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CN116035800B - A subcutaneous implantable transsemicircular canal inner ear repeated drug delivery device - Google Patents

A subcutaneous implantable transsemicircular canal inner ear repeated drug delivery device Download PDF

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CN116035800B
CN116035800B CN202310342881.4A CN202310342881A CN116035800B CN 116035800 B CN116035800 B CN 116035800B CN 202310342881 A CN202310342881 A CN 202310342881A CN 116035800 B CN116035800 B CN 116035800B
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drug delivery
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delivery device
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CN116035800A (en
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杜政德
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Beijing Friendship Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F11/00Methods or devices for treatment of the ears or hearing sense; Non-electric hearing aids; Methods or devices for enabling ear patients to achieve auditory perception through physiological senses other than hearing sense; Protective devices for the ears, carried on the body or in the hand
    • A61F11/20Ear surgery
    • 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
    • A61M31/00Devices for introducing or retaining media, e.g. remedies, in cavities of the body
    • A61M31/002Devices for releasing a drug at a continuous and controlled rate for a prolonged period of time
    • 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
    • A61M2210/00Anatomical parts of the body
    • A61M2210/06Head
    • A61M2210/0662Ears

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  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

本发明涉及一种皮下植入式经半规管内耳重复给药装置,其包括:给药装置,用于精确推动微量给药器进行精确给药,其包括给药装置外壳和传动结构,所述传动结构设置在所述给药装置外壳内部;微量给药器,用于吸取治疗药物并将药物打出,将药物打入患者皮下;输药装置;其包括给药底座和给药导管,所述给药底座埋至患者耳后,给药导管设置在患者乳突内部,给药导管的末端插入半规管,所述给药导管与给药底座固定连接,给药导管与给药底座内部相通;所述微量给药器与输药装置可拆卸连接,所述微量给药器可连接导管扎入给药底座内部向其打药,可治疗内耳疾病。

The present invention relates to a subcutaneously implanted transsemicircular canal inner ear repeated drug delivery device, which includes: a drug delivery device for accurately pushing a micro-dosing device for precise drug delivery, which includes a drug delivery device shell and a transmission structure. The transmission device The structure is arranged inside the shell of the drug delivery device; a micro-dosing device is used to absorb therapeutic drugs and eject the drugs, and drive the drugs under the skin of the patient; a drug delivery device; which includes a drug delivery base and a drug delivery catheter. The drug base is buried behind the patient's ear, the drug administration catheter is placed inside the patient's mastoid, the end of the drug administration catheter is inserted into the semicircular canal, the drug administration catheter is fixedly connected to the drug administration base, and the drug administration catheter is connected to the inside of the drug administration base; The micro-dosing device is detachably connected to the drug delivery device. The micro-dosing device can be connected to a catheter and inserted into the inside of the drug delivery base to inject medicine thereto, thereby treating inner ear diseases.

Description

一种皮下植入式经半规管内耳重复给药装置A subcutaneous implantable transsemicircular canal inner ear repeated drug delivery device

技术领域Technical field

本发明属于医疗器械技术领域,具体涉及为一种皮下植入式经半规管内耳重复给药装置。The invention belongs to the technical field of medical devices, and specifically relates to a subcutaneous implantable trans-semicircular canal inner ear repeated drug delivery device.

背景技术Background technique

内耳又称迷路,包括半规管(外半规管、前半规管和后半规管)、前庭和耳蜗,迷路由一层膜性结构分为两部分,其外侧为骨质和膜性结构之间的间隙,The inner ear, also known as the labyrinth, includes the semicircular canals (external semicircular canal, anterior semicircular canal, and posterior semicircular canal), vestibule, and cochlea. The labyrinth is divided into two parts by a membranous structure, and the outer side is the gap between the bone and membranous structures.

称为骨迷路,其内充满外淋巴液,膜性结构内部为膜迷路,其内充满内淋巴液,内淋巴液的体积约34微升。内耳的感受器位于膜迷路,其周围的微环境为内淋巴液。内耳感受器包括位于半规管的壶腹,位于前庭的椭圆囊和球囊,位于耳蜗的毛细胞,内耳感受器主要感受直线和角加速度、重力和声音。内耳的病变和损伤可导致眩晕、耳鸣和耳聋,由于尚无有效内耳给药途径及给药装置,临床上多采用口服、静脉和中耳给药的方法予以治疗,由于药物的副作用,口服和静脉给药的剂量往往难以达到有效内耳药物浓度,具有基础疾病(高血压病、糖尿病和肾病等)的患者,口服和静脉给药更是受到很大限制。中耳给药虽然可实现局部给药目的,但由于中耳腔和鼻咽部通过咽鼓管沟通,药液常通过咽鼓管快速流出中耳腔,且中耳给药需要通过圆窗膜渗透,且渗透的药液只能到达内耳外淋巴液,但内耳感受器位于内淋巴液,因此药液还需跨过外淋巴液和内淋巴液之间的膜性结构这一屏障,难以达到内淋巴液中有效的药物浓度。目前虽然可以通过圆窗植入人工耳蜗电极,经电极侧孔实现内耳给药,但这种给药也是将药液释放进入外淋巴液,给药的目的主要是为了减轻电极植入引起的内耳炎症反应等。随着生物医药技术的发展,基因治疗、干细胞治疗和生物靶向治疗将更多地应用于内耳疾病,急需开发一种安全有效可重复的内耳给药装置。It is called the bony labyrinth, which is filled with perilymph. The inside of the membranous structure is the membranous labyrinth, which is filled with endolymph. The volume of endolymph is about 34 microliters. The receptors of the inner ear are located in the membranous labyrinth, and the microenvironment surrounding them is endolymph. The inner ear receptors include the ampulla located in the semicircular canals, the utricle and saccule located in the vestibule, and the hair cells located in the cochlea. The inner ear receptors mainly sense linear and angular acceleration, gravity, and sound. Inner ear lesions and injuries can lead to vertigo, tinnitus and deafness. Since there is no effective inner ear drug delivery route and drug delivery device, oral, intravenous and middle ear drug delivery methods are often used in clinical treatment. Due to the side effects of drugs, oral and The dosage of intravenous administration is often difficult to achieve effective inner ear drug concentration. For patients with underlying diseases (hypertension, diabetes, kidney disease, etc.), oral and intravenous administration are even more restricted. Although middle ear drug administration can achieve the purpose of local drug administration, since the middle ear cavity and nasopharynx communicate through the Eustachian tube, the medicinal liquid often flows out of the middle ear cavity quickly through the Eustachian tube, and middle ear drug administration needs to pass through the round window membrane. Penetration, and the infiltrated medicinal solution can only reach the perilymph of the inner ear, but the inner ear receptors are located in the endolymph, so the medicinal solution still needs to cross the barrier of the membranous structure between the perilymph and endolymph, making it difficult to reach the inner ear. Effective drug concentration in lymph fluid. Although cochlear implant electrodes can currently be implanted through the round window and drug delivery to the inner ear is achieved through the side hole of the electrode, this drug delivery also releases the drug solution into the perilymph. The purpose of drug delivery is mainly to reduce the pain in the inner ear caused by electrode implantation. Inflammatory response, etc. With the development of biomedical technology, gene therapy, stem cell therapy and biological targeted therapy will be more applied to inner ear diseases, and there is an urgent need to develop a safe, effective and reproducible inner ear drug delivery device.

