A TORSION SPRING DRIVEN INJECTION DEVICE
20210146060 · 2021-05-20
Inventors
- Martin Johst Christensen (Copenhagen OE, DK)
- Bjoern Gullak Larsen (Birkeroed, DK)
- Carsten Soerensen (Frederiksberg, DK)
- Kurt Solgaard (Graested, DK)
Cpc classification
A61M5/3157
HUMAN NECESSITIES
A61M2005/3267
HUMAN NECESSITIES
A61M5/20
HUMAN NECESSITIES
A61M5/31568
HUMAN NECESSITIES
A61M2005/208
HUMAN NECESSITIES
A61M5/31541
HUMAN NECESSITIES
International classification
A61M5/315
HUMAN NECESSITIES
Abstract
The invention relates to a torsion spring driven injection device for delivering set doses of a liquid drug wherein a torsion spring is strained by rotation of a rotatable dose setting structure and released by proximal movement of a piston rod driver. The dose setting structure is coupled to a drive element which is rotated during dose setting and which drive element is released during dosing to thereby rotate the piston rod driver. The piston rod driver is further coupled to the piston rod to generate a rotation and thus forward movement of the piston rod. The drive element and the piston rod driver are coupled to each other by a toothed engagement which is functional both during dose setting and during dose expelling.
Claims
1. A torsion spring driven injection device for delivering set doses of a liquid drug, comprising: a housing having a longitudinal centre axis (X), a dose setting structure being rotatable in a first direction relative to the housing for setting the size of the individual doses to be ejected, a piston rod having an outer surface with an outer thread which extend helically in a longitudinal direction and which outer surface further is provided with a longitudinal extending engagement surface such that the outer surface of the piston rod has a non-circular cross section, a nut member having an inner thread mating the outer thread of the piston rod and which nut member is stationary in the housing, a rotatable piston rod driver engaging the longitudinal extending engagement surface of the non-circular cross-section of the piston rod such that the piston rod is moved in an axial direction when the piston rod driver is rotated relatively to the housing, a drive element coupled to rotationally follow the dose setting structure in the first direction during dose setting, a torsion spring which is encompassed between the housing and the drive element, such that a torque is built up in the torsion spring during rotation of the dose setting structure and the drive element in the first direction, and which torque is releasable to rotate the drive element in a second direction during ejection of the set dose, the second direction being rotational opposite to the first direction, and wherein the drive element rotates relatively to the piston rod driver during dose setting and the drive element and the piston rod driver rotate in unison during ejection of the set dose, characterized in that, a ratchet engagement is provided between the drive element and the piston rod driver, wherein ratchet engagement comprises a first set of teeth provided on the drive element engaging a second set of teeth provided on the piston rod driver and wherein the drive element and the piston rod driver are urged into engagement by a spring bias.
2. The torsion spring driven injection device according to claim 1, wherein the piston rod driver is rotationally locked to housing during dose setting.
3. The torsion spring driven injection device according to claim 1, wherein the teeth in the first set and the teeth in the second set are V-shaped with an axial flange extending substantially parallel to the centre axis (X) and a sloped flange forming an angle to the centre axis (X).
4. The torsion spring driven injection device according to claim 3, wherein the sloped flange of the teeth on the drive element rides over the sloped flange of the teeth on the piston rod driver during dose setting.
5. The torsion spring driven injection device according to claim 1, wherein the dose setting structure comprises a dose setting button and a ratchet tube.
6. The torsion spring driven injection device according to claim 5, wherein a structure is provided between the dose setting button and the ratchet tube such that rotation of the dose setting button in the second direction moves the ratchet tube proximally.
7. The torsion spring driven injection device according to claim 6, wherein the structure comprises one or more wedge-shaped protrusions having a lifting flange and being located between the dose setting button and the ratchet tube such that the lifting flange moves the ratchet tube in the proximal direction upon rotation of the dose setting button in the second direction.
8. The torsion spring driven injection device according to claim 6, wherein the ratchet tube is coupled to the drive element such that the drive element moves together with the ratchet tube in the proximal direction thus releasing the engagement between the first set of teeth provided on the drive element and the second set of teeth provided on the piston rod driver.
9. The torsion spring driven injection device according to claim 8, wherein the ratchet tube is permanently coupled to the drive element.
10. The torsion spring driven injection device according to claim 8, wherein the ratchet tube has a toothed engagement with the drive element (70).
