ARRANGEMENT FOR A DRUG DELIVERY DEVICE AND DRUG DELIVERY DEVICE
20230027933 · 2023-01-26
Inventors
Cpc classification
A61M5/20
HUMAN NECESSITIES
A61M5/31568
HUMAN NECESSITIES
A61M5/31585
HUMAN NECESSITIES
A61M5/31541
HUMAN NECESSITIES
A61M5/31593
HUMAN NECESSITIES
A61M5/3155
HUMAN NECESSITIES
International classification
Abstract
An arrangement for a drug delivery device is provided, the arrangement comprising: a housing having a proximal end and a distal end, a dose setting member which is rotatable relative to the housing for a dose setting operation in order to set a dose of drug to be delivered, a tracking member, and a guide track. Wherein the tracking member is operatively coupled or coupleable to the dose setting member, or wherein b) the dose setting member is a tracking member. The guide track is configured to form a guiding interface to guide and/or drive movement of the tracking member. The tracking member can be displaced towards an axial tracking member end position during the dose setting operation, wherein the distance by which the tracking member is displaced towards the axial tracking member end position depends on the size of the set dose.
Claims
1-16. (canceled)
17. A drug delivery device comprising: a housing having a proximal end and a distal end; a dose setting member that is rotatable relative to the housing for a dose setting operation in order to set a dose of drug to be delivered; a tracking member that either is operatively coupled or coupleable to the dose setting member, or is part of the dose setting member; and a guide track configured to form a guiding interface to guide and/or drive movement of the tracking member, wherein the tracking member is displaced towards an axial tracking member end position during the dose setting operation such that a distance by which the tracking member is displaced towards the axial tracking member end position depends on a size of a set dose.
18. The drug delivery device of claim 17, further comprising a setting clutch mechanism configured to couple the dose setting member to a further member during the dose setting operation, wherein the setting clutch mechanism comprises a clutch force transfer interface via which force is transferred from the dose setting member to the further member in the dose setting operation, and wherein the further member is rotationally locked to the dose setting member during the dose setting operation.
19. The drug delivery device of claim 18, further comprising a tracking member force transfer interface, wherein the force is transferred from the dose setting member to the tracking member via the tracking member force transfer interface.
20. The drug delivery device of claim 19, wherein the setting clutch mechanism comprises a clutch force transfer interface, wherein the tracking member force transfer interface is arranged closer to an outer surface of the dose setting member than the clutch force transfer interface, and wherein force is transferred from the dose setting member to the further member via the clutch force transfer interface and along a force transfer path from the outer surface to the tracking member force transfer interface.
21. The drug delivery device of claim 20, wherein the tracking member force transfer interface is arranged proximally relative to the clutch force transfer interface.
22. The drug delivery device of claim 18, further comprising an activation member that is operable to perform a dose delivery operation for delivering a previously set dose, wherein the activation member is configured to be touched by a user for the dose delivery operation to move from a first position to a second position, wherein during the movement of the activation member from the first position to the second position the setting clutch mechanism is released such that the dose setting member is decoupled from the further member, and/or the dose setting member is rotationally locked relative to the housing.
23. The drug delivery device of claim 22, wherein the tracking member is engaged to the activation member.
24. The drug delivery device of claim 22, wherein the guiding interface is established between the tracking member and the activation member.
25. The drug delivery device of claim 17, wherein the dose setting member is rotationally locked relative to the housing before the setting clutch mechanism is released.
26. The drug delivery device of claim 17, wherein a position of the tracking member is fixed relative to the axial tracking member end position during a dose delivery operation that is performed subsequent to the dose setting operation.
27. The drug delivery device of claim 17, wherein the tracking member is arranged relative to the housing such that the tracking member overlaps with the dose setting member axially.
28. The drug delivery device of claim 17, wherein the tracking member is arranged between an outer surface of the housing and an inner surface of the dose setting member.
29. The drug delivery device of claim 17, wherein the dose setting member is axially locked to the housing but rotatable relative to the housing for the dose setting operation.
30. The drug delivery device of claim 17, wherein the dose setting member is engaged to the housing via the guide track.
31. The drug delivery device of claim 17, wherein the tracking member is engaged to the dose setting member.
32. The drug delivery device of claim 17, wherein the guiding interface is established between the tracking member and the housing.
33. The drug delivery device of claim 17, wherein the guiding interface is established between the tracking member and the dose setting member.
34. The drug delivery device of claim 17, wherein the tracking member is arranged in a proximal end region of the housing.
35. The drug delivery device of claim 17, further comprising a reservoir containing a drug.
36. The drug delivery device of claim 17, further comprising a reservoir retainer for retaining a reservoir containing a drug.
Description
BRIEF DESCRIPTION OF THE FIGURES
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[0077] Identical elements, identically element acting elements and elements of the same kind may be provided with the same reference numerals in the drawings. Moreover, it should be appreciated that the drawings just illustrate some embodiments of the present disclosure. The disclosed concepts may be applicable to drug delivery devices of designs different from the ones disclosed below as well.