本发明针对上述问题,提供一种皮下植入式经半规管内耳重复给药装置。In order to solve the above problems, the present invention provides a subcutaneous implantable trans-semicircular canal inner ear repeated drug administration device.

发明内容Contents of the invention

为了克服背景技术中提出的问题,本发明采用如下技术方案:In order to overcome the problems raised in the background technology, the present invention adopts the following technical solutions:

一种皮下植入式经半规管内耳重复给药装置,其包括:A subcutaneously implantable trans-semicircular canal inner ear repeated drug delivery device, which includes:

给药装置,用于精确推动微量给药器进行精确给药;其包括给药装置外壳和传动结构,所述传动结构设置在所述给药装置外壳内部;A drug delivery device is used to accurately push the micro-dosing device for precise drug administration; it includes a drug delivery device shell and a transmission structure, and the transmission structure is arranged inside the drug delivery device shell;

微量给药器,用于吸取治疗药物并将药物打出,将药物打入患者皮下的给药装置;药物为用于进行基因治疗、干细胞治疗或生物靶向治疗的药物;Micro-administrator is a drug delivery device used to absorb therapeutic drugs, dispense the drugs, and drive the drugs into the patient's skin; the drugs are drugs used for gene therapy, stem cell therapy, or biologically targeted therapy;

给药装置;其包括给药底座和给药导管,所述给药底座埋植患者耳后,给药导管设置在患者耳朵内部,给药导管的末端插入半规管,所述给药导管与给药底座固定连接,给药导管与给药底座内部相通;A drug administration device; it includes a drug administration base and a drug administration catheter. The drug administration base is embedded behind the patient's ear. The drug administration catheter is arranged inside the patient's ear. The end of the drug administration catheter is inserted into the semicircular canal. The drug administration catheter is connected to the drug administration catheter. The base is fixedly connected, and the administration conduit is internally connected with the administration base;

所述微量给药器与给药装置可拆卸连接,所述微量给药器可连接导管扎入给药底座内部向其打药,可治疗内耳疾病。The micro-dosing device is detachably connected to the drug-delivery device, and the micro-dosing device can be connected to a catheter and inserted into the inside of the drug-delivery base to inject medicine thereon, thereby treating inner ear diseases.

进一步,所述传动结构包括驱动电机、丝杠、固定板和移动块;所述固定块包括第一固定块和第二固定块;所述驱动电机与丝杠固定连接,所述固定板设置在丝杠两侧,所述丝杠与固定板转动连接,所述移动块设置在第一固定板与第二固定板之间,移动块与丝杠活动连接。Further, the transmission structure includes a driving motor, a screw, a fixed plate and a moving block; the fixed block includes a first fixed block and a second fixed block; the driving motor is fixedly connected to the screw, and the fixed plate is arranged on On both sides of the screw, the screw is rotatably connected to the fixed plate, the moving block is disposed between the first fixed plate and the second fixed plate, and the moving block is movably connected to the screw.

进一步,所述驱动电机底部设置安装板,所述安装板上设置至少两个固定孔,驱动电机固定在给药装置外壳底部内侧,所述给药装置外壳底部内侧设置与固定孔适配的孔。Further, a mounting plate is provided at the bottom of the driving motor, and at least two fixing holes are provided on the mounting plate. The driving motor is fixed on the inside of the bottom of the housing of the drug delivery device, and a hole that matches the fixing hole is provided on the inside of the bottom of the housing of the drug delivery device. .

进一步,所述丝杠的长度大于第一固定块和第二固定块之间的距离。Further, the length of the screw is greater than the distance between the first fixed block and the second fixed block.

进一步,所述第一固定块和第二固定块中心设置通孔,所述通孔直径大于丝杠的直径,通孔内部均配置轴承,所述丝杠安装在轴承上,丝杠第二端伸出第二固定块的通孔与驱动电机固定连接。Further, a through hole is provided in the center of the first fixed block and the second fixed block. The diameter of the through hole is larger than the diameter of the screw. Bearings are arranged inside the through holes. The screw is installed on the bearing. The second end of the screw is The through hole extending out of the second fixed block is fixedly connected to the drive motor.

进一步,所述第一固定块和第二固定块之间设置至少一个光杆;可选地,第一固定块和第二固定块之间设置两个光杆。Further, at least one polished rod is provided between the first fixed block and the second fixed block; optionally, two polished rods are provided between the first fixed block and the second fixed block.

进一步,所述移动块中心设置螺纹孔,所述螺纹孔与丝杠上的螺纹适配,移动块上设置与光杆适配的通孔;移动块设置在第一固定块和第二固定块之间之间,丝杠穿过螺纹孔,光杆穿过通孔;上述设置保证了丝杠转动时移动块可在第一固定块和第二固定块之间运动。Further, a threaded hole is provided in the center of the moving block, the threaded hole is adapted to the thread on the screw, and a through hole adapted to the polished rod is provided on the moving block; the moving block is arranged between the first fixed block and the second fixed block. Between the screws, the screw passes through the threaded hole, and the polished rod passes through the through hole; the above arrangement ensures that the moving block can move between the first fixed block and the second fixed block when the screw rotates.

进一步,所述移动块靠近给药装置外壳前侧面的一侧设置一连接杆,所述连接杆后端设置一打药块,所述打药块侧面设置一T型槽,所述T型槽贯穿打药块。Further, a connecting rod is provided on one side of the moving block close to the front side of the drug delivery device casing, a spraying block is provided on the rear end of the connecting rod, a T-shaped groove is provided on the side of the spraying block, and the T-shaped groove runs through the spraying block. piece.

进一步,所述给药装置外壳前侧面设置一槽型通孔,所述槽型通孔长度设置为与移动块的运动范围的长度相同。Furthermore, a groove-shaped through hole is provided on the front side of the housing of the drug delivery device, and the length of the groove-shaped through hole is set to be the same as the length of the movement range of the moving block.

进一步,所述给药装置外壳前侧面槽型通孔侧面设置一弧形凹槽,所述弧形凹槽的弧度为120-180度,弧形凹槽与槽型通孔连接处设置一圆形凹槽,所述圆形凹槽垂直于给药装置外壳前侧面;可选地,弧形凹槽的弧度设置为180度。Further, an arc-shaped groove is provided on the side of the groove-shaped through hole on the front side of the shell of the drug delivery device, the arc of the arc-shaped groove is 120-180 degrees, and a circle is provided at the connection between the arc-shaped groove and the groove-shaped through hole. The circular groove is perpendicular to the front side of the drug delivery device housing; optionally, the arc of the arcuate groove is set to 180 degrees.

