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Standard Reagent Kit For Dialysis Fluid Analysis, And Aqueous Solution For Standard Reagent, Dialysis Fluid, And Artificial Kidney Fluid Replenishment

Abstract: Relating to a standard reagent kit for dialysis fluid analysis, comprising (1) a vial A filled with an aqueous solution A including an electrolyte component that potentially reacts with carbonate ions to form a precipitate, and (2) a vial B filled with an aqueous solution B including hydrogen carbonate ions and/or carbonate ions, at least the vial B being a water-repellent resin vial, the present invention provides a standard reagent for dialysis fluid analysis, whereby precipitation over long periods of time is prevented and variation of the hydrogen carbonate ion content is suppressed, and whereby a complex procedure is not necessary for preparation thereof, handling thereof is simple, and checking after dialysis fluid preparation can be performed easily and accurately in a medical setting.

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Patent Information

Application #
Filing Date
07 March 2019
Publication Number
22/2019
Publication Type
INA
Invention Field
PHYSICS
Status
Email
patents@dpahuja.com
Parent Application

Applicants

NIPRO CORPORATION
3-9-3, Honjo-Nishi, Kita-ku, Osaka-shi, Osaka 5318510

Inventors

1. INOUE, Hiroyuki
c/o NIPRO CORPORATION, 3-9-3, Honjo-Nishi, Kita-ku, Osaka-shi, Osaka 5318510
2. SHIROUCHI, Yutaka
c/o NIPRO CORPORATION, 3-9-3, Honjo-Nishi, Kita-ku, Osaka-shi, Osaka 5318510
3. HIRATSUKA, Hiroyuki
#402, 3-54-1, Kamihama-cho, Tsu-shi, Mie 5140008
4. FUKUSHIMA, Hiroshi
c/o NIPRO CORPORATION, 3-9-3, Honjo-Nishi, Kita-ku, Osaka-shi, Osaka 5318510
5. NISHIYAMA, Kaname
c/o NIPRO CORPORATION, 3-9-3, Honjo-Nishi, Kita-ku, Osaka-shi, Osaka 5318510

