DRUG DELIVERY DEVICE
20190224422 ยท 2019-07-25
Assignee
Inventors
Cpc classification
A61M2005/3235
HUMAN NECESSITIES
A61M2005/3238
HUMAN NECESSITIES
A61M5/2422
HUMAN NECESSITIES
A61M5/2053
HUMAN NECESSITIES
A61M2005/3125
HUMAN NECESSITIES
A61M5/24
HUMAN NECESSITIES
A61M5/321
HUMAN NECESSITIES
A61M5/3234
HUMAN NECESSITIES
International classification
A61M5/32
HUMAN NECESSITIES
A61M5/20
HUMAN NECESSITIES
Abstract
Drug delivery devices for selecting and dispensing a number of doses of a medicament are provided. The drug delivery device includes a medicament reservoir attached to a housing, a drive mechanism including a plunger axially movable relative to the housing for dispensing doses of the medicament from the medicament reservoir, a dose selecting element releasably coupled to the drive mechanism and rotatable relative to the housing in a first direction for selecting a dose, a trigger axially movable relative to the housing for initiating dispensing of a dose selected by the dose selecting element, and a limiter selectively permitting and preventing axial movement of the trigger depending on the amount of the selected dose.
Claims
1. Drug delivery device for selecting and dispensing a number of doses of a medicament, the device comprising a medicament reservoir attached to a housing, a drive mechanism comprising a plunger axially movable relative to the housing for dispensing doses of the medicament from the medicament reservoir, a dose selecting element releasably coupled to the drive mechanism and rotatable relative to the housing in a first direction for selecting a dose, a trigger axially movable relative to the housing for initiating dispensing of a dose selected by the dose selecting element, characterized in that the device further comprises a limiter selectively permitting and preventing axial movement of the trigger depending on the amount of the selected dose, wherein the limiter is rotationally constrained to the dose selecting element and is axially constrained to the trigger, wherein one of the limiter and a component part axially coupled to the housing comprises a track which is in engagement with a blocking feature of the other of the limiter and the component part axially coupled to the housing, and wherein the track comprises at least one narrow section limiting relative axial movement between the track and the blocking feature and at least one wide section permitting relative axial movement between the track and the blocking feature.
2. The drug delivery device according to claim 1, wherein the track extends helically or circumferentially about an outer surface of the tubular limiter.
3. The drug delivery device according to claim 1, wherein the narrow section of the track defines a guidance for the blocking feature which is free of backlash.
4. The drug delivery device according to claim 1, wherein the track is a groove defined by at least one intermittent rib, wherein the narrow section of the track is defined by a portion of the groove in which the rib is present, while the wide section of the track is defined by a portion of the groove in which the rib is omitted.
5. The drug delivery device according to claim 4, wherein a face of the at least one intermittent rib directed opposite to the axial movement of the trigger is shallower than a face of the rib pointing in the direction of the axial movement and a face of the blocking feature pointing in the direction of the axial movement is shallower than a face (112b) of the blocking feature directed opposite to the axial movement.
6. The drug delivery device according to claim 4, wherein a face of the at least one intermittent rib directed opposite to the axial movement of the trigger comprises at least one detent sized such that the blocking feature runs in clearance of the detent.
7. The drug delivery device according to claim 4, wherein the wide section of the track comprises a commit ramp.
8. The drug delivery device according to claim 1, wherein the track and the blocking feature are designed such that the blocking feature is prevented from passing over the narrow section of the track in the axial direction of movement of the trigger for initiating dispensing of a dose, whereas the blocking feature is permitted to pass over the narrow section of the track in a non-destructive manner in the opposite axial direction.
9. The drug delivery device according claim 1, wherein the dose selecting element is a tubular number sleeve which is at least partially visible through an aperture or window of the housing and which is in threaded engagement with the housing or a component part coupled to the housing.
10. The drug delivery device according to claim 9, wherein the limiter is in splined engagement with the dose selecting element such that the limiter is axially movable with respect to the dose selecting element.
11. The drug delivery device according to claim 9, further comprising a gauge element which is rotationally constrained to the housing and axially movable relative to the housing, wherein the dose selecting element is coupled to the gauge element by means of a thread, and wherein the gauge element comprises the blocking feature.