11. The torsion spring driven injection device according to claim 10, wherein the ratchet tube distally is provided with a plurality of V-shaped teeth, and the drive element has an inner ring of V-shaped teeth, and wherein the V-shaped teeth on the ratchet tube is positioned such in relation to the teeth on the drive element that the ratchet tube is rotational in relation to the drive element in the second direction.
12. The torsion spring driven injection device according to claim 1, wherein the piston rod driver is moved proximally in relation to the housing to a rotationally unlocked position out of engagement with the housing during ejection of the set dose.
13. The torsion spring driven injection device according to claim 12, wherein the piston rod driver is moved proximally in relation to the housing and out of engagement with the housing by a release trigger (“T”) during injection.
14. The torsion spring driven injection device according to claim 12, wherein the torque of the torsion spring rotates the drive element during ejection of the set dose such that a rotational force is transferred from the axial flanges of the teeth on the drive element to the axial flanges on the teeth on piston rod driver thereby creating a rotation of the piston rod driver.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0059] The invention will be explained more fully below in connection with a preferred embodiment and with reference to the drawings in which:
[0060]
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[0074] The figures are schematic and simplified for clarity, and they just show details, which are essential to the understanding of the invention, while other details are left out. Throughout, the same reference numerals are used for identical or corresponding parts.
DETAILED DESCRIPTION OF EMBODIMENT
[0075] When in the following terms as “upper” and “lower”, “right” and “left”, “horizontal” and “vertical”, “clockwise” and “anti (or counter) clockwise” or similar relative expressions are used, these only refer to the appended figures and not to an actual situation of use. The shown figures are schematic representations for which reason the configuration of the different structures as well as their relative dimensions are intended to serve illustrative purposes only.
[0076] In that context it may be convenient to define that the term “distal end” in the appended figures is meant to refer to the end of the dose setting and injection mechanism device which is usually coupled to the cartridge holder which further carries the injection needle whereas the term “proximal end” is meant to refer to the opposite end pointing away from the cartridge holder and the injection needle and which proximal end usually carries the dose dial button. Distal and proximal is meant to be along an axial orientation of the dose setting and injection mechanism along a virtual centre line marked “X” in
[0077] The
[0078]
[0089] As best seen in
[0090] The piston rod 25 is on the outer surface provided with an outer thread 26 and a number of longitudinal tracks 27. The outer thread 26 is operated in the inner thread 11 of the housing 10 such that whenever the piston rod 25 is rotated it is moved axially in a helical movement.
[0091] At the proximal end, the housing 10 is provided with a dose dial 30 which on the inner surface is provided with a ring-shaped ridge 31 engaging a similar ring-shaped groove 12 provided in the housing 10 such that the dose dial 30 can only be rotated relatively to the housing 10 but is unable to move axially in relation to the housing 10.
[0092] The housing 10 is further illustrated in
[0093] The housing 10 is also, preferably on the inner surface, provided with one or more helical protrusions 13 for rotationally guiding the scale drum 40 which is at least partly visible to the user through a window 14 in the housing 10 such that a user can inspect the size of the set dose during dose setting. An inwardly pointing stop protrusion 20 for the scale drum 40 is also provided on the inner surface of the housing 10.
[0094] The longitudinal tracks 27 of the piston rod 25 are engaged by a key structure 51 provided on an inner surface of the piston rod driver 50 as disclosed in
[0095] The piston rod driver 50 is further provided with radially inwardly pointing teeth 52 which engages the radially outwardly pointing teeth 18 provided on the axially pointing structure 17 of the housing. When these two sets of radial teeth 18, 52 are engaged, the piston rod driver 50 is unable to rotate relatively to the housing 10.
[0096] Proximally, the piston rod driver 50 is provided with a plurality of V-shaped teeth 54 which engages a drive element 70 as will be explained later.
[0097] All the V-shaped teeth used in the different engagement in this specification has a steep flange which is referenced with an “a” and a sloped flange which is referenced with a “b”. This is e.g. indicated in
[0098] The piston rod driver 50 is distally provided with a rim 53 which can be engaged by a release trigger which operates through the axial openings 16 provided in the housing 10. Such release trigger would usually be coupled to a needle shield such that a movement of the needle shield in the proximal direction forces the release trigger to lift the piston rod driver 50 in the proximal direction and out of its engagement with the housing 10.