进一步,所述给药装置外壳弧形凹槽下侧设置一卡死结构,所述卡死结构包括圆柱杆和卡死块;所述卡死块为长条状,所述卡死块的任意一侧设置一圆孔,所述卡死块设置在圆柱杆上,卡死块可沿着圆柱杆转动;所述卡死块与圆柱杆之间有摩擦力,在非人为操作时不会发生相对转动。Further, a blocking structure is provided on the lower side of the arc-shaped groove of the shell of the drug delivery device. The blocking structure includes a cylindrical rod and a blocking block; the blocking block is in the shape of a long strip, and any part of the blocking block is A round hole is provided on one side, and the blocking block is arranged on the cylindrical rod, and the blocking block can rotate along the cylindrical rod; there is friction between the blocking block and the cylindrical rod, which will not occur without human operation. relative rotation.

进一步,所述给药装置外壳前侧面上部设置一显示屏,所述显示屏任意一侧设置开关和至少两个调节按钮,所述调节按钮可调节微量给药器的给药量和给药速度。Furthermore, a display screen is provided on the upper front side of the housing of the drug delivery device. A switch and at least two adjustment buttons are provided on either side of the display screen. The adjustment buttons can adjust the dosage and speed of the microdosing device. .

进一步,所述给药装置外壳内部设置控制系统,可控制驱动电机的转速和旋转时间,所述控制系统选用现有技术即可。Furthermore, a control system is provided inside the casing of the drug delivery device, which can control the rotation speed and rotation time of the drive motor. The control system can adopt existing technology.

进一步,所述给药装置外壳后端设置电源线,可为各个组件供电。Furthermore, a power cord is provided at the rear end of the housing of the drug delivery device to provide power to each component.

进一步,所述微量给药器包括注射筒、注射部分和注射管;所述注射筒内部为中空,所述注射部分配置与注射筒内部,所述注射部分与注射筒活动连接,所述注射管设置在注射筒前端,所述注射管与注射筒可拆卸链接。注射筒内容积为30-50微升,内耳感受器浸泡在内淋巴液内,所述内淋巴液的总量约为34微升。Further, the microadministrator includes a syringe, an injection part and a syringe; the inside of the syringe is hollow, the injection part is configured inside the syringe, the injection part is movably connected to the syringe, and the syringe It is arranged at the front end of the syringe barrel, and the syringe tube and the syringe barrel are detachably linked. The inner volume of the syringe is 30-50 microliters, and the inner ear receptors are immersed in the endolymph, and the total volume of the endolymph is approximately 34 microliters.

进一步,所述注射筒前端设置注射口,注射筒后端设置手持部,所述手持部可置入圆形凹槽内,所述注射筒的中间部分可置入弧形凹槽内,卡死结构可将注射筒固定,防止注射筒在注射药物时在弧形凹槽内掉出。Furthermore, the front end of the syringe barrel is provided with an injection port, and the rear end of the syringe barrel is provided with a hand-held part. The hand-held part can be placed in a circular groove, and the middle part of the syringe barrel can be placed in an arc-shaped groove to prevent it from being stuck. The structure can fix the syringe barrel and prevent the syringe barrel from falling out of the arc-shaped groove when injecting medicine.

进一步,所述注射部分包括活塞、连杆和按压部,所述连杆第一端与活塞固定连接,所述连杆第二端与按压部固定连接,所述活塞与注射筒的内径相同,上述设置保证了推动按压部可将注射筒内的药物压出。Further, the injection part includes a piston, a connecting rod and a pressing part, the first end of the connecting rod is fixedly connected to the piston, the second end of the connecting rod is fixedly connected to the pressing part, the inner diameter of the piston and the injection barrel is the same, The above arrangement ensures that the medicine in the syringe barrel can be pressed out by pushing the pressing part.

进一步,所述注射管第一端与注射口适配,所述注射管第二端设置一穿刺针。Further, the first end of the injection tube is adapted to the injection port, and the second end of the injection tube is provided with a puncture needle.

进一步,所述给药底座内部为中空,给药底座上部设置软质材料,所述软质材料可选用硅胶,穿刺针可扎入患者皮肤穿过软质材料,药物可注射入给药底座经过给药导管流经半规管,达到治疗的效果。Furthermore, the inside of the drug administration base is hollow, and a soft material is provided on the upper part of the drug administration base. The soft material can be silica gel. The puncture needle can be inserted into the patient's skin through the soft material, and the medicine can be injected into the drug administration base through The drug delivery catheter flows through the semicircular canals to achieve the therapeutic effect.

进一步,所述给药导管插入半规管的长度为8-16mm;可保证给药导管插入半规管时给药导管插得较深,不容易脱出;可选地,所述给药导管插入半规管的长度为10mm。Furthermore, the length of the drug administration catheter inserted into the semicircular canal is 8-16 mm; this ensures that when the drug administration catheter is inserted into the semicircular canal, the drug administration catheter is inserted deeply and is not easy to protrude; optionally, the length of the drug administration catheter inserted into the semicircular canal is: 10mm.

进一步,所述给药导管的直径0.1-0.3mm之间,可保证给药导管直径小于半规管的直径,给药导管可正常插入半规管。Furthermore, the diameter of the drug delivery catheter is between 0.1-0.3 mm, which ensures that the diameter of the drug delivery catheter is smaller than the diameter of the semicircular canal, and the drug delivery catheter can be inserted into the semicircular canal normally.

进一步,所述给药导管为柔软的材料,所述给药导管的前端设置为圆滑状,防止给药导管插入半规管后前端将半规管再次刺破,导致将药物打入外淋巴液,起不到治疗的作用。Furthermore, the drug administration catheter is made of soft material, and the front end of the drug administration catheter is set in a smooth shape to prevent the front end of the drug administration catheter from inserting into the semicircular canal from puncturing the semicircular canal again, causing the drug to be injected into the perilymph, which will not achieve the desired effect. The role of therapy.

进一步,在置入所述给药导管前,先在三个半规管中任意一个开一个窗口,所述窗口设置在靠近半规管壶腹的位置,在给药导管插入半规管时,导管插入的方向背离半规管的壶腹。Further, before inserting the drug administration catheter, a window is first opened in any one of the three semicircular canals, and the window is set close to the ampulla of the semicircular canal. When the drug administration catheter is inserted into the semicircular canal, the direction of insertion of the catheter is away from the semicircular canals. of ampulla.

进一步,在所述给药导管距离前端10mm处设置一膨大部,所述膨大部直径大于半规管的窗口的直径;上述设置保证了给药导管置入后膨大部可卡在半规管的窗口处,防止内淋巴液外漏,亦可防止给药导管在半规管内滑脱,这样对壶腹内部感受器的骚扰是最小的。Furthermore, an enlarged portion is provided 10 mm from the front end of the drug delivery catheter, and the diameter of the enlarged portion is larger than the diameter of the window of the semicircular canal; the above arrangement ensures that the expanded portion can be stuck at the window of the semicircular canal after the drug delivery catheter is inserted, preventing The leakage of endolymph fluid can also prevent the drug delivery catheter from slipping in the semicircular canal, thus minimizing the disturbance to the internal receptors in the ampulla.

