WO2023124496A1 - Subcutaneously implantable medical unit, subcutaneously implantable medical device, and irradiation sterilization shielding device - Google Patents

Subcutaneously implantable medical unit, subcutaneously implantable medical device, and irradiation sterilization shielding device Download PDF

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WO2023124496A1
WO2023124496A1 PCT/CN2022/128531 CN2022128531W WO2023124496A1 WO 2023124496 A1 WO2023124496 A1 WO 2023124496A1 CN 2022128531 W CN2022128531 W CN 2022128531W WO 2023124496 A1 WO2023124496 A1 WO 2023124496A1
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implantable medical
cavity
subcutaneous implantable
housing
bottom hole
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PCT/CN2022/128531
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French (fr)
Chinese (zh)
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刘文杰
陈勋
丁志刚
傅向阳
裘丹
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上海微创生命科技有限公司
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Publication of WO2023124496A1 publication Critical patent/WO2023124496A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/02Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using physical phenomena
    • A61L2/08Radiation
    • A61L2/10Ultra-violet radiation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/26Accessories or devices or components used for biocidal treatment

Abstract

A subcutaneously implantable medical unit (1), a subcutaneously implantable medical device, and an irradiation sterilization shielding device. The subcutaneously implantable medical unit (1) comprises a housing (10), a sensing implantation portion (33), and a circuit assembly (14), wherein the circuit assembly (14) is accommodated in the housing (10); the housing (10) is provided with a bottom hole (114); one end of the sensing implantation portion (33) is connected to the circuit assembly (14), and the other end thereof passes out of the bottom hole (114); and the circuit assembly (14) avoids a projection area of the bottom hole (114) in the extension direction of the sensing implantation portion (33). By means of such a configuration, since the circuit assembly (14) which is not resistant to irradiation avoids the range of the bottom hole (114), irradiation sterilization can be performed on the range of the bottom hole (114) in the extension direction of the sensing implantation portion (33) by means of local precise irradiation, so as to realize irradiation sterilization of the sensing implantation portion (33) requiring sterilization, without damaging the circuit assembly (14) which is not resistant to irradiation; thus, the sensing implantation portion (33) and the circuit assembly (14) can be integrally arranged in the housing (10).

Description

皮下植入式医疗单元、医疗装置及辐照灭菌屏蔽装置Subcutaneous implantable medical unit, medical device and radiation sterilization shielding device 技术领域technical field
本申请涉及医疗器械技术领域,特别涉及一种皮下植入式医疗单元、医疗装置及辐照灭菌屏蔽装置。The present application relates to the technical field of medical devices, in particular to a subcutaneous implantable medical unit, a medical device and a radiation sterilization shielding device.
背景技术Background technique
生物传感器是一种对生物活性物质敏感并将感知的生物活性物质浓度转换为电信号进行检测的仪器,而感知的方式则一般是在生物体上开设创口。A biosensor is an instrument that is sensitive to biologically active substances and converts the perceived concentration of biologically active substances into electrical signals for detection, and the sensing method is generally to open a wound on a living body.
其中,葡萄糖传感器就是较为常见的一类生物传感器。CGM(连续血糖监测)是通过葡萄糖传感器连续地监测皮下组织间液的葡萄糖浓度,而间接反映血糖水平的一种技术手段。CGM产品测试血糖需要有穿刺针和传感器引脚刺破人体皮肤,通过传感器上的生物酶与皮下组织液产生电化学反应,转化成电信号,并通过转化为血糖数值提供给使用者。由于产品具有刺破人体皮肤的部分,因此产品出厂前需要对产品进行灭菌,避免产品上的致病菌引起使用者的感染风险。Among them, the glucose sensor is a relatively common type of biosensor. CGM (Continuous Glucose Monitoring) is a technical means to indirectly reflect the blood sugar level by continuously monitoring the glucose concentration in the subcutaneous interstitial fluid through a glucose sensor. CGM products need to have puncture needles and sensor pins to pierce the human skin to test blood sugar. The bio-enzyme on the sensor reacts electrochemically with the subcutaneous tissue fluid, converts it into an electrical signal, and provides it to the user through conversion into blood sugar value. Since the product has a part that punctures the human skin, the product needs to be sterilized before leaving the factory to avoid the risk of infection caused by pathogenic bacteria on the product.
目前常用的灭菌方式有高温高湿灭菌、环氧乙烷气体灭菌、辐照灭菌、紫外灭菌等。针对CGM产品,传感器组件以及发射器里的电池、线路板不耐高温高湿,紫外线只能杀灭产品表面的菌落,所以只剩下环氧乙烷和辐照灭菌可选。而传感器上的生物酶会与环氧乙烷产生化学反应,电池、线路板经过辐照灭菌后,会被静电击穿破坏,如果额外增加辐照屏蔽层,会增加产品的尺寸及重量,这对于需长时间佩戴在人体皮肤上的CGM来说是很不利的。针对这个情况,市面上的CGM产品普遍采用传感器与发射器分开封装的设计,但在用户使用时,先通过助针器将传感器组件植入人体皮肤,再把发射器跟传感器组件扣压连接起来,这就增加了一个用户使用步骤,如用户不熟练,扣压连接不成功,则将造成产品使用失败。At present, the commonly used sterilization methods include high temperature and high humidity sterilization, ethylene oxide gas sterilization, radiation sterilization, ultraviolet sterilization and so on. For CGM products, the sensor components, batteries and circuit boards in the transmitter are not resistant to high temperature and high humidity, and ultraviolet rays can only kill bacterial colonies on the product surface, so only ethylene oxide and radiation sterilization are left as options. The biological enzymes on the sensor will react with ethylene oxide. After the battery and circuit board are sterilized by radiation, they will be destroyed by electrostatic breakdown. If an additional radiation shielding layer is added, the size and weight of the product will be increased. This is very unfavorable for the CGM that needs to be worn on human skin for a long time. In response to this situation, the CGM products on the market generally adopt the design that the sensor and the transmitter are separately packaged. However, when the user uses it, the sensor component is implanted into the human skin through a needle aid, and then the transmitter and the sensor component are buckled and connected. This adds a step for the user to use. If the user is not skilled and the buckle connection is unsuccessful, the product will fail to use.
发明内容Contents of the invention
本申请的目的在于提供一种皮下植入式医疗单元、医疗装置及辐照灭菌屏蔽装置,以解决现有的皮下植入式医疗装置因灭菌工艺而需分体设置的问题。The purpose of this application is to provide a subcutaneous implantable medical unit, a medical device and a radiation sterilization shielding device, so as to solve the problem that the existing subcutaneous implantable medical device needs to be arranged separately due to the sterilization process.
为解决上述技术问题,本申请的第一个方面提供一种皮下植入式医疗单 元,包括:壳体、传感植入部以及电路组件;In order to solve the above technical problems, the first aspect of the present application provides a subcutaneous implantable medical unit, including: a housing, a sensor implant and a circuit assembly;
所述电路组件容置于所述壳体内,所述壳体具有底孔,所述传感植入部的一端与所述电路组件连接,另一端穿出所述底孔;所述电路组件避让开所述底孔沿所述传感植入部的延伸方向的投影区域。The circuit assembly is accommodated in the housing, the housing has a bottom hole, one end of the sensing implant part is connected to the circuit assembly, and the other end passes through the bottom hole; the circuit assembly avoids A projected area of the bottom hole along the extending direction of the sensing implant part is opened.
在一些实施例中,所述壳体包括下壳与上盖,所述底孔位于所述下壳;所述下壳与所述上盖适配连接,形成第一腔体;所述电路组件容置于所述第一腔体中;所述上盖具有顶孔,所述顶孔与所述底孔沿所述传感植入部的延伸方向对齐设置。In some embodiments, the housing includes a lower case and an upper cover, the bottom hole is located in the lower case; the lower case is fitted and connected with the upper cover to form a first cavity; the circuit assembly Accommodated in the first cavity; the upper cover has a top hole, and the top hole and the bottom hole are arranged in alignment along the extending direction of the sensing implant part.
在一些实施例中,所述壳体包括隔离结构,所述隔离结构的两端分别与所述下壳和所述上盖连接;所述隔离结构具有第二腔体,所述第二腔体分别与所述顶孔与所述底孔连通,且所述第二腔体与所述第一腔体相隔离。In some embodiments, the housing includes an isolation structure, and the two ends of the isolation structure are respectively connected to the lower case and the upper cover; the isolation structure has a second cavity, and the second cavity communicate with the top hole and the bottom hole respectively, and the second cavity is isolated from the first cavity.
在一些实施例中,所述隔离结构的一端与所述下壳和所述上盖中的一者固定连接,所述隔离结构的另一端具有第三密封结构,所述下壳和所述上盖中的另一者具有与所述第三密封结构相适配的第四密封结构;所述上盖与所述下壳装配时,所述第三密封结构与所述第四密封结构密封连接。In some embodiments, one end of the isolation structure is fixedly connected to one of the lower case and the upper cover, the other end of the isolation structure has a third sealing structure, and the lower case and the upper cover The other of the covers has a fourth sealing structure compatible with the third sealing structure; when the upper cover is assembled with the lower case, the third sealing structure is sealingly connected with the fourth sealing structure .