Specification

Technical field
[0001]
 The present invention is a standard reagent kit for dialysate analysis, especially the handling is simple, for the standard reagent kit excellent in stability over time.
[0002]
 The present invention also provides an aqueous solution comprising at least one of bicarbonate and carbonate ions, standard reagent for dialysate analysis relates aqueous solution used in the dialysis solution or artificial kidney for fluid replacement was especially good stability It relates an aqueous solution containing at least one of bicarbonate and carbonate ions.
BACKGROUND
[0003]
 If the renal function to implement hemodialysis patients decreased, the patient's blood is purified in an artificial kidney. Perfused dialysate in the interior of the artificial kidney, through the dialysis membrane, be transferred is generally carried out waste products in the blood to the dialysate side. In recent years, as the dialysate, in order to reduce the burden on patients, instead of the conventional acetic acid dialysate, sodium bicarbonate containing dialysate with a reduced amount of acetic acid is widely used.
[0004]
 The sodium bicarbonate containing dialysate, electrolyte component (such as sodium chloride, potassium chloride, calcium chloride, magnesium chloride) not suitable for one-component reduction for insoluble compounds by reaction with the bicarbonate ions are produced, usually, the electrolyte components and pH adjusting agents (e.g. acetate) formulation comprising (hereinafter, referred to as "a agent") and concentrate formulations containing sodium bicarbonate (hereinafter, referred to as "B agent") the concentrated solution was poured into the dialysate supplying device together with the water , it is prepared by mixing and dilution. This A concentrate solution and B agent concentrate may be used those commercially available and each commercially available powders case is prepared by dissolving in water, or as a solution (aqueous solution) from the beginning.
[0005]
 Prepared dialysate is usually electrolyte concentration prior to use, pH, for such osmotic pressure, are used to confirm it is within the appropriate range. Specifically, as notes the preparation, 1) use to measure the electrolyte concentration of the dialysis liquid before they can be confirmed to be appropriate, 2) pH of the dialysate, the influence of such dilution water since in there may be slight variations, to ensure that the pH prior to use is within the range of 7.2-7.4, and 3) when osmometry dialysate, the osmotic pressure of physiological saline It was measured, and is like to correct the measured value. Also, as the dialysate supplying device manufacturers also notes and warnings, 1) verify that the actual concentration of the dialysate is formulated as before starting treatment osmometer, conductivity meter, by testing equipment, such as a flame photometer to it, 2) after completion of the washing, disinfecting or acid cleaning solution is is like be verified using the test paper and the test agent that does not remain in the liquid circuit. In any case, the confirmation of preparation spent dialysate concentration is an important consideration.
[0006]
 Confirmation of the prepared dialysate concentrations described above, flame photometry, atomic absorption spectrometry, ion selective electrode method (ISE) method has been performed due to the calibration of measuring instruments used in them, the common reference standard such fabricated calibration fluid is used as a reference. For example, Patent Document 1, in the electrolyte measuring apparatus according to the principles of the electrode method, a dedicated calibration solution is disclosed capable of ensuring the accuracy of the dialysate concentration.
CITATION
Patent Document
[0007]
Patent Document 1: JP 2010-271102 JP
Summary of the Invention
Problems that the Invention is to Solve
[0008]
 However, in the calibration solution for measuring instruments to check the prepared dialysate, sodium chloride, potassium chloride, calcium chloride, electrolyte component (A component), such as magnesium chloride and sodium bicarbonate (B component) there order in which a comorbid over time precipitation (CaCO 3 , MgCO 3 , etc.) or precipitation, is liable to changes or bicarbonate ion content, the storage stability is concerned. The calibration solution disclosed in Patent Document 1, in consideration of storage stability, but the calibration solution prepared is set to be熔封store weighed by 2.0mL capacity glass ampoule, precipitation or bicarbonate ion content of the precipitation It is not shown sufficient storage stability for the change.
[0009]
 In the calibration solution for checking the prepared dialysate, dissolution of the solid formulation when used as dialysate, without stepping on the troublesome procedures such as dilution of the concentrate, also allows the evaluation of the dialysate It is desired.
[0010]
 Accordingly, the present invention provides long time precipitation is prevented, the change in bicarbonate ion content is suppressed, a standard reagent for dialysate analysis, without the need for troublesome procedures for the preparation, handling is simple , and to provide a standard reagent for dialysate analysis allows the check after the dialysis solution preparation easily and accurately in the medical field.
Means for Solving the Problems
[0011]
 The present inventors have an electrolyte component which may react to form precipitates with carbonate ions, and a bicarbonate ion and carbonate ion and filled in separate vials standard reagent kits for dialysate analysis, this in standard reagent kit, the vial an aqueous solution is filled containing at least bicarbonate ions and carbonate ions by a water-repellent resin vials, long time can be prevented precipitation, also very easily and reliably mixed It found to be able to prepare a standard reagent for dialysate analysis Te, thus completing the first embodiment of the present invention.
[0012]
 Further, the present inventors have found that an electrolyte component which may react to form precipitates with carbonate ions, by filling the bicarbonate and carbonate ions in separate vials, even after long-term storage precipitated it is possible to suppress the precipitation and changes in bicarbonate ion content, when by both vials communicating and mixing with transfer needle to use, found by ease of mixing, the second embodiment of the present invention It was completed.
[0013]
 This standard reagent kit, to prevent precipitation, although it is possible to suppress a change in the bicarbonate ion content as compared to the prior art, the vial B filled with aqueous sodium bicarbonate solution, over time, carbon dioxide Along with that would be released occurs gas phase, may bicarbonate ion concentration and pH of the contents is changed, pH and bicarbonate ion concentration of the resulting standard reagent is removed from the desired range and thus it has been a concern. Therefore, the change in bicarbonate ion concentration and pH, there is still room for improvement.
[0014]
 On the other hand, in the B agent used for the sodium bicarbonate-containing dialysate (sodium bicarbonate-containing formulation), for those that are commercially available as solutions (concentrate) is temporal change in the bicarbonate ion concentration and pH is concerned.
[0015]
 Further, time course of bicarbonate ion concentration and pH in the aqueous solution of sodium bicarbonate is a problem that may occur in the artificial kidney for fluid replacement. That is, when the blood purification by an artificial kidney, sometimes replacement fluid for artificial kidneys having substantially the same chemical composition as the baking soda containing dialysate after mixing is used, such artificial kidney for replacement fluid, in general, the partition wall corresponds to a component in each chamber sugar and electrolyte component of the double bag is separated into two chambers (dialysate by. in commonly available artificial kidney for fluid replacement, but which may be referred to as "B agent" in the present specification, for convenience 'a component "hereinafter.) in aqueous solution and corresponds to the B component in the sodium hydrogen carbonate (dialysate. commonly available artificial kidney for fluid replacement containing does this as" a agent " It may be referred to. in the present specification, are sold in convenience "B component" hereinafter.) and an aqueous solution containing the previously filled respectively, form for communicating the two chambers before use. At this time, carbon dioxide is generated from the chamber filled with sodium hydrogen carbonate aqueous solution containing component concentrations and pH is concern that changes over time.
[0016]
 Therefore, in order to prevent aging of B component of sodium bicarbonate containing dialysate for B agent and artificial kidney for the replacement fluid is liquid, conventionally, in these commercial products, the entire bag filled with sodium bicarbonate containing dialysate for B agent, Alternatively the entire double bag filled with artificial kidneys for replacement fluid, or sealed with a gas barrier packaging, yet also taken measures such as keep bundled carbon dioxide-generating oxygen scavenger in the sealed space.
[0017]
 Accordingly, the present invention is an aqueous solution containing at least one of bicarbonate and carbonate ions, changes in bicarbonate ion concentration and pH are further prevented, and excellent stability, a standard reagent, a dialysis fluid and an object to provide a solution for artificial kidney for fluid replacement, further, the present inventors have for the standard reagent standard reagent containing at least one of bicarbonate and carbonate ions, dialysis fluid and for artificial kidneys in aqueous solution for rehydration, the pH, by adjusting to 8.6 to 10.5 found that it is possible to suppress a change in the bicarbonate ion concentration and pH due to the release of carbon dioxide, the of the present invention and it completed the third embodiment.
[0018]
 Specifically, a first embodiment of the present invention,
[1] (1) a vial aqueous solution A solution containing an electrolyte component which may react to form precipitates with carbonate ions is filled A, and
(2) aqueous solution B containing at least one of bicarbonate and carbonate ions vial B filled
with a standard reagent kit for dialysate analysis consisting,
at least vial B is for dialysate analysis, a water-repellent resin vial standard reagent kit,
[2] the contact angle of water on the surface of the water repellent resin vial 90 degrees or more, preferably 100 degrees or more, more preferably 110 degrees or more, more preferably 120 degrees or more, particularly preferably 130 degrees or more, even more preferably 140 degrees or more, and most preferably at least 150 ° above [1] standard reagent kit according,
[3] the total light permeability of the water-repellent resin vial Rate is 85% or more, preferably above 90% or more [1] or [2] standard reagent kit according,
those [4] the water-repellent resin vials, which are formed by the cycloolefin polymer (COP) above [1] standard reagent kit according to any of the ~
[3], [5] pH of solution B 8.9 or more, preferably 9.2 or more, more preferably 9.3 or more [1] standard reagent kit according to any one of to [4], and
[6] is a standard reagent for dialysate analysis, the other liquid filling either the a solution or B solution filled in a water-repellent resin vial standard reagent kit according to any one of [1] to [5], which is prepared by mixing poured into vials
relates, a second embodiment of the present invention,
[1] (1) carbonate It may react to form precipitates with the ions That vial aqueous solution A solution containing an electrolyte component is filled A,
(2) a vial B aqueous solution B has been filled, including at least one of bicarbonate and carbonate ions, and
(3) the contents of the vial A transfer needle for mixing the contents of the vial B
standard reagent kits for dialysate analysis
including, [2] B solution pH is 8.6 to 10.5, preferably between 9.0 10.2 more preferably from 9.2 to 10.1 [1] standard reagent kit according, as well as
[3] the electrolyte component which may react to form precipitates with carbonate ions, calcium ions and magnesium ions standard reagent kit according to any one of the above [1] or [2] containing
relates, a third embodiment of the present invention,
can be permanently forming a precipitate by reacting with [1] carbonate ions That an aqueous solution used as a standard reagent for dialysate analyzed by combining with an aqueous solution containing an electrolyte component, contains at least one of bicarbonate and carbonate ions, pH 8.6 to 10.5 preferably between 9.0 10.2 more aqueous solutions is preferably from 9.2 to
10.1, [2] above, which is filled into vials [1] aqueous solution
according, to react with [3] carbonate ions precipitate an aqueous solution containing an electrolyte component which may form the above-mentioned [1] or [2] standard reagents for dialysate analysis comprising a combination of aqueous solution according,
the precipitate was reacted with [4] carbonate ions it may form an aqueous solution which is used as a dialysate by combining with an aqueous solution containing an electrolyte component, at least one of bicarbonate and carbonate ions Has, pH 8.6 to 10.5, and preferably an aqueous solution from 9.0 to 10.2, more preferably from 9.2 to
10.1, to form a precipitate by reacting with [5] carbonate ions possibility an aqueous solution used for the artificial kidney replacement fluid by combining with an aqueous solution containing an electrolyte component having an, contains at least one of bicarbonate and carbonate ions, pH 8.6 to 10.5 preferably an aqueous solution from 9.0 to 10.2, more preferably from 9.2 to
10.1, is filled in one room in the multi-chamber container having at least two chambers partitioned by [6] communicable isolation means aqueous solution of the above-mentioned [5], wherein the, and
[7] in combination with an aqueous solution containing an electrolyte component which may react to form precipitates with carbonate ions, and an aqueous solution of [5] or [6], wherein Become Artificial kidney for fluid replacement
on.
Effect of the invention
[0019]
 According to a first embodiment of the present invention, an aqueous solution containing an electrolyte component react to form precipitates with carbonate ions, in separate vials and an aqueous solution containing at least one of bicarbonate and carbonate ions filled, and kits, the kit, at least a vial containing bicarbonate ions and carbonate ions by a water-repellent resin vials, long time can be prevented precipitation, also very easily and reliably mixed standard reagent for dialysate analysis Te to be prepared.
[0020]
 According to a second embodiment of the present invention, an aqueous solution containing an electrolyte component react to form precipitates with carbonate ions, in separate vials and an aqueous solution containing at least one of bicarbonate and carbonate ions with a kit with transfer needle for filling and, at the time of use mixing, without requiring complicated steps in the preparation, handling is simple, precipitation is prevented over a long period of time, the change in bicarbonate ion content is suppressed been, it is possible to provide a standard reagent for dialysate analysis.
[0021]
 According to a third embodiment of the present invention, by adjusting the pH to a predetermined range, a change over time of the bicarbonate ion concentration and pH in the aqueous solution containing at least one of bicarbonate and carbonate ions preventing, to provide excellent aqueous solution stability for stability excellent solution and artificial kidney for fluid replacement for the superior solution stability, dialysate for standard reagents for dialysate analysis it can. Thus, for example, if the standard reagent solution for dialysate analysis, it is possible to provide a standard reagent for dialysate analysis was not conventional, in the dialysate concentrate for solution and artificial kidneys for replacement fluid for aqueous if, conventionally, countermeasures such as the enclosed gas barrier packaging and carbon dioxide-generating oxygen absorber which is decorated unnecessary.
DESCRIPTION OF THE INVENTION
[0022]
[First standard reagent kit for dialysate analysis according to an embodiment of the '
 first standard reagent kit for dialysate analysis according to embodiments of the present invention, to form a precipitate by reacting with (1) a carbonate ion possibility aqueous solution containing an electrolyte component having an a fluid-filled vials a, and (2) a vial B to solution B liquid has been filled, including at least one of bicarbonate and carbonate ions, at least vial B is a water-repellent resin vials. Standard reagent kits for dialysate analysis according to a first embodiment of the present invention, at least 6 months or more, and preferably is prevented from precipitation over a year, hydrogen ion content or pH carbonate hardly changed.
[0023]
 In the present specification, "water-repellent resin vials", vials internal surface playing water, when the water-soluble liquid filled in the container was poured out container, the water-soluble liquid in the container There do not remain, even remain negligible (e.g., residual liquid amount of 1% or less with respect to the filling liquid amount) is not particularly limited as long as it becomes. Specifically, vials contact angle of water on the surface is not less than 90 degrees are preferably used. Surface of the water-repellent resin vials (especially inner surface) contact angle of water is generally preferably at least 90 degrees, more preferably equal to or greater than 100 degrees, more preferably at least 110 degrees, particularly preferably at least 120 degrees, 130 degrees or even further preferred, even more preferably at least 140 degrees, and most preferably at least 150 degrees. Water repellent resin vial may be one formed a water-repellent resin capable of expressing a water contact angle as described above as a material, other material formed vial surface (especially inner surface) or it may be subjected to known water-repellent treatment on. In the present invention, the contact angle of water, according to JIS-R3257, can be measured by the sessile drop method.
[0024]
 The water-repellent resin to form a water-repellent resin vials, specifically, cycloolefin polymer (COP), cycloolefin copolymer (COC), polytetrafluoroethylene (PTFE), polypropylene (PP), polyethylene (PE), etc. and the like. Among them, cycloolefin polymer (COP), cycloolefin copolymer (COC) is preferred.
[0025]
 It is preferable that the total light transmittance of the water repellent resin vial is at least 85%, and more preferably 90% or more. In the present invention, the total light transmittance can be measured in accordance with JIS-K7361-1 quoted JIS-K7375.
[0026]

