Cartridge assembly for a drug delivery device and drug delivery device
20230036681 · 2023-02-02
Inventors
- David Aubrey Plumptre (Warwick, Worcestershire, GB)
- Robert Veasey (Warwick, Worcestershire, GB)
- Paul Roger Griffin (Warwick, Worcestershire, GB)
- Rory James Livingston Hawkins (Warwick, Worcestershire, GB)
- Charles Henry Bertinat (Warwick, Worcestershire, GB)
Cpc classification
A61M5/34
HUMAN NECESSITIES
A61M5/24
HUMAN NECESSITIES
International classification
A61M5/34
HUMAN NECESSITIES
Abstract
The disclosure relates to a cartridge assembly for a drug delivery device, the cartridge assembly comprising a cartridge containing a drug; a cartridge holder, the cartridge holder defining an interior cartridge holding section, where the cartridge is arranged within the cartridge holding section, wherein the cartridge holder comprises a distal region with a needle connector arranged at a distal end of the distal region and a main body region; a fixing feature which is arranged at the distal region; and a region with reduced mechanical stiffness compared to the stiffness of the main body region, the region with reduced mechanical stiffness being integrated into the distal region and arranged between the needle connector and the fixing feature, such that when the cartridge is moved in a proximal direction, an emerging load is transferred from the cartridge to the fixing feature and to the main body region in the proximal direction.
Claims
1-17. (canceled)
18. A cartridge assembly for a drug delivery device, the cartridge assembly comprising: a cartridge containing a drug, a cartridge holder, the cartridge holder defining an interior cartridge holding section, wherein the cartridge is arranged within the cartridge holding section, wherein the cartridge holder comprises a distal region with a needle connector arranged at a distal end of the distal region and a main body region, a fixing feature arranged at the distal region, and a region with a reduced mechanical stiffness compared to a stiffness of the main body region, wherein the region with the reduced mechanical stiffness is integrated into the distal region and arranged between the needle connector and the fixing feature, such that, when the cartridge is moved in a proximal direction, an emerging load is transferred from the cartridge to the fixing feature and further to the main body region in the proximal direction.
19. The cartridge assembly of claim 18, wherein the region with the reduced mechanical stiffness comprises a groove or an aperture.
20. The cartridge assembly of claim 19, wherein the groove or the aperture comprises a rectangular or rounded rectangular shape.
21. The cartridge assembly of claim 18, wherein the fixing feature comprises a fixing surface which is arranged to abut a cartridge surface of the cartridge to prevent removal of the cartridge from the cartridge holder such that the cartridge is permanently secured in the cartridge holder.
22. The cartridge assembly of claim 21, wherein the cartridge surface is a proximal surface which faces away from a dispensing end of the cartridge, wherein the cartridge surface is arranged between the dispensing end of the cartridge and an end opposite of the dispensing end, and wherein the fixing feature is integrated into the cartridge holder.
23. The cartridge assembly of claim 21, wherein the fixing feature protrudes from an interior wall of the cartridge holder in a radial direction, and wherein the cartridge holder is configured such that the fixing feature can be resiliently displaced in the radial direction.
24. The cartridge assembly of claim 21, wherein the fixing surface comprises an elevation which faces towards the cartridge surface.
25. The cartridge assembly of claim 21, wherein the fixing surface is oriented relative to the cartridge surface, such that the fixing surface and the cartridge surface are facing each other and are not parallel.
26. The cartridge assembly of claim 18, wherein the fixing feature comprises a region with a reduced thickness.
27. The cartridge assembly of claim 18, wherein the cartridge holding section comprises at least three interior regions, i.e. a first region, a fixing feature region, and a second region, wherein the fixing feature is arranged in the fixing feature region and wherein the fixing feature region is arranged between the first region and the second region in an axial direction, wherein an inner diameter or clear span of the cartridge holder in the fixing feature region is less than an inner diameter or clear span in the first region and in the second region, and wherein the first region and the second region have different inner diameters or clear spans.
28. The cartridge assembly of claim 27, wherein one of the first region and the second region comprises a distal interior region which is arranged distally to the fixing feature, wherein the distal interior region comprises two regions with two different inner diameters, and wherein the region with the smaller diameter of the two different inner diameters is arranged distally to the region with the larger inner diameter of the two different inner diameters.
29. The cartridge assembly of claim 22, wherein the cartridge comprises a head portion with the dispensing end and a main body portion, wherein a neck portion of a reduced diameter is provided between the head portion and the main body portion, the cartridge surface being a surface delimiting the head portion axially.