12. The drug delivery device according to claim 11, wherein a proximal face of a rib forming the thread of the gauge element is shallower than a distal face and a proximal face of a groove forming the thread of the dose selecting element is shallower than a distal face.
13. The drug delivery device according to claim 11, wherein the gauge element comprises an axial leading edge and an axial trailing edge at its proximal end.
14. The drug delivery device according to claim 13, wherein the leading edge is axially longer than the trailing edge.
15. The drug delivery device according to claim 1, wherein the dose selecting element is coupled to a power reservoir which is coupled to the housing such that rotation of the dose selecting element during dose selecting accumulates energy in the power reservoir.
16. The drug delivery device according to claim 1, further comprising a clutch operable by the trigger and located between the dose selecting element and the drive mechanism, wherein the clutch rotationally couples the dose selecting element and the drive mechanism upon actuation of the trigger and permits relative rotation of the dose selecting element and the drive mechanism during dose selecting.
17. The drug delivery device according to claim 1, wherein the drive mechanism further comprises a drive sleeve, and wherein the plunger is coupled to the housing and to the drive sleeve such that rotation of the drive sleeve causes axial movement of the plunger relative to the housing for dispensing doses of the medicament from the medicament reservoir.
18. The drug delivery device according to claim 17, wherein the plunger is in threaded engagement with the housing and in splined or in threaded engagement with the drive sleeve.
19. The drug delivery device according to claim 1, wherein the track comprises at least one rotational hard stop limiting rotation of the blocking feature relative to the limiter.
20. The drug delivery device according to claim 1, wherein the blocking feature comprises an alignment feature.
21. The drug delivery device according to claim 9, wherein the proximal end of a portion comprising the outer thread of the number sleeve comprises an axial edge.
22. The drug delivery device according to claim 11, wherein the thread comprises at least one rotational hard stop limiting rotation of the dose selecting element relative to the gauge element.
23. The drug delivery device according to claim 1, wherein the at least one wide section of the track comprises an alignment feature.
Description
BRIEF DESCRIPTION OF THE FIGURES
[0108] Non-limiting, exemplary embodiments of the disclosure will now be described with reference to the accompanying schematic drawings, in which:
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DETAILED DESCRIPTION
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[0136] The housing 10 or body is a generally tubular casing element having a proximal end with an enlarged diameter. The housing 10 provides location for the liquid medication cartridge and cartridge holder 20. As shown in
[0137] The cartridge holder 20 is located at the distal side of housing 10 and permanently attached thereto. The cartridge holder may be a transparent or translucent component which is tubular to receive cartridge. 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.
[0138] 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 a threaded interface with the housing 10. The piston rod 30 is an elongate member with an outer thread engaging the corresponding thread of the housing 10. The interface with the driver 40 comprises at least one longitudinal groove or track of the piston rod 30 and a corresponding protrusion or spline of the driver 40. At its distal end, the piston rod 30 is provided with an interface for clip attachment of a bearing.
[0139] The drive sleeve 40 is a hollow member surrounding the piston rod 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.
[0140] A splined tooth interface with the housing prevents rotation of the drive sleeve 40 during dose setting. This interface comprises a ring of radially extending outer teeth at the distal end of drive sleeve 40 and corresponding radially extending inner teeth of the housing 10. When the button 70 is pressed, these spline teeth are disengaged allowing the drive sleeve 40 to rotate relative to the housing 10. Clutch spring 130 biases the drive sleeve 40 into a position engaging with its teeth the teeth of the housing. A further splined tooth interface with the number sleeve 60 is not engaged during dialling, but engages when the button 70 is pressed, preventing relative rotation between the drive sleeve 40 and number sleeve 60 during dispense. In some embodiments, this interface comprises inwardly directed splines on a flange on the inner surface of the number sleeve 60 and a ring of radially extending outer splines of drive sleeve 40. These corresponding splines are located on the number sleeve 60 and the drive sleeve 40, respectively, such that axial movement of the drive sleeve 40 relative to the (axially fixed) number sleeve 60 engages or disengages the splines to rotationally couple or decouple the drive sleeve 40 and the number sleeve 60.