进一步,植入时需使用动力钻磨除部分乳突骨质,暴露外半规管、前半规管和后半规管三个半规管中任意一个,并磨除半规管部分骨质进行开窗,暴露膜半规管,在三个半规管的窗口处,显微尖针挑开膜半规管放置药物导管,为避免对内耳感受器的刺激,应背离壶腹方向插入;所述给药导管总长度设置为150mm,输液管可在乳突腔内进行盘曲。Furthermore, during implantation, a power drill needs to be used to remove part of the mastoid bone to expose any one of the three semicircular canals: the lateral semicircular canal, the anterior semicircular canal, and the posterior semicircular canal. Part of the bone in the semicircular canal must be removed to open a window to expose the membranous semicircular canal. At the window of each semicircular canal, a microscopic needle is used to open the membranous semicircular canal and place the drug catheter. In order to avoid irritation to the inner ear receptors, the drug catheter should be inserted away from the ampulla; the total length of the drug administration catheter is set to 150mm, and the infusion tube can be placed in the mastoid The cavity is coiled.

本发明的有益效果:本发明通过设置给药装置,可对患者内耳进行可重复的精确的微量给药,为内耳疾病的药物治疗提供了可靠的给药途径。Beneficial effects of the present invention: By setting up a drug delivery device, the present invention can perform repeatable and precise micro-administration to the patient's inner ear, and provides a reliable drug administration route for drug treatment of inner ear diseases.

附图说明Description of the drawings

图1为本发明整体的结构示意图;Figure 1 is a schematic diagram of the overall structure of the present invention;

图2为本发明给药装置和微量给药器配合的结构示意图;Figure 2 is a schematic structural diagram of the cooperation between the drug delivery device and the micro-dosing device of the present invention;

图3为本发明给药装置的结构示意图;Figure 3 is a schematic structural diagram of the drug delivery device of the present invention;

图4为本发明微量给药器安装在给药装置上时的剖视结构示意图;Figure 4 is a schematic cross-sectional structural view of the micro-dosing device of the present invention when it is installed on a drug delivery device;

图5为本发明给药装置的剖视结构示意图;Figure 5 is a schematic cross-sectional structural view of the drug delivery device of the present invention;

图6为本发明移动块的结构示意图;Figure 6 is a schematic structural diagram of the moving block of the present invention;

图7为本发明微量给药器的结构示意图;Figure 7 is a schematic structural diagram of the micro-dosing device of the present invention;

图8为本发明给药装置的结构示意图;Figure 8 is a schematic structural diagram of the drug delivery device of the present invention;

图9为本发明给药装置的剖视结构示意图;Figure 9 is a schematic cross-sectional structural view of the drug delivery device of the present invention;

图10为本发明给药装置置入皮下后的结构示意图;Figure 10 is a schematic structural diagram of the drug delivery device of the present invention after it is placed under the skin;

图中,1、给药装置外壳;2、微量给药器;3、给药底座;4、给药导管;5、驱动电机;6、丝杠;7、固定板;8、移动块;9、光杆;10、螺纹孔;11、连接杆;12、打药块;13、槽型通孔;14、弧形凹槽;15、圆形凹槽;16、圆柱杆;17、卡死块;18、显示屏;19、开关;20、调节按钮;21、电源线;22、注射筒;23、注射部分;24、T型槽;25、注射管;26、手持部;27、活塞;28、连杆;29、按压部;30、穿刺针;31、壶腹;32、半规管。In the figure, 1. Administration device shell; 2. Micro-administration device; 3. Administration base; 4. Administration catheter; 5. Drive motor; 6. Lead screw; 7. Fixed plate; 8. Moving block; 9 , Polished rod; 10. Threaded hole; 11. Connecting rod; 12. Spraying block; 13. Grooved through hole; 14. Arc groove; 15. Circular groove; 16. Cylindrical rod; 17. Stuck block; 18. Display screen; 19. Switch; 20. Adjustment button; 21. Power cord; 22. Syringe barrel; 23. Injection part; 24. T-shaped slot; 25. Injection tube; 26. Hand-held part; 27. Piston; 28 , connecting rod; 29, pressing part; 30, puncture needle; 31, ampulla; 32, semicircular canal.

具体实施方式Detailed ways

以下通过特定的具体实施例对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例,本领域技术人员可由本说明书所揭露的内容轻易地了解本发明的其他优点与功效。本发明还可以通过另外不同的具体实施方式加以实施或应用,在不冲突的情况下,以下实施例及实施例中的特征可以相互组合,基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The following is a clear and complete description of the technical solutions in the embodiments of the present invention through specific specific embodiments. Obviously, the described embodiments are only some of the embodiments of the present invention, not all of the embodiments. Those skilled in the art can refer to this Other advantages and effects of the present invention can be easily understood from the content disclosed in the specification. The present invention can also be implemented or applied through other different specific implementations. In the case of no conflict, the following embodiments and the features in the embodiments can be combined with each other. Based on the embodiments of the present invention, those of ordinary skill in the art can All other embodiments obtained without creative efforts belong to the scope of protection of the present invention.

实施例1Example 1

请参照图1-10,本实施例中的一种皮下植入式经半规管32内耳重复给药装置,其包括:Please refer to Figures 1-10. In this embodiment, a subcutaneously implantable inner ear repeated drug administration device through the semicircular canal 32 includes:

给药装置,用于精确推动微量给药器2进行精确给药;其包括给药装置外壳1和传动结构,传动结构设置在给药装置外壳1内部。The drug delivery device is used to accurately push the micro-dosing device 2 for accurate drug administration; it includes a drug delivery device housing 1 and a transmission structure, and the transmission structure is arranged inside the drug delivery device housing 1 .

微量给药器2,用于吸取治疗药物并将药物打出,将药物打入患者皮下的给药装置。The micro-administrator 2 is a drug delivery device used to absorb therapeutic drugs, eject the drugs, and drive the drugs into the patient's skin.

给药装置;其包括给药底座3和给药导管4,给药底座3埋植患者耳后,给药导管4设置在患者耳朵内部,给药导管4的末端插入半规管32,给药导管4与给药底座3固定连接,给药导管4与给药底座3内部相通。Drug administration device; it includes a drug administration base 3 and a drug administration catheter 4. The drug administration base 3 is implanted behind the patient's ear. The drug administration catheter 4 is installed inside the patient's ear. The end of the drug administration catheter 4 is inserted into the semicircular canal 32. The drug administration catheter 4 It is fixedly connected to the drug administration base 3, and the drug administration conduit 4 communicates with the inside of the drug administration base 3.

微量给药器2与给药装置可拆卸连接,微量给药器2可连接导管扎入给药底座3内部向其打药,可治疗内耳疾病。The micro-dosing device 2 is detachably connected to the drug-delivery device. The micro-dosing device 2 can be connected to a catheter and inserted into the inside of the drug-delivery base 3 to inject medicine thereto, thereby treating inner ear diseases.