在一些实施例中,所述传感植入部的延伸方向与所述下壳的夹角为45°-90°。In some embodiments, the angle between the extending direction of the sensing implant and the lower shell is 45°-90°.
在一些实施例中,所述下壳具有第一密封结构,所述上盖具有与所述第一密封结构相适配的第二密封结构,所述上盖与所述下壳装配时,所述第一密封结构与所述第二密封结构密封连接。In some embodiments, the lower case has a first sealing structure, the upper cover has a second sealing structure compatible with the first sealing structure, when the upper cover is assembled with the lower case, the The first sealing structure is in sealing connection with the second sealing structure.
为解决上述技术问题,本申请的第二个方面还提供一种皮下植入式医疗装置,其包括:基体、穿刺单元以及根据前述任一实施例所述的皮下植入式医疗单元;所述穿刺单元包括穿刺针;所述穿刺针沿所述传感植入部的延伸方向可活动地穿出所述底孔,以与所述传感植入部可分离的连接;In order to solve the above technical problems, the second aspect of the present application also provides a subcutaneous implantable medical device, which includes: a base body, a puncture unit, and the subcutaneous implantable medical unit according to any one of the preceding embodiments; The puncture unit includes a puncture needle; the puncture needle can movably pass through the bottom hole along the extending direction of the sensing implant part, so as to be detachably connected with the sensing implant part;
所述基体可分离地与所述壳体连接;所述基体具有沿所述传感植入部的延伸方向设置的容置结构,所述容置结构具有第三腔体,所述第三腔体的一端开放,供所述穿刺针以及所述传感植入部穿入;所述第三腔体的另一端封闭;The base body is detachably connected with the housing; the base body has an accommodating structure arranged along the extending direction of the sensing implant part, the accommodating structure has a third cavity, and the third cavity One end of the body is open for penetration of the puncture needle and the sensor implant; the other end of the third cavity is closed;
在所述基体与所述壳体连接后,所述壳体封闭所述第三腔体开放的一端,使所述第三腔体开放的一端仅与所述底孔连通。After the base body is connected to the housing, the housing closes the open end of the third cavity, so that the open end of the third cavity communicates only with the bottom hole.
在一些实施例中,所述皮下植入式医疗装置还包括围绕所述容置结构设置的第一密封件,所述基体通过所述第一密封件可分离地与所述壳体连接。In some embodiments, the subcutaneous implantable medical device further includes a first seal disposed around the accommodating structure, and the base body is detachably connected to the housing through the first seal.
在一些实施例中,所述穿刺单元还包括与所述穿刺针连接的针座以及围绕所述穿刺针设置的第二密封件,所述针座通过所述第二密封件可分离地与所述壳体连接。In some embodiments, the puncture unit further includes a needle hub connected to the puncture needle and a second seal disposed around the puncture needle, the needle hub is detachably separated from the puncture needle through the second seal. The housing connection.
在一些实施例中,所述皮下植入式医疗装置还包括助针单元,所述助针单元与所述穿刺单元连接,用于驱动所述穿刺针沿所述传感植入部的延伸方向可活动地穿出所述底孔;所述助针单元可拆卸地与所述基体连接。In some embodiments, the subcutaneous implantable medical device further includes a needle assisting unit connected to the puncture unit for driving the puncture needle along the extending direction of the sensing implant part The bottom hole can be movably passed through; the needle assisting unit is detachably connected with the base body.
在一些实施例中,所述容置结构允许辐照射线进入所述第三腔体。In some embodiments, the accommodating structure allows radiation rays to enter the third cavity.
为解决上述技术问题,本申请的第三个方面还提供一种辐照灭菌屏蔽装置,用于在辐照灭菌时保护前述任一实施例所述的皮下植入式医疗装置;所述辐照灭菌屏蔽装置包括屏蔽体和透射结构;所述屏蔽体沿辐照射线的方向至少遮蔽所述电路组件;所述透射结构允许辐照射线通过,且所述透射结构与所述容置结构沿所述传感植入部的延伸方向对齐设置。In order to solve the above technical problems, the third aspect of the present application also provides a radiation sterilization shielding device, which is used to protect the subcutaneous implantable medical device described in any one of the foregoing embodiments during radiation sterilization; The radiation sterilization shielding device includes a shielding body and a transmission structure; the shielding body at least shields the circuit assembly along the direction of radiation rays; the transmission structure allows the radiation rays to pass through, and the transmission structure and the housing The structures are aligned and arranged along the extending direction of the sensing implant part.
在一些实施例中,所述辐照灭菌屏蔽装置包括:定位体,所述定位体具有第四腔体,所述第四腔体用于容置所述皮下植入式医疗装置;所述定位体与所述屏蔽体可拆卸地连接,以限制所述皮下植入式医疗装置的位置。In some embodiments, the radiation sterilization shielding device includes: a positioning body, the positioning body has a fourth cavity, and the fourth cavity is used to accommodate the subcutaneous implantable medical device; The positioning body is detachably connected with the shielding body to limit the position of the subcutaneous implantable medical device.
综上所述,在本申请提供的皮下植入式医疗单元、医疗装置及辐照灭菌屏蔽装置中,所述皮下植入式医疗单元包括:壳体、传感植入部以及电路组件;所述电路组件容置于所述壳体,所述壳体具有底孔,所述传感植入部的一端与所述电路组件连接,另一端穿出所述底孔;所述电路组件避让开所述底孔沿所述传感植入部的延伸方向的投影区域。In summary, in the subcutaneous implantable medical unit, medical device and radiation sterilization shielding device provided by the present application, the subcutaneous implantable medical unit includes: a housing, a sensor implant and a circuit assembly; The circuit assembly is accommodated in the housing, the housing has a bottom hole, one end of the sensor implant is connected to the circuit assembly, and the other end passes through the bottom hole; the circuit assembly avoids A projected area of the bottom hole along the extending direction of the sensing implant part is opened.
如此配置,由于不耐辐照的电路组件避开了底孔范围,可采用局部精准辐照的方式沿传感植入部的延伸方向对底孔的范围进行辐照灭菌,实现需灭菌的传感植入部的辐照灭菌而不会损坏不耐辐照的电路组件,由此使得传感植入部与电路组件可一体化设置在壳体内,解决了现有皮下植入式医疗装置因灭菌工艺而需将传感植入部和电路组件分体设置的问题。With such a configuration, since the circuit components that are not resistant to radiation avoid the range of the bottom hole, the range of the bottom hole can be irradiated and sterilized along the extension direction of the sensor implantation in the way of local precise irradiation, so as to realize the need for sterilization. The radiation sterilization of the sensor implanted part will not damage the radiation-resistant circuit components, so that the sensor implanted part and the circuit component can be integrated in the housing, which solves the problem of the existing subcutaneous implanted Due to the sterilization process of the medical device, the sensing implant and the circuit assembly need to be separately arranged.
附图说明Description of drawings
本领域的普通技术人员将会理解,提供的附图用于更好地理解本申请,而不对本申请的范围构成任何限定。其中:Those of ordinary skill in the art will understand that the provided drawings are for better understanding of the present application, and do not constitute any limitation to the scope of the present application. in:
图1是本申请实施例的皮下植入式医疗单元的示意图;1 is a schematic diagram of a subcutaneous implantable medical unit according to an embodiment of the present application;
图2是本申请实施例的皮下植入式医疗单元的分解示意图;Fig. 2 is an exploded schematic diagram of the subcutaneous implantable medical unit of the embodiment of the present application;
图3是本申请实施例的皮下植入式医疗单元的另一角度的分解示意图;Fig. 3 is an exploded schematic diagram of another angle of the subcutaneous implantable medical unit of the embodiment of the present application;
图4是本申请实施例的基体的示意图;Fig. 4 is the schematic diagram of the substrate of the embodiment of the present application;
图5是本申请实施例的基体的另一角度的示意图;Fig. 5 is a schematic diagram of another angle of the substrate of the embodiment of the present application;
图6是本申请实施例的穿刺单元的示意图;Fig. 6 is a schematic diagram of a puncture unit according to an embodiment of the present application;
图7是本申请实施例的穿刺单元、皮下植入式医疗单元及基体的组合示意图;Fig. 7 is a combined schematic diagram of the puncture unit, the subcutaneous implantable medical unit and the base body of the embodiment of the present application;
图8是本申请实施例的助针单元与基体组合前的示意图;Fig. 8 is a schematic diagram before the combination of the needle assisting unit and the base in the embodiment of the present application;
图9是本申请实施例的助针单元与基体组合后的示意图;Fig. 9 is a schematic diagram of the combination of the needle assisting unit and the base in the embodiment of the present application;
图10是本申请实施例的辐照灭菌屏蔽罩与皮下植入式医疗装置组合前的示意图;Fig. 10 is a schematic diagram of the radiation sterilization shield of the embodiment of the present application before being combined with the subcutaneous implantable medical device;
图11是本申请实施例的辐照灭菌屏蔽罩与皮下植入式医疗装置组合后的示意图。Fig. 11 is a schematic diagram of the combination of the radiation sterilization shield and the subcutaneous implantable medical device according to the embodiment of the present application.
