AUTOINJECTOR WITH DISCHARGE DETECTION
20230021831 · 2023-01-26
Inventors
- Gabriel Kalbermatter (Burgdorf, CH)
- Leos Urbanek (Bern, CH)
- Markus Tschirren (Burgdorf, CH)
- Jürg Hirschel (Bern, CH)
- Martin Brügger (Bolligen, CH)
Cpc classification
A61M5/326
HUMAN NECESSITIES
A61M5/31583
HUMAN NECESSITIES
A61M2005/3247
HUMAN NECESSITIES
A61M2005/2013
HUMAN NECESSITIES
A61M5/3202
HUMAN NECESSITIES
A61M5/31568
HUMAN NECESSITIES
A61M2005/2086
HUMAN NECESSITIES
A61M2005/202
HUMAN NECESSITIES
A61M5/24
HUMAN NECESSITIES
A61M2205/3317
HUMAN NECESSITIES
A61M2205/3553
HUMAN NECESSITIES
A61M5/3157
HUMAN NECESSITIES
A61M2005/3267
HUMAN NECESSITIES
A61M5/2033
HUMAN NECESSITIES
A61M5/31591
HUMAN NECESSITIES
A61M2005/3142
HUMAN NECESSITIES
International classification
A61M5/20
HUMAN NECESSITIES
A61M5/24
HUMAN NECESSITIES
Abstract
An autoinjector includes a housing, a product container, a torsion spring, a drive element, and a propulsion element. In order to discharge liquid out of the product container, the torsion spring rotates the drive element, and the rotating drive element produces a propulsive movement of the propulsion element and of a piston in the product container. A rotation sensor is configured for an alternating continuous detection of at least two rotational positions per revolution of the drive element during the discharge process, and a processor unit is configured for determining the axial position of the piston in the product container from the detected rotational positions.
Claims
1. An autoinjector comprising: a housing; a product container; a spring for a one-time discharge of a maximum content of the product container; a drive element; a propulsion element, wherein, for discharging, the spring is configured to rotate the drive element, and, while rotating, the drive element is configured to produce a propulsive movement of the propulsion element and of a piston in the product container; a rotation sensor configured for an alternating continuous detection of at least two rotational positions per revolution of the drive element during the discharge process; and a processor unit configured for determining an axial piston position of the piston in the product container from the detected rotational positions.
2. The autoinjector according to claim 1, wherein the propulsion element has an axial guide element for an exclusively linear propulsive movement in the housing.
3. The autoinjector according to claim 1, further comprising a signaling unit configured to be controlled by the processor unit after determining the axial piston position corresponding to a complete discharge and after subsequent expiration of a predetermined holding time for signaling an end of the discharge process.
4. The autoinjector according to claim 1, further comprising an axial position detector configured for detecting a securing movement of a needle protective sleeve from a rear end position to a front end position for covering an injection needle, wherein the processor unit is configured to store a piston position or a corresponding amount of liquid determined at the time of the detection of the securing movement.
5. The autoinjector according to claim 1, wherein the rotation sensor comprises an asymmetrically configured, rotatable actuator and a sensing element that is configured to be mechanically deflectable or optically coverable by the actuator.
6. The autoinjector according to claim 1, wherein the rotation sensor comprises a rotatable surface with differently reflecting sectors, and a photodetector configured for detecting sectorally reflected light.
7. The autoinjector according to claim 1, wherein the rotation sensor comprises an electromagnetic sensor and a rotatable arrangement of passive actuators.
8. The autoinjector according to claim 1, further comprising a communications unit configured for communicating with a third-party device and/or an indicator unit for indicating a state of the autoinjector.
9. The autoinjector according to claim 8, wherein the processor unit, the communications unit, and/or the indicator unit, and an energy source configured for supplying the units are arranged on a printed circuit board that is configured to be removed from the autoinjector together with a separable housing part.
10. The autoinjector according to claim 9, further comprising a lock that is configured to be mechanically released to allow the separable housing part to be separated from the autoinjector.
11. The autoinjector according to claim 9, wherein the separable housing part is defined by predetermined break lines in the housing.
12. The autoinjector according to claim 9, wherein the separable housing part is configured to be snap-fitted to the housing by a snap-fit connection.