 A solution is an aqueous solution containing an electrolyte component which may react to form precipitates with carbonate ions. The electrolyte component which may react to form precipitates with carbonate ions, calcium ions, magnesium ions, and these electrolyte components, for example, calcium chloride, may be contained in the liquid A as magnesium chloride it can. Calcium chloride, in the case of using magnesium chloride in the standard reagent is contained as an electrolyte in the A solution. And, of course, in the first embodiment of the present invention, carbonate ions and hydrogen carbonate ions shall not be contained in the A solution.
[0027]
 The solution A, other, sodium chloride, potassium chloride, and other electrolytes and organic acid salts such as sodium acetate may be contained. Further, it is possible to use hydrochloric acid or an organic acid as a pH adjusting agent, as the organic acid, acetic acid, citric acid, oxalic acid, tartaric acid, maleic acid, ascorbic acid, oxaloacetic acid, gluconic acid, isocitric acid, malic acid, and / or it is preferred to use citric acid. Further, it is preferable to mix the glucose in the A solution.
[0028]
 Calcium chloride, calcium chloride dihydrate, calcium chloride monohydrate, calcium chloride anhydride or the like is used. The magnesium chloride, magnesium chloride hexahydrate is preferred.
[0029]
 The sodium acetate, anhydrous sodium acetate, sodium acetate trihydrate is preferably used. Further, by adding acetic acid and (glacial acetic acid) and sodium hydroxide may also be a result of sodium acetate.
[0030]
 Volume of solution A, or 3mL preferably in order to precisely manage the filling amount, or 5mL is more preferable. Also, the capacity of the solution A is preferably equal to or less than 20mL terms of handling such mixing operation, and more preferably not more than 10 mL.
[0031]
 pH of solution A, considering the effects of corrosion on such manufacturing apparatus, preferably 2.5 or more, 3 or more is more preferable. Further, pH of solution A 7 is preferably not more than 6 or less is more preferable. If the pH of the liquid A is too high, in order to maintain the pH of the standard reagent obtained by mixing the solution B to a predetermined range, forced to no longer obtained was set to a low pH of the solution B, so that bicarbonate ions it may become impossible to suppress the change of the content.
[0032]
 Vial A for filling the liquid A is not particularly limited, can be used as glass vials or plastic vials. In particular, when preparing a standard reagent by mixing the liquids A and B, when mixed by infuse A liquid filling into the vial A vial B is, A liquid remains as much as possible the vial A as it never, is more preferable among them at least inside of the container is water-repellent, more preferably a water-repellent resin vial. Furthermore, vials A from the viewpoint of easily visually recognize the contents from the outside, it is preferable that total light transmittance of 85% or more, more preferably 90% or more.
[0033]
 Capacity of the vial A is, if it is possible to fill the liquid A is not particularly limited. If at least the container inside of the vial A is not water repellent, the preparation of the standard reagent is desirably carried out by infusing the B liquid filling into the vial B into the vial A, in which case, the A in the vial A as capable of mixing the liquid and the B liquid, preferably to more than the total capacity of the liquid a and liquid B, more preferably to 1.1 times the total volume of the liquid a and liquid B.
[0034]

 B is an aqueous solution containing a bicarbonate ion and / or carbonate ions. The B liquid may further contain a component other than the electrolyte component which may react to form precipitates with carbonate ions. For example, in order to adjust to a predetermined pH, it may contain a basic component such as sodium hydroxide. It is more preferable because it is easy to control the pH of a combination of sodium bicarbonate and sodium carbonate.
[0035]
 Bicarbonate ion (HCO 3 - ) and carbonate ions (CO 3 2- in equilibrium in aqueous solution between). Therefore, in the B solution may be a state where only one is present, may be in a state where both ions coexist. The method for preparing the solution B, may be mentioned a method of preparing by adding a pH adjusting agent sodium bicarbonate or sodium carbonate, solution B by dissolving the sodium bicarbonate and sodium carbonate in a specific ratio it is possible to obtain.
[0036]
 Bicarbonate ion concentration in the solution B is preferably at least 10 mEq / L, more preferably at least 20 mEq / L, more preferably not less than 29mEq / L, particularly preferably at least 40 mEq / L, or less preferably 100mEq / L, 80mEq / L the following are more preferred, and even more preferably less 70 mEq / L, and particularly preferably 50 mEq / L. Bicarbonate ion concentration in the solution B, for example, changes over time, the composition of the standard reagent obtained by mixing the liquid A does not become a desired range, may not be used as a standard reagent. The concentration of the bicarbonate ion concentration in the solution B or a standard reagent in this specification, since bicarbonate ions are present as a reversibly carbonate ions under basic conditions, as the sum of bicarbonate and carbonate ions It means.
[0037]
 In a first embodiment of the present invention, a vial B filling the liquid B is water-repellent resin vial. In general, when filling the likely solution to generate carbon dioxide as solution B, for in that carbon dioxide is a point difficult not transmit and inexpensive, but glass vials are suitable, B solution is alkaline, When filled into a glass vial, there is a possibility that insoluble matter resulting from the glass long time at high temperature, when the stored filling occurs. In a first embodiment of the present invention, a vial B filling the liquid B by those made of resin, it is possible to dispel concerns such insolubles generated.
[0038]
 Further, during the preparation of the standard reagent (in other words, so that no liquid remains, mixing the total amount of each liquid-filled) mixing reliably liquids A and B are obtained. In this respect, among the resin vials, but depending on the type of the resin in some cases the liquid remaining easily occurs, in a first embodiment of the present invention, in particular selecting a water-repellent resin as a resin for forming the vial B it makes the time of filling the liquid B was filled into a vial B into the vial a, without causing liquid remains, can be reliably mixed both solutions.
[0039]
 Volume of solution B, or 3mL preferably in order to precisely control the filling quantity, or 5mL is more preferable. Also, the capacity of the B solution, in terms of handling, such as mixing operation, the following are preferred 20 mL, still more preferably equal to or less than 10 mL.
[0040]
 In a first embodiment of the present invention, pH of the solution B is preferably 8.9 or more, more preferably 9.2 or more, 9.3 or more is more preferable. By the pH of the solution B and 8.9 or more, it is possible to suppress the occurrence of carbon dioxide, tend to storage stability are further improved. Further, pH of the solution B is preferably 10.5 or less from the viewpoint of handling safety, more preferably 10.2 or less, more preferably 10.1 or less. Adjustment of the pH, which may be a general pH adjusting agents in the art, as described above, with sodium bicarbonate and sodium carbonate, performed by adjusting the ratio, the preparation operation It is preferable because it is easy.
[0041]
 Capacity vials B is, if it is possible to fill the liquid B, is not particularly limited, it is preferably of the order of magnitude that can be mixed with vial A with one hand. The capacitance of the vial B (vial ZenMitsururyou), like the volume of the space of the vial B is equal to or less than 70% of the vial ZenMitsururyou, is preferably determined in consideration of the capacity of the B solution. When the volume of the space of the vial B increases, B liquid CO to space from 2 easily is released, HCO in the liquid 3 - the concentration of which may be reduced. The lower limit of the volume of the space of the vial B is not particularly limited, it is preferable to be equal to or greater than 20% of the vial ZenMitsururyou.
[0042]
 Capacity of standard reagents combined liquid A and liquid B, is not particularly limited, as a minimum amount necessary to check the dialysate after preparation, usually, more than 3mL, more is more 5mL preferable. Further, a standard reagent prepared by the kit according to the first embodiment of the present invention, it is desirable to use up in one use principle, from this point, the capacity of the standard reagent is preferably equal 50 mL, less 30mL more preferable.
[0043]

 in the preparation of the standard reagent using standard reagent kits according to the first embodiment of the present invention, vial A and vial B and unplugging, liquid A was filled into a water-repellent resin vial or it is desirable that the other liquid to one of the liquid B are mixed poured into a vial filled. Specifically, in the case Both vials A, vials B is water repellent resin vial may be poured A solution vial B, the B solution may be poured into vials A. If a vial B Nomigabachi aqueous resin vials, preferably B is poured into solution in a vial A. With such a mixing procedure can be mixed liquids A and B liquid remains without reliably.
[0044]
 Standard reagent for dialysate analysis, it is ideally prepared after dialysate basically the same component composition of interest. Therefore, in addition to appropriate liquid A or liquid B of "electrolyte component carbonate ions are likely to form a precipitate by reaction" of the "bicarbonate ions and / or carbonate ions" A solution and in the solution B described above other ingredients to be contained in may be determined in accordance with the dialysate of interest. Specifically, the preferred electrolyte composition of the dialysate after mixing the liquid A and liquid B (standard reagent) are as follows in Table 1. Then, for example, an example and the electrolyte composition of the standard reagent, if reagents for artificial kidney dialysis fluid powder formulation "phosphorus Pack (TM) Dialysis agent TA3" (manufactured by Nipro Corporation), as shown in Table 2 it is.
[0045]
[Table 1]