[0141] 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.
[0142] 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 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.
[0143] 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, when relative rotation occurs between the number sleeve 60 and drive sleeve 40 which is during dialling only. 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 in the cartridge.
[0144] The dose indicator or number sleeve 60 is a tubular dose setting element. The number sleeve 60 is rotated during dose setting (via dose selector 80) and dose correction by the user and during dose dispensing by torsion spring 90. The number sleeve 60 is constrained to the housing 10 by a 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 60 is marked with a sequence of numbers, which are visible through the gauge element 110 and the opening 11a in the housing 10, to denote the dialled dose of medicament. Further, the number sleeve 60 has a portion with an outer thread 61 engaging the gauge element 110. End stops may be provided at the opposite ends of thread to limit relative movement with respect to the gauge element 110. If these end stops are provided, the number sleeve 60 and the gauge element 110 define a zero position (at rest) and a maximum dose position. As an alternative, the limiter 100 and the gauge element 110 may define a zero position (at rest) and a maximum dose position as explained below.
[0145] Clutch features which have the form of a ring of splines are provided inwardly directed on number sleeve 60 for engagement with splines of the button 70 during dose setting and dose correction. A clicker arm may be 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 60 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 60 comprises an interface for attachment of the torsion spring 90. The number sleeve 60 has a proximal portion provided with axially extending splines 62 engaging corresponding splines 101 of limiter 100. Thus, limiter 100 is permanently rotationally constrained to number sleeve 60 whereas a relative axial movement between number sleeve 60 and limiter 100 is permitted.
[0146] 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. The stem is provided with a flange carrying the splines for engagement with splines of the number sleeve 60 when the button 70 is not pressed, but this spline interface is disconnected when the button 70 is pressed. The button 70 also has a discontinuous annular skirt with triangular shaped teeth. When the button 70 is pressed, triangular shaped teeth on the button 70 engage with teeth 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 may be provided on the inner side of the button flange for interaction with a clicker feature of clutch plate 120. The button 70 is axially constrained to limiter 100, for example by snap engagement, but may be allowed to rotate relative to the limiter 100.
[0147] The dose selector 80 is axially constrained, but free to rotate with respect 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.
[0148] The torsion spring 90 is attached at its distal end by a hook 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.
[0149] The cartridge is received in cartridge holder 20. The cartridge may be a glass ampoule having a moveable rubber bung at its proximal end. The distal end of cartridge 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 is a standard 1.5 ml cartridge. The device is designed to be disposable in that the cartridge 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 piston rod 30 and the resetting of nut 50.
[0150] The limiter 100 is a tubular element having axially extending splines 101 on its inner surface engaging splines 62 of the number sleeve. The outer surface of the limiter 100 is provided with a helically extending path, i.e. a thread form, defined by a helical groove 102. The thread turns of the groove 102 are spaced from each other by a helical rib 103. The lead of the thread turns on the limiter 100 is essentially the same as the lead of thread 61 of number sleeve 60. In the embodiment of
[0151] The helical rib 103 is discontinuous with clearances 106 provided between sections in which the rib 103 is present. The groove 102 defines a track with narrow sections limiting relative axial movement between the track and the blocking feature 112 in sections where the rib 103 is present on both sides of the groove and wide sections permitting relative axial movement between the track and the blocking feature 112 in sections where a clearance 106 is provided. In the embodiment of
[0152] The gauge element 110 is constrained to prevent rotation but allow translation relative to the housing 10 via a splined interface. As depicted in
[0153] The gauge element 110 has a partially cylindrical form, with a central aperture or window and two surfaces extending on either side of the aperture. The gauge element 110 is preferably not transparent and thus shields or covers the number sleeve 60, whereas the aperture or window allows viewing a portion of the number sleeve 60. Further, gauge element 110 may have a cam and a recess interacting with the clicker arm of the number sleeve 60 at the end of dose dispensing.
[0154] 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 may be provided on the clutch plate 120 for interaction with ratchet features of the button 70.
