオード,白金線,ロジウム鉄,セラミックス薄膜,ゲルマニウムまたは酸化ルテニウム圧膜からなる素子や,サーミスタが組み込まれたものが使用できる。
The temperature sensor achieves the purpose of preventing the medicine in the syringe held in the injection device from being exposed to a temperature outside the set range (or beyond the set range for a predetermined length of time). Therefore, it is desirable to install in the vicinity of the syringe. On the other hand, a place where a human hand directly touches at the time of injection is not preferable as a position where the temperature sensor is installed because the human body temperature may be detected by the temperature sensor.
In the present invention, the temperature range to be measured by the temperature sensor is appropriately changed depending on the type of medicine, the injection device, the material of the holder, etc., for example, -40 to 120 ° C, -30 to 100 ° C And so on.
The temperature sensor that can be used in the present invention can be used without particular limitation as long as it is suitable for the temperature range to be measured, but a thermocouple or a sensor incorporating a resistance temperature detector is particularly preferably used. . As the thermocouple, a sheathed thermocouple in which a thermocouple element is hermetically filled with an inorganic insulator in a metal protective tube can be suitably used. For example, iron-constantan or copper-constantan can be used as the thermocouple wire. Resistance temperature detectors that incorporate a device made of a substance whose electrical resistance changes with temperature change, for example, a device made of silicon diode, platinum wire, rhodium iron, ceramic thin film, germanium or ruthenium oxide pressure film Or, a thermistor built-in can be used.
 温度センサーは,制御部を介して誤用防止部に接続される。制御部は,例えば,温度センサーで感知された温度が,予め設定された温度範囲外となった場合に,直ちに誤用防止部を作動させ警告を発生させるように構成することができる。また,温度センサーは,誤用防止部に加えて,制御部を介してタイマーに接続させることもできる。この場合,制御部は,温度センサーで感知された温度が,予め設定された温度範囲外となった場合に,タイマーを作動させて,設定外の温度となった時間の長さを計測し,時間の長さが所定の時間長を超えた場合に警告が発せられるように誤用防止部を作動させる構成とすることができる。更にまた,制御部は,温度センサーで感知された温度と,タイマーで計測された時間とをパラメーターとする公式で表わされる値が,一定の値を超えた場合に作動して,警告が発せられるように誤用防止部を作動させる構成とすることもできる。 The temperature sensor is connected to the misuse prevention part through the control part. For example, when the temperature sensed by the temperature sensor falls outside the preset temperature range, the control unit can be configured to immediately activate the misuse prevention unit and generate a warning. In addition to the misuse prevention unit, the temperature sensor can be connected to a timer via the control unit. In this case, when the temperature sensed by the temperature sensor falls outside the preset temperature range, the control unit activates a timer and measures the length of time when the temperature is outside the preset temperature range. The misuse prevention unit may be configured to operate so that a warning is issued when the length of time exceeds a predetermined time length. Furthermore, the control unit is activated and a warning is issued when the value expressed by the formula using the temperature sensed by the temperature sensor and the time measured by the timer exceeds a certain value. Thus, the misuse prevention unit can be configured to operate.
 温度測定部を制御する制御部は,モーターを制御するための制御部と別に設けてもよく,また一つの制御部で,温度測定部とモーターの両方を制御させることもできる。何れの場合も,制御部内には,中央演算処理部と記録媒体が含まれる。 The control unit that controls the temperature measurement unit may be provided separately from the control unit for controlling the motor, or the single control unit can control both the temperature measurement unit and the motor. In any case, the control unit includes a central processing unit and a recording medium.
 上記の予め設定された温度範囲(設定温度範囲)とそのような温度範囲外に置かれてはならない所定の時間長(以下,「設定時間長」という。)は,制御部の記録媒体に記録される。設定温度範囲は,注射装置に保持されるシリンジ内の薬剤がペプチド製剤の場合,一般には,好ましくは1~15℃,更に好ましくは2~8℃である。但し,ペプチド製剤が,戸外に持ち運んで用いられるものである場合,そのような製剤において個々に許容されている保存温度に従って,設定温度は,1~30℃,2~30℃,1~35℃,2~35℃等に設定されることもできる。設定時間長は,注射装置に保持されるシリンジ内の薬剤がペプチド製剤の場合,ペプチドの種類,剤形等に応じて,概ね1~72時間の範囲で,例えば1,2,6,12,24,48,72時間等と,適切な値に設定される。 The above-described preset temperature range (set temperature range) and a predetermined time length that must not be outside such a temperature range (hereinafter referred to as “set time length”) are recorded on the recording medium of the control unit. Is done. When the drug in the syringe held in the injection device is a peptide preparation, the set temperature range is generally preferably 1 to 15 ° C., more preferably 2 to 8 ° C. However, when the peptide preparation is used outdoors, the set temperature is 1 to 30 ° C., 2 to 30 ° C., 1 to 35 ° C. according to the storage temperature individually permitted in such preparation. , 2 to 35 ° C., etc. When the drug in the syringe held in the injection device is a peptide preparation, the set time length is generally in the range of 1 to 72 hours depending on the type of peptide, dosage form, etc., for example, 1, 2, 6, 12, It is set to an appropriate value such as 24, 48, 72 hours or the like.
 また,極端な高温を感知した場合,直ちに警告を発する設定とすることもできる。ペプチド製剤は,ある一定以上の高温に曝すと急激に変性するおそれがあるため,そのような温度を設定することは,変性したペプチド製剤の注射を防止するうえで有効である。例えば,夏場の直射日光の当たる自動車内に注射装置を誤って放置した場合,薬剤が極めて高温(例えば70℃)になり,薬剤の成分が変性するおそれがある。このような温度は,注射装置に保持されるシリンジ内の薬剤がペプチド製剤の場合,40~80℃の範囲で,例えば40,50,60,70,80℃等と,ペプチドの種類に応じて適切な値に設定される。この場合,誤用防止部が,タイマーで時間を計測することなく直ちに警告を発するようにすることもでき,設定時間長を,例えば0.01~1秒とすることにより,その温度を感知した場合,実質的に直ちに警告を発する設定とすることもできる。 Also, when an extremely high temperature is detected, a setting can be made to immediately issue a warning. Since peptide preparations may be rapidly denatured when exposed to a certain high temperature or higher, setting such a temperature is effective in preventing injection of denatured peptide preparations. For example, if an injection device is left unintentionally in a car that is exposed to direct sunlight in summer, the drug may become extremely hot (for example, 70 ° C.) and the components of the drug may be denatured. Such temperature is in the range of 40 to 80 ° C., for example, 40, 50, 60, 70, 80 ° C., etc., depending on the type of peptide when the drug in the syringe held in the injection device is a peptide preparation. Set to an appropriate value. In this case, the misuse prevention unit can immediately issue a warning without measuring the time with a timer, and when the temperature is detected by setting the set time length to, for example, 0.01 to 1 second. , It can also be set to issue a warning substantially immediately.
 また,ペプチド製剤は,凍結融解によっても変性するおそれがあることから,凍結したペプチドの注射を防止するため,ある温度以下の低温を感知したときには,直ちに警告を発するようにすることもできる。そのような温度は,ペプチドの種類,剤形等に応じて,0~-20℃の範囲で,例えば,0℃,-2℃,-4℃,-10℃,-20℃等と適切な値に設定される。冷蔵庫内で一旦凍結した製剤が融解したような場合,外見上その事実を認識することが困難であるが,このような機能を備えることにより,凍結融解により変性したペプチドの注射を防止できる。 Also, since the peptide preparation may be denatured by freezing and thawing, a warning can be immediately issued when a low temperature below a certain temperature is detected in order to prevent injection of the frozen peptide. Such a temperature is suitably in the range of 0 to -20 ° C., for example, 0 ° C., −2 ° C., −4 ° C., −10 ° C., −20 ° C., etc., depending on the type of peptide, dosage form, etc. Set to a value. When a preparation once frozen in the refrigerator is thawed, it is difficult to recognize the fact in appearance, but by providing such a function, it is possible to prevent injection of a peptide denatured by freezing and thawing.
 誤用防止部が,温度と時間の関数で示される値が,予め設定された値を超えた場合に,警告を発するようにすることもできる。例えば,〔設定温度範囲の上限を超えた温度(Tm1)-設定温度範囲の上限(Tm2)〕をy軸に,設定温度範囲の上限を超えた時間(t)をx軸にとり,経時的にセンサー部で感知された温度をプロットし,このとき得られる曲線をy=f(x)とし,この曲線とx軸が囲む領域の面積Sが予め設定された値を超えた場合に,警告を発するようにすることができる。このような関数の積分値を用いる場合,測定された温度の高低に応じた重みが,警告を発するタイミングに反映される。このような計算は,制御部を構成する中央演算処理部により行うことができる。 The misuse prevention unit may issue a warning when a value indicated by a function of temperature and time exceeds a preset value. For example, [Temperature over the upper limit of the set temperature range (Tm 1 )-Upper limit of the set temperature range (Tm 2 )] is taken on the y axis and time (t) over the upper limit of the set temperature range is taken on the x axis. When the temperature sensed by the sensor unit is plotted, and the curve obtained at this time is y = f (x), and the area S of the region surrounded by this curve and the x axis exceeds a preset value, A warning can be issued. When using the integral value of such a function, the weight corresponding to the measured temperature level is reflected in the timing of issuing the warning. Such calculation can be performed by a central processing unit constituting the control unit.
 上記の,タイマーで計測された時間,当該時間をパラメーターの一つとして得られた関数の積分値(例えば上記の面積S)等は,例えば,センサー部で測定された温度が設定温度範囲外である時間の長さが設定時間長に達する前に設定温度範囲内に戻った場合は消去されて,初期状態に戻る構成とすることができる。但しこの場合,複数回に渡って温度センサーが設定範囲外の温度を感知したとしても,一回毎に,当該温度である時間の長さが設定時間長に達する前に設定温度範囲内に戻る限り,警告は発せられない。 For example, the time measured by the timer, the integral value of the function obtained by using the time as one of the parameters (for example, the area S described above), etc., for example, when the temperature measured by the sensor unit is outside the set temperature range. When the length of a certain time returns to the set temperature range before reaching the set time length, it can be deleted and returned to the initial state. However, in this case, even if the temperature sensor senses a temperature outside the set range for a number of times, it returns to the set temperature range before the length of time at that temperature reaches the set time length. As long as there is no warning.
