Injection Device
20200324054 · 2020-10-15
Inventors
- Michael Helmer (Frankfurt am Main, DE)
- Michael Schabbach (Frankfurt am Main, DE)
- Julian Kersting (Rüsselsheim, DE)
Cpc classification
A61M5/3158
HUMAN NECESSITIES
A61M5/31501
HUMAN NECESSITIES
A61M5/31526
HUMAN NECESSITIES
International classification
Abstract
An injection device for setting and injecting a dose of a medicament comprises an elongated housing extending along a longitudinal axis, a piston rod to operably engage with a piston of a cartridge filled with the medicament, a clutch comprising a hollow interior and configured to be rotated in a first direction relative to the housing during setting of a dose and to be rotated in a second direction relative to the housing during delivery of the dosea driver configured to follow a rotational movement of the clutch in the second direction during delivery of the dose, the piston rod being operably engaged with the driver and configured to be displaced along the longitudinal axis relative to the housing when the driver rotates in the second direction, and a retainer configured to prevent a rotational movement of the driver relative to the housing in the first direction during setting of the dose.
Claims
1. An injection device for setting and injecting a dose of a medicament, the injection device comprising: an elongated housing extending along a longitudinal axis; a piston rod to operably engage with a piston of a cartridge filled with the medicament; a clutch comprising a hollow interior and configured to be rotated in a first direction relative to the elongated housing during setting of the dose and to be rotated in a second direction relative to the elongated housing during delivery of the dose, wherein the second direction is opposite to the first direction; a driver configured to follow a rotational movement of the clutch in the second direction during delivery of the dose, wherein the piston rod is operably engaged with the driver and is configured to be displaced along the longitudinal axis relative to the elongated housing when the driver rotates in the second direction; and a retainer configured to prevent a rotational movement of the driver relative to the elongated housing in the first direction during setting of the dose, wherein the driver comprises a driver sleeve section, and wherein at least a portion of the driver sleeve section is arranged inside the hollow interior of the clutch.
2. The injection device according to claim 1, wherein the clutch and the driver form a unidirectional torque transmission for the delivery of the dose, and wherein when the clutch is rotated in the second direction, the clutch is in torque-proof engagement with the driver (30).
3. The injection device according to claim 1, wherein the driver comprises a first toothed section at an axial face configured to engage with a correspondingly shaped toothed section of the retainer.
4. The injection device according to claim 3, wherein the first toothed section comprises a first plurality of saw teeth protruding in a longitudinal direction from the axial face of the driver.
5. The injection device according to claim 3, further comprising a clutch spring configured to urge the driver into abutment with the retainer.
6. The injection device according to claim 3, wherein the driver sleeve section comprises a sidewall with a second toothed section on an outside surface of the sidewall.
7. The injection device according to claim 6, wherein the second toothed section comprises a second plurality of saw teeth protruding radially from the outside surface of the sidewall.
8. The injection device according to 6, wherein the clutch comprises at least one engaging section configured for a unidirectional torque-proof engagement with a complementary or correspondingly shaped counter-engaging section of the driver.
9. The injection device according to claim 6, wherein the clutch comprises at least one engaging section configured for a unidirectional torque proof engagement with the second toothed section when the clutch is rotated in the second direction.
10. The injection device according to claim 9, wherein the clutch comprises at least one ratchet member resiliently deformable in a radial direction, and wherein the at least one engaging section is arranged at a free end of the at least one ratchet member.
11. The injection device according to claim 10, wherein the clutch comprises a clutch sleeve section enclosing at least a portion of the driver sleeve section of the driver.
12. The injection device according to claim 11, wherein the at least one ratchet member comprises an arc-shaped geometry conformal to a sidewall of the clutch sleeve section.
13. The injection device according to claim 10, wherein the clutch comprises at least a first ratchet member and a second ratchet member, and wherein the first ratchet member and the second ratchet member are arranged diametrically opposite to each other.