附图中:In the attached picture:
1-皮下植入式医疗单元;10-壳体;11-下壳;111-定位柱;112-第一密封结构;113-第四密封结构;114-底孔;12-上盖;121-楞顶块;122-第二密封结构;123-隔离结构;124-顶孔;125-第三密封结构;13-电池;14-电路组件;140-主电路板;141-第二定位孔;142-第二触点;143-避让孔;15-弹性垫;2-胶贴;31-第一定位孔;32-第一触点;33-传感植入部;4-基体;41-容置结构;410-第三腔体;42-第一密封件;43-卡扣;5-穿刺单元;51-穿刺针;52-第二密封件;53-针座;6-助针单元;61-卡槽;7-定位体;71-第四腔体;8-屏蔽体;81-透射结构。1-subcutaneous implantable medical unit; 10-shell; 11-lower shell; 111-positioning column; 112-first sealing structure; 113-fourth sealing structure; 114-bottom hole; 12-top cover; 121- Corrugated top block; 122-second sealing structure; 123-isolation structure; 124-top hole; 125-third sealing structure; 13-battery; 14-circuit assembly; 140-main circuit board; 141-second positioning hole; 142-second contact; 143-avoidance hole; 15-elastic pad; 2-adhesive; 31-first positioning hole; 32-first contact; 33-sensing implant; Accommodating structure; 410-third cavity; 42-first seal; 43-buckle; 5-puncture unit; 51-puncture needle; 52-second seal; ; 61 - card slot; 7 - positioning body; 71 - fourth cavity; 8 - shielding body; 81 - transmission structure.
具体实施方式Detailed ways
为使本申请的目的、优点和特征更加清楚,以下结合附图和具体实施例对本申请作进一步详细说明。需说明的是,附图均采用非常简化的形式且未按比例绘制,仅用以方便、明晰地辅助说明本申请实施例的目的。此外,附图所展示的结构往往是实际结构的一部分。特别的,各附图需要展示的侧重点不同,有时会采用不同的比例。In order to make the purpose, advantages and features of the application clearer, the application will be further described in detail below in conjunction with the drawings and specific embodiments. It should be noted that the drawings are all in a very simplified form and not drawn to scale, and are only used to facilitate and clearly assist the purpose of illustrating the embodiments of the present application. In addition, the structures shown in the drawings are often a part of the actual structure. In particular, each drawing needs to display different emphases, and sometimes uses different scales.
如在本申请中所使用的,单数形式“一”、“一个”以及“该”包括复数对象,术语“或”通常是以包括“和/或”的含义而进行使用的,术语“若干”通常是以包括“至少一个”的含义而进行使用的,术语“至少两个”通常是以包括“两个或两个以上”的含义而进行使用的,此外,术语“第一”、“第二”、“第三”仅用于描述目的,而不能理解为指示或暗示相对重要性或者隐 含指明所指示的技术特征的数量。由此,限定有“第一”、“第二”、“第三”的特征可以明示或者隐含地包括一个或者至少两个该特征,“一端”与“另一端”以及“近端”与“远端”通常是指相对应的两部分,其不仅包括端点。此外,如在本申请中所使用的,“安装”、“相连”、“连接”,一元件“设置”于另一元件,应做广义理解,通常仅表示两元件之间存在连接、耦合、配合或传动关系,且两元件之间可以是直接的或通过中间元件间接的连接、耦合、配合或传动,而不能理解为指示或暗示两元件之间的空间位置关系,即一元件可以在另一元件的内部、外部、上方、下方或一侧等任意方位,除非内容另外明确指出外。对于本领域的普通技术人员而言,可以根据具体情况理解上述术语在本申请中的具体含义。此外,诸如上方、下方、上、下、向上、向下、左、右等的方向术语相对于示例性实施方案如它们在图中所示进行使用,向上或上方向朝向对应附图的顶部,向下或下方向朝向对应附图的底部。As used in this application, the singular forms "a", "an" and "the" include plural objects, the term "or" is generally used in the sense of including "and/or", and the term "several" Usually, the term "at least one" is used in the meaning of "at least one", and the term "at least two" is usually used in the meaning of "two or more". In addition, the terms "first", "second "Two" and "third" are used for descriptive purposes only, and should not be understood as indicating or implying relative importance or implicitly indicating the quantity of the indicated technical features. Thus, the features defined as "first", "second", and "third" may expressly or implicitly include one or at least two of these features, "one end" and "another end" and "near end" and "near end" "Distal end" generally refers to the corresponding two parts, and it includes not only the endpoint. In addition, as used in this application, "mounting", "connecting", "connecting", and one element being "disposed" on another element should be interpreted in a broad sense and usually only mean that there is connection, coupling, Fitting or transmission relationship, and the connection, coupling, cooperation or transmission between two elements may be direct or indirect through intermediate elements, but shall not be understood as indicating or implying a spatial positional relationship between two elements, that is, one element may be in another Any orientation of the inside, outside, top, bottom, or side of an element, unless the content clearly indicates otherwise. Those of ordinary skill in the art can understand the specific meanings of the above terms in this application according to specific situations. Furthermore, directional terms such as above, below, up, down, up, down, left, right, etc. are used with respect to the exemplary embodiments as they are shown in the figures, with an upward or upward direction toward the top of the corresponding figure, The downward or downward direction is towards the bottom of the corresponding drawing.
本申请的目的在于提供一种皮下植入式医疗单元、医疗装置及辐照灭菌屏蔽装置,以解决现有的皮下植入式医疗装置因灭菌工艺而需分体设置的问题。The purpose of this application is to provide a subcutaneous implantable medical unit, a medical device and a radiation sterilization shielding device, so as to solve the problem that the existing subcutaneous implantable medical device needs to be arranged separately due to the sterilization process.
以下参考附图进行描述。Description is made below with reference to the accompanying drawings.
图1至图3示出了一种皮下植入式医疗单元1,其包括:壳体10、传感植入部33以及电路组件14;所述电路组件14容置于所述壳体10,所述壳体10具有底孔114,所述传感植入部33的一端与所述电路组件14连接,另一端穿出所述底孔114;所述电路组件14沿所述传感植入部33的延伸方向避让开所述底孔114的投影区域。这里需要说明的,传感植入部33是指用于随穿刺单元5的穿刺针51(见图6及下文说明)一同植入人体皮肤下的部件,其一般呈直线形延伸,因此具有特定的延伸方向。电路组件14沿着该传感植入部33的延伸方向避让开底孔114的投影区域后,可采用局部精准辐照的方式沿传感植入部33的延伸方向对底孔114的范围进行辐照灭菌,实现需灭菌的传感植入部33的辐照灭菌而不会损坏不耐辐照的电路组件14,由此使得传感植入部33与电路组件14可整体设置在壳体10内,解决了现有皮下植入式医疗装置因灭菌工艺而需将传感植入部33和电路组件14分体设置的问题。1 to 3 show a subcutaneous implantable medical unit 1, which includes: a housing 10, a sensing implant 33, and a circuit assembly 14; the circuit assembly 14 is accommodated in the housing 10, The housing 10 has a bottom hole 114, one end of the sensor implant 33 is connected to the circuit assembly 14, and the other end passes through the bottom hole 114; the circuit assembly 14 is implanted along the sensor The extending direction of the portion 33 avoids the projected area of the bottom hole 114 . What needs to be explained here is that the sensing implant part 33 refers to the part used to be implanted under the skin of the human body together with the puncture needle 51 of the puncture unit 5 (see FIG. direction of extension. After the circuit assembly 14 avoids the projected area of the bottomed hole 114 along the extension direction of the sensor implant 33, the range of the bottom hole 114 can be irradiated along the extension direction of the sensor implant 33 by means of local precise irradiation. Irradiation sterilization, realize the radiation sterilization of the sensing implant part 33 to be sterilized without damaging the radiation-resistant circuit assembly 14, thus enabling the sensing implant part 33 and the circuit assembly 14 to be integrally arranged In the casing 10, the problem that the sensor implant part 33 and the circuit assembly 14 need to be arranged separately due to the sterilization process of the existing subcutaneous implantable medical device is solved.
特别的,本文中所述的沿传感植入部33的延伸方向,应当广义地理解为大致沿传感植入部33的延伸方向而非限制必须狭义地严格平行于传感植入部33。具体的,若具有较小的夹角,例如在±15°的偏差范围内,其也应当被视为是沿传感植入部33的延伸方向。In particular, the direction along the extension of the sensor implant 33 described herein should be broadly understood as roughly along the extension direction of the sensor implant 33 and is not limited to be strictly parallel to the sensor implant 33 in a narrow sense. . Specifically, if there is a small included angle, for example within a deviation range of ±15°, it should also be regarded as being along the extending direction of the sensing implant part 33 .