 また,タイマーで計測された時間,当該時間をパラメーターの一つとして得られた関数の積分値(例えば上記の面積S)等のデータを,例えば,センサー部で感知された温度が設定温度範囲に戻った後も制御部の記録媒体に記録し,再び設定温度範囲外の温度が感知された場合,その間の当該時間,関数の積分値等のデータが,先に記録されている記録に加えられて記録されるようにすることもできる。そうすることにより,当該時間の合計,合計の積分値が設定値を超えた場合に,制御部から誤用防止部に警告を発するようにすることができる。 In addition, data such as the time measured by the timer and the integral value of the function obtained by using the time as one of the parameters (for example, the area S described above), for example, the temperature detected by the sensor unit within the set temperature range After returning, the data is recorded on the recording medium of the control unit, and when a temperature outside the set temperature range is sensed again, the data such as the time and integral value of the function during that time are added to the previously recorded record. It can also be recorded. By doing so, it is possible to issue a warning from the control unit to the misuse prevention unit when the sum of the time and the integrated value of the total exceed the set value.
 注射装置のピストンロッドがモーターにより前方へと駆動されるタイプのものである場合,1回分の使用後にシリンジを保持部から取り外して,シリンジのみを冷蔵庫等の冷所で,注射装置は室温の下で,というように別々に保管される場合がある。このようにシリンジが取り外された状態では,薬剤に関する温度測定部の作動は不要であり,そのような余分な作動をしない構成としておくことが好ましい。そのような構成は,注射装置のシリンジ取り付け位置である保持部にシリンジが保持されているか否か,を認識するシリンジ着脱認識部を設け,シリンジ着脱認識部からシリンジが取り外されたことを知らせるシグナルが制御部に送られた場合,温度測定部がオフの状態にされるようにしておくことで達成できる。シリンジ着脱認識部は,例えば,保持部へのシリンジの着脱による保持部に加わる押圧力の変動を感知してそれに応じたシグナルを制御部に送るように保持部の適宜の位置に配置された圧力センサーを含む構成とすることができる。 If the piston rod of the injection device is of the type driven forward by a motor, remove the syringe from the holding part after one use, and place only the syringe in a cold place such as a refrigerator. In some cases, they are stored separately. In such a state where the syringe is removed, the operation of the temperature measuring unit relating to the medicine is unnecessary, and it is preferable that such an extra operation is not performed. Such a configuration is provided with a syringe attachment / recognition recognition unit for recognizing whether or not the syringe is held in the holding unit which is the syringe attachment position of the injection device, and a signal for informing that the syringe has been removed from the syringe attachment / detachment recognition unit. Can be achieved by setting the temperature measurement unit to the off state. The syringe attachment / recognition unit is, for example, a pressure arranged at an appropriate position of the holding unit so as to sense a change in the pressing force applied to the holding unit due to the attachment / detachment of the syringe to / from the holding unit and to send a signal corresponding thereto to the control unit. It can be set as the structure containing a sensor.
 本発明において,使用できる圧力センサーに特に限定はないが,受圧部(ダイアフラム)にシリコン基板を組み込んだ半導体圧力センサーが好適に使用できる。受圧部は,シリンジが保持部に取り付けられたときに保持部に加わる押圧力を感知できるように配置される。例えば,圧力センサーは,注射装置にシリンジを固定するためにシリンジホルダーの基部に設けられた突起が,注射装置の保持部のL字溝に嵌合したときに,該突起に接触するL字溝の表面に取り付けられる。押圧力が加わることによるダイアフラムの歪により受圧部の抵抗値が変化し,それによりシリンジの着脱状態が感知される。 In the present invention, the pressure sensor that can be used is not particularly limited, but a semiconductor pressure sensor in which a silicon substrate is incorporated in a pressure receiving portion (diaphragm) can be suitably used. The pressure receiving unit is arranged so as to sense a pressing force applied to the holding unit when the syringe is attached to the holding unit. For example, the pressure sensor is an L-shaped groove that comes into contact with a protrusion provided on the base of the syringe holder to fix the syringe to the injection apparatus when the protrusion is fitted in the L-shaped groove of the holding part of the injection apparatus. Attached to the surface. The resistance value of the pressure receiving portion changes due to the distortion of the diaphragm caused by the pressing force, and thereby the attachment / detachment state of the syringe is detected.
 誤用防止部は,制御部からの命令により,警告を発する。警告は,視覚表示,発光シグナル,及び/又は音声出力等,使用者に警告を発することのできる任意の手段で行うことができる。視覚表示により警告を発するには,表示装置として表示用モニターが設けられる。表示用モニターは,注射装置の視認容易な部位に,液晶パネル,有機ELパネル等を用いて設けることができる。表示用モニターは,制御部からの命令により,シリンジ内の薬剤がもはや使用に適さない旨を表示し,使用者はそのことを知ることができる。視覚表示は,文字表示そのもの,あるいは文字表示点滅させる等して行うことができる。また,警告を2段階に分け,シリンジ内の薬剤がもはや使用に適さない旨を使用者に通知する最終的警告の前に,もうすぐ使用に適さなくなる旨を通知する予告的警告をするように構成することもできる。この他,設定温度外の温度が感知された時刻や時間長,関数の積分値等を,使用者に随時知らせるような表示をさせることもできる。このような表示は,使用者が直感的に理解できるよう,設定された上限を100%とするバー表示,扇形表示等とすることもできる。このような表示は,使用者に注射装置の温度管理の徹底を促す手段として有効である。また,液晶表示には,注射装置に関するその他の情報,例えば,シリンジの保持部への取り付け状態,薬剤の残量,過去の投薬記録,一回当たりの投薬量,投薬スケジュール,モーターに与えられる電圧及び/又は電流値等を表示させることもできる。電動式の注射装置として市販されているグロウジェクター(登録商標)(日本ケミカルリサーチ社)は,図12に模式的に示すように,シリンジの保持部への取り付け状態,薬剤の残量等の情報を表示するための液晶パネルを有するが,そのような注射装置に,本発明に係る温度測定部が組み込まれた場合,当該液晶パネルを介して警告を発することができる。なお,図12に示すグロウジェクター(登録商標)の模式的外観斜視図は,意匠公報第1198737号において図1として公表されたものと同一である。
 
The misuse prevention unit issues a warning in response to a command from the control unit. The warning can be done by any means that can issue a warning to the user, such as visual display, luminescent signal, and / or audio output. In order to issue a warning by visual display, a display monitor is provided as a display device. The display monitor can be provided using a liquid crystal panel, an organic EL panel, or the like at an easily visible portion of the injection device. The display monitor displays that the medicine in the syringe is no longer suitable for use according to a command from the control unit, and the user can know this fact. The visual display can be performed by displaying the character itself or blinking the character display. In addition, the warning is divided into two stages, and a preliminary warning is given to notify that the drug in the syringe is no longer suitable for use before the final warning that informs the user that the drug is no longer suitable for use. You can also In addition, it is possible to display the time and time length when the temperature outside the set temperature is sensed, the integral value of the function, etc. so as to notify the user as needed. Such a display may be a bar display, a sector display, or the like with a set upper limit of 100% so that the user can intuitively understand. Such a display is effective as a means for prompting the user to thoroughly control the temperature of the injection device. The liquid crystal display also contains other information related to the injection device, such as the state of attachment of the syringe to the holder, the remaining amount of the medicine, the past medication record, the dosage per dose, the medication schedule, and the voltage applied to the motor. And / or a current value or the like can also be displayed. Growjector (registered trademark) (Nippon Chemical Research Co., Ltd.) marketed as an electric injection device is, as shown schematically in FIG. 12, information such as the attachment state of the syringe to the holding part and the remaining amount of the medicine. However, when the temperature measuring unit according to the present invention is incorporated in such an injection device, a warning can be issued through the liquid crystal panel. The schematic external perspective view of the Growjector (registered trademark) shown in FIG. 12 is the same as that disclosed as FIG. 1 in the Design Gazette No. 1198737.
 発光シグナルにより警告を発する場合,注射装置には発光部が設けられる。発光部は,注射装置の視認容易な箇所に,発光ダイオード等の小型の光源を用いて設けることができる。発光部は,制御部からの命令により,薬剤がもはや使用に適さない旨を使用者に通知するよう所定の発光をする。発光は,例えば,発光ダイオード等を連続的に点灯させるか又は点滅させて行うことができる。また,警告を2段階に分け,もはや使用に適さない旨を使用者に通知する最終的警告の前に,もうすぐ使用に適さなくなる旨の予告的警告をするように構成することもできる。例えば,設定温度範囲外である時間の長さが設定時間長に到達するよりある程度前に発光部が青色から黄色に発光し,設定時間長に到達した時点で,発光部が赤色に発光するようにしておくと,使用者は,発光部が黄色に発光したことを見て,シリンジを直ちに冷蔵庫に戻す等の措置を講じることができる。 When a warning is issued by a luminescent signal, the injection device is provided with a luminescent part. The light emitting unit can be provided at a place where the injection device is easily visible using a small light source such as a light emitting diode. The light emitting unit emits predetermined light so as to notify the user that the medicine is no longer suitable for use according to a command from the control unit. Light emission can be performed, for example, by continuously turning on or blinking a light emitting diode or the like. In addition, the warning can be divided into two stages, and a preliminary warning that it will soon be unsuitable for use can be made before the final warning that notifies the user that it is no longer suitable for use. For example, the light emitting part emits light from blue to yellow some time before the set time length is outside the set temperature range, and when the set time length is reached, the light emitting part emits red light. In this case, the user can take measures such as returning the syringe to the refrigerator immediately after seeing that the light-emitting portion emits yellow light.
