ELECTRONIC SYSTEM FOR A DRUG DELIVERY DEVICE AND DRUG DELIVERY DEVICE
20230277774 · 2023-09-07
Inventors
- Stefan Alt (Frankfurt am Main, DE)
- Oliver Charles Gazeley (Basel, CH)
- Adam Moyo Harvey-Cook (Billericay, Essex, GB)
- Aiden Michael O'Hare (Warwick, Warwickshire, GB)
- Stephen Ingram (Warwick, Warwickshire, GB)
- Paul Andrew Calton (Warwick, Warwickshire, GB)
Cpc classification
A61M2205/3569
HUMAN NECESSITIES
A61M5/31546
HUMAN NECESSITIES
International classification
Abstract
An electronic system for a drug delivery device is provided. The electronic system comprises: at least one user interface member, which is arranged to be manipulated by a user of the drug delivery device, and an electrical user proximity detection unit. The user interface member has an exterior operation surface arranged and configured to be touched by a user of the drug delivery device during operation of the drug delivery device. The electrical user proximity detection unit is configured to generate a signal when the user is close to or touches the exterior operation surface.
Claims
1-29. (canceled)
30. An electronic system for a drug delivery device, the electronic system comprising: at least one user interface member arranged to be manipulated by a user of the drug delivery device, wherein the user interface member has an exterior operation surface arranged and configured to be touched by the user of the drug delivery device during operation of the drug delivery device; and an electrical user proximity detection unit configured to generate a signal when the user is close to or touches the exterior operation surface.
31. The electronic system of claim 30, wherein the exterior operation surface is or comprises a setting surface of the user interface member which is arranged to be contacted for conducting or initiating a dose setting operation, and wherein the exterior operation surface is the setting surface.
32. The electronic system of claim 30, wherein the user proximity detection unit comprises an electrical sensor or switch that is arranged and configured to detect whether the user is close to the exterior operation surface or touches the exterior operation surface, and wherein the sensor or switch is a contactless or touchless proximity sensor or switch, and/or wherein the user proximity detection unit comprises an electrical sensor or switch that is arranged and configured to detect whether the user touches the exterior operation surface, and wherein the sensor or switch is a contact sensor or switch.
33. The electronic system of claim 30, wherein the user proximity detection unit comprises a capacitive sensor or switch that is arranged and configured to detect whether the user is close to or touches the exterior operation surface.
34. The electronic system of claim 30, wherein the user proximity detection unit comprises a sensor or switch that comprises at least one electrically conductive contact surface accessible on the exterior operation surface, wherein the sensor or switch is arranged and configured to detect whether the user touches the exterior operation surface.
35. The electronic system of claim 30, wherein the user proximity detection unit comprises a sensor or switch that comprises multiple electrically conductive contact surfaces accessible on the exterior operation surface, wherein at least two electrically conductive contact surfaces of the multiple electrically conductive contact surfaces are arranged such that the user can simultaneously touch the at least two electrically conductive contact surfaces with one finger or two different fingers of a hand of the user, and wherein the at least two electrically conductive contact surfaces are configured to be surfaces having different electrical potentials, wherein the electronic system is configured such that the signal is formed by a current flowing through the hand of the user from one of the electrically conductive contact surfaces to another one of the electrically conductive contact surfaces when the user touches both contact surfaces simultaneously.
36. The electronic system of claim 30, further comprising an electronic control unit configured to control an operation of the electronic system in response to the signal of the user proximity detection unit, wherein the electronic system has a first state and a second state, wherein the electronic system has a higher electrical power consumption in the second state as compared to the first state, wherein the electronic system further comprises an electrical use detection unit operatively connected to the electronic control unit, wherein the electrical use detection unit is configured to generate a use signal that indicates the user intends to perform a dose setting operation and/or a dose delivery operation, wherein the electronic system is configured to be switched from the first state into the second state in response to the use signal, wherein the use detection unit comprises the user proximity detection unit, and wherein the use signal is the signal generated by the user proximity detection unit when the user is close to or touches the exterior operation surface.
37. The electronic system of claim 36, wherein the electronic system comprises a motion sensing unit (1200), wherein the motion sensing unit is configured to generate electrical motion signals suitable to quantify a relative movement of a first member relative to a second member, wherein the motion sensing unit is configured to be switched by the electronic control unit from a first state, in which the motion sensing unit is not operative, into a second state, in which the motion sensing unit is operative, in response to the use signal, and wherein the electronic system is configured such that the motion sensing unit operates during the dose delivery operation.
38. The electronic system of claim 37, wherein the exterior operation surface is or comprises a setting surface of the user interface member arranged to be contacted for conducting or initiating a dose setting operation, and wherein the exterior operation surface associated with generating the use signal is the setting surface, and the motion sensing unit is configured to monitor the dose delivery operation.
39. The electronic system of claim 37, wherein the exterior operation surface is or comprises a delivery surface arranged to be contacted for conducting or initiating a dose delivery operation, and wherein the exterior operation surface associated with generating the use signal is the delivery surface, and the motion sensing unit is configured to monitor the dose delivery operation.
40. The electronic system of claim 30, further comprising a wake-up unit configured to generate an electrical wake-up signal, wherein the electronic system is configured to switch the user proximity detection unit from a first state to a second state of higher power consumption in response to the wake-up signal, wherein the wake-up unit comprises an electrical wake-up sensor or switch configured to generate the electrical wake-up signal.
41. The electronic system of claim 40, wherein the electrical wake-up sensor or switch is a vibration sensor or switch, a capacitive sensor or switch, or a resistive sensor or switch.
42. The electronic system of claim 30, wherein the electronic system is configured as a reusable add-on system for a disposable drug delivery device unit.
43. The electronic system of claim 30, further comprising at least one sensor or switch configured to be deactivated in response to the signal generated by the user proximity detection unit.
44. The electronic system of claim 43, wherein the at least one sensor or switch which is deactivated is the same sensor or switch generating the signal of the user proximity detection unit in response to which it is deactivated.
45. The electronic system of claim 30, further comprising at least one sensor or switch configured to have a response rate that changes in response to the signal generated by the user proximity detection unit, wherein the response rate of the at least one sensor or switch is increased or decreased in response to the signal generated by the user proximity detection unit.
46. The electronic system of claim 30, further comprising at least one sensor or switch configured to be deactivated or to change its response rate in response to the signal generated by the user proximity detection unit, and wherein the at least one sensor or switch is different from a sensor or switch that generates the signal of the proximity detection unit.
47. The electronic system of claim 30, further comprising at least one sensor or switch configured to be deactivated or to change its response rate in response to the signal generated by the user proximity detection unit, wherein the user proximity detection unit comprises the at least one sensor or switch, wherein the at least one sensor or switch is the same as a sensor or switch that generates the signal of the user proximity detection unit.
48. A drug delivery device comprising: an electronic system that comprises at least one user interface member arranged to be manipulated by a user of the drug delivery device, wherein the user interface member has an exterior operation surface arranged and configured to be touched by the user of the drug delivery device during operation of the drug delivery device; and an electrical user proximity detection unit configured to generate a signal when the user is close to or touches the exterior operation surface, wherein the drug delivery device comprises a reservoir with drug.
49. The drug delivery device of claim 48, wherein the drug delivery device is configured such that the device increases its length during a dose setting operation in an amount proportional to a size of a set dose.
Description
BRIEF DESCRIPTION OF THE FIGURES
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DETAILED DESCRIPTION
[0094] In the figures, identical elements, identically acting elements or elements of the same kind may be provided with the same reference numerals.
[0095] In the following, some concepts will be described with reference to an insulin injection device. The systems described herein may be implemented in this device. The present disclosure is however not limited to such an application and may equally well be used for or in injection devices that are configured to eject other medicaments or drug delivery devices in general, preferably pen-type devices and/or injection devices.
[0096] In the following, embodiments are provided in relation to injection devices, in particular to variable dose injection devices, which record and/or track data on doses delivered thereby. These data may include the size of the selected dose and/or the size of the actually delivered dose, the time and date of administration, the duration of the administration and the like. Features described herein may include power management techniques (e.g. to facilitate small batteries and/or to enable efficient power usage).
[0097] Certain embodiments in this document are illustrated with respect to an injection device where an injection button and grip (dose setting member or dose setter) are combined e.g. similar to Sanofi's ALLSTAR® device. The injection button may provide the user interface member for initiating and/or performing a dose delivery operation of the drug delivery device. The grip or knob may provide the user interface member for initiating and/or performing a dose setting operation. The devices may be of the dial extension type, i.e. their length increases during dose setting. Other injection devices with the same kinematical behaviour of the dial extension and button during dose setting and dose expelling operational mode are known as, for example, the Kwikpen® or Savvio® device marketed by Eli Lilly and the FlexPen®, FlexTouch® or Novopen® device marketed by Novo Nordisk. An application of the general principles to these devices therefore appears straightforward and further explanations will be omitted. However, the general principles of the present disclosure are not limited to that kinematical behaviour. Certain other embodiments may be conceived for application to injection devices where there are separate injection button and grip components/dose setting members e.g. Sanofi's SoloSTAR®. Thus, the present disclosure also relates to systems with two separate user interface members, one for the dose setting operation and one for the dose delivery operation. In order to switch between a dose setting configuration of the device and a dose delivery configuration, the user interface member for dose delivery may be moved relative to the user interface member for dose setting. If one user interface member is provided, the user interface member may be moved distally relative to a housing. In the course of the respective movement, a clutch between two members of the dose setting and drive mechanism of the device changes its state, e.g. from engaged to released or vice versa. When the clutch, e.g. formed by sets of meshing teeth on the two members, is engaged, the two members may be rotationally locked to one another and when the clutch is disengaged or released, one of the members may be permitted to rotate relative to the other one of the two members. One of the members may be a drive member or drive sleeve which engages a piston rod of the dose setting and drive mechanism. The drive sleeve may be designed to rotate relative to the housing during dose setting and may be rotationally locked relative to the housing during dose delivery. The engagement between drive sleeve and piston rod may be a threaded engagement. Thus, as the drive sleeve cannot rotate during dose delivery, axial movement of the drive sleeve relative to the housing will cause the piston rod to rotate. This rotation may be converted into axial displacement of the piston rod during the delivery operation by a threaded coupling between piston rod and housing.
[0098] The injection device 1 of
[0099] The dosage window 13 may be in the form of an aperture in the housing 10, which permits a user to view a limited portion of a dial sleeve 70 that is configured to move when the dosage knob 12 is turned, to provide a visual indication of a currently programmed dose. The dosage knob 12 is rotated on a helical path with respect to the housing 10 when turned during programming.
[0100] In this example, the dosage knob 12 includes one or more formations 71a, 71b, 71c to facilitate attachment of a data collection device or electronic system. An electronic system which may be attachable to the user interface member (knob 12 and/or button 11) or, in general, to elements or members of a dose setting and drive mechanism of the drug delivery device 1 will be described in more detail below. The electronic system may be provided within the user interface member, for example. The electronic system which will be described in more detail below can also be configured as an add-on for a drug delivery device.
[0101] The injection device 1 may be configured so that turning the dosage knob 12 causes a mechanical click sound to provide acoustical feedback to a user. In this embodiment, the dosage knob or dose button 12 also acts as an injection button 11. When needle 15 is stuck into a skin portion of a patient, and then dosage knob 12/injection button 11 is pushed in an axial direction, the insulin dose displayed in display window 13 will be ejected from injection device 1. When the needle 15 of injection device 1 remains for a certain time in the skin portion after the dosage knob 12 is pushed home, the dose is injected into the patient's body. Ejection of the insulin dose may also cause a mechanical click sound, which is however different from the sounds produced when rotating the dosage knob 12 during dialing of the dose.
[0102] In this embodiment, during delivery of the insulin dose, the dosage knob 12 is returned to its initial position in an axial movement, without rotation, while the dial sleeve 70 or number sleeve 70 is rotated to return to its initial position, e.g. to display a dose of zero units. As noted already, the disclosure is not restricted to insulin but should encompass all drugs in the drug container 14, especially liquid drugs or drug formulations.
[0103] Injection device 1 may be used for several injection processes until either the insulin container 14 is empty or the expiration date of the medicament in the injection device 1 (e.g. 28 days after the first use) is reached.
[0104] Furthermore, before using injection device 1 for the first time, it may be necessary to perform a so-called “prime shot” to ensure fluid is flowing correctly from insulin container 14 and needle 15, for instance by selecting two units of insulin and pressing dosage knob 12 while holding injection device 1 with the needle 15 upwards. For simplicity of presentation, in the following, it will be assumed that the ejected amounts substantially correspond to the injected doses, so that, for instance the amount of medicament ejected from the injection device 1 is equal to the dose received by the user.