实施例2Example 2

请参照图1-6,在实施例1的基础上,本实施例增加以下技术特征:(对给药装置的结构进行以下具体设置):传动结构包括驱动电机5、丝杠6、固定板7和移动块8;固定块包括第一固定块和第二固定块;驱动电机5与丝杠6固定连接,固定板7设置在丝杠6两侧,丝杠6与固定板7转动连接,移动块8设置在第一固定板7与第二固定板7之间,移动块8与丝杠6活动连接。Please refer to Figures 1-6. Based on Embodiment 1, this embodiment adds the following technical features: (The structure of the drug delivery device is set as follows): The transmission structure includes a drive motor 5, a screw 6, and a fixed plate 7 and the moving block 8; the fixed block includes a first fixed block and a second fixed block; the driving motor 5 is fixedly connected to the screw 6, the fixed plates 7 are arranged on both sides of the screw 6, the screw 6 is rotationally connected to the fixed plate 7, and the moving The block 8 is arranged between the first fixed plate 7 and the second fixed plate 7 , and the moving block 8 is movably connected with the screw 6 .

驱动电机5底部设置安装板,安装板上设置至少两个固定孔,驱动电机5固定在给药装置外壳1底部内侧,给药装置外壳1底部内侧设置与固定孔适配的孔。A mounting plate is provided at the bottom of the driving motor 5, and at least two fixing holes are provided on the mounting plate. The driving motor 5 is fixed on the inside of the bottom of the drug delivery device casing 1, and holes that match the fixing holes are provided on the inside of the bottom of the drug delivery device casing 1.

丝杠6的长度大于第一固定块和第二固定块之间的距离。The length of the screw 6 is greater than the distance between the first fixed block and the second fixed block.

第一固定块和第二固定块中心设置通孔,通孔直径大于丝杠6的直径,通孔内部均配置轴承,丝杠6安装在轴承上,丝杠6第二端伸出第二固定块的通孔与驱动电机5固定连接。A through hole is provided in the center of the first fixed block and the second fixed block. The diameter of the through hole is larger than the diameter of the screw 6. Bearings are arranged inside the through holes. The screw 6 is installed on the bearing. The second end of the screw 6 extends out of the second fixed block. The through hole of the block is fixedly connected with the drive motor 5.

第一固定块和第二固定块之间设置至少一个光杆9;可选地,第一固定块和第二固定块之间设置两个光杆9。At least one polished rod 9 is provided between the first fixed block and the second fixed block; optionally, two polished rods 9 are provided between the first fixed block and the second fixed block.

移动块8中心设置螺纹孔10,螺纹孔10与丝杠6上的螺纹适配,移动块8上设置与光杆9适配的通孔;移动块8设置在第一固定块和第二固定块之间之间,丝杠6穿过螺纹孔10,光杆9穿过通孔;上述设置保证了丝杠6转动,移动块8可在第一固定块和第二固定块之间运动。A threaded hole 10 is provided in the center of the moving block 8, and the threaded hole 10 is adapted to the thread on the screw 6. A through hole is provided on the moving block 8 to adapt to the polished rod 9; the moving block 8 is provided on the first fixed block and the second fixed block. Between them, the screw 6 passes through the threaded hole 10, and the polished rod 9 passes through the through hole; the above arrangement ensures that the screw 6 rotates, and the moving block 8 can move between the first fixed block and the second fixed block.

移动块8靠近给药装置外壳1前侧面的一侧设置一连接杆11,连接杆11后端设置一打药块12,打药块12侧面设置一T型槽24,T型槽24贯穿打药块12。A connecting rod 11 is provided on the side of the moving block 8 close to the front side of the drug delivery device shell 1. A spraying block 12 is provided at the rear end of the connecting rod 11. A T-shaped groove 24 is provided on the side of the spraying block 12. The T-shaped groove 24 passes through the spraying block 12. .

给药装置外壳1前侧面设置一槽型通孔13,槽型通孔13长度设置为移动块8的运动范围。A groove-shaped through hole 13 is provided on the front side of the housing 1 of the drug delivery device, and the length of the groove-shaped through hole 13 is set to the movement range of the moving block 8 .

给药装置外壳1前侧面槽型通孔13侧面设置一弧形凹槽14,弧形凹槽14的弧度为120-180度,弧形凹槽14与槽型通孔13连接处设置一圆形凹槽15,圆形凹槽15垂直于给药装置外壳1前侧面;可选地,弧形凹槽14的弧度设置为180度。An arc-shaped groove 14 is provided on the side of the groove-shaped through hole 13 on the front side of the drug delivery device housing 1. The arc groove 14 has a curvature of 120-180 degrees. A circle is provided at the connection between the arc-shaped groove 14 and the groove-shaped through hole 13. The circular groove 15 is perpendicular to the front side of the drug delivery device housing 1; optionally, the arc of the arcuate groove 14 is set to 180 degrees.

给药装置外壳1弧形凹槽14下侧设置一卡死结构,卡死结构包括圆柱杆16和卡死块17;卡死块17为长条状,卡死块17的任意一侧设置一圆孔,卡死块17设置在圆柱杆16上,卡死块17可沿着圆柱杆16转动;卡死块17与圆柱杆16之间有摩擦力,在非人为操作时不会发生相对转动。A blocking structure is provided on the lower side of the arc-shaped groove 14 of the housing 1 of the drug delivery device. The blocking structure includes a cylindrical rod 16 and a blocking block 17; the blocking block 17 is in the shape of a long strip, and a blocking structure is provided on either side of the blocking block 17. round hole, the blocking block 17 is set on the cylindrical rod 16, the blocking block 17 can rotate along the cylindrical rod 16; there is friction between the blocking block 17 and the cylindrical rod 16, and relative rotation will not occur without human operation. .

给药装置外壳1前侧面上部设置一显示屏18,显示屏18任意一侧设置开关19和至少两个调节按钮20,调节按钮20可调节微量给药器2的给药量和给药速度。A display screen 18 is provided on the upper front side of the drug delivery device housing 1. A switch 19 and at least two adjustment buttons 20 are provided on either side of the display screen 18. The adjustment buttons 20 can adjust the dosage and speed of the microdosing device 2.

给药装置外壳1内部设置控制系统,可控制驱动电机5的转速和旋转时间,控制系统选用现有技术即可。A control system is provided inside the housing 1 of the drug delivery device, which can control the rotation speed and rotation time of the drive motor 5. The control system can adopt existing technology.

给药装置外壳1后端设置电源线21,可为各个组件供电。A power cord 21 is provided at the rear end of the housing 1 of the drug delivery device, which can provide power to each component.

