DRIVE MECHANISM FOR AN INJECTION DEVICE
20210016013 ยท 2021-01-21
Inventors
- Andrew Gordon Wallace (Warwick, Warwickshire, GB)
- Andrew Mark Lindsay (Warwick, Warwickshire, GB)
- Georgina Millington (Warwick, Warwickshire, GB)
- Matthew Meredith JONES (Warwick, Warwickshire, GB)
- William Geoffrey Arthur Marsh (Warwick, Warwickshire, GB)
- Anthony Paul Morris (Warwick, Warwickshire, GB)
Cpc classification
A61M5/20
HUMAN NECESSITIES
A61M5/3156
HUMAN NECESSITIES
A61M5/281
HUMAN NECESSITIES
A61M5/2033
HUMAN NECESSITIES
A61M5/31551
HUMAN NECESSITIES
A61M5/31536
HUMAN NECESSITIES
A61M5/2422
HUMAN NECESSITIES
A61M5/31585
HUMAN NECESSITIES
A61M2205/6036
HUMAN NECESSITIES
International classification
A61M5/315
HUMAN NECESSITIES
A61M5/20
HUMAN NECESSITIES
Abstract
The present disclosure relates to an injection device for expelling of a number of preset or user-selectable doses of a medicament, the injection device comprising: an elongated housing (10; 310; 410) extending along a longitudinal axis (1), an expelling mechanism (2) comprising a trigger (70) and a piston rod (30), a dose setting mechanism (3) comprising a rotatable member (260; 360; 460; 560) and a counterpart member (240; 340; 440; 540), wherein the counterpart member and the rotatable member comprise a first mechanical code (242; 342; 442; 542) and a second mechanical code (262; 362; 462; 562), respectively, wherein for setting of a dose the rotatable member (260; 360; 460; 560) is rotatable relative to the housing (10; 310; 410) and relative to the counterpart member (240; 340; 440; 40) within a range of numerous rotational states, and wherein during setting of the dose the rotatable member (260; 360; 460; 560) is constrained along the longitudinal axis (1) relative to the housing (10; 310; 410) or relative to the counterpart member (240; 340; 440; 540), wherein for expelling of a dose one of the rotatable member (260; 360; 460; 560) and the counterpart member (240; 340; 440; 540) is displaceable along the longitudinal axis (1) into an expelling position (e) relative to the other one of the rotatable member (260; 360; 460; 560) and the counterpart member (240; 340; 440; 540) only when the first mechanical code (242; 342; 442; 542) is aligned with the second mechanical code (262; 362; 462; 562).
Claims
1. An injection device for expelling of a number of preset or user-selectable doses of a medicament, the injection device comprising: an elongated housing (10; 310; 410) extending along a longitudinal axis (I) and configured to accommodate a cartridge (100) containing the medicament and having a bung (101) sealing a proximal end of the cartridge (100), an expelling mechanism (4) comprising a trigger (70) and a piston rod (30), wherein when induced by the trigger (70) the piston rod (30) is configured to urge against the bung (101) along the longitudinal axis (I) in a distal direction relative to the housing (10), a dose setting mechanism (5) comprising a rotatable member (260; 360; 460; 560) and a counterpart member (240; 340; 440; 540), wherein the counterpart member (240; 340; 440; 540) comprises a first mechanical code (242; 342; 442; 542) and wherein the rotatable member (260; 360; 460; 560) comprises a second mechanical code (262; 362; 462; 562) complementary shaped to the first mechanical code (242; 342; 442; 542), wherein for setting of a dose the rotatable member (260; 360; 460; 560) is rotatable relative to the housing (10; 310; 410) and relative to the counterpart member (240; 340; 440; 540) within a range of numerous rotational states, and wherein during setting of the dose the rotatable member (260; 360; 460; 560) is constrained along the longitudinal axis (I) relative to the housing (10; 310; 410) or relative to the counterpart member (240; 340; 440; 540), wherein for expelling of a dose one of the rotatable member (260; 360; 460; 560) and the counterpart member (240; 340; 440; 540) is displaceable along the longitudinal axis (I) into an expelling position (e) relative to the other one of the rotatable member (260; 360; 460; 560) and the counterpart member (240; 340; 440; 540) only when the first mechanical code (242; 342; 442; 542) is aligned with the second mechanical code (262; 362; 462; 562).
2. The injection device according to claim 1, wherein a longitudinal displacement of one of the rotatable member (260; 360; 460; 560) and the counterpart member (240; 340; 440; 540) into the expelling position (e) is impeded as long as the first mechanical code (242; 342; 442; 542) and the second mechanical code (262; 362; 462; 562) are out of alignment.
3. The injection device according to claim 1 or 2, further comprising a dispensing spring (130) compressible along the longitudinal direction (I) and engaged with one of the rotatable member (260; 360; 460; 560) and the counterpart member (240; 340; 440; 540) and wherein the rotatable member (260; 360; 460; 560) or the counterpart member (240; 340; 440; 540) is displaceable along the longitudinal direction (I) from a dose setting position (s) into the dose expelling position (e) against the action of the dispensing spring (130).
4. The injection device according to any one of the preceding claims, wherein the first mechanical code (242; 342; 442; 542) and the second mechanical code (262; 352; 462; 562) each comprise at least a first code feature (245, 265; 345, 365; 445, 465; 545, 565) comprising at least one of a protrusion (246, 266; 346, 366; 446, 466; 546, 566) and a recess (248, 268; 348, 368; 448; 548).
5. The injection device according to claim 4, wherein the first mechanical code (242; 342; 442; 542) and the second mechanical code (262; 352; 462; 562) each comprise at least a second code feature (245, 265; 345, 365) comprising at least one of a protrusion (246, 266; 346, 366; 446, 466; 546, 566) and a recess (248, 268; 348, 368; 448; 548) and wherein the first and the second code features are arranged at a predefined angular distance from each other on a circumference of at least one of the counterpart member (240; 340; 440; 540) and the rotatable member (260; 360; 460; 560).
6. The injection device according to claim 4 or 5, wherein at least one of the first mechanical code (242; 342; 442; 542) and the second mechanical code (262; 352; 462; 562) comprises at least two or more code features (245, 245, 265, 265; 345, 365; 445, 465; 545, 565) equidistantly or equiangularly arranged on a circumference of at least one of the counterpart member (240; 340; 440; 540) and the rotatable member (260; 360; 460; 560).
7. The injection device according to any one of the preceding claims 4 to 6, wherein the at least one protrusion (246, 266; 446, 466; 546, 566) is a radial protrusion and wherein the at least one recess (248, 268; 448; 548) is a radial recess.