13. The autoinjector according to claim 1, further comprising: a device cap; a needle protective sleeve; a needle protection spring, wherein, in a delivery state, the needle protective sleeve is configured to be pushed into a first stop by the needle protection spring, and, after removal of the needle protection cap, but before the discharge process, the needle protective sleeve is configured to be pushed by the needle protection spring into a second stop; and an axial position detector configured for detecting a movement of the needle protective sleeve in the distal direction into the second stop.
14. The autoinjector according to claim 13, wherein the axial position detector is arranged in a proximal half of the autoinjector.
15. The autoinjector according to claim 13, wherein the axial position detector is configured to detect a movement of the needle protective sleeve into the second stop from a rear end position, into which the needle protective sleeve is moved in the proximal direction upon contact and while pressing onto an injection site.
16. The autoinjector according to claim 1, further comprising a disposable, ready-to-use syringe comprising the product container and wherein the syringe is held in an axially-fixed manner in the housing of the autoinjector.
17. The autoinjector according to claim 1, further comprising a needle protective sleeve and a needle protection spring, wherein the protective sleeve is configured to be in a distal end position in order to cover an injection needle of the autoinjector, wherein, upon contact and while pressing the needle protective sleeve onto an injection site, the protective sleeve is configured to move relative to the housing into a proximal end position thereby starting a discharge process and wherein, during removal of the autoinjector from the injection site, the protective sleeve is configured to move via the needle protection spring from the proximal end position to the distal end position.
18. A method for preparing an autoinjector for a discharge process, the autoinjector having a device cap, a needle protective sleeve, a needle protection spring, and an axial position sensor, wherein, in a delivery state, the needle protective sleeve is configured to be pushed into a first stop by the needle protection spring, and, after removal of the device cap, but before the discharge process, the needle protective sleeve is configured to be pushed by the needle protection spring into a second stop, wherein the axial position detector includes an electromechanical switch for detecting a movement of the needle protective sleeve in the distal direction to or into the second stop; the method comprising: detecting movement of the needle protective sleeve in the distal direction into the second stop; and after detecting movement of the needle protective sleeve in the distal direction, activating a rotation sensor of a sensor unit to detect states or operations of the autoinjector.
19. A drive unit for an autoinjector, comprising: a spring for the one-time discharge of a maximum content of a product container of the autoinjector; a drive element; a propulsion element, wherein, for discharging liquid from the product container, the spring is configured to rotate the drive element, and while rotating, the drive element is configured to produce a propulsive movement of the propulsion element and of a piston in the product container, a rotation sensor configured for the alternating continuous detection of at least two rotational positions per revolution of the drive element during the discharge process; and a processor unit configured for determining an axial piston position of the piston in the product container from the detected rotational positions.
20. An autoinjector comprising: a housing; a product container; a torsion spring for a one-time discharge of a maximum content of the product container; a drive element; a propulsion element, wherein, for discharging, the torsion spring is configured to rotate the drive element, and the rotating drive element is configured to produce a propulsive movement of the propulsion element and of a piston in the product container; a rotation sensor; a processor unit for processing a rotation sensor signal a separable housing part, wherein the processor unit and an energy source configured for supplying the processing unit are arranged on a printed circuit board that is configured to be irreversibly removed from the autoinjector together with the separable housing part.
Description
BRIEF DESCRIPTION OF THE FIGURES
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DETAILED DESCRIPTION
[0040] The term, “product,” “medication,” or “medicinal substance,” in the present context includes any flowable medicinal formulation that is suitable for controlled administration by means of a cannula or hollow needle into subcutaneous or intramuscular tissue, e.g., a liquid, a solution, a gel, or a fine suspension containing one or more medicinal active ingredients. A medication can thus be a composition with a single active ingredient or a premixed or co-formulated composition with several active ingredients from a single container. The term includes in particular drugs, such as peptides (e.g., insulins, insulin-containing medications, GLP-1-containing preparations, as well as derived or analogous preparations), proteins and hormones, biologically obtained or active ingredients, active ingredients based upon hormones or genes, nutrient formulations, enzymes, and other substances, both in solid (suspended) or liquid form. The term can also include polysaccharides, vaccines, DNA or RNA or oligonucleotides, antibodies or parts of antibodies, as well as suitable base substances, excipients, and carrier substances.
[0041] The term, “distal,” may refer to a side or direction directed towards the front, piercing-side end of the administration apparatus or towards the tip of the injection needle. In contrast, the term, “proximal,” refers to a side or direction directed towards the rear end of the administration apparatus that is opposite the piercing-side end.