[0046]
[Table 2]

[0047]
 pH of standard reagent for dialysate analysis, it is ideally of the same order as prepared after dialysis fluid of interest, for example, preferably 7.0-7.5.
[0048]
Second standard reagent kit of the dialysate for analysis according to the embodiment of the]
 standard reagent kits for dialysate analysis according to the second embodiment of the present invention, to form a precipitate by reacting with (1) a carbonate ion possibility aqueous solution containing an electrolyte component having an a fluid-filled vials a, (2) a vial B aqueous solution B has been filled, including at least one of bicarbonate and carbonate ions, and (3) vials a a standard reagent kit for dialysate analysis including transfer needle (solution infusion needle) for mixing the contents of the contents and the vial B. Standard reagent kits for dialysate analysis according to the second embodiment of the present invention, at least 6 months or more, and preferably is prevented from precipitation over a year, hydrogen ion content or pH carbonate hardly changed.
[0049]

 A solution is an aqueous solution containing an electrolyte component which may react to form precipitates with carbonate ions. The electrolyte component which may react to form precipitates with carbonate ions, calcium ions, magnesium ions, and these electrolyte components, for example, calcium chloride, may be contained in the liquid A as magnesium chloride it can. Calcium chloride, in the case of using magnesium chloride in the standard reagent is contained as an electrolyte in the A solution. And, of course, in the second embodiment of the present invention, carbonate ions and hydrogen carbonate ions shall not be contained in the A solution.
[0050]
 The solution A, other, sodium chloride, potassium chloride, and other electrolytes and organic acid salts such as sodium acetate may be contained. Further, it is possible to use hydrochloric acid or an organic acid as a pH adjusting agent, as the organic acid, acetic acid, citric acid, oxalic acid, tartaric acid, maleic acid, ascorbic acid, oxaloacetic acid, gluconic acid, isocitric acid, malic acid, and / or it is preferred to use citric acid. Further, it is preferable to mix the glucose in the A solution.
[0051]
 Calcium chloride, calcium chloride dihydrate, calcium chloride monohydrate, calcium chloride anhydride or the like is used. The magnesium chloride, magnesium chloride hexahydrate is preferred.
[0052]
 The sodium acetate, anhydrous sodium acetate, sodium acetate trihydrate is preferably used. Further, by adding acetic acid and (glacial acetic acid) and sodium hydroxide may also be a result of sodium acetate.
[0053]
 Volume of solution A, or 3mL preferably in order to precisely manage the filling amount, or 5mL is more preferable. Also, the capacity of the solution A is preferably equal to or less than 20mL terms of handling such mixing operation, and more preferably not more than 10 mL.
[0054]
 pH of solution A, considering the influence of corrosion on the manufacturing apparatus, preferably 2.5 or more, 3 or more is more preferable. Further, pH of solution A 7 is preferably not more than 6 or less is more preferable. If the pH of the liquid A is too high, in order to maintain the pH of the standard reagent obtained by mixing the solution B to a predetermined range, forced to no longer obtained was set to a low pH of the solution B, so that bicarbonate ions it may become impossible to suppress the change of the content.
[0055]
 Capacity of the vial A is, if it is possible to fill the liquid A is not particularly limited, as capable of mixing the liquids A and B in the vial A, or the total volume of the liquid A and liquid B preferably to, and more preferably 1.1 times or more the total volume of the liquid a and liquid B.
[0056]

 B is an aqueous solution containing a bicarbonate ion and / or carbonate ions. The B liquid may further contain a component other than the electrolyte component which may react to form precipitates with carbonate ions. For example, in order to adjust to a predetermined pH, it may contain a basic component such as sodium hydroxide. It is more preferable because it is easy to control the pH of a combination of sodium bicarbonate and sodium carbonate.
[0057]
 Bicarbonate ion (HCO 3 - ) and carbonate ions (CO 3 2- in equilibrium in aqueous solution between). Therefore, in the B solution may be a state where only one is present, may be in a state where both ions coexist. The method for preparing the solution B, may be mentioned a method of preparing by adding a pH adjusting agent sodium bicarbonate or sodium carbonate, solution B by dissolving the sodium bicarbonate and sodium carbonate in a specific ratio it is possible to obtain.
[0058]
 Bicarbonate ion concentration in the solution B is preferably at least 10 mEq / L, more preferably at least 20 mEq / L, more preferably not less than 29mEq / L, particularly preferably at least 40 mEq / L, or less preferably 100mEq / L, 80mEq / L the following are more preferred, and even more preferably less 70 mEq / L, and particularly preferably 50 mEq / L. Bicarbonate ion concentration in the solution B, for example, changes over time, the composition of the standard reagent obtained by mixing the liquid A does not become a desired range, may not be used as a standard reagent. The concentration of the bicarbonate ion concentration in the solution B or a standard reagent in this specification, since bicarbonate ions are present as a reversibly carbonate ions under basic conditions, as the sum of bicarbonate and carbonate ions It means.
[0059]
 Volume of solution B, or 3mL preferably in order to precisely control the filling quantity, or 5mL is more preferable. Also, the capacity of the B solution, in terms of handling, such as mixing operation, the following are preferred 20 mL, still more preferably equal to or less than 10 mL.
[0060]
 In a second embodiment of the present invention, pH of the solution B is preferably 8.6 or more, more preferably 9.0 or more, 9.2 or more is more preferable. Tends to storage stability is further improved by the pH of the solution B and 8.6 or more. Further, pH of the solution B is preferably 10.5 or less from the viewpoint of handling safety, more preferably 10.2 or less, more preferably 10.1 or less. The pH adjustment, can also be used a general pH adjusting agents in the art, as described above, with sodium bicarbonate and sodium carbonate, performed by adjusting the ratio, easy to prepare Operation since it becomes preferred.
[0061]
 Capacity vials B is, if it is possible to fill the liquid B, is not particularly limited, it is preferably of the order of magnitude that can be mixed with vial A with one hand. The capacitance of the vial B (vial ZenMitsururyou), like the volume of the space of the vial B is equal to or less than 70% of the vial ZenMitsururyou, is preferably determined in consideration of the capacity of the B solution. When the volume of the space of the vial B increases, B liquid CO to space from 2 easily is released, HCO in the liquid 3 - the concentration of which may be reduced. The lower limit of the volume of the space of the vial B is not particularly limited, it is preferable to be equal to or greater than 20% of the vial ZenMitsururyou.
[0062]
 Capacity of standard reagents combined liquid A and liquid B, is not particularly limited, as a minimum amount necessary to check the dialysate after preparation, usually, more than 3mL, more is more 5mL preferable. Further, a standard reagent prepared by the kit according to the second embodiment of the present invention, it is desirable to use up in one use principle, from this point, the capacity of the standard reagent is preferably equal 50 mL, less 30mL more preferable.
[0063]

 kit according to the second embodiment of the present invention, a transfer needle to be communicated and a vial B containing vial A and B solution containing A liquid mixing at the time of use A solution and B solution including. The transfer needle can be used without particular limitation as long as the communication member having a hollow needle for communicating vial A and vial B on both sides.
[0064]