[0155] 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.
[0156] With the device in the at rest condition as shown in
[0157] The user selects a 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 61, 111 thereby showing the value of the dialled dose. The gauge element 110 has surfaces 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.
[0158] One feature of this disclosure 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 11b 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.
[0159] As a dose is set by the user, the gauge element 110 translates axially, the distance moved is 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.
[0160] 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.
[0161] 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.
[0162] 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.
[0163] Relative rotation of the number sleeve 60 and the drive sleeve 40 is allowed. This relative rotation also causes the last dose nut 50 to travel along its threaded path, towards its last dose abutment on the drive sleeve 40.
[0164] 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.
[0165] 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.
[0166] During dose setting, the blocking feature 112 is guided in groove 102 between portions of rib 103. This may cause a relative axial movement of the limiter 100 with respect to the number sleeve 60 if the lead of threads 61 and 102 is not identical. If the user continues to increase the selected dose until the maximum dose limit is reached, the blocking feature 112 engages with maximum dose abutment 105 on the limiter 100. This prevents further rotation of the limiter 100, number sleeve 60, clutch plate 120 and dose selector 80.
[0167] 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. 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.
[0168] With the mechanism in a state in which a dose has been selected, the user is able to deselect any number of increments from this dose. Deselecting a dose is achieved by the user rotating the dose selector 80 anti-clockwise. The torque applied to the dose selector 80 by the user is sufficient, when combined with the torque applied by the torsion spring 90, to overhaul the ratchet interface 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 and torsion spring 90), 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.
[0169] 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. As noted above, the limiter 100 is axially constrained to the button 70. Thus, activation of the mechanism, i.e. initiation of dose dispensing, requires a distal movement of the limiter 100 that corresponds to the axial movement of button 70. However, axial movement of the limiter 100 is limited if blocking feature 112 of the gauge element 110 engages a narrow section of the track formed by groove 102 and rib 103 because the gauge element 110 is coupled to the housing 10 via number sleeve 60. In other words, although gauge element 110 travels axially during dose setting, the position of the gauge element 110 with respect to the housing 10 is fixed as dose setting is stopped due to the helical feature 111 on the gauge element 110 engaging the helical cut 61 of the number sleeve which is axially constrained to the housing 10. On the other hand, if blocking feature 112 is in a wide section of the track, i.e. a section with clearance 106, the limiter 110 may be displaced relative to the gauge element 110 with the blocking feature 112 passing from one thread turn into an adjacent thread turn, thus allowing depressing of the button 70.
[0170] Referring now to
[0171] In
[0172] When the blocking feature 112 is engaged on the distal side of the blocking rib 103, the user is prevented from dispensing a dose as described above. In this condition, axial force applied by the user is transmitted from the button 70 via limiter 100 to the blocking feature 112 on the gauge element 110 and then directly on to the number sleeve 60 and the housing 10. Due to the relatively short, direct load path between the blocking features, the blocking action is strong and positive (i.e. there should be little flexibility in this stop, which if present could confuse users).
[0173] 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. Triangular teeth on the button 70 engage with teeth 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 may limit axial travel of the button 70 and reacts any axial abuse loads applied by the user, reducing the risk of damaging internal components.
[0174] 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 between the drive sleeve 40 and the housing 10 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.
[0175] 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.
[0176] Tactile feedback during dose dispense may be 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.
[0177] Delivery of a dose continues via the mechanical interactions described above while the user continues to depress the button 70. If the user releases the button 70, the clutch spring 130 returns the drive sleeve 40 to its at rest position (together with the clutch plate 120 and button 70), engaging the splines between the drive sleeve 40 and housing 10, preventing further rotation and stopping dose delivery. This only occurs if the button 70 is released in a location where the limiter 100 allows the button 70 to return to the at rest position. If the button 70 is released with the limiter 100 located in a blocked position, then the button 70 is prevented from returning.
[0178] 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. As the dose is dispensed, the number sleeve 60 and the limiter 100 spin against the housing 10, whilst the gauge element 110 travels axially (with no rotation) back towards the distal needle-end of the device. The limiter 100 is moved proximally by the user pressing on the button 70, resulting in the blocking feature 112 running along the proximal side of the blocking rib 103.