30. The cartridge assembly of claim 18, wherein the cartridge holder is closed in a radial direction along the entire angular or azimuthal extension of the fixing feature and along the entire axial extension of the fixing feature.
31. The cartridge assembly of claim 18, wherein the cartridge holder comprises cumulatively to the region with reduced mechanical stiffness another region with an increased mechanical stiffness which is arranged adjacent to a fixing surface in the proximal direction and decreases a radial flexibility of the cartridge holder in the other region such that a movement of the cartridge in the proximal direction is impeded.
32. The cartridge assembly of claim 18, wherein the fixing feature is formed unitarily with a section of the cartridge holder, wherein the section defines or forms an exterior surface or outer contour of the cartridge holder in at least one region of the cartridge holder.
33. The cartridge assembly of claim 18, wherein the fixing feature comprises a continuous mechanical connection to the distal region of the cartridge holder in a circumferential direction.
34. The cartridge assembly of claim 18, wherein the region with reduced mechanical stiffness is restricted to a region distally away from the fixing feature.
35. A drug delivery device comprising: a housing; and a cartridge assembly releasably connected to the housing; wherein the cartridge assembly comprises: a cartridge containing a drug, a cartridge holder, the cartridge holder defining an interior cartridge holding section, wherein the cartridge is arranged within the cartridge holding section, wherein the cartridge holder comprises a distal region with a needle connector arranged at a distal end of the distal region and a main body region, a fixing feature arranged at the distal region, and a region with a reduced mechanical stiffness compared to a stiffness of the main body region, wherein the region with the reduced mechanical stiffness is integrated into the distal region and arranged between the needle connector and the fixing feature, such that, when the cartridge is moved in a proximal direction, an emerging load is transferred from the cartridge to the fixing feature and further to the main body region in the proximal direction; wherein the drug comprised in the cartridge is a medicament.
36. The drug delivery device of claim 35, wherein the region with the reduced mechanical stiffness comprises a groove or an aperture.
37. A cartridge assembly for a drug delivery device, the cartridge assembly comprising: a cartridge containing a drug, a cartridge holder, the cartridge holder defining an interior cartridge holding section, wherein the cartridge is arranged within the cartridge holding section, wherein the cartridge holder comprises a distal region with a needle connector arranged at a distal end of the distal region and a main body region, a fixing feature arranged at the distal region, the fixing feature having a fixing surface arranged to abut a cartridge surface of the cartridge to prevent removal of the cartridge from the cartridge holder such that the cartridge is permanently secured in the cartridge holder, wherein the cartridge holder comprises: a region with an increased mechanical stiffness compared to a stiffness of the main body region, wherein the region with the increased mechanical stiffness is integrated into the distal region, and wherein the region is arranged adjacent to the fixing surface of the fixing feature in a proximal direction and decreases a radial flexibility of the cartridge holder in the region such that a movement of the cartridge in the proximal direction is impeded.
Description
BRIEF DESCRIPTION OF THE FIGURES
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[0084] Identical elements, elements of the same kind and identically acting elements may be provided with the same reference numerals throughout the figures.
DETAILED DESCRIPTION
[0085] In the following, in conjunction with the drawings, several embodiments of cartridge assemblies with fixing features which are integrated into the cartridge holder of the assembly are disclosed. Before the specifics of the respective embodiments are disclosed, features which apply to all embodiments are discussed.
[0086] The cartridge assembly 300 comprises a cartridge 301 and a cartridge holder 302. The cartridge 301 is arranged within a cartridge holding or retaining section 303 of the cartridge holder. The cartridge retaining section is expediently delimited by an inner wall 304 of the cartridge holder 302, preferably circumferentially. The cartridge holder 302 has an opening 305. The opening 305 is expediently a proximal opening. The proximal opening may provide access to the interior of the cartridge holder from the proximal end of the holder. Via the opening 305, the cartridge 301 can be inserted into the cartridge holder. A dispensing end 306 of the cartridge may be inserted or introduced into the cartridge holder through the opening 305. The opposite end of the cartridge holder is the distal end of the cartridge holder 302, which may be that end which is arranged closest to the dispensing end 306 of the cartridge 301. The distal end of the cartridge holder is preferably designed to retain the cartridge in the holder, e.g. by abutment, such that the cartridge may only leave the cartridge holder through the opening 305. The axial extension of the cartridge holder is expediently chosen so as to cover at least 50%, preferably more than 60% or more than 70% such as more than 80% or more than 90% of the total length of the cartridge. The entire cartridge may be covered by the cartridge holder 302 as depicted in the embodiments.