[0099] A similar shield triggered release arrangement is disclosed in WO16/041883 wherein the reference number “20” designates the needle shield and the release arms numbered “23” is the release trigger. The nut holder numbered “60” is the distal part of the housing of the dose engine and is provided with openings “64” through which the release arms “23” operate to move the piston rod driver “55” axially out of engagement with the housing part “60”.
[0100] The released position of the present invention is disclosed in
[0101] As further disclosed in
[0102] The spring base 60 connects to the proximal end of the torsion spring 65 which at its distal end is connected to the drive element 70. The torsion spring 65 is in the disclosed embodiments a torsion spring 65 which applies a rotational torque when rotational strained. The torsion spring 65 is coiled with a distance 66 between at least some of the windings such that the torsion spring 65 also applies an axial force when compressed. The torque accumulated in the torsion spring 65 during dose setting is transformed to a rotation of the drive element 70 during ejection of the set dose.
[0103] The drive element 70 is disclosed in details in
[0104] Whenever the drive element 70 rotates so does the scale drum 40, however, since the scale drum 40 engages the helical protrusions 13 provided inside the housing 10, the scale drum 40 travels helically when rotated. The scale drum 40 is on the outer surface provided with a helical track 41 engaging the helical protrusion 13 inside the housing 10 to accommodate the helical movement of the scale drum 40. The outer surface of the scale drum 40 is provided with indicia 45 printed or otherwise provided in a helical row such that the indicia 45 is moved pass the window 14 in the housing 10 upon rotation of the drive element 70 and thus the scale drum 40.
[0105] As previously mentioned, the ratchet tube 80 is guided by the inner guide 75 provided inside the drive element 70. The ratchet tube 80 is disclosed in details in
[0106] As seen in
[0107] The V-shaped teeth 81 on the ratchet tube 80 engages with the V-shaped teeth 72 provided on the inner ring 72 of the drive element 70 as indicated in
[0108] At the proximal end, the ratchet tube 80 is provided with a radially extending flange 83 as best seen in
[0109] To operate these radial arms 84, the dose dial 30 is on the inside provided with a number of wedge-shaped protrusions 32 as seen in
[0110]
[0111] The torsion spring 65 is coiled with one or more open coils 66 such that the torsion spring 65 also applies an axial force between the spring base 60 and the drive element 70. This axial force urges the V-shaped teeth 74 on the outer ring 73 of the drive element 70 into engagement with the V-shaped teeth 54 provided proximally on the piston rod driver 50.
[0112] The axial force of the torsion spring 65 and the shape of these V-shaped teeth 54, 74 allow a rotation of the drive element 70 relatively to the piston rod drive 50 in one direction along the sloped flanges 54b, 74b as indicated by the arrow “D” in
[0113] The steep flanges 54a, 74a prevents the torsion spring 65 from moving the drive element 70 in the counter clockwise direction (against “D”) relatively to the piston rod driver 50. The torque build up in the torsion spring 65 during dose setting is thus maintained stored in the torsion spring 65 due to the engagement of steep flange 74a of the V-shaped teeth 74 with the steep flange 54a of the V-shaped teeth 54 on the piston rod driver 50.
[0114] As also seen in
[0115] The different operations of the injection device in respect of the embodiment disclosed in the drawings will be explained in the following.
Dose Setting
[0116] In order to set the size of the dose to be ejected, the user rotates the dose dial 30 relatively to the housing 10. The dose setting direction in the described embodiment is clockwise when viewed from the proximal end, hence the user rotate the dose setting button 30 in the clockwise direction as also indicated by the arrow “A” in
[0117] The steep flange 81a of the V-shaped teeth 81 provided distally on the ratchet tube 80 engages the steep flange 72a on the V-shaped teeth 72 on the inner ring 71 on the drive element 70 such that the clockwise rotation of the ratchet tube 80 during dose setting is transferred to a similar clockwise rotation of the drive element 70. This is best seen in
[0118] During the rotation of the dose dial 30 together with the ratchet tube 80 and the drive element 70 in the clockwise direction (“A” in
[0119] The dose setting operation is further disclosed in
[0120] The result is thus that the torsion spring 65 encompassed between the drive element 70 and the housing 10 via the spring base 60 is strained and a torque is built up in the torsion spring 65. This torque is maintained in the torsion spring 65 by the engagement between steep flanges 54a on the V-shaped teeth 54 of the piston rod driver 50 and the steep flanges 74a on the V-shaped teeth 74 of the drive element 70. The drive element 70 is thereby prevented form rotation in the counter-clockwise direction.