[0105] As explained above, the dosage knob 12 also functions as an injection button 11 so that the same component is used for dialling/setting the dose and dispensing/delivering the dose. Again, we note that a configuration with two different user interface members which, preferably only in a limited fashion, are movable relative to one another is also possible. The following discussion will, however, focus on a single user interface member which provides dose setting and dose delivery functionality. In other words, a setting surface of the member which is touched by the user for the dose setting operation and a dose delivery surface which is touched by the user for the dose delivery operation are immovably connected. Alternatively, they may be movable relative to one another, in case different user interface members are used. During the respective operation, the user interface member is preferably moved relative to the body or housing of the device. During dose setting the user interface member is moved proximally and/or rotates relative to the housing. During dose delivery, the user interface member moves axially, e.g. distally, preferably without rotating relative to the housing or body.
[0106] In the following, a general setup for an electronic system for a drug delivery device is disclosed.
[0107] The electronic system 1000 comprises an electronic control unit 1100. The control unit may comprise a processor, e.g. a microcontroller or an ASIC. Also, the control unit 1100 may comprise one, or a plurality of memory units, such as a program memory and/or a main memory. The program memory may be designed to store program code which when carried out by the system controls operation of the system and/or the electronic control unit. The control unit 1100 is expediently designed to control operation of the electronic system 1000. The control unit 1100 may communicate via wired interfaces or wireless interfaces with further units of the electronic system 1000. It may transmit signals containing commands and/or data to the units and/or receive signals and/or data from the respective unit. The connections between the units and the electronic control unit are symbolized by the lines in
[0108] Electronic system 1000 further comprises an electrical motion sensing unit 1200. The motion sensing unit 1200 may comprise one sensor e.g. only one sensor, or a plurality of sensors. The motion sensing unit is expediently designed to generate motion signals, such as electrical signals, which are indicative for movement of one member of the electronic system or the drug delivery device relative to another member—e.g. movement of the dial sleeve or number sleeve relative to the drive sleeve or button/knob in the device discussed further above —, where the sensor may be fixedly connected to one of the members, e.g. the knob or button. The relative movement expediently occurs during the dose delivery operation. The respective sensor may be an optoelectronic sensor. The optoelectronic sensor may sense radiation emerging from a member moving relative to the sensor and impinging on the sensor to excite sensor signals or motion signals in the sensor, e.g. an optical encoder component. The radiation may be radiation reflected by the member and impinging on the member from a radiation source, such as an optoelectronic radiation source, e.g. an LED. The radiation source may be an IR source (IR-LED, an InfraRed Light Emitting Diode). The radiation source may be part of the sensor arrangement comprising the at least one sensor. One possible embodiment of the sensor is an IR-sensor which is configured to detect infrared light. The light source and the sensor may be arranged on the same component or member. The general functionality of optoelectronic sensor arrangements suitable for the electronic system discussed herein is disclosed in WO 2019/101962 A1, where the entire disclosure content is explicitly incorporated herein by reference for all purposes, especially as regards the different sensor arrangements and configurations. However, it should be noted that other sensor arrangement, e.g. using magnetic sensors, could be employed as well. In a motion sensing unit which has an electrically operated sensor and/or an electrically operated source for stimulating the sensor—such as a radiation emitter and an associated sensor—the power consumption may be particularly high and, hence, appropriate power management of electrical power available for powering the system may have a particular impact. The motion sensing unit 1200 may be designed to detect and preferably measure or quantify relative movement of one member of a dose setting and drive mechanism of or for the drug delivery device relative to another member of the dose setting and drive mechanism or relative to the housing 10 during a dose delivery operation. For example, the motion sensing unit may measure or detect relative rotational movement of two movable members of the dose setting and drive mechanism with respect to one another. Based on movement data received from or calculated from the signals of the unit 1200, the electronic system, e.g. the control unit, may calculate dose data, e.g. data on the currently delivered dose. The motion sensing unit 1200 is expediently configured to quantify the relative movement between a first member and a second member of the electronic system or the drug delivery device. The relative movement may be indicative for the delivered dose. The relative movement may be relative rotational movement. For example, the first member may rotate relative to the second member, such as during dose delivery. The motion sensing unit is expediently suitable to quantify the relative movement in whole-number multiples of one unit setting increment. The unit increment may be or may be defined by an angle greater than or equal to one of the following values: 5°, 10°. The unit setting increment may be or may be defined by an angle less than or equal to one of the following values: 25°, 20°. The unit setting increment may be between 5° and 25°, for example. The unit setting increment may correspond to a relative rotation of 15°, for example. The unit setting increment may be the rotation required to set the smallest settable dose to be delivered by the device. As has been explained above, the amount or distance of the relative movement determined by the motion sensing unit between the first and second members is characteristic for the currently set dose in a dose setting operation or for the currently dispensed dose in a dose delivery operation. The size of the dose delivered may be determined by or correspond to the distance by which a piston rod of the dose setting and drive mechanism is displaced distally relative to the housing during the dose delivery operation.
[0109] The electronic system 1000 further comprises a use detection unit 1300. The use detection unit may be associated with the user interface member or members (knob 12 or button 11 in the device discussed above) such that intended manipulation of or the manipulation of the member for setting and/or for delivering a dose may be detected. When the (intended) manipulation is detected, the use detection unit is configured to generate or triggers generation of a use signal. The use signal can be transmitted to the electronic control unit 1100. The electronic control unit 1100 may, in response to the signal, issue a command or signal to one of, an arbitrarily selected plurality of, or all of the other electrically operated units of the system, e.g. an activation or switching signal. For example, the control unit may cause the respective unit to be switched from a first state, e.g. a sleeping state or idle state with a lower power consumption or an off state with no power consumption, to a second state with an increased power consumption. The switching may be effected by an according switching command or signal issued by the electronic control unit to the respective unit. In response to the use signal all units may be switched to the second state or just selected units. If only selected units are switched to the second state with higher power consumption, it is expedient that these units are intended to be used during the operation, which is intended to be commenced by the user. One unit to be switched to the second state may be the motion sensing unit 1300. Another unit may be the communication unit, which is described in more detail below. For example, typical times required to switch a motion sensing unit to the second state are between 2 ms and 7 ms, such as between 2.5 ms and 3.2 ms, e.g. after generation of the use signal or actuation of the user interface member to initiate the operation of the system, e.g. the dose delivery operation.
[0110] The use detection unit 1300 can be selective with respect to the type of operation which is detected. That is to say, the use detection unit may be configured to distinguish between different operations which can be performed, e.g. between the dose setting operation and the dose delivery operation.
[0111] In one embodiment, the use detection unit comprises a delivery detection unit 1310 and/or a setting detection unit 1320. The setting detection unit is expediently configured to detect a dose setting operation. The deliver detection unit is expediently configured to detect a dose delivery operation. The system may comprise just one of the setting detection unit and the delivery detection unit, e.g. the setting detection unit or the delivery detection unit, or both of these units. The setting detection unit expediently provides a setting signal to the electronic control unit. The delivery detection unit may provide a delivery signal to the electronic control unit. The setting signal may be the use signal in response to which one or more further units are switched to a state of higher power consumption. Alternatively, the delivery signal may be the use signal in response to which one or more further units are switched to a state of higher power consumption. It is also possible that the setting signal is a first use signal, e.g. causing activation of the motion sensing unit, and that the delivery signal is a second use signal, e.g. used to activate the communication unit, e.g. in order to transmit the dose information derived from the motion sensing unit to another device.
[0112] The use detection unit 1300 comprises a user proximity detection unit (not explicitly shown in this representation), which is discussed later on in more detail. The user proximity detection unit is configured to generate a signal, e.g. the use signal or a proximity signal, when the user is close to or touches the exterior operation surface. For the setting detection unit, proximity relative to a setting surface as exterior operation surface of the user interface member may be detected. For the delivery detection unit, proximity relative to a delivery surface as exterior operation surface of the user interface member may be detected.
[0113] In alternative embodiments, the system may not comprise a use detection unit but just a user proximity detection unit or a user proximity detection unit which operates independently of the use detection unit, either entirely or only for some operations. The user proximity detection unit is expediently configured to generate a proximity signal when the user is close to or touches the respective surface of the user interface member which is monitored by the proximity detection unit. This signal may be the use signal, for example, but may be used for other purposes as well. The user proximity detection unit may be configure to detect proximity relative to the setting surface of the user interface member and/or relative to the delivery surface. Separate user proximity detection units may be provided for the setting surface and the delivery surface or a common user proximity detection unit may be provided for both surfaces.
[0114] The use detection unit 1300, when it is operational to generate the use signal, e.g. the setting signal and/or the delivery signal, expediently has a lower power consumption than the motion sensing unit 1200 when the motion sensing unit 1200 is active. The same holds for the user proximity detection unit. As noted already, referrals to the use detection unit should be understood as referrals to the user proximity detection and vice versa, unless otherwise indicated in the context.
[0115] The electronic system 1000 further comprises a communication unit 1400, e.g. an RF, WiFi and/or Bluetooth unit, such as Bluetooth low energy (BLE). The communication unit may be provided as a communication interface between the system or the drug delivery device and an external device, such as other electronic devices, e.g. mobile phones, personal computers, laptops and so on. For example, dose data may be transmitted by the communication unit to the external device and/or synchronized with the device. The dose data may be used for a dose log or dose history established in the external device. The communication unit may be provided for wireless communication.
[0116] Electronic system 1000 further comprises an electrical power supply 1500, such as a rechargeable or non-rechargeable battery. The power supply 1500 may provide electrical power to the respective units of the electronic system.
[0117] In one embodiment, the power consumption, in particular the maximum power consumption, of the electronic system in the first state, e.g. prior to generation of the use signal, may be less than or equal to one of the following values: 300 nA, 250 nA, 200 nA (nA: nanoampere). Alternatively or additionally, in the second state of the electronic system, the power consumption, in particular the minimum power consumption, may be greater than or equal to one of the following values: 0.5 mA, 0.6 mA, 0.8 mA (mA: milliampere). The difference may result from the power consumption of the motion sensing unit and/or of the communication unit which may be active or operable in the second state and switched off or in a sleep state in the first state of the electronic system.
[0118] In one embodiment, the power consumption P2 in the second state may be greater than or equal to at least one of the following values: 2*P1, 3*P1, 4*P1, 5*P1, 10*P1, 20*P1, 30*P1, 40*P1, 50*P1, 100*P1, 500*P1, 1000*P1, 2000*P1, 5000*P1, 10000*P1 where P1 is the power consumption in the first state. In the second state, the motion sensing unit may be active and/or the communication unit may be active, e.g. for wireless communication.
[0119] When the system is in the first state, e.g. with neither the motion sensing unit being active nor the communication unit, the current consumption may be 200 nA. When (only) the motion sensing unit is active, the power consumption may be 0.85 mA. When the communication unit is active, e.g. in addition to the motion sensing unit or only the communication unit, the power consumption may be 1.85 mA.
[0120] Although not explicitly depicted, the electronic system may comprise a, preferably permanent and/or non-volatile, storage or memory unit, which may store data related to the operation of the drug delivery device such as dose (history) data, for example.
[0121] In one embodiment, the electronic control unit 1100 is configured to reduce the power consumption of the respective unit, i.e. to switch the unit back to the first state. This is suitable, for example, if an event which is relevant for that unit, e.g. a motion sensing event (motion signal) for the motion sensing unit, has not occurred in a predetermined time interval after the unit has been switched from the first state into the second state and/or after the use signal has been generated. The monitoring of the time interval may be achieved by a timer unit which is operatively connected to the electronic control unit (not explicitly shown). In case, after the use signal, there is no signal generated by the motion sensing unit within the predetermined time interval, the entire system may be switched to the first state again. This time interval may be greater than or equal to one of the following values 5 s, 10 s, 15 s, 20 s, 25 s, 30 s. Alternatively or additionally the time interval may be less than or equal to one of the following values: 50 s, s, 40 s, 35 s, 30 s. The time interval may be between 5 and 50 seconds, e.g. 30 s. The entire system may be switched back to the first state in case no motion signal is generated within the predetermined time interval. The predetermined time interval is expediently constant.
[0122] Alternatively or additionally, the electronic system may be configured to switch back to the first state, in case the user proximity detection unit does not detect the proximity of a user to the respective surface for a predetermined time interval, e.g. by not generating a proximity signal, after the system has been switched to the second state. The time interval may be chosen as discussed in the preceding paragraph.
[0123] However, in an alternative embodiment, the user proximity detection unit may also be switched off after the use signal has been generated or the control unit may be configured to ignore signals of the user proximity detection unit, especially the one used for generating the use signal.