DETAILED DESCRIPTION
[0078]
[0079] The housing 10 or body is a generally tubular casing element having a proximal end, e.g. with an enlarged diameter. The housing 10 provides location for the liquid medication or drug cartridge 100 and cartridge holder 20. As shown in
[0080] In the embodiment of
[0081] The insert 12 is a cup-shaped component part with a sidewall 13 and a tube 14 extending through the insert 12, thus forming an annular space there between. Arms 15 extend radially outwards from the sidewall 13. A bottom wall 16 connects the sidewall 13 and the tube 14 on the distal side of the insert 12, whereas the opposite proximal side is open. The insert 12 has various interfaces. For example, the tube 14 of insert 12 comprises an inner thread 17 engaging the piston rod 30. In addition the radial space between the tube 14 and the outer sidewall 13 may provide a bearing area receiving the drive spring 90 and the clutch spring 130. Further, spline teeth 18 are provided on the insert 12 engaging corresponding spline teeth 41 at the distal end of drive sleeve 40. Teeth 18 interact with drive sleeve 40 to rotationally couple and de-couple the drive sleeve and the housing 10.
[0082] In the embodiment of
[0083] In the embodiment of
[0084] The cartridge holder 20 is located at the distal side of housing 10 and may be 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.
[0085] 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 insert 12 of housing 10. The lead screw 30 is an elongate member with an outer thread engaging the corresponding thread of the insert 12 of housing 10. The interface comprises at least one longitudinal groove or track and a corresponding protrusion or spline of the driver 40. At its distal end, the lead screw 30 is provided with an interface for clip attachment of the bearing 140.
[0086] 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.
[0087] A splined tooth interface 18 with the insert 12 prevents rotation of the drive sleeve 40 during dose setting. This interface comprises a ring of radially extending outer teeth 41 at the distal end of drive sleeve 40 and corresponding radially extending inner teeth 18 of the housing component 10 (insert 12). When the button 70 is pressed (
[0088] A further interface of the drive sleeve 40 comprises a ring of ratchet teeth located at the proximal end face of drive sleeve 40 and a ring of corresponding ratchet teeth on the clutch plate 120.
[0089] The driver 40 has a threaded section providing a helical track for the nut 50. In addition, a last dose abutment or stop is provided which may be the end of the thread or track or preferably a rotational hard stop for interaction with a corresponding last dose stop of nut 50, thus limiting movement of the nut 50 on the driver thread. At least one longitudinal spline of the driver 40 engages a corresponding track of the lead screw 30.
[0090] 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. It moves along a helical path relative to the drive sleeve 40, via a threaded interface, expediently established by means of the helical track, when relative rotation occurs between the number sleeve 60 and drive sleeve 40 which, for the presently described mechanism is during dialling or setting only, where dose dialling refers to a dose setting operation. As an alternative, the nut 50 may be splined to the driver 40 and threaded to the number sleeve 60. A last dose stop is provided on nut 50 engaging a stop of drive sleeve 40 when a dose is set corresponding to the remaining dispensable amount of medicament or drug in the cartridge 100.
[0091] The dose indicator or number sleeve 60 is a tubular element. The number sleeve 60 is rotated during dose setting (via dose selector 80) and dose correction and during dose dispensing by torsion spring 90. Together with gauge element 110 the number sleeve 60 defines a zero position or zero dose position (‘at rest’) and a maximum dose position.
[0092] 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 snap engagement to allow rotation but not translation. The number sleeve 60 comprises an annular recess or groove near its distal end which engages a corresponding bead on an inner surface of the housing 10. 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 dialled dose of medicament.
[0093] Further, the number sleeve lower 60a has a portion with an outer thread engaging the gauge element 110. End stops are provided at the opposite ends of thread to limit relative movement with respect to the gauge element 110.
[0094] Clutch features which have the form of a ring of splines are provided inwardly directed on number sleeve upper 60b for engagement with splines of the button 70 during dose setting and dose correction. A clicker arm is provided on the outer surface of number sleeve 60 which interacts with the drive sleeve 40 and the gauge member 110 for generating a feedback signal. In addition, the number sleeve lower 60a is rotationally constrained to the nut 50 and to the clutch plate 120 via a splined interface comprising at least one longitudinal spline. Further, number sleeve lower 60a comprises an interface for attachment of the torsion spring 90.
[0095] The button 70 which forms the proximal end of the device is permanently splined to the dose selector 80. A central stem extends distally from the proximal actuation face of the button 70.
[0096] The stem is provided with a flange carrying the splines for engagement with splines of the number sleeve upper 60b. Thus, it is also splined via splines to the number sleeve upper 60b when the button 70 is not pressed, but this spline interface is disconnected when the button 70 is pressed. The button 70 has a discontinuous annular skirt with splines. When the button 70 is pressed, splines on the button 70 engage with splines on the housing 10, preventing rotation of the button 70 (and hence the dose selector 80) during dispense. These splines disengage when the button 70 is released, allowing a dose to be dialled. Further, a ring of ratchet teeth is provided on the inner side of button flange for interaction with clutch plate 120.
[0097] 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.