本实施例对壳体10的形状不作限定,壳体10可以是开敞的、半封闭的或全封闭的。优选的,壳体10为封闭壳体,所述壳体10包括下壳11与上盖12,所述底孔114位于所述下壳11;所述下壳11与所述上盖12适配连接,形成第一腔体;所述电路组件14容置于所述第一腔体中;所述上盖12具有顶孔124,所述顶孔124与所述底孔114沿所述传感植入部33的延伸方向对齐设置。顶孔124和底孔114贯通对齐,其用于供穿刺单元5的穿刺针51穿过。In this embodiment, the shape of the housing 10 is not limited, and the housing 10 may be open, semi-closed or fully closed. Preferably, the casing 10 is a closed casing, the casing 10 includes a lower casing 11 and an upper cover 12, the bottom hole 114 is located in the lower casing 11; the lower casing 11 is adapted to the upper cover 12 connected to form a first cavity; the circuit assembly 14 is accommodated in the first cavity; the upper cover 12 has a top hole 124, and the top hole 124 and the bottom hole 114 are along the sensor The extending directions of the implanted parts 33 are arranged in alignment. The top hole 124 is aligned with the bottom hole 114 , and is used for the puncture needle 51 of the puncture unit 5 to pass through.
请参考图2和图3,在一个示范性的实施例中,电路组件14包括电池13、主电路板140以及传感器电路板3,其中传感器电路板3位于主电路板140的下方(指更靠近下壳11的一侧),并与主电路板140电连接;主电路板140还与电池13电连接,传感器电路板3与传感植入部33电连接。可选的,主电路板140包括发射模块,其可用于向外界的接收装置发射信号。由此,经由传感植入部33植入人体所监测得到的信号可通过传感器电路板3传递至主电路板140,经主电路板140处理后可向外发射。使用者通过相应的接收装置,能够接收主电路板140所发射的信号,从而获知传感植入部33所监测得到的信号,例如血糖信号等。需要理解的,这里的血糖监测仅为皮下植入式医疗单元1的一种示范性应用,在其它的皮下植入式医疗领域上也可进行相应的应用。此外,主电路板140也不限于包括发射模块,也可以包括显示模块等,传感植入部33所监测得到的信号可不对外发射而通过显示模块直接进行显示。Please refer to Fig. 2 and Fig. 3, in an exemplary embodiment, circuit assembly 14 comprises battery 13, main circuit board 140 and sensor circuit board 3, wherein sensor circuit board 3 is positioned at the bottom of main circuit board 140 (referring to closer One side of the lower shell 11), and electrically connected with the main circuit board 140; the main circuit board 140 is also electrically connected with the battery 13, and the sensor circuit board 3 is electrically connected with the sensor implant part 33. Optionally, the main circuit board 140 includes a transmitting module, which can be used to transmit signals to an external receiving device. Thus, the monitored signal obtained by implanting the sensor implant part 33 into the human body can be transmitted to the main circuit board 140 through the sensor circuit board 3 , and can be emitted outside after being processed by the main circuit board 140 . The user can receive the signal transmitted by the main circuit board 140 through the corresponding receiving device, so as to obtain the signal monitored by the sensor implantation part 33 , such as the blood sugar signal and the like. It should be understood that the blood glucose monitoring here is only an exemplary application of the subcutaneous implantable medical unit 1 , and corresponding applications can also be carried out in other subcutaneous implantable medical fields. In addition, the main circuit board 140 is not limited to include a transmitting module, and may also include a display module, etc., and the signal monitored by the sensor implantation part 33 can be directly displayed through the display module without being emitted externally.
优选的,传感器电路板3具有若干个第一定位孔31,相适配的,下壳11具有若干个凸起的定位柱111,主电路板140具有若干个第二定位孔141,定位柱111依次穿过第一定位孔31和第二定位孔141,实现对主电路板140与传感器电路板3进行定位。进一步的,传感器电路板3的上表面(指朝向上盖12的表面)具有若干个第一触点32,相适配的,主电路板140的下表面(指朝向下壳11的表面)具有若干个第二触点142,在传感器电路板3与主电路板140叠合装配后,第一触点32与第二触点142抵靠接触,实现电路的连通。可选的,在一个可替代的示范例中,主电路板140具有避让孔143,沿所述传感植入部33的延伸方向,避让孔143的范围不小于所述底孔114的投影区域。避让孔143的设置,有利于壳体10内空间的充分利用。当然在其它的一些实施例中,主电路板140也可通过设置成缺角的避让区,来避让底孔114的投影区域。Preferably, the sensor circuit board 3 has several first positioning holes 31, and the lower shell 11 has several raised positioning posts 111, and the main circuit board 140 has several second positioning holes 141, and the positioning posts 111 Through the first positioning hole 31 and the second positioning hole 141 in sequence, the main circuit board 140 and the sensor circuit board 3 are positioned. Further, the upper surface of the sensor circuit board 3 (referring to the surface facing the upper cover 12) has several first contacts 32, and the lower surface of the main circuit board 140 (referring to the surface facing the lower shell 11) has The plurality of second contacts 142, after the sensor circuit board 3 and the main circuit board 140 are stacked and assembled, the first contacts 32 and the second contacts 142 are in contact with each other to realize circuit communication. Optionally, in an alternative example, the main circuit board 140 has an avoidance hole 143, and along the extension direction of the sensing implant part 33, the range of the avoidance hole 143 is not smaller than the projected area of the bottom hole 114 . The setting of the escape hole 143 is beneficial to fully utilize the space in the housing 10 . Of course, in some other embodiments, the main circuit board 140 can also avoid the projected area of the bottom hole 114 by setting the avoidance area as a notch.
进一步,上盖12具有若干凸起的楞顶块121,楞顶块121用于压紧主电路板140。在下壳11与上盖12组装好后,楞顶块121能够与主电路板140抵靠,限制其向上(指朝向上盖12方向)的运动,确保传感器电路板3与主电路板140的固定以及压紧。更进一步的,在传感器电路板3的下方设置有弹性垫15,弹性垫15例如可由硅胶制成,其能在下壳11与上盖12组装好后将传感器电路板3与主电路板140紧密压合在一起,确保电气连接的可靠性。Further, the upper cover 12 has several raised corrugated top blocks 121 for pressing the main circuit board 140 . After the lower shell 11 and the upper cover 12 are assembled, the corrugated top block 121 can abut against the main circuit board 140 to limit its upward movement (referring to the direction of the upper cover 12), so as to ensure the fixing of the sensor circuit board 3 and the main circuit board 140 Well squeezed. Furthermore, an elastic pad 15 is provided below the sensor circuit board 3, and the elastic pad 15 can be made of silica gel, which can tightly press the sensor circuit board 3 and the main circuit board 140 after the lower case 11 and the upper cover 12 are assembled. Together, they ensure a reliable electrical connection.
可选的,下壳11具有第一密封结构112,上盖12具有与所述第一密封结构112相适配的第二密封结构122,上盖12与下壳11装配时,第一密封结构112与第二密封结构122密封连接。可选的,第一密封结构112与第二密封结构122中的一者为沟槽,另一者为凸起,凸起能够适配卡入沟槽中,从而实现密封。较佳的,第一密封结构112环绕下壳11一周连续布置,第二密封结构122环绕上盖12一周连续布置。优选的,在上盖12与下壳11装配时,第一密封结构112与第二密封结构122之间还填充胶水,提高第一密封结构112与第二密封结构122连接的密封性能。胶水固化后即可实现壳体10的密闭防漏的效果。可以理解的,第一密封结构112与第二密封结构122并不限于采用卡扣和胶水的连接方式,在其它的一些实施例中,第一密封结构112与第二密封结构122也可以使用超声焊接、激光焊接等方式熔接,或者使用弹性密封件如橡胶圈与卡扣、螺丝紧固的方式配合使用,其均可达到密闭防漏的效果。Optionally, the lower shell 11 has a first sealing structure 112, and the upper cover 12 has a second sealing structure 122 adapted to the first sealing structure 112. When the upper cover 12 is assembled with the lower shell 11, the first sealing structure 112 is in sealing connection with the second sealing structure 122 . Optionally, one of the first sealing structure 112 and the second sealing structure 122 is a groove, and the other is a protrusion, and the protrusion can fit into the groove to achieve sealing. Preferably, the first sealing structure 112 is continuously arranged around the lower shell 11 , and the second sealing structure 122 is continuously arranged around the upper cover 12 . Preferably, when the upper cover 12 and the lower case 11 are assembled, glue is filled between the first sealing structure 112 and the second sealing structure 122 to improve the sealing performance of the connection between the first sealing structure 112 and the second sealing structure 122 . After the glue is cured, the airtight and leak-proof effect of the casing 10 can be realized. It can be understood that the connection between the first sealing structure 112 and the second sealing structure 122 is not limited to buckle and glue, and in some other embodiments, the first sealing structure 112 and the second sealing structure 122 can also use ultrasonic Welding, laser welding, etc., or using elastic seals such as rubber rings in conjunction with buckles and screws, can achieve airtight and leak-proof effects.