[0124] The electronic system 1000 further comprises a wake-up unit 1350. Wake up unit 1350 may be configured to generate a wake-up signal, e.g. an electrical signal, which causes the use detection unit 1300 and/or the user proximity detection unit such as one or more sensors or switches thereof to be switched to a state of higher power consumption. The wake-up unit may cause an increase of a non-zero power consumption or switch the power on for the respective sensor or switch. Consequently, when the unit is in the state of lower power consumption, generation of the use signal or proximity signal may not be possible without having generated a wake-up signal previously. The wake-up signal may be generated by the wake-up unit. The wake-up signal may either be transmitted to the electronic control unit, which then causes the use detection unit 1300 to become operational, e.g. by an according activation signal, or, alternatively, by way of a direct connection between the wake-up unit and the use detection unit (illustrated by the dashed line in
[0125] The event which triggers the wake-up signal may be an event which is expected to be likely followed by a dose setting operation and/or a dose delivery operation, i.e. an operation which should be causal for issuance of the use signal in order to power-up other electronic units of the electronic system such as the motion sensing unit 1200 and/or the communication unit 1400, for example. Events which could be used to trigger the wake-up signal may be: [0126] vibrations which are detectable by a vibration sensor of the wake-up unit. Typically, if a drug delivery device is removed from the item in which it is carried, such as a bag, this is done in order to use the device. Therefore, in case vibrations are detected, this could be used as an indicator of an upcoming dose setting or dose delivery operation. The vibration sensor expediently detects the vibration independent of the orientation of the system or the device. [0127] changes in orientation which are detectable by an orientation sensor, such as comprising a gyroscopic sensor (accelerometer), or another sensor which generates a signal once a predetermined orientation is assumed e.g. relative to the center of the earth gravity. Accelerometers usually have a higher power consumption in the active state than vibration sensors, which is why vibration sensors may be preferred.
[0128] In case the use signal is not generated within a predetermined time after the use detection unit has been switched to the state of higher power consumption, the system may be configured, such that the use detection unit can, again, be switched to a state of lower power consumption as then, it can be assumed that the device will not be operated anytime soon. This predetermined time may be less than or equal to any of the following values: 10 s, 9 s, 8 s, 7 s, 6 s, 5 s, 4 s, 3 s. This may be achieved by an appropriate timer circuit, for example. From that state, the use detection unit may be woken again by the wake-up unit.
[0129] The wake-up signal may be generated before the dose setting operation is being commenced or the setting surface of the user interface member is touched and/or before the user is even close to that surface. Thus, the wake-up signal may be used reliably to power-up the use detection unit such that it may perform its function.
[0130] Expediently, the power consumption of the wake-up unit is smaller than the power consumption of the use and/or user proximity detection unit when it is operational, i.e. in the state of higher power consumption.
[0131] The respective unit which has been described above may be integrated into a user interface member of the electronic system which is discussed in further details below in conjunction with various embodiments.
[0132] It goes without saying that the electronic system 1000 may comprise further electronic units other than the ones shown such as other sensing units, which sense or detect different quantities or events than the relative movements which the motion sensing unit detects.
[0133] In the following some embodiments of the use detection unit and/or the user proximity detection unit are described.
[0134]
[0135] Within the user interface member 1600, e.g. within an interior hollow defined by the user interface member body 1605, some additional elements or units of the electronic system are housed. Specifically, the electronic system comprises the electronic control unit 1100. The system also comprises a conductor carrier 3000, e.g. a circuit board such as a printed circuit board. Conductors on the conductor carrier may conductively connect the electronic control unit to further electrical or electronic units or members of the system. The electronic control unit is arranged on the conductor carrier, e.g. mounted to the carrier.
[0136] The electronic system comprises a user proximity detection unit 1330, in particular as a use detection unit for generating the use signal. In this embodiment, the user proximity detection unit is configured to detect whether the user's finger is close to the setting surface 1610. The user proximity detection unit 1330 comprises a sensor 1340, e.g. a capacitive sensor. The sensing part of the sensor 1340, e.g. integrated into a chip on the conductor carrier 3000, is operatively, e.g. conductively, connected with a sensor electrode 1345 of the sensor or of the user proximity detection unit. The capacitive sensor may be a low-power controller that monitors input capacitance from the sensor electrode 1345 and outputs a signal used to wake the electronic control unit and/or the motion sensing unit if the capacitance detected has exceeded a predetermined value, e.g. a value typical for the human skin. The sensor can be configured to output the signal when the user is less than 0.5 mm away from the monitored surface. We note, however, that the operating distance of the sensor can also be increased, if desired. Of course, it should be ensured that a user touching the surface which is monitored by the capacitive sensor always generates a relevant or significant signal. The operating distance can be tuned by the design of the electrode, and by the selection of appropriate sensor (signal) thresholds, e.g. in the software.
[0137] The sensor electrode 1345 has electrode portions which are assigned to the surface which should be monitored by the detection unit for the user being proximate to or touching the surface. In the presently depicted embodiment, the sensor electrode portions face towards the setting surface 1610. The conductive connection of the electrode and the sensor 1340 is symbolized by the line between the electrode 1345 and the sensor 1340. Electrode portions which are angularly adjacent to one another may be separated by a free space. That is to say not the entire surface to be monitored by the sensor has to be covered by the electrode. The user interface member body 1605 is arranged between the electrode 1345 and the exterior surface such that the user does not touch the electrode 1345 when touching the exterior surface in the region overlapping with the electrode 1345. It is, however, also conceivable that the user can touch the electrode. Having the electrode in the interior, however, facilitates sealing the interior against external influences. The electrode 1345 may provide a large surface area of sensitivity for the capacitive sensor. The electrode may be a pressed metal component, for example. The sensor 1340 is arranged on and preferably mounted on carrier 3000. The sensor may be or may comprise a (low-power) controller which monitors input capacitance from the sensor electrode 1345. The sensor 1340 is expediently configured to perform a sensor measurement or acquire a sensor signal with a frequency (polling frequency) or response rate of less than or equal to one of the following values: 10 Hz, 5 Hz, 4 Hz, 3 Hz, 2 Hz, 1 Hz. The power consumption of the sensor 1340 may be less than or equal to one of the following values: 15 μA, 10 μA, 8 μA, 7 μA, 6 μA, 5 μA, 4 μA, 3 μA. It will be appreciated that the power consumption depends on the frequency or rate with which measurements are taken. The more often the sensor is polled, i.e. a measurement is conducted, the higher the power consumption will be. The order of magnitude of the power consumptions mentioned above may apply for the frequencies stated above. The frequencies are particularly suitable, if the sensor 1340 monitors proximity to the setting surface of the user interface member. Since the time between dose setting and dose delivery is comparatively high as the user needs to switch between the two surfaces for operating the system or the device, such small frequencies are sufficient. In case the delivery surface is monitored by the sensor, the frequency may have to be greater than or equal to one of the following values: 40 Hz, 50 Hz, 60 Hz, 70 Hz, 80 Hz, 90 Hz, 100 Hz. This involves a higher power consumption, e.g. greater than or equal to one of the following values: pA, 40 μA, 50 μA, 60 μA, 70 μA, 80 μA, 90 μA, 100 μA. The sensor 1340 and the control unit 1100 may be mounted on the same surface of the carrier 3000.
[0138] The system furthermore comprises the motion sensing unit 1200 which is only schematically symbolized and, preferably comprises one or more optoelectronic sensors and/one or more associated radiation emitters, e.g. IR sensors and IR emitters. The motion sensing unit may be bidirectionally conductively connected to the electronic control unit 1100 as hinted by the double arrow. One direction may be the one where the activation signal is transmitted from the electronic control unit to the motion sensing unit. In the other direction, motion signals may be sent from the motion sensing unit to the control unit, which may process the signal furthers, e.g. to calculate dose information. The motion sensing unit 1200 may be arranged on that side of the conductor carrier 3000 which faces away from the control unit 1100.
[0139] Also, the system 1000 comprises the power supply 1500, e.g. a battery, such as a coin cell. The power supply may be configured to provide a total charge of approx. 50-500 mAh at a voltage of approx. 1.4-3V. This may be achieved or assisted by stacking multiple coin cells, for example. The power supply 1500 is conductively connected or connectable to the other components of the electronic system, which require electrical power for operating. The conductive connection is not explicitly illustrated in
[0140] A radial width or diameter of the user interface member as seen from the exterior of the member, e.g. in top view onto the delivery surface, may be less than or equal to one of the following values: 2 cm, 1.5 cm. Alternatively or additionally, the radial width or diameter of the user interface member may be greater than or equal to one of the following values: 0.5 cm, 0.7 cm. The radial extension may be determined relative to the rotation axis of the user interface member during dose setting or relative to the main longitudinal axis of the user interface member, which axes may coincide. The length or axial extension of the user interface member 1600 may be less than or equal to one of the following values: 2 cm, 1.5 cm. Alternatively or additionally, the length or axial extension of the user interface member 1600 may be greater than or equal to one of the following values: 0.5 cm, 0.7 cm. For example, the radial width of the user interface member can be 18 mm and the length can be 19 mm.
[0141] The sensor is configured to output a sensor or use signal which is used to switch or to trigger switching of the electronic control unit 1100 to a state of higher power consumption and/or causes the electronic control unit to activate the motion sensing unit 1300. For example, if the sensed capacitance exceeds a predetermined threshold, the use signal may be issued.
[0142] Electronic system 1000 is configured to be connected to, preferably configured to be releasably connected to, a drug delivery device unit as an add-on unit or module. The drug delivery device unit may be electronic free. Accordingly, all electronics may be provided in the electronic system. The drug delivery device unit may be disposable. That is to say, the unit can be disposed of after a reservoir of the unit has been emptied using the drug delivery device comprising the unit and the system 1000. The electronic system 1000 could be reused for another drug delivery device unit. The drug delivery device unit is preferably configured as fully functional on its own, i.e. it could be operated for setting a dose to be delivered and deliver the set dose. One exemplary unit is the one depicted in
[0143] It should be readily apparent for one of skill in the art that instead of having a setting sensor as in the depicted embodiment, a delivery sensor which monitors proximity to or touching of the delivery surface 1620 could be applied as an alternative or in addition to the setting sensor. The delivery sensor may also be or comprise a capacitive sensor.
[0144] The electronic system 1000 as depicted in
[0145] For example, the connection detection unit 1700 may cause the power supply 1500 to be conductively connected to other components or units of the electronic system, thereby enabling these components or units to function, when appropriately activated, e.g. by the electronic control unit. Specifically, when connection to the drug delivery device unit is detected, power from the power supply could be provided to the respective component or units. When no connection is detected, the power supply may be disconnected from the respective component or unit of the electronic system. Hence, the connection detection unit may be or may be connected to an interrupter which shuts off the power supply unless the connection to the device unit is detected.
[0146] Alternatively or additionally, the connection detection unit 1700 is configured to switch the use detection unit 1300 or the user proximity detection unit, e.g. only the respective detection unit, to a state of higher power consumption, e.g. a state where the proximity or use detection unit could be operated. Before being switched to the state of higher power consumption by the connection detection unit, the proximity or use detection unit may be non-operable in a first state.
[0147] Hence, the connection detection unit 1700 may be connected to the electronic control unit and cause the respective units to be activated or switch to the state of higher power consumption via the electronic control unit or it may be connected directly to the respective unit which should be switched in to the state of higher power consumption by the connection detection unit. The latter situation is depicted in
[0148] For example, when the system comprises a capacitive sensor as has been discussed above for the user proximity detection unit, it may be necessary to conduct measurements periodically, e.g. with a frequency or response rate as mentioned above, when the sensor operates to check whether a user is close to the relevant surface. Every measurement draws electrical power from the power supply. Thus, when the system is not connected to a drug delivery device unit, such a power drain would be completely unnecessary. Hence, the connection detection unit improves power management, especially during terms of storage of the electronic system when separate from a drug delivery device unit.
[0149] We note that a connection detection unit 1700 as discussed above is not only suitable for the use detection unit or user proximity detection unit but also for other units of an electronic system such as the electronic control unit, the motion sensing unit, the communication unit or even other units. However, in case a use detection unit 1300 is applied to trigger the switching of the system to a state of higher power consumption, e.g. a state where the motion sensing unit and/or the communication unit is active, the connection detection unit which controls the state of the use detection unit is particularly advantageous. Also, it is not necessary that the use detection unit comprises a capacitive sensor. Rather, other sensors may also be suitable for being operated together with the connection detection unit to be switched to a state of higher power consumption, e.g. to an active state from an inactive state. For example, the connection detection unit may also operate with a setting sensor, a delivery sensor and/or a wake-up unit whatever is feasible in the specific situation.
[0150] When the connection detection unit does not detect that the system is connected to a device unit, the power consumption may be zero or smaller than the power consumption when only the use detection unit of the electronic system is active. When the use detection unit is not active, the electronic control unit may be either switched off or have a lower power consumption than when it is operative, e.g. to control the communication unit and/or the motion sensing unit.