14. The injection device according to claim 1, wherein the driver is rotationally locked to the piston rod, and wherein the piston rod is threadedly engaged with the elongated housing.
15. The injection device according to claim 1, wherein the clutch comprises a threaded section that is in threaded engagement with a slider, wherein the slider is longitudinally slidably displaceable relative to the elongated housing, and wherein the slider is secured against rotational movement relative to the elongated housing.
16. The injection device according to claim 15, wherein the slider is biased in a proximal longitudinal direction by a spring.
17. The injection device according to claim 1, wherein the driver comprises a flange protruding radially outwardly from the driver sleeve section, and wherein the flange is in axial abutment with an axial face of the clutch.
18. The injection device according to claim 1, further comprising the cartridge.
19. The injection device according to claim 18, wherein the cartridge comprises a barrel filled with the medicament.
20. The injection device according to claim 19, wherein the barrel is sealed by a piston that is axially displaceable relative to the barrel by the piston rod.
Description
BRIEF DESCRIPTION OF THE FIGURES
[0132] In the following, embodiments of the injection device are described in detail by making reference to the drawings, in which:
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DETAILED DESCRIPTION
[0156] The injection device 1 as shown in
[0157] The injection device 1 comprises a distal end to which a needle assembly 15 can be affixed. An injection needle of the needle assembly 15 can be protected by an inner needle cap 16 and further by an outer needle cap 17. The distal end of the injection device 1 is further covered by a protective cap 18 that is releasably engageable with the housing 10 of the injection device 1. When attached to the injection device 1 the protective cap 18 covers a portion of the housing of the injection device 1 that is also denoted as a cartridge holder 14. The cartridge holder 14 is configured to accommodate a cartridge 6 filled with a medicament. The cartridge 6 comprises a tubular-shaped barrel 25. The barrel 25 is sealed in distal direction 2 by means of a pierceable seal 26.
[0158] Towards the proximal direction 3 the barrel 6 is sealed by a displaceable piston 7. The piston 7 is displaceable in distal direction 2 by means of a piston rod 20 of a drive mechanism 8 of the injection device 1 expelling a predefined amount of the medicament from the cartridge and through the injection needle of the needle assembly 15. The pierceable seal 26 is configured as a septum and is pierceable by a proximally directed tipped end of the needle assembly 15. Furthermore, the cartridge holder 14 comprises a threaded socket 28 at its distal end to threadedly engage with a correspondingly threaded portion of the needle assembly 15. By attaching the needle assembly 15 to the distal end of the cartridge holder 14 the seal 26 of the cartridge 6 is penetrated thereby establishing a fluid transferring access to the interior of the cartridge 6.
[0159] The proximal portion or the main housing 10 of the injection device 1 is configured to house and to accommodate a drive mechanism 8 the entirety of which is illustrated in
[0160] Operation of the injection device 1 is rather simple. For setting of a dose a user has to trigger a release member 100, 101, in form of a first and a second release button 102, 103. As illustrated in
[0161] In the activation position a as shown in
[0162] When the slider 60 or the dose button 61 returns into the initial position as illustrated in
[0163] The length of a displacement path of the slider 60 relative to the housing 10 between the initial position i as shown in
[0164] In order to vary a size of a dose the injection device 1 and hence the drive mechanism 8 comprises a preselector 70 as illustrated in
[0165] The preselector 70 comprises a sleeve section 71. It is arranged inside the housing 10. An outside facing portion of the sleeve section 71 faces an inside facing portion of the sidewall 13 of the housing 10. The housing 10 comprises a preselection window 11 as illustrated in
[0166] The numbers or any other type of preselection indication, such as symbols or letters may represent several standard units of the medicament to be dispensed. For instance, a number 1 of a preselection indication 77 may represent 10 standard units of the medicament. For moving and for rotating the preselector 70 there is provided a radial recess 72 in the outside facing surface of the sleeve section 71. The recess 72 is aligned with a through opening 78 in the sidewall 13 of the housing 10 as illustrated in
[0167] As illustrated further in
[0168] The stop features 73, 74, 75 to be denoted as a first stop feature 73, as a second stop feature 74 and as a third stop feature 75 each comprise a respective stop face 73a, 74a, 75a. The stop faces 73a, 74a, 75a face in distal direction 2. The stop features 73, 74, 75 are configured to engage with a correspondingly shaped dose stop feature 63 of the slider 60. The dose stop feature 63 comprises a proximally facing stop face 63a.