优选的,所述壳体10包括隔离结构123,所述隔离结构123的两端分别与所述下壳11与所述上盖12连接;所述隔离结构123具有第二腔体,所述第二腔体分别与所述顶孔124与所述底孔114连通,且所述第二腔体与所述第一腔体相隔离。隔离结构123的第二腔体用于供穿刺针51穿过,因此第二腔体应被配置为无菌腔体,隔离结构123的设置将第二腔体与第一腔体隔离开,由此位于第一腔体中的电路组件14即不需要进行灭菌处理。Preferably, the housing 10 includes an isolation structure 123, the two ends of the isolation structure 123 are respectively connected to the lower case 11 and the upper cover 12; the isolation structure 123 has a second cavity, and the first The two cavities communicate with the top hole 124 and the bottom hole 114 respectively, and the second cavity is isolated from the first cavity. The second cavity of the isolation structure 123 is used for passing through the puncture needle 51, so the second cavity should be configured as a sterile cavity, and the setting of the isolation structure 123 isolates the second cavity from the first cavity, by The circuit assembly 14 located in the first cavity does not need to be sterilized.
在一个可替代的示范例中,隔离结构123为一管状件,隔离结构123的一端与下壳11和上盖12中的一者固定连接,优选一体成型;隔离结构123的另一端具有第三密封结构125,下壳11和上盖12中的另一者具有与所述第三密封结构125相适配的第四密封结构113。上盖12与下壳11装配时,第三密封结构125与第四密封结构113密封连接。第三密封结构125与第四密封结构113的结构可参考上述第一密封结构112与第二密封结构122,如采用沟槽和凸起的卡扣连接方式,进一步还可用胶水加强密封,这里不再重复。可 以理解的,在其它的一些实施例中,隔离结构123并非限制与下壳11和上盖12中的一者固定连接,而与另一者可分离地密闭连接,隔离结构123也可以在其两端分别与下壳11和上盖12可分离地密闭连接,亦即,隔离结构123可以是一个独立于上盖12与下壳11的部件,其两端均具有第三密封结构125,而上盖12与下壳11对应的部位均设置第四密封结构113。In an alternative example, the isolation structure 123 is a tubular member, and one end of the isolation structure 123 is fixedly connected with one of the lower shell 11 and the upper cover 12, preferably integrally formed; the other end of the isolation structure 123 has a third The sealing structure 125 , the other of the lower shell 11 and the upper cover 12 has a fourth sealing structure 113 matching with the third sealing structure 125 . When the upper cover 12 is assembled with the lower case 11 , the third sealing structure 125 is in sealing connection with the fourth sealing structure 113 . The structure of the third sealing structure 125 and the fourth sealing structure 113 can refer to the above-mentioned first sealing structure 112 and the second sealing structure 122, such as adopting the buckle connection method of grooves and protrusions, and further sealing can be strengthened with glue, which is not mentioned here. Repeat. It can be understood that, in some other embodiments, the isolation structure 123 is not limited to be fixedly connected to one of the lower shell 11 and the upper cover 12, but is detachably and airtightly connected to the other, and the isolation structure 123 can also be in the Both ends are detachably and airtightly connected to the lower case 11 and the upper cover 12 respectively, that is, the isolation structure 123 may be a component independent of the upper cover 12 and the lower case 11, and both ends thereof have a third sealing structure 125, and A fourth sealing structure 113 is provided at the corresponding parts of the upper cover 12 and the lower shell 11 .
较佳的,下壳11为一平面,所述传感植入部33的延伸方向与所述下壳11的夹角为45°-90°(即传感植入部33与底孔114所在平面的夹角),从而能够广泛适用于需要配置为斜向置入传感植入部33的植入对象和需要配置为垂直置入传感植入部33的植入对象,相应的,无论传感植入部33的延伸方向与所述下壳11的夹角是何角度,所述透射结构81与所述容置结构41均沿所述传感植入部的延伸方向对齐设置,以实现精准灭菌。Preferably, the lower shell 11 is a plane, and the angle between the extension direction of the sensor implant 33 and the lower shell 11 is 45°-90° (that is, where the sensor implant 33 and the bottom hole 114 are located). The included angle of the plane), so that it can be widely applied to implant objects that need to be placed obliquely into the sensing implant part 33 and implant objects that need to be configured to be placed vertically into the sensing implant part 33. Correspondingly, no matter What is the angle between the extending direction of the sensing implant part 33 and the lower shell 11? Achieve precise sterilization.
可选的,所述电路组件14平行于所述下壳11。如此配置,有利于减小皮下植入式医疗单元1的体积。Optionally, the circuit assembly 14 is parallel to the lower case 11 . Such configuration is beneficial to reduce the volume of the subcutaneously implantable medical unit 1 .
进一步的,所述皮下植入式医疗单元1还包括胶贴2,胶贴2设置于下壳11远离上盖12的一面,用于贴附在皮肤上。胶贴2如可采用超声技术或者双面胶与下壳11连接。优选的,胶贴2的下表面(即远离与下壳11连接的一面)还具有保护膜,使用前可撕去保护膜。可以理解的,胶贴2具有供穿刺针51和传感植入部33通过的孔,其不会覆盖底孔114而阻碍穿刺针51和传感植入部33的通过。Further, the subcutaneous implantable medical unit 1 further includes an adhesive patch 2, which is arranged on the side of the lower shell 11 away from the upper cover 12, and is used for sticking on the skin. The adhesive sticker 2 can be connected with the lower shell 11 using ultrasonic technology or double-sided adhesive tape, for example. Preferably, the lower surface of the sticker 2 (that is, the side away from the connection with the lower shell 11) also has a protective film, which can be torn off before use. It can be understood that the adhesive patch 2 has a hole for the puncture needle 51 and the sensor implant 33 to pass through, and it will not cover the bottom hole 114 to hinder the passage of the puncture needle 51 and the sensor implant 33 .
请参考图4至图7,基于如上所述的皮下植入式医疗单元1,本实施例还提供一种皮下植入式医疗装置,其包括:基体4、穿刺单元5以及如上所述的皮下植入式医疗单元1;所述穿刺单元5包括穿刺针51;所述穿刺针51沿所述传感植入部33的延伸方向可活动地穿出所述底孔114,以与所述传感植入部33可分离的连接;所述基体4可分离地与所述壳体10连接;所述基体4具有沿所述传感植入部33的延伸方向设置的容置结构41,所述容置结构41具有第三腔体410,所述第三腔体410的一端开放,供所述穿刺针51以及所述传感植入部33穿入;所述第三腔体410的另一端封闭;在所述基体4与所述壳体10连接后,所述壳体10封闭所述第三腔体410开放的一端,使所述第三腔体410开放的一端仅与所述底孔114连通。Please refer to FIG. 4 to FIG. 7 , based on the subcutaneous implantable medical unit 1 described above, this embodiment also provides a subcutaneous implantable medical device, which includes: a base body 4, a puncture unit 5 and the subcutaneous implantable medical device as described above. Implantable medical unit 1; the puncture unit 5 includes a puncture needle 51; the puncture needle 51 can move through the bottom hole 114 along the extension direction of the sensor implant 33, so as to communicate with the sensor The sensing implant part 33 is detachably connected; the base body 4 is detachably connected to the housing 10; the base body 4 has an accommodating structure 41 arranged along the extending direction of the sensing implant part 33, so The accommodating structure 41 has a third cavity 410, one end of the third cavity 410 is open for the penetration of the puncture needle 51 and the sensor implant 33; the other end of the third cavity 410 One end is closed; after the base body 4 is connected to the housing 10, the housing 10 closes the open end of the third cavity 410 so that the open end of the third cavity 410 is only connected to the bottom The holes 114 communicate.
在一个可替代的示范例中,穿刺针51的横截面呈U形,其是一个半包围结构,穿刺针51在穿过壳体10,从底孔114中穿出后,同样从底孔114中穿出的传感植入部33可贴附在穿刺针51的U形的凹陷区域内,使得穿刺针51 与传感植入部33能够一同刺入皮肤。当然在其它的一些实施例中,穿刺针51与传感植入部33也可采用其它的形状,本申请对此不限。In an alternative example, the cross-section of the puncture needle 51 is U-shaped, which is a semi-surrounding structure. The sensory implanted part 33 pierced through the center can be attached to the U-shaped concave area of the puncture needle 51, so that the puncture needle 51 and the sensory implanted part 33 can penetrate the skin together. Of course, in some other embodiments, the puncture needle 51 and the sensing implant part 33 may also adopt other shapes, which are not limited in the present application.
基体4用于供皮下植入式医疗单元1放置于其上,穿出底孔114的穿刺针51与传感植入部33能够从第三腔体410开放的一端伸入第三腔体410中。由于第三腔体410的另一端封闭,壳体10能够封闭第三腔体410开放的一端,使得第三腔体410除与底孔114连通外,其余部分被配置为一个密闭腔体。而底孔114又在隔离结构123的限制下,仅通过第二腔体与顶孔124连通,在利用穿刺单元5封闭顶孔124后,第三腔体410与第二腔体即形成与外界环境分离隔绝的独立的密闭腔体。如能保证该封闭腔体内的洁净无菌性,则能保证产品的无菌安全性。The base body 4 is used for placing the subcutaneous implantable medical unit 1 on it, and the puncture needle 51 and the sensing implant part 33 passing through the bottom hole 114 can extend into the third cavity 410 from the open end of the third cavity 410 middle. Since the other end of the third cavity 410 is closed, the casing 10 can close the open end of the third cavity 410 , so that the third cavity 410 is configured as a closed cavity except for communicating with the bottom hole 114 . And the bottom hole 114 is restricted by the isolation structure 123, and only communicates with the top hole 124 through the second cavity. An independent airtight chamber isolated from the environment. If the cleanliness and sterility in the closed cavity can be guaranteed, the sterility safety of the product can be guaranteed.
