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WO1996012442A1 - Non-ozone depleting vapocoolants - Google Patents

Non-ozone depleting vapocoolants Download PDF

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Publication number
WO1996012442A1
WO1996012442A1 PCT/US1994/012172 US9412172W WO9612442A1 WO 1996012442 A1 WO1996012442 A1 WO 1996012442A1 US 9412172 W US9412172 W US 9412172W WO 9612442 A1 WO9612442 A1 WO 9612442A1
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WO
WIPO (PCT)
Prior art keywords
vapocoolant
skin
hydrofluorocarbon
compositions
hfc
Prior art date
Application number
PCT/US1994/012172
Other languages
French (fr)
Inventor
Rakesh Govind
Ajaz Hussain
Original Assignee
University Of Cincinnati
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by University Of Cincinnati filed Critical University Of Cincinnati
Priority to PCT/US1994/012172 priority Critical patent/WO1996012442A1/en
Priority to AU80890/94A priority patent/AU8089094A/en
Publication of WO1996012442A1 publication Critical patent/WO1996012442A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/02Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
    • A61B18/0218Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques with open-end cryogenic probe, e.g. for spraying fluid directly on tissue or via a tissue-contacting porous tip
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/045Hydroxy compounds, e.g. alcohols; Salts thereof, e.g. alcoholates