[0169] In an initial configuration as illustrated in
[0170] In the configuration as shown in
[0171] As illustrated in
[0172] If another preselector stop feature, such as the preselector stop feature 73 is in longitudinal alignment with the dose stop feature 63 the movement of the slider 60 from the initial position towards the activation position as illustrated in
[0173] Starting from the configuration of
[0174] The housing 10 further comprises a dose indicating window 12 in which the momentary state or position of the slider 60 relative to the housing 10 is illustrated. In the dose indicating window 12 a dose size indicator 66 provided on an outside surface of the slider 60 shows up. When in the initial position as shown in
[0175] The injection device 1 further comprises a support 90 as shown in
[0176] The support 90 comprises a body 91 of elongated shape. Towards a proximal end the body 91 comprises a radially widened flange section 97 having two diametrically oppositely located recesses 98. The slider 60 comprises two elongated legs 64, 65, each of which being longitudinally guided in any one of the recesses 98. In this way the slider 60 is longitudinally displaceable relative to the housing 10 and relative to the support 90. The slider 60 is allowed to slide relative to the support 90 in longitudinal direction but is hindered to rotate relative to the support and/or relative to the housing 10.
[0177] The support 90 comprises two geometrically opposed and longitudinally extending strut sections 92, 93 each of which having a distal face 94. In a final assembly configuration as for instance shown in
[0178] The threaded insert 44 comprises a radially widening socket section 47 extending radially outwardly from the sleeve section 45. The socket section 47 is connected to the sidewall 13 of the housing 10. The socket section 47 forms and comprises a radially outwardly extending shoulder portion 48. As illustrated in
[0179] The slider 60 further comprises a tubular or knob-like shaped dose button 61 having a distally facing support face 61a. The dose button 61a forms a proximal end of the slider 60. A distal end face of the dose button 61 may get in axial abutment with the flange section 97 of the support 90 as illustrated for instance in
[0180] In the initial position i as shown in
[0181] The spring 80 comprises a helically wound compression spring. In the initial position of the slider 60 the spring 80 is pre-tensioned at least to a predefined degree such that upon release of the interlock 84 the slider 60 becomes subject to a proximally directed sliding motion relative to the support 90.
[0182] The interlock 84 is illustrated in greater detail in
[0183] The interlock members 68, 69 each extend through another recess 99 or through opening provided in the flange section 97 at the proximal end of the support 90. As shown in
[0184] The release members 100, 101 may be integrally formed with the support 90. Alternative, they are provided as separate components. The release members 100, 101 and the respective release buttons 102, 104 are provided at a free end of resilient arms 106, 107 of the support 90, which arms 106, 107 are deflectable in radial direction. As illustrated in
[0185] The resilient arms 106, 170 extend substantially parallel to the arms 68a, 69a of the interlock members 68, 69. That side of the resilient arm 106 facing towards the interlock member 68 is provided with an engaging structure 109 in form of a toothed section configured to releasably engage with the engaging structure 68b. That side of the resilient arm 107 facing towards the interlock member 69 is also provided with a correspondingly shaped engaging section, in form of a toothed section 109. The teeth of the engaging sections 68b, 69b, 109 comprise a saw tooth profile thus allowing a distally directed sliding displacement of the slider 60 relative to the release members 100, 101 and their respective resilient arms 106, 107.