进一步的,容置结构41于第三腔体410封闭的一端的厚度较薄,其能够允许辐照射线通过;下壳11的厚度亦较薄,能够允许辐照射线通过。对容置结构41进行辐照灭菌时,辐照射线透过容置结构41的端部射入第三腔体410中,进而透过下壳11射入第二腔体中,对穿刺针51与传感植入部33进行辐照灭菌。由于第三腔体410与第二腔体被配置为一个密闭腔体,与外界环境分离隔绝,因此密闭腔体内为无菌环境,从而可保证穿刺针51与传感植入部33的无菌安全性。使用时将皮下植入式医疗单元1与基体4分离,将穿刺针51与传感植入部33从第三腔体410和第二腔体中取出,即可使用。Furthermore, the thickness of the accommodating structure 41 at the closed end of the third cavity 410 is relatively thin, which can allow radiation rays to pass through; the thickness of the lower case 11 is also relatively thin, which can allow radiation rays to pass through. When carrying out radiation sterilization on the housing structure 41, the radiation rays penetrate the end of the housing structure 41 and inject into the third cavity 410, and then penetrate the lower shell 11 and inject into the second cavity, and the puncture needle 51 and sensor implant 33 are sterilized by irradiation. Since the third cavity 410 and the second cavity are configured as a closed cavity, which is isolated from the external environment, the closed cavity is a sterile environment, thereby ensuring the sterility of the puncture needle 51 and the sensor implant 33 safety. When in use, the subcutaneous implantable medical unit 1 is separated from the base body 4, and the puncture needle 51 and the sensing implant part 33 are taken out from the third cavity 410 and the second cavity, and then it can be used.
优选的,所述皮下植入式医疗装置还包括围绕所述容置结构41设置的第一密封件42,所述基体4通过所述第一密封件42可分离地与所述壳体10连接。第一密封件42的设置,提高了基体4与下壳11之间的密封性。请参考图5和图7,在一个示范例中,基体4的上表面上具有凹陷的密封件容置区,第一密封件42为弹性的环状体,其材料如可为橡胶、硅胶或聚四氟乙烯,第一密封件42能够卡在密封件容置区中。皮下植入式医疗单元1的下壳11能够与基体4的上表面接触(或者下壳11通过带有保护膜的胶贴2与基体4的上表面接触)。由此,下壳11能够压紧第一密封件42,从而使壳体10能够封闭第三腔体410开放的一端,使第三腔体410仅与底孔114连通。Preferably, the subcutaneous implantable medical device further includes a first seal 42 disposed around the accommodating structure 41 , and the base 4 is detachably connected to the housing 10 through the first seal 42 . The arrangement of the first sealing member 42 improves the sealing performance between the base body 4 and the lower case 11 . Please refer to Fig. 5 and Fig. 7, in one example, there is a recessed sealing part accommodating area on the upper surface of the base body 4, and the first sealing part 42 is an elastic annular body, and its material can be rubber, silicone or Teflon, the first seal 42 can snap into the seal receiving area. The lower shell 11 of the subcutaneously implantable medical unit 1 can be in contact with the upper surface of the base 4 (or the lower shell 11 can be in contact with the upper surface of the base 4 through the adhesive sticker 2 with a protective film). Thus, the lower shell 11 can press the first sealing member 42 , so that the housing 10 can close the open end of the third cavity 410 , so that the third cavity 410 only communicates with the bottom hole 114 .
请参考图6,并结合参考图7,进一步的,所述穿刺单元5还包括与所述穿刺针51连接的针座53,针座53如可通过注塑成型。穿刺针51与针座53可通过埋入注塑或者胶水粘接的方式连接,使两者形成密闭连接。针座53的径向轮廓能够覆盖顶孔124,在穿刺针51从顶孔124穿入隔离结构123,从底孔114穿出后,针座53能够与上盖12相抵靠而封闭顶孔124,从而封闭第 二腔体。Please refer to FIG. 6 together with reference to FIG. 7 , further, the puncture unit 5 further includes a needle base 53 connected to the puncture needle 51 , and the needle base 53 can be formed by injection molding, for example. The puncture needle 51 and the needle base 53 can be connected by embedding injection molding or glue bonding, so that the two form a hermetic connection. The radial profile of the needle base 53 can cover the top hole 124. After the puncture needle 51 penetrates the isolation structure 123 from the top hole 124 and passes out from the bottom hole 114, the needle base 53 can abut against the upper cover 12 to close the top hole 124 , thereby closing the second cavity.
优选的,所述穿刺单元5包括围绕所述穿刺针51设置的第二密封件52,所述针座53通过所述第二密封件52可分离地与所述壳体10连接。第二密封件52的设置,提高了针座53与上盖12之间的密封性。第二密封件52的形状、材料及设置原理可参考上述第一密封件42,此处不再重复。Preferably, the puncture unit 5 includes a second seal 52 disposed around the puncture needle 51 , and the needle hub 53 is detachably connected to the housing 10 through the second seal 52 . The arrangement of the second sealing member 52 improves the sealing performance between the needle hub 53 and the upper cover 12 . The shape, material and arrangement principle of the second sealing member 52 can refer to the above-mentioned first sealing member 42 and will not be repeated here.
请参考图8和图9,可选的,所述皮下植入式医疗装置还包括助针单元6,所述助针单元6与所述穿刺单元5连接,用于驱动所述穿刺单元5沿所述穿刺针51的延伸方向穿刺;所述助针单元6可拆卸地与所述基体4连接。由于皮下植入式医疗单元1的体积较小,形状扁平,使用者直接对其抓握操作具有一定的难度,因此优选地,可通过助针单元6来帮助对皮下植入式医疗单元1和穿刺单元5的抓握以及穿刺。在图8和图9示出的示范例中,助针单元6为一个筒状体,其一端具有开口,用于与基体4相连接。优选的,基体4具有若干卡扣43,相适配的,助针单元6上具有相对应的卡槽61。在助针单元6与基体4装配连接时,卡扣43可以卡入卡槽61中,形成卡合连接,从而限定了助针单元6与基体4的连接位置。优选的,穿刺单元5的针座53具有卡勾,例如图6中针座53上部的两分隔的弹性支脚,其能够与助针单元6中相对应的结构适配连接。当然,助针单元6内部的具体结构可参考现有技术,本申请对此不作限制。Please refer to FIG. 8 and FIG. 9. Optionally, the subcutaneous implantable medical device further includes a needle assisting unit 6 connected to the puncture unit 5 for driving the puncture unit 5 along the The puncture needle 51 punctures in the extending direction; the needle assisting unit 6 is detachably connected to the base 4 . Since the subcutaneous implantable medical unit 1 is small in size and flat in shape, it is difficult for the user to grasp it directly. Therefore, preferably, the needle assisting unit 6 can be used to help the subcutaneous implantable medical unit 1 and Grasping and piercing of the piercing unit 5 . In the examples shown in FIGS. 8 and 9 , the needle assisting unit 6 is a cylindrical body with an opening at one end for connecting with the base body 4 . Preferably, the base body 4 has several buckles 43 , and correspondingly, the needle assisting unit 6 has corresponding locking grooves 61 . When the needle assisting unit 6 is assembled and connected with the base body 4 , the buckle 43 can be snapped into the slot 61 to form a snap connection, thereby defining the connection position of the needle assisting unit 6 and the base body 4 . Preferably, the needle base 53 of the puncture unit 5 has a hook, such as two separated elastic feet on the upper part of the needle base 53 in FIG. Of course, reference may be made to the prior art for the specific structure inside the needle assisting unit 6, which is not limited in the present application.
装配时,可先将穿刺单元5、皮下植入式医疗单元1与助针单元6组装连接,使穿刺针51穿过壳体10,针座53通过第二密封件52与上盖12密闭连接。进而将助针单元6连带着穿刺单元5和皮下植入式医疗单元1一同扣合在基体4上,直至卡扣43可以卡入卡槽61中时,皮下植入式医疗单元1的下壳11能够压紧第一密封件42,从而使得第二腔体与第三腔体410可靠地被密闭。进而采用局部精准辐照的方式沿传感植入部33的延伸方向对第二腔体与第三腔体410的范围进行辐照灭菌,即完成了产品的生产装配过程。When assembling, the puncture unit 5, the subcutaneous implantable medical unit 1 and the needle aid unit 6 can be assembled and connected first, so that the puncture needle 51 passes through the housing 10, and the needle holder 53 is airtightly connected with the upper cover 12 through the second sealing member 52 . Then, the needle assisting unit 6 is fastened together with the puncture unit 5 and the subcutaneous implantable medical unit 1 on the base 4 until the buckle 43 can be snapped into the slot 61, and the lower shell of the subcutaneous implantable medical unit 1 11 can compress the first sealing member 42, so that the second cavity and the third cavity 410 are reliably sealed. Further, the scope of the second cavity and the third cavity 410 is irradiated and sterilized along the extension direction of the sensing implant part 33 by means of local precise irradiation, that is, the production and assembly process of the product is completed.