[0098] The torsion spring 90 is attached at its distal end by a hook 91 to the insert 12 and, thus, 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. The torsion spring 90 is pre-wound upon assembly, such that it applies a torque to the number sleeve 60 when the mechanism is at zero units dialled. The action of rotating the dose selector 80, to set a dose, rotates the number sleeve 60 relative to the housing 10, and charges the torsion spring 90 further.
[0099] The cartridge 100 is received in cartridge holder 20. The cartridge 100 may be a glass ampoule having a moveable rubber bung at its proximal end. The distal end of cartridge 100 is provided with a pierceable rubber seal which is held in place by a crimped annular metal band. In the embodiment depicted in the Figures, the cartridge 100 is a standard 1.5 ml cartridge. The device is designed to be disposable in that the cartridge 100 cannot be replaced by the user or health care professional. However, a reusable variant of the device could be provided by making the cartridge holder 20 removable and allowing backwinding of the lead screw 30 and the resetting of nut 50.
[0100] 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 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 against the end of the helical cut in the number sleeve 60 to limit the minimum and maximum dose that can be set.
[0101] The gauge element 110 has a generally plate or band like component having a central aperture or window and two flanges extending on either side of the aperture. The flanges are preferably not transparent and thus shield or cover the number sleeve 60, whereas the aperture or window allows viewing a portion of the number sleeve lower 60a. Further, gauge element 110 has a cam and a recess interacting with the clicker arm of the number sleeve 60 at the end of dose dispensing.
[0102] The clutch plate 120 is a ring-like component. The clutch plate 120 is splined to the number sleeve 60 via splines. It is also coupled to the drive sleeve 40 via a ratchet interface. The ratchet provides a detented position between the number sleeve 60 and drive sleeve 40 corresponding to each dose unit, and engages different ramped tooth angles during clockwise and anti-clockwise relative rotation. A clicker arm is provided on the clutch plate 120 for interaction with ratchet features of the button 70.
[0103] 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 between drive sleeve 40 and clutch plate 120 is always engaged. In the ‘at rest’ position, it also ensures that the button splines are engaged with the number sleeve splines, and the drive sleeve teeth are engaged with teeth of the housing 10.
[0104] The bearing 140 is axially constrained to the piston rod 30 and acts on the bung within the liquid medicament cartridge. It is axially clipped to the lead screw 30, but free to rotate.
[0105] With the device in the ‘at rest’ condition as shown in
[0106] 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.
[0107] 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 or size of the dialled dose, which may be a whole number multiple of a unit dosage increment or the minimum settable dose of the device, e.g. 11 U or 5 IU. A dose of up to 801 U may be set for example. The gauge element 110 has flanges either side of the window area which cover the numbers printed on the number sleeve 60 adjacent to the dialled dose to ensure only the set dose number is made visible to the user.
[0108] A specific feature of this embodiment 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 of the gauge element 110 creates a sliding scale through the 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.
[0109] 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.
[0110] 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 with teeth of the housing 10. Relative rotation must therefore occur between the clutch plate 120 and drive sleeve 40 via the ratchet interface.
[0111] 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. The clutch spring 130 is designed to provide an axial force to the ratchet interface 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 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, the friction coefficient between the mating surfaces and the mean radius of the ratchet interface.
[0112] 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. At this point the ratchet teeth 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.
[0113] Relative rotation of the number sleeve 60 and the drive sleeve 40 is allowed. This relative rotation also causes the last dose nut/tracking member 50 to travel along its threaded path, towards its last dose abutment on the drive sleeve 40.
[0114] 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 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.
[0115] 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 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 dialled 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.
[0116] 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 on the maximum dose abutment of gauge element 110. This prevents further rotation of the number sleeve 60, clutch plate 120 and dose selector 80.
[0117] 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 with stop face of the drive sleeve 40, e.g. an angular face. 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.
[0118] With the mechanism in a state in which a dose has been selected, the user is able to deselect or decrement 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 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.
[0119] 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 (
[0120] 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 on the button 70 engage with splines 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. A stop feature in the housing 10 limits axial travel of the button 70 and reacts any axial abuse loads applied by the user, reducing the risk of damaging internal components.
[0121] The clutch plate 120 and drive sleeve 40 travel axially with the button 70. This engages the splined tooth interface between the drive sleeve 40 and number sleeve 60, preventing relative rotation between the drive sleeve 40 and number sleeve 60 during dispense. The splined tooth interface 18, 41 between the drive sleeve 40 and the housing insert 12 disengages, so the drive sleeve 40 can now rotate and is driven by the torsion spring 90 via the number sleeve 60, and clutch plate 120.
[0122] 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 stops the mechanism.
[0123] Tactile feedback during dose dispense is provided via the compliant cantilever clicker arm integrated into the clutch plate 120. This arm interfaces radially with ratchet features 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 engage with the clicker arm to produce an audible click with each dose increment delivered.
[0124] 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’ or initial position (together with the clutch plate 120 and button 70), engaging the splines between the drive sleeve 40 and housing 10, preventing further rotation and stopping dose delivery.
[0125] 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 dialling only.
[0126] 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 between the drive sleeve 40 and housing 10. The mechanism is now returned to the ‘at rest’ condition.
[0127] 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 on the number sleeve 60 with the ramp on the drive sleeve 40 and the cam and the recess 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 dialled back to, or away from, the zero position.
