Preparation of therapeutic foam
Vessel having sterile contents containing in predetermined proportions (i) a foamable liquid and (ii) a gas or gas mixture other than air. The contents are at a pressure above atmospheric pressure. The vessel has an outlet which is adapted to cooperate with a syringe nozzle and which has associated with it a breakable seal or a valve.
1. A system for filling a syringe with predetermined volumes of liquid and gas comprising:
a vessel having sterile contents,
the contents being predetermined proportions of
a first phase comprising a foamable sclerosant liquid solution, and
a second phase in contact with the first phase comprising a gas mixture consisting essentially of oxygen and carbon dioxide pressurized at a pressure above atmospheric pressure,
the vessel having a resilient closure, which is pierceable by a hollow hypodermic needle, and which forms a seal around the needle when it is pierced, and
a syringe comprising the hollow hypodermic needle,
wherein the vessel and the syringe are configured for transfer of the sterile contents from the vessel to the syringe through the hypodermic needle inserted through the resilient, pierceable closure and into the foamable sclerosant liquid solution, whereby the pressurized gas mixture forces a volume of the foamable sclerosant liquid solution into the syringe, followed by the passage of a volume of the pressurized gas mixture into the syringe after the needle passes beyond the foamable sclerosant liquid solution in the vessel to thereby form a precursor for a foam;
wherein the pressure of the gas mixture in the vessel is selected such that pressures in the vessel and syringe equalize once a predetermined volume of the foamable sclerosant liquid solution and a predetermined volume of the pressurized gas mixture have been transferred to the syringe.
2. The system as claimed in claim 1 wherein the closure is a rubber septum.
3. The system as claimed in claim 2 wherein the rubber septum has a thickness of between 2 and 10 mm.
4. The system as claimed in claim 1 wherein the syringe comprises a syringe barrel, main syringe plunger and a secondary plunger capable of reciprocal motion within the barrel independent of the main plunger, the second plunger having a plunger head provided with apertures therein.
5. The system as claimed in claim 1 wherein the contents of the vessel are at a pressure of 1.3 bara or more and less than 10 bara.
6. The system as claimed in claim 1 wherein the foamable sclerosant liquid solution is a solution of polidocanol.
7. The system as claimed in claim 2 wherein the rubber septum comprises a chlorobutyl or bromobutyl rubber material.
8. The system as claimed in claim 1 wherein the foamable sclerosant liquid solution is a 1% (vol/vol) solution of polidocanol.
9. The system as claimed in claim 1 wherein the ratio of liquid solution to gas mixture is in the range of 0.05 g/ml to 0.25 g/ml.
10. The system as claimed in claim 1 wherein the ratio of liquid solution to gas mixture is in the range of 0.07 g/ml to 0.2 g/ml.
11. The system as claimed in claim 1 wherein the ratio of liquid solution to gas mixture is in the range of 0.1 g/ml to 0.16 g/ml.
12. A system for filling a syringe with predetermined volumes of liquid and gas comprising:
a vessel having a resilient closure and containing sterile contents, the contents being predetermined proportions of
a first phase comprising a foamable sclerosant liquid solution, and
a second phase in contact with the first phase comprising a gas mixture consisting essentially of oxygen and carbon dioxide pressurized at a pressure above atmospheric pressure, and
a syringe comprising a hollow hypodermic needle piercing the resilient closure, wherein the resilient closure forms a seal around the hollow hypodermic needle,
wherein when the hypodermic needle is inserted into the foamable sclerosant liquid solution, the pressurized gas mixture forces a volume of the foamable sclerosant liquid solution into the syringe, followed by the passage of a volume of the pressurized gas mixture into the syringe after the needle passes beyond the foamable sclerosant liquid solution in the vessel to thereby form a precursor for a foam;
wherein the pressure of the gas mixture in the vessel is selected such that pressures in the vessel and syringe equalize once a predetermined volume of the foamable sclerosant liquid solution and a predetermined volume of the pressurized gas mixture have been transferred to the syringe.