[0186] The saw tooth profile of the engaging structures 68b, 69b, 109 is such, that the slider 60 and hence the interlock members 68, 69 thereof are hindered from a proximally directed sliding displacement as long as the release member 100, 101, the release buttons 102, 103 and the resilient arms 106, 107 are located in an initial and non-depressed configuration.
[0187] As illustrated further in
[0188] By simultaneously depressing both release members 100, 101 and hence both release buttons 102, 103 the respective resilient arms 106, 107 are displaced radially inwardly thereby disengaging the engaging sections 109 of the release members 100, 101 from the engaging sections 68b, 69b of the interlock members 68, 69, respectively. In this way the interlock 84 is released and the slider 60 is free to become displaced in proximal direction 3 under the action of the spring 80.
[0189] The support 90 further comprises a distally facing toothed section 96. The toothed section 96 may be provided in the region of or on a flange section 95 from which the two strut sections 92, 93 extend in distal direction 2. The toothed section 96 is of annular shape and faces in distal direction. The toothed section 96 comprises a saw-toothed profile.
[0190] The piston rod 20 comprises a pressure foot 22 that is rotationally supported on the distal end of the piston rod 20. In this way the piston rod 20 is allowed to rotate relative to the pressure foot 22 when the pressure foot 22 is in axial abutment with a proximal thrust receiving surface of the piston 7 of the cartridge 6. A detailed view of the piston rod is shown in
[0191] The driver 30 comprises a driver sleeve section 31 enclosing an axial portion of the piston rod 20. The driver 30 comprises a radially widened flange 32 near or at its distal end. The flange 32 is in axial abutment with a clutch spring 40. The clutch spring 40 as illustrated in
[0192] As illustrated further in
[0193] The teeth 36a of the first toothed section 36 comprise a saw tooth profile. Hence, the teeth 36a of the first toothed section 36 each comprise a saw tooth 36a. The saw teeth 36a of the first toothed section 36 comprise a steep edge and a shallow or flat edge. As illustrated in
[0194] The retainer 86 comprises a correspondingly-shaped toothed section 96 as illustrated in
[0195] When the driver 30 is rotated in the second direction 5 the shallow or flat-shaped edges of the first toothed section 36 and the correspondingly-shaped toothed section 96 are allowed to slide relative to each other. Such a rotational motion of the first toothed section 36 relative to the toothed section 96 of the retainer 86 may be accompanied by a slight axial displacement of the driver 30 in longitudinal direction (z).
[0196] As the shallow edges of the teeth 36a of the first toothed section 36 and the correspondingly-shaped toothed section 96 are subject to a relative sliding displacement in circumferential direction the axial slope of the saw toothed profiles of the teeth of the toothed sections 36, 96 leads to a distally directed sliding motion of the driver 30 until the crest or tips of the teeth of the mutually engaged toothed sections 36, 96 pass each other. As soon as the tips of the teeth of the mutually corresponding toothed sections 36, 96 have passed, the clutch spring 40 urges the driver 30 in proximal direction 3 so that the tips or crests of the toothed section 36 engage with the grooves of the correspondingly-shaped toothed section 96 and vice versa.
[0197] The rotation of the driver 30 along and in the second direction 5 may be thus accompanied by a back and forth movement of the driver 30 in longitudinal direction. The stepwise and ratchet-like rotational movement of the driver 30 relative to the retainer 86 and relative to the housing 10 may be further accompanied by an audible click sound thus providing an audible feedback to the user or healthcare giver that a dispensing or drug delivery operation is currently in process.
[0198] When the driver should become subject to a torque along the first direction 4 the steep edges of the teeth 36a of the first toothed section 36 are and remain in torque-proof engagement with correspondingly-shaped steep edges of the saw teeth of the correspondingly-shaped toothed section 96 of the retainer 86. In this way a rotation of the driver 30 along the first direction 4 is effectively prevented.