Definitions

  • the present invention relates generally to chemical compositions for use as topical anesthetics or skin refrigerants. More specifically, this invention provides chemical compositions for use as topical anesthetics or skin refrigerants, which compositions do not cause the depletion of the stratospheric ozone layer and are non-toxic. Even more specifically, this invention provides chemical compositions for use as topical anesthetics or skin refrigerants, which compositions, in addition to having the above properties, match the skin temperature versus time profile needed, in the management of myofascial pain syndromes, for effectively freezing skin prior to minor skin surgery and for effectively freezing skin for giving painless injections.
  • Vapocoolants will be understood to include topical anesthetics, skin refrigerants and the like.
  • Vapocoolants are volatile liquid compositions which exert high pressure in a container at room temperature. When a container having such compositions is inverted and opened, in the proximity of human skin, the liquid is immediately expelled out of the bottle in a stream and starts evaporating. The evaporation of the liquid cools the liquid stream by the time it impacts the skin. The liquid on the skin continues to evaporate and remove heat from skin resulting in the rapid decline of the skin temperature.
  • hydrofluorocarbons such as tetrafluoromethane, trifluoromethane, hexafluoroethane, monobromotrifluoromethane, and 1 , 1 - difluoroethane. It is also mentioned in the '028 patent that ail of these listed hydrofluorocarbons are "often environmentally harmful. " Thus, the '028 patent in fact points away from the use of 1 , 1 -difluoroethane ( 1 52a).
  • HFC's hydrofluorocarbons
  • HFC's hydrofluorocarbons
  • compounds such as hydrochlorofluorocarbons(HCFC's) and chlorofluorocarbons(CFC's) are considered to be ozone depleting.
  • U.S. Patent 5,039,485 issued August 1 3, 1 991 to Conviser et al. discloses a sterilant mixture comprising 14-25 mole percent ethylene oxide and 75-86 mole percent 1 , 1 , 2, 2 - pentofluoroethane, and a sterilization method using the same.
  • the '485 patent is relevant in that it recognizes the problem associated with the use of CFC's, i.e., the resultant damage to the stratospheric ozone layer. It is also disclosed in the '485 patent that 1 , 2, 2, 2-tetrafluoroethane (HFC 134a), does not increase the ozone depletion potential of a certain sterilant mixture.
  • Fluorimethane ® and ethylchloride are intended for topical application in the management of myofascial pain, restricted motion, muscle spasms and for the control of pain associated with injections.
  • Fluorimethane ® is classified as a prescription drug and is regulated by the United States Food and Drug Administration (FDA). It was formulated by Dr. Janet Travell in the late 1950's and since then has been widely used for the management of the above conditions and symptoms. It is a mixture of two CFC's, namely dichlorodifluoromethane -1 5% and trichloromonofluoromethane - 85%.
  • Chlorofluorocarbons are known to be extremely harmful to the stratospheric ozone layer and in accordance with the Montreal Protocol of September 1987, have to be phased out along with all other CFC's by the year 2000.
  • the present invention offers new chemical compositions that match the skin temperature-time profile of Fluorimethane® and ethyl chloride, which compositions do not contain CFC's and which are non-toxic.
  • Ethylchloride has been found to be carcinogenic, hepatotoxic and is also known to be highly flammable.
  • the present invention makes it possible to replace ethylchloride with a non-ozone depleting vapocoolant which shows the temperature time characteristics of ethylchloride and Fluorimethane ® and which is simultaneously non-toxic and non-carcinogenic in comparison to ethylchloride.
  • the present chemical compositions are also not as flammable as ethyl chloride.
  • a still further object of the present invention is to provide chemical compositions for the purposes described above and having the characteristics described above, which compositions are not carcinogenic.
  • a further object of the present invention is to provide chemical compositions for the above described purposes and having the above described characteristics, which compositions are less flammable than ethylchloride.
  • Yet another object of the present invention is to provide chemical compositions for the above described purposes and having the above described characteristics, so as to be effective in replacing the presently used chlorofluorocarbon vapocoolants, which CFC's are to be phased out by the year 2000.
  • a non-ozone depleting, non-toxic and non-carcinogenic vapocoolant liquid chemical compostion for use in localized cooling of a desired area of the skin of humans and other animals, said composition comprising by total weight of the composition 40 to 55% hydrofluorocarbon and 60 to 45% of ethyl alcohol; and being capable of cooling said desired area to at least as low as approximately minus 5°C, upon spraying of said composition onto said desired area, from a predetermined distance for a maximum of 5 seconds.
  • compositions of the present invention have equal application in the management of the specific applications described above, namely myofascial pain, restricted motion, muscle spasms and for freezing skin prior to minor skin surgery. It is also to be understood that the present compositions are not restricted to any particular kind of delivery system of the vapocoolants such as a particular bottle, can or other packaging container. Futhermore, the skin of animal subjects other than human subjects, may also be cooled using the vapocoolants of the present invention.
  • HFC's are considered to satisfy the criteria required by the compositions of the present invention, namely that the components be non- ozone depleting, non-toxic, non-carcinogenic and less flammable than ethyl chloride and that the resulting chemical composition/mixture have a skin temperature-time profile comparable to that obtained upon application of the currently commercially available CFC based product Fluorimethane ® and ethyl chloride:
  • the above disclosed HFC's are typically mixed with ethyl alcohol, the HFC's being present in the range of 40-55 weight percent and ethyl alcohol in the range of 60 to 45 weight percent.
  • the ethyl alcohol used in these mixtures may or may not include a denaturing agent such as isopropyl alcohol, acetone or camphor.
  • compositions of the present invention involved the following: spray skin from a distance of about 12 inches continuously for the desired amount of time, typically from 3 to 5 seconds, but do not frost the skin.
  • Tables 1 and 5 describe the experimental conditions in accordance with the procedural steps described above. The only difference between Table 1 and Table 5 and between Study 1 and Study 2 is that in Study 1 the spray time was five seconds, whereas in Study 2 the spray time was 3 seconds. Comparison is made between various coolants including ethylchloride at room temperature, ethylchloride at 1 1 °C, Fluorimethane ® at room temperature, Fuorimethane ® at 1 1 ° C and mixtures of HFC 1 52a and HFC 134a.
  • various coolants including ethylchloride at room temperature, ethylchloride at 1 1 °C, Fluorimethane ® at room temperature, Fuorimethane ® at 1 1 ° C and mixtures of HFC 1 52a and HFC 134a.
  • Tables 2 and 6 describe the subjects chosen including their normal skin temperature, the sex, race, age, weight and height of the subjects.
  • Tables 3 and 7 describe the minimum temperatures obtained for the various subjects in the two studies using the different coolants described in Tables
  • Table 3 pertains to the spray time of 5 seconds and Table 7 pertains to the spray time of 3 seconds.
  • minimum temperatures obtained on site A for the HFC compositions of the present invention are very comparable to the minimum temperatures obtained using the currently available vapocoolants. No statistical difference in minimum temperatures was noted between the formulations tested.
  • Tables 4 and 8 detail the minimum temperatures obtained for site B for Studies 1 and 2 respectively on the various subjects, comparing the minimum temperatures between the currently available vapocoolants and the HFC vapocoolant compositions of the present invention.
  • the minimum temperatures for the currently available vapocoolants and the minimum temperatures for mixtures El, Elll and ElV, are very similar in magnitude to each other, i.e. no statistical difference in minimum temperatures was noted between the formulations tested.
  • Ell minimum temperatures were significantly different from El, Elll and ElV.
  • the preferred compositions comprise between 52-55% HFC 1 34a (rest alcohol) and 45% HFC 1 52a (rest alcohol).