实施例3Example 3

请参照图1-2,4,7,在实施例1-2的基础上,本实施例增加以下技术特征(对微量给药器2的结构进行以下具体设置):微量给药器2包括注射筒22、注射部分23和注射管25;注射筒22内部为中空,注射部分23配置与注射筒22内部,注射部分23与注射筒22活动连接,注射管25设置在注射筒22前端,注射管25与注射筒22可拆卸链接。注射筒22内容积为30-50微升,内耳感受器浸泡在内淋巴液内,内淋巴液的总量约为34微升。Please refer to Figures 1-2, 4, and 7. On the basis of Embodiment 1-2, this embodiment adds the following technical features (the following specific settings are made to the structure of the microdosing device 2): The microdosing device 2 includes an injection Barrel 22, injection part 23 and injection tube 25; the inside of the injection tube 22 is hollow, the injection part 23 is arranged inside the injection tube 22, the injection part 23 is movably connected to the injection tube 22, the injection tube 25 is arranged at the front end of the injection tube 22, the injection tube 25 is detachably linked to the syringe barrel 22. The inner volume of the syringe 22 is 30-50 microliters. The inner ear receptors are immersed in the endolymph, and the total amount of endolymph is about 34 microliters.

注射筒22前端设置注射口,注射筒22后端设置手持部26,手持部26可置入圆形凹槽15内,注射筒22的中间部分可置入弧形凹槽14内,卡死结构可将注射筒22固定,防止注射筒22在注射药物时在弧形凹槽14内掉出。The front end of the syringe barrel 22 is provided with an injection port, and the rear end of the syringe barrel 22 is provided with a hand-held portion 26. The hand-held portion 26 can be placed in the circular groove 15, and the middle part of the syringe barrel 22 can be placed in the arc-shaped groove 14. The blocking structure The syringe barrel 22 can be fixed to prevent the syringe barrel 22 from falling out of the arcuate groove 14 when injecting medicine.

注射部分23包括活塞27、连杆28和按压部29,连杆28第一端与活塞27固定连接,连杆28第二端与按压部29固定连接,活塞27与注射筒22的内径相同,上述设置保证了推动按压部29可将注射筒22内的药物压出。The injection part 23 includes a piston 27, a connecting rod 28 and a pressing part 29. The first end of the connecting rod 28 is fixedly connected to the piston 27, and the second end of the connecting rod 28 is fixedly connected to the pressing part 29. The inner diameter of the piston 27 and the injection barrel 22 are the same. The above arrangement ensures that the medicine in the syringe barrel 22 can be pressed out by pushing the pressing part 29 .

注射管25第一端与注射口适配,注射管25第二端设置一穿刺针30。The first end of the injection tube 25 is adapted to the injection port, and the second end of the injection tube 25 is provided with a puncture needle 30 .

实施例4Example 4

请参照图1,8-10,在实施例1-3的基础上,本实施例增加以下技术特征(对给药装置的结构进行以下具体设置):给药底座3内部为中空,给药底座3上部设置软质材料,软质材料可选用硅胶,穿刺针30可扎入患者皮肤穿过软质材料,药物可注射入给药底座3经过给药导管4流经半规管32,达到治疗的效果。Please refer to Figures 1, 8-10. On the basis of Embodiments 1-3, this embodiment adds the following technical features (the structure of the drug delivery device is specifically set as follows): the interior of the drug delivery base 3 is hollow, and the drug delivery base 3 is hollow inside. 3. The upper part is provided with a soft material, and silicone can be used as the soft material. The puncture needle 30 can be inserted into the patient's skin and penetrated through the soft material, and the medicine can be injected into the drug delivery base 3 and flows through the semicircular canal 32 through the drug delivery catheter 4 to achieve the therapeutic effect. .

给药导管4插入半规管32的长度为8-16mm;可保证给药导管4插入半规管32时给药导管4插得较深,不容易脱出;可选地,给药导管4插入半规管32的长度为10mm。The length of the administration catheter 4 inserted into the semicircular canal 32 is 8-16 mm; this ensures that when the administration catheter 4 is inserted into the semicircular canal 32, the administration catheter 4 is inserted deeply and is not easy to protrude; optionally, the length of the administration catheter 4 inserted into the semicircular canal 32 is 10mm.

给药导管4的直径0.1-0.3mm之间,可保证给药导管4直径小于半规管32的直径,给药导管4可正常插入半规管32。The diameter of the drug delivery catheter 4 is between 0.1-0.3 mm, which ensures that the diameter of the drug delivery catheter 4 is smaller than the diameter of the semicircular canal 32 and the drug delivery catheter 4 can be inserted into the semicircular canal 32 normally.

给药导管4为柔软的材料,给药导管4的前端设置为圆滑状,防止给药导管4插入半规管32后前端将半规管32再次刺破,导致将药物打入外淋巴液,起不到治疗的作用。The drug administration catheter 4 is made of soft material, and the front end of the drug administration catheter 4 is set in a smooth shape to prevent the front end of the drug administration catheter 4 from being inserted into the semicircular canal 32 and puncturing the semicircular canal 32 again, causing the drug to be injected into the perilymph, and thus no treatment can be achieved. role.

在置入给药导管4前,先在三个半规管32中任意一个开一个窗口,窗口设置在靠近半规管32壶腹31的位置,在给药导管4插入半规管32时,导管插入的方向背离半规管32的壶腹31;优选地,最好选用外半规管32,其他两个半规管32在手术中暴露相对比较困难。Before inserting the drug administration catheter 4, first open a window in any one of the three semicircular canals 32, and the window is set close to the ampulla 31 of the semicircular canal 32. When the drug administration catheter 4 is inserted into the semicircular canal 32, the direction of the catheter insertion is away from the semicircular canals. 32 of the ampulla 31; preferably, the outer semicircular canal 32 is best selected, as the other two semicircular canals 32 are relatively difficult to expose during surgery.

在给药导管4距离前端10mm处设置一膨大部,膨大部直径大于半规管32窗口的直径;上述设置保证了给药导管4置入后膨大部可卡在半规管32的窗口处,防止给药导管4在半规管32内滑脱,这样对壶腹31内部感受器的骚扰是最小的。An enlarged portion is provided 10 mm away from the front end of the administration catheter 4. The diameter of the enlarged portion is larger than the diameter of the window of the semicircular canal 32; the above arrangement ensures that the enlarged portion can be stuck at the window of the semicircular canal 32 after the administration catheter 4 is inserted, preventing the administration catheter from being stuck in the window of the semicircular canal 32. 4 slips in the semicircular canal 32, so that the disturbance to the internal receptors of the ampulla 31 is minimal.

给药导管4植入前使用动力钻磨除部分乳突骨质,暴露外半规管32、前半规管32和后半规管32三个半规管32中任意一个,并磨除半规管32部分骨质进行开窗,暴露膜半规管32,在半规管32窗口处,显微尖针挑开膜半规管32放置给药导管,为避免对内耳感受器的刺激,应背离半规管32壶腹31方向插入给药导管4;给药导管4总长度设置为150mm,输液管可在乳突腔内进行盘曲。Before implanting the drug delivery catheter 4, use a power drill to remove part of the mastoid bone to expose any one of the three semicircular canals 32: the lateral semicircular canal 32, the anterior semicircular canal 32, and the posterior semicircular canal 32, and remove part of the bone of the semicircular canal 32 to open a window. Expose the membranous semicircular canal 32. At the window of the semicircular canal 32, use a microscopic needle to open the membranous semicircular canal 32 and place the drug delivery catheter. In order to avoid irritation to the inner ear receptors, the drug delivery catheter 4 should be inserted away from the ampulla 31 of the semicircular canal 32; the drug delivery catheter 4. The total length is set to 150mm, and the infusion tube can be coiled in the mastoid cavity.