[0087] The end of the cartridge opposite to the dispensing end 306, i.e. the proximal end, is not illustrated explicitly in the figures. This end may be closed by a movable bung or stopper, which is likewise not explicitly illustrated. The bung or stopper may sealingly close a proximal opening of the cartridge. A drug 307 or medicament is contained in that region of the cartridge which is arranged between the dispensing end and the bung. Drug may be dispensed through the dispensing end 306 from the cartridge, if fluid communication between the interior of the cartridge and the exterior is provided and the bung is moved towards the dispensing end. The amount of drug 307 in the cartridge is preferably sufficient for a plurality of doses, where the size of the dose may be set by the user or may be fixed, e.g. by the design of the drive mechanism used to deliver the drug from the drug delivery device which comprises the cartridge.
[0088] On the side of the dispensing end 306, the interior of the cartridge which holds the drug or medicament 307 is sealingly closed by a septum 308. The septum 308 may be retained at or fixed relative to a cartridge body 340 of the cartridge by means of a septum retainer 309. The septum 308 is expediently pierceable, e.g. via a needle, which may provide fluid communication between the interior of the cartridge and the exterior. The septum retainer 309 may be formed by a cap, e.g. a metal cap, such as an aluminum cap. The metal cap may be connected via clamping or crimping to the cartridge body 340. The body of the cartridge may be formed of glass. The body 340 may define the outer contour of the cartridge. In the region of the dispensing end 306, where the needle should penetrate the septum, an opening is provided in the septum retainer 309 to allow the needle to pass through the region of the septum retainer. The cartridge 301 comprises a head portion 310 and a main body portion 311. The head portion 310 is arranged on the side of the dispensing end 306. The main body portion 311 may be arranged closer to the proximal end of the cartridge than the head portion 310. Between the head portion 310 and the main body portion 311 a neck portion 312 may be arranged. The main body portion 311 may be that region, where the bung or stopper may travel. The main body portion has a tubular configuration. The neck portion 312 may have a reduced diameter, outer and/or inner diameter, as compared to the main body portion 311. The head portion 310 has a reduced diameter, outer and/or inner diameter, as compared to the main body portion 311. The neck portion 312 has a reduced diameter as compared to the main body portion and also with respect to the head portion 310. The diameter may be the extension of the cartridge 301 in a direction perpendicular to the main longitudinal axis of the cartridge or the cartridge assembly which extends between the proximal end and the distal end. The neck portion may extend circumferentially. The entire cartridge 301 may be rotationally symmetric relative to the main longitudinal axis. The transition between the head portion 310 and the neck portion 312 may be formed via a comparatively steep surface, which is preferably less inclined relative to the radial direction than the surface which is provided between the neck portion 312 and the main body portion 311. Accordingly, the transition between the neck portion 312 and the main body portion 311 may be less steep than the one between the head portion 310 and the neck portion 312.
[0089] Specifically, a cartridge surface 313, which may delimit the head portion 310 proximally, may have an inclination relative to the radial direction which is less than the inclination of a shoulder surface 314 which delimits the main body portion distally. The cartridge surface may be formed by the septum retainer 309 or, alternatively by the cartridge body 340. The septum retainer 309 may clamp the septum to the cartridge body. Thus, the septum retainer may extend from the distal end along the cartridge to a surface of the neck portion of the cartridge body facing away from the distal end of the cartridge and extending in the radial direction to clamp the septum 308 to the cartridge body. The cartridge may comprise or consist of the cartridge body 340, the septum 308, the septum retainer 309, the drug or medicament 307, and/or the bung (not explicitly illustrated).
[0090] The cartridge holder 302 comprises on that end opposite of the opening 305 and/or closest to the dispensing end 306 of the cartridge, i.e. its distal end, a distal end wall 315. The distal end wall may extend circumferentially in a ring-like fashion. A proximal surface of the distal end wall 315 is arranged to abut the distal end face of the cartridge 301. In this way, the cartridge 301 can be retained in the cartridge holder without moving distally relative to the cartridge holder 302. The distal end wall 315 may define an opening 316 in the cartridge holder. The end wall may extend around the opening such that the opening is a central opening in the end wall. The opening may extend axially through the distal end wall 315. The opening 316 may be provided such that a needle can be guided through the opening towards the cartridge, in particular towards the septum 308.