[0151] It should be noted that the connection detection unit 1700 can be implemented in any of the embodiments disclosed herein or form an embodiment on its own.
[0152]
[0153]
[0154] The arrangement of the power supply 1500 and its contact connection to electrically powered components are illustrated in more detail than in the schematic representation of
[0155] The system 1000, in addition to the user interface member body 1605, has a chassis 1670. The chassis 1670 is, preferably rotationally and axially, locked to the user interface member body 1605, e.g. snap fitted or welded. The chassis together with the user interface member body may define an interior of the user interface member. The interior is preferably sealed, e.g. dust-tight and/or fluid-tight. For this purpose, one or more seals may be provided at the interface user interface member body/chassis (not explicitly illustrated). The chassis 1670 may close a distal opening of the user interface member body 1605. The chassis may comprise a rigid portion 1672 and/or a, preferably elastically, deformable portion 1674. The deformable portion may be laterally surrounded by the rigid portion, e.g. on a common surface.
[0156] The chassis defines the receiving space of the user interface member for receiving the member of the drug delivery device unit to which the system 1000 should be connected. The deformable portion 1674 of the chassis is preferably designed to interact with a member of the drug delivery device unit and, when the unit has been connected to the system, the deformable portion 1674 is preferably elastically deformed as compared to the situation when the system is not connected to the device unit. The movement during the deformation of the deformable portion 1674 may be used to trigger the switch 1710 of the connection detection unit 1700. When the system is disconnected from the device unit, the portion may resume its undeformed shape due to the elasticity, thereby causing the connection detection unit to detect a disconnection from the device unit, e.g. by the switch changing its state.
[0157] As the portion 1674 is part of the chassis 1670, a direct contact between the member of the drug delivery device unit and the switch 1710 is not required which facilitates provision of a sealed interior of the user interface member. The chassis 1670 may also comprise one or more light guide portions 1676. The light guide portion(s) may be operatively coupled to the radiation emitter and radiation sensor provided in the motion sensing unit, in case radiation is used for motion sensing. Consequently, movement of a member which moves relative to the end surface of the light guide 1676 remote from the interior of the user interface member 1600, e.g. an encoder component, may cause variations in the radiation (intensity) reflected back to the radiation sensor, where this radiation may be fed to the sensor through the light guide portion and/or the radiation preferably was generated by the radiation emitter. In this way, the movement of the member, e.g. the dial or number sleeve, relative to the user interface member 1600 or the dose knob or button may be quantified, such as during the dose delivery operation. The light guide portions and/or the according sensors may be out of phase relative to reflective portions of the encoder component (see WO 2019/101962 A1) which has some advantages.
[0158] The sensor electrode 1345, which may be formed from a metal, e.g. as a metal pressing, has circumferentially distributed and radially facing portions 1347 which are arranged to sense proximity or touch of the setting surface 1610 as discussed previously where only one of these portions is shown in
[0159]
[0160]
[0161] As illustrated in
[0162]
[0163] As is apparent from the representation in
[0164] The core functionality of the electronic system in conjunction with the drug delivery device unit may be as follows. The electronic system 1000, in the state when it is not connected to the drug delivery device unit has no or a very low power consumption, e.g. less than or equal to 1 μA. Specifically, the user proximity detection unit 1330, the motion sensing unit 1200, and/or, if applicable, the communication unit 1500 (not explicitly shown) may be inactive and the electronic control unit 1100 may be either in a state with very low power consumption or switched off entirely. For putting the system to use, the electronic system 1000 may be fitted to the drug delivery device unit. In the course of this connection, the connection detection unit 1700 may cause that the use detection unit 1300 and/or the user proximity detection unit 1330 is activated, e.g. by triggering switch 1710. The electronic control unit may be switched to a state of low power consumption by the connection detection unit such that the control unit can receive the signal and control the further operation of the system. Hence, after connection of the system (as an add-on module) to the drug delivery device unit, the sensor of the user proximity detection unit, such as a capacitive sensor, is preferably active and monitors proximity of the user to an exterior operation surface such as the setting surface 1610 of the user interface member 1600. As opposed to the previous state, the power consumption may have been increased, e.g. to between 3 μA and 100 μA, where 3 μA is typical for a polling frequency of 4 Hz and 100 μA is typical for a polling frequency of 100 Hz. The motion sensing unit and the communication unit may be still inactive. Thereafter, the user may set or dial a dose by rotating the user interface member 1600 up to the desired dose. As the user touches the setting surface during dose setting, proximity of the user to that surface is detected by the user proximity detection unit 1330, which triggers the use signal which causes the electronic control unit to switch the motion sensing unit 1200 on and, optionally, the communication unit. Then, the radiation sensors and radiation sources of the motion sensing unit are active and can sense relative rotational movement between member 4000 and another member of the drug delivery device unit. As opposed to the previous state, the power consumption may have been increased again, e.g. to about 900 μA when the electronic control unit, the motion sensing unit and optionally the communication unit are fully woken. After the motion sensing unit has been activated, the electronic control unit 1100 may be configured to ignore further proximity or use signals of the user proximity detection unit. When dose setting has been completed, the user presses on the delivery surface of the user interface member, i.e. its proximal surface, and moves the user interface member in the distal direction, e.g. relative to the housing 10 and/or relative to the other member to which the user interface member 1600 is rotationally locked during dose setting. In case a delivery senor is provided this sensor could be used to initialize or power up the communication unit 1500. During the initial part of the movement of the user interface member, a clutch of the dose setting and drive mechanism of the device unit may be switched—e.g. engaged or released—to switch the mechanism into a driving configuration for the dose delivery operation from a dose setting configuration. During the delivery operation the user presses on the user interface member 1600 in the distal direction, where this movement is converted into movement of the piston rod in the distal direction which may be used to drive a bung of a cartridge distally in order to expel drug or medication from the cartridge. The relative movement between the user interface member and the other member of the dose setting and drive mechanism, e.g. the dial sleeve or number sleeve, is quantified using the signals generated by the motion sensing unit e.g. by the electronic control unit or another entity which is capable of calculating dose information from the signals.
[0165] The calculated dose information, after the delivery operation has been completed, may be transmitted to another device such as a computing device, e.g. a computer, tablet, notebook, or mobile phone by the communication unit 1500, which may retrieve the information from a memory unit of the electronic system. Preferably, the communication unit is coupled or coupleable to the other device. The transmission may be wireless. In the other device, the information may be stored, e.g. to provide a dose log. After the delivery operation has been completed, the entire electronic system may be switched off, e.g. by means of a timer unit which has also been discussed already. Also, if within a certain time interval, e.g. 30 s, after the motion sensing unit has been woken, no delivery operation is detected by the motion sensing unit, e.g. no motion signal is generated, the system can be switched off again. Then, again, only the use detection unit or user proximity detection may be active.
[0166] In the system discussed above, the user proximity detection unit/the use detection unit is always active when the system is fitted to the device unit or integrated into the device. Consequently, there may be a constant power drain as the use detection unit/user proximity detection unit has to operate consistently. Below, some options are discussed on how to reduce the power consumption of the system, e.g. by only selectively activating or waking the unit when a dose setting operation or a dose delivery operation is expected to happen.
[0167]
[0168] In the depicted configuration, the capacitive sensor is configured to generate a setting signal when the user touches the setting surface 1610 or is close to it. This signal can be used as use signal to cause activation of the motion sensing unit, e.g. by switching the radiation or light emitters and the radiation sensor from the first state into the second state.
[0169] It can be expected that the time between the initiation of the setting operation and the commencement of the delivery operation is comparatively high, especially when compared with the time between the touching of the delivery surface and the commencement of the delivery operation. This is, inter alia, due to the fact that setting the dose by rotating the user interface member may take some time and the user has to switch to another surface for initiating the delivery operation. Therefore, the response rate or frequency with which the setting sensor is operated or polled can be smaller than in the case where the delivery signal is used as use signal, especially without jeopardizing the reliability of the system. For example, frequencies or response rates of the capacitive sensor may be less than or equal to one of the following values: 10 Hz, 9 Hz, 8 Hz, 7 Hz, 6 Hz, 4 Hz, 3 Hz, 2 Hz, 1 Hz. The frequency or response rate may be between 1 and 10 Hz for example, e.g. 2 Hz or 4 Hz. The typical minimum time between the commencement of the setting operation and the associated delivery operation for delivering the set dose is in each case greater than 0.5 seconds, which is why frequencies or response rates as low as 2 Hz do still provide very good results.
[0170] In view of the capacitive sensor requiring electrical power for a sensing event, which may be performed with the frequency mentioned above, it may be advantageous to integrate another wake-up procedure into the system such as applying a vibration sensor which is used to generate or trigger a wake-up signal as has been described further above already. A suitable sensor may be the vibration sensor Kyodo CMN 200, for example.
[0171] It should be noted that it is not necessarily the case that the capacitive sensor is only a setting sensor. Rather, the same operational principle could also be implemented for a delivery sensor which has the electrode on the delivery surface. In fact, the capacitive sensor may monitor the setting surface and the delivery surface, e.g. in different channels or operation modes, where the frequency or response rate for the delivery surface is preferably higher than for the setting surface as has been detailed further above already.
[0172] The electrode 1345 of the sensor could be formed with a metal pressing, a copper tape or an (e.g. additional) flexible conductor carrier, such as a printed circuit board. The respective element for the electrode may be located on the outer diameter or on the proximal face of the electronic system, preferably below a grip or contact portion of the user interface member which is going to be contacted by the user. However, it is also conceivable to dispense with separate continuous grip or contact portions. In this case, the electrode might be directly accessible on the exterior operation surface.
[0173] Accordingly, in this embodiment, before the setting operation is performed, the user proximity detection unit/use detection unit is woken and switched from a first state to a second state of higher power consumption by the wake-up unit comprising a wake-up sensor, such as the vibration sensor (not explicitly shown). In the first or idle state the power consumption of the sensor or the entire unit may be zero. In the second or operative state, the use detection unit or user proximity detection unit may have a power consumption of less than or equal to 5 μA, e.g. 3 μA, if the setting surface is monitored to generate the use signal and more than 50 μA, e.g. 100 μA, if the delivery surface is monitored to generate the use signal. The power consumption of the capacitive sensor when operational may be between 3 μA and 100 μA, for example. The power consumption of the wake-up sensor is smaller than the power consumption when the use detection unit/user proximity detection unit is operative. In case no (setting) operation or use signal is detected within a predetermined time, e.g. within 5 seconds or less, such as within 3 seconds, after the use detection unit or user proximity detection unit has been activated by the wake-up unit, the detection unit may be switched back to the first state again.
[0174] Vibrations which are detected by the wake-up unit cause generation of a wake-up signal which, preferably directly, causes the use detection unit or user proximity detection unit to become operational. The vibration sensor may provide an interrupt to a power supply circuit for the capacitive sensor. When the sensor is triggered the power may be supplied to the use detection unit or the user proximity detection unit, respectively.
[0175] Alternatively, the electronic control unit may wake the use detection unit or user proximity detection unit in response to the wake-up signal. The vibration sensor triggers the wake-up procedure for the use (r proximity) detection unit due to vibrations detected by the sensor which trigger an electrical wake-up signal.
[0176] The vibrations, which may excite the vibration sensor, are expected to occur when the electronic system and/or the drug delivery device is handled by the user. The vibration sensor may be used as an interrupt to wake the capacitive sensor. Consequently, the capacitive sensor is woken before the dose setting or dialing operation occurs. When the user touches the setting surface, this is expected to most likely occur at the point of dose setting when the user is required to provide force or torque to the setting surface. Consequently, upon detection of the user's finger or thumb, the capacitive sensor causes the motion sensing unit to be initialized, or powered up in order to be able to detect rotation of components within the drug delivery device as has already been described above. In case no rotation is detected within a predetermined time interval after the motion sensing unit has been woken, such as within 30 seconds, the use detection unit and the motion sensing unit will be switched off again. The operational state of the communication unit may also be changed by the use (r proximity) detection unit in response to the (use) signal generated by the detection unit, if such a communication unit is provided.