 音(音声を含む)により警告を発する場合,注射装置には音響部が設けられる。音響部は,注射装置に,ブザー,スピーカー等を用いて設けられる。音響部は,制御部からの命令により,薬剤がもはや使用に適さない旨を使用者に通知する音を発する。音による場合も,警告を2段階に分け,もはや使用に適さない旨を使用者に通知する最終的警告の前に,もうすぐ使用に適さなくなる旨の予告的警告をするように構成することもできる。 When issuing a warning by sound (including voice), the injection device is provided with an acoustic unit. The acoustic unit is provided in the injection device using a buzzer, a speaker, or the like. In response to a command from the control unit, the sound unit emits a sound notifying the user that the medicine is no longer suitable for use. Even in the case of sound, the warning may be divided into two stages and may be configured to give a preliminary warning that it will soon be unsuitable for use before the final warning that informs the user that it is no longer suitable for use. .
 誤用防止部は,上記,表示用モニター,発光部,及び音響部のいずれか一つ,又はこれらを組み合わせて注射装置に設けられる。 The misuse prevention unit is provided in the injection device by any one of the display monitor, the light emitting unit, and the acoustic unit, or a combination thereof.
 上記の視覚表示,光,又は音により警告を発しただけでは,使用者が警告を無視又は看過して薬剤を注射しようとした場合,これを阻止することはできない。このため,最早使用に適さない薬剤が注射されるおそれが残る。そのようなおそれは,最早使用に適さない薬剤の注射をできなくする機構を注射装置に設けることで解消できる。そのような注射阻止機構は,制御部からの命令下に設けておくことができる。 だ け Only by issuing a warning by the visual display, light, or sound described above, if the user ignores or overlooks the warning and tries to inject a drug, this cannot be prevented. This leaves the risk of being injected with drugs that are no longer suitable for use. Such a fear can be eliminated by providing the injection device with a mechanism that makes it impossible to inject drugs that are no longer suitable for use. Such an injection blocking mechanism can be provided under a command from the control unit.
 注射阻止機構の具体的構成については,最早使用に適さなくなった薬剤の注射を注射装置が不能にするものである限り,特に限定はない。例えば,ピストンロッドと係合することにより,その移動を阻止できる阻止部材を設け,通常は阻止部材をピストンロッドと係合させずピストンロッドを移動可能にしておき,シリンジ内の薬剤が最早使用に適さなくなったときに当該阻止部材をピストンロッドと係合させてその移動を阻止する構成とすることができる。ピストンロッドの移動を阻止できるものである限り,阻止部材の形状や構造に特に限定は無いが,例えば,制御部による制御下に作動してラッチ爪をピストンロッドと係合させるタイプのラッチが好適に用いられる。また,ピストンロッドの前進がモーターで駆動されるタイプのものである場合,阻止機構は,例えば,モーターへの電流供給を遮断する手段とすることができる。 The specific configuration of the injection blocking mechanism is not particularly limited as long as the injection device disables the injection of a drug that is no longer suitable for use. For example, a blocking member that can prevent the movement of the piston rod by engaging with the piston rod is provided. Usually, the blocking member is not engaged with the piston rod so that the piston rod can be moved. When it becomes unsuitable, it can be set as the structure which engages the said blocking member with a piston rod, and blocks | prevents that movement. As long as the movement of the piston rod can be blocked, there is no particular limitation on the shape and structure of the blocking member. For example, a latch that operates under the control of the control unit and engages the latch pawl with the piston rod is suitable. Used for. Further, when the piston rod is of a type driven by a motor, the blocking mechanism can be, for example, a means for interrupting the current supply to the motor.
 上記警告(2段階に分かれている場合は,最終的警告)が発せられた場合,注射装置に取り付けられたシリンジは最早使用に適さない。従って,当該シリンジは注射装置から取り外されて破棄され,新たなシリンジが注射装置の保持部に取り付けられる。このとき,警告および阻止機構は解除されて,初期設定に戻される必要がある。従って,注射装置には,警告および阻止機構を解除するための警告解除部が設けられる。警告解除部を作動させることにより,警告が消え,阻止機構によるピストンロッドの移動の阻止が解除され,注射装置がタイマーを備える場合,タイマーは初期状態に戻される。 シ リ ン ジ If the above warning (final warning, if divided into two stages) is issued, the syringe attached to the injection device is no longer suitable for use. Accordingly, the syringe is removed from the injection device and discarded, and a new syringe is attached to the holding portion of the injection device. At this time, the warning and blocking mechanism needs to be released and returned to the initial setting. Accordingly, the injection device is provided with a warning release unit for releasing the warning and blocking mechanism. By operating the warning release unit, the warning disappears, the blocking of the piston rod movement by the blocking mechanism is released, and when the injection device includes a timer, the timer is returned to the initial state.
 警告解除部の作動は,シリンジを注射装置から取り外すことにより,又は注射装置に設けられた警告解除ボタン押すことにより行わせるようにすることができる。前者の場合,シリンジを注射装置から取り外すことにより,自動的に警告等が解除されるようにしておくことができる。また,シリンジの取り外しと警告解除ボタンの操作の双方がなされて初めて警告が解除されるように構成しておくこともできる。例えば,警告解除部は,シリンジが取り外されない限り作動しないように構成されることが好ましい。そのように構成しておくことで,使用者が,警告にも拘わらず,これを解除して最早使用に適さないシリンジの使用を続ける,という事態が起こるのを防止しやすくなる。この場合更に,例えば,シリンジを取り外した後,例えば30秒間等の一定時間が経過しないと警告解除ボタンが作動しないように設定しておけば,使用者に,その間に新たなシリンジの準備を促すことができる。注射装置がシリンジから取り外されたことは,前述の着脱認識部を設けておくことで検出すればよい。 The operation of the warning release unit can be performed by removing the syringe from the injection device or pressing a warning release button provided on the injection device. In the former case, the warning or the like can be automatically released by removing the syringe from the injection device. It is also possible to configure so that the warning is released only after both the removal of the syringe and the operation of the warning release button are performed. For example, it is preferable that the warning release unit is configured not to operate unless the syringe is removed. Such a configuration makes it easy to prevent a situation where the user cancels the warning and continues to use the syringe that is no longer suitable for use, despite the warning. In this case, for example, if the warning release button is set so that it does not operate after a certain period of time, for example, 30 seconds, after removing the syringe, the user is prompted to prepare a new syringe during that time. be able to. The removal of the injection device from the syringe may be detected by providing the aforementioned attachment / detachment recognition unit.
 ところで,注射装置自体も,余りに高温の環境に置かれた場合,影響を被り得る。例えば,合成樹脂等の素材が注射装置に使用されている場合,高温によりその形状が変形するおそれがある。従って,過度の高温に曝された注射装置は,正確な量の投与が求められる薬剤の投与には用いるべきではない。そのような注射装置の使用防ぐために,例えば,注射装置について予め設定された温度範囲(設定温度範囲)を超える温度を温度センサーが感知した場合に,その注射装置を使用すべきでないことを知らせる警告を発することにより,使用者の注意を喚起することができる。例えば,「この注射装置は使用できません」と表示することで,その注射装置を知らずに使用ことが防止できる。また,ピストンロッドの移動を阻止するか,モーターへの電源の供給を遮断することにより,注射装置を使用できない状態とすることでも防止できる。そのような注射装置自体が仕様に適さなくなった場合における警告や使用阻止は,例えば,薬剤が注射に適さなくなった場合のための前述の温度測定部及び誤用防止部を,注射装置のための別個の温度範囲設定や時間設定で制御部に制御させることで達成できる。 By the way, the injection device itself can also be affected when placed in a too hot environment. For example, when a material such as a synthetic resin is used for an injection device, the shape may be deformed by a high temperature. Therefore, an injection device that has been exposed to excessively high temperatures should not be used to administer drugs that require precise dosages. To prevent the use of such an injection device, for example, if the temperature sensor detects a temperature exceeding a preset temperature range (set temperature range) for the injection device, a warning that the injection device should not be used The user's attention can be alerted by issuing. For example, by displaying “This injection device cannot be used”, it is possible to prevent the injection device from being used without knowing it. It can also be prevented by making the injection device unusable by blocking the movement of the piston rod or by blocking the power supply to the motor. Warnings and use prohibitions in the event that such an injection device itself is no longer suitable for the specification may be, for example, a separate temperature measurement unit and misuse prevention unit for the injection device if the drug is no longer suitable for injection. This can be achieved by allowing the control unit to control the temperature range setting and time setting.
 本発明において,電源部は,注射装置に電力を供給できるものである限り特に限定はないが,好ましくは充電式電池,乾電池である。但し,これに限らずDCアダプターを介して接続させた外部電力を電源部とすることもできる。 In the present invention, the power supply unit is not particularly limited as long as it can supply power to the injection device, but is preferably a rechargeable battery or a dry battery. However, the present invention is not limited to this, and external power connected via a DC adapter can also be used as the power supply unit.
 以下,実施例を参照して本発明を更に詳細に説明するが,本発明が実施例に限定されることは意図しない。 Hereinafter, the present invention will be described in more detail with reference to examples. However, the present invention is not intended to be limited to the examples.
〔実施例1〕
 図1は,成長ホルモン製剤を投与用の,駆動部にモーターを含む温度測定部付き注射装置の構成の一例を模式的に示す制御ブロック図である。
[Example 1]
FIG. 1 is a control block diagram schematically showing an example of the configuration of an injection device with a temperature measurement unit for administering a growth hormone preparation and including a motor in a drive unit.