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
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  • Medicinal Chemistry (AREA)
  • Chemical & Material Sciences (AREA)
  • Otolaryngology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
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Abstract

Chemical compositions are provided, for use as topical anesthetics or skin refrigerants. These compositions do not cause the depletion of the stratospheric ozone layer and are non-toxic, non-carcinogenic and less flammable than ethyl chloride. Also these chemical compositions match the skin temperature versus time profile needed in the management of myofascial pain syndromes, for effectively freezing skin prior to minor skin surgery and for effectively freezing skin prior to giving painless injections.

Description

NON-OZONE DEPLETING VAPOCOOLANTS
FIELD OF THE INVENTION
The present invention relates generally to chemical compositions for use as topical anesthetics or skin refrigerants. More specifically, this invention provides chemical compositions for use as topical anesthetics or skin refrigerants, which compositions do not cause the depletion of the stratospheric ozone layer and are non-toxic. Even more specifically, this invention provides chemical compositions for use as topical anesthetics or skin refrigerants, which compositions, in addition to having the above properties, match the skin temperature versus time profile needed, in the management of myofascial pain syndromes, for effectively freezing skin prior to minor skin surgery and for effectively freezing skin for giving painless injections.
BACKGROUND OF THE INVENTION
The term vapocoolants will be understood to include topical anesthetics, skin refrigerants and the like. Vapocoolants are volatile liquid compositions which exert high pressure in a container at room temperature. When a container having such compositions is inverted and opened, in the proximity of human skin, the liquid is immediately expelled out of the bottle in a stream and starts evaporating. The evaporation of the liquid cools the liquid stream by the time it impacts the skin. The liquid on the skin continues to evaporate and remove heat from skin resulting in the rapid decline of the skin temperature.
The above-described effect of skin cooling is well known in the art. U.S. Patent 4,865,028 to Swart et al. issued September 12, 1989 describes a method for the therapeutic treatment of the skin of a human or animal by the freezing of the skin by application of a refrigerant thereto wherein the refrigerant is applied through a cotton wool bud which encompasses the discharge end of the supply tube and which cotton wool bud surrounds the outlet of the supply tube. In fact, the '028 patent lists several refrigerants which may be suitable for use in the method of the '028 patent. In this regard, several hydrofluorocarbonsaredisclosed such as tetrafluoromethane, trifluoromethane, hexafluoroethane, monobromotrifluoromethane, and 1 , 1 - difluoroethane. It is also mentioned in the '028 patent that ail of these listed hydrofluorocarbons are "often environmentally harmful. " Thus, the '028 patent in fact points away from the use of 1 , 1 -difluoroethane ( 1 52a).
However, when the '028 patent refers to the environmentally deleterious effects of hydrofluorocarbons (HFC's) the reference is to effects such as the greenhouse effect. It is well known that hydrofluorocarbons or HFC's have no ozone depletion potential whatsoever. On the other hand, compounds such as hydrochlorofluorocarbons(HCFC's) and chlorofluorocarbons(CFC's) are considered to be ozone depleting.
In fact, vapocoolants have been on the market since the 1 940 's and have been known since that time. The most widely used commercial products are Fluorimethane® (The Gebauer Company, Cleveland, Ohio) and ethylchforide. Fluorimethane® is used for management of myofascial pain syndrome using the well-known spray and stretch technique (See Manyel