[0128] The drug delivery device discussed above is configured to deselect or decrement any number of dosage increments of a dose which has been set previously by incrementing the mechanism. The mechanism as disclosed above utilizes overhauling of a ratchet to decrease the set dose. This ratchet has to be able to withstand the continuously increasing torque exerted by the spring which increases with the size of the set dose, i.e. with the number of unit increments the dose comprises. Consequently, overhauling the ratchet may require significant force and/or generate significant noise.
[0129] When in the present disclosure it is referred to an “axial”, “angular”, “circumferential”, or “radial” direction, the axis with respect to which these directions are specified may be an axis of the respective component or member, an axis of the housing, particularly a main longitudinal axis of the housing, the rotation axis around which the components or members rotate, and/or an axis of the drug delivery device, particularly the main longitudinal axis of the device. The axis may be oriented such that it extends through the proximal end and/or distal end of the device. Particularly, the proximal or distal direction may be parallel to and/or along the axis.
[0130] The housing is expediently static such that, if a component or member rotates and/or moves axially, it always moves relative to the housing. The respective component or member may be arranged such that they rotate about a common rotation axis, e.g. the longitudinal axis of the housing. The rotation axis may extend through the respective member.
[0131] The drug delivery device which has been discussed above comprises the nut 50 as a tracking member which is displaced along a guide track (helical thread) on the driver or drive sleeve 40 when a dose is set by rotating the number sleeve or dose indicator 60. Thus, referrals to the nut above and/or below may be considered as referrals to the tracking member. Referrals to the driver or drive sleeve 40 may be considered as referrals to a general drive member. Referrals to the dose setting member may be considered as referring to the dose selector 80. The driver 40 preferably engages the piston rod directly. The button 70 may be used as or correspond to an activation member which is used to initiate a dose dispensing operation as has been described previously when a dose has been set using the dose setting member. When the activation member is moved by the user, the mechanism may be switched from the dose setting mode of operation for the dose setting operation into the dose dispensing mode of operation for the dose delivery operation. By pressing the activation member, it is moved from a first or initial position to a second or dispense position which are axially, preferably only axially, offset from one another. When the activation member is released, it is moved back towards the initial position again, e.g. in the proximal direction. When the activation member or button is released it is moved back into the initial position by a spring, e.g. the clutch spring 130. In the mechanism discussed above, release of the activation member interrupts a dose dispensing procedure. Thus, the activation member has to be pressed during the entire dose dispensing procedure. The presently disclosed concepts do, however, also work for devices, where, once the activation member 70 has been pressed, the dose is dispensed without the option of interrupting the dose delivery operation, e.g. via releasing the activation member 70.
[0132] The distance of the tracking member 50 from an axial end position relative to the housing and/or as seen along the guide track or helical track of the driver 40 is characteristic for the amount of drug remaining in the cartridge 100 as has been discussed previously. The cartridge 100 comprises a cartridge body, e.g. of glass, and a bung which sealingly closes the proximal end of the cartridge body and, when moved towards the distal end of the cartridge body, dispenses liquid drug from the interior of the cartridge body through an opening in the cartridge or cartridge body, in particular when fluid communication is established between the interior of the cartridge and the exterior, e.g. by a needle unit comprising a needle. Without the needle, the distal end or dispensing end of the cartridge may be sealed by a septum. The septum may be pierceable by the needle of the needle unit which may be attached to a distal end of the cartridge holder 20. The cartridge holder 20 may be designed to receive the cartridge. The constituents of the cartridge are not explicitly shown in the drawings as is the needle unit.
[0133] In the embodiment which has been discussed further above, the tracking member 50, i.e. the last dose nut, has been arranged close to the interface where the driver 40 transfers force to the piston rod 30. Specifically, the tracking member was guided by a guide track on the driver 40. The tracking member 50 was driven by the number sleeve 60 during dose setting.
[0134] In the following, further embodiments of operating and/or arranging the tracking member within the drug delivery device or an arrangement for the drug delivery device are described. As opposed to the arrangement of the tracking member in
[0135]
[0136] The drug delivery device comprises the dose setting member 80. It further comprises the tracking member 50. It also comprises housing 10. Housing 10 may be the exterior housing of the drug delivery device as discussed further above. Especially,
[0137] The housing 10, distally offset from the guide track 150, may comprise a radially outwardly directed protrusion or flange 160. The protrusion may provide a distal end stop for the tracking member 50. Alternatively or additionally, a rotational end stop may be provided on the housing 10, e.g. in the region of the flange 160. The rotational end stop may provide an angular surface which the tracking member 50 may have that in order to prevent further rotation. A proximal end stop for the tracking member 50 may be provided by a protrusion or flange 162 provided in the dose setting member 80.
[0138] The portion of the housing 10 which is received in the interior of the dose setting member 80 may have an axial extension which is greater than or equal to the axial extension of the guide track 150. The section of the dose setting member overlapping axially with the housing may be greater than or equal to 0.5 cm and/or less than or equal to 2.0 cm.