 本発明の注射装置は,中央演算処理部と記録媒体とを含む制御部,温度センサーとタイマーを含む温度測定部,及び,注射装置の誤使用を防ぐための誤用防止部,及び電源部等を含んでおり,起動ボタンを押すことで装置は起動する。制御部の記録媒体には,注射装置が所定の動作を行うに必要なプログラムが格納されている。中央演算処理部はマイクロプロセッサを含み,マイクロプロセッサは,記録媒体に記録されたプログラムを実行して注射装置の動作制御を行う。記録媒体には,薬剤に関するものである第1の設定温度範囲として例えば2~30℃,及びこれに関連付けられた設定時間長として例えば3時間という値が,それぞれ記録されている。また,記録媒体には,別途,注射装置自体に関するものである第2の設定温度範囲として例えば2~60℃,及びこれに関連付けられた設定時間長として例えば0.1秒という値が,それぞれ記録されている。誤用防止部には,注射装置の使用をすべきでないときにそのことを使用者に知らせるための表示装置(ここでは,液晶パネル)が含まれている。こうして,例えば,温度センサーにより測定された温度が30℃を超えると,その信号を制御部が受け,制御部はタイマーを作動させ,タイマーで計測された時間が3時間を超えると,制御部は,表示装置に,注射装置が使用不可である旨の警告を表示させる。また,温度センサーにより測定された温度が60℃を超えた場合にも,別途タイマーが作動し,別途タイマーで計測された時間が0.1秒を超えたときに,制御部は,表示装置に所定の警告表示をさせる。すなわち,温度センサーで感知された温度が60℃を超えた場合には,実質的に直ちに上記指令がなされることになる。表示装置に警告の表示がなされるのと同時に,制御部が電源部からモーターへの電源供給を禁止するように装置は構成されており,従って,注射装置は,注射不能の状態となる。 The injection device of the present invention includes a control unit including a central processing unit and a recording medium, a temperature measurement unit including a temperature sensor and a timer, a misuse prevention unit for preventing misuse of the injection device, a power supply unit, and the like. The device is activated by pressing the activation button. The recording medium of the control unit stores a program necessary for the injection device to perform a predetermined operation. The central processing unit includes a microprocessor, and the microprocessor executes the program recorded on the recording medium to control the operation of the injection device. On the recording medium, for example, a value of 2 to 30 ° C. as the first set temperature range relating to the medicine and a value of 3 hours as the set time length associated therewith are recorded, respectively. In addition, the recording medium separately records, for example, a value of 2 to 60 ° C. as a second set temperature range relating to the injection device itself, and a value of 0.1 seconds as a set time length associated therewith, for example. Yes. The misuse prevention unit includes a display device (here, a liquid crystal panel) for notifying the user when the injection device should not be used. Thus, for example, when the temperature measured by the temperature sensor exceeds 30 ° C, the control unit receives the signal, the control unit activates the timer, and when the time measured by the timer exceeds 3 hours, the control unit The display device displays a warning that the injection device cannot be used. In addition, when the temperature measured by the temperature sensor exceeds 60 ° C, a separate timer is activated, and when the time measured by the separate timer exceeds 0.1 seconds, the control unit Display a warning. That is, when the temperature detected by the temperature sensor exceeds 60 ° C., the above command is made substantially immediately. At the same time as the warning is displayed on the display device, the device is configured such that the control unit prohibits the power supply from the power supply unit to the motor, and thus the injection device is in an injectable state.
 また,制御部は,注射装置の保持部にシリンジが取り付けられているときには上記第1の(及び,設定により,これに加えて第2の)設定温度範囲からの逸脱時に,そしてシリンジが取り付けられていないときには上記第2の設定温度範囲からの逸脱時にのみに,タイマーを作動させるように構成されている。そのため,薬剤の注射後はシリンジは注射装置から取り外されて冷蔵保存される一方,注射装置は,次の使用時まで室温で保管されるが,その状態で注射装置のみが第1の設定温度範囲から逸脱しただけでは,タイマーは作動しない。 In addition, the control unit, when the syringe is attached to the holding unit of the injection device, when the deviation from the first (and in addition to this, the second) set temperature range, and when the syringe is attached If not, the timer is activated only when the temperature deviates from the second set temperature range. Therefore, after injection of the drug, the syringe is removed from the injection device and stored refrigerated, while the injection device is stored at room temperature until the next use, but only the injection device is in the first set temperature range in that state. The timer will not operate if it only deviates from.
 具体的には,保持部には,シリンジの取り付けによって保持部に加えられる押圧を測定する圧力センサーが制御部による制御下に備えられており,圧力センサーへの押圧がほぼゼロに等しくなると,制御部は,それに対応する信号を圧力センサーから受けて,シリンジが保持部から取り外されたと判断する。こうして,シリンジが取り外された注射装置の保管期間中(この間,圧力センサーへの押圧がほぼゼロである)は,注射装置の温度が第2の設定温度範囲外にならない限り,タイマーは作動しない。シリンジが再び保持部に取り付けられると,圧力センサーが押圧を感知し,それに対応する信号を受けた制御部は,保持部にシリンジが取り付けられたと判断して,第1の設定温度範囲からの逸脱に関してもタイマーを直ちに作動可能なスタンバイ状態にする。 Specifically, the holding unit is equipped with a pressure sensor that measures the pressure applied to the holding unit by attaching a syringe under the control of the control unit, and when the pressure on the pressure sensor becomes substantially equal to zero, The unit receives a corresponding signal from the pressure sensor, and determines that the syringe has been removed from the holding unit. Thus, during the storage period of the injection device from which the syringe has been removed (while the pressure on the pressure sensor is substantially zero), the timer will not operate unless the temperature of the injection device is outside the second set temperature range. When the syringe is attached to the holding unit again, the pressure sensor detects the pressure, and the control unit that receives the corresponding signal determines that the syringe is attached to the holding unit, and deviates from the first set temperature range. The timer is immediately put into a ready standby state.
 注射装置の使用者は,誤用防止部が作動して液晶パネル等の表示装置に警告表示がされた場合,警告表示の指示に従い,シリンジを保持部から取り外す。保持部には,シリンジから保持部に加えられる押圧を測定するための圧力センサーが備えられており,シリンジを取り外しにより圧力センサーへの押圧がほぼゼロに等しくなると,そのことを示す信号が制御部に送られ,制御部は,保持部からシリンジが取り外されたと判断する。 The user of the injection device removes the syringe from the holding unit in accordance with the warning display instructions when the misuse prevention unit is activated and a warning is displayed on a display device such as a liquid crystal panel. The holding unit is provided with a pressure sensor for measuring the pressure applied from the syringe to the holding unit, and when the pressure on the pressure sensor becomes almost equal to zero by removing the syringe, a signal indicating that is sent to the control unit. The control unit determines that the syringe has been removed from the holding unit.
 図に示すように,注射装置は制御部の下に警告解除部を備え,警告解除部には警告解除ボタンが備えられている。保持部からシリンジが取り外されていると制御部が判断している状態で,警告解除ボタンを押すことで,警告表示が消え,モーターへの電源の供給の禁止も解除される。シリンジが保持部から取り外されたと制御部が判断した状態でなければ,警告はロックされており,警告解除ボタンを押しても解除されず,モーターへの電力供給の禁止も解除されない。こうして,シリンジを取り換えないまま注射が行われるのが防止できる。 As shown in the figure, the injection device is provided with a warning release unit under the control unit, and the warning release unit is provided with a warning release button. When the control unit determines that the syringe has been removed from the holding unit, pressing the warning release button clears the warning display and cancels the prohibition of power supply to the motor. Unless the control unit determines that the syringe has been removed from the holding unit, the warning is locked and is not released even when the warning release button is pressed, and the prohibition of power supply to the motor is not released. In this way, injection can be prevented without replacing the syringe.
 装置が起動されている状態で新しいシリンジが保持部に取り付けられると,中央処理演算部は,シリンジが取り付けられていると判断し,制御部は,先のシリンジについて記録された時間データを初期化し,タイマーを新たにスタンバイの状態にする。シリンジには,注射に先立ち両頭針が先端に装着され,注射針が使用者の体内に刺入される。次いで,制御部に接続された薬剤注入ボタンを押すことで,制御部によりモーターが駆動され,これに連動してピストンロッドが前方に押し出される。ピストンロッドの先端は,その前面でシリンジ内のガスケットの背面と接し,これを所定の押圧力で前に押し出す。その結果,シリンジ内におけるガスケットの移動距離に応じた薬剤が注射針から使用者の体内に注入される。注射装置の記録媒体には,1回当たりの投薬量,投薬スケジュール,モーターに与えられる電圧及び/又は電流に関する情報及び注射装置を作動させるためのプログラムが格納されており,薬剤注入ボタンを押すことにより,中央演算処理部が記録媒体に記録されたプログラムを実行し,1回分の薬剤が注射針を通してシリンジから押し出される。 When a new syringe is attached to the holding unit while the device is activated, the central processing unit determines that the syringe is attached, and the control unit initializes time data recorded for the previous syringe. , Set the timer to the new standby state. Prior to injection, the syringe is fitted with a double-ended needle at the tip, and the injection needle is inserted into the user's body. Next, by pressing a medicine injection button connected to the control unit, the motor is driven by the control unit, and the piston rod is pushed forward in conjunction with this. The tip of the piston rod is in contact with the back of the gasket in the syringe at the front and pushes it forward with a predetermined pressing force. As a result, a medicine corresponding to the moving distance of the gasket in the syringe is injected into the user's body from the injection needle. The recording medium of the injection device stores information on dosage per dose, dosing schedule, voltage and / or current applied to the motor, and a program for operating the injection device. Thus, the central processing unit executes the program recorded on the recording medium, and one medicine is pushed out from the syringe through the injection needle.
 薬剤の注入後,注射針は取り外され,次いで,シリンジが保持部から取り外されて,次の使用時まで冷蔵庫内で保存される。注射装置は室温で保管され,次の使用時に,注射装置の保持部にシリンジが改めて取り付けられる。 After injection of the drug, the injection needle is removed, and then the syringe is removed from the holding part and stored in the refrigerator until the next use. The injection device is stored at room temperature, and the syringe is newly attached to the holding portion of the injection device at the next use.