[0121] During dose setting, the scale drum 40 is rotated by the drive element 70 and moved helically such that the increasing size of the set dose is viewable through the window 14.
[0122]
Dose Expelling
[0123] Once a dose has been set and the torsion spring 65 is strained, the injection device is ready to eject the set dose as disclosed in
[0124] The transfer element which is indicated by an arrow marked “T” can either be a separate element moved by the needle shield or it can be an integral part of the needle shield as e.g. known from WO16/041883.
[0125] The axial movement of the piston rod driver 50 also moves the drive element 70 proximally against the axial bias of the torsion spring 65 which apply an axial force due to the open distance 66 between at least some of the coils. The ratchet tube 80 follows the axial movement of the drive element 70 since the piston rod driver 50 presses the V-shaped teeth 81 of the ratchet tube 80 into engagement with the V-shaped teeth 72 such that the ratchet tube 80 moves axially in the proximal direction together with the drive element 70.
[0126] Following the injection, when the needle shield is removed from the skin of the user, the axial compression of the torsion spring 65 urges the drive element 70, the piston rod driver 50 and the ratchet tube 80 into the initial position disclosed in
[0127] However, in the dose expelling position disclosed in
[0128] In the dose expelling scenario disclosed in
[0129] When the drive element 70 rotate in the counter-clockwise direction during dose expelling, the steep flanges 72a on the drive element 70 transfer rotation to the steep flanges 81a on the ratchet tube 80 with the result that the ratchet tube 80 rotate together with the drive element 70. Since both the drive element 70 and the ratchet tube 80 has been moved proximally by the transfer element “T”, the radial arms 84 of the ratchet tube 80 has been moved out of engagement with the dose dial 30. The result being that the dose dial 30 is decoupled and do not rotate during dose expelling. Further, any rotation of the dose dial 30 executed by the user during dose expelling is not transferred to the ratchet tube 80. The user is thereby prevented from affecting the dose mechanism during dose expelling.
[0130] As the drive element 70 rotate in the counter-clockwise direction during dose expelling it transfers this rotation to the scale drum 40 via the splined engagement between the raised bars 76 on the drive element 70 and the scale drum 40.
[0131] As the scale drum 40 rotate back to its initial zero position, the indicia 45 helically carried on the scale drum 40 passes by the window 14. At the zero position i.e. when a zero (or similar indicia) is showing in the window 14, the proximal end of the scale drum 40 abut the spring base 60 as e.g. shown in
[0132] Conclusively; during dose expelling, the torsion spring 65 rotate the drive element 70 which in turn also rotate the piston rod driver 50, the ratchet tube 70 and the scale drum 40 until the scale drum 40 abuts the spring base 60 in the zero position. The rotation of the piston rod driver 50 causes the piston rod 25 to also rotate and thus be moved in the distal direction.
[0133] The spring base 60 could in one example be provided with a flexible arm or the like which could generate a discrete sound once the scale drum 40 abuts the spring base 60 at the end ejection of the set dose.
Resetting
[0134] If the user has set a dose size which is higher than the amount that the user actually wants to inject, the user can reset the set dose by simply rotating the dose setting button 30 in the opposite direction which in the disclosed embodiment is in the counter clockwise direction as indicated by the arrow “B” in
[0135] During this rotation, the lifting flange 34 of the wedge-protrusions 32 inside the dose dial 30 engages the sloped lifting flanges 86 on the radial arms 84 of the ratchet tube 80 such that the ratchet tube 80 is lifted in the proximal direction a distance determined by the angle and the height of the wedge-protrusion 32.
[0136] The proximal movement of the ratchet tube 80 is transferred to a similar proximal movement of the drive element 70 due to the engagement between the teeth 81 on the ratchet tube 80 and the V-shaped teeth 72 provided on the inner ring 72 of the drive element 70.