8. The injection device according to claim 7, wherein the radial protrusion (246, 266; 446, 466; 546, 566) comprises an elongated rib extending along the longitudinal direction and/or wherein the radial recess (248, 268; 448; 548) comprises an elongated groove extending along the longitudinal direction (I).
9. The injection device according to any one of the preceding claims 4 to 6, wherein the at least one protrusion (346, 366) is an axial protrusion extending along the longitudinal direction and wherein the at least one recess (348, 368) is an axial recess extending along the longitudinal direction (I).
10. The injection device according to claim 9, wherein at least one of the axial protrusion (346, 366) and the axial recess (348, 368) comprises a tapered or toothed structure pointing in the longitudinal direction.
11. The injection device according to any one of the preceding claims, wherein the counterpart member (240; 340; 440; 540) and the rotatable member (260; 360; 460; 560) are rotationally connectable or rotationally lockable to each other through the first mechanical code (242; 342; 442; 542) and the second mechanical code (262; 362; 462; 562).
12. The injection device according to claim 11, wherein the counterpart member (240; 340; 440; 540) and the rotatable member (260; 360; 460; 560) are rotationally locked when one of the rotatable member (260; 360; 460; 560) and the counterpart member (240; 340; 440; 540) reaches the expelling position (e).
13. The injection device according to any one of the preceding claims, wherein the counterpart member (340; 440; 540) is integrated into the housing (10; 310) or is steadfastly connected to the housing (10; 310) and wherein the rotatable member (360; 460; 560) is formed by the trigger (70) or is displaceable in longitudinal direction relative to the housing (10; 310) by depressing of the trigger (70) in the distal direction.
14. The injection device according to any one of the preceding claims 1 to 12, further comprising a dose indicator (60) and a drive sleeve (40), wherein the dose indicator (60) forming the rotatable member (260) is threadedly engaged with the housing (10) and wherein the drive sleeve (40) forming the counterpart member (240) is displaceable in longitudinal direction relative to the housing (10; 310) by depressing of the trigger (70) in the distal direction.
15. The injection device according to any one of the preceding claims further comprising the cartridge (100) containing the medicament and arranged inside the housing (10; 410).
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0070] In the following various embodiments of a data collection device in connection with an injection device are described by making reference to the drawings, in which:
[0071]
[0072]
[0073]
[0074]
[0075]
[0076]
[0077]
[0078]
[0079]
[0080]
[0081]
[0082]
[0083]
[0084]
[0085]
[0086]
[0087]
[0088]
[0089]
[0090]
[0091]
[0092]
[0093]
[0094]
[0095]
[0096]
[0097]
[0098]
[0099]
[0100]
[0101]
[0102]
[0103]
[0104]
[0105]
[0106]
[0107]
DETAILED DESCRIPTION
[0108]
[0109] The housing 10 or body is a generally tubular element having a proximal end with an enlarged diameter. The housing 10 provides location for the liquid medication cartridge 100 and cartridge holder 20, windows 11a, 11b for viewing the dose number on the number sleeve 60 and the gauge element 110, and a feature on its external surface, e.g. a circumferential groove, to axially retain the dose selector 80. A flange-like or cylindrical inner wall 12 comprises an inner thread engaging the piston rod 30. The housing 10 further has at least one internal, axially orientated slot or the like for axially guiding the gauge element 110. In the embodiment shown in the Figures, the distal end is provided with an axially extending strip 13 partly overlapping cartridge holder 20. The Figures depict the housing 10 as a single housing component. However, the housing 10 could comprise two or more housing components which may be permanently attached to each other during assembly of the device.
[0110] The cartridge holder 20 is located at the distal side of housing 10 and permanently attached thereto. The cartridge holder may be a transparent or translucent component which is tubular to receive cartridge 100. The distal end of cartridge holder 20 may be provided with means for attaching a needle arrangement. A removable cap (not shown) may be provided to fit over the cartridge holder 20 and may be retained via clip features on the housing 10.
[0111] The piston rod 30 is rotationally constrained to the drive sleeve 40 via a splined interface. When rotated, the piston rod 30 is forced to move axially relative to the drive sleeve 40, through its threaded interface with the inner wall 12 of housing 10. The lead screw 30 is an elongate member with an outer thread 31 (
[0112] The drive sleeve 40 is a hollow member surrounding the lead screw 30 and arranged within number sleeve 60. It extends from an interface with the clutch plate 120 to the contact with the clutch spring 130. The drive sleeve 40 is axially movable relative to the housing 10, the piston rod 30 and the number sleeve 60 in the distal direction against the bias of clutch spring 130 and in the opposite proximal direction under the bias of clutch spring 130.
[0113] A splined tooth interface with the housing 10 prevents rotation of the drive sleeve 40 during dose setting. This interface which is shown in
[0114] A further splined tooth interface with the number sleeve 60 is not engaged during dialing, but engages when the button 70 is pressed, preventing relative rotation between the drive sleeve 40 and number sleeve 60 during dispense. In the preferred embodiment shown in
[0115] Preferably, the splines 61, 42 are arranged such that they are decoupled when teeth 41 of drive sleeve 40 and inner teeth 14 of housing component 10 mesh and engage when teeth 41 and inner teeth 14 disengage. In a preferred embodiment the splines 61, 42 are longer in the axial direction compared with teeth 41, 14. This allows engagement of the splines 61, 42 shortly before disengagement of teeth 41, 14. In other words, the splines 61, 42 and the teeth 41, 14 are designed and arranged such that actuation of the button 70 rotationally constrains the drive sleeve 40 to the number sleeve 60 before the drive sleeve 40 is allowed to rotate relative to housing 10. Similarly, as the button 70 is released after dose dispensing axial movement of the drive sleeve 40 first rotationally constrains the drive sleeve 40 to the housing and thereafter decouples splines 61, 42. As an alternative to the corresponding splines 61, 42 teeth may be provided. As a further alternative or in addition to splines 61, 42, drive sleeve 40 and number sleeve 60 may be rotationally coupled to each other during dose dispensing via clutch plate 120.