[0199] Since the driver 30 is in permanent splined engagement with the piston rod 20 through the protrusion 38 a back winding or retraction of the piston rod 20 along or in proximal direction 3 is effectively impeded and prevented. A rotation along the second direction 5 or along the second sense of rotation opposite to the first sense of rotation or direction 4 is supported and allowed by the engagement of the toothed sections 36, 96.
[0200] The injection device 1 further comprises a clutch 50 having a hollow interior 59. The clutch 50 is configured to receive at least a portion of the driver 30 inside the hollow interior 59. At least a portion of the driver sleeve section 31 and/or a portion of the driver 30 is arranged inside the hollow interior 59 of the clutch 50. In this way a nested or interleaved configuration of the driver 30 and the clutch 50 can be provided. This allows for a rather stable and robust construction of the drive mechanism 8 of the injection device 1.
[0201] Moreover, the at least partially nested or interleaved arrangement and configuration enables a rather compact and space saving design of the injection device 1. The partially interleaved or nested configuration is also beneficial in that the driver 30 and the clutch 50 provide mutual support with regard to a rotation relative to the housing 1. For instance, the driver 30 is mechanically supported by the piston rod 20 and the interleaved or nested arrangement between the driver 30 and the clutch 50 provides a rotational support for the clutch 50. Since the clutch 50 receives at least a portion of the driver sleeve section 31 the clutch 50 is rotationally supported by the driver 30. This is beneficial for a torque transmitting engagement between the clutch 50 and the driver 30 and may reduce mechanical tolerances and backlash between the various components of the injection device 1.
[0202] As shown in
[0203] An oppositely directed sliding displacement of the slider 60 in distal direction 2 relative to the housing 10 and hence relative to the clutch 50 leads to a rotation of the clutch 50 along the second direction 5. The clutch 50 and the slider 60 are permanently threadedly engaged. Any axial sliding displacement of the slider 60 relative to the housing 10 and/or relative to the clutch 50 transfers into a respective rotation of the clutch 50 along the first direction or the second direction.
[0204] The clutch 50 is in unidirectional torque transmissive engagement with the driver 30. This is achieved by a second toothed section 34 provided on an outside surface of a sidewall 37 of the driver sleeve section 31. The second toothed section 34 also comprises numerous saw teeth 34a each of which protruding radially outwardly from the outside surface of the sidewall 37 as illustrated in
[0205] The second toothed section 34 may be arranged axially adjacent to the first toothed section. The steep and flat or shallow edges of the teeth 36a, 34a may be in radial alignment or may flush in radial direction. Hence, the first toothed section 36 and the second toothed section 34 comprise an equal number of consecutive teeth.
[0206] The clutch 50 comprises at least one engaging section 55, 56. Typically and as illustrated in
[0207] A proximal face 58 of the clutch 50 is formed by or constituted by the first and the second ratchet members 53, 54. Each one of the at least first and second ratchet members 53, 54 comprises an arc-shaped geometry that is conformal to a sidewall 51a of the clutch sleeve section. Hence, the ratchet members 53, 54 are axially flush with the sidewall 51a of the clutch sleeve section 51. The ratchet members 53, 54 are integrally formed with the clutch 50 and hence with the clutch sleeve section 51. The clutch 50 may comprise or may consist of an injection molded plastic component.
[0208] The free ends 53a, 54a of the ratchet members 53, 54 are separated from the clutch sleeve section 51 by a longitudinal or L-shaped slit in the sidewall 51a of the clutch sleeve section 51. The engaging sections 55, 56 may comprise radially inwardly extending protrusions to engage with the steep edges of the saw teeth 34a of the second toothed section 34. However, it may be even sufficient that an end face of the ratchet members 53, 54 gets in engagement with the steep edges of the saw teeth 34a.
[0209] This may be attained when the outer diameter of the second toothed section 34 as measured at the tips of the saw teeth 34a is slightly larger than an inside diameter of the clutch sleeve section 51 in the region of the first and second ratchet members 53, 54. In this way the ratchet members 53, 54 are resiliently deformed radially outwardly when the second toothed section 34 is located in the free space between the at least two ratchet members 53, 54.