[0137] The angle and height of the wedge-shaped protrusions 32 are determined such that the V-shaped teeth 74 on the drive element 70 is lifted out of engagement with the V-shaped teeth 54 on the piston rod driver 50 during the proximal movement of the ratchet tube 80 and the drive element 70. Once the V-shaped teeth 74 are lifted out of engagement with the V-shaped teeth 54 on the piston rod drive 50, the torsion spring 65 rotate the drive element 70 in the counter clockwise direction. However, the axial force in the torsion spring 65 instantly moves the drive element 70 in the distal direction such that the toothed engagement 54, 74 between the V-shaped teeth 74 and the V-shaped teeth 54 is only moved one tooth in the counter clockwise direction.
[0138] As a result of this, the set dose is only reduced by one increment each time the ratchet tube 80 is lifted proximally by the wedge-shaped protrusion 32.
Over-Torque
[0139] The disclosed injection device has two different over-torque functions. One when the user keeps rotating the dose dial 30 after the scale drum 40 has reached its maximum position and one if the user keeps rotation the dose dial 30 once the scale drum 40 has reached its zero (minimum) position.
[0140] Over-torque in maximum position.
[0141] When a user rotate the dose dial 30 in the clockwise direction to set a dose, the scale drum 40 travels helically in the proximal direction.
[0142] When the scale drum 40 travels distally from the zero position depicted in
[0143] Due to the splined engagement between the scale drum 40 and the drive element 70 and the engagement (72a, 81a) between drive element 70 and the ratchet tube 80, the ratchet tube 80 is also prevented from further rotation in the clockwise direction.
[0144] The ratchet tube 80 can also be prevented from further rotation by the End-of-Content counter 5 as explained later.
[0145] A continuous rotation of the dose dial 30 will force the wedge-shaped protrusions 32 on the dose dial 30 to force the radial arms 84 radially inwardly such that the wedge-shaped protrusions 32 can pass by the radial arms 84.
[0146] The holding torque of the wedge-shaped protrusion 32 against the driving flange 85 of the radial arms 84 is thus determined by the angle of the driving flange 33 on the wedge-shaped protrusion 32 and the driving flange 85 on the radial arms 84 in combination with the resiliency of the radial arms 84.
[0147] Over-torque in zero (minimum) position.
[0148] If a user keeps rotating the dose dial 30 in the counter clockwise direction to lower the set dose once the scale drum 40 has reached the zero position abutting the spring base 60 the following will happen.
[0149] The zero position of the scale drum 40 is disclosed in e.g.
[0150] The wedge-shaped protrusions 32 on the dose dial 30 will therefore lift the ratchet tube 80 in the proximal direction and pass under the radial arms 84 as the dose dial 30 is rotated in the counter clockwise direction (arrow “B” in
End-of-Content
[0151] An End-of-Content (EoC) counter 5 is incorporated between the piston rod 25 and the ratchet tube 80 as e.g. disclosed in
[0152] On the inside, this EoC counter 5 has a thread 6 having the same pitch as the outer thread 26 of the piston rod 25 and engaging this outer thread 26.
[0153] On the outer surface, this EoC counter 5 is provided with longitudinal splines 7 engaging longitudinal guiding tracks 87 provided internally in the ratchet tube 80 such that the EoC counter 5 follows the rotations of the ratchet tube 80. The longitudinal guiding tracks 87 are only provided in the distal half of the ratchet tube 80 as depicted in
[0154] All though the longitudinal guiding tracks 87 extend in an axial direction the tracks can have a slightly sloped extension in the longitudinal direction to thereby reduce friction in the EoC system.
[0155] During dose setting, the piston rod 25 is prevented from rotation due to the engagement (27, 51) with the piston rod driver 50 which is locked to the housing 10 during dose setting. However, the dose dial 30 and the ratchet tube 80 rotate together during dose setting.
[0156] Since the EoC counter 5 rotate together with the ratchet tube 80, the EoC counter 5 is rotated on the outer thread 26 on the piston rod 25 and thereby moved in the proximal direction a distance which correlates to the size of the set dose.
[0157] If the user rotates the dose dial 30 and the ratchet tube 80 in the counter clockwise direction to lower the set dose, the EoC counter 5 moves in the distal direction on the piston rod 25 accordingly.
[0158] During dose expelling as disclosed in
[0159] Since the ratchet tube 80 and the piston rod 25 both rotate with the same rotational speed during expelling of the set dose, the EoC counter 5 remains in the same position on the piston rod 25 during expelling.