J.M.: "Spray and Stretch treatment for myofascial pain"; Hospital Physician, 1 973). Ethylchloride is used for pain control in pain associated with injections or contusions. While it is acknowledged that vapocoolants in general have been on the market since the 1940's, the present invention is directed to the specific development of chemical compositions which are non-ozone depleting and non-toxic, while at the same time having a skin temperature-time profile similar to that obtained upon application of the currently widely available products such as Fluorimethane® and ethylchloride. The '028 patent also discloses in its specification, Dutch patent application No. 7,308,008, wherein the use of a liquid refrigerant with a low boiling point for carrying out cryosurgical treatments, such as the removal of an eye lens affected by cataract and cataract operation is disclosed. However, the use of compositions of the present application is not for cryosurgery, but for the specific applications included herein.
U.S. Patent 5,039,485 issued August 1 3, 1 991 to Conviser et al. discloses a sterilant mixture comprising 14-25 mole percent ethylene oxide and 75-86 mole percent 1 , 1 , 2, 2 - pentofluoroethane, and a sterilization method using the same. The '485 patent is relevant in that it recognizes the problem associated with the use of CFC's, i.e., the resultant damage to the stratospheric ozone layer. It is also disclosed in the '485 patent that 1 , 2, 2, 2-tetrafluoroethane (HFC 134a), does not increase the ozone depletion potential of a certain sterilant mixture.
The currently marketed vapocoolants described above (Fluorimethane® and ethylchloride), are intended for topical application in the management of myofascial pain, restricted motion, muscle spasms and for the control of pain associated with injections. Fluorimethane® is classified as a prescription drug and is regulated by the United States Food and Drug Administration (FDA). It was formulated by Dr. Janet Travell in the late 1950's and since then has been widely used for the management of the above conditions and symptoms. It is a mixture of two CFC's, namely dichlorodifluoromethane -1 5% and trichloromonofluoromethane - 85%.
Chlorofluorocarbons are known to be extremely harmful to the stratospheric ozone layer and in accordance with the Montreal Protocol of September 1987, have to be phased out along with all other CFC's by the year 2000. The present invention offers new chemical compositions that match the skin temperature-time profile of Fluorimethane® and ethyl chloride, which compositions do not contain CFC's and which are non-toxic. Ethylchloride has been found to be carcinogenic, hepatotoxic and is also known to be highly flammable. The present invention makes it possible to replace ethylchloride with a non-ozone depleting vapocoolant which shows the temperature time characteristics of ethylchloride and Fluorimethane® and which is simultaneously non-toxic and non-carcinogenic in comparison to ethylchloride. The present chemical compositions are also not as flammable as ethyl chloride.
SUMMARY OF THE INVENTION
It is a primary object of the present invention to provide a chemical composition for use as a vapocoolant, which vapocoolant does not cause the depletion of the stratospheric ozone layer and which is non-toxic.
It is another object of the present invention to provide a vapocoolant having the above described characteristics and which has a skin temperature versus time profile suitable for management of myofascial pain syndromes, for effectively freezing skin prior to minor skin surgery and for effectively freezing skin prior to giving painless injections.
It is a further object of the present invention to provide chemical compositions which have similar skin temperature versus time profiles as compared to currently available vapocoolants for similar purposes.