[0139] The spline features 158 may be provided in a distal portion of the dose setting member 80, e.g. distally from the protrusion 162. In a proximal portion of the dose setting member one or more further spline features 164 may be arranged. The button or activation member 70 (see
[0140] The arrangement further comprises one or more locking features 168 and 170 which are configured to cooperate to lock the activation member 70 rotationally relative to the housing 10, especially when the dose delivery operation or dose dispensing operation has been initiated by pushing the activation member 70 distally. The respective locking features may be designed as teeth, which may be axially oriented and/or circumferentially disposed. When engaged, the teeth mesh and relative rotational movement is prevented in either rotational direction. When activation member is rotationally locked, so is the dose setting member 80. It is expedient to establish the rotational lock before the rotational coupling between the driver 40 and the number sleeve or dose indicator 60 is released for a dose delivery operation. Then, a risk that the dose setting member 80 and, consequently, the tracking member 50 is moved unintentionally is reduced.
[0141]
[0142] In case the dose delivery operation is initiated by pressing the button or activation member 70 distally, i.e. to the left in
[0143] The portion of
[0144] During dose setting, when the dose setting member 80 is rotated, the rotation is transferred to the tracking member 50 on account of the rotational lock between the tracking member and the dose setting member. In other words, the rotation of the dose setting member is converted into axial displacement of the tracking member on account of the guide track 150 guiding movement of the tracking member. The movement of the tracking member is driven directly by the dose setting member. During the dose delivery operation, the activation member 70 is rotationally locked relative to the housing 10 on account of the locking features 168 and 170 engaging.
[0145] It should be noted that there is no need that the tracking member 50 travels distally during setting. It should be readily appreciated that the same functionality could also be realized with a tracking member which travels proximally towards an end position. Moreover, as will be readily appreciated, the guide track could also be provided on an inner surface of the dose setting member 70 instead of on an outer surface of the housing. In this case, spline features may be provided on the housing 10, e.g. on an outer surface thereof. This arrangement would result in the same kinematics of the dose setting member 80 driving axial displacement of the tracking member as the tracking member is rotationally locked to the housing and threadedly engaged with the dose setting member.
[0146] In the embodiment discussed above, the tracking member 50 interacts directly with the dose setting member 80 which forms a section or portion of the exterior surface of the drug delivery device. Further, the tracking member 50 directly interacts with the housing 10. Specifically, the tracking member 50 is arranged between the dose setting member 80 and the housing 10. A distal portion of the dose setting member 80 may be designed to receive the tracking member 50.
[0147]
[0148] One difference to the previous embodiment is that the tracking member is arranged in the interior of the proximal end region of the housing 10. Spline features 158 are provided in this region of the housing. The proximal end region of the housing 10 may be wider than a region distally adjoining the proximal end region, e.g. a region between the proximal end region of the housing and window 11b. Between a more distal region and the proximal end region an inwardly directed step is provided in the housing on its exterior surface. This facilitates provision of an interior space of greater diameter which can receive the tracking member 50. However, it should be noted that other shapes are possible as well.
[0149] The spline features 158 are provided to cooperate with the spline features 156 of the tracking member 50. The guide track 150 is provided on the activation member 70, e.g. on a distal and/or stem-like portion thereof. The guide track 150 may be arranged distally with respect to the locking features 170 of the activation member 70. Accordingly, in this embodiment, the tracking member is engaged with the activation member 70 and the housing 10. It is engaged with an outwardly facing surface of the activation member and an inwardly facing surface of the housing.
[0150] As depicted in
[0151] During dose setting, on account of the rotational lock between the activation member 70 and the dose setting member 80, the activation member 70 rotates. This rotation drives the movement of the tracking member. For example, the activation member rotates relative to the tracking member 50 which, therefore, is displaced relative to the thread and axially relative to the housing on account of the splined connection to the housing which constrains relative rotation between the tracking member and the housing. In the depicted embodiment, the tracking member 50 travels proximally during dose setting towards the end position. Again as in the previous embodiment, it is also conceivable to have the tracking member 50 travel distally during dose setting towards its end position. During dose delivery, the dose setting member 80 is rotationally locked relative to the housing on account of the locking features 168 and 170 engaging as discussed previously already. Expediently, the rotational lock is established before the respective clutch engagement between activation member 70 and number sleeve 60 and/or between driver 40 and housing 10 is released. Again, the clutch features which rotationally lock the activation member to the number sleeve are not explicitly shown. When the activation member 70 is moved distally, so does the tracking member 50 due to the guide track being arranged on the activation member 70. The guide track 150 is expediently a self-locking thread. This is different from the embodiment in
[0152] In its end position which is shown in the right portion of
[0153] As already mentioned for the previously described embodiment a reverse configuration is also possible in this embodiment where the tracking member is threadedly engaged to the housing and splined to the activation member. In most situations this is less preferable over the configuration depicted in the figures since manufacture of internal threaded surfaces is usually more difficult than externally or outer threaded surfaces, especially when the component is molded.