[0116] An interface of the drive sleeve 40 which is shown in
[0117] The driver 40 has a threaded section 44 providing a helical track for the nut 50 (
[0118] The last dose nut 50 is located between the number sleeve 60 and the drive sleeve 40. It is rotationally constrained to the number sleeve 60, via a splined interface (splines 52 on nut 50). It moves along a helical path relative to the drive sleeve 40, via a threaded interface (thread 44), when relative rotation occurs between the number sleeve 60 and drive sleeve 40 which is during dialing only. This is shown in
[0119] The dose indicator or number sleeve 60 is a tubular element as shown in
[0120] For manufacturing reasons the number sleeve 60 of the embodiment shown in the Figures comprises a number sleeve lower 60a which is rigidly fixed to a number sleeve upper 60b during assembly to form the number sleeve 60. Number sleeve lower 60a and number sleeve upper 60b are separate components only to simplify number sleeve 60 mould tooling and assembly. As an alternative, the number sleeve 60 may be a unitary component. The number sleeve 60 is constrained to the housing 10 by features towards the distal end to allow rotation but not translation. The number sleeve lower 60a is marked with a sequence of numbers, which are visible through the gauge element 110 and the openings 11a, 11b in the housing 10, to denote the dialed dose of medicament.
[0121] Further, the number sleeve lower 60a has a portion with an outer thread 63 engaging the gauge element 110. End stops 64, 65 are provided at the opposite ends of thread 63 to limit relative movement with respect to the gauge element 110.
[0122] Clutch features which have the form of a ring of splines 66 in the embodiment of
[0123] An interface for attachment of the torsion spring 90 to the number sleeve lower 60a comprises large lead-ins and a groove feature 68 with a pocket 69 or anchor point for receiving a first coil or hook portion of the spring. The groove 68 has an end feature in the form of a ramp that is in interference with the hook portion 91 of the spring. The design of the groove 68 is such that the spring 90 may be received within the pocket 69 without interfering with the gauge element 110.
[0124] The button 70 which forms the proximal end of the device is permanently splined to the dose selector 80. A central stem 71 extends distally from the proximal actuation face of the button 70. The stem 71 is provided with a flange 72 carrying the splines 73 for engagement with splines 66 of the number sleeve upper 60b (
[0125] The dose selector 80 is axially constrained to the housing 10. It is rotationally constrained, via the splined interface, to the button 70. This splined interface which includes grooves interacting with spline features formed by the annular skirt of button 70 remains engaged irrespective of the dose button 70 axial positions. The dose selector 80 or dose dial grip is a sleeve-like component with a serrated outer skirt.
[0126] The torsion spring 90 is attached at its distal end to the housing 10 and at the other end to the number sleeve 60. The torsion spring 90 is located inside the number sleeve 60 and surrounds a distal portion of the drive sleeve 40. As shown in
[0127] The torsion spring 90 is formed from a helical wire with at least two different pitches. In
[0128] The cartridge 100 is received in cartridge holder 20 (
[0129] The gauge element 110 is constrained to prevent rotation but allow translation relative to the housing 10 via a splined interface. The gauge element 110 has a helical feature 111 on its inner surface which engages with the helical thread cut in the number sleeve 60 such that rotation of the number sleeve 60 causes axial translation of the gauge element 110. This helical feature on the gauge element 110 also creates stop abutments 112, 113 against the end of the helical cut in the number sleeve 60 to limit the minimum and maximum dose that can be set.
[0130] The gauge element 110 has a generally plate or band like component having a central aperture 114 or window and two flanges 115, 116 extending on either side of the aperture. The flanges 115, 116 are preferably not transparent and thus shield or cover the number sleeve 60, whereas the aperture 114 or window allows viewing a portion of the number sleeve lower 60a. Further, gauge element 110 has a cam 117 and a recess 118 (
[0131] As can be seen in
[0132] The clutch spring 130 is a compression spring. The axial position of the drive sleeve 40, clutch plate 120 and button 70 is defined by the action of the clutch spring 130, which applies a force on the drive sleeve 40 in the proximal direction. This spring force is reacted via the drive sleeve 40, clutch plate 120, and button 70, and when at rest it is further reacted through the dose selector 80 to the housing 10. The spring force ensures that the ratchet interface (ratchet teeth 43, 121) is always engaged. In the at rest position, it also ensures that the button splines 73 are engaged with the number sleeve splines 66, and the drive sleeve teeth 41 are engaged with teeth 14 of the housing 10.
[0133] The bearing 140 is axially constrained to the piston rod 30 and acts on the bung 101 within the liquid medicament cartridge. It is axially clipped to the lead screw 30, but free to rotate. The bearing 140 comprises a disc 141 having a stem 142 extending in the proximal direction. The stem 142 has at its proximal end a convex contact surface 143. In addition, a recessed portion 144 is provided on the stem 142. The curvature of the convex contact surface 143 and the concave contact surface 33 is chosen such that the contact diameter between the bearing 140 and lead screw 30 is small to minimize the frictional losses at this interface. The design of the clip interface between bearing 140 and lead screw 30 permits the lead screw 30 to be assembled axially, from the proximal end and through the thread engagement to the housing 10, which simplifies assembly. In addition, this design allows a simple open and shut mould tooling for both components.
[0134] With the device in the at rest condition as shown in
[0135] The torsion spring 90, which has a number of pre-wound turns applied to it during assembly of the device, applies a torque to the number sleeve 60 and is prevented from rotating by the zero dose abutment 64, 113. It is also possible to back-wind the mechanism slightly due to an offset between the zero dose stop 64, 113 and the angular offset of the drive sleeve 40 spline teeth. This has the effect of preventing possible weepage when a dose is dialed and the zero dose abutment is disengaged.
[0136] The automated assembly of the torsion spring 90 into the number sleeve 60 can be achieved by incorporating large lead-ins and a groove feature to the number sleeve 60. As the torsion spring 90 is rotated during assembly, the hook end form 91 locates in the groove feature before engaging the anchor point in the number sleeve 60. To help to prevent the torsion spring 90 disengaging the anchor point 69 during subsequent assembly steps it is possible to create an interference between the torsion spring 90 and the number sleeve 60, or a one-way clip feature.
[0137] The user selects a variable dose of liquid medicament by rotating the dose selector 80 clockwise, which generates an identical rotation in the number sleeve 60. Rotation of the number sleeve 60 causes charging of the torsion spring 90, increasing the energy stored within it. As the number sleeve 60 rotates, the gauge element 110 translates axially due to its threaded engagement thereby showing the value of the dialed dose. The gauge element 110 has flanges 115, 116 either side of the window area 114 which cover the numbers printed on the number sleeve 60 adjacent to the dialed dose to ensure only the set dose number is made visible to the user.
[0138] A specific feature of this invention is the inclusion of a visual feedback feature in addition to the discrete dose number display typical on devices of this type. The distal end (flange 115) of the gauge element 110 creates a sliding scale through a small window 11a in the housing 10. As an alternative, the sliding scale could be formed using a separate component engaged with the number sleeve 60 on a different helical track.