It is yet another object of the present invention to provide chemical compositions which are non-toxic in comparison to ethylchloride.
A still further object of the present invention is to provide chemical compositions for the purposes described above and having the characteristics described above, which compositions are not carcinogenic. 96/12442 PCI7US94/12172
A further object of the present invention is to provide chemical compositions for the above described purposes and having the above described characteristics, which compositions are less flammable than ethylchloride.
Yet another object of the present invention is to provide chemical compositions for the above described purposes and having the above described characteristics, so as to be effective in replacing the presently used chlorofluorocarbon vapocoolants, which CFC's are to be phased out by the year 2000.
In accordance with the invention, there is provided a non-ozone depleting, non-toxic and non-carcinogenic vapocoolant liquid chemical compostion for use in localized cooling of a desired area of the skin of humans and other animals, said composition comprising by total weight of the composition 40 to 55% hydrofluorocarbon and 60 to 45% of ethyl alcohol; and being capable of cooling said desired area to at least as low as approximately minus 5°C, upon spraying of said composition onto said desired area, from a predetermined distance for a maximum of 5 seconds.
While the invention will be described in connection with a preferred embodiment, it will be understood that it is not intended to limit the invention to that embodiment. On the contrary, it is intended to cover all alternatives, modifications and equivalents as may be included within the spirit and scope of the invention as defined by the appended claims.
DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT
In accordance with the preferred embodiment of the present invention, the present invention will now be described in detail in connection with the use of chemical compositions for the cooling of a specific area of the skin in a human subject. It is to be understood that the compositions of the present invention have equal application in the management of the specific applications described above, namely myofascial pain, restricted motion, muscle spasms and for freezing skin prior to minor skin surgery. It is also to be understood that the present compositions are not restricted to any particular kind of delivery system of the vapocoolants such as a particular bottle, can or other packaging container. Futhermore, the skin of animal subjects other than human subjects, may also be cooled using the vapocoolants of the present invention.
The following HFC's are considered to satisfy the criteria required by the compositions of the present invention, namely that the components be non- ozone depleting, non-toxic, non-carcinogenic and less flammable than ethyl chloride and that the resulting chemical composition/mixture have a skin temperature-time profile comparable to that obtained upon application of the currently commercially available CFC based product Fluorimethane® and ethyl chloride:
1 , 1 -difluoroethane (HFC 1 52a)
1 , 1 , 1 , 2 -tetrafluoroethane (HFC 1 34a)
The above disclosed HFC's are typically mixed with ethyl alcohol, the HFC's being present in the range of 40-55 weight percent and ethyl alcohol in the range of 60 to 45 weight percent. The ethyl alcohol used in these mixtures, may or may not include a denaturing agent such as isopropyl alcohol, acetone or camphor.
Detailed tests were conducted with respect to mixtures of: (a) 1 , 1 - difluoroethane (HFC 152a) and ethyl alcohol arid (b) 1 , 1 , 1 , 2 - tetrafluoroethane (HFC 134a) and ethyl alcohol.
The general procedure for the testing of the compositions of the present invention involved the following: spray skin from a distance of about 12 inches continuously for the desired amount of time, typically from 3 to 5 seconds, but do not frost the skin.