[0042] The term, “injection system” or “injector,” may be understood in the present description to mean an apparatus in which the injection needle is removed from the tissue after a controlled amount of the medicinal substance has been dispensed. In contrast to an infusion system, the injection needle in an injection system or in an injector thus does not remain in the tissue over a longer period of several hours.
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[0044]
[0045] As an alternative to the distal flange, a proximal flange of the spring coil could also be used for rotation detection, or, otherwise, a disk connected to the drive element in a rotationally-fixed manner. Instead of the recesses shown on the periphery of the diaphragm, slits or holes arranged on an axis-concentric circle in the diaphragm may also allow the light to pass along the light path or cover the light detector in a manner dependent upon the angle of rotation. If the light path of the light barrier is oriented radially, the light path may be interrupted by a pinnacle- or crown-shaped closure of a cylinder sleeve with an axis parallel to the longitudinal axis. The number of recesses, slits, or pinnacles may define the resolution of the rotation detection. A configuration with only one recess, one slit, or one pinnacle already generates two transitions or changes in the signal of the detector, and thus distinguishes two rotational positions per revolution of the drive element, resulting in a resolution that is improved in comparison with a detection of complete revolutions. The light source may emit visible light or may include an infrared (IR) LED. The light detector may include a phototransistor or photomicrosensor.
[0046]
[0047] Instead of white light, the light source may also emit light of a specific wavelength or wavelength range, including IR, and the reflecting sector may be colored with color of the same wavelength. As an alternative or in addition to a different coloration of the sectors, the proximally-directed side of the flange may also have an alternating surface quality (rough and smooth), or differently-inclined mirror surfaces to guide the light in each case to the detector or in a different direction. The surface portions with different reflection properties may also be attached to an inner or outer surface of a cylinder sleeve with an axis parallel to the longitudinal axis, where the reflection light barrier may be oriented radially from the inside or outside onto the rotating pattern 15d.
[0048]
[0049] Instead of the electromechanical switch, it may also be possible to use a correspondingly-positioned strain gauge for detecting a rotational movement of the structures of the respective flange. Each individual rib or each indentation of the flange may press one end of the strain gauge tangentially to the side or radially outwards, so that the resulting mechanical stress in the strain gauge may be detected. The strain gauge itself may be arranged on an arm at the proximal end of the printed circuit board, which is oriented axially or tangentially and may thereby be deflected radially or perpendicularly to the plane of the circuit board. The arm may be formed by recesses or slits in the carrier material of the printed circuit board, where the flexibility of the arm may be controlled. Instead of the strain gauge, a piezo element may also be provided, which may be suitably compressed or stretched by the deflection of the arm.
[0050]
[0051]
[0052] With reference to
[0053] For injection, the distal end of the needle protective sleeve 12 may be pressed against the puncture site, as a result of which the needle protective sleeve 12 may be displaced in the proximal direction into and relative to the housing while the needle protection spring 17 is being compressed. In order to adjust a piercing depth (e.g., in a range of 5 to 8 mm), and in particular to shorten it, suitably attached, short axial ribs or projections on one of the two stop components may define the proximal stop of the needle protective sleeve 12 on the housing, or the proximal stop of the switching sleeve on the mechanical holder. At the same time, the trigger elements that are attached to the switching sleeve or interact with the switching sleeve may to be positioned in an axially-adjustable manner for triggering the discharge. With reference to
[0054] The axial position detector 24 may detect the needle protective sleeve 12 in the front end position and in the rear end position. Alternatively to the detection of the axial end positions, an axial movement or the transition of the needle protective sleeve 12 from the starting position to the front end position or from the front end position to the rear end position may also be registered. If the syringe 10 should move distally relative to the housing by a piercing mechanism itself, the needle protective sleeve 12 in a final end position in the secured state may be further forward than before. Instead of the needle protective sleeve 12, the switching sleeve 19 or a further sleeve, which may be connected in an axially-fixed manner to the needle protective sleeve, may also be detected in its end positions or the movements in-between. In this case, the functionality of the axial position detector may be tested by moving the switching sleeve 19 in a partially manufactured state of the autoinjector, before a drive unit with the switching sleeve 19 and the electronics module and a syringe unit with the needle protective sleeve 12 and the syringe 10 are finally assembled. If the needle protection spring, unlike in
[0055] The first detection of the front end position may cause electronic components of the electronics module 20—in particular, the rotation sensor 22 discussed above—to be switched on, activated, and/or woken up. If the axial position detector is an electromechanical switch, an electrical contact may be closed for the first time by moving a contact element—in particular, by tilting a switching lever caused by mechanical contact with a first protrusion or formation on the needle protective sleeve 12. This may be recognized by a processor element in a power-saving, deep-sleep mode, in which the processor element monitors the switch even over a storage period (e.g., of up to several years). By means of the processor element, further components may be subsequently connected to the energy storage unit or otherwise activated. Alternatively, by tilting, a switching lever may be used directly to close an electrical contact in a supply circuit, where previously currentless components of the electronics module may be switched on. Further alternatively, a supply circuit may also be closed by moving an insulator that electrically separate two contact points mechanically pretensioned against one another.