先将给药装置安装固定于皮下后,给药导管4植入半规管32内部,微量给药器2抽入药物后,将微量给药器2连接在皮下的给药装置上,打药装置可调节打药量,调节好打药量后将微针给药器后端的穿刺针30刺入患者耳后皮肤,刺入至给药装置中。After the drug delivery device is first installed and fixed under the skin, the drug delivery catheter 4 is implanted inside the semicircular canal 32. After the micro-dosing device 2 draws in the drug, the micro-dosing device 2 is connected to the subcutaneous drug delivery device. The drug delivery device is adjustable. After adjusting the amount of medication, insert the puncture needle 30 at the rear end of the microneedle applicator into the patient's skin behind the ear and into the drug delivery device.

上述实施例的说明只是用于理解本发明。应当指出,对于本领域的普通技术人员来说,在不脱离本发明原理的前提下,还可以对本发明进行若干改进,这些改进也将落入本发明权利要求的保护范围内。The above embodiments are described only for the purpose of understanding the present invention. It should be noted that for those of ordinary skill in the art, several improvements can be made to the present invention without departing from the principle of the present invention, and these improvements will also fall within the protection scope of the claims of the present invention.

Claims (7)

1.一种皮下植入式经半规管内耳重复给药装置,其特征在于,包括:1. A subcutaneously implantable trans-semicircular canal inner ear repeated drug delivery device, characterized by comprising: 给药装置,用于精确推动微量给药器进行精确给药;其包括给药装置外壳和传动结构,所述传动结构设置在所述给药装置外壳内部;A drug delivery device is used to accurately push the micro-dosing device for precise drug administration; it includes a drug delivery device shell and a transmission structure, and the transmission structure is arranged inside the drug delivery device shell; 微量给药器,用于吸取治疗药物并将药物打出,将药物打入患者皮下;药物为用于进行基因治疗、干细胞治疗或生物靶向治疗的药物;Microapplicator is used to absorb and dispense therapeutic drugs, and inject the drugs under the patient's skin; the drugs are drugs used for gene therapy, stem cell therapy or biologically targeted therapy; 输药装置;其包括给药底座和给药导管,所述给药底座埋植患者耳后,给药导管设置在患者耳旁骨质内部,给药导管的末端插入半规管,所述给药导管与给药底座固定连接,给药导管与给药底座内部相通;A drug delivery device; it includes a drug delivery base and a drug delivery catheter. The drug delivery base is embedded behind the patient's ear. The drug delivery catheter is installed inside the bone next to the patient's ear. The end of the drug delivery catheter is inserted into the semicircular canal. The drug delivery catheter It is fixedly connected to the drug administration base, and the drug administration conduit is internally connected with the drug administration base; 所述微量给药器与输药装置可拆卸连接,所述微量给药器可连接导管扎入给药底座内部向其打药,治疗内耳疾病;The micro-dosing device is detachably connected to the drug delivery device, and the micro-dosing device can be connected to a catheter and inserted into the inside of the drug delivery base to inject medicine to treat inner ear diseases; 植入前,使用动力钻磨除部分乳突骨质,暴露外半规管、前半规管和后半规管三个半规管中任意一个,并磨除半规管部分骨质进行开窗,形成窗口,暴露膜半规管,窗口设置在靠近半规管壶腹的位置;在窗口处,显微尖针挑开膜半规管放置药物导管;插入时,背离半规管壶腹方向插入药物导管,用于避免对内耳感受器的刺激;所述给药导管插入半规管的长度为8-16mm;所述给药导管的直径0.1-0.3mm之间;所述给药导管为柔软的材料,所述给药导管的前端设置为圆滑状;在所述给药导管距离前端10mm处设置一膨大部,用于卡在半规管的窗口处;所述膨大部直径大于半规管窗口的直径;Before implantation, use a power drill to remove part of the mastoid bone to expose any one of the three semicircular canals: the lateral semicircular canal, the anterior semicircular canal, and the posterior semicircular canal. Part of the bone in the semicircular canal is removed to open a window to form a window, exposing the membranous semicircular canal and the window. Set at a position close to the ampulla of the semicircular canal; at the window, a microscopic needle opens the membranous semicircular canal to place the drug catheter; during insertion, insert the drug catheter away from the ampulla of the semicircular canal to avoid irritation to the inner ear receptors; the drug administration The length of the catheter inserted into the semicircular canal is 8-16 mm; the diameter of the drug administration catheter is between 0.1-0.3 mm; the drug administration catheter is made of soft material, and the front end of the drug administration catheter is set in a smooth shape; An enlarged portion is provided 10mm away from the front end of the drug catheter for being stuck at the window of the semicircular canal; the diameter of the enlarged portion is larger than the diameter of the semicircular canal window; 所述给药导管总长度设置为150mm,输液管在乳突腔内进行盘曲;所述给药底座内部为中空,给药底座上部设置软质材料,穿刺针可扎入患者皮肤穿过软质材料,药物可注射入给药底座经过给药导管流经半规管,达到治疗的效果;The total length of the drug delivery conduit is set to 150mm, and the infusion tube is coiled in the mastoid cavity; the interior of the drug delivery base is hollow, and a soft material is provided on the upper part of the drug delivery base, and the puncture needle can be inserted into the patient's skin and penetrated through the soft material. Materials, drugs can be injected into the drug delivery base and flow through the semicircular canals through the drug delivery catheter to achieve the therapeutic effect; 所述微量给药器包括注射筒、注射部分和注射管;所述注射筒内部为中空,所述注射部分配置于注射筒内部,所述注射部分与注射筒活动连接,所述注射管设置在注射筒前端,所述注射管与注射筒可拆卸连接;注射筒内容积为30-50微升。The micro-administerer includes a syringe, an injection part and a syringe; the inside of the syringe is hollow, the injection part is arranged inside the syringe, the injection part is movably connected to the syringe, and the syringe is arranged on The front end of the syringe barrel, the syringe tube and the syringe barrel are detachably connected; the inner volume of the syringe barrel is 30-50 microliters. 2.根据权利要求1所述的皮下植入式经半规管内耳重复给药装置,其特征在于,所述传动结构包括驱动电机、丝杠、固定板和移动块;所述固定板包括第一固定板和第二固定板;所述驱动电机与丝杠固定连接,所述固定板设置在丝杠两侧,所述丝杠与固定板转动连接,所述移动块设置在第一固定板与第二固定板之间,移动块与丝杠活动连接;所述驱动电机底部设置安装板,所述安装板上设置至少两个固定孔,驱动电机固定在给药装置外壳底部内侧,所述给药装置外壳底部内侧设置与固定孔适配的孔;所述丝杠的长度大于第一固定板和第二固定板之间的距离。