The following tables, l-VIII describe the result of studies 1 and 2.
Table I
Experimental conditions for study 1
1 . Spray distance: 1 2 inches
2. Spay time: 5 seconds
3. Coolants:
Ethyl chloride at room temperature, denoted by EC
Ethyl chloride at 1 1 °C, denoted by ECC
Fluorimethane® at room temperature, denoted by FM
Fluorimethane® at 1 1 °C, denoted by FMC
Mixture of 45% HFC 1 52a and 55% ethyl alcohol, denoted by
El
Mixture of 50% HFC 1 34a and 50% ethyl alcohol, denoted by Ell Mixture of 55% HFC 1 34a and 45% ethyl alcohol, denoted by Elll
Table II
Figure imgf000009_0001
Table III
Minimum temperature for site A (a site on the subject's forearm)
COOLANT SUBJECT 1 SUBJECT 2 SUBJECT 3 SUBJECT 4 SUBJECT 5 MEAN
STANDARD
DEVIATION
EC -1322 -1687 -1756 -11 72 -1526 -1493 ± 245
ECC -15.80 -11 32 -1781 -1619 -1684 -1559 ± 250
FM -1734 -1724 •1643 -1518 -1586 -1641 ± 092
FMC -1675 1785 -1935 -1414 -23.30 1828 ± 340
-2010 1 05 -1665 1743 -1519 -1729 ± 1 79
Ell -1729 -1503 -1499 -1362 -1632 -1545 t 140
-1791 -1933 -19.83 -1765 -2189 -1932 ± 1 70
Table IV
Minimum temperature for site B (a site on the subject's forearm, different from A)
COOLANT SUBJECT 1 SUBJECT 2 SUBJECT 3 SUBJECT 4 SUBJECT 5 MEAN £
STANDAFID
DEVIATION
EC -16.87 -1578 -1573 -16.12 -1750 1640 £ 077
ECC -19.22 -1556 -1871 -1780 -20.75 -1841 ± 1 92
FM -20.39 -15.39 -16.62 -13.92 -16.27 -1652 ± 240
FMC -15.87 -16.76 -19.34 19.51 -20.21 -18.34 ± 1 91
. -18.59 -21.25 -15.65 -17.85 -19.73 -18.62 ± 209
Ell -13.77 -16.18 -12.97 -17.80 -17.67 -15.68 ± 222
Elll -17.34 -18.17 •18.54 •23.92 -22.63 -20.12 * 295
Table V
Experimental conditions for study 2 1 . Spray distance: 12 inches
2. Spay time: 3 seconds
3. Coolants:
Ethyl chloride at room temperature, denoted by EC
Ethyl chloride at 1 1 °C, denoted by ECC
Fluorimethane® at room temperature, denoted by FM
Fluorimethane® at 1 1 °C, denoted by FMC
Mixture of 45% HFC 1 52a and 55% ethyl alcohol, denoted by
El
Mixture of 50% HFC 1 34a and 50% ethyl alcohol, denoted by
Ell
Mixture of 52% HFC 134a and 48% ethyl alcohol, denoted by
E 111
Mixture of 55% HFC 1 34a and 45% ethyl alcohol, denoted by
EIV
Table VI
Code Sex Race Age Weight Height Skin T
1 M Asian 25 y 125 lb 5'7" 32.5
2 F White 37 y 180 1b 5'10" 32.6
F White 49 y 240 1b 5'4" 32.0
3
4 F White 56 y 170 1b 5'6" 30.5
5 F Asian 28 y 90 1b 5'0" 32.5
6 M White 28 y 163 1b 6'0" 33.2 7 F White 30 y 123 lb 5'6" 34.0
8 F White 31 y 160 lb 5'7" 32.5
9 M Black 43 y 175 lb 6'1" 34.0
10 M White 38 y 200 lb 5' 10" 33.0
11 M White 30 y 210 lb 6'1" 33.0
12 F White 54 y 165 lb 5'10" 30.9
13 F White 34 y 115 lb 5'0" 32.5
14 F White 22 y 140 lb 5'9" 31.5
15 White 44 y 138 lb 5'4.5" 30.5
F
Table VII
Minimum temperature for site A (a site on the subject's forearm)
| CODE EC ECC FM FMC El Ell Elll EIV I
- -16.93 -17.89 -16.72 -18.24 -17.72 -15.24 17.59 -17.58
2 •14.64 -17.64 -15.35 -16.41 -15.67 -21.06 -16.74 -21.43
3 -13.78 -14.82 •16.58 -16.04 -16.85 -13.75 -18.23 -20.10
4 -14.86 •13.48 -19.01 -17.74 -14.70 -13.93 -18.89 -18.87
5 -15.34 -1 .04 • 16.36 -17.14 -12.92 -10.27 -15.76 -12.70 β -14.75 -17.18 -11.35 -16.13 -16.12 -11.83 -14.45 -13.82 7 16.70 -13.22 -15.71 -15.66 -16.28 -1 1 .65 -16.72 -14.93
8 -18.76 -13.10 -19.08 -19.86 -18.10 -15.41 -13.56 •17.10
9 -15.46 -18.1 1 -1 1.51 -18.29 -13.55 -15.90 -15.88 -20.42
10 -16.53 -17.63 -16.03 -18.77 -19.53 -18.1 1 -18.58 -26.49
1 1 -14.68 -15.56 -15.26 -18.61 -23.28 -18.04 -14.35 -19.14
12 -13.59 -17.00 -15.82 -16.68 -21.55 -15.44 -18.88 -21.62
13 -14.52 -13.13 -14.50 -13.96 -16.88 -15.68 -18.39 -21 .52
14 -16.62 -16.26 -13.95 - 18.38 -16.02 -15.62 -17.04 -21.27
15 -18.45 -19.80 - 16.67 -20.41 -13.28 • 17.03 -20.41 22.60
MEAN -1 5.70 -16.12 -15.59 -16.15 - 16.38 -15.26 -17.03 -19.31 ± SD ± 1 .56 ± 2.13 ± 2.18 ± 4.61 ± 2.92 ± 2.77 ± 1 .95 ± 3.62
Table VIII
Minimum temperature for site B (a site on the subject's forearm, different from A)
| CODE EC ECC FM FMC El Ell Elll ElV
1 -17.99 -12.79 -15.33 -15.36 -19.23 -13.00 •17.48 -14.42