[0210] Alternatively it is conceivable, that the ratchet members 53, 54 are biased radially inwardly so that in an initial configuration the free ends of the ratchet members 53, 54 and hence the engaging sections 55, 56 thereof protrude radially inwardly from the inside surface of the sidewall 51a of the clutch sleeve section 51. As the clutch 50 receives the driver 30 the ratchet members 53, 54 will then be at least slightly biased radially outwardly when engaging with the second toothed section 34.
[0211] The present example shows resiliently deformable ratchet members 53, 54. However, the injection device 1 is by no way limited to resiliently deformable ratchet members. It is also conceivable, that the ratchet members 53, 54 are pivotally supported on the clutch 50. They may be pivotable radially outwardly against a restoring force that may be provided by a spring not further illustrated here. In this way, a similar ratchet effect could be attained.
[0212] As illustrated in
[0213] The rotation of the clutch 50 along the first direction 4 is accompanied by an audible click sound that is generated as the ratchet members 53, 54 pass a tip of the teeth 34a of the second toothed section 34. A click sound is generated each time when an engaging section 55, 56 passes over a tip of a tooth 34a of the second toothed section 34 thereby providing an audible feedback to the user of the injection device 1 that a dose setting procedure is in progress. As the clutch 50 is rotated in the first direction 4 the driver 30 is and remains in torque-proof engagement with the retainer 86.
[0214] When the clutch 50 is subject to a rotation in the second direction 5 the engaging sections 55, 56 remain in abutment with the steep flange or steep edge of the teeth 34a of the second toothed section 34 thereby transferring a respective angular momentum or torque to the driver 30 along the second direction 5. Consequently, the driver 30 is rotated in the second direction 5 which rotation is equally transferred to a rotation of the piston rod 20.
[0215] Due to its threaded engagement with the threaded insert 44 the piston rod 20 advances in distal direction 2 so as to expel the set dose of the medicament from the cartridge 6.
[0216] The clutch 50 is axially or longitudinally sandwiched between the flange section 95 of the support 90 and the flange 32 of the driver 30. In this way the clutch 50 is axially constrained inside the housing 10. A proximal face 58 of the clutch 50 is in axial abutment with the support 90 or with the retainer 86. The distal face 57 of the clutch is in axial abutment with a proximal side of the flange 32 of the driver 30. When the slider 60 is depressed in distal direction 2 the clutch 50 may be subject to a distally directed displacement before it starts to rotate due to the threaded engagement with the slider 60.
[0217] The axially distally directed displacement of the clutch 50 at the beginning of a dose dispensing procedure is transferred to a respective axial displacement of the driver 30 since the distal face 57 of the clutch 50 is and remains in abutment with the proximal side of the flange 32. In this way the first toothed section 36 may disengage from the toothed section 96 of the retainer 86. Accordingly, the driver 30 may start to rotate along the second direction 5 while being out of contact with the retainer 86. Consequently, a dispensing force to be applied to the slider 60 in distal direction 2 can be decreased because there is no longer a friction between the first toothed section 36 and the correspondingly shaped toothed section 96 of the retainer 86 as long as the slider 60 is depressed, e.g. by a thumb of a user.
[0218] Operation of the injection device 1 is as follows. When handed out to a patient or consumer the injection device 1 may be ready for dispensing. The injection device may be preconfigured or manufactured in such a way that a priming procedure is not necessary. Alternatively, it is conceivable, that the injection device has to undergo a priming procedure or an air shot so as to make sure that the pressure foot 22 of the piston rod 20 is in direct abutment with the piston 7 of the cartridge 6.