[0139] As a dose is set by the user, the gauge element 110 translates axially, the distance moved proportional to the magnitude of the dose set. This feature gives clear feedback to the user regarding the approximate size of the dose set. The dispense speed of an auto-injector mechanism may be higher than for a manual injector device, so it may not be possible to read the numerical dose display during dispense. The gauge feature provides feedback to the user during dispense regarding dispense progress without the need to read the dose number itself. For example, the gauge display may be formed by an opaque element on the gauge element 110 revealing a contrasting coloured component underneath. Alternatively, the revealable element may be printed with coarse dose numbers or other indices to provide more precise resolution. In addition, the gauge display simulates a syringe action during dose set and dispense.
[0140] The openings 11a, 11b in the housing 10 allow the user to view the gauge feature and number display as shown in
[0141] The mechanism utilises a dose selector 80 with an increased diameter relative to the housing 10 which aids dialing although this is not a requirement of the mechanism. This feature is particularly useful (but not essential) for an auto-injector mechanism where a power supply is charged during dose setting and the torque required to turn the dose selector 80 may be higher than for a non-auto injector device.
[0142] The drive sleeve 40 is prevented from rotating as the dose is set and the number sleeve 60 rotated, due to the engagement of its splined teeth 41 with teeth 14 of the housing 10. Relative rotation must therefore occur between the clutch plate 120 and drive sleeve 40 via the ratchet interface 43, 121.
[0143] The user torque required to rotate the dose selector 80 is a sum of the torque required to wind up the torsion spring 90, and the torque required to overhaul the ratchet interface 43, 121. The clutch spring 130 is designed to provide an axial force to the ratchet interface 43, 121 and to bias the clutch plate 120 onto the drive sleeve 40. This axial load acts to maintain the ratchet teeth engagement of the clutch plate 120 and drive sleeve 40. The torque required to overhaul the ratchet 43, 121 in the dose set direction is a function of the axial load applied by the clutch spring 130, the clockwise ramp angle of the ratchet teeth 43, 121, the friction coefficient between the mating surfaces and the mean radius of the ratchet interface 43, 121.
[0144] As the user rotates the dose selector 80 sufficiently to increment the mechanism by one increment, the number sleeve 60 rotates relative to the drive sleeve 40 by one ratchet tooth.
[0145] At this point the ratchet teeth 43, 121 re-engage into the next detented position. An audible click is generated by the ratchet re-engagement, and tactile feedback is given by the change in torque input required.
[0146] Relative rotation of the number sleeve 60 and the drive sleeve 40 is allowed as splines 42, 61 are disengaged during dose setting. This relative rotation also causes the last dose nut 50 to travel along its threaded path, towards its last dose abutment on the drive sleeve 40.
[0147] With no user torque applied to the dose selector 80, the number sleeve 60 is now prevented from rotating back under the torque applied by the torsion spring 90, solely by the ratchet interface 43, 121 between the clutch plate 120 and the drive sleeve 40. The torque necessary to overhaul the ratchet in the anti-clockwise direction is a function of the axial load applied by the clutch spring 130, the anti-clockwise ramp angle of the ratchet, the friction coefficient between the mating surfaces and the mean radius of the ratchet features. The torque necessary to overhaul the ratchet must be greater than the torque applied to the number sleeve 60 (and hence clutch plate 120) by the torsion spring 90. The ratchet ramp angle is therefore increased in the anti-clockwise direction to ensure this is the case whilst ensuring the dial-up torque is as low as possible.
[0148] The user may now choose to increase the selected dose by continuing to rotate the dose selector 80 in the clockwise direction. The process of overhauling the ratchet interface 43, 121 between the number sleeve 60 and drive sleeve 40 is repeated for each dose increment. Additional energy is stored within the torsion spring 90 for each dose increment and audible and tactile feedback is provided for each increment dialed by the re-engagement of the ratchet teeth. The torque required to rotate the dose selector 80 increases as the torque required to wind up the torsion spring 90 increases. The torque required to overhaul the ratchet in the anti-clockwise direction must therefore be greater than the torque applied to the number sleeve 60 by the torsion spring 90 when the maximum dose has been reached.
[0149] If the user continues to increase the selected dose until the maximum dose limit is reached, the number sleeve 60 engages with its maximum dose abutment 65 on the maximum dose abutment 112 of gauge element 110. This prevents further rotation of the number sleeve 60, clutch plate 120 and dose selector 80.
[0150] Depending on how many increments have already been delivered by the mechanism, during selection of a dose, the last dose nut 50 may contact its last dose abutment 51 with stop face 46 of the drive sleeve 40. The abutment prevents further relative rotation between the number sleeve 60 and the drive sleeve 40, and therefore limits the dose that can be selected. The position of the last dose nut 50 is determined by the total number of relative rotations between the number sleeve 60 and drive sleeve 40, which have occurred each time the user sets a dose.
[0151] With the mechanism in a state in which a dose has been selected, the user is able to deselect any number of increments from this dose. Deselecting a dose is achieved by the user rotating the dose selector 80 anti-clockwise. The torque applied to the dose selector 80 by the user is sufficient, when combined with the torque applied by the torsion spring 90, to overhaul the ratchet interface 43, 121 between the clutch plate 120 and drive sleeve 40 in the anti-clockwise direction. When the ratchet is overhauled, anti-clockwise rotation occurs in the number sleeve 60 (via the clutch plate 120), which returns the number sleeve 60 towards the zero dose position, and unwinds the torsion spring 90. The relative rotation between the number sleeve 60 and drive sleeve 40 causes the last dose nut 50 to return along its helical path, away from the last dose abutment.
[0152] With the mechanism in a state in which a dose has been selected, the user is able to activate the mechanism to commence delivery of a dose. Delivery of a dose is initiated by the user depressing the button 70 axially in the distal direction.
[0153] When the button 70 is depressed, splines between the button 70 and number sleeve 60 are disengaged, rotationally disconnecting the button 70 and dose selector 80 from the delivery mechanism, i.e. from number sleeve 60, gauge element 110 and torsion spring 90. Splines 74 on the button 70 engage with splines 15 on the housing 10, preventing rotation of the button 70 (and hence the dose selector 80) during dispense. As the button 70 is stationary during dispense, it can be used in the dispense clicker mechanism as shown in
[0154] The clutch plate 120 and drive sleeve 40 travel axially with the button 70. This engages the splined tooth interface 42, 61 between the drive sleeve 40 and number sleeve 60 as shown in
[0155] Rotation of the drive sleeve 40 causes the piston rod 30 to rotate due to their splined engagement, and the piston rod 30 then advances due to its threaded engagement to the housing 10. The number sleeve 60 rotation also causes the gauge element 110 to traverse axially back to its zero position whereby the zero dose abutment 64, 113 stops the mechanism.