 standard reagent for dialysate analysis, it is ideally prepared after dialysate basically the same component composition of interest. Therefore, in addition to appropriate liquid A or liquid B of "electrolyte component carbonate ions are likely to form a precipitate by reaction" of the "bicarbonate ions and / or carbonate ions" A solution and in the solution B described above other ingredients to be contained in may be determined in accordance with the dialysate of interest. Specifically, the preferred electrolyte composition of the dialysate after mixing the liquid A and liquid B (standard reagent) is as shown in Table 1 above. Then, for example, an example and the electrolyte composition of the standard reagent, if reagents for artificial kidney dialysis fluid powder formulation "phosphorus Pack (TM) Dialysis agent TA3" (manufactured by Nipro Corporation), the above-mentioned Table 2 it is as of.
[0065]
 pH of standard reagent for dialysate analysis, it is ideally of the same order as prepared after dialysis fluid of interest, for example, preferably 7.0-7.5.
[0066]
[Standard reagent according to the third embodiment, the aqueous solution of the dialysis liquid and for artificial kidneys for fluid replacement]
 according to the third embodiment of the present invention, the dialysate for analysis containing bicarbonate ions and / or carbonate ions solution for standard reagent is a preparation containing sodium bicarbonate in baking soda dialysate, in this specification, also referred to as a standard reagent for the liquid B, or simply B solution. Further, aqueous dialysis solution containing a third bicarbonate ions and / or carbonate ions according to the embodiment of the present invention is a formulation comprising sodium bicarbonate in baking soda dialysate, in the present specification, the dialysate for B agent concentrate, or simply referred to as a B agent concentrate. Moreover, the third auxiliary liquid aqueous solution for artificial kidney containing bicarbonate ions and / or carbonate ions according to the embodiment of the present invention is a formulation comprising sodium bicarbonate in an artificial kidney for fluid replacement, as used herein, artificial kidney for replacement fluid for B aqueous solution, or simply referred to as a replacement fluid for B aqueous solution.
[0067]
 Third Standard reagent B solution according to the embodiment of the present invention, B aqueous solution for dialysate for B concentrate solution and artificial kidney for replacement fluid contains at least one of bicarbonate and carbonate ions, pH is it is 8.6 to 10.5. Solution B, but B agent concentrate and the pH of the replenisher for the B aqueous solution is 8.6 or more, preferably 9.0 or more, 9.2 or more is more preferable. Solution B, by setting the pH of the B concentrate solution and replenisher for B aqueous solution 8.6 or higher, B solution, pH changes B concentrate solution and replenisher for B aqueous solution, change in the bicarbonate ion concentration and release of carbon dioxide is suppressed for a long time, it is possible to obtain a stable solution B, B concentrate solution and replenisher for B aqueous solution. Also, B solution, but not B agent upper limit of the pH of the retentate and a replacement fluid for B aqueous solution particularly limited, the safety in handling, from the viewpoint of influence on the manufacturing equipment, and 10.5 or less, preferably 10.2 or less, more preferably 10.1 or less. The pH adjustment, can also be used a general pH adjusting agents in the art, with sodium bicarbonate and sodium carbonate, be carried out by adjusting the ratio, in terms adjustment work is easy ,preferable.
[0068]
 Solution B, the B concentrate solution and replenisher for B aqueous solution may contain a component other than the electrolyte component which may react to form precipitates with carbonate ions. For example, in order to adjust to a predetermined pH, it may contain a basic component such as sodium hydroxide. It is more preferable because it is easy to control the pH of a combination of sodium bicarbonate and sodium carbonate.
[0069]
 B solution, bicarbonate ion concentration in the B concentrate solution and replenisher for B aqueous solution may be appropriately set depending on purposes and is not particularly limited. Incidentally, B solution herein, B agent concentrate, replacement fluid for B aqueous solution, standard reagents, and the bicarbonate ion concentration in the dialysate and for artificial kidneys fluid replacement, reversibly bicarbonate ions in basic conditions to present as carbonate ion, it refers to the concentration of the sum of bicarbonate and carbonate ions.
[0070]
 Volume of solution B is preferably an amount enough to mixing operation is made possible with the solution A with one hand, for example, preferably 2 ~ 8 mL, more preferably 4 ~ 6 mL, about 5mL is best.
[0071]
 B liquid is preferably stored and filled into vials. Capacity vials, if it is possible to fill the liquid B, is not particularly limited, it is preferably of the order of magnitude that can be mixed with vial A with one hand.
[0072]
 Incidentally, the volume of the vial space in relation to the capacity and liquid B loading vials is increased, usually, over time tends to pH tends to rise, but the pH in the third embodiment of the present invention with 8.6 or more, it is possible to ensure good stability over time regardless of the volume of the vial space. Thus, the volume of the vial space is not particularly limited, for example, about 20 to 70% of the vial ZenMitsururyou are preferred.
[0073]
 Solution B according to the third embodiment of the present invention, in the standard reagent for solution (herein for dialysate analysis containing an electrolyte component which may react to form precipitates with carbonate ions, standard reagents use a solution, or simply referred to as solution a.) in combination with can be a standard reagent for dialysate analysis. The electrolyte component which may react to form precipitates with carbonate ions, calcium ions, magnesium ions, and these electrolyte components, for example, calcium chloride, may be contained in the liquid A as magnesium chloride it can. Calcium chloride, in the case of using magnesium chloride is contained as an electrolyte in the A solution. And, of course, in the present invention, carbonate ions and hydrogen carbonate ions shall not be contained in the A solution.
[0074]
 The solution A, calcium chloride, in addition to magnesium chloride, sodium chloride, potassium chloride, and other electrolytes and organic acid salts such as sodium acetate may be contained. Further, it is possible to use hydrochloric acid or an organic acid as a pH adjusting agent, as the organic acid, acetic acid, citric acid, oxalic acid, tartaric acid, maleic acid, ascorbic acid, oxaloacetic acid, gluconic acid, isocitric acid, malic acid, and / or it is preferred to use citric acid. Further, it is preferable to mix the glucose optionally in solution A.
[0075]
 Calcium chloride, calcium chloride dihydrate, calcium chloride monohydrate, calcium chloride anhydride or the like is used. The magnesium chloride, magnesium chloride hexahydrate is preferred.
[0076]
 The sodium acetate, anhydrous sodium acetate, sodium acetate trihydrate is preferably used. Further, by adding acetic acid and (glacial acetic acid) and sodium hydroxide may also be a result of sodium acetate.
[0077]
 Volume of solution A in an amount enough to mixing operation is made possible with the liquid B preferably one hand, for example, preferably 2 ~ 8 mL, more preferably 4 ~ 6 mL, about 5mL is best.
[0078]
 pH of solution A, depending on the pH of the solution B, the pH of standard reagents combined A solution and B solution is adjusted to be 7.2-7.4, corrosion to manufacturing apparatus and the like in view of the effects, preferably pH3 or more, pH 4 or higher is more preferable. Further, pH of the solution A is preferably 6 or less, more preferably pH5 or less. If the pH of the liquid A is too high, in order to maintain the pH of the standard reagent obtained by mixing the solution B to a predetermined range, forced to no longer obtained was set to a low pH of the solution B, so that bicarbonate ions no longer possible to suppress the change of the content.
[0079]
 A solution is also preferably stored and filled into vials. Capacity vials, if it is possible to fill the liquid A is not particularly limited, as capable of mixing the liquids A and B in the vials A, and more than the total capacity of liquid A and liquid B it is preferable, and more preferably 1.1 times or more the total volume of the liquid a and liquid B.
[0080]
 Capacity of standard reagents combined A solution and B solution is not particularly limited, as a minimum amount necessary to check the dialysate after preparation, usually, is preferably not less than 3 mL, more 5mL is more preferable. Further, a standard reagent prepared by an aqueous solution according to the third embodiment of the present invention, it is desirable to use up in one use principle, from this point, the capacity of the standard reagent is preferably equal 50 mL, less 30mL more preferable.
[0081]
 Standard reagent for dialysate analysis, it is ideally prepared after dialysate basically the same component composition of interest. Therefore, in addition to appropriate liquid A or liquid B of "electrolyte component carbonate ions are likely to form a precipitate by reaction" of the "bicarbonate ions and / or carbonate ions" A solution and in the solution B described above other ingredients to be contained may be determined in accordance with the purpose and the like of the dialysate and dialysis of interest. Specifically, the preferred electrolyte composition of the dialysate after mixing the liquid A and liquid B (standard reagent) is as shown in Table 1 above. Then, for example, As an example of the electrolyte composition of the standard reagent, if reagents for artificial kidney dialysis fluid powder formulation "phosphorus Pack (TM) Dialysis agent TA3" (manufactured by Nipro Corporation), the above-mentioned table it is as of 2.
[0082]
 Standard reagent for dialysate analysis according to the third embodiment of the present invention, a vial containing a vial and liquid B including A solution and a liquid A and liquid B at use and communicates by, for example, transfer needle mixed and can be used. Such transfer needle can be used without particular limitation as long as the communication member a hollow needle provided on either side for communicating the vial containing the vial and solution B containing A solution. In place of the transfer needle, for example, it was weighed accurately the contents of each vial using a pipette or the like, may be mixed liquids A and B by a means such as mixing the both in a separate container and it may be mixed by from one vial of the vial filled with a vial and liquid B filled with crowded the contents were poured to the other vial.
[0083]
 B agent concentrate for dialysate according to a third embodiment of the present invention, it is usually preferred to store filled into the bag.
[0084]
 Third B agent concentrate according to embodiments of the present invention, in the preparation (herein for dialysate containing an electrolyte component which may react to form precipitates with carbonate ions, the dialysate for A agents, or simply referred to as a agent.) and may be a sodium bicarbonate dialysate formulated in combination. A dosage may be a solid preparation even liquid, in the case of solid preparation, an electrolyte component which may react to form precipitates with carbonate ions containing as its salt, the aqueous solution upon use After a, and it is combined with B agent. The electrolyte component which may react to form precipitates with carbonate ions, calcium ions, magnesium ions, and these electrolyte components, for example, calcium chloride, may be contained in the A agent as magnesium chloride it can. Calcium chloride, in the case of using magnesium chloride is contained as an electrolyte in the A agent. And, of course, in the third embodiment of the present invention, carbonate ions and hydrogen carbonate ions shall not be included in the A agent. The A agent, the other may other electrolytes and organic acid salt described above as a good component be contained in the liquid A for standard reagent, also contain glucose, or the like. B agent concentrate is usually appropriately diluted before use, A agent (dissolution if necessary, be diluted) to prepare a dialysis solution in combination with.
[0085]
 A agent generally those used as the A agent for sodium bicarbonate dialysate, can be used to adjust appropriately to match the pH of the third according to the embodiment B agent concentrate of the present invention. The pH of the A agent, the same as the pH of a standard reagent A solution, as described above. The electrolyte composition of the dialysate obtained by mixing the A agent and the B agent concentrate may be determined according to the dialysis purposes like, for example, it is preferable that the composition shown in Table 1 above, By way of example , as shown in Table 2.
[0086]
 Replacement fluid for B aqueous solution according to the third embodiments of the invention, A for replacement fluid in the artificial kidney for replacement fluid formulations (herein including an electrolyte component which may react to form precipitates with carbonate ions agents, or simply referred to as a replacement fluid for a aqueous solution.) and can be an artificial kidney for fluid replacement in combination. The electrolyte component which may react to form precipitates with carbonate ions, calcium ions, magnesium ions, and these electrolyte components, for example, calcium chloride, may be contained in the liquid A as magnesium chloride it can. Calcium chloride, in the case of using magnesium chloride is contained as an electrolyte in the replacement fluid for the A agent. And, of course, in the third embodiment of the present invention, carbonate ions and hydrogen carbonate ions shall not be contained in the A solution. The replacement fluid for agent A, the other may other electrolytes and organic acid salt described above as a good component be contained in the liquid A for standard reagent, also contain glucose, or the like.
[0087]
 Usually, artificial kidneys for replacement fluid is mixed before use comprising two liquid of the A aqueous solution for rehydration and replacement fluid for B aqueous solution, for example, multi-chamber having at least two chambers partitioned by the communicable isolation means the container, it is preferable that the multi-chamber container preparation comprising houses a aqueous solution for rehydration and replacement fluid for B agent aqueous solution to the first and second chambers, respectively. Such multi-chamber containers can be used, for example, preferably a plastic double bag type container, such as polypropylene, those used in conventional filtration type artificial kidneys for replenisher, filling method, using it can be similarly applied to a method.
[0088]
 A aqueous solution for replacement fluid is generally possible to use those used as replacement fluid for A agent for artificial kidneys, appropriately adjusted to suit the pH of the replacement fluid for B aqueous solution according to the third embodiment of the present invention can. The pH of the A agent solution for replacement fluid, is similar to the pH for standard reagent A solution, as described above. The electrolyte composition of the replenisher obtained by mixing the replacement fluid for the A agent solution and replacement fluid for B agent aqueous solution, for example, preferably be a composition shown in Table 1 above, In one example, as shown in Table 2.
[0089]
 For example, multiple chambers formulation according to the third embodiment of the present invention, after filling the replacement fluid for A aqueous solution and replenisher for B aqueous solution in multiple chambers in each chamber, to seal the respective inlets. Then, according to the indication of the final sterilization of the Japanese Pharmacopoeia, and the final product by carrying out a high-pressure steam sterilization.
[0090]
 After sterilization, multiple chambers, in order to avoid contact with the outside air, it is preferable to exterior with a gas barrier property of the packaging material. Exterior may be sealed contained in a packaging container comprising a gas barrier packaging material, also if the packaging material is a film may be sealed package. The gas barrier packaging materials, ethylene-vinyl alcohol copolymer film or the like, are known many materials and products, generally can be used those commercially available.
[0091]
 Further, when the exterior of the multi-chamber container, for the interior and exterior and anoxia, or housed together an oxygen scavenger may be substituted, such as a nitrogen gas or carbon dioxide gas, accommodating an oxygen scavenger it is preferable to. Further it is preferable to house together as oxygen detecting agent for the purpose of detecting the pinhole of the exterior. The oxygen scavenger and oxygen detecting agent, can generally be used those commercially available.
[0092]
 Incidentally, the third artificial kidney for auxiliary liquid according to the embodiment of the present invention, by the pH of the replacement fluid for B aqueous solution to a predetermined value, the exterior and with a gas barrier packaging material of the above, carbon dioxide generating bundled type of oxygen scavenger, measures such as by substitution of nitrogen gas and carbon dioxide gas is not essential.
[0093]
 Is specifically described below based on the present invention embodiment, the present invention is not intended to be limited to these examples.
Example
[0094]
1. First embodiment
Examples 1-1
 According to the composition of Table 3, each component of the liquid A were mixed and dissolved in water for injection to prepare a solution A by adding water for injection to a total volume of 100 mL. At this time, by properly mixing hydrochloric acid, was adjusted to pH of solution A is 4.7. The resulting A solution was filtered through a pore size of 0.22μm membrane filter, COP resin vial volume 10 mL (Yamato Special Glass Co., Ltd., "PVD-10" (COP vial); contact angle 100.8 degrees of water, filled with 5.0mL in total light transmittance 91.5%), after the rubber stopper, to obtain a vial a liquid a is sealed by an aluminum cap.
[0095]
 According to the composition of Table 4, the sodium bicarbonate dissolved in water for injection, adjusted to pH9.1 by adding sodium hydroxide as an aqueous solution for 1 mol / L injection was prepared solution B (total volume 100 mL). Resulting B was filtered with a pore size of 0.22μm membrane filter, COP resin vial volume 10 mL (Yamato Special Glass Co., Ltd., "PVD-10" (COP vial); contact angle 100.8 degrees of water, filled with 5.0mL in total light transmittance 91.5%), after the rubber stopper, to obtain a vial B of B liquid was sealed by an aluminum cap. The contact angle of water was measured using an automatic contact angle meter (KRUSS Co., Ltd. "DSA100S"), the total light transmittance was measured using a haze meter (Nippon Denshoku Industries Co., Ltd., "NDH7000") .
[0096]
[table 3]