2 -17.03 -17.73 •15.36 -18.03 -14.68 -16.95 -14.87 -19.86
3 -13.60 -11.70 -14.12 -13.34 -13.88 -7.89 -16.48 •14.30
4 -16.89 -16.21 -18.35 -12.01 •15.76 -10.93 •16.93 -19.76 5 -15.33 -15.84 -13.45 -10.33 -15.24 -8.25 -13.47 -23.14
6 -12.73 -15.32 -16.29 -12.72 -13.62 - 10.77 -15.14 -12.93
7 -15.93 -10.04 -10.83 -13.86 -15.64 -8.89 -14.77 -14.93
8 -18.79 -20.86 -18.79 -20.59 -16.41 -16.96 -16.34 -22.66
9 -12.08 -16.69 -13.93 -19.34 -11 .22 -16.24 -16.41 -17.74
10 -14.03 -18.07 -18.01 -19.22 -20.83 -18.68 -22.58 ■19.03
1 1 -18.32 - 18.65 -13.00 -22.26 -25.51 -1 1.30 •14.00 -20.84
12 -16.52 - 10.58 - 19.36 - 15.25 - 18.53 -16.38 -20.94 -20.18
13 16.48 ■ 12.08 -19.04 - 13.88 -16.56 • 19.48 -18.68 -21 .70
14 -16.02 - 1 7.86 - 1 7.82 -20.29 - 15.28 -16.74 - 19.38 -16.38
15 -17.12 - 18.69 - 18.82 - 16.51 -17.37 -17.71 -23.49 -22.35
MEAN -15.92 -15.54 -16.03 -16.25 -16.66 -14.01 -17.40 -18.68 ± SD ±2.01 ± 3.33 ± 2.60 ± 3.63 ± 3.40 ±4.02 ± 3.05 ± 3.36
Tables 1 and 5 describe the experimental conditions in accordance with the procedural steps described above. The only difference between Table 1 and Table 5 and between Study 1 and Study 2 is that in Study 1 the spray time was five seconds, whereas in Study 2 the spray time was 3 seconds. Comparison is made between various coolants including ethylchloride at room temperature, ethylchloride at 1 1 °C, Fluorimethane® at room temperature, Fuorimethane® at 1 1 ° C and mixtures of HFC 1 52a and HFC 134a.
Tables 2 and 6 describe the subjects chosen including their normal skin temperature, the sex, race, age, weight and height of the subjects.
Tables 3 and 7 describe the minimum temperatures obtained for the various subjects in the two studies using the different coolants described in Tables
1 and 5. Table 3 pertains to the spray time of 5 seconds and Table 7 pertains to the spray time of 3 seconds. As can be seen, minimum temperatures obtained on site A for the HFC compositions of the present invention are very comparable to the minimum temperatures obtained using the currently available vapocoolants. No statistical difference in minimum temperatures was noted between the formulations tested.
Tables 4 and 8 detail the minimum temperatures obtained for site B for Studies 1 and 2 respectively on the various subjects, comparing the minimum temperatures between the currently available vapocoolants and the HFC vapocoolant compositions of the present invention. The minimum temperatures for the currently available vapocoolants and the minimum temperatures for mixtures El, Elll and ElV, are very similar in magnitude to each other, i.e. no statistical difference in minimum temperatures was noted between the formulations tested. Ell minimum temeteratures were significantly different from El, Elll and ElV. Thus the preferred compositions comprise between 52-55% HFC 1 34a (rest alcohol) and 45% HFC 1 52a (rest alcohol).
As pointed out above, it is important to note that the pre-injection of cooling of localized skin areas is just one of the proposed applications of the compositions of the present invention. Management of myofascial pain, restricted motion and muscle spasms and cooling of the skin prior to minor surgery are the other desired applications.
Thus it is apparent that there have been provided, in accordance with the invention, chemical compositions that fully satisfy the objects, aspects and advantages set forth above. While, the invention has been described with respect to a pair of preferred HFCs, it is evident that many alternatives, modifications and variations will be apparent to those skilled in the art in light of the foregoing description. In this respect, CF3CHFCF3, i.e. HFC 227 ea (1 , 3 trifluoro-2-fluoro propane), would it is believed satisy all the objects, aspects and advantages set forth above. Accordingly, it is intended to embrace this and all such other alternatives, modifications, and variations which fall within the broad scope of the appended claims.