[0219] A user has to depress the two release members 100, 101 simultaneously. In this way the two sections 109 thereof and the interlock members 68, 69 disengage and are operably released from each other. The slider 60 is then free to be displaced in proximal direction 3 under the action of the releasing spring 80. This proximally directed displacement of the slider 60 continues until the dose stop feature 63 of the slider 60 gets in axial abutment with one of the preselector stop features 73, 74, 75. Then and due to the proximally directed displacement of the slider 60 the dose button 61 thereof protrudes from a proximal end of the housing 10 as for instance illustrated in
[0220] The proximal displacement of the slider 60 is accompanied by a rotation of the clutch 50 in the first sense of rotation 4 as illustrated in
[0221] During a dose dispensing procedure in which the slider 60 is depressed in distal direction 2 against the action of the spring 80 the clutch 50 is subject to a rotation along the second sense of rotation 5. The ratchet members 53, 54 of the clutch 50 and their engaging sections 55, 56 are configured to transfer an angular momentum from the clutch 50 to the driver 30. Insofar the driver 30 also starts to rotate along the second sense of rotation 5. The radially inwardly extending protrusions 38 of the driver 30 are in splined engagement with respective longitudinal grooves 21 of the piston rod 20. A rotation of the driver 30 along the second sense of rotation 5 therefore transfers into a respective rotation of the piston rod 20. Due to the threaded engagement of the piston rod 20 with the housing 10 the piston rod 20 becomes subject to a respective distally directed advancing motion thereby expelling a respective amount of the medicament from the cartridge 6.
[0222] The longitudinal travel of the slider 60 relative to the housing 10 between the initial position i and a respective activation position a is determined by the positional state of the preselector 70.
[0223] The preselector 70 comprises at least one axially extending protrusion 76. As shown in
[0224] Modifying of a preselection of a dose requires a rotation of the preselector 70 with the longitudinal axis of the injection device as an axis of rotation. In this way another one of the preselector stop features 73, 74, 75 can be brought in longitudinal alignment with the dose stop feature 63. Since the axial positions of the preselector stop features 73, 74, 75 all differ, correspondingly modified longitudinal displacement paths of the slider 60 can be implemented.
LIST OF REFERENCE NUMBERS
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TABLE-US-00001 1 injection device 2 distal direction 3 proximal direction 4 first direction 5 second direction 6 cartridge 7 piston 8 drive mechanism 9 dose setting mechanism 10 housing 11 preselection window 12 dose indicating window 13 sidewall 14 cartridge holder 15 needle assembly 16 inner needle cap 17 outer needle cap 18 protective cap 19 recess 20 piston rod 21 groove 22 pressure foot 23 thread 25 barrel 26 seal 28 socket 30 driver 31 driver sleeve section 32 flange 33 bore 34 toothed section 34a tooth 35 axial face 36 toothed section 36a tooth 37 sidewall 38 protrusion 40 clutch spring 43 inner thread 44 threaded insert 45 sleeve section 46 proximal face 47 socket section 48 shoulder portion 50 clutch 51 clutch sleeve section 51a sidewall 52 threaded section 53 ratchet member 53a free end 54 ratchet member 54a free end 55 engaging section 56 engaging section 57 distal face 58 proximal face 60 slider 61 dose button 61a support face 62 threaded section 63 dose stop feature 63a stop face 64 leg 65 leg 66 dose size indicator 67 distal face 68 interlock member 68a arm 68b engaging structure 69 interlock member 69a arm 69b engaging structure 70 preselector 71 sleeve section 72 recess 73 stop feature 73a stop face 74 stop feature 74a stop face 75 stop feature 75a stop face 76 protrusion 77 preselection indication 78 through opening 80 spring 81 distal end 82 proximal end 84 interlock 86 retainer 90 support 91 body 92 strut section 93 strut section 94 distal face 95 flange section 96 toothed section 97 flange section 98 recess 99 recess 100 release member 101 release member 102 release the button 103 release button 104 flange section 106 resilient arm 107 resilient arm 108 connecting piece 109 engaging structure