[0091] The cartridge holder 302 may comprise a distal region 317 and a main body region 318. The distal region 317 is arranged closest to the dispensing end of the cartridge and/or to the distal end wall 315 of the cartridge holder. The main body region 318 is arranged further away from the distal end or the distal end wall 315 and/or closer to the opening 305 than the distal region. As compared to the main body region the distal region may have a reduced outer diameter. The reduction may be determined by the reduced diameter of the head portion as compared to the diameter of the main body portion of the cartridge. The main body region 318 and the distal region may be connected by an inwardly directed shoulder region 331. In the distal region a needle connector 319, for example a thread may be arranged. Via the needle connector, a needle unit, for example a hub of a needle unit may be secured to the cartridge holder 302. A needle retained in the needle hub may be guided through the opening 316, pierce the septum 308 and provide fluid communication to the interior of the cartridge to dispense drug 307 or medicament from the cartridge 301. The distal region 317 may be designed to receive the head portion 310 of the cartridge 301 in its interior. The main body region 318 may be designed to receive the main body portion 311 of the cartridge. On the side of the proximal end the cartridge holder may have a connection or interface region 320. In that region, connection or interface features may be provided, which are configured to cooperate with corresponding features on a housing 10 to connect the cartridge assembly 300 to the housing to form a drug delivery device 1 (see
[0092] Between the proximal end and the distal end of the cartridge holder 302, preferably closer to the proximal end than to the distal end, a radially outwardly protruding step 321 or flange, may be provided. The step or flange 321 may extend over the entire circumference of the cartridge holder 302. A proximal surface of the step 321 may be arranged to contact a distal surface of the housing when the cartridge assembly is connected to the housing. The connection region 320 may be covered by the housing, when the assembly has been connected to the housing. The main body region 318 and the distal region 317 may, however, protrude from the housing.
[0093] Furthermore, the cartridge holder 302 comprises at least one fixing feature 322. As seen along the axial direction, the fixing feature 322 is provided between two interior regions of the cartridge holder, where one is adapted to receive and retain the head portion 310 and another one is adapted to receive and retain the main body portion 311 of the cartridge. The fixing feature 322 may extend in the region of the neck portion of the cartridge 301. The fixing feature 322 protrudes radially from an inner wall of the cartridge holder 302. Preferably, the fixing feature 322 reduces the inner diameter of the cartridge holder such that in that region, the inner diameter is less than the outer diameter of the head portion of the cartridge.
[0094] Therefore, if the head portion of the cartridge should be guided axially past the fixing feature from the proximal opening, the fixing feature has to be deflected radially outwardly, e.g. displaced only radially. If the fixing feature is deflected, the head portion can pass the fixing feature. Preferably, the fixing feature is deflected by means of the head portion cooperating with a proximal surface of the fixing feature which may be oblique, i.e. neither perpendicular nor parallel, with respect to the main axis of the cartridge holder. After the head portion has passed the fixing feature, the fixing feature may move radially inward again, e.g. resiliently. The interior region of the cartridge holder which is designed to receive the head portion 310 may have a reduced diameter as compared to that region which receives the main body portion 311.
[0095] The fixing feature 322 is formed integrally, e.g. by injection molding, with a section of the cartridge holder which defines an exterior surface or at least the outer contour of the cartridge holder. That is to say, if applicable the cartridge holder may be provided with a coating on the exterior surface whereas the outer contour may still be defined by the section of the cartridge holder the fixing feature is integrated into. In
[0096] The fixing feature 322 comprises a fixing surface 324. The fixing surface 324 may be a distal surface of the fixing feature. Preferably, the fixing surface is radially oriented, i.e. it extends in the radial direction, and/or plane. The fixing surface 324 is arranged to abut or abuts a proximally facing surface of the cartridge, such as the cartridge surface 313. Thus, the cartridge surface 313 and the fixing surface 324 are arranged to prevent that the cartridge is removed proximally from the cartridge holder through the opening 305 by mechanical cooperation with one another. Accordingly, removal of the cartridge from the holder through the opening 305 is prevented by means of the fixing feature 322. The fixing feature 322 may be formed as a snap and/or clip feature. The angular extension of the fixing feature or the fixing surface may be less than or equal to one of the following values: 20°, 15°, 10°, in alternative embodiments equal or greater than 20°, for example 30°, 35°, 40°, 45°, 50°, 55° or 60°. For example the angular extension may be between 10° and 60°.
[0097] Furthermore, an outer wall of the cartridge holder is provided at the axial position of the fixing feature. Thus, the cartridge holder is closed at least in the region of the fixing feature. Accordingly, the fixing surface and/or the fixing feature cannot be accessed from the outside. This reduces the chances that the cartridge assembly can be tampered with.