[0097]
[Table 4]

[0098]
 In the obtained vial A and kit comprising a vial B, electrolyte component which may react to form precipitates with carbonate ions are contained in a vial A, bicarbonate ions and carbonate ions are contained in a vial B because there, even after being stored for a long time, there is no possibility of causing a precipitate contents of the vial B.
[0099]
 To prepare a standard reagent using this kit. In other words, remove the rubber stopper of the vial B, then after removing the rubber stopper of the vial A, poured A solution vial B. A rubber stopper to a vial B, was prepared standard reagents mixed by inversion twice. Resulting standard reagents, it had the desired composition.
[0100]
Example 1-2: Preparation of standard reagent
 in the same manner as in Example 1-1, to obtain a standard reagent kit for dialysate analysis consisting of a vial A and vial B. Using this kit, three tester, in the same manner as in Example 1-1, poured A solution vial B, by Invert twice, standard reagents were prepared (n = 3 each) .
[0101]
Test Example 1-1: pH, bicarbonate ion concentration (n = 3 each)
 and the pH and bicarbonate ion concentration of the standard reagent obtained in Example 1-2, blood gas analyzer (Siemens "RapidLAB 348EX" ) was measured using a. The results are shown in Table 5.
[0102]
[table 5]

[0103]
 From this result, according to the kit of the present invention, the liquid contained in the water-repellent resin vials that fall mixing poured into the other vial, by very simple method, a mixture of good reproducibility reliably Ryoeki it is possible to obtain a standard reagent stable composition was confirmed.
[0104]
Example 1-3: Preparation of standard reagent
 in the same manner as in Example 1-1, to obtain a standard reagent kit for dialysate analysis consisting of a vial A and vial B. Remove the rubber plug of the vial A, then after removing the rubber stopper of the vial B, it poured A solution vial B. A rubber stopper to a vial B, was prepared standard reagents and twice Invert (n = 5).
[0105]
Test Example 1-2: residual amount of the liquid A
 in Example 1-3, upon preparation of the kit, previously weighed empty container weight vials A, then weighed mass of vial A filled with solution A, the filling liquid to calculate the amount (g). Thereafter, in the preparation of standard reagent, A solution weighed mass of vial A after poured into a vial B, subtracting the mass of the empty vessel previously measured to calculate the residual liquid amount (g), divided by the density of solution A and it calculates the remaining fluid volume (mL) to. The ratio of the residual liquid amount to the filling liquid amount (percentage) was residual liquid ratio of liquid A (%). The results are shown in Table 6.
[0106]
[Table 6]

[0107]
Example 1-4: Preparation of standard reagent
 in the same manner as in Example 1-1, to obtain a standard reagent kit for dialysate analysis consisting of a vial A and vial B. Remove the rubber plug of the vial B, then after removing the rubber stopper of the vial A, it poured solution B into a vial A. A rubber stopper to a vial A, was prepared standard reagents and twice Invert (n = 5).
[0108]
Comparative Example 1-1: standard reagents prepared
 except for using a glass vial instead of a COP resin vial as the vial B (Maruemu Corp. "borosilicate glass vials" (10 mL)) in the same manner as in Example 1-4, to obtain a standard reagent kit for dialysate analysis consisting of a vial a and vial B. Remove the rubber plug of the vial B, then after removing the rubber stopper of the vial A, it poured solution B into a vial A. A rubber stopper to a vial A, was prepared standard reagents and twice Invert (n = 5).
[0109]
Test Example 1-3: residual amount of the liquid B
 in Example 1-4 and Comparative Example 1-1, upon production of the kit, weighed mass of empty containers previously vial B, vial B was then filled with liquid B weighed mass was calculated filling liquid amount (g). Thereafter, in the preparation of standard reagent, B solution weighed mass of vial B after poured into vials A, subtracting the weight of the empty container in advance measured to calculate the residual liquid amount (g), divided by the density of Solution B and it calculates the remaining fluid volume (mL) to. Further, the ratio of the residual liquid amount to the filling liquid amount (percentage) residual liquid ratio of B solution (%) and. The results are shown in Table 7.
[0110]
[Table 7]