Claims

1 . A non-ozone depleting, non-toxic and non-carcinogenic vapocoolant liquid chemical compostion for use in localized cooling of a desired area of the skin of humans and other animals, said composition: comprising by total weight of the composition 40 to 55% hydrofluorocarbon and 60 to 45% of ethyl alcohol; and being capable of cooling said desired area to at least as low as approximately minus 5°C, upon spraying of said composition onto said desired area, from a predetermined distance for a maximum of 5 seconds.
2. The vapocoolant of claim 1 further comprising upto 5% of a denaturing agent selected from the group consisting of isopropyl alcohol, acetone and camphor.
3. The vapocoolant of claim 2, wherein said hydrofluorocarbon is selected from the group consisting of 1 , 1 - difluoroethane, 1 , 1 , 1 , 2 - tetrafluoroethane and combinations thereof.
4. The vapocoolant of claim 3, comprising as said hydrofluorocarbon, 1 , 1 - difluoroethane, at 45% by total weight.
5. The vapocoolant of claim 3, comprising as said hydrofluorocarbon, 1 , 1 , 1 , 2 - tetrafluoroethane, at 52% by total weight.
6. The vapocoolant of claim 3, comprising as said hydrofluorocarbon, 1 , 1 , 1 , 2 - tetrafluoroethane, at 55% by total weight.
7. The vapocoolant of claim 1 , wherein the skin cooled is that of a human subject.
8. A method of cooling the skin of a human subject using the vapocoolant of claim 1.
9. A method for the management of myofascial pain syndrome using the vapocoolant of claim 1 .
10. A method for effectively freezing skin prior to minor skin surgery using the vapocoolant of claim 1 .
1 1 . A method for effectively freezing skin prior to giving painless injections using the vapocoolant of claim 1 .
12. The vapocoolant of claim 2, comprising as said hydrofluorocarbon, 1 , -trifluoro-2-fluoro propane.
PCT/US1994/012172 1994-10-25 1994-10-25 Non-ozone depleting vapocoolants WO1996012442A1 (en)

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PCT/US1994/012172 WO1996012442A1 (en) 1994-10-25 1994-10-25 Non-ozone depleting vapocoolants
AU80890/94A AU8089094A (en) 1994-10-25 1994-10-25 Non-ozone depleting vapocoolants

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Cited By (2)

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Publication number Priority date Publication date Assignee Title
US6235265B1 (en) 1998-10-28 2001-05-22 Alliedsignal Inc. Evaporative coolant for topical anesthesia comprising hydrofluorocarbons and/or hydrochlorofluorocarbons
WO2001085140A1 (en) * 2000-05-11 2001-11-15 Alliedsignal Inc. Evaporative coolant comprising hydrofluorocarbons and/or hydrochlorofluorocarbons

Citations (2)

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JPS6450816A (en) * 1987-08-21 1989-02-27 Kanebo Ltd Isosorbide nitrate agent for transcutaneous use
JPH01287010A (en) * 1988-05-11 1989-11-17 Kobayashi Kose Co Ltd Production of solid powder make-up cosmetic

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JPS6450816A (en) * 1987-08-21 1989-02-27 Kanebo Ltd Isosorbide nitrate agent for transcutaneous use
JPH01287010A (en) * 1988-05-11 1989-11-17 Kobayashi Kose Co Ltd Production of solid powder make-up cosmetic

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PATENT ABSTRACTS OF JAPAN vol. 14, no. 63 (C - 0685) 6 February 1990 (1990-02-06) *

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6235265B1 (en) 1998-10-28 2001-05-22 Alliedsignal Inc. Evaporative coolant for topical anesthesia comprising hydrofluorocarbons and/or hydrochlorofluorocarbons
WO2001085140A1 (en) * 2000-05-11 2001-11-15 Alliedsignal Inc. Evaporative coolant comprising hydrofluorocarbons and/or hydrochlorofluorocarbons

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