[0154] It should be noted, that at least some of the concepts, e.g. the one discussed in conjunction with
[0155]
[0156] As opposed to the embodiments which have been previously discussed, the dose setting member is not axially locked relative to the housing 10. Rather the dose setting member is threadedly coupled to the housing 10. Consequently, it is displaced relative to the housing, e.g. in the proximal direction or away from the distal end by a distance which is characteristic or proportional to the size of the set dose. In the depicted embodiment, a thread 176, e.g. a helical thread, is provided on the dose setting member, particularly an inner surface thereof, which interacts with an interaction feature 178 on the housing, particular an outer surface thereof. Of course, the position of the thread and the interaction feature 178 could also be reversed and/or both, dose setting member and housing could be provided with a thread, which are engaged with one another. The spline feature 172 crosses the housing 10 and, particularly a proximal end thereof in order to engage the activation member 70. The activation member 70 is arranged within the housing as seen in top view onto the proximal end. The dose setting member 80 is arranged outside of the housing and, particularly, the housing may be received partly in the dose setting member 80.
[0157] Since the dose setting member 80 is threadedly coupled to the housing 10, the axial position of the dose setting member relative to the housing changes as the set dose is increased. Preferably, the dose setting member moves into the proximal direction relative to the housing, i.e. away from the distal end of the housing, during the dose setting operation. By doing so, the distance between a proximal end face 180 of the activation member 70, is reduced, since the activation member 70 is axially static during dose setting. In the initial stage depicted in
[0158] In the end position of the tracking member 50 or dose setting member 80, further rotation which would increase the size of the currently set dose is prevented. This position is depicted in
[0159] In order to ensure or prevent that, once a dose delivery operation has been triggered by pressing the activation member 70, rotation of the dose setting member 80 is expediently constrained during the dose delivery operation and/or when the activation member is being pressed. This enables that the position of the tracking member 50 relative to the tracking member axial end position does not change or cannot be changed during dose delivery easily and, consequently, the position of the tracking member always reflects the accumulated doses already dispensed from the device before the next setting operation is commenced.
[0160] In the present embodiment, this can be achieved via a force transfer mechanism, e.g. a ratchet which still permits axial movement of the activation member into the position required for initiating the dose delivery operation. The force transfer mechanism may transfer a part of a distally directed axial force provided by the user for pressing the activation member 70 onto the interface between the thread 176 and the interface feature 178. In a very schematic fashion, this is illustrated in
[0161] All of the tracking mechanisms discussed in conjunction with
[0162] The terms “drug” or “medicament” are used synonymously herein and describe a pharmaceutical formulation containing one or more active pharmaceutical ingredients or pharmaceutically acceptable salts or solvates thereof, and optionally a pharmaceutically acceptable carrier. An active pharmaceutical ingredient (“API”), in the broadest terms, is a chemical structure that has a biological effect on humans or animals. In pharmacology, a drug or medicament is used in the treatment, cure, prevention, or diagnosis of disease or used to otherwise enhance physical or mental well-being. A drug or medicament may be used for a limited duration, or on a regular basis for chronic disorders.
[0163] As described below, a drug or medicament can include at least one API, or combinations thereof, in various types of formulations, for the treatment of one or more diseases. Examples of API may include small molecules having a molecular weight of 500 Da or less; polypeptides, peptides and proteins (e.g., hormones, growth factors, antibodies, antibody fragments, and enzymes); carbohydrates and polysaccharides; and nucleic acids, double or single stranded DNA (including naked and cDNA), RNA, antisense nucleic acids such as antisense DNA and RNA, small interfering RNA (siRNA), ribozymes, genes, and oligonucleotides. Nucleic acids may be incorporated into molecular delivery systems such as vectors, plasmids, or liposomes. Mixtures of one or more drugs are also contemplated.
[0164] The drug or medicament may be contained in a primary package or “drug container” adapted for use with a drug delivery device. The drug container may be, e.g., a cartridge, syringe, reservoir, or other solid or flexible vessel configured to provide a suitable chamber for storage (e.g., short—or long-term storage) of one or more drugs. For example, in some instances, the chamber may be designed to store a drug for at least one day (e.g., 1 to at least 30 days). In some instances, the chamber may be designed to store a drug for about 1 month to about 2 years. Storage may occur at room temperature (e.g., about 20° C.), or refrigerated temperatures (e.g., from about −4° C. to about 4° C.). In some instances, the drug container may be or may include a dual-chamber cartridge configured to store two or more components of the pharmaceutical formulation to-be-administered (e.g., an API and a diluent, or two different drugs) separately, one in each chamber. In such instances, the two chambers of the dual-chamber cartridge may be configured to allow mixing between the two or more components prior to and/or during dispensing into the human or animal body. For example, the two chambers may be configured such that they are in fluid communication with each other (e.g., by way of a conduit between the two chambers) and allow mixing of the two components when desired by a user prior to dispensing. Alternatively or in addition, the two chambers may be configured to allow mixing as the components are being dispensed into the human or animal body.
[0165] The drugs or medicaments contained in the drug delivery devices as described herein can be used for the treatment and/or prophylaxis of many different types of medical disorders. Examples of disorders include, e.g., diabetes mellitus or complications associated with diabetes mellitus such as diabetic retinopathy, thromboembolism disorders such as deep vein or pulmonary thromboembolism. Further examples of disorders are acute coronary syndrome (ACS), angina, myocardial infarction, cancer, macular degeneration, inflammation, hay fever, atherosclerosis and/or rheumatoid arthritis. Examples of APIs and drugs are those as described in handbooks such as Rote Liste 2014, for example, without limitation, main groups 12 (anti-diabetic drugs) or 86 (oncology drugs), and Merck Index, 15th edition.