[0098] In the following, an embodiment of a cartridge holder with a fixing feature integrated into the cartridge holder is discussed in more detail. The embodiment depicted in
[0099] The fixing feature 322 protrudes radially from the inner wall 304 of the cartridge holder 302. The fixing feature 322 is arranged in the interior of the distal region 317 of the cartridge holder 302 and, particularly, in the interior region of the cartridge holder where the needle connector 319 is provided on the exterior. As is apparent from
[0100] In the region where the fixing feature 322 is provided, e.g. the distal region 317, the cartridge holder 302 may be radially deformable. Thus, the inner diameter may be increased when the cartridge holder 302 is exposed to an axially or radially outwardly directed force. The capability of the cartridge holder 302 to be radially deformed when exposed to a radially directed force may be increased in that angular section of the distal region 317 which overlaps angularly with the opening 325. The fixing feature 322 is arranged in this region as it overlaps angularly with the opening. The fixing feature is expediently non-flexible and/or rigid, e.g. more rigid than the distal region 317 or the inner wall of the first region where the head portion of the cartridge is to be arranged. Thus, when an axial and/or radial force acts on the fixing feature 322, e.g. while the head portion is guided along and in contact with the fixing feature 322, the cartridge holder 302 is widened on account of the rigidity of the fixing feature 322. The fixing feature 322 itself is not deformed or flexed or at least not significantly deformed as compared to that portion of the cartridge holder which is deformed, e.g. the distal region 317 or the shoulder region 331. As the cartridge holder 302 is expediently of plastic, deformation of the fixing feature itself to a very limited degree cannot be avoided. However, in the proposed concept, it is the widening of the cartridge holder in a circumferentially closed region of the cartridge holder 302 which facilitates insertion of the cartridge into the cartridge holder. The cartridge holder is deformed when the cartridge is introduced into the cartridge holder. The region which is deformed expediently is a region which does not have flexible arms, tongues, or tab-like features. The fixing feature 322 is used to transfer the insertion force of the cartridge to the cartridge holder in order to widen the cartridge holder laterally. The interior of the cartridge holder is widened in the region of mechanical contact between the cartridge and the cartridge holder, i.e. in the region in which the fixing feature is disposed, and preferably in axially and/or circumferentially adjacent regions. As opposed to deflecting distinct flexible arms, tongues, or tab-like features, widening the interior of the cartridge holder may provide a more stable fixation of the cartridge in the cartridge holder once the cartridge has been introduced into the cartridge holder. After the head portion 310 has passed the fixing feature 322, the fixing feature is displaced inwardly again, e.g. on account of the deformation being an elastic deformation, and the cartridge surface 313 and the fixing surface 324 are arranged as depicted in
[0101] As shown in
[0102] The distal offset (highlighted with “B” in
[0103] In the region of the interior of the cartridge holder 302 between the cartridge guiding feature 326 and the fixing surface 324, the inner diameter of the interior of the cartridge holder may be greater than in the region of the cartridge guiding feature and/or in a region distally offset from the cartridge guiding feature, if such a region is present which it may be or may not be. In the region of the interior of the cartridge holder between the cartridge guiding feature and the fixing surface the inner diameter may be greater than the inner diameter in the fixing feature region. In the region of the cartridge guiding feature 326 and/or distally with respect to the cartridge guiding feature, the inner diameter of the cartridge holder may be greater than the inner diameter in the fixing feature region, e.g. greater than or equal to the outer diameter of the head portion 310.
[0104] In other words, the septum retainer or metal sleeve 309 has a distal section which surrounds the soft septum 308, and a proximal section that surrounds the neck of the cartridge body or glass ampoule 340. It is advantageous if the distal section of the septum retainer has moved past the fixing surface 324 before the distal section makes contact with the cartridge guiding feature or sloped surface 326. In this way the radial overlapping of the metal sleeve 309 and the fixing surface is minimal during the period of assembly where the fixing surface could damage the metal sleeve 309, and this overlapping is only increased when the fixing surface has moved past the distal section of the metal sleeve 309 and is applying radial pressure to the proximal section. As the proximal section is supported by a harder, e.g. glass like, material than the distal section it will not be damaged or indented. The final overlapping between the fixing surface and the cartridge surface at the end of assembling process is still high. The final overlap may be defined by the smaller inner diameter of the cartridge holder in the region of the sloped surface which marks the end of the sloped surface 326.