 図2は,図1の注射装置の一連の動作を示すフローチャートの一例である。注射装置の使用者により,シリンジが注射装置の保持部に取り付けられると,保持部に備えられた圧力センサーが,シリンジから保持部に加えられる押圧力を感知し,タイマーがスタンバイの状態となる。この状態で,温度が30℃を超える環境に注射装置が放置されると,温度センサーで測定された温度が30℃を超えた時点でタイマーが時間の計測を開始し,温度が30℃を超えている限り時間を計測し続ける。こうして計測された時間長が3時間を超えた時,制御部は,液晶パネルに警告表示をさせるとともに,モーターへの電源供給を禁止する。警告表示とモーターへの電力供給の禁止とはロックされており,単に警告解除ボタンを押しただけでは解除されない。タイマーによる時間計測中,温度センサーで測定されている温度が3時間未満で30℃以下となったとき,タイマーはスタンバイの状態に戻り,時間の計測は停止するが,それまで計測した時間長のデータは保存されており,温度が再度30℃以上となったときには再び時間の計測を開始する。但し,このような設計以外に,例えば,タイマーによる時間計測中,3時間が経過するまでに温度が30℃以下となったときはタイマーをスタンバイにすると共に,それまでに計測された時間長データを初期化して零とするように構成してもよい。また,図2には示さないが,温度センサーにより測定された温度が60℃を超えた場合には,圧力センサーによる押圧の感知を必要とせずに,直ちに液晶パネルに警告表示をさせるとともにモーターへの電源供給を遮断するように,制御部は構成されている。 FIG. 2 is an example of a flowchart showing a series of operations of the injection apparatus of FIG. When the syringe is attached to the holding unit of the injection device by the user of the injection device, the pressure sensor provided in the holding unit senses the pressing force applied from the syringe to the holding unit, and the timer enters a standby state. In this state, if the injection device is left in an environment where the temperature exceeds 30 ° C, the timer starts measuring the time when the temperature measured by the temperature sensor exceeds 30 ° C, and the temperature exceeds 30 ° C. Keep measuring time as long as you can. When the time length thus measured exceeds 3 hours, the control unit displays a warning on the liquid crystal panel and prohibits power supply to the motor. The warning display and the prohibition of power supply to the motor are locked, and cannot be released simply by pressing the warning release button. During the time measurement by the timer, when the temperature measured by the temperature sensor falls below 30 ° C in less than 3 hours, the timer returns to the standby state and the time measurement stops, but the time length measured so far The data is stored, and when the temperature rises above 30 ° C again, the time measurement starts again. However, in addition to this design, for example, during time measurement with a timer, if the temperature falls below 30 ° C by the end of 3 hours, the timer is set to standby and the time length data measured so far May be initialized to zero. Although not shown in FIG. 2, when the temperature measured by the temperature sensor exceeds 60 ° C., a warning display is immediately displayed on the liquid crystal panel without requiring the pressure sensor to detect pressure, and the motor is turned on. The control unit is configured to cut off the power supply.
 薬剤が過度に高温に曝されたことによる警告表示がなされると,注射装置の使用者は,警告表示によってそのことを知ることができる。使用に適さなくなったシリンジを保持部から取り外すと,圧力センサーは,押圧力がほぼゼロになったことを感知し,警告表示のロックは解除される。この状態で警告解除ボタンが押されると,警告表示は消え,モーターへの電源供給の禁止も解除される。次いで,新たなシリンジが注射装置の保持部に取り付けられて,注射が行われる。 If a warning is displayed due to the drug being exposed to an excessively high temperature, the user of the injection device can know this by the warning display. When a syringe that is no longer suitable for use is removed from the holding part, the pressure sensor detects that the pressing force has become almost zero, and the warning display is unlocked. When the warning release button is pressed in this state, the warning display disappears and the prohibition of power supply to the motor is also released. Next, a new syringe is attached to the holding part of the injection device, and injection is performed.
 図3は,両頭針3が装着された状態でホルダー1に装填されたシリンジ2の一例を示す。ホルダー1の先端部は,シリンジ2が前方に脱落不能に固定される形状に形成されている。また,ホルダー1は,前端にシリンジの前端の隔壁5に刺入される両頭針3が固定できるように,外周面に雄ねじの形成された環状突出部4を前端に含む。両頭針3は,中央部でこれを支える基部3aを有する。基部は円筒状で内周面に雌ねじが形成されており,ホルダーの環状突出部4に形成された雄ねじ上に螺着されている。注射装置へのシリンジの取り付け時には,両頭針はまだシリンジに装着されていない。シリンジ内部には,ガスケット6が液密に且つシリンジ内壁に沿って前方に移動できるように嵌め込まれており,その前方には,薬剤8が充填されている。また,シリンジとしては,例えば,表1で示す組成の成長ホルモン製剤が充填されたものがあり,これは冷蔵(2~8℃)保存の必要がある。このシリンジは,胴部が内径9.8mmの硬質ホウケイ酸ガラス製であり,ガスケットは塩素化ブチルゴム製である。 FIG. 3 shows an example of the syringe 2 loaded in the holder 1 with the double-ended needle 3 attached. The tip of the holder 1 is formed in a shape in which the syringe 2 is fixed to the front so as not to drop off. Further, the holder 1 includes an annular protrusion 4 having an outer thread formed on the outer peripheral surface at the front end so that the double-ended needle 3 inserted into the septum 5 at the front end of the syringe can be fixed to the front end. The double-ended needle 3 has a base portion 3a that supports it at the center. The base portion is cylindrical and has an internal thread formed on the inner peripheral surface, and is screwed onto the external thread formed on the annular protrusion 4 of the holder. When the syringe is attached to the injection device, the double-ended needle is not yet attached to the syringe. A gasket 6 is fitted inside the syringe so as to be fluid-tight and move forward along the inner wall of the syringe, and a medicine 8 is filled in the front thereof. In addition, as a syringe, for example, there is a syringe filled with a growth hormone preparation having the composition shown in Table 1, which needs to be stored in a refrigerator (2 to 8 ° C.). The syringe is made of hard borosilicate glass having an inner diameter of 9.8 mm, and the gasket is made of chlorinated butyl rubber.
Figure JPOXMLDOC01-appb-T000001
 
Figure JPOXMLDOC01-appb-T000001
 
 図4は,本実施例の注射装置の模式的な断面図である。図4において,注射装置には,内部に,制御部10,温度センサー12,タイマー13,モーター14,ピストンロッド16,及び圧力センサー18を備えている。モーターは,制御部により駆動されると,適宜の動力伝達機構(例えば,ギアの組み合わせ)20を介してピストンロッド16を前進させる構成となっている。使用に際し,ホルダー1に入れられたシリンジが冷蔵庫から取り出され,室温で保管されている注射装置の保持部9aに装着される。ホルダーの基部には外方に突出した1対の突起7が備えられている。これに対応して注射装置の保持部の内側には,それら1対の突起7を通す1対の溝が保持部の先端を貫通して長手方向に形成されており(24,図10),奥で横方向に折れ曲がって止まり,全体としてL字溝24(図11)をなしている。ホルダーの突起が,それらのL字溝に通され,奥で横方向に回されることで,ホルダーは,シリンジと共に保持部に保持される。L字溝の奥の末端の内壁には,嵌合した突起から押圧力を受ける位置に圧力センサー18が設けられている。圧力センサーは,制御部10に接続されている。また,注射装置内部の前側寄りには,温度センサー12が設けられており,これも制御部に接続されている。シリンジのガスケットを押すためのピストンロッド16は,動力伝達機構20の減速比により定まる比例定数に応じて,モーター14の軸の回転量(°)に比例した距離だけピストンロッドを前進させる。制御部は,この比例定数と各回の薬剤の投与に要するピストンロッドの前進距離とを用いて,モーターの回転量(°)を制御することにより,ピストンロッドの移動距離を制御し,従って,各回の薬剤注入量を制御できる。 FIG. 4 is a schematic cross-sectional view of the injection device of this example. In FIG. 4, the injection device includes a control unit 10, a temperature sensor 12, a timer 13, a motor 14, a piston rod 16, and a pressure sensor 18 inside. When the motor is driven by the control unit, the piston rod 16 is advanced through an appropriate power transmission mechanism (for example, a combination of gears) 20. In use, the syringe placed in the holder 1 is taken out of the refrigerator and attached to the holding unit 9a of the injection device stored at room temperature. The base of the holder is provided with a pair of protrusions 7 protruding outward. Correspondingly, on the inner side of the holding part of the injection device, a pair of grooves through which the pair of protrusions 7 pass is formed in the longitudinal direction through the tip of the holding part (24, FIG. 10), It bends in the lateral direction at the back and stops, forming an L-shaped groove 24 (FIG. 11) as a whole. The holder protrusion is held in the holding portion together with the syringe by the protrusions of the holder being passed through these L-shaped grooves and rotated in the horizontal direction at the back. A pressure sensor 18 is provided on the inner wall at the end at the back of the L-shaped groove at a position to receive a pressing force from the fitted protrusion. The pressure sensor is connected to the control unit 10. Further, a temperature sensor 12 is provided near the front side inside the injection apparatus, and this is also connected to the control unit. The piston rod 16 for pushing the gasket of the syringe advances the piston rod by a distance proportional to the rotation amount (°) of the shaft of the motor 14 in accordance with a proportional constant determined by the reduction ratio of the power transmission mechanism 20. The control unit uses this proportionality constant and the advance distance of the piston rod required for each administration of the drug to control the amount of rotation (°) of the motor, thereby controlling the movement distance of the piston rod. The amount of drug injection can be controlled.
 図5は,注射装置9の側面図の一例を示す。表示装置としての液晶パネル26が,注射装置の外側に設けられている。液晶パネル26は,制御部による制御下にあり,制御部からの命令によって,警告を表示する。図6(a)及び(b)は,液晶パネル26に表示される警告の例を示す。警告は,大人用には,図6(a)に示すように,「この薬剤は使用できません。薬剤を取り換えて下さい。」と,また使用者が子供である場合のためには,図6(b)のように,ひらがなを用いた平易な表現で表示される。表示内容が変更可能なように,予めこれら複数の表示内容が記録媒体に記録されている。液晶パネルには,警告表示以外に,注射装置の状態(例えば温度等)に関する情報を表示させておくこともできる。これらの表示も全て制御部からの命令により行われる。 FIG. 5 shows an example of a side view of the injection device 9. A liquid crystal panel 26 as a display device is provided outside the injection device. The liquid crystal panel 26 is under the control of the control unit, and displays a warning according to a command from the control unit. 6A and 6B show examples of warnings displayed on the liquid crystal panel 26. FIG. For adults, as shown in Fig. 6 (a), "This drug cannot be used. Please replace the drug." As shown in b), it is displayed in plain expression using hiragana. The plurality of display contents are recorded in advance on the recording medium so that the display contents can be changed. In addition to the warning display, information about the state of the injection device (for example, temperature) can be displayed on the liquid crystal panel. All of these displays are also performed according to commands from the control unit.