[0156] The bearing 140 is axially clipped to the piston rod 30, but free to rotate. Since the bearing 140 is in direct contact with the bung 101, it does not rotate as the piston rod 30 rotates and advances during dose dispense. As described above, the contact diameter between the bearing 140 and piston rod 30 is small to minimise the frictional losses at this interface. The design of the piston rod 30 and bearing 140 eliminates delicate clip features or large contact diameters present on previous concepts. This embodiment also allows the piston rod 30 to be assembled axially, from the proximal end and through the thread engagement to the housing 10, which simplifies assembly.
[0157] Tactile feedback during dose dispense is provided via the compliant cantilever clicker arm 123 integrated into the clutch plate 120. This arm 123 interfaces radially with ratchet features 75 on the inner surface of the button 70, whereby the ratchet tooth spacing corresponds to the number sleeve 60 rotation required for a single increment dispense. During dispense, as the number sleeve 60 rotates and the button 70 is rotationally coupled to the housing 10, the ratchet features 75 engage with the clicker arm 123 to produce an audible click with each dose increment delivered.
[0158] Delivery of a dose continues via the mechanical interactions described above while the user continues to depress the button 70. If the user releases the button 70, the clutch spring 130 returns the drive sleeve 40 to its at rest position (together with the clutch plate 120 and button 70), engaging the splines 14, 41 between the drive sleeve 40 and housing 10, preventing further rotation and stopping dose delivery.
[0159] During delivery of a dose, the drive sleeve 40 and number sleeve 60 rotate together, so that no relative motion in the last dose nut 50 occurs. The last dose nut 50 therefore travels axially relative to the drive sleeve 40 during dialing only.
[0160] Once the delivery of a dose is stopped, by the number sleeve 60 returning to the zero dose abutment, the user may release the button 70, which will re-engage the spline teeth 14, 41 between the drive sleeve 40 and housing 10. The mechanism is now returned to the at rest condition.
[0161] It is possible to angle the spline teeth 14, 41 on either the drive sleeve 40 or housing 10 so that when the button 70 is released the re-engagement of the spline teeth 14, 41 fractionally backwinds the drive sleeve 40 thereby removing the engagement of the number sleeve 60 to the zero dose stop abutment on the gauge element 110. This compensates for the effect of clearances in the mechanism (for example due to tolerances) which could otherwise lead to slight advancement of the piston rod 30 and medicament dispense when the device is dialed for the subsequent dose due to the number sleeve 60 zero dose stop not restraining the mechanism and instead the restraint returning to the splines between the drive sleeve 40 and housing 10.
[0162] At the end of dose dispensing, additional audible feedback is provided in the form of a click, distinct from the clicks provided during dispense, to inform the user that the device has returned to its zero position via the interaction of the clicker arm 67 on the number sleeve 60 with the ramp 47 on the drive sleeve 40 and the cam 117 and the recess 118 on the gauge element 110. This embodiment allows feedback to only be created at the end of dose delivery and not created if the device is dialed back to, or away from, the zero position.
[0163]
[0164] During dialing, the gauge element 110 translates in the proximal direction, so the cam 117 is no longer aligned axially with the clicker arm 67. At the start of dose delivery when the drive sleeve 40 translates in the distal direction, the ramp 47 on the drive sleeve 40 pushes the clicker arm 67 radially outwards. During dose delivery, the gauge element 110 translates back in the distal direction, and towards the end of dose delivery, the clicker arm 67 contacts the cam 117 on the gauge element 110. For small doses, the cam 117 and clicker arm 67 will be in contact at the start of the dose.
[0165] In
[0166]
[0167] In the principal embodiment of this invention, the lead screw 30 advances by a fixed displacement for each revolution of the drive sleeve 40. In other embodiments, the rate of displacement may vary. For example, the lead screw 30 may advance a large displacement per revolution to dispense a first amount of medicament from the cartridge 100 and then a smaller displacement per revolution to dispense the rest of the cartridge 100. This is advantageous, as it can compensate for the fact that the first dose dispensed from the cartridge 100 often has a lower volume than other doses, for a given displacement of the mechanism.
[0168]
[0169] View (a) shows the principal embodiment, where the pitch is equal on the housing 10 and lead screw 30, so the lead screw 30 advances a fixed amount for every revolution of the drive sleeve 40. In view (b), the first turn of thread 31 on the lead screw 30 has a large pitch, and the other turns have a small pitch. During the first revolution, the lead screw 30 displacement depends on the large pitch of the first turn of thread 31 on the lead screw 30, so it displaces a large amount per revolution. For subsequent revolutions the lead screw 30 displacement depends on the smaller pitch of the lead screw thread 31, so it displaces a smaller amount. In view (c), the housing 10 thread 16 has a larger pitch than the lead screw 30. During the first revolution, the lead screw 30 displacement depends on the pitch of the housing thread 16, so it displaces a large amount per revolution. For subsequent revolutions the lead screw 30 displacement depends on the pitch of the lead screw thread 31, so it displaces a smaller amount.
[0170] In one embodiment, the drug delivery device comprises a dose setting mechanism for setting a minimum dose size. Such a dose setting mechanism should ensure that the user cannot dispense less medicament than required.
[0171] As already described above, the drug delivery device comprises a number sleeve 60 which rotates in one direction, which is the dose setting direction, during dose setting. The number sleeve 60 rotates in the reverse direction during dispensing or correction of the set dose. The gauge element 110 engages the thread 63 on the number sleeve 60, resulting in an axial movement in the dose setting direction during setting and in the reverse direction during dispensing or correction.
[0172] In
[0173] In
[0174] In the example of
[0175] As illustrated in
[0176] The first code feature 265 of the second mechanical code 262 comprises also at least one of a protrusion 266 and a recess 268. In the example as illustrated in
[0177] The protrusion or the protrusions of one of the counterpart member 240 and the rotatable member 260 match with a recess or with recesses 248, 268 of the other one of the counterpart member 240 and the rotatable member 260. The rotatable member 260 and the counterpart member 240 are arrangeable in a nested or radially overlapping configuration. As illustrated in
[0178] With other examples currently not illustrated the counterpart member 240 may comprise a hollow portion configured to slidably receive at least a portion of the rotatable member 240 therein.
[0179] In the illustrated example the rotatable member 260 comprises at least a first code feature 265 on an inside of the hollow portion of the sidewall of the rotatable member 260. Correspondingly, the counterpart member 240 comprises the first code feature 245 on an outside surface of a sidewall.
[0180] As illustrated further in
[0181] In a further example the first and the second code features 245, 245 of the first mechanical code 242 may be arranged equidistantly or equiangularly along the outer circumference of the counterpart member 240. Likewise, the first code feature 265 and the second code feature 265 of the second mechanical code 262 may be equidistantly or equiangularly arranged on the inner circumference of the rotatable member 260.