[0166] Examples of APIs for the treatment and/or prophylaxis of type 1 or type 2 diabetes mellitus or complications associated with type 1 or type 2 diabetes mellitus include an insulin, e.g., human insulin, or a human insulin analogue or derivative, a glucagon-like peptide (GLP-1), GLP-1 analogues or GLP-1 receptor agonists, or an analogue or derivative thereof, a dipeptidyl peptidase-4 (DPP4) inhibitor, or a pharmaceutically acceptable salt or solvate thereof, or any mixture thereof. As used herein, the terms “analogue” and “derivative” refers to a polypeptide which has a molecular structure which formally can be derived from the structure of a naturally occurring peptide, for example that of human insulin, by deleting and/or exchanging at least one amino acid residue occurring in the naturally occurring peptide and/or by adding at least one amino acid residue. The added and/or exchanged amino acid residue can either be codable amino acid residues or other naturally occurring residues or purely synthetic amino acid residues. Insulin analogues are also referred to as “insulin receptor ligands”. In particular, the term, derivative” refers to a polypeptide which has a molecular structure which formally can be derived from the structure of a naturally occurring peptide, for example that of human insulin, in which one or more organic substituent (e.g. a fatty acid) is bound to one or more of the amino acids. Optionally, one or more amino acids occurring in the naturally occurring peptide may have been deleted and/or replaced by other amino acids, including non-codeable amino acids, or amino acids, including non-codeable, have been added to the naturally occurring peptide.
[0167] Examples of insulin analogues are Gly(A21), Arg(B31), Arg(B32) human insulin (insulin glargine); Lys(B3), Glu(B29) human insulin (insulin glulisine); Lys(B28), Pro(B29) human insulin (insulin lispro); Asp(B28) human insulin (insulin aspart); human insulin, wherein proline in position B28 is replaced by Asp, Lys, Leu, Val or Ala and wherein in position B29 Lys may be replaced by Pro; Ala(B26) human insulin; Des(B28-B30) human insulin; Des(B27) human insulin and Des(B30) human insulin.
[0168] Examples of insulin derivatives are, for example, B29-N-myristoyl-des(B30) human insulin, Lys(B29) (N-tetradecanoyl)-des(B30) human insulin (insulin detemir, Levemir®); B29-N-palmitoyl-des(B30) human insulin; B29-N-myristoyl human insulin; B29-N-palmitoyl human insulin; B28-N-myristoyl LysB28ProB29 human insulin; B28-N-palmitoyl-LysB28ProB29 human insulin; B30-N-myristoyl-ThrB29LysB30 human insulin; B30-N-palmitoyl-ThrB29LysB30 human insulin; B29-N-(N-palmitoyl-gamma-glutamyl)-des(B30) human insulin, B29-N-omega-carboxypentadecanoyl-gamma-L-glutamyl-des(B30) human insulin (insulin degludec, Tresiba®); B29-N-(N-lithocholyl-gamma-glutamyl)-des(B30) human insulin; B29-N-(ω-carboxyheptadecanoyl)-des(B30) human insulin and B29-N-(ω-carboxyheptadecanoyl) human insulin.
[0169] Examples of GLP-1, GLP-1 analogues and GLP-1 receptor agonists are, for example, Lixisenatide (Lyxumia®), Exenatide (Exendin-4, Byetta®, Bydureon®, a 39 amino acid peptide which is produced by the salivary glands of the Gila monster), Liraglutide (Victoza®),
[0170] Semaglutide, Taspoglutide, Albiglutide (Syncria®), Dulaglutide (Trulicity®), rExendin-4, CJC-1134-PC, PB-1023, TTP-054, Langlenatide/HM-11260C, CM-3, GLP-1 Eligen, ORMD-0901, NN-9924, NN-9926, NN-9927, Nodexen, Viador-GLP-1, CVX-096, ZYOG-1, ZYD-1, GSK-2374697, DA-3091, MAR-701, MAR709, ZP-2929, ZP-3022, TT-401, BHM-034. MOD-6030, CAM-2036, DA-15864, ARI-2651, ARI-2255, Exenatide-XTEN and Glucagon-Xten.
[0171] An examples of an oligonucleotide is, for example: mipomersen sodium (Kynamro®), a cholesterol-reducing antisense therapeutic for the treatment of familial hypercholesterolemia.
[0172] Examples of DPP4 inhibitors are Vildagliptin, Sitagliptin, Denagliptin, Saxagliptin, Berberine.
[0173] Examples of hormones include hypophysis hormones or hypothalamus hormones or regulatory active peptides and their antagonists, such as Gonadotropine (Follitropin, Lutropin, Choriongonadotropin, Menotropin), Somatropine (Somatropin), Desmopressin, Terlipressin, Gonadorelin, Triptorelin, Leuprorelin, Buserelin, Nafarelin, and Goserelin.