[0177] Advantageously, in this embodiment, accidental waking of one or more electronic units can be avoided, unless a (large) capacitive load is present which can be sensed by the capacitive sensor, e.g. a capacitance exceeding a predetermined threshold and/or below a predetermined maximum capacitance. Thus, unintentionally pressing on the delivery surface (if the sensor monitors the setting surface) or forces transferred to the user interface member by other items, such as while the system is being carried in a bag, do not drain power unless the capacitive load is high enough. A (large) capacitive load sufficient to wake one or more electronic units may be a load occurring when direct contact is made with one or two fingers against the surface monitored by the capacitive sensor, e.g. the setting surface. A (low) capacitive load which would not cause waking of the system may be a load occurring when the surface is contacted with an, e.g. flat, metallic object, such as a house key. Moreover, vibrations while carrying the system around would not cause the motion sensing unit being switched on. During storage there are usually no vibrations such that, in this case, power drain by wake-up signals generated by the vibration sensor can be avoided entirely. However, as the power required to operate the vibration sensor is significantly lower (e.g. less than 0.5 times the, preferably minimum, power consumption of the capacitive (setting) sensor) than the one for the capacitive sensor, accidental wake-up signal generation is still tolerable. Alternatively or additionally the wake-unit may be supplied only with power when the connection detection unit detects connection to the device unit. In this case, the connection detection unit does not switch the use detection unit into an operational state but the wake-up unit. The vibration sensor preferably has a quiescent current draw (power consumption) less than 1 μA. The capacitive sensor may have a quiescent current draw of 3 μA-100 μA, dependent on its mode of operation or the polling frequency, e.g. whether proximity or touching of the setting surface and/or of the delivery surface is being monitored by the sensor. Monitoring the delivery surface usually requires a higher polling frequency (e.g. more than 80 Hz) with an associated higher power consumption.
[0178] We note again that, instead of having the setting surface monitored by the user proximity detection unit, the delivery surface may be monitored as well as an alternative or in addition to the setting surface. Here, the provision of a (low-power) wake-up unit is also advantageous since the frequency or response rate with which the sensor is operated should be higher than for the setting surface given that touching the delivery surface is very close to the start of the delivery operation and the motion sensing unit should measure the delivered dose as precisely as possible.
[0179] The capacitive sensor can also able to detect touching of the delivery surface of the electronic system as noted already. This surface may be used to induce dose data transmission or synchronisation with a program or app on another device, preferably when the surface is contacted when no dose has been set or no setting signal precedes the delivery signal generated by touching the delivery surface. In the event that the delivery surface of the user interface member is pressed (but no dose has been selected) for a time greater than a first predetermined value (e.g. 1 second) and preferably less than a second predetermined value (e.g. 5 seconds), this could be used to initiate the dose data transmission or synchronization sequence. If two channels are provided in the motion sensing unit, each channel with one optical emitter-sensor pair (IR-LED and IR sensor) which are out of phase relative to the rotating encoder, only one channel of the two channels may be observed to go to a “high” state (higher signal) or generate a characteristic signal, e.g. due to the sensor arrangement in the user interface member being moved closer to the encoder surface due the user moving the user interface member distally towards the housing and the member monitored by the motion sensing unit by pressing on the delivery surface. The characteristic signal could be used to initiate a dose data transmission or synchronisation sequence.
[0180]
[0181] The user proximity detection unit comprises a sensor, which operates purely electrically, i.e. it does not require mechanical moving parts in order to produce or trigger the signal, such as to indicate a sensing event. In the present case, the user interface member 1600 comprises a contact or contactless sensor or switch in the interior the user interface member 1600. The sensor is a contactless sensor, e.g. a capacitive sensor as in the previously discussed embodiments. In the depicted embodiment, the sensor 1650 e.g. a sensing element thereof such as the sensor electrode discussed above, is associated with the delivery surface, e.g. arranged below the delivery surface 1620, in the interior of the user interface member 1600. Using a contactless sensor facilitates having a tightly sealed user interface member without any protruding portions of either a sensor or sensing surface or movable member on the exterior of the user interface member which needs to be sealed additionally. This arrangement is shown in
[0182] In addition to the delivery surface 1620, the setting surface 1610 may also be provided with a user proximity detection unit. For this unit, also a non-contact or contactless sensor may be used in a similar setting as the delivery sensor in
[0183] Accordingly, when the delivery surface is touched, a signal may be generated, e.g. a delivery signal by the delivery sensor. When the setting surface is touched, a setting signal may be generated, e.g. by the setting sensor.
[0184] Capacitive sensors constantly drain power while they are in operation as noted above. The setting sensor 1660 can be used as a wake-up unit to wake up the delivery sensor 1650 associated with the delivery surface 1620. The delivery sensor can be part of the use detection unit or the user proximity detection unit. If one or both user proximity detection units are contained in the interior of the user interface member, provision of a tightly sealed user interface member is facilitated. Also, it is facilitated to provide the user interface member as an add-on to an existing drug delivery device unit such as a clip-on to a dose setting and/or injection button of the device unit, for example.
[0185] In case two contactless, e.g. capacitive, sensors are used, one for the setting surface and one for the delivery surface, it may be advantageous to operate the setting sensor with a frequency or response rate which is lower than a frequency or response rate with which the delivery sensor is operated, especially, if the setting sensor is used as a wake-up sensor for the delivery sensor. For example, the frequency or response rate of the setting sensor may be at least 5 times, 10 times, 15 times, 20 times, 30 times, 40 times, or 50 times lower than the one of the delivery sensor. In other words, f.sub.S/f.sub.D may be less than or equal to one of the following values: 1/5, 1/10, 1/15, 1/20, 1/25, 1/30, 1/35, 1/40, 1/50. Here f.sub.S denotes the frequency or response rate with which the setting sensor or switch is operated and f.sub.D denotes the frequency or response rate with which the delivery sensor or switch is operated. Operating the respective sensors or switches requires at least temporarily supplying power from the power supply to the respective sensor for performing one sensing operation which checks, whether the user is proximate to or touches the respective surface. Thus, user proximity to the setting surface may be detected with a small frequency or response rate, i.e. the sensor may be polled less often, than the user proximity to the delivery surface. If a setting event is sensed, the use signal may be triggered to render the delivery sensor operational e.g. by the electronic control unit. For example, the frequency f.sub.S with which the setting sensor or switch is polled or operated may be less than or equal to one of the following values: 10 Hz, 8 Hz, 5 Hz, 4 Hz, 3 Hz, 2 Hz. Alternatively or additionally, the frequency f.sub.D with which the delivery sensor or switch is polled or operated may be greater than or equal to one of the following values: 10 Hz, 15 Hz, 20 Hz, 25 Hz, 30 Hz, 40 Hz, 45 Hz, 50 Hz, 60 Hz, 70 Hz, 80 Hz, 90 Hz, 100 Hz. Accordingly, the setting sensor may be operated or polled five times per second or less, e.g. twice per second or four times per second, in order to check, whether the user is in proximity to the setting surface. The associated power consumption is comparatively low, preferably less than or equal to 15 μA as discussed further above already, e.g. 3 μA. As opposed to this, the delivery sensor or switch, may be operated or polled at a higher frequency, e.g. 10 times per second or more such as up to 100 times per second. The power consumption is accordingly higher, e.g. about 100 μA, as has been discussed above already.
[0186] In this embodiment, the setting operation or an event indicative for the setting operation like the user touching the setting surface can be used to wake up the use detection unit, e.g. the delivery detection unit, in particular the associated, e.g. contactless, sensor or switch. Also, any remaining components of the electronic system which may be needed for the operation of the delivery detection unit may be switched to a state of higher power consumption or woken up. However, it is not yet required to wake up the motion sensing unit which may have a particularly high power consumption on account of the optoelectronic components (emitter and sensor/detector) used in this unit, for example, as well as potentially the communication unit. Expediently, the motion sensing unit is switched to the state of higher power consumption, e.g. by the control unit, only if the delivery detection unit detects that the user is close to the delivery surface. Detecting a user touching the delivery surface, preferably only together with the preceding setting event, hints to a delivery operation, which is to be expected and, consequently, it is worth to supply the motion sensing unit with power. Similar considerations apply for the communication unit or other units which are not required for the setting operation. Furthermore, it is possible that only a delivery detection unit or only a setting detection unit is provided.
[0187] In this embodiment, the electronic system may be switched on in two stages. Firstly, the electronic module is woken from its dormant or idle state during dose setting (dialling), but the motion sensing unit is not initialised at this stage, e.g. via the setting sensor 1660.
[0188] A capacitive sensor (the delivery sensor 1650) is woken by the dialling event, and is able to detect the presence of the user's finger/thumb at or in close proximity to the delivery surface 1620 of the user interface member. It is expected this event will most likely to occur at the point of dose delivery, when the user is required to provide an axial force on this top face.
[0189] When the user contacts the delivery surface of the electronic system to initiate dose delivery, the capacitive sensor detects the presence of the finger/thumb and may cause initialisation of the motion sensing unit, e.g. the IR-LED detection system, to detect rotation of components within the device during dose delivery. If no rotation is observed by the motion sensing unit, e.g. within a predetermined time, such as 30 seconds, the capacitive sensor will be switched off.
[0190] This concept utilises the fact that the power consumption of a capacitive sensor is significantly lower than the power consumption of the motion sensing unit, thereby lowering the overall power consumption of the electronic module by limiting the on-time of the motion sensing unit to during dose delivery only. Typical quiescent current draw for capacitive sensors are: at 4 Hz polling frequency about 3 μA, at 100 Hz polling frequency about 100 μA. The motion sensing unit can have a power consumption of more than 500 μA when it is operational.
[0191] Additionally, this concept limits accidental waking of the electronic system. If the delivery face/proximal face of the electronic system/user interface member is unintentionally pressed (for example, compressed by other items while carried in a bag) it would not cause the motion sensing unit to wake. Rather, only dose setting followed by finger/thumb contact on the delivery surface of the system would cause the motion sensing unit to be initialised.
[0192]
[0193]
[0194] One or more first electrical contacts or contact surfaces 1630 are arranged on the setting surface 1610 and/or the delivery surface 1620. Furthermore, one or more second contacts or contact surfaces 1640 are provided on the setting surface and/or the delivery surface. The contacts 1630 and 1640 or contact surfaces are electrical contact surfaces and/or electrically conductively connected to the electronic control unit, which is provided in the interior of the user interface member, either directly or indirectly. The first contact surfaces and the second contact surfaces may be surfaces of different electrical potentials, e.g. of opposite polarities. The first contact surfaces 1630 are preferably equipotential surfaces as are the contact surfaces 1640.
[0195] When the user operates the user interface member, the first contact surfaces 1630 and the second contact surfaces 1640 are arranged such that the user will touch a section of the first contact surfaces and a section of the second contact surfaces simultaneously during dose setting and/or during dose delivery, on the setting surface 1610 and/or on the delivery surface 1620 respectively. In other words, the pattern of the first contact surfaces and the second contact surfaces on the setting surface may be configured such that the user will always touch a section of both contact surfaces on the setting surface when performing the dose setting operation. Alternatively or additionally, the pattern of the first contact surfaces and the second contact surfaces on the delivery surface may be configured such that the user will always touch a section of both contact surfaces on the delivery surface when performing the dose delivery operation. Thus, when commencing the respective operation, the user will provide a bridge between the first contact surfaces and the second contact surfaces such that the contact surfaces are conductively connected through the user's finger.
[0196] The resistance which is contributed by the user is comparatively high, such as from 1 kΩ to 200 kΩ. When the user bridges the contacts, the resulting change in the resistance may be used to cause the switching of one of the units of the electronic system from the first state into the second state where the power consumption is higher. The flowing current may be the use signal/proximity signal. The event that the user touches the contact surfaces can be used to trigger a dedicated circuit which may comprise a transistor such as a MOSFET, for example, in order to activate further electronics in the system, e.g. the electronic control unit 1100, which may then switch on the motion sensing unit 1200 and/or the communication unit 1500. The dedicated circuit may hold the activation of the electronic control unit, even if the user does no longer touch the contact surfaces. Consequently, the circuit may be a hold circuit. The dedicated circuit in addition to the electronic control unit may have an optimized power consumption as compared to using the control unit itself to evaluate whether the contact surfaces are bridged.
[0197] After the desired operation has been performed an end-of-operation signal may be generated, e.g. by a component reaching a home position triggering an according switch. The electronic control unit, in response to the end-of-operation signal can issue a signal, such as an off signal, to the dedicated circuit which then may be deactivated in response to the off signal. When a user again touches a section of two contact surfaces 1630 and 1640 simultaneously, the hold circuit may resume its operation and, again, activate the respective unit such as the electronic control unit, the motion sensing unit and/or the communication unit, for example. Such a dedicated circuit and its arrangement are shown schematically in
[0198] Instead of providing a dedicated circuit to hold the electronic control unit active, the current generated by bridging the contacts can be used to directly trigger the switching of the electronic system to the state of higher power consumption by the electronic control unit. Switching off the electronic unit(s), without the dedicated circuit, may be achieved by another unit, e.g. the timer unit and/or the electronic control unit. The dedicated hold circuit may, however, provide the more power efficient solution.