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[0062] As an alternative to the break lines, the peripheral housing part to be separated may also be a component that is different from the rest of the housing, but detachably snap-fitted thereto, so that, after releasing the snap-fit connection, the peripheral housing part may be removed directly and without further application of force. For this purpose, the housing may have an extension or expansion beyond the contour of the separating line in the peripheral direction corresponding to extension or expansion in the snap-fitted state, surrounded as a whole by the peripheral housing part. This housing expansion may carry individual snap-in elements that engage from the interior into recesses in the peripheral housing part. It may also be possible for the housing parts to not be separated immediately after injection by the patient, but instead at a collection point, where suitable tools may also be used. Further alternatively, the peripheral housing part may remain connected to the rest of the housing part by a hinge after the opening of the separating line or the snap-fit connection, and the electronics module, subsequently, may be directly gripped and removed separately. A lock to be released by the processor unit at the end of the injection or, mechanically, during removal of the autoinjector from the injection site, may prevent the proposed separation from occurring too early.
[0063] The aforementioned separating or break lines may be different than the boundaries or contours between two housing parts of an autoinjector, which can be assembled from two subunits or assemblies for easier assembly. In this case, a distal syringe unit of the autoinjector may include a first, distal housing part, the needle protective sleeve, the device cap, and the syringe holder, while a proximal drive unit includes a second, proximal housing part, the mechanical holder, the needle protection spring, locking and switching sleeve, drive and propulsion element, and the one-time chargeable energy store for the automatic substance delivery. The proximal housing part may also be referred to as an end cap. In a filling or assembly process, the ready-to-use syringe may be inserted into the syringe unit, and the two subunits may be subsequently assembled, where the two housing parts snap-fit non-detachably and form a boundary line on their surface. The previously-defined electronics module may be part of the drive unit. The proximal housing part may accordingly include the separating or break line and the separable housing part 18b completely.
[0064] The ready-to-use syringe 10 may include a cylindrical syringe body as a product container, in which a product-receiving space is delimited between a syringe shoulder and a piston or plunger displaceable along the longitudinal axis. A hollow injection needle may be fixedly connected to the syringe shoulder at a distal end of the syringe body, and a finger flange may be attached to a proximal end of the ready-to-use syringe and projects radially outwards beyond the outer circumference of the syringe body. In the delivery state, the product-receiving space contains a product to be dispensed, which may be displaced entirely or partially out of the product-receiving space through the injection needle by a displacement of the plunger from a plunger start position to a plunger end position.
[0065] The injection needle of the ready-to-use syringe 10 may be covered by a needle protection cap, which may be configured as a so-called rigid needle shield (RNS) and includes a rubber-elastic needle protection element and a sheath made of hard plastic. The needle protection cap may protect the injection needle against mechanical effects and contamination, and may keep the injection needle and the product sterile. At the distal end of the autoinjector, in the delivery state thereof, a device or pull-off cap 16 may be arranged to be axially pulled off and/or twisted off and completely removed before the autoinjector is used. The device cap 16 may also have snap hooks, which the needle protection cap may be released from the ready-to-use syringe. The syringe holder may include two elastic fingers, which may be fastened at their proximal ends to a holder sleeve of the syringe holder, and each may have, at their distal ends, an axial support element for the syringe shoulder.