[0174] Examples of polysaccharides include a glucosaminoglycane, a hyaluronic acid, a heparin, a low molecular weight heparin or an ultra-low molecular weight heparin or a derivative thereof, or a sulphated polysaccharide, e.g. a poly-sulphated form of the above-mentioned polysaccharides, and/or a pharmaceutically acceptable salt thereof. An example of a pharmaceutically acceptable salt of a poly-sulphated low molecular weight heparin is enoxaparin sodium. An example of a hyaluronic acid derivative is Hylan G-F 20 (Synvisc®), a sodium hyaluronate.
[0175] The term “antibody”, as used herein, refers to an immunoglobulin molecule or an antigen-binding portion thereof. Examples of antigen-binding portions of immunoglobulin molecules include F(ab) and F(ab′)2 fragments, which retain the ability to bind antigen. The antibody can be polyclonal, monoclonal, recombinant, chimeric, de-immunized or humanized, fully human, non-human, (e.g., murine), or single chain antibody. In some embodiments, the antibody has effector function and can fix complement. In some embodiments, the antibody has reduced or no ability to bind an Fc receptor. For example, the antibody can be an isotype or subtype, an antibody fragment or mutant, which does not support binding to an Fc receptor, e.g., it has a mutagenized or deleted Fc receptor binding region. The term antibody also includes an antigen-binding molecule based on tetravalent bispecific tandem immunoglobulins (TBTI) and/or a dual variable region antibody-like binding protein having cross-over binding region orientation (CODV).
[0176] The terms “fragment” or “antibody fragment” refer to a polypeptide derived from an antibody polypeptide molecule (e.g., an antibody heavy and/or light chain polypeptide) that does not comprise a full-length antibody polypeptide, but that still comprises at least a portion of a full-length antibody polypeptide that is capable of binding to an antigen. Antibody fragments can comprise a cleaved portion of a full length antibody polypeptide, although the term is not limited to such cleaved fragments. Antibody fragments that are useful in the present disclosure include, for example, Fab fragments, F(ab′)2 fragments, scFv (single-chain Fv) fragments, linear antibodies, monospecific or multispecific antibody fragments such as bispecific, trispecific, tetraspecific and multispecific antibodies (e.g., diabodies, triabodies, tetrabodies), monovalent or multivalent antibody fragments such as bivalent, trivalent, tetravalent and multivalent antibodies, minibodies, chelating recombinant antibodies, tribodies or bibodies, intrabodies, nanobodies, small modular immunopharmaceuticals (SMIP), binding-domain immunoglobulin fusion proteins, camelized antibodies, and VHH containing antibodies. Additional examples of antigen-binding antibody fragments are known in the art.
[0177] The terms “Complementarity-determining region” or “CDR” refer to short polypeptide sequences within the variable region of both heavy and light chain polypeptides that are primarily responsible for mediating specific antigen recognition. The term “framework region” refers to amino acid sequences within the variable region of both heavy and light chain polypeptides that are not CDR sequences, and are primarily responsible for maintaining correct positioning of the CDR sequences to permit antigen binding. Although the framework regions themselves typically do not directly participate in antigen binding, as is known in the art, certain residues within the framework regions of certain antibodies can directly participate in antigen binding or can affect the ability of one or more amino acids in CDRs to interact with antigen.
[0178] Examples of antibodies are anti PCSK-9 mAb (e.g., Alirocumab), anti IL-6 mAb (e.g., Sarilumab), and anti IL-4 mAb (e.g., Dupilumab).
[0179] Pharmaceutically acceptable salts of any API described herein are also contemplated for use in a drug or medicament in a drug delivery device. Pharmaceutically acceptable salts are for example acid addition salts and basic salts.
[0180] Those of skill in the art will understand that modifications (additions and/or removals) of various components of the APIs, formulations, apparatuses, methods, systems and embodiments described herein may be made without departing from the full scope and spirit of the present invention, which encompass such modifications and any and all equivalents thereof.
[0181] The scope of protection is not limited to the examples given herein above. The invention is embodied in each novel characteristic and each combination of characteristics, which particularly includes every combination of any features which are stated in the claims, even if this feature or this combination of features is not explicitly stated in the claims or in the examples.
TABLE-US-00001 Reference numerals 10 housing (casing) 11a, b window 12 insert 13 sidewall 14 tube 15 arm 16 bottom wall 17 thread 18 spline teeth 19 ring-shaped second part 19a spline teeth 19b arm (spline) 19c arm (snap clip) 19d opening 20 cartridge holder 30 piston rod (lead screw) 40 drive sleeve (drive member) 41 spline teeth 50 nut 60 number sleeve (dose indication member) 60a number sleeve lower 60b number sleeve upper 70 button 80 dose selector/dose setting member 90 torsion spring 91 hook 100 cartridge 110 gauge element 120 clutch plate 130 clutch spring 140 bearing 150 guide track 152 opening 154 interaction feature 156 spline feature 158 spline feature 160 protrusion 162 flange 164 spline feature 166 spline feature 168 locking feature 170 locking feature 172 spline feature 174 spline feature 176 thread 178 interaction feature 180 proximal end face