[0199] The first contact surfaces on the setting and the delivery surface are conductively interconnected. The same holds for the second contact surfaces on the setting and the delivery surface. Alternatively, the first contact surfaces and/or the second contacts on the delivery surface 1620 are electrically separate from the associated contact surfaces on the setting surface 1610. Specifically, it can be distinguished whether the user touches only the setting surface, only the delivery surface or both surfaces. In this way, the setting and delivery operation can be distinguished from one another more easily. It should be noted that the exemplary embodiment using a variety of contact surfaces which are strip-like, on the setting surface 1610, which, contrary to the depicted embodiment, may also be arranged in alternating fashion, and almost full circular contact surfaces on the proximal delivery surface 1620 are merely exemplary arrangements. Other arrangements are possible, such as alternating radially oriented strips of contact surfaces on the delivery surface, for example. Also, the number of strips can be adjusted.
[0200] Also, if user contact with the delivery surface and the setting surface should be monitored separately, a set of three electrically or galvanically separated contact surfaces may be sufficient already. One of these contact surfaces may extend from the delivery surface to the setting surface, i.e. this contact surface is accessible on the setting surface and on the delivery surface. Thus, this contact surface forms a common contact surface on the setting surface and on the delivery surface. The other two contact surfaces, one only accessible on the delivery surface and one only accessible on the setting surface, are electrically separated. The common contact surface may be used to detect contact with the delivery surface—in combination with the other contact surface on the delivery surface—and to detect contact with the setting surface in combination with the other contact surface on the setting surface. Thus, to distinguish the user touching the setting surface and the user touching the delivery surface, e.g. for distinguishing a dose setting operation from a dose delivery operation, three electrically separated contact surfaces may be sufficient, instead of having four separated contact surfaces, which is also an option.
[0201] The respective contact surfaces may be integrated into the user interface member and recessed relative to an enveloping surface (enveloping surface not explicitly shown). The contact surfaces may be arranged in recesses on the exterior surface. In this manner, the risk of an undesired activation of the electronics may be reduced. The users hand and the fingers have small flexibility such that the skin can even mechanically contact the contacts even in case they are recessed relative to the enveloping surface of the user interface member. The risk of accidentally bridging the contacts with rigid conductive members is reduced considerably by recessing the contact surfaces relative to the enveloping surface.
[0202] The electronic system may comprise a signal evaluation unit (not explicitly shown), which is configured to evaluate, whether the signal, e.g. the use signal, meets a predetermined criterion or a set of criteria. If the signal does not meet the criterion or the set of criteria, the signal evaluation unit may feed this result back to the electronic control unit, which, in this case does not switch one or more of the other units to the state with higher power consumption. Such a unit may be implemented not only in this embodiment but also in other embodiments. In the present embodiment, the signal evaluation unit may use the magnitude of the current flowing through the user as a criterion, which, knowing the voltage of the power supply, gives a measure of the electrical resistance or resistivity of the element bridging the contacts. If the resistance or the resistivity is less than the resistance or resistivity characteristic for human tissue/skin bridging the contact surfaces 1630 and 1640, the signal, which is generated, is regarded as not being generated by a user and, consequently, the power consumption is not raised as a setting and/or delivery operation is not to be expected.
[0203] The embodiment which has been discussed above has a variety of advantages. For example, it is comparatively easily realized and implemented in electronics. It also does not involve moving parts and does not rely on movement of parts of the drug delivery device or the system relative to one another. The embodiment works for both operations, dose setting and dose delivery.
[0204] Moreover, the use signal is generated before the user interface member is moved for dose setting and/or dose delivery. Therefore, the units of the electronic system which need to be woken or powered on, have sufficient time to be ready for operation when the mechanical operation of dose setting and/or dose delivery is being commenced. The electrical contact surfaces, e.g. of metal or another electrical conductor, may be integrated into the user interface member body of plastic during a moulding process, e.g. injection moulding.
[0205] The contact surfaces 1630, 1640 are part of a resistive touch sensor or switch, which requires mechanical contact with the contact surfaces to be triggered.
[0206] Of course, other options for touch sensors or switches exist which can detect the proximity of the user to a surface of the user interface member based on mechanical contact with a sensing surface of the sensor or even contactless. One example for an alternative resistive sensor or switch is a pressure-sensitive resistor network. It is preferred that the setting surface and/or the delivery surface are provided with, preferably separate, touch sensitive surface areas.
[0207] The contact surfaces 1630 and 1640 are accessible on the exterior surface of the user interface member 1600 and can be used to charge a rechargeable battery as power supply. A dedicated charging bay configured to receive the user interface member may be provided for charging.
[0208]
[0209]
[0210]
[0211] In a first step, the electronic system (e.g. an add-on module) may be attached to a drug delivery device unit, e.g. for an injection device (such as a pen-type injector). During or after attachment, the user proximity detection unit may become operational or be activated, e.g. via the connection detection unit 1700 which has been described further above. Alternatively, the system may be integrated into the device and/or the user proximity detection unit may be activated separately or be continuously active. The user proximity detection unit is configured to detect proximity or touch with respect to at least one of the setting surface and the delivery surface or both.
[0212] The electronic system 1000 is in a first state (or idle state) when the (respective) user proximity detection unit is active, e.g. after attachment to the device unit or after activation of the user proximity detection unit. In this state, one or more user proximity detection units are operational (e.g. powered) to detect proximity of the user with respect to or the user touching at least one of or both of the delivery surface 1620 (e.g. touch at the top or proximal surface) and the setting surface 1610 (e.g. touch at the grip or lateral surface) of the user interface member 1600 (or its body 1605). However, the motion sensing unit 1200 may not be active or operational, e.g. to generate motion signals, in the first state. The same may hold for the communication unit 1300 which may not be active or operational in the first state.
[0213] As will be apparent from the disclosure further above, there are several configurations for the user proximity detection. The system may be configured to detect proximity or touch events just for the delivery surface (top surface) or just the setting surface (grip or lateral surface). This can be done with one user proximity detection unit monitoring the respective surface. Alternatively, the system may be configured to detect proximity or touch events for both surfaces. In this case there are several options. One option is that the system is configured such that it cannot distinguish between the surfaces at which the event is detected. Another one is that the system can distinguish which surface has the user in its proximity or is being touched by the user (i.e. the system can decide whether the user is close to or touches the setting and/or the delivery surface). A system that cannot (or does not) distinguish between the events for the two surfaces can be provided by one sensing electrode having at least one portion assigned to the setting surface and at least one portion assigned to the delivery surface, e.g. along with one electronic sensing element, e.g. a sensor chip, to which the sensing electrode is operatively connected (see the electronic system and in particular the electrode depicted in
[0214]
[0215] When the thumb or finger of the user is detected by the user proximity detection unit (“Top Touch” in
[0216] A timer functionality (preferably incorporated in the electronic system) may be used to consider a dose delivery operation complete when a predetermined time, e.g. 2 s, since the detection of the touch event has elapsed. Alternatively or additionally, the signal(s) generated by the motion sensing unit may be monitored and, after a predetermined time, e.g. 2 s, has elapsed since the last signal characteristic for the dose delivery operation has been detected the dose delivery operation is considered to be complete. Alternatively or also additionally, the release of the user interface member—which may also be detectable via the user proximity detection unit (e.g. due to the change in signal from a signal characteristic for touching to one characteristic for not touching)—can be used as indicator that the dose delivery operation is complete. In this case, the dose delivery operation may be regarded as being completed when a predetermined time, e.g. 2 s, after the release of the delivery surface of the user interface member has been detected has elapsed or in direct response to the detection of the release. In case the release of the delivery surface is not used to indicate the completion of the dose delivery operation, the user may keep the finger or thumb on the user interface member during the synchronization process via the communication unit, which may increase the users confidence in the system. In case the release of the delivery surface is used to indicate the completion of the dose delivery operation, the likelihood of wrongly interpreting an interrupted dose (where the user still maintains contact with the user interface member but does not exert the force necessary for the delivery operation) as a complete dose is increased.
[0217] After the dose delivery operation has been completed or is considered complete, the motion sensing unit may be switched off. The data generated by means of the motion sensing unit may be stored in an internal memory of the system and/or an automatic data synchronization with the external device, e.g. a phone (or similar), may be initiated via the communication unit 1500.
[0218] The system may return to the first or idle state after a predetermined time has elapsed (“Timeout”), e.g. after release of the delivery surface of the user interface member (“Top Release”), after the last signal has been generated by the motion sensing unit or without any motion signal being generated by the motion sensing unit. After the predetermined time, which may be 45 s or lower, e.g. 30 s, the motion sensing unit may be switched off.
[0219] A new touch or proximity event detected by the delivery sensor expediently will cause the system to initialize or activate the motion sensing unit once more (if such initialization is needed). The touch or proximity event, preferably, interrupts any pairing or synchronization activity which might be still ongoing and guarantees that any following delivered units are captured by the system. This is particularly advantageous in the case of priming of a device (which might be necessary after a new cartridge has been connected to the dose setting and drive mechanism of the device to ensure that the drug delivery device is working properly and delivers doses in the amount set during dose setting). In the case of priming, one dose delivery operation may follow quickly after another.
[0220] In order to wake the device or system, such as for the purpose of pairing with an external device or for manual synchronization, e.g. with a paired external device, the user may press the user interface member via the delivery surface (when a zero dose has been set, i.e. the user interface member is in its initial position before dose setting is commenced and/or in its end position after completion of a dose delivery operation). This will trigger the initialization of the motion sensing unit as described above, but no units will be counted. The duration of this zero dose delivery (“0U dose”) can be used to infer what action the user wishes to perform, e.g. pairing or manual synchronization, where the duration required for pairing may be greater than the one for manual synchronization as pairing is likely to occur less often than manual synchronization. This approach to pairing and manual synchronization is facilitated because the optical motion sensing unit can detect the axial position of the user interface member (dose button) relative to the drive mechanism, e.g. the number or dial sleeve (see also the descriptions further above, e.g. in connection with
[0221] As the delivery surface is being monitored, the delivery sensor may have to be polled comparatively often or with a high response rate or frequency (e.g. 80 Hz, see the description further above) in this embodiment as the onset of the delivery operation should not be missed. Activating the motion sensing unit too late results in an inaccurately determined dose.
[0222]
[0223] When the thumb or finger of the user is detected by the user proximity detection unit (“Grip touch” in
[0224] As the setting surface is being monitored the sensor may have to be polled less often or with a low response rate or frequency (e.g. 5 or 8 Hz, see the description further above) in this embodiment. The response rate may especially be lower than in the one of
[0225] The motion sensing unit remains active or operational until a dose has been recorded (e.g. after generation of the last motion signal) and/or a timeout expires, e.g. less than 45 s, such as 30 s (“Timeout”). Thereafter, the device returns to its idle state until the next touch event is detected. Optionally, a sensory indication (e.g. an LED) of the system being in a second or “ready” state (e.g. a state where the motion sensing unit is operational) may be given to the user.
[0226] Synchronization after the dose delivery operation may be effected in the same manner as discussed in connection with
[0227] In order to wake the system for pairing or manual synchronization, the same principle can be used as described in conjunction with
[0228]
[0229] At the beginning, the system is in the first or “idle” state, in which touch or proximity events can be detected. When touch of or proximity relative to the user interface member is detected, the motion sensing unit is initialized and the motion signals may be generated (“Dose capture”) during the dose delivery operation. The system is then in an intermediate or “ready” state. When the user interface member is released (which is expediently detectable via the change in the signal of the user proximity detection unit) the system remains in the intermediate or “ready” state (with the motion sensing unit being operational). The system remains in this state until a subsequent touch or proximity event occurs and/or a timeout expires, e.g. a timeout as has been described before, such as a timeout less than or equal to 45 s, e.g. a 30 s timeout.
[0230] As noted above, the intermediate or “ready” state may involve leaving the motion sensing unit active or operational while the system is in this state. Alternatively, the system may be configured such that the motion sensing unit is inactive, inactivated or switched off (e.g. in response to the release of the user interface member) in this state and/or such that the sensor is set to a higher response rate in this state than in the idle state (e.g. more suitable for monitoring the delivery surface, see the description further above). As discussed in connection with
[0231] In order to wake the electronic system for pairing or manual synchronization, the same principle can be used as described in conjunction with
[0232]
[0233] A touch or proximity event on the setting surface (grip) does not immediately initialize the motion sensing unit as in the previously described embodiment. Instead this event can be used to control the response time or rate of the delivery sensor (or the associated channel), preferably to switch that sensor on or to a higher response rate. References above and in the following to a “setting sensor” should be considered as covering a separate setting sensor (chip) or one setting sensor channel of a sensor (chip). The same holds for references to a “delivery sensor” and delivery sensor channels.
[0234] In the first or “idle” state, the delivery sensor may be completely off (inactive) or active, e.g. in a slow response rate setting (e.g. equal or below 10 Hz, see also the description further above, e.g. in conjunction with
[0235] In an intermediate or “ready” state of the system into which the system is switched in response to a touch or proximity event detected by the setting sensor, the delivery sensor is set to a fast response setting. That is to say the response rate of the delivery sensor is increased over its response rate in the idle state and/or the response rate of the delivery sensor is set to be greater than the response rate of the setting sensor in the idle state.