[0179] Once the delivery of a dose is stopped, by the distal end of the helical feature 11 contacting the distal end of thread 61, 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. Due to the clearance 106 near the minimum dose stop 104 blocking element 112 returns into its original position, i.e. it returns to its original thread turn passing through the clearance 106 of rib 103.
[0180] At the end of dose dispensing, additional audible feedback may be 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.
[0181] Because the features that define the deliverable dose values are all formed on the limiter 100, the device can be configured for different applications very easily by changing only one component. Similarly, because the dose limitating features do not protrude beyond the basic envelope of the limiter 100, it should also be straightforward to assemble a wide range of different device configurations using common automated assembly equipment.
[0182] Although the ribs 103 are depicted as having proximal and distal side surfaced being mainly perpendicular to the axis I of the device, other embodiments may have a ramp-like configuration of the ribs with a steeper distal face and a slanted proximal face. In addition or as an alternative, the blocking features may have a ramp-like configuration of the ribs with a steeper proximal face and a slanted distal face. This facilitates returning of the blocking feature into the adjacent distal thread turn even if the blocking feature is in a narrow section of the track. This may be required to pause or stop dose dispensing.
[0183] Referring to
[0184] Further, a limiter blocking feature 112 is provided at the distal end of the dose selecting element 60. The blocking feature 112 may be a unitary component part of the dose selecting element or may be axially and rotationally constrained to the dose selecting element. The blocking feature 112 comprises a helical groove 102 defined by helical ribs 103. The pitch and lead of the helical groove 102 correspond to the pitch and lead of the threaded interface between the dose selecting element 60 and the housing 10. A clearance 106 is provided at two positions of the blocking feature 112, thereby defining wider sections of the track of groove 102, while the remaining sections of groove 102 define a narrower track.
[0185] A limiter 100 in the form of an elongate pusher extends and is axially guided within the housing 10. Limiter 100 is coupled with its proximal end to the button 70 and with its distal end to the blocking feature 112.
[0186] In the embodiment of
[0187] In use of the device a dose is set by rotation of button 70 which causes concurrent rotation of the dose selecting element 60. Rotation of the dose selecting element 60 results in axial displacement of the dose selecting element 60 due to its threaded engagement with the housing 10. Button 70 is not axially displaced during dose setting such that limiter 100 is not moved axially, either. The distal end of limiter with pin 107 is guided in groove 102 of the blocking feature 112 of dose selecting element 60. As long as pin 107 is guided in the narrow section of groove 102, i.e. if the pin 107 is not in line with a clearance 106, axial movement of the button 70 (which is required to initiate dose dispensing) is prevented due to the interaction with limiter 100.
[0188] If a dose has been set which corresponds to a predefined dose, the pin 107 is aligned with a clearance 106, that is a wider section of groove 102. In this position, a user may push button 70 to start dose dispensing. During this axial movement of limiter 100 and button 70, pin 107 moves through clearance 106 from a proximal thread form of groove 102 into the distally adjacent thread form. Actuation of the button 70 may e.g. release a torsion spring 90 for driving the piston rod 30. This may also cause the dose selecting element 60 to wind back together with the limiter 100 being guided in blocking feature 112.
[0189] If a user releases button 70 prior to having the previously set dose fully dispensed, a not shown spring may bias the button in the proximal direction. The button 70 entrains limiter 100 axially such that pin 107 contacts the serrated distal face 103a of rib 103. Due to the interaction of the serrated face with pin 107 (and/or due to friction) further rotation of the blocking feature 112, and thus the dose selecting element 60, is stopped by limiter 100. This in turn stops dose dispensing. Dose dispensing may be continued by actuation of the button 70 which releases the engagement (or friction) of pin 107 with the serrated face 103a of rib 103.
[0190] In the embodiment of
[0191] The embodiment of
[0192] During dispense, if the user stops applying force to the button 70 in the embodiment shown in
[0193] a) The device continues to dispense the entire dialed dose.