[0111]
Reference Example 1-1
 in water for injection 90 mL, dissolved by addition of sodium bicarbonate 0.42 g, the total amount added water for injection to prepare a solution B as 100 mL. The resulting solution B was filtered through a pore size of 0.22μm membrane filter, filled with 5.0mL to COP resin vial the same volume 10mL of Example 1-1, after the rubber stopper, sealed with an aluminum cap to obtain a vial B of B solution. The ratio of the space of the resultant vial B was 65%.
[0112]
Reference Example 1-2
 in water for injection 90 mL, dissolved by addition of sodium bicarbonate 0.42 g, was added a 0.1 mol / L sodium hydroxide aqueous solution for injection and adjusted to pH 8.6, the total amount added water for injection 100mL solution B except prepared as got vial B in the same manner as in reference example 1-1.
[0113]
Reference Examples 1-3 to 1-8
 in injectable water 90 mL, was added an appropriate amount of 0.1 mol / L sodium injectable aqueous hydroxide, then it was dissolved by adding sodium bicarbonate 0.42 g, 0.1 mol / L and added 1 mol / L sodium injectable aqueous hydroxide appropriately adjusted to each pH shown in Table 8, except that the total amount of added water for injection to prepare a solution B as 100 mL, in the same manner as in reference example 1-1 to obtain a vial B.
[0114]
Test Example 1-4: B solution stability test
 Reference Examples 1-1 to 10 days after preparation for vial B obtained in 1-7 (during room temperature storage) vials obtained in Reference Example 1-8 after 9 days of preparation for the (stored at room temperature is between), pH, (it displays the measurement value at this point in the table 8 as "start") that the carbon dioxide concentration of the space, and the bicarbonate ion concentration was measured . Thereafter, each vial, and stored at 60 ° C., after and 21 days after 10 days from the start of storage at 60 ° C., again, pH, carbon dioxide concentration of the space, and the bicarbonate ion concentration was measured. Following the method of each measurement. The results are shown in Table 8.
[0115]
(A) pH measurements (n = 3 each)
 liquid 2mL in vials taken in a test tube, was measured using a pH meter.
[0116]
(B) the carbon dioxide concentration (n = 3 each) of the space
 takes the space of the gas in the vial 0.1 mL, by analyzing by gas chromatography, the proportion of carbon dioxide occupying the space (%) I was asked. Incidentally, the carbon dioxide concentration in the initial occupying the space, as well as the carbon dioxide concentration in the atmosphere is 0.04%. The results are shown in Table 8.
[0117]
(C) bicarbonate ion concentration (n = 3 each)
 per liquid 2mL in a vial, by analyzing using high performance liquid chromatography under the following conditions (HPLC), were measured bicarbonate ion concentration.
HPLC apparatus :( manufactured by Shimadzu Corporation) "LC20AD"
Column: Shodex Co. "IC SI-90 4E" (particle size 9 .mu.m, an inner diameter of 4 mm, made of diameter 250 mm, Shodex Co.)
Mobile phase: boric acid 0 in an aqueous solution of 1L .371g, D- mannitol 3.28 g, and tris solution containing the (hydroxymethyl) aminomethane 1.15g
[0118]
[Table 8]

[0119]
 Results from this accelerated test, free of electrolyte component which may react to form precipitates with carbonate ions, B solution containing at least one of carbonate ion and hydrogen carbonate ion is filled in a water-repellent resin vial when stored Te, release into the space of carbon dioxide is suppressed, less temporal variation in pH and bicarbonate ion concentration, to be stable over a long period of time can be presumed. Especially in the reference examples 1-3 to 1-8 in which the pH was 8.9 or more, it can more reliably prevent the carbon dioxide is released into the space during the storage at room temperature until the beginning from the time of preparation, high temperature more reliably suppress temporal variations in pH and bicarbonate ion concentration in it has been found that high stability over a long period of time can be obtained.
[0120]
2. Second embodiment
examples 2-1
 According to the composition of Example 1-1 in the same Table 3, each component of the liquid A were mixed and dissolved in water for injection, and water for injection to a total volume of 100 mL A liquid was prepared. At this time, by properly mixing hydrochloric acid, was adjusted to pH of solution A is 4.7. A obtained solution was filled into vials each 5 mL, after the rubber stopper, to obtain a vial of liquid A was sealed by seaming with aluminum seals.
[0121]
 According to the composition of Example 1-1 and the same table 4, it was dissolved sodium bicarbonate in water for injection, adjusted to pH9.1 by addition of sodium hydroxide to prepare a solution B (total volume 100 mL). The resulting solution B was filled into vials each 5 mL, after the rubber stopper, to obtain a vial of Solution B was sealed by seaming with aluminum seals. At this time, the volume of the space of the vial of solution B was 65% of the vial ZenMitsururyou.
[0122]
 The resulting vial A, in a kit consisting of a vial B and transfer needle (Nipro Co., Ltd.), electrolyte component which may react to form precipitates with carbonate ions are contained in a vial A, bicarbonate ions and because the carbonate ions are contained in a vial B, even after being stored for a long time, there is no possibility of causing a precipitate contents of the vial B.
[0123]
 To prepare a standard reagent using this kit. That is, the vial A and vial B communicates with transfer needle to obtain a standard reagent and mixing. pH of the mixture of A solution and B solution (n = 3) is 7.3, the solution after mixing is to be a target pH (pH 7.2 ~ 7.4) without problems was confirmed. The composition of the resulting standard reagent shown in Table 9.
[0124]
[Table 9]

[0125]
Reference Examples 2-1 to 2-10
 According to the composition of Table 10, the sodium hydrogen carbonate was dissolved in water for injection by adding sodium hydroxide to adjust to a predetermined pH shown in Table 10, to prepare a solution B. The resulting solution B was filled into vials each 5 mL, after the rubber stopper, to obtain a vial of Solution B was sealed by seaming with aluminum seals. At this time, the volume of the space of the vial was 43% of the vial ZenMitsururyou. Incidentally, it was not added sodium hydroxide in Reference Example 2-1.
[0126]
[Table 10]

[0127]
Test Example 2-1: B solution stability test
 Reference Examples 2-1 to 2 days after the preparation of the obtained vial 2-10 (during room temperature storage) was measured pH, carbon dioxide concentration in the space . Thereafter, each vial, and stored at 40 ° C., after 2 weeks and after 4 weeks storage start at 40 ° C., again, pH, carbon dioxide concentration in the space portion was measured. Following the method of each measurement.
[0128]
(A) pH measurements (n = 3 each)
 liquid 2mL in vials taken in a test tube, was measured using a pH meter. The results are shown in Table 11.
[0129]
(B) the carbon dioxide concentration (n = 3 each) of the space
 takes the space of the gas in the vial 0.1 mL, by analyzing by gas chromatography, the proportion of carbon dioxide occupying the space (%) I was asked. Incidentally, the carbon dioxide concentration in the initial occupying the space, as well as the carbon dioxide concentration in the atmosphere is 0.04%. The results are shown in Table 11.
[0130]
[Table 11]

[0131]
 Results from this accelerated test, free of electrolyte component which may react to form precipitates with carbonate ions, B solution containing at least one of carbonate ion and bicarbonate ion, Reference Examples 2-1 to 2 at -10 all, in especially reference examples 2-3 to 2-10 in which the pH of 8.6 or more, the release of the space of the carbon dioxide is suppressed, less variation in pH, stability over a long period of time is presumed It has been. Further, it can be said from this that, with less variation in the bicarbonate ion concentration.
[0132]
3. Third embodiment
Examples 3-1 to 3-8 and Comparative Examples 3-1 to 3-2
 According to the composition of Table 12, the sodium hydrogen carbonate was dissolved in water for injection, in Table 12 by addition of sodium hydroxide adjusted to a predetermined pH indicated, to prepare a solution B. The resulting solution B was filled into vials each 5 mL, after the rubber stopper, to obtain a vial of Solution B was sealed by seaming with aluminum seals. At this time, space volume of the vial was 43% of the vial ZenMitsururyou. Incidentally, in Comparative Example 3-1 was not used sodium hydroxide.
[0133]
[Table 12]