[0066] The injection needle may be surrounded by a needle protective sleeve 12 that is mounted in an axially-displaceable manner relative to the housing and may be inserted into the housing. In the starting position of the needle protective sleeve, the distal end of the needle protective sleeve may project distally beyond the needle tip of the injection needle so that access to the needle tip is initially prevented. At its distal end face, the needle protective sleeve may have an opening through which the injection needle can pass and enter an injection site during a relative movement of the needle protective sleeve and the injection needle. The needle protective sleeve may also serve as a trigger element for triggering the product discharge process, where the needle protective sleeve may be displaced relative to the housing in the proximal direction for this purpose, while tensioning a needle protection spring 17. For this purpose, the needle protective sleeve includes two sleeve arms, which, with respect to two recesses of the housing, designated as viewing windows, may be arranged offset or rotated by 90° about the longitudinal axis. After the injection has taken place, the needle protective sleeve may be displaced, relative to the housing, from the actuated position along the longitudinal axis in the distal direction to a needle protection position and may be blocked there from being pushed back again.
[0067] The autoinjector may include a switching module with a switching sleeve and a locking sleeve surrounded by the switching sleeve. The switching sleeve may be snap-fitted to a proximal end of the sleeve arms of the needle protective sleeve 12 and may be pushed distally by a distal end of the needle protection spring 17. The needle protection spring may include a spring that is made of metal, acts as a compression spring, and is designed as a helical spring. The locking sleeve may be designed to lock the switching sleeve and the needle protective sleeve, after injection has taken place, in a front end position from being pushed into the housing again. Radially outward-directed projections on the resilient arms of a locking member of the locking sleeve may engage behind a proximal edge of the switching sleeve so that the switching sleeve and thus the needle protective sleeve, relative to the locking sleeve, cannot move in the proximal direction. The locking sleeve may be at a minimum distance from a distally-directed, axially-fixed end face of the autoinjector, so that the locking sleeve may move in the proximal direction at most by significantly less than the distance between the injection needle tip and the distal end of the needle protection spring. The locking may be achieved by a proximal locking stroke of the locking sleeve relative to the switching sleeve, in which stroke the locking member may be detached from the switching sleeve for movement inwards and engages behind a proximally-directed edge of the autoinjector by the spring action of the arms. When the autoinjector is subsequently removed from the puncture site, the switching sleeve may be pushed by the needle protection spring in the distal direction over the locking member, whereupon the locking member engages behind a proximally-directed edge of the switching sleeve in a locking position by the spring action of the arms and blocks the switching sleeve and the needle protective sleeve from renewed movement in the proximal direction. A correct locking of the needle protective sleeve against renewed insertion may not be detected separately, but may be ensured by the described mechanical sequence control.
[0068] The electronics module of the autoinjector may include a printed circuit board and a sensor unit, arranged thereon, for detecting states or processes, a processor unit for processing signals of the sensor unit, a communications unit for wireless communication of data from the processor unit (e.g., to a third-party device), and an energy storage unit for supplying the aforementioned units. The energy storage unit may be sufficiently charged for a storage period of up to several years with minimal power consumption, and for a one-time use of the autoinjector with brief signal processing and data exchange. A battery suitable as an energy storage unit may not be rechargeable, but accessible in a separate battery compartment for separate disposal. The direct communication with a stationary, third-party device, e.g., an expert system in a delocalized or cloud-based infrastructure, for transmitting data of an injection process may take place, for example, via a 5G or 4G/LTE mobile radio network—in particular, a Narrowband Internet-of-Things, NB-IoT, or another suitable means, such as LoRa, Sigfox, or satellite-based communication. Different protocols may be implemented on a dual-mode chip in order to optimize the geographical coverage, with moderate increase in costs and space requirement. The communication with a mobile device, e.g., a mobile phone or smartphone, or with a stationary gateway to a wired network, may take place via a Bluetooth or BLE connection, which may be initiated via an out-of-band pairing. The BLE communication via the mobile device of the user may take place, simultaneously or redundantly, with the direct communication in the mobile radio network, in order to ensure data exchange. The different communications methods may also be provided in a modular manner; for example, a mobile radio communications unit can subsequently replace or supplement a BLE communications unit—together with an adapted energy storage unit, in some examples. In order to accommodate and electrically contact an optional 5G module with an associated energy store and a suitable SIM card, a mechanical mounting in the device housing and a plug with connection to the printed circuit board may be provided by default, so that no components of the autoinjector have to be adapted as a function of a decision for or against a 5G module. Without a 5G module, the mounting and plug may remain unused. The sensor unit may include a temperature sensor for detecting a temperature profile in the autoinjector during a warm-up phase, after the autoinjector is removed from a refrigerator. Heating of the refrigerated medications before subcutaneous injection may reduce the perceived pain; accordingly, it may be helpful if the reaching of a target temperature is signaled to the user. In this case, the temperature sensor does not necessarily have to be mounted in or on the ready-to-use syringe, since a temperature profile at another point, e.g., on the printed circuit board of the electronics module, may be sufficiently meaningful for these purposes. In particular, a time delay of the medication temperature relative to the sensor temperature may demonstrate a reproducible behavior independent of the filling volume of the syringe and the ambient temperature, and can be determined empirically for a specific sensor position. In the case of an almost constant temporal temperature lead of the sensor, a target temperature time point of the medication may be estimated by waiting for a predetermined period of time in the range of 30-90 seconds when the target temperature at the sensor is reached, where the lower value applies to sensor positions in direct proximity to the ready-to-use syringe. Alternatively, in the case of an approximately exponential approach of the sensor temperature to an unknown ambient temperature, a critical temperature gradient may be determined, with which, if fallen below, a sufficient heating of the medication can be deduced. The temperature sensor may be actively switched on by the user when the autoinjector is removed from the refrigerator. In some examples, this may be done by a switch for closing an electrical contact in a supply circuit or by moving an insulator away, which electrically separates two contact points pretensioned mechanically against one another, and/or by removing a tear-off film.
