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    • 1. 发明申请
    • METHODS FOR PROTECTING TISSUES AND ORGANS FROM ISCHEMIC DAMAGE
    • 保护组织和器官免受间质损伤的方法
    • WO1994021195A1
    • 1994-09-29
    • PCT/US1994002854
    • 1994-03-15
    • GENSIA, INC.DOWNEY, James, M.MULLANE, Kevin, M.
    • GENSIA, INC.
    • A61F02/02
    • A61K31/70Y10S514/936A61K31/52A61K2300/00
    • Methods for protecting tissues and organs including the heart central nervous system, and kidney from ischemic damage are described and claimed based upon the recognition that protection against infarction is mediated by A3 rather than A1 adenosine receptors, as was previously thought, and that the receptor mediating protection in other organs and tissues has not been defined. Methods for selectively stimulating A3 adenosine receptors are described and claimed, as such selection is shown to prevent or substantially reduce cell death resulting from ischemia with or without reperfusion in humans. According to this invention, the A3 adenosine receptor is selectively stimulated by administering a compound which is an A3 adenosine receptor-selective agonist. Prevention of tissue death is also achieved by administering a compound which is a non-selective adenosine receptor agonist together with compounds that act as antagonists to the A1 and A2 adenosine receptor.
    • 基于以前认为由APC而不是A1腺苷受体介导的对梗塞的保护的认识描述和要求保护包括心脏中枢神经系统在内的组织和器官以及来自缺血性损伤的肾脏的方法,并且受体介导 其他器官和组织的保护尚未定义。 描述和要求保护选择性刺激A3腺苷受体的方法,因为这样的选择被证明可预防或显着减少由于在人或不伴有再灌注的局部缺血导致的细胞死亡。 根据本发明,通过给予作为A3腺苷受体选择性激动剂的化合物来选择性地刺激A3腺苷受体。 还通过将作为非选择性腺苷受体激动剂的化合物与作为Aβ和腺苷受体的拮抗剂的化合物一起施用来预防组织死亡。
    • 3. 发明申请
    • METHOD AND APPARATUS FOR CLOSED LOOP DRUG DELIVERY
    • 闭环式药物递送的方法和装置
    • WO1993014807A2
    • 1993-08-05
    • PCT/US1993000676
    • 1993-01-19
    • GENSIA, INC.
    • GENSIA, INC.VALCKE, Christian, PaulBOCHENKO, Walter, JohnHILLMAN, Robert, Steven
    • A61M31/00
    • A61M5/1723A61M2230/06G06F19/00G06F19/3468G06F19/3481G16H50/50Y10S128/12Y10S128/13A61M2230/005
    • A closed-loop drug delivery system uses patient response and rule based decision making methods to achieve operator specified responses for diagnostic purposes. In the preferred embodiment, cardiac diagnosis is performed by pharmacologically stressing the heart by administration of an exercise simulating agent drug. In the preferred method, a protocol is defined, which preferably includes a target for a physiologic variable, such as heart rate, and a plan to achieve that target value. Preferably, the plan includes a specification of the desired rate of increase in that variable, such as the rate of increase in the heart rate per minute. The plan comprises the desired changes in the physiologic variable as a function of time. While any desired function may be used, the more common modes include RAMP, HOLD, LEVEL and TARGET mode. In one aspect of this invention, the protocol may be varied by the operator after drug administration has begun. Futher, in one embodiment, the protocol includes a definition of an acceptable zone of deviation from the plan, such that if the patient physiologic variable deviates from the permissible zone, alternate control rules are implemented. Preferably, saturation detection and avoidance is implemented.
    • 闭环药物递送系统使用患者反应和基于规则的决策方法来实现用于诊断目的的操作者指定的反应。 在优选实施例中,通过施用运动模拟剂药物对心脏进行药理学应激来进行心脏诊断。 在优选的方法中,定义了一种方案,其优选地包括生理变量的目标,例如心率,以及实现该目标值的计划。 优选地,该计划包括该变量所需的增加速率的规格,例如每分钟心率增加的速率。 该计划包括作为时间的函数的生理变量的期望变化。 虽然可以使用任何所需的功能,但更常见的模式包括RAMP,HOLD,LEVEL和TARGET模式。 在本发明的一个方面,药物施用开始后,操作者可以改变方案。 此外,在一个实施方案中,该方案包括与该计划的偏差的可接受区域的定义,使得如果患者生理变量偏离允许区域,则实施替代控制规则。 优选地,实现饱和度检测和避免。
    • 5. 发明申请
    • FEEDBACK CONTROLLED DRUG DELIVERY SYSTEM
    • 反馈控制药物递送系统
    • WO1996025186A2
    • 1996-08-22
    • PCT/US1996001221
    • 1996-01-30
    • GENSIA, INC.
    • GENSIA, INC.HILLMAN, Robert, StevenVALCKE, Christian, P.GAUTHIER, Robert, T.GORIN, Michael, Morduch
    • A61M00/00
    • G01N33/4905A61M5/1723A61M39/105A61M39/16A61M2005/1403A61M2202/0478A61M2230/20G01N33/48707G06F19/00A61M2202/0007
    • A feedback controlled drug delivery system includes automated blood sampling and analysis and dosing of the patient. Automated sampling is performed by direct analysis of patient blood, such as for measurement of its coagulation state. A novel manifold includes a fluid input port, a patient port adapted to output fluid and to receive a blood sample from the patient, and a fluid pathway connecting the fluid port and the patient port. A sample line is connected to the fluid pathway to provide the sample to an analyzer. In one aspect of this invention, the sample is forced through the sample line by isolating the patient port, such as by a valve, and non-drug fluid is forced into the manifold causing the blood to cross through the sample line. In another embodiment, an integrated assembly includes an integrated peristaltic pump, valve assembly, selectively movable actuator and integrated waste container. In one aspect, the peristaltic pump permits retraction of the rollers away from the inner circumference of the pump, so as to reduce deformation of the peri-pump tube and to permit sterilization.
    • 反馈控制的药物递送系统包括患者的自动血液取样和分析和给药。 通过直接分析患者血液进行自动采样,例如用于测量其凝血状态。 新颖的歧管包括流体输入端口,适于输出流体并从患者接收血液样本的患者端口以及连接流体端口和患者端口的流体通路。 样品管线连接到流体通道以将样品提供给分析仪。 在本发明的一个方面,样品通过例如通过阀门隔离患者端口而被迫通过样品管线,并且非药物流体被迫进入歧管中,导致血液穿过样品管线。 在另一个实施例中,集成组件包括集成的蠕动泵,阀组件,选择性地可移动致动器和集成的废物容器。 在一个方面,蠕动泵允许辊离开泵的内周回缩,以便减少周围泵管的变形并允许灭菌。