[0236] In this state, events on the delivery surface may be detected with higher response rate (e.g. providing a response time of less than 10 ms, e.g. 9 ms). The setting sensor can remain operational in the ready state or be switched off. The system may be provided with a timer or delivery sensor timeout which switches the system back to the first or idle state in case the delivery sensor does not detect a proximity or touch event within a predetermined time. The predetermined time may be greater than or equal to 45 seconds, e.g. greater than or equal to 1 minute, e.g. 1 to 2 minutes. Preferably, the predetermined time for the delivery sensor timeout is greater than the one for a motion sensing unit timeout (which may be less than 45 s, such as 30 s or even less, e.g 20 s or less, or 10 s or less, such as between 3 to 5 s). The motion sensing unit timeout after which the motion sensing unit is switched off or inactivated can be less than in the embodiments previously described (e.g. in connection with
[0237] The delivery sensor can be used to initialize the motion sensing unit as in the embodiment of
[0238] As described in conjunction with
[0239] Switching the delivery sensor off completely during the idle state reduces power consumption and the risk of accidental activation of the motion sensing unit. Alternatively, the delivery sensor may be left on in a slow response setting, which will, for example, allow for seamless pairing or synching functionality as described in conjunction with
[0240] Cancelling a synchronization event which might still be in progress in response to a new touch event of the setting surface can be avoided as the setting precedes the delivery and there is usually sufficient time to complete the synchronization event before the set dose is delivered and the system can distinguish which surface is being touched. If the delivery surface is touched, the event may be interrupted in order not to miss a dose delivery operation.
[0241] The setting surface may be more prone to detect accidentally occurring touch events owing to its circumferential disposition. Hence, using the delivery surface or sensor for activating the power consuming motion sensing unit is advantageous.
[0242] Having a comparatively short timeout for the motion sensing unit (e.g. less than 10 s, such as 3 to 5 s) may limit the power consumption in case of accidentally occurring touch events of the delivery surface (that is, if the delivery sensor is operational at all in the idle state). The idle state may be the standard state the system is in, e.g. after connecting the system to a device unit.
[0243] While the method as discussed above provides a sensible process flow which may stand alone, some variations may be used to further reduce the overall power consumption. Some variations are discussed below.
[0244] It has been observed that sensors, e.g. capacitive sensors, will generally draw significantly more than their quiescent current for the duration of touch or proximity events. In some applications the duration of the event or the point of release are of interest. This functionality may be sacrificed in order to increase the overall life of the electronic system, e.g. due to the power consumption being reduced.
[0245] For example, the system can be configured such that the setting sensor is switched off or disabled when an event has been detected by this sensor, e.g. a setting event. The setting sensor will detect a touch event at the start of a setting operation. The touch or contact will be maintained (intermittently) until the end of the setting operation, when the setting surface is released. However, after occurrence of the touch event, the setting sensor may provide no more useful information to the system. Therefore, from the point of the first touch onwards, the setting sensor can be disabled, e.g. until the electronic system returns to the first or idle state. If the touch is still present at the point of return to the idle state, the setting sensor may be immediately disabled once more and the process repeats. Depending on the type of touch or proximity sensor employed, it may be advantageous to negate the detected touch or proximity event of the setting surface before the setting sensor is disabled (otherwise a new touch event might not be detected when the sensor is re-enabled, e.g. in the idle state). This can be achieved by increasing the detection threshold to beyond the limits attainable by a physical touch and waiting until the sensor no longer registers a touch on the setting sensor before disabling it. The detection thresholds are expediently restored when the sensor is re-enabled or when the system enters the idle state.
[0246] Alternatively to switching the sensor off in response to the event, the setting sensor can be operated at a lower response rate, e.g. lower than in the first or idle state, after the event has been detected. The setting sensor may be switched to the lower response rate in response to the setting signal (i.e. in response to the touch or proximity event), in response to the delivery signal or in response to the (first) motion signal generated by the motion sensing unit.
[0247] Alternatively or additionally to reducing the power consumption of the setting sensor after the touch event is detected for the setting surface, the power consumption of the delivery sensor can be lowered after the touch event is detected, e.g. in response to the setting or delivery signal or in response to a motion signal generated by the motion sensing unit. In contrast to the setting sensor, it is not advisable to completely disable the delivery sensor after touch (especially not during “Dose capture”), as any potential power saving would be negated by no longer being able to detect the point of release. If the point of release cannot be detected, a potential signal would not be available to trigger exiting the dose capture procedure or inactivating the motion sensing unit. As explained previously, keeping the motion sensing unit powered unnecessarily is by far the greatest waste of electrical power. As a compromise, a reduced or low response rate, e.g. below 10 Hz, can be set for the delivery sensor, e.g. while the motion sensing unit is operational (with or without motion signals being generated) and/or when motion signals are generated. This is acceptable since the urgency of responding to a release is significantly less than that of responding to proximity or touch (as explained above slow response of the delivery sensor to proximity or touch may lead to an undercount of the dose).
[0248] The present disclosure provides features of an electronic system that can be embodied as a re-usable clip-on module with a suitably configured pen injector for the purpose of recording doses that are delivered from the pen. This functionality may be of value to a wide variety of users as a memory aid or to support detailed logging of dose history. The system can be configured to be electronically connectable to a mobile device, or similar, to enable the dose history to be downloaded from the system on a periodic basis.
[0249] The use of touch or proximity sensitivity, for example with a capacitive sensor, has the advantage of allowing the electronic system to be completely sealed from water ingress. A further advantage may be the protection against accidental activation in storage, as there will be no external moving parts involved in the activation, e.g. as compared to mechanical switches. This is particularly advantageous for the robustness of an electronic system which may be carried with a user for multiple years and subject to a variety of conditions.
[0250] In general, we note, that features which are disclosed herein in connection with different figures, aspects, embodiments and so on can also be combined with one another and also with features disclosed below and in the claims as well as in the drawings.
[0251] As has been discussed above, managing electrical power consumption or the resources of a power supply (e.g. a rechargeable or non-rechargeable battery) in drug delivery devices comprising electronic systems, such as the injection devices discussed further above, or systems for drug delivery devices is a problem which needs to be addressed, e.g. in order to optimize the use of the capacity of the power supply and/or in consideration of the sometimes considerable shelf time of a drug delivery device or an electronic system has before it reaches the user or patient. It needs to be ensured that the electronic system still functions properly for the duration of its intended use, even when storing the system for a longer period.
[0252] The present disclosure has presented various concepts which can be implemented in drug delivery devices or electronic systems thereof or therefore, e.g. for improving the power management in the devices. Some concepts rely on providing electrical power to certain units of the device only when needed or when it is very likely that the power will be needed. For example, the device which has been mentioned above and which is described in WO 2019/101962 A1, for example, energizes a motion sensing unit (the sensor system with IR-LEDs and IR-detectors) of the device only when the injection button (as user interface member) is being pressed for performing a dose delivery (injection) operation. The rotation of the encoder component or encoder ring can be used by the sensing unit to gather data on movements which are indicative for the dose which has been delivered during the delivery operation, after the motion sensing unit has been energized. From the measured movement data, it can be calculated, how much of the drug has actually been delivered. The amount of the actually delivered drug does not necessarily coincide with the dose which was previously set in a dose setting operation, e.g. when the user interrupts the delivery operation before it has been actually completed. Accordingly, it is advantageous to measure movements occurring during the dose delivery operation which are correlated to the amount of drug which has been delivered already, e.g. to get insight on the current status or the progress of the delivery operation. The determined delivered dose may be communicated, preferably wirelessly to an external or remote device, e.g. a hand-held device such as a smartphone, e.g. via the communication unit. In this way a dose log on the doses delivered by the user may be established, which may be accessed by the user easily.
[0253] The proposed concepts are suitable for a large variety of drug delivery devices comprising electronic systems or for electronic systems for such devices not only for the devices described further above. The device may be an injection device and/or a pen-type device. The device may be configured to receive or comprise a medicament container or cartridge. The container or cartridge may be filled with liquid drug to be delivered by the device. The device may be designed to deliver a plurality of doses of the drug. Consequently, the container or cartridge may comprise drug in amount sufficient for several doses to be delivered by the device. The device may be re-usable or disposable, where a re-usable device may be provided with a replacement medicament container or cartridge when the current container or cartridge is considered empty or needs to be replaced for different reasons. A disposable device may be a single use device which is disposed after the medicament container has been emptied. The device may be a device of a dial extension type, that is to say a device which increases in length during the dose setting operation, where the increase in length is proportional to the size of the set dose. During the associated dose delivery operation, the length of the device may be decreased again, e.g. until the device resumes its original length, i.e. the length it had before the dose setting operation has been commenced. Alternatively, the length of the device may be independent of the size of the set dose, e.g. constant or substantially constant during dose setting and/or dose delivery. The dose setting operation may involve a, preferably rotational, movement, of a dose setting member as user interface member, e.g. a knob, button or grip component (as discussed further above already). The dose delivery operation may involve a, preferably axial, movement of a dose delivery member as user interface member, e.g. a button such as the injection button discussed further above. As already discussed further above, the dose setting member and the dose delivery member may be formed by a single, e.g. unitary, component, where, preferably, different surfaces of the component are manipulated during the dose setting operation and the dose delivery operation or, alternatively, the dose setting member and the dose delivery member may be separate components/interface members or parts with relative movement being possible between these members, e.g. to switch the dose setting and drive mechanism between a dose setting configuration and a dose delivery configuration. There may be relative movement between these components either during dose setting or dose delivery or during both operations. During the dose setting operation a lateral or side surface, i.e. a radially facing surface, of the dose setting member may be gripped by the user, e.g. with the thumb and index finger. During the dose delivery operation an axially, e.g. proximally, facing surface of the dose delivery member may be touched by the user, e.g. with the thumb. During the dose delivery operation, an axial force may be transferred by the user to the dose delivery member in order to initiate and/or to continuously drive the dose delivery operation using a dose setting and drive mechanism of the device which aside, from the user interface member may comprise further members, such as a drive member and a piston rod, for example. The drive member may engage the piston rod. The drive member may be a drive sleeve. In one embodiment, the dose delivery member may be a drive member which engages the piston rod threadedly. The device may be a device as disclosed, for example, in WO 2015/028439 A1 the disclosure of which is incorporated herein by reference in its entirety. In this device, the knob/button may be rotationally locked with the dial sleeve or number sleeve during dose setting via an according clutch being engaged. When delivering the dose, the clutch is released and the knob is rotationally locked relative to the housing. The dial sleeve may rotated relative to the housing during dose delivery.
[0254] The device may be a needle-based device, i.e. the drug may be delivered into the body via a needle piercing the skin, or may be needle-free. The device may be a device with a delivery assist, e.g. a spring-assisted or spring-driven device. In such devices, the dose delivery operation by the user is assisted or entirely driven by energy provided by an energy storage member such as a spring. The energy in the storage member may be increased during the dose setting operation by the user or the energy storage member may be provided with the entire energy required to empty the medicament container pre-stored in the member by the manufacturer. In the latter case, the user does not need to provide energy to increase the energy stored in the energy storage member such as during the dose setting operation.
[0255] We note that the description of the embodiments focuses on the motion sensing unit gathering data during the dose delivery operation. It is, however, also possible to gather the data during dose setting. Moreover, the user proximity detection units which have been discussed are not only suitable for power management purposes but can also be used for other purposes, e.g. controlling the operation of or activating the communication unit, e.g. for transmitting and/or synchronizing dose data.
[0256] The terms “drug” or “medicament” are used synonymously herein and describe a pharmaceutical formulation containing one or more active pharmaceutical ingredients or pharmaceutically acceptable salts or solvates thereof, and optionally a pharmaceutically acceptable carrier. An active pharmaceutical ingredient (“API”), in the broadest terms, is a chemical structure that has a biological effect on humans or animals. In pharmacology, a drug or medicament is used in the treatment, cure, prevention, or diagnosis of disease or used to otherwise enhance physical or mental well-being. A drug or medicament may be used for a limited duration, or on a regular basis for chronic disorders.
[0257] As described below, a drug or medicament can include at least one API, or combinations thereof, in various types of formulations, for the treatment of one or more diseases. Examples of API may include small molecules having a molecular weight of 500 Da or less; polypeptides, peptides and proteins (e.g., hormones, growth factors, antibodies, antibody fragments, and enzymes); carbohydrates and polysaccharides; and nucleic acids, double or single stranded DNA (including naked and cDNA), RNA, antisense nucleic acids such as antisense DNA and RNA, small interfering RNA (siRNA), ribozymes, genes, and oligonucleotides. Nucleic acids may be incorporated into molecular delivery systems such as vectors, plasmids, or liposomes. Mixtures of one or more drugs are also contemplated.