 注射装置の外側には,警告解除ボタン28が設けられている。警告解除ボタン28は,制御部の制御下にある警告解除部の一部をなしている。但し,注射装置は,警告が一旦発せられると,シリンジが取り外されない限り,警告解除ボタンを押しても警告の解除を制御部が許可しないように,構成されている。注射装置の外側には,また,注射装置全体のON/OFFを切り替える起動ボタン30が設けられている。また,注射装置の後端(保持部の反対側)には,患者への薬剤の注入を開始させるための薬剤注入ボタン32が設けられている。 A warning release button 28 is provided outside the injection device. The warning release button 28 forms part of the warning release unit under the control of the control unit. However, the injection device is configured such that once the warning is issued, the control unit does not permit the warning to be released even if the warning release button is pressed, unless the syringe is removed. An activation button 30 for switching ON / OFF of the entire injection device is provided outside the injection device. In addition, a drug injection button 32 for starting injection of a drug into the patient is provided at the rear end (opposite side of the holding unit) of the injection device.
〔実施例2〕
 図7は,注射の操作を手動で行うタイプである実施例2の,駆動部にモーターを含まない温度測定部付き注射装置34の構成の一例を模式的に示す制御ブロック図である。上記の,モーターで注射を行うタイプの注射装置における,モーターの制御及びモーターの動力をピストンロッドに伝える機構以外の部分についての構成及び機能は,実施例1の駆動部にモーターを含むタイプの注射装置においても,基本的に共通である。
[Example 2]
FIG. 7 is a control block diagram schematically showing an example of the configuration of the injection device 34 with a temperature measurement unit that does not include a motor in the drive unit of Example 2 that is a type in which an injection operation is manually performed. In the above-described injection device of the type that performs injection with a motor, the configuration and functions of the parts other than the mechanism for controlling the motor and transmitting the power of the motor to the piston rod are the same as those of the injection unit that includes the motor in the drive unit of the first embodiment. This is basically the same for devices.
 本実施例の注射装置は中央演算処理部と記録媒体とを含む制御部を含み,中央演算処理部のマイクロプロセッサにより,記録媒体に記録されたプログラムにより注射装置の各部位の動作制御が行われる。記録媒体には,薬剤に関するものである第1の設定温度範囲として2~30℃,及びこれに関連付けられた設定時間長として3時間という値が,それぞれ記録されている。また,記録媒体には,別途,注射装置自体に関するものである第2の設定温度範囲としてが2~60℃,及びこれに関連付けられた設定時間長として0.1秒という値が,それぞれ記録されている。温度センサーで感知された温度が30℃を超えると,その信号を制御部が受け,制御部はタイマーを作動させ,タイマーで計測された時間が3時間を超えると,制御部は,表示装置に,注射装置が使用不可である旨の警告を表示させる。温度センサーにより測定された温度が60℃を超えた場合にも,別途タイマーが作動し,別途タイマーで計測された時間が0.1秒を超えたときに,制御部は,表示装置に所定の警告表示をさせる。すなわち,温度センサーで感知された温度が60℃を超えた場合には,実質的に直ちに上記指令がなされることになる。注射装置は,表示装置に警告の表示がなされるのと同時に,制御部がピストンロッドの押し込みを不能(従って,注射不能)にするように構成されている。ピストンロッドを押し込み不能にする機構として,ピストンロッドに係合するよう,制御部による制御下に作動する,ラッチ爪を阻止部材とする後述の電磁ラッチが備えられている。 The injection device of the present embodiment includes a control unit including a central processing unit and a recording medium, and the operation of each part of the injection device is controlled by a program recorded on the recording medium by the microprocessor of the central processing unit. . On the recording medium, values of 2 to 30 ° C. as the first set temperature range relating to the medicine and 3 hours as the set time length associated therewith are recorded. In addition, the recording medium separately records a value of 2 to 60 ° C. as the second set temperature range relating to the injection device itself, and a value of 0.1 seconds as the set time length associated therewith. . When the temperature detected by the temperature sensor exceeds 30 ° C, the control unit receives the signal, the control unit activates the timer, and when the time measured by the timer exceeds 3 hours, the control unit , A warning that the injection device is unusable is displayed. When the temperature measured by the temperature sensor exceeds 60 ° C, a separate timer is activated, and when the time measured by the separate timer exceeds 0.1 seconds, the control unit displays a predetermined warning on the display device. Let That is, when the temperature detected by the temperature sensor exceeds 60 ° C., the above command is made substantially immediately. The injection device is configured such that a warning is displayed on the display device, and at the same time, the control unit disables the piston rod from being pushed in (and therefore cannot be injected). As a mechanism for preventing the piston rod from being pushed in, there is provided an electromagnetic latch described later using a latch claw as a blocking member that operates under the control of the control unit so as to be engaged with the piston rod.
 注射装置の使用者は,誤用防止部が作動して表示装置(液晶パネル)に警告表示がされた場合,警告表示の指示に従い,シリンジを保持部から取り外す。保持部には,シリンジから保持部に加えられる押圧を測定するための圧力センサーが備えられており,シリンジを取り外しにより圧力センサーへの押圧がほぼゼロに等しくなると,そのことを示す信号が制御部に送られ,制御部は,保持部からシリンジが取り外されたと判断する。 The user of the injection device removes the syringe from the holding unit in accordance with the warning display instructions when the misuse prevention unit is activated and a warning is displayed on the display device (liquid crystal panel). The holding unit is provided with a pressure sensor for measuring the pressure applied from the syringe to the holding unit, and when the pressure on the pressure sensor becomes almost equal to zero by removing the syringe, a signal indicating that is sent to the control unit. The control unit determines that the syringe has been removed from the holding unit.
 保持部からシリンジが取り外されていると制御部が判断している状態で,警告解除ボタンを押すことで,警告表示が消え,また,ラッチ爪とピストンロッドの係合が解除される。シリンジが保持部から取り外されたと制御部が判断した状態でなければ,警告はロックされており,警告解除ボタンを押しても解除されず,ピストンロッドへのラッチ爪の係合も解除されない。こうして,シリンジを保持部から取り換えないまま注射が行われるのが防止できる。 When the control unit determines that the syringe has been removed from the holding unit, the warning display disappears by pressing the warning release button, and the engagement between the latch claw and the piston rod is released. Unless the control unit determines that the syringe has been removed from the holding unit, the warning is locked and is not released even when the warning release button is pressed, and the engagement of the latch claw with the piston rod is not released. Thus, injection can be prevented without replacing the syringe from the holding portion.
 装置が起動されている状態で新しいシリンジが保持部に取り付けられると,中央処理演算部は,シリンジが取り付けられていると判断し,制御部は,先のシリンジについて記録された時間データを初期化し,タイマーを新たにスタンバイの状態にする。新しいシリンジが保持部に取り付けられた後,本実施例の注射装置に含まれる射出量調節装置34が,注射装置の後方から見て反時計回りに回される。この回転により,射出量調節装置は,所定の停止位置からピストンロッドに対して後退しつつ,注射装置の後方にその分突出する。射出量調節装置の側面には,注射すべき液量に対応するように目盛が付されており,目盛が所望の投与量を示すまで射出量調節装置が回される。注射時には,シリンジの先端に両頭針が装着され,注射針が使用者の体内に刺入され,次いで,薬剤注入ボタンが押されることで,射出量調節装置が前方へと停止位置まで移動する。このとき射出量調節装置はピストンロッドと係合しており,ピストンロッドはその分前方に押し出され,これに対応する量の薬剤が注射針から射出される。 When a new syringe is attached to the holding unit while the device is activated, the central processing unit determines that the syringe is attached, and the control unit initializes time data recorded for the previous syringe. , Set the timer to the new standby state. After the new syringe is attached to the holding part, the injection amount adjusting device 34 included in the injection device of this embodiment is rotated counterclockwise as viewed from the rear of the injection device. By this rotation, the injection amount adjusting device protrudes backward from the injection device while retreating from the piston rod from a predetermined stop position. A scale is attached to the side of the injection amount adjusting device so as to correspond to the amount of liquid to be injected, and the injection amount adjusting device is rotated until the scale indicates a desired dose. At the time of injection, a double-ended needle is attached to the tip of the syringe, the injection needle is inserted into the user's body, and then the medicine injection button is pressed, whereby the injection amount adjusting device moves forward to the stop position. At this time, the injection amount adjusting device is engaged with the piston rod, the piston rod is pushed forward by that amount, and a corresponding amount of medicine is injected from the injection needle.
 薬剤の注入後,注射針は取り外され,次いで,シリンジが保持部から取り外されて,次の使用時まで冷蔵庫内で保存される。一方,注射装置は室温で保管される。次の使用時には,注射装置の保持部にシリンジが改めて取り付けられる。 After injection of the drug, the injection needle is removed, and then the syringe is removed from the holding part and stored in the refrigerator until the next use. On the other hand, the injection device is stored at room temperature. At the next use, the syringe is reattached to the holding part of the injection device.