[0182] As illustrated further in
[0183] Corresponding to the shape of the first mechanical code 242 the second mechanical code 262 on an inside surface of the rotatable member 260 comprises a radial recess 268 configured to receive the radial protrusion 246. The radial recess 268 may comprise an elongated groove on the inside surface of the rotatable member 260. The recess 268 is circumferentially confined by at least one protrusion 266 that is configured to engage with the recess 248 of the counterpart member 240.
[0184] The circumferential extension of the mutually corresponding protrusions 246, 266 and recesses 248, 268 are substantially equal so that a protrusion 246, 266 almost entirely fills the hollow space formed by a corresponding recess 248, 268.
[0185] In the example as illustrated in
[0186] As described above, the rotatable member 260 is rotatable in a dose incrementing direction during setting of a dose. During dose setting and due to the ratchet engagement of the clutch plate 120 with the counterpart member 240 at the proximal end of the counterpart member 240 as described above in connection with the driver 40 actually represented by the counterpart member 240, the rotatable member 260 is rotatable into one of numerous discrete rotational states. The discrete rotational states are governed and determined by the step size of the ratchet engagement between the clutch plate 120 and the counterpart member 240. In one example and during a full revolution of the rotatable member 260, it may rest in one of 24 discrete rotational states relative to the housing 10.
[0187] As the injection device 1 is in the dose setting mode s the rotatable member 260 is rotatable as described above for setting of a dose. During setting of a dose, the first and second mechanical codes 242, 262 are axially offset. They are axially separated and out of engagement. Switching of the device into the dose expelling mode e and displacing the counterpart member 240 from the proximal dose setting position s into the distal dose expelling position e is only possible if the first mechanical code 242 is aligned longitudinally with the second mechanical code 262. Such an alignment is illustrated in
[0188] In this particular predefined rotational state of the rotatable member 260 the counterpart member 240 can be displaced in axial direction, e.g. in distal direction 2 so that the first and the second mechanical codes 245, 245 of the counterpart member 240 engage and overlap with the first and second code features 265, 265 of the rotatable member 260. Due to the symmetric geometry and the equidistant arrangement of first and second code features 245, 245 and 265, 265 there are currently provided two allowable or predefined rotational states per revolution of the rotatable member 260 at which the injection device 1 can be switched from the dose setting mode into the dose expelling mode.
[0189] In the presently illustrated example there will be two distinct rotational states of the counterpart member 260 per full revolution at which a dose dispelling procedure can be triggered. In all other rotational states of the rotatable member 260 the mismatch of the first and the second mechanical codes 244, 262 and/or a rotational state of the second mechanical code 262 out of alignment with regard to the first mechanical code 242 prevents a distally directed displacement of the counterpart member 240 into the dose expelling position e. This is illustrated by a comparison of
[0190] In
[0191] In detail, the abutment 264 or abutment face may be located at a proximal end of a protrusion 266 and the abutment 244 or abutment face is typically located at a distal end of a protrusion 246. In case of a rotational alignment mismatch between the first mechanical code 242 and the second mechanical code 262 the counterpart member 240 cannot be displaced in longitudinal direction so that first and second mechanical codes 242, 262 mutually engage in a torque-proof way. Any further distally directed displacement of the counterpart member 240 and hence of the button or trigger 70 is effectively blocked and the dose dispensing or dose expelling procedure cannot be triggered.
[0192] Another example of a combination of a rotatable member 360 and a counterpart member 340 is illustrated in
[0193] As illustrated in
[0194] The proximal end face of the housing 310 is provided with the first mechanical code 342. The first mechanical code 342 comprises a first code feature 345 and a second code feature 345. Each one of the first and second mechanical code features 345, 345 comprises a protrusion 346 and a recess 348. The second mechanical code 362 of the rotatable member 360 also comprises a first mechanical code feature 365 and a second mechanical code feature 365. Each of the first and the second code features 365, 365 comprises at least one protrusion 366 and a recess 368. The protrusion 366 is shaped to engage with the recess 348. The recess 368 is shaped to engage with the protrusion 346. Contrary to the example as illustrated in
[0195] Generally, the first mechanical code 342 replaces and modifies the splines 15 provided at the proximal end of the housing 10 as illustrated in
[0196] It is further apparent in
[0197] Moreover, the protrusions 346, 366 and the recesses 348, 368 are tapered in the longitudinal direction. The protrusion 366 is tapered towards the distal direction 2. The protrusion 346 is tapered towards the proximal direction 3. In other words, the second mechanical code 362 comprises a toothed or geared structure and the first mechanical code 342 comprises a correspondingly-shaped toothed or geared structure. Circumferentially offset from the first and second code features 345, 345, 365, 365 there is provided an abutment face 344 that is, e.g. provided on a proximally raised rib 372. In this way and in an annular position of the rotatable member 360, in which the second mechanical code 362 is out of alignment with regard to the first mechanical code 342 a distally directed displacement of the rotatable member 360 relative to the housing 310 or relative to the counterpart member 340 is blocked by an axial abutment of one of the protrusions 366 with the abutment face 344 of the counterpart member 340.
[0198] This situation is schematically illustrated in
[0199] Only in a rotational state of the rotatable member 360, in which the second mechanical code 362 is longitudinally aligned with the first mechanical code 342 a distally directed advancing motion of the counterpart member 360 is allowed and supported. Then, and if correctly aligned the protrusions and recesses 366, 368 of the second mechanical code 362 engage with the correspondingly-shaped protrusions and recesses 346, 348 of the second mechanical code 342. The protrusions 366 may axially slide into the recesses 348. The protrusions 346 may slide into the recesses 368. As a consequence, the rotatable member 360 can be advanced and displaced in the distal direction and into the dose expelling position e in order to switch the injection device 1 from the dose setting mode into the dose dispensing mode as described above in connection with
[0200] With both of the examples as illustrated in
[0201] In the dose expelling mode and with the example of
[0202] With both examples as illustrated in
[0203] The permissible or predefined orientations of the rotatable member at which dose expelling is allowed should be equispaced around the circumference of the rotatable member. This ensures that the size of the predefined doses do not change after each dispensing or expelling procedure.