2. The subcutaneous implantable trans-semicircular canal intraaural repeated drug administration device according to claim 1, characterized in that the transmission structure includes a drive motor, a lead screw, a fixed plate and a moving block; the fixed plate includes a first fixed plate and a second fixed plate; the driving motor is fixedly connected to the screw, the fixed plates are arranged on both sides of the screw, the screw is rotationally connected to the fixed plate, and the moving block is arranged between the first fixed plate and the second fixed plate. Between the two fixed plates, the moving block is movably connected to the lead screw; a mounting plate is provided at the bottom of the driving motor, and at least two fixing holes are provided on the mounting plate. The driving motor is fixed on the inside of the bottom of the drug delivery device shell. A hole matching the fixing hole is provided on the inside of the bottom of the device shell; the length of the screw is greater than the distance between the first fixing plate and the second fixing plate. 3.根据权利要求2所述的皮下植入式经半规管内耳重复给药装置,其特征在于,所述第一固定板和第二固定板中心设置通孔,所述通孔直径大于丝杠的直径,通孔内部均配置轴承,所述丝杠安装在轴承上,丝杠第二端伸出第二固定板的通孔与驱动电机固定连接;所述第一固定板和第二固定板之间设置至少一个光杆;第一固定板和第二固定板之间设置两个光杆;所述移动块中心设置螺纹孔,所述螺纹孔与丝杠上的螺纹适配,移动块上设置与光杆适配的通孔;移动块设置在第一固定板和第二固定板之间,丝杠穿过螺纹孔,光杆穿过通孔。3. The subcutaneously implantable trans-semicircular canal inner ear repeated drug administration device according to claim 2, characterized in that a through hole is provided in the center of the first fixed plate and the second fixed plate, and the diameter of the through hole is larger than that of the lead screw. diameter, the through holes are equipped with bearings inside, the screw is installed on the bearing, the second end of the screw extends out of the through hole of the second fixed plate and is fixedly connected to the drive motor; the first fixed plate and the second fixed plate are At least one polished rod is set between the first fixed plate and the second fixed plate; two polished rods are set between the first fixed plate and the second fixed plate; a threaded hole is set in the center of the moving block, the threaded hole is adapted to the thread on the screw, and the polished rod is set on the moving block. Adapted through holes; the moving block is arranged between the first fixed plate and the second fixed plate, the screw passes through the threaded hole, and the polished rod passes through the through hole. 4.根据权利要求2所述的皮下植入式经半规管内耳重复给药装置,其特征在于,所述移动块靠近给药装置外壳前侧面的一侧设置一连接杆,所述连接杆后端设置一打药块,所述打药块侧面设置一T型槽,所述T型槽贯穿打药块;所述给药装置外壳前侧面设置一槽型通孔,所述槽型通孔长度设置为与移动块的运动范围的长度相同;所述给药装置外壳前侧面槽型通孔侧面设置一弧形凹槽,所述弧形凹槽的弧度为120-180度,弧形凹槽与槽型通孔连接处设置一圆形凹槽,所述圆形凹槽垂直于给药装置外壳前侧面。4. The subcutaneous implantable trans-semicircular canal intraaural repeated drug administration device according to claim 2, characterized in that a connecting rod is provided on one side of the moving block close to the front side of the drug drug casing, and the rear end of the connecting rod A spraying block is provided, a T-shaped groove is provided on the side of the spraying block, and the T-shaped groove penetrates the spraying block; a groove-shaped through hole is provided on the front side of the housing of the drug delivery device, and the length of the groove-shaped through hole is set to be equal to The length of the movement range of the moving block is the same; an arc-shaped groove is provided on the side of the channel-shaped through hole on the front side of the shell of the drug delivery device, and the curvature of the arc-shaped groove is 120-180 degrees. A circular groove is provided at the through-hole connection, and the circular groove is perpendicular to the front side of the housing of the drug delivery device. 5.根据权利要求1所述的皮下植入式经半规管内耳重复给药装置,其特征在于,所述给药装置外壳弧形凹槽下侧设置一卡死结构,所述卡死结构包括圆柱杆和卡死块;所述卡死块为长条状,所述卡死块的任意一侧设置一圆孔,所述卡死块设置在圆柱杆上,卡死块可沿着圆柱杆转动;所述卡死块与圆柱杆之间有摩擦力。5. The subcutaneous implantable trans-semicircular canal intraaural repeated drug delivery device according to claim 1, characterized in that a blocking structure is provided on the lower side of the arc-shaped groove of the housing of the drug delivery device, and the blocking structure includes a cylinder. Rod and blocking block; the blocking block is in the shape of a long strip, a round hole is provided on either side of the blocking block, the blocking block is arranged on the cylindrical rod, and the blocking block can rotate along the cylindrical rod ; There is friction between the stuck block and the cylindrical rod. 6.根据权利要求1所述的皮下植入式经半规管内耳重复给药装置,其特征在于,所述给药装置外壳前侧面上部设置一显示屏,所述显示屏任意一侧设置开关和至少两个调节按钮,所述调节按钮可调节微量给药器的给药量和给药速度;所述给药装置外壳内部设置控制系统,可控制驱动电机的转速和旋转时间。6. The subcutaneously implantable trans-semicircular canal intraaural repeated drug delivery device according to claim 1, characterized in that a display screen is provided on the upper front side of the drug delivery device casing, and a switch and at least one switch are provided on any side of the display screen. There are two adjustment buttons, which can adjust the dosage and speed of the micro-dosing device; a control system is provided inside the housing of the drug delivery device, which can control the speed and rotation time of the drive motor. 7.根据权利要求5所述的皮下植入式经半规管内耳重复给药装置,其特征在于,所述注射筒前端设置注射口,注射筒后端设置手持部,所述手持部可置入圆形凹槽内,所述注射筒的中间部分可置入弧形凹槽内,卡死结构可将注射筒固定;所述注射部分包括活塞、连杆和按压部,所述连杆第一端与活塞固定连接,所述连杆第二端与按压部固定连接,所述活塞与注射筒的内径相同;所述注射管第一端与注射口适配,所述注射管第二端设置一穿刺针。7. The subcutaneous implantable trans-semicircular canal inner ear repeated drug administration device according to claim 5, characterized in that the front end of the syringe barrel is provided with an injection port, and the rear end of the syringe barrel is provided with a hand-held part, and the hand-held part can be inserted into a circular tube. In the shaped groove, the middle part of the syringe barrel can be placed in the arc-shaped groove, and the blocking structure can fix the syringe barrel; the injection part includes a piston, a connecting rod and a pressing part, and the first end of the connecting rod Fixedly connected to the piston, the second end of the connecting rod is fixedly connected to the pressing part, the inner diameter of the piston and the injection barrel is the same; the first end of the injection tube is adapted to the injection port, and the second end of the injection tube is provided with a puncture needle.
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