在使用时,可将卡扣43从卡槽61中退出,解除助针单元6与基体4的连接限制,可将助针单元6连带着穿刺单元5和皮下植入式医疗单元1一同从基体4上拔出。撕除胶贴2上的保护膜,将助针单元6放置在人体皮肤上,按压助针单元6上的按钮,皮下植入式医疗单元1与穿刺单元5能够一同朝向人体弹射,胶贴2粘贴在皮肤上,穿刺针51和传感植入部33一同刺入皮肤,后续将穿刺单元5从皮下植入式医疗单元1中撤除,于是仅保留传感植入部33于皮肤中,完成植入。When in use, the buckle 43 can be withdrawn from the card slot 61, and the connection restriction between the needle aid unit 6 and the base body 4 can be released, and the needle aid unit 6 can be removed from the base body together with the puncture unit 5 and the subcutaneous implantable medical unit 1. 4 and pull it out. Tear off the protective film on the sticker 2, place the needle assisting unit 6 on the human skin, press the button on the needle assisting unit 6, the subcutaneous implantable medical unit 1 and the puncture unit 5 can be ejected toward the human body together, and the sticker 2 Pasted on the skin, the puncture needle 51 and the sensor implant 33 penetrate the skin together, and then the puncture unit 5 is removed from the subcutaneous implantable medical unit 1, so that only the sensor implant 33 remains in the skin, and the process is completed. implant.
请参考图10和图11,基于如上所述的皮下植入式医疗装置,本实施例还提供一种辐照灭菌屏蔽装置,其用于在辐照灭菌时保护如上所述的皮下植入式医疗装置;所述辐照灭菌屏蔽装置包括:屏蔽体8;所述屏蔽体8沿辐照射线的方向至少遮蔽所述电路组件14;所述屏蔽体8具有沿所述传感植入部33的延伸方向设置的透射结构81,所述透射结构81允许辐照射线通过;所述透射结构81与所述容置结构41沿所述传感植入部33的延伸方向对齐设置。可以理解的,本领域技术人员可根据现有技术和公知常识,选择辐照射线(或电子束)的种类及辐射强度,进而根据辐照射线的种类及辐射强度,选择屏蔽体8的材料和厚度,以及选择透射结构81的结构,使得屏蔽体8能够屏蔽辐照射线通过。透射结构81如可为透射孔,也可以为允许辐照射线通过的材料,本申请对此不作限制。Please refer to Fig. 10 and Fig. 11, based on the above-mentioned subcutaneous implantable medical device, this embodiment also provides a radiation sterilization shielding device, which is used to protect the above-mentioned subcutaneous implant during radiation sterilization. The radiation sterilization shielding device includes: a shielding body 8; the shielding body 8 at least shields the circuit assembly 14 along the direction of the radiation; the shielding body 8 has The transmissive structure 81 is provided in the extension direction of the insertion part 33 , and the transmissive structure 81 allows radiation to pass through; It can be understood that those skilled in the art can select the type and radiation intensity of radiation rays (or electron beams) according to the prior art and common knowledge, and then select the material and The thickness and the structure of the transmission structure 81 are selected so that the shielding body 8 can shield the passage of radiation rays. The transmission structure 81 may be a transmission hole, or may be a material that allows radiation to pass through, which is not limited in the present application.
由于允许辐照射线通过的透射结构81沿传感植入部33的延伸方向与容置结构41对齐设置,因此辐照射线能够依次穿过透射结构81和容置结构41的端部进入第三腔体410,进而穿过下壳11进入第二腔体,对穿刺针51和传感植入部33进行辐照灭菌。另一方面由于屏蔽体8沿辐照射线的方向至少遮蔽所述电路组件14,保证了电路组件14不会被辐照射线照射而损坏。Since the transmission structure 81 that allows the radiation to pass through is aligned with the accommodation structure 41 along the extension direction of the sensor implant 33, the radiation can pass through the transmission structure 81 and the end of the accommodation structure 41 to enter the third The cavity 410 enters the second cavity through the lower casing 11 to sterilize the puncture needle 51 and the sensor implant 33 by radiation. On the other hand, since the shielding body 8 at least shields the circuit assembly 14 along the direction of the radiation, it is ensured that the circuit assembly 14 will not be damaged by the radiation.
可选的,装配好的皮下植入式医疗装置可沿所述穿刺针51迎向辐照射线的照射方向布置,例如在图10所示出的示范例中,辐照射线的照射方向为从上往下,则皮下植入式医疗装置沿着穿刺针51向上的方向布置,以使辐照射线能够直接射入第三腔体410和第二腔体。当然在其它的一些实施例中,若辐照射线足够强,且助针单元6与针座53的材料不足以屏蔽辐照射线时,也可以将皮下植入式医疗装置沿穿刺针51顺着辐照射线的照射方向布置,此时亦可实现辐照灭菌。Optionally, the assembled subcutaneous implantable medical device can be arranged along the irradiation direction of the puncture needle 51 facing the radiation. For example, in the example shown in FIG. 10 , the irradiation direction of the radiation is from Up and down, the subcutaneous implantable medical device is arranged along the upward direction of the puncture needle 51, so that the radiation can directly enter the third cavity 410 and the second cavity. Of course, in some other embodiments, if the radiation rays are strong enough, and the materials of the needle aid unit 6 and the needle holder 53 are not enough to shield the radiation rays, the subcutaneous implantable medical device can also be placed along the puncture needle 51 The irradiation direction of the radiation rays is arranged, and irradiation sterilization can also be realized at this time.
优选的,所述辐照灭菌屏蔽装置还包括:定位体7,所述定位体7具有第四腔体71,所述第四腔体71用于容置沿所述穿刺针51迎向辐照射线的方向布置的所述皮下植入式医疗装置;所述定位体7与所述屏蔽体8可拆卸地连接,以限制所述皮下植入式医疗装置的位置。在一个可替代的示范例中,屏蔽体8与定位体7可通过若干螺栓进行固定。进一步的,为了增加产能,定位体7具有多个第四腔体71,可同时容置多个皮下植入式医疗装置,相适配的,屏蔽体8上具有多个透射结构81。可实现同时对多个皮下植入式医疗装置进行辐照灭菌。Preferably, the radiation sterilization shielding device further includes: a positioning body 7, the positioning body 7 has a fourth cavity 71, and the fourth cavity 71 is used for accommodating The subcutaneous implantable medical device is arranged in the direction of the irradiation line; the positioning body 7 is detachably connected to the shielding body 8 to limit the position of the subcutaneous implantable medical device. In an alternative example, the shielding body 8 and the positioning body 7 can be fixed by several bolts. Further, in order to increase production capacity, the positioning body 7 has multiple fourth cavities 71 that can accommodate multiple subcutaneous implantable medical devices at the same time, and accordingly, the shielding body 8 has multiple transmission structures 81 . Simultaneous irradiation sterilization of multiple subcutaneous implantable medical devices can be realized.
综上所述,在本申请提供的皮下植入式医疗单元、医疗装置及辐照灭菌屏蔽装置中,所述皮下植入式医疗单元包括:壳体、传感植入部以及电路组件;所述电路组件容置于所述壳体,所述壳体具有底孔,所述传感植入部的一端与所述电路组件连接,另一端穿出所述底孔;所述电路组件避让开所述底孔沿所述传感植入部的延伸方向的投影区域。如此配置,由于不耐辐照的电路组件避开了底孔范围,可采用局部精准辐照的方式沿传感植入部的延伸方向对底孔的范围进行辐照灭菌,实现需灭菌的传感植入部的辐照灭菌而不会损坏不耐辐照的电路组件,由此使得传感植入部与电路组件可一体化设置在壳体内,解决了现有皮下植入式医疗装置因灭菌工艺而需将传感植入部和电路组件分体设置的问题。In summary, in the subcutaneous implantable medical unit, medical device and radiation sterilization shielding device provided by the present application, the subcutaneous implantable medical unit includes: a housing, a sensor implant and a circuit assembly; The circuit assembly is accommodated in the housing, the housing has a bottom hole, one end of the sensor implant is connected to the circuit assembly, and the other end passes through the bottom hole; the circuit assembly avoids A projected area of the bottom hole along the extending direction of the sensing implant part is opened. With such a configuration, since the circuit components that are not resistant to radiation avoid the range of the bottom hole, the range of the bottom hole can be irradiated and sterilized along the extension direction of the sensor implantation in the way of local precise irradiation, so as to realize the need for sterilization. The radiation sterilization of the sensor implanted part will not damage the radiation-resistant circuit components, so that the sensor implanted part and the circuit component can be integrated in the housing, which solves the problem of the existing subcutaneous implanted Due to the sterilization process of the medical device, the sensing implant and the circuit assembly need to be separately arranged.