[0204] For the robustness of the mechanism as illustrated in
[0205] Having numerous mutually engaging code features along the circumference of the first and the second mechanical codes 242, 342, 262, 362 may be further beneficial to prevent tilting or to prevent a moving off center of at least one of the counterpart member 240 and the rotatable member 360 as these components are subject to a longitudinal displacement towards the expelling position e. Provided that the longitudinally displaceable components of the injection device are sufficiently prevented from tilting or from moving off center, some protrusions 246, 266, 346, 366 could be removed resulting in the same selectable dose regime. A reduced number of protrusions on the rotatable member 260 or of the dose indicator or number sleeve 60 may have the advantage, that only the counterpart member 240 or the driver 40 has to be modified compared to the implementation of
[0206] It may be further beneficial to add material to the counterpart member 240 and to remove material from the rotatable member 260 such that assembly of the counterpart member 240 and hence of the driver 40 to the rotatable member 260 and hence to the number sleeve or dose indicator 60 is not inhibited. Otherwise, the modifications to the dose indicator 60 and to the driver 40 do not affect the general handling and assembly process of the residual components of the injection device 1. Hence, one and the same fully automated or semi-automated assembly line can be used to produce a range of injection devices featuring different permissible dose sizes.
[0207] The same arguments and benefits also apply to the example of
[0208] Provided that the rotatable member 360 is sufficiently prevented from tilting some of the protrusions 366 could be removed thus resulting in the same selectable dose regime. A reduced number of teeth or protrusions 366 may have the advantage that modifications of only the housing 310 are required compared to the illustration of the button 70 of
[0209] The injection device 400 as illustrated in
[0210] In proximal direction the cartridge 100 is sealed by a bung 101. The cartridge holder 20 is connectable or is connected to a distal end of the body or housing 410 of the injection device 400. The injection device 400 comprises a dose expelling mechanism 4 and a dose setting mechanism 5 for setting and dispensing of a dose of the medicament 6. The injection device 400 comprises an elongated piston rod 430 threadedly engaged with a radially inwardly protruding flange 412 of the housing 410. The piston rod 430 is further in splined engagement with a driver 450 comprising a drive shaft or a drive sleeve and enclosing the piston rod 430. The driver 430 is snapped to a ratchet sleeve 480. It is axially fixed to the ratchet sleeve 480 and is rotationally locked to the ratchet sleeve 480. There may be a small amount of rotational play between the driver 450 and the ratchet sleeve 480. At the distal end of the piston rod 430 there is provided a rotatable bearing 432 acting as a pressure piece to exert distally directed pressure onto the bung 101.
[0211] The expelling mechanism is a wind up expelling mechanism. It comprises a torsion spring 490. One end of the torsion spring 490 is fixed and connected to the ratchet sleeve 480. An opposite end of the torsion spring 490 is connected to a stop member 541. The stop member 541 is steadfastly attached inside the housing 410. The injection device 400 further comprises a dose selector 482 rotatable relative to the housing and axially fixed to the housing 410. The button or trigger 472 is biased by a compression spring 474. It is depressible in the distal direction against the action of the spring 474. The button or trigger 472 is axially displaceable relative to the dose selector 482. It is configured to urge the driver 450 in the distal direction. There is a hooked connection between a stem 476 of the trigger 470 and a radially inwardly extending protrusion of the driver 450. When the button is depressed 472 in the distal direction it abuts axially with a proximal end of the driver 450 thus urging the driver 450 in the distal direction. Under the action of the spring 474 the button 472 is displaceable in the proximal direction and the snap connection to the driver 450 drags the driver 450 back into an initial dose setting position as for instance illustrated in
[0212] The housing 410 comprises a window 411 to visualize a portion of the outer circumference of the dose indicator 470. The outside of the dose indicator 470 is provided with consecutive numbers or other dose size indicating symbols that show up in the window 411 as the dose indicator 470 is subject to a rotation relative to the housing 410. The dose indicator 470 comprises a helical thread threadedly engaged with a correspondingly helical threaded structure on the inside surface of the sidewall of the housing 410. The dose indicator 470 is in splined engagement with the ratchet sleeve 480.
[0213] There is further provided a spline nut 434 and a locking nut 436. The spline nut 434 is in splined engagement with the lead screw 430. Hence, a rotation of the spline nut 434 leads to a rotation of the lead screw 430. The spline nut 434 may slide in an elongated groove on the lead screw 430 (not illustrated). The spline nut 434 is axially constrained inside the housing 410. The locking nut 436 is axially displaceable relative to the housing 410 between a dose setting position and a dose expelling position. In the dose setting position, hence in a proximal position the locking nut 436 is rotationally locked to the body via mutually corresponding splined sections. In the distal dose expelling position the locking nut 436 is rotationally locked to the spline nut 434 and is configured to transfer an angular momentum to the spline nut 434.
[0214] On an inside circumference of the locking nut 436 there is a toothed structure configured to engage with a ratchet feature provided on a distal sleeve portion 482 of the ratchet sleeve 480. For setting of a dose and as the ratchet sleeve 480 is rotated in a dose incrementing direction, the ratchet feature of the ratchet sleeve 480 generates an audible sound and defines a number of discrete rotational positions of the ratchet sleeve 480 relative to the housing 410. Each discrete angular position of the ratchet sleeve 480 corresponds and defines a particular size of a dose of the medicament 6. The ratchet sleeve 480, the driver 450 and the locking nut 436 are displaceable between the proximal dose setting position and the distal dose expelling position. In the dose setting position the dose selector 482 is rotationally locked to the driver 450. For this, a radially inwardly extending flange section of the dose selector 482 is in splined engagement with splines on the outside surface of a portion of the driver 450. Hence, a rotation of the dose selector 482 rotates the driver 450 and hence the ratchet sleeve 480. The ratchet feature of the ratchet sleeve 480 clicks over ratchet teeth inside the locking nut 436. The locking nut 436 is prevented from rotation by external ribs engaging teeth in the body. The ratchet feature or ratchet arm of the ratchet sleeve is strong enough to prevent stored energy in the torsion spring 490 from unwinding the selected dose.
[0215] For dispensing of a dose the user presses on the button or trigger 472 thus compressing the compression spring 474. The teeth on the driver 450 and the teeth or spline features of the dose selector 482 disengage and the dose selector 482 is hence rotationally disconnected from the driver 450. The distally directed displacement of the button or trigger 470 leads to a respective distally directed displacement of the driver 450 since the trigger 470 or button axially abuts a proximal end of the driver 450. As the driver 450 advances in distal direction also the locking nut 436 advances in distal direction together with the ratchet sleeve 480. The locking nut is hence disengaged from the teeth and the body and the locking nut 436 are free to rotate under the action of the depleting torsion spring 490. When in the dose expelling position the locking nut 436 is rotationally coupled or rotationally locked to the spline nut 434. Hence, a rotation of the locking nut 436 induced by the ratchet sleeve 480 driven under the action of the torsion spring 490 is unalteredly transferred to a rotation of the spline nut 434 thus rotating the lead screw 430, which due to the threaded engagement with the flange 412 advances in distal direction.