[0134]
Examples 3-9 - 3-12 and Comparative Examples 3-3 to 3-6
 According to the composition of Table 13, using sodium carbonate instead of sodium hydroxide, or increasing the hydrogen carbonate ion concentration, vial capacity and filled except that reduce the volume of the space by changing the liquid volume is, to obtain a vial of solution B in the same manner as in example 3-1. In the Comparative Examples 3-3 to 3-6 it was not used sodium carbonate.
[0135]
[Table 13]

[0136]
Test Example 3-1: Stability test liquid B
 after 2 days from the preparation for Examples 3-1 to 3-8 and vials obtained in Comparative Examples 3-1 and 3-2 (during which the room temperature storage), performed example 3-9 ~ 3-12 and Comparative examples 3-3 ~ after 17 days from the preparation for a vial obtained in 3-6 (during room temperature storage) was measured pH, carbon dioxide concentration of the space. Thereafter, each vial, and stored at 40 ° C., after 2 weeks and after 4 weeks storage start at 40 ° C., again, pH, carbon dioxide concentration in the space portion was measured. Following the method of each measurement.
[0137]
(A) pH measurements (n = 3 each)
 liquid 2mL in vials taken in a test tube, was measured using a pH meter. The results are shown in Table 14.
[0138]
(B) the carbon dioxide concentration (n = 3 each) of the space
 takes the space of the gas in the vial 0.1 mL, by analyzing by gas chromatography, the proportion of carbon dioxide occupying the space (%) I was asked. Incidentally, the carbon dioxide concentration in the initial occupying the space, as well as the carbon dioxide concentration in the atmosphere is 0.04%. The results are shown in Table 14.
[0139]
[Table 14]

[0140]
 From the above results, whereas in Comparative Examples 3-1 to 3-6, the 2 days to 17 days after after preparation 0.1 or more pH higher than the pH of the preparation was observed, Example 3 both the 1-3-12, variations of pH less after preparation, can not hardly observed over time variation even in a high temperature state was confirmed. In Comparative Examples 3-3 to 3-6 which is not a pH within a predetermined range, the pH variation after preparation to the volume of the vial space increases are observed remarkably larger tendency (Comparative Example 3-3VS Comparison examples 3-5, Comparative examples 3-4VS Comparative example 3-6), example 3-9 ~ with little subject that the effect of the space volume in 3-12, pH after preparation even larger volume of the space portion variation can be suppressed has been confirmed (example 3-9VS example 3-11, example 3-10VS example 3-12).
[0141]
Example 3-13
 According to the composition of the same table 3 and Example 1-1, the components of solution A were mixed and dissolved in water for injection to prepare a solution A by adding water for injection to a total volume of 100 mL. At this time, by properly mixing hydrochloric acid, was adjusted to pH of solution A is 4.7. The resulting solution A to vials to obtain a vial of liquid A was filled by 5 mL.
[0142]
 Similarly, in accordance with the composition of the same table 4 as in Example 1-1, it was dissolved components of the liquid B in water for injection to prepare a solution B by addition of water for injection to a total volume of 100 mL. The resulting solution B vial capacity 10mL was filled by 5mL give a vial B solution. Volume of the space of the vial of solution B was 65% of the vial ZenMitsururyou.
[0143]
 The vials and vials of solution B obtained liquid A, communicates with transfer needle (Nipro Co., Ltd.), to obtain a standard reagent and mixing. pH of the mixture of A solution and B solution (n = 3) is 7.3, the solution after mixing is to be a target pH (pH 7.2 ~ 7.4) without problems was confirmed. The composition of the resulting standard reagents shown in Table 15.
[0144]
[Table 15]

The scope of the claims
[Requested item 1]
(1) a vial aqueous solution A solution containing an electrolyte component which may react to form precipitates with carbonate ions is filled A, and
(2) an aqueous solution solution B containing at least one of bicarbonate and carbonate ions there vial B filled
with a standard reagent kit for dialysate analysis consisting,
standard reagent kits for dialysate analysis of at least vial B is a water-repellent resin vial.
[Requested item 2]
Standard reagent kit according to claim 1, wherein the contact angle of water on the surface of the water-repellent resin vial is not less than 90 degrees.
[Requested item 3]
Claim 1 or 2 standard reagent kit according total light transmittance of the water-repellent resin vial is 85% or more.
[Requested item 4]
Water repellent resin vials, standard reagent kit according to any one of claims 1 to 3 and is formed by a cycloolefin polymer (COP).
[Requested item 5]
Standard reagent kit according to any one of claims 1 ~ 4 pH of the solution B is 8.9 or more.
[Requested item 6]
Standard reagent for dialysate analysis, claim other liquid either A liquid or B liquid filling the water-repellent resin vials are prepared by mixing poured into a vial filled 1 5 standard reagent kit according to any one of.
[Requested item 7]
(1) a vial aqueous solution A solution containing an electrolyte component which may react to form precipitates with carbonate ions is filled A,
(2) an aqueous solution solution B containing at least one of bicarbonate and carbonate ions is filled vial B, and
(3) transfer needle for mixing the contents of the contents of the vial a and vial B
standard reagent kits for dialysate analyzes including.
[Requested item 8]
Standard reagent kit according to claim 7, wherein the pH of the solution B is 8.6 to 10.5.
[Requested item 9]
Electrolyte component which may react to form precipitates with carbonate ions, according to claim 7 or 8 standard reagent kit according comprises calcium ions and magnesium ions.
[Requested item 10]
An aqueous solution used as a standard reagent for dialysate analyzed by combining with an aqueous solution containing an electrolyte component which may react to form precipitates with carbonate ions, at least one of bicarbonate and carbonate ions containing, aqueous solution pH of 8.6 to 10.5.
[Requested item 11]
Aqueous solution of claim 10 wherein filling the vials.
[Requested item 12]
An aqueous solution containing an electrolyte component which may react to form precipitates with carbonate ions, standard reagent for dialysate analysis comprising a combination of an aqueous solution according to claim 10 or 11 wherein.
[Requested item 13]
An aqueous solution used as a dialysate by combining with an aqueous solution containing an electrolyte component which may react to form precipitates with carbonate ions, and contains at least one of bicarbonate and carbonate ions, pH is aqueous solution is 8.6 to 10.5.
[Requested item 14]
An aqueous solution used for the artificial kidney replacement fluid by combining with an aqueous solution containing an electrolyte component which may react to form precipitates with carbonate ions, and contains at least one of bicarbonate and carbonate ions, aqueous solution pH of 8.6 to 10.5.
[Requested item 15]
Aqueous solution of claim 14, wherein filling the first chamber in the multi-chamber container having at least two chambers partitioned by the communicable isolation means.
[Requested item 16]
An aqueous solution containing an electrolyte component which may react to form precipitates with carbonate ions, comprising a combination of a solution according to claim 14 or 15, wherein the artificial kidney for fluid replacement.

Documents

Application Documents

# Name Date
1 201917008983.pdf 2019-03-07
2 201917008983-TRANSLATIOIN OF PRIOIRTY DOCUMENTS ETC. [07-03-2019(online)].pdf 2019-03-07
3 201917008983-STATEMENT OF UNDERTAKING (FORM 3) [07-03-2019(online)].pdf 2019-03-07
4 201917008983-FORM 1 [07-03-2019(online)].pdf 2019-03-07
5 201917008983-DECLARATION OF INVENTORSHIP (FORM 5) [07-03-2019(online)].pdf 2019-03-07
6 201917008983-COMPLETE SPECIFICATION [07-03-2019(online)].pdf 2019-03-07
7 201917008983-Proof of Right (MANDATORY) [23-03-2019(online)].pdf 2019-03-23
8 201917008983-FORM-26 [23-03-2019(online)].pdf 2019-03-23
9 201917008983-certified copy of translation (MANDATORY) [23-03-2019(online)].pdf 2019-03-23
10 201917008983-Power of Attorney-260319.pdf 2019-04-03
11 201917008983-OTHERS-260319.pdf 2019-04-03
12 201917008983-OTHERS-260319-.pdf 2019-04-03
13 201917008983-Correspondence-260319.pdf 2019-04-03
14 201917008983-FORM 18 [15-06-2019(online)].pdf 2019-06-15
15 201917008983-FORM 3 [05-09-2019(online)].pdf 2019-09-05
16 201917008983-FER.pdf 2021-10-18
17 201917008983-OTHERS [09-11-2021(online)].pdf 2021-11-09
18 201917008983-FER_SER_REPLY [09-11-2021(online)].pdf 2021-11-09
19 201917008983-CORRESPONDENCE [09-11-2021(online)].pdf 2021-11-09
20 201917008983-CLAIMS [09-11-2021(online)].pdf 2021-11-09
21 201917008983-US(14)-HearingNotice-(HearingDate-05-03-2024).pdf 2024-02-13
22 201917008983-Response to office action [06-03-2024(online)].pdf 2024-03-06

Search Strategy

1 TPOSEARCH(1)E_19-04-2021.pdf