 図8は,図7の注射装置の一連の動作を示すフローチャートの一例である。注射装置の使用者により,シリンジが注射装置の保持部に取り付けられると,保持部に備えられた圧力センサーが,シリンジから保持部に加えられる押圧力を感知し,タイマーがスタンバイの状態となる。この状態で,温度が30℃を超える環境に注射装置が放置されると,温度センサーで測定された温度が30℃を超えた時点でタイマーが時間の計測を開始し,温度が30℃を超えている限り時間を計測し続ける。こうして計測された時間長が3時間を超えた時,制御部は,液晶パネルに警告表示をさせるとともに,電磁ラッチを作動してラッチ爪をピストンロッドに係合させる。警告表示とラッチ爪の係合とはロックされており,単に警告解除ボタンを押しただけでは解除されない。タイマーによる時間計測中,温度センサーで測定されている温度が3時間未満で30℃以下となったとき,タイマーはスタンバイの状態に戻り,時間の計測は停止するが,それまで計測した時間長のデータは保存されており,温度が再度30℃以上となったときには再び時間の計測を開始する。但し,このような設計以外に,例えば,タイマーによる時間計測中,3時間が経過するまでに温度が30℃以下となったときはタイマーをスタンバイにすると共に,それまでに計測された時間長データを初期化して零とするように構成してもよい。また,図8には示さないが,温度センサーにより測定された温度が60℃を超えた場合には,圧力センサーによる押圧の感知を必要とせずに,直ちに警告表示がされるとともに,電磁ラッチを作動してラッチ爪をピストンロッドに係合させるように,制御部は構成されている。 FIG. 8 is an example of a flowchart showing a series of operations of the injection apparatus of FIG. When the syringe is attached to the holding unit of the injection device by the user of the injection device, the pressure sensor provided in the holding unit senses the pressing force applied from the syringe to the holding unit, and the timer enters a standby state. In this state, if the injection device is left in an environment where the temperature exceeds 30 ° C, the timer starts measuring the time when the temperature measured by the temperature sensor exceeds 30 ° C, and the temperature exceeds 30 ° C. Keep measuring time as long as you can. When the time length thus measured exceeds 3 hours, the control unit displays a warning on the liquid crystal panel and operates the electromagnetic latch to engage the latch claw with the piston rod. The warning display and latch pawl engagement are locked, and cannot be released simply by pressing the warning release button. During the time measurement by the timer, when the temperature measured by the temperature sensor falls below 30 ° C in less than 3 hours, the timer returns to the standby state and the time measurement stops, but the time length measured so far The data is stored, and when the temperature rises above 30 ° C again, the time measurement starts again. However, in addition to this design, for example, during time measurement with a timer, if the temperature falls below 30 ° C by the end of 3 hours, the timer is set to standby and the time length data measured so far May be initialized to zero. Although not shown in FIG. 8, when the temperature measured by the temperature sensor exceeds 60 ° C, a warning is displayed immediately without the need for pressure sensor sensing, and the electromagnetic latch is turned on. The controller is configured to operate and engage the latch pawl with the piston rod.
 薬剤が過度に高温に曝されたことによる警告表示がなされると,注射装置の使用者は,警告表示によってそのことを知ることができる。使用に適さなくなったシリンジを保持部から取り外すと,圧力センサーは,押圧力がほぼゼロになったことを感知し,警告表示とラッチ爪の係合のロックは解除される。この状態で警告解除ボタンが押されると,警告表示は消え,電磁ラッチが元の位置に戻ってラッチ爪はピストンロッドから脱係合する。次いで,新たなシリンジが注射装置の保持部に取り付けられて,注射が行われる。 If a warning is displayed due to the drug being exposed to an excessively high temperature, the user of the injection device can know this by the warning display. When the syringe that is no longer suitable for use is removed from the holding part, the pressure sensor detects that the pressing force has become almost zero, and the warning display and the latch claw engagement are unlocked. When the warning release button is pressed in this state, the warning display disappears, the electromagnetic latch returns to its original position, and the latch claw disengages from the piston rod. Next, a new syringe is attached to the holding part of the injection device, and injection is performed.
 図9は,本実施例の注射装置の模式的な断面図である。図において,注射装置には,内部に,制御部10,温度センサー12,ピストンロッド36,圧力センサー18,及び電磁ラッチを備えており,電磁ラッチはラッチ爪40を備えている。使用に際し,シリンジが冷蔵庫から取り出されて,室温で保管されている注射装置の保持部9aに装着される。ホルダーの基部には1対の突起7が備えられおり,それらの突起が,注射装置の保持部に形成されたL字溝24に嵌合することで,ホルダーと共にシリンジが保持部に保持される。L字溝24の内壁には,嵌合した突起から押圧力を受ける位置に圧力センサーが設けられている。圧力センサー18は,注射装置の内部に設けられた制御部10に接続されている。また,注射装置内部の前側寄りに設けられた温度センサー22も制御部に接続されている。 FIG. 9 is a schematic cross-sectional view of the injection device of this example. In the figure, the injection device is provided with a control unit 10, a temperature sensor 12, a piston rod 36, a pressure sensor 18, and an electromagnetic latch inside, and the electromagnetic latch is provided with a latch claw 40. In use, the syringe is taken out of the refrigerator and attached to the holding unit 9a of the injection device stored at room temperature. A pair of protrusions 7 are provided at the base of the holder, and these protrusions are fitted into an L-shaped groove 24 formed in the holding part of the injection device, so that the syringe is held in the holding part together with the holder. . A pressure sensor is provided on the inner wall of the L-shaped groove 24 at a position where a pressing force is received from the fitted protrusion. The pressure sensor 18 is connected to the control unit 10 provided inside the injection device. A temperature sensor 22 provided near the front side inside the injection apparatus is also connected to the control unit.
 シリンジのガスケットを押すためのピストンロッド36の後半領域には雄ねじ42が形成されている。射出量調節装置34は,その内壁面に雌ねじ44が形成されており,雌ねじ44は,ピストンロッドに形成された雄ねじ42と回転可能に螺合している。ピストンロッド36は,注射装置内の保持部と射出量調節装置との中間の位置設けられたピストンロッド支持部材46により,前方のへの移動は可能であるが,後方への移動と回転が制限されている。ピストンロッド支持部材46には,ピストンロッドを通過させるための,ピストンロッドの横断面の形状に合わせたピストンロッド通過穴47が設けられている。ピストンロッド36には縦溝が形成されている。ピストンロッド通過穴には,この縦溝に嵌合する可動突起(図示せず)が設けられており,それにより,ピストンロッドの回動が阻止されている。 A male screw 42 is formed in the latter half region of the piston rod 36 for pushing the gasket of the syringe. The injection amount adjusting device 34 has a female screw 44 formed on its inner wall surface, and the female screw 44 is rotatably engaged with a male screw 42 formed on a piston rod. The piston rod 36 can be moved forward by a piston rod support member 46 provided at an intermediate position between the holding portion in the injection device and the injection amount adjusting device, but the backward movement and rotation are limited. Has been. The piston rod support member 46 is provided with a piston rod passage hole 47 that matches the shape of the cross section of the piston rod for allowing the piston rod to pass therethrough. A longitudinal groove is formed in the piston rod 36. The piston rod passage hole is provided with a movable projection (not shown) that fits into the vertical groove, thereby preventing the piston rod from rotating.
 また,ピストンロッドの縦溝内には,長手方向に並んだ一連の逆止爪が備えられており,可動突起は,注射装置にシリンジを取り付けた状態では,それら一連の逆止爪の1つと係合する位置まで穴内に突出し,ピストンロッドの後方への移動を阻止する。注射装置からシリンジを取り外した状態では,可動突起は,逆止爪と係合しない程度に後退してピストンロッドの後方への移動を許容するが,依然として縦溝内に止まって,ピストンロッドの回転を阻止し続ける。つまり可動突起は,注射装置にシリンジが取り付けられているか否かにより,その位置が切り替えられる。
 なお,ピストンロッドの後退を防止する機構としては,このような一連の逆止爪と可動突起によるものの代わりに,上記の電磁ラッチを用いてもよい。これは,例えば,シリンジが取り付けられた状態では,制御部が,電動ラッチを作動させてラッチ爪40をピストンロッドの雄ねじ42と係合させておくように,且つ,その場合でも射出量調節装置の後端にあるピストンロッド押し込みボタン56が押されたときは,警告が発せられていない限り電動ラッチを解除してピストンロッドの前進を許容するようにプログラミングしておくことにより,達成できる。
In addition, a series of check claws arranged in the longitudinal direction is provided in the longitudinal groove of the piston rod, and the movable projection is one of the series of check claws when the syringe is attached to the injection device. Projects into the hole until it engages, preventing the piston rod from moving backwards. When the syringe is removed from the injection device, the movable protrusion retracts to the extent that it does not engage with the check pawl and allows the piston rod to move backward, but still remains in the longitudinal groove and the piston rod rotates. Keeps blocking. That is, the position of the movable protrusion is switched depending on whether or not the syringe is attached to the injection device.
As a mechanism for preventing the piston rod from retreating, the above-described electromagnetic latch may be used instead of such a series of check pawls and movable protrusions. This is because, for example, when the syringe is attached, the control unit operates the electric latch to keep the latch claw 40 engaged with the male screw 42 of the piston rod. When the piston rod push-in button 56 at the rear end is pressed, it can be achieved by programming to release the electric latch and allow the piston rod to advance unless a warning is issued.
 こうして,射出量調節装置を,所定の停止位置から,注射装置の後方から見て反時計回りに回して,ピストンロッド36に対し所望の距離だけ後退させると,注射装置の後方からその分突出する。この状態で,シリンジの前端に装着された両頭針を患者の皮膚に刺入し,射出量調節装置の後端を前方へと停止位置まで押し戻すと,射出量調節装置の後退していたのと同じ距離だけピストンロッドが前進し,ガスケットが押し込まれ,1回分の薬剤が注射針から射出される。 Thus, when the injection amount adjusting device is rotated counterclockwise as viewed from the rear of the injection device from a predetermined stop position and retracted by a desired distance with respect to the piston rod 36, the injection amount adjusting device protrudes from the rear of the injection device by that amount. . In this state, when the double-ended needle attached to the front end of the syringe was inserted into the patient's skin and the rear end of the injection amount adjusting device was pushed back to the stop position, the injection amount adjusting device was retracted. The piston rod moves forward by the same distance, the gasket is pushed in, and one dose of medicine is ejected from the injection needle.