[0216] The injection device 400 may be also equipped with a last dose limiter as well as with a last dose limiter the functions of which are not further illustrated.
[0217] The ratchet sleeve 480 serves as a rotatable member 460 and the housing 410 provides a counterpart member 440 according to the terminology of the claims. As illustrated in
[0218] Hence, the radial protrusion 466 of the rotatable member 460 must be longitudinally aligned with the recess 448 of the counterpart member 440. Only if the mutually corresponding first and second mechanical codes 442, 462 are aligned in longitudinal direction the rotatable member 460 can be displaced in distal direction 2 relative to the counterpart member 440 into the dose expelling position e. The first mechanical code 442 comprises an abutment face 444 facing in proximal direction and the second mechanical code 462 comprises an abutment face 466 facing in distal direction 2 on the radially outwardly extending protrusion 466. In case of a rotational alignment mismatch of the rotatable member 460 and the counterpart member 440 a distally directed displacement of the rotatable member 460 and hence of the ratchet sleeve 480 is blocked and impeded. Consequently, the injection device 400 cannot be switched from the dose setting mode into the dose expelling mode.
[0219] Even though not illustrated there may be provided numerous first and second code features on the outside circumference of the rotatable member 460 as well as on the inside circumference of the counterpart member 440. Depending on the shape and geometric configuration of the first and second mechanical codes 442, 462 various discrete and predefined allowable dose sizes can be defined. For this, there may be required only a modification of the first mechanical code 242 of the counterpart member.
[0220] A further example of a rotatable member and of a counterpart member is illustrated in
[0221] The second mechanical code 562 comprises at least a first code feature 565. The first code feature 565 comprises at least one protrusion 566. The protrusion is a radially outwardly extending protrusion 566. The protrusion 566 is located at a predetermined angular position on an outside surface of the sleeve of the rotatable member 560, hence on the driver 450. In the dose setting position as illustrated the protrusion 566 and the protrusion 546 are separated by an axial distance or they may almost abut.
[0222] In the dose setting position the protrusion 566 of the rotatable member 560 is located proximally of the protrusion 546. In case of an alignment mismatch the protrusions 546, 566 are aligned in longitudinal direction. As the trigger 472 and hence the rotatable member 560 is subject to a distally directed displacement towards the expelling position a distally facing abutment 564 of the protrusion 566 abuts with a proximally facing abutment 544 of the protrusion 546. In this way, a further distally directed displacement of the rotatable member 560 is effectively blocked. It cannot reach the dose expelling position e and the injection device 400 cannot be switched into the dose expelling mode.
[0223] This configuration is illustrated in
[0224] In a different configuration as illustrated in
REFERENCE NUMERALS
[0225] 1 injection device [0226] 2 distal direction [0227] 3 proximal direction [0228] 4 expelling mechanism [0229] 5 dose setting mechanism [0230] 6 medicament [0231] 10 housing [0232] 11a, b opening [0233] 12 flange-like inner wall [0234] 13 strip [0235] 14 teeth [0236] 15 spline [0237] 16 inner thread [0238] 20 cartridge holder [0239] 30 lead screw (piston rod) [0240] 31 outer thread [0241] 32 clip arm [0242] 33 concave contact surface [0243] 40 driver (axially movable drive sleeve) [0244] 41 teeth [0245] 42 spline [0246] 43 ratchet teeth [0247] 44 threaded section [0248] 45 spline [0249] 46 last dose stop [0250] 47 ramp [0251] 50 nut [0252] 51 last dose stop [0253] 52 spline [0254] 60 dose indicator (number sleeve) [0255] 60a number sleeve lower [0256] 60b number sleeve upper [0257] 61 spline [0258] 62 flange [0259] 63 outer thread [0260] 64, 65 end stop [0261] 66 spline [0262] 67 clicker arm [0263] 68 groove [0264] 69 anchor point [0265] 70 button [0266] 71 stem [0267] 72 flange [0268] 73, 74 spline [0269] 75 ratchet teeth [0270] 80 dose selector [0271] 90 torsion spring [0272] 91, 92 hook [0273] 93, 94 coil [0274] 100 cartridge [0275] 101 bung [0276] 110 gauge element [0277] 111 helical feature [0278] 112, 113 stop [0279] 114 aperture [0280] 115, 116 flange [0281] 117 cam [0282] 118 recess [0283] 120 clutch plate [0284] 121 ratchet teeth [0285] 122 protrusion [0286] 123 clicker arm [0287] 130 clutch spring [0288] 140 bearing [0289] 141 disc [0290] 142 stem [0291] 143 convex contact surface [0292] 144 recessed portion [0293] 240 counterpart member [0294] 242 mechanical code [0295] 244 abutment [0296] 245 code feature [0297] 246 protrusion [0298] 248 recess [0299] 260 rotatable member [0300] 262 mechanical code [0301] 264 abutment [0302] 265 code feature [0303] 266 protrusion [0304] 268 recess [0305] 310 housing [0306] 340 counterpart member [0307] 342 mechanical code [0308] 344 abutment [0309] 345 code feature [0310] 346 protrusion [0311] 348 recess [0312] 360 rotatable member [0313] 362 mechanical code [0314] 364 abutment [0315] 365 code feature [0316] 366 protrusion [0317] 368 recess [0318] 370 end face [0319] 371 skirt [0320] 372 rib [0321] 373 skirt extension [0322] 400 injection device [0323] 402 distal end [0324] 403 proximal end [0325] 410 housing [0326] 411 window [0327] 412 flange [0328] 430 piston rod [0329] 432 bearing [0330] 434 spline nut [0331] 436 locking nut [0332] 440 counterpart member [0333] 442 mechanical code [0334] 444 abutment [0335] 445 code feature [0336] 446 protrusion [0337] 448 recess [0338] 450 driver [0339] 460 rotatable member [0340] 462 mechanical code [0341] 464 abutment [0342] 465 code feature [0343] 466 protrusion [0344] 470 dose indicator [0345] 472 trigger [0346] 474 compression spring [0347] 476 stem [0348] 480 ratchet sleeve [0349] 482 dose selector [0350] 484 sleeve portion [0351] 490 torsion spring [0352] 540 counterpart member [0353] 541 stop member [0354] 542 mechanical code [0355] 544 abutment [0356] 545 code feature [0357] 546 protrusion [0358] 548 recess [0359] 560 rotatable member [0360] 562 mechanical code [0361] 564 abutment [0362] 565 code feature [0363] 566 protrusion