[0194] b) The device continues to dispense until a clearance 106 in the rib 103 is reached, at which point translation of the limiter 100 is no longer blocked by the gauge element 110 and it can return to its dialing position.
[0195] c) The additional friction in the system (caused by the interaction of the gauge element 110 and the limiter 100) is sufficient to stop dispense of the device.
[0196] The embodiments described below are designed to improve the probability of scenario c) occurring which is potentially advantageous for user safety and control. This in particular is because upon pausing delivery, the user will be unable to adjust the dose from the preselected value, but will be able to continue delivery by pressing the button 70 again.
[0197] In the embodiment shown in
[0198] The same effect and advantage is received when, in another embodiment, the interface between the gauge element 110 and the number sleeve 60 is taken into account. If the button 70 is released mid-dispense, the clutch spring 130 forces the proximal face 111a of the rib forming the helical feature 111 onto the proximal side of the thread 61 formed as a groove (see
[0199] In some embodiments, at least one detent 103d is provided at the proximal side of rib 103 of the limiter 100 (see
[0200] The embodiment shown in a longitudinal section in
[0201] All features described above for supporting safe dispense of the drug when the pressure applied to the button 70 is released may be combined. The features may analogously be used for the embodiment shown in
[0202] The embodiments described in
[0203] The features described below may similarly be used for other devices as well, in particular the device of
[0204] During dialing the blocking feature 112 of the device shown in
[0205] In the embodiment depicted in
[0206] In some embodiments, the clearance 106 comprises a positive detent 106d or groove formed by two ribs extending in axial direction. This means the base line of the detent extends in the axial direction. The detent comprises a triangular cross section. Correspondingly, the blocking feature 112 comprises a meshing alignment ramp 112p which also extends in the axial direction, i.e. its crown line extends in the axial direction. As one can derive from the
[0207] The embodiments shown in
[0208] In the embodiment shown in
[0209] The minimum dose dial stop (e.g. the zero unit dial stop) is formed in this embodiment for example by using the interaction between the number sleeve 60 and the gauge element 110 rather than the limiter 100 and the gauge element 110. This is achieved by reacting a proximal end face 111d of the helical feature 111 of the gauge element 110 against the proximal end face 61d of the thread 61 of the number sleeve 60. The location of the faces 111d and 61d is shown in
[0210] In the embodiment shown in
[0211] In the embodiment shown in
[0212] As shown in
[0213] In some embodiments, an additional component which is both axially and rotationally locked to the number sleeve may be provided to limit the maximum dialable dose. This component allows the limiter 100 to translate axially between it and the number sleeve.
Reference Numerals
[0214] 10, 10 housing [0215] 10a helical housing rib [0216] 11a, 11b window [0217] 11 window [0218] 20, 20 cartridge holder [0219] 30, 30 piston rod (plunger) [0220] 40 drive sleeve [0221] 50 nut [0222] 60, 60 dose selecting element (number sleeve) [0223] 60a minimum dose stop [0224] 61 thread [0225] 61a proximal face [0226] 61b distal face [0227] 61d proximal end face [0228] 62 spline [0229] 70 button (trigger) [0230] 71 groove [0231] 80 dose selector [0232] 90, 90 torsion spring [0233] 100, 100 limiter [0234] 101 spline [0235] 102, 102 groove [0236] 103 rib [0237] 103a serration [0238] 103b proximal face of rib 103 [0239] 103c distal face of rib 103 [0240] 103d detent [0241] 104 zero dose stop [0242] 105 maximum dose stop [0243] 106 clearance [0244] 106a ramp [0245] 106d positive detent [0246] 107 pin [0247] 108 pin [0248] 109 stop feature [0249] 110 gauge element [0250] 111 helical feature (thread segment) [0251] 111a proximal face [0252] 111b distal face [0253] 111d proximal face [0254] 112, 112 blocking feature [0255] 112a distal face [0256] 112b proximal face [0257] 112e regular edge [0258] 112g lead-in ramp [0259] 112p alignment ramp [0260] 113 leading edge [0261] 120 clutch plate [0262] 130 clutch spring
[0263] I axis [0264] D arrow showing distal direction [0265] P arrow showing proximal direction