[0258] The drug or medicament may be contained in a primary package or “drug container” adapted for use with a drug delivery device. The drug container may be, e.g., a cartridge, syringe, reservoir, or other solid or flexible vessel configured to provide a suitable chamber for storage (e.g., short-or long-term storage) of one or more drugs. For example, in some instances, the chamber may be designed to store a drug for at least one day (e.g., 1 to at least 30 days). In some instances, the chamber may be designed to store a drug for about 1 month to about 2 years. Storage may occur at room temperature (e.g., about 20° C.), or refrigerated temperatures (e.g., from about −4° C. to about 4° C.). In some instances, the drug container may be or may include a dual-chamber cartridge configured to store two or more components of the pharmaceutical formulation to-be-administered (e.g., an API and a diluent, or two different drugs) separately, one in each chamber. In such instances, the two chambers of the dual-chamber cartridge may be configured to allow mixing between the two or more components prior to and/or during dispensing into the human or animal body. For example, the two chambers may be configured such that they are in fluid communication with each other (e.g., by way of a conduit between the two chambers) and allow mixing of the two components when desired by a user prior to dispensing. Alternatively or in addition, the two chambers may be configured to allow mixing as the components are being dispensed into the human or animal body.
[0259] The drugs or medicaments contained in the drug delivery devices as described herein can be used for the treatment and/or prophylaxis of many different types of medical disorders. Examples of disorders include, e.g., diabetes mellitus or complications associated with diabetes mellitus such as diabetic retinopathy, thromboembolism disorders such as deep vein or pulmonary thromboembolism. Further examples of disorders are acute coronary syndrome (ACS), angina, myocardial infarction, cancer, macular degeneration, inflammation, hay fever, atherosclerosis and/or rheumatoid arthritis. Examples of APIs and drugs are those as described in handbooks such as Rote Liste 2014, for example, without limitation, main groups 12 (anti-diabetic drugs) or 86 (oncology drugs), and Merck Index, 15th edition.
[0260] Examples of APIs for the treatment and/or prophylaxis of type 1 or type 2 diabetes mellitus or complications associated with type 1 or type 2 diabetes mellitus include an insulin, e.g., human insulin, or a human insulin analogue or derivative, a glucagon-like peptide (GLP-1), GLP-1 analogues or GLP-1 receptor agonists, or an analogue or derivative thereof, a dipeptidyl peptidase-4 (DPP4) inhibitor, or a pharmaceutically acceptable salt or solvate thereof, or any mixture thereof. As used herein, the terms “analogue” and “derivative” refers to a polypeptide which has a molecular structure which formally can be derived from the structure of a naturally occurring peptide, for example that of human insulin, by deleting and/or exchanging at least one amino acid residue occurring in the naturally occurring peptide and/or by adding at least one amino acid residue. The added and/or exchanged amino acid residue can either be codable amino acid residues or other naturally occurring residues or purely synthetic amino acid residues. Insulin analogues are also referred to as “insulin receptor ligands”. In particular, the term, derivative” refers to a polypeptide which has a molecular structure which formally can be derived from the structure of a naturally occurring peptide, for example that of human insulin, in which one or more organic substituent (e.g. a fatty acid) is bound to one or more of the amino acids. Optionally, one or more amino acids occurring in the naturally occurring peptide may have been deleted and/or replaced by other amino acids, including non-codeable amino acids, or amino acids, including non-codeable, have been added to the naturally occurring peptide.
[0261] Examples of insulin analogues are Gly(A21), Arg(B31), Arg(B32) human insulin (insulin glargine); Lys(B3), Glu(B29) human insulin (insulin glulisine); Lys(B28), Pro(B29) human insulin (insulin lispro); Asp(B28) human insulin (insulin aspart); human insulin, wherein proline in position B28 is replaced by Asp, Lys, Leu, Val or Ala and wherein in position B29 Lys may be replaced by Pro; Ala(B26) human insulin; Des(B28-B30) human insulin; Des(B27) human insulin and Des(B30) human insulin.
[0262] Examples of insulin derivatives are, for example, B29-N-myristoyl-des(B30) human insulin, Lys(B29) (N-tetradecanoyl)-des(B30) human insulin (insulin detemir, Levemir®); B29-N-palmitoyl-des(B30) human insulin; B29-N-myristoyl human insulin; B29-N-palmitoyl human insulin; B28-N-myristoyl LysB28ProB29 human insulin; B28-N-palmitoyl-LysB28ProB29 human insulin; B30-N-myristoyl-ThrB29LysB30 human insulin; B30-N-palmitoyl-ThrB29LysB30 human insulin; B29-N—(N-palmitoyl-gamma-glutamyl)-des(B30) human insulin, B29-N-omega-carboxypentadecanoyl-gamma-L-glutamyl-des(B30) human insulin (insulin degludec, Tresiba®); B29-N—(N-lithocholyl-gamma-glutamyl)-des(B30) human insulin; B29-N-(ω-carboxyheptadecanoyl)-des(B30) human insulin and B29-N-(ω-carboxyheptadecanoyl) human insulin.
[0263] Examples of GLP-1, GLP-1 analogues and GLP-1 receptor agonists are, for example, Lixisenatide (Lyxumia®), Exenatide (Exendin-4, Byetta®, Bydureon®, a 39 amino acid peptide which is produced by the salivary glands of the Gila monster), Liraglutide (Victoza®), Semaglutide, Taspoglutide, Albiglutide (Syncria®), Dulaglutide (Trulicity®), rExendin-4, CJC-1134-PC, PB-1023, TTP-054, Langlenatide/HM-11260C, CM-3, GLP-1 Eligen, ORMD-0901, NN-9924, NN-9926, NN-9927, Nodexen, Viador-GLP-1, CVX-096, ZYOG-1, ZYD-1, GSK-2374697, DA-3091, MAR-701, MAR709, ZP-2929, ZP-3022, TT-401, BHM-034. MOD-6030, CAM-2036, DA-15864, ARI-2651, ARI-2255, Exenatide-XTEN and Glucagon-Xten.
[0264] An examples of an oligonucleotide is, for example: mipomersen sodium (Kynamro®), a cholesterol-reducing antisense therapeutic for the treatment of familial hypercholesterolemia. Examples of DPP4 inhibitors are Vildagliptin, Sitagliptin, Denagliptin, Saxagliptin, Berberine.
[0265] Examples of hormones include hypophysis hormones or hypothalamus hormones or regulatory active peptides and their antagonists, such as Gonadotropine (Follitropin, Lutropin, Choriongonadotropin, Menotropin), Somatropine (Somatropin), Desmopressin, Terlipressin, Gonadorelin, Triptorelin, Leuprorelin, Buserelin, Nafarelin, and Goserelin.
[0266] Examples of polysaccharides include a glucosaminoglycane, a hyaluronic acid, a heparin, a low molecular weight heparin or an ultra-low molecular weight heparin or a derivative thereof, or a sulphated polysaccharide, e.g. a poly-sulphated form of the above-mentioned polysaccharides, and/or a pharmaceutically acceptable salt thereof. An example of a pharmaceutically acceptable salt of a poly-sulphated low molecular weight heparin is enoxaparin sodium. An example of a hyaluronic acid derivative is Hylan G-F 20 (Synvisc®), a sodium hyaluronate.
[0267] The term “antibody”, as used herein, refers to an immunoglobulin molecule or an antigen-binding portion thereof. Examples of antigen-binding portions of immunoglobulin molecules include F(ab) and F(ab′)2 fragments, which retain the ability to bind antigen. The antibody can be polyclonal, monoclonal, recombinant, chimeric, de-immunized or humanized, fully human, non-human, (e.g., murine), or single chain antibody. In some embodiments, the antibody has effector function and can fix complement. In some embodiments, the antibody has reduced or no ability to bind an Fc receptor. For example, the antibody can be an isotype or subtype, an antibody fragment or mutant, which does not support binding to an Fc receptor, e.g., it has a mutagenized or deleted Fc receptor binding region. The term antibody also includes an antigen-binding molecule based on tetravalent bispecific tandem immunoglobulins (TBTI) and/or a dual variable region antibody-like binding protein having cross-over binding region orientation (CODV).
[0268] The terms “fragment” or “antibody fragment” refer to a polypeptide derived from an antibody polypeptide molecule (e.g., an antibody heavy and/or light chain polypeptide) that does not comprise a full-length antibody polypeptide, but that still comprises at least a portion of a full-length antibody polypeptide that is capable of binding to an antigen. Antibody fragments can comprise a cleaved portion of a full length antibody polypeptide, although the term is not limited to such cleaved fragments. Antibody fragments that are useful in the present disclosure include, for example, Fab fragments, F(ab′)2 fragments, scFv (single-chain Fv) fragments, linear antibodies, monospecific or multispecific antibody fragments such as bispecific, trispecific, tetraspecific and multispecific antibodies (e.g., diabodies, triabodies, tetrabodies), monovalent or multivalent antibody fragments such as bivalent, trivalent, tetravalent and multivalent antibodies, minibodies, chelating recombinant antibodies, tribodies or bibodies, intrabodies, nanobodies, small modular immunopharmaceuticals (SMIP), binding-domain immunoglobulin fusion proteins, camelized antibodies, and VHH containing antibodies. Additional examples of antigen-binding antibody fragments are known in the art.
[0269] The terms “Complementarity-determining region” or “CDR” refer to short polypeptide sequences within the variable region of both heavy and light chain polypeptides that are primarily responsible for mediating specific antigen recognition. The term “framework region” refers to amino acid sequences within the variable region of both heavy and light chain polypeptides that are not CDR sequences, and are primarily responsible for maintaining correct positioning of the CDR sequences to permit antigen binding. Although the framework regions themselves typically do not directly participate in antigen binding, as is known in the art, certain residues within the framework regions of certain antibodies can directly participate in antigen binding or can affect the ability of one or more amino acids in CDRs to interact with antigen.
[0270] Examples of antibodies are anti PCSK-9 mAb (e.g., Alirocumab), anti IL-6 mAb (e.g., Sarilumab), and anti IL-4 mAb (e.g., Dupilumab).
[0271] Pharmaceutically acceptable salts of any API described herein are also contemplated for use in a drug or medicament in a drug delivery device. Pharmaceutically acceptable salts are for example acid addition salts and basic salts.
[0272] Those of skill in the art will understand that modifications (additions and/or removals) of various components of the APIs, formulations, apparatuses, methods, systems and embodiments described herein may be made without departing from the full scope and spirit of the present invention, which encompass such modifications and any and all equivalents thereof.
[0273] The scope of protection is not limited to the examples given herein above. Any invention disclosed herein is embodied in any novel characteristic and/or combination of characteristics, which particularly includes every combination of any features which are stated in the claims, even if this feature or this combination of features is not explicitly stated in the claims or in the examples.
REFERENCE NUMERALS
[0274] 1 injection device, drug delivery device or device unit [0275] 10 housing [0276] 12 dosage knob [0277] 11 injection button [0278] 13 window [0279] 14 container [0280] 15 needle [0281] 16 inner needle cap [0282] 17 outer needle cap [0283] 18 cap [0284] 70 sleeve [0285] 71a-c formation [0286] 1000 electronic system [0287] 1100 electronic control unit [0288] 1200 motion sensing unit [0289] 1300 use detection unit [0290] 1310 setting detection unit [0291] 1320 delivery detection unit [0292] 1330 user proximity detection unit [0293] 1340 sensor [0294] 1345 sensor electrode [0295] 1347 electrode portion [0296] 1348 ring portion [0297] 1349 connection portion [0298] 1350 wake-up unit [0299] 1400 communication unit [0300] 1500 power supply [0301] 1510 spacer component [0302] 1520 power supply electrode [0303] 1530 contact portion [0304] 1540 biasing portion [0305] 1550 securing portion [0306] 1560 ring portion [0307] 1570 supply contact portion [0308] 1600 user interface member [0309] 1605 user interface member body [0310] 1610 setting surface [0311] 1615 connection feature [0312] 1620 delivery surface [0313] 1630 contact surface [0314] 1640 contact surface [0315] 1650 delivery sensor [0316] 1660 setting sensor [0317] 1670 chassis [0318] 1672 rigid portion [0319] 1674 deformable portion [0320] 1676 light guide [0321] 1678 snap arm [0322] 1700 connection detection unit [0323] 1710 switch [0324] 3000 conductor carrier [0325] 4000 member [0326] 4010 connection [0327] 4020 recess [0328] 4030 interior [0329] 4040 contact portion [0330] 4050 central region [0331] 4060 edge region [0332] 4070 groove [0333] 4080 opening