[0069] The temperature of the autoinjector or of the medication may be monitored and registered by the temperature sensor over the entire transport chain. Thus, it may be ensured, for example, that a maximum temperature during transport, including the distance to the refrigerator of the user, has not been exceeded, or exceeded at most over an acceptable period of time. For the resource-saving and precise determination of a critical time point when temperature was exceeded in the supply chain, the sensor unit may have a suitable, time-stable, oscillating crystal as a frequency generator or clock generator. The oscillations of the crystal may be counted for the time period from the critical time point up to the moment in which the processor unit is woken up or synchronized, and the critical calendar time point is retroactively determined therefrom. The dedicated oscillating crystal may make it possible to dispense with actively operating a processor with a calibrated clock during the entire transport and storage period. The electronics module may further include an optical, acoustic, and/or tactile indicator unit, such as an optical display, in which an optical waveguide may guide the light of a light source on the printed circuit board to the surface of the housing. A state indicated by the indicator unit may include a device state of the autoinjector, a module state of the electronics module, or a process state of an ongoing or completed injection process. In some examples, the indicator unit of the electronics module may be kept simple and limited to a few LED's, e.g., in traffic light colors or for illuminating selected pictograms, and/or to an acoustic signal generator for generating language-independent sounds or melodies. This may be advantageous particularly in cooperation with the advanced graphical display options and voice output options of a smartphone, since the smartphone coupled wirelessly to the electronics module takes over the refined communication with the user that goes beyond a status display. Alternatively, the indicator unit may be part of a complete human-machine interface, which further has a screen and/or voice output options for informing a user, as well as input options, such as switches, capacitive touch sensors, and/or voice recognition for controlling the units.
[0070] The mobile device may be initially set up and configured—for example, by installing an application and registering the user. This can be done by means of a patient data card which, via near-field radio communication (NFC) or optical QR codes, transfers all relevant data to the mobile device. If the mobile device is in the range of the autoinjector, injection data may be transmitted during an injection process in real time. In this case, the mobile device may output instructions to the user in real time, and thus guide the user through the next steps. In any case, the injection information may also be stored in the electronics module and be transmitted only later, in consolidated form. The data received by the mobile device can be supplemented by the user, e.g., by specifying the injection site, and are forwarded to an expert system in a suitable way. The expert system may store the data and supplies patients, medical personnel, and health insurance companies with targeted information, and thus may support compliance with a treatment plan by the user of the injection device.
TABLE-US-00001 LIST OF REFERENCE SIGNS 1 Autoinjector 10 Ready-to-use syringe 11 Syringe holder 12 Needle protective sleeve 12a Protrusion 12b Mirror 12c Pattern 12d Sliding element 13 Drive element 14 Propulsion element 15 Torsion spring 15a Spring coil 15b Flange 15c Modulation 15d Pattern 15e Permanent magnet 16 Device cap 17 Needle protection spring 18 Housing 18a, 18a′ Separating line 18b, 18b′ Housing part 19 Switching sleeve 20, 20′ Electronics module 21, 21′ Printed circuit board 22, 22′ Rotation sensor 22a Fork light barrier 22b Switch 22c Hall sensor 23, 23′ Energy source 24 Axial position detector 24a Switch 24b Fork light barrier 24c Light source 24d Light detector 24e Sliding contact sensor