 図9に示されているように,本実施例における電磁ラッチは,中心を支点として所定範囲で回動できるバー50を含み,支点52は,注射装置の内壁面から離れた位置に設けられている。電磁ラッチが作動していないとき,バーは,ピストンロッドに対してほぼ平行になるよう,ばね53によって内壁面に対し支持されている。バーの一方の端には,ラッチ爪40が備えられており,その先端はピストンロッドの側面の雄ネジ42に面している。支点に対しラッチ爪の反対側の部分は,強磁性体を用いて形成されている。注射装置の内壁には,バーの,強磁性体部分に面して電磁石54が備えられており,これは,制御部による制御下にある。電磁石54に電流が流されると,電磁石54が,バネの力に打ち勝ってバーの強磁性体の部分を引き寄せ,それによりバーが回動してラッチ爪40がピストンロッドの雄ねじ42のねじ山に係合し,ピストンロッドの移動を阻止する。制御部が電磁石への電流を遮断すると,ばねの力により,ラッチは元の位置に戻る。 As shown in FIG. 9, the electromagnetic latch in the present embodiment includes a bar 50 that can rotate within a predetermined range with the center as a fulcrum, and the fulcrum 52 is provided at a position away from the inner wall surface of the injection device. Yes. When the electromagnetic latch is not activated, the bar is supported against the inner wall surface by a spring 53 so as to be substantially parallel to the piston rod. A latch claw 40 is provided at one end of the bar, and the tip of the bar faces a male screw 42 on the side of the piston rod. The part of the latch claw opposite to the fulcrum is formed using a ferromagnetic material. The inner wall of the injection device is provided with an electromagnet 54 facing the ferromagnetic part of the bar, which is under the control of the control unit. When an electric current is passed through the electromagnet 54, the electromagnet 54 overcomes the force of the spring and attracts the ferromagnetic portion of the bar, thereby rotating the bar and causing the latch pawl 40 to move to the thread of the male thread 42 of the piston rod. Engage to prevent movement of the piston rod. When the control unit cuts off the current to the electromagnet, the latch returns to the original position by the force of the spring.
 注射装置の外側には,実施例1の場合と同様に警告解除ボタンが設けられている。注射装置は,警告表示が発せられた後にシリンジが取り外されない限り,警告解除ボタンを押しても警告が解除できないように,制御されている。 As with the first embodiment, a warning release button is provided outside the injection device. The injection device is controlled so that the warning cannot be released even if the warning release button is pressed unless the syringe is removed after the warning display is issued.
 本発明は,保存に不適切な高温又は低温に曝された薬剤が注射されることを防止できる注射装置として,有用である。 The present invention is useful as an injection device that can prevent injection of drugs exposed to high or low temperatures inappropriate for storage.
1 ホルダー
2 シリンジ
3 両頭針
3a 基部
4 環状突出部
5 隔壁
6 ガスケット
7 突起
8 薬剤
9 注射装置
9a 保持部
10 制御部
12 温度センサー
13 タイマー
14 モーター
16 ピストンロッド
18 圧力センサー
20 動力伝達装置
24 L字溝
26 液晶パネル
28 警告解除ボタン
30 起動ボタン
32 薬剤注入ボタン
33 注射装置
34 射出量調節装置
36 ピストンロッド
40 ラッチ爪
42 雄ねじ
44 雌ねじ
46 ピストンロッド支持部材
47 ピストンロッド通過穴
50 バー
52 支点
53 ばね
54 電磁石
56 ピストンロッド押し込みボタン
PS 圧力センサー
 
DESCRIPTION OF SYMBOLS 1 Holder 2 Syringe 3 Double-ended needle 3a Base part 4 Annular protrusion part 5 Bulkhead 6 Gasket 7 Protrusion 8 Drug 9 Injection apparatus 9a Holding part 10 Control part 12 Temperature sensor 13 Timer 14 Motor 16 Piston rod 18 Pressure sensor 20 Power transmission device 24 L-shape Groove 26 Liquid crystal panel 28 Warning release button 30 Start button 32 Drug injection button 33 Injection device 34 Injection amount adjustment device 36 Piston rod 40 Latch claw 42 Male screw 44 Female screw 46 Piston rod support member 47 Piston rod passage hole 50 Bar 52 Support point 53 Spring 54 Electromagnet 56 Piston rod push button PS Pressure sensor

Claims (11)

  1.  前端及び筒状の側壁からなる胴部と該側壁内に液密にスライド可能にはめ込まれたガスケットとを有するシリンジ内に収容された薬剤の注射を行うための注射装置であって,該シリンジを保持するための保持部と,該ガスケットを前方へ押すことができるピストンロッドと,該ピストンロッドを前進させるための駆動部と,温度を感知する機能を有する温度測定部と,誤用防止部とを有し,該温度測定部は,温度センサーを有しており,そして少なくとも該シリンジが該保持部に保持されている状態において,該温度センサーが感知した温度が予め設定された温度範囲外となったときに該誤用防止部が作動して警告を発することができるように構成されているものである,注射装置。 An injection device for injecting a medicine accommodated in a syringe having a barrel having a front end and a cylindrical side wall and a gasket fitted in the side wall so as to be slidable in a liquid-tight manner. A holding part for holding, a piston rod capable of pushing the gasket forward, a driving part for advancing the piston rod, a temperature measuring part having a function of sensing temperature, and a misuse preventing part The temperature measuring unit has a temperature sensor, and at least in a state where the syringe is held by the holding unit, the temperature sensed by the temperature sensor is out of a preset temperature range. An injection device that is configured such that the misuse prevention unit can be activated to issue a warning when the error occurs.
  2.  前端及び筒状の側壁からなる胴部と該側壁内に液密にスライド可能にはめ込まれたガスケットとを有するシリンジ内に収容された薬剤の注射を行うための注射装置であって,該シリンジを保持するための保持部と,該ガスケットを前方へ押すことができるピストンロッドと,該ピストンロッドを前進させるための駆動部と,温度を感知する機能を有する温度測定部と,誤用防止部とを有し,該温度測定部は,温度センサーと,そして少なくとも該シリンジが該保持部に保持されている状態において,該センサー部が感知した温度が,予め設定された温度範囲外となったときに作動して,該センサー部が感知した温度が該予め設定された温度範囲外にある時間の長さを計測できるタイマーとを有しており,該タイマーにより計測された時間の長さが,所定の時間長を超えたときに該誤用防止部が作動して警告を発することができるように構成されているものである,注射装置。 An injection device for injecting a medicine accommodated in a syringe having a barrel having a front end and a cylindrical side wall and a gasket fitted in the side wall so as to be slidable in a liquid-tight manner. A holding part for holding, a piston rod capable of pushing the gasket forward, a driving part for advancing the piston rod, a temperature measuring part having a function of sensing temperature, and a misuse preventing part The temperature measuring unit has a temperature sensor, and at least when the temperature sensed by the sensor unit is outside the preset temperature range in a state where the syringe is held by the holding unit. And a timer capable of measuring the length of time during which the temperature sensed by the sensor unit is outside the preset temperature range. Saga, in which prevention portion for said error is configured to be able to issue a warning and activated when exceeding a predetermined time length, the injection device.
  3.  該警告が,視覚表示,発光シグナル,音,又は該ピストンロッドの移動阻止の,何れか一つまたはこれらの組み合わせによるものである,請求項1又は2の注射装置。 The injection device according to claim 1 or 2, wherein the warning is a visual indication, a luminescent signal, a sound, or any one of the piston rod movement prevention or a combination thereof.
  4.  表示用モニターを備え,該視覚表示が該表示用モニターに表示されるものである,請求項3の注射装置。 The injection device according to claim 3, further comprising a display monitor, wherein the visual display is displayed on the display monitor.
  5.  該ピストンロッドの移動阻止が,該ピストンロッドと阻止部材の係合により行われるものである,請求項3又は4の注射装置。 The injection device according to claim 3 or 4, wherein the movement of the piston rod is prevented by the engagement of the piston rod and a blocking member.
  6.  該阻止部材が,ラッチ爪である,請求項5の注射装置。 The injection device according to claim 5, wherein the blocking member is a latch claw.
  7.  制御部を備え,該駆動部が,該ピストンロッドを前進させることのできるモーターを含み,該制御部が,該モーターを制御するためのプログラムを記録した記録媒体を含むものである,請求項1~6の何れかの注射装置。 A control unit, wherein the drive unit includes a motor capable of moving the piston rod forward, and the control unit includes a recording medium on which a program for controlling the motor is recorded. Any of the injection devices.
  8.  該警告が,該ピストンロッドの移動阻止によるものであり,該ピストンロッドの移動阻止が,該駆動部への電力の供給を遮断することによりなされるものである,請求項7の注射装置。 The injection device according to claim 7, wherein the warning is due to blocking of movement of the piston rod, and blocking of the movement of the piston rod is performed by blocking power supply to the driving unit.
  9.  該保持部に,該保持部による該シリンジの保持を感知するためのセンサーが設けられているものである,請求項1~8の何れかの注射装置。 The injection device according to any one of claims 1 to 8, wherein the holding unit is provided with a sensor for detecting holding of the syringe by the holding unit.
  10.  シリンジの保持を感知するための該センサーが圧力センサーである請求項9の注射装置。 10. The injection device according to claim 9, wherein the sensor for sensing holding of the syringe is a pressure sensor.
  11.  シリンジが保持部に取りけられていない状態においても,該温度センサーが感知した温度が予め別途設定された温度範囲外となったとき該誤用防止部又は該タイマーが作動することができるように構成されているものである,請求項1~10の何れかの注射装置。 Even when the syringe is not attached to the holding part, the misuse prevention part or the timer can be operated when the temperature detected by the temperature sensor is outside the temperature range set in advance. The injection device according to any one of claims 1 to 10, wherein
PCT/JP2012/079737 2011-11-20 2012-11-16 Injection device provided with temperature measurement unit WO2013073650A1 (en)

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