[0160] The EoC counter 5 henceforth only moves during dose setting and only in the proximal direction, and the position of the EoC counter 5 on the piston rod 25 is at any given time an expression of the accumulated set and expelled doses.
[0161] During assembly of the injection device, the EoC counter 5 is located in a position on the piston rod 25 such that the EoC counter 5 engages the stop flange 28 on the piston rod 25 once the injectable content in the cartridge has been accumulated set and expelled.
[0162] Thus during dose setting the EoC counter 5 is moved proximally on the piston rod 25 and thus moved closer to the stop flange 28 whereas during dose expelling the piston rod 25 is moved distally with the EoC counter 5 remaining in the same position in relation to the piston rod 25 and especially in relation to the stop flange 28. The distance between the EoC counter 5 and the stop flange 28 is at any time an expression of how much injectable liquid drug remains in the cartridge. It is thus not possible to set a dose larger than the remaining content of the cartridge. Since the piston rod 25 is moved in the distal direction during dose expelling, the EoC counter 5 only operates in the distal half of the ratchet tube 80.
[0163] In one example the cartridge e.g. contains insulin sufficient for 3.0 millilitre of insulin. The accumulated distance the EoC counter 5 is allowed to move is thus correlated with the 3.0 millilitre of insulin, such that when the user accumulated has set and expelled a total of 3.0 millilitre of insulin the ratchet tube 80 is prevented from further rotation by the EoC counter 5 which in this situation engages the stop flange 28.
[0164] The user is thus at any time prevented from setting a dose larger than the remaining injectable content in the cartridge and the relative position of the EoC counter 5 on the piston rod 25 is continuously an expression of the accumulated quantum of drug set and expelled.
[0165] The previously described over torque at maximum position also applies to the mechanism when the ratchet tube 80 is prevented from further rotation due to having reached the End-of-Content.
Zero Point Adjustment
[0166] During assembly of a pre-filled injection device it is often desired to have the piston rod to abut the plunger inside the cartridge to thereby avoid initial priming of the injection device. If a piston rod foot is provided between the plunger and the piston rod, the piston rod foot should abut the plunger inside the cartridge. However, this abutment must be made during the assembly of the injection device without moving the position of the EoC counter otherwise a reduced amount of liquid drug will be available for expelling.
[0167] In the disclosed embodiment this zero point adjustment is done as herein described.
[0168] First the piston rod driver 50 is lifted out of engagement with the housing 10 as disclosed in
[0169] However, the distance between the EoC counter 5 and the stop flange 28 on the piston rod 25 must be kept permanent during the zero point adjustment such that the intended injectable volume (or number of increments) remains accessible. This is done by rotating the ratchet tube 80 simultaneously with the piston rod 25 such that the EoC counter 5 remains in its relative position on the piston rod 25 such that the distance between the EoC counter 5 and the stop flange 28 on the piston rod 25 remains constant.
[0170] During the zero point adjustment, the scale drum 40 is positioned in the zero position. In which position both the scale drum 40 and the drive element 70 is prevented from counter clockwise rotation since the scale drum 40 abut the spring base 60 as depicted in
[0171] Rotation of the ratchet tube 80 and not the driver element 70 is possible due to the toothed engagement 81, 72 between the ratchet tube 80 and the drive element 70.
[0172] When the ratchet tube 80 is rotated in the counter clockwise direction during assembly of the injection device, the sloped flange 81b on the teeth 81 will ride under the sloped flange 72b of the V-shaped teeth 72 of the inner ring 71 on the driver element 70.
[0173] The assembly is preferably done such that the dose engine as disclosed in
[0174] Before connecting the cartridge holder to the dose engine, the position of the rubber plunger inside the cartridge is determined where after it is calculated how much the piston rod 25 should be moved forward inside the dose engine in order to obtain no or only very little distance between the piston rod 25 and the rubber plunger inside the cartridge.
[0175] The piston rod 25 is henceforth rotated together with the ratchet tube 80 such that the EoC counter 5 maintains in its position on the piston rod 25 thus leaving the distance between the EoC counter 5 and the stop flange 28 intact.
[0176] Once the piston rod 25 has been brought to its correct position, the dose engine and the cartridge holder are permanently secured to each other to form the pre-filled injection device.
[0177] Some preferred embodiments have been disclosed in the foregoing, but it should be stressed that the invention is not limited to these, but may be embodied in other ways within the subject matter defined in the following claims.