需要说明的,上述若干实施例之间可相互组合。上述描述仅是对本申请较佳实施例的描述,并非对本申请范围的任何限定,本申请领域的普通技术人员根据上述揭示内容做的任何变更、修饰,均属于权利要求书的保护范围。It should be noted that the above several embodiments can be combined with each other. The above description is only a description of the preferred embodiments of the present application, and does not limit the scope of the present application. Any changes and modifications made by those of ordinary skill in the field of the present application based on the above disclosure shall fall within the protection scope of the claims.

Claims (13)

  1. 一种皮下植入式医疗单元,其特征在于,包括:壳体、传感植入部以及电路组件;A subcutaneous implantable medical unit, characterized by comprising: a housing, a sensing implant and a circuit assembly;
    所述电路组件容置于所述壳体内,所述壳体具有底孔,所述传感植入部的一端与所述电路组件连接,另一端穿出所述底孔;所述电路组件避让开所述底孔沿所述传感植入部的延伸方向的投影区域。The circuit assembly is accommodated in the housing, the housing has a bottom hole, one end of the sensing implant part is connected to the circuit assembly, and the other end passes through the bottom hole; the circuit assembly avoids A projected area of the bottom hole along the extending direction of the sensing implant part is opened.
  2. 根据权利要求1所述的皮下植入式医疗单元,其特征在于,所述壳体包括下壳与上盖,所述底孔位于所述下壳;所述下壳与所述上盖适配连接,形成第一腔体;所述电路组件容置于所述第一腔体中;所述上盖具有顶孔,所述顶孔与所述底孔沿所述传感植入部的延伸方向对齐设置。The subcutaneous implantable medical unit according to claim 1, wherein the housing comprises a lower case and an upper cover, the bottom hole is located in the lower case; the lower case is adapted to the upper cover connected to form a first cavity; the circuit assembly is accommodated in the first cavity; the upper cover has a top hole, and the top hole and the bottom hole are along the extension of the sensing implant part Orientation alignment settings.
  3. 根据权利要求2所述的皮下植入式医疗单元,其特征在于,所述壳体包括隔离结构,所述隔离结构的两端分别与所述下壳和所述上盖连接;所述隔离结构具有第二腔体,所述第二腔体分别与所述顶孔与所述底孔连通,且所述第二腔体与所述第一腔体相隔离。The subcutaneous implantable medical unit according to claim 2, wherein the housing includes an isolation structure, and the two ends of the isolation structure are respectively connected with the lower shell and the upper cover; the isolation structure There is a second cavity, the second cavity communicates with the top hole and the bottom hole respectively, and the second cavity is isolated from the first cavity.
  4. 根据权利要求3所述的皮下植入式医疗单元,其特征在于,所述隔离结构的一端与所述下壳和所述上盖中的一者固定连接,所述隔离结构的另一端具有第三密封结构,所述下壳和所述上盖中的另一者具有与所述第三密封结构相适配的第四密封结构;所述上盖与所述下壳装配时,所述第三密封结构与所述第四密封结构密封连接。The subcutaneous implantable medical unit according to claim 3, wherein one end of the isolation structure is fixedly connected to one of the lower shell and the upper cover, and the other end of the isolation structure has a second Three sealing structures, the other of the lower case and the upper cover has a fourth sealing structure compatible with the third sealing structure; when the upper cover is assembled with the lower case, the first The triple sealing structure is in sealing connection with the fourth sealing structure.
  5. 根据权利要求2所述的皮下植入式医疗单元,其特征在于,所述传感植入部的延伸方向与所述下壳的夹角为45°-90°。The subcutaneous implantable medical unit according to claim 2, characterized in that the angle between the extension direction of the sensing implant part and the lower shell is 45°-90°.
  6. 根据权利要求2所述的皮下植入式医疗单元,其特征在于,所述下壳具有第一密封结构,所述上盖具有与所述第一密封结构相适配的第二密封结构,所述上盖与所述下壳装配时,所述第一密封结构与所述第二密封结构密封连接。The subcutaneous implantable medical unit according to claim 2, wherein the lower shell has a first sealing structure, and the upper cover has a second sealing structure adapted to the first sealing structure, so When the upper cover is assembled with the lower case, the first sealing structure is in sealing connection with the second sealing structure.
  7. 一种皮下植入式医疗装置,其特征在于,包括:基体、穿刺单元以及根据权利要求1~6中任一项所述的皮下植入式医疗单元;所述穿刺单元包括穿刺针;所述穿刺针沿所述传感植入部的延伸方向可活动地穿出所述底孔,以与所述传感植入部可分离的连接;A subcutaneous implantable medical device, characterized in that it comprises: a base body, a puncture unit, and the subcutaneous implantable medical unit according to any one of claims 1 to 6; the puncture unit includes a puncture needle; the The puncture needle can movably pass through the bottom hole along the extending direction of the sensing implant, so as to be detachably connected with the sensing implant;
    所述基体可分离地与所述壳体连接;所述基体具有沿所述传感植入部的延伸方向设置的容置结构,所述容置结构具有第三腔体,所述第三腔体的一 端开放,供所述穿刺针以及所述传感植入部穿入;所述第三腔体的另一端封闭;The base body is detachably connected with the housing; the base body has an accommodating structure arranged along the extending direction of the sensing implant part, the accommodating structure has a third cavity, and the third cavity One end of the body is open for penetration of the puncture needle and the sensor implant; the other end of the third cavity is closed;
    在所述基体与所述壳体连接后,所述壳体封闭所述第三腔体开放的一端,使所述第三腔体开放的一端仅与所述底孔连通。After the base body is connected to the housing, the housing closes the open end of the third cavity, so that the open end of the third cavity communicates only with the bottom hole.
  8. 根据权利要求7所述的皮下植入式医疗装置,其特征在于,所述皮下植入式医疗装置还包括围绕所述容置结构设置的第一密封件,所述基体通过所述第一密封件可分离地与所述壳体连接。The subcutaneous implantable medical device according to claim 7, characterized in that, the subcutaneous implantable medical device further comprises a first sealing member arranged around the accommodating structure, and the base body passes through the first sealing The component is detachably connected with the housing.
  9. 根据权利要求7所述的皮下植入式医疗装置,其特征在于,所述穿刺单元还包括与所述穿刺针连接的针座以及围绕所述穿刺针设置的第二密封件,所述针座通过所述第二密封件可分离地与所述壳体连接。The subcutaneous implantable medical device according to claim 7, wherein the puncture unit further comprises a needle seat connected to the puncture needle and a second sealing member arranged around the puncture needle, the needle seat The second seal is detachably connected to the housing.
  10. 根据权利要求7所述的皮下植入式医疗装置,其特征在于,所述皮下植入式医疗装置还包括助针单元,所述助针单元与所述穿刺单元连接,用于驱动所述穿刺针沿所述传感植入部的延伸方向可活动地穿出所述底孔;所述助针单元可拆卸地与所述基体连接。The subcutaneous implantable medical device according to claim 7, characterized in that, the subcutaneous implantable medical device further comprises a needle assisting unit connected to the puncture unit for driving the puncture The needle can movably pass through the bottom hole along the extension direction of the sensing implant part; the needle assisting unit is detachably connected with the base body.
  11. 根据权利要求7所述的皮下植入式医疗装置,其特征在于,所述容置结构允许辐照射线进入所述第三腔体。The subcutaneous implantable medical device according to claim 7, wherein the accommodating structure allows radiation to enter the third cavity.
  12. 一种辐照灭菌屏蔽装置,其特征在于,用于在辐照灭菌时保护根据权利要求7~10中任一项所述的皮下植入式医疗装置;所述辐照灭菌屏蔽装置包括屏蔽体和透射结构;所述屏蔽体沿辐照射线的方向至少遮蔽所述电路组件;所述透射结构允许辐照射线通过,且所述透射结构与所述容置结构沿所述传感植入部的延伸方向对齐设置。A radiation sterilization shielding device, characterized in that it is used to protect the subcutaneous implantable medical device according to any one of claims 7-10 during radiation sterilization; the radiation sterilization shielding device It includes a shielding body and a transmission structure; the shielding body at least shields the circuit assembly along the direction of the radiation; the transmission structure allows the radiation radiation to pass through, and the transmission structure and the accommodating structure along the sensing The extending directions of the implanted parts are arranged in alignment.
  13. 根据权利要求11所述的辐照灭菌屏蔽装置,其特征在于,所述辐照灭菌屏蔽装置包括:定位体,所述定位体具有第四腔体,所述第四腔体用于容置所述皮下植入式医疗装置;所述定位体与所述屏蔽体可拆卸地连接,以限制所述皮下植入式医疗装置的位置。The radiation sterilization shielding device according to claim 11, characterized in that, the radiation sterilization shielding device comprises: a positioning body, the positioning body has a fourth cavity, and the fourth cavity is used to accommodate The subcutaneous implantable medical device is placed; the positioning body is detachably connected with the shielding body to limit the position of the subcutaneous implantable medical device.
PCT/CN2022/128531 2021-12-29 2022-10-31 Subcutaneously implantable medical unit, subcutaneously implantable medical device, and irradiation sterilization shielding device WO2023124496A1 (en)

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