[0105] When a cartridge holder 302 with an integrated fixing feature 322 was tested, it has been discovered, that the distal section of the septum retainer 309 dents badly unless the diameter prior to sloped surface 326 is sufficiently larger than the diameter after sloped surface 326 so that the cartridge 301 can move away from the fixing feature with minimal, if any, interference in the distal section of the septum retainer and that this interference only increases after the fixing feature is pressing in the region of the septum retainer 309 where the head portion of the cartridge body, e.g. of glass, backs up/supports the septum retainer, which may be a thin and easily deformable metal component.
[0106] When the cartridge 301 has been assembled into the cartridge holder 302, the fixing feature 322 may block proximal movement of the cartridge 301 relative to the cartridge holder 302. The fixing feature, however, expediently does not exert a securing force, e.g. a distally or radially directed force, onto the cartridge regularly but only prevents removal of the cartridge from the cartridge holder. In this way, the force load onto the cartridge may be advantageously low.
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[0108] As seen from the opening 325 axially towards the fixing surface 324, the wall thickness of the cartridge holder 302 may be less than the wall thickness in the reinforcement section 341. The wall thickness of the cartridge holder 302 in the region of the fixing feature 322 and defined by the fixing feature may be greater than the one in the reinforcement section 341. The fixing feature 322 may radially protrude over the reinforcement section 341. The reinforcement section 341 is also depicted in
[0109] As is apparent from the figures, e.g. from
[0110] Although the depicted embodiment shows only one fixing feature, a sloped surface may also be provided in case a plurality of fixing features is used. In the following embodiment, the sloped surface is not shown, however.
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[0112] As described above in the region where the fixing feature 322 is provided, e.g. the distal region 317, the cartridge holder 302 may be radially deformable. Thus, the inner diameter may be increased when the cartridge holder 302 is exposed to a radially outwardly directed force. An axial and/or radial force acts on the fixing feature 322, e.g. while the head portion is guided along and in contact with the fixing feature 322, the cartridge holder 302 is widened on account of the rigidity of the fixing feature 322. After the head portion 310 has passed the fixing feature 322, the fixing feature is displaced inwardly again, e.g. on account of the deformation being an elastic deformation, and the cartridge surface 313 and the fixing surface 324 are arranged as depicted in
[0113] A disassembly of the cartridge 301 due to tampering or impact is likely to involve the cartridge 301 moving in the proximal direction relative to the cartridge holder 302. In this situation, a surface of the septum retainer 309 facing in the proximal direction may contact the fixing feature 322 and apply a load to the cartridge 301 generally directed proximally. This load may cause deformation of the cartridge holder 302. The fixing feature 322 is likely to flex in the proximal direction.
[0114] However, the fixing feature 322 may also flex either inwards or outwards radially, approximately in the direction of the Y-axis which is oriented perpendicular to the distal and proximal direction, see dashed arrow line in
[0115] This deflection in the radial direction of the Y-axis has an influence on the fixing strength. In the situation of outwards radial flexion along the Y-axis as the load increases, the radial engagement of the fixing feature 322 with the septum retainer 309 will decrease. If the load is high enough, the engagement will decrease to a point at which the septum retainer 309 slips past the fixing feature 322 and/or the fixing feature 322 deforms plastically to allow disassembly of the cartridge 301. In addition, the septum retainer 309 is likely to have a fillet at its outer edge which will come into contact with the fixing feature 322 at some point as the engagement decreases, hastening the disassembly process. The result is likely to be a low fixing strength. In the situation of inwards radial flexion as the load increases the radial engagement of the fixing feature 322 with the septum retainer 309 will increase. The behavior is therefore ‘self-locking’ and this will tend to provide a higher fixing force. In addition, the fixing strength is likely to be less sensitive to the size of the initial engagement and therefore less likely to vary due to cartridge 301 or cartridge holder 302 tolerances.
[0116] The radial deflection of the fixing feature 322 inwardly or outwardly in the direction of the Y-axis is dependent to the load path taken by the load applied to the fixing feature 322 by the cartridge septum retainer 309. As an example, three possible load paths, a distal load path DLP, a circumferential load path CLP and a proximal load path PLP within a cartridge holder 302 are indicated in
[0117] If the cartridge 301 is inserted into the opening 325 of the cartridge holder 302 in the distal direction at some point the most distal surface of the cartridge 301 passes the fixing feature 322.
[0118] Via the opening 305, the cartridge 301 can be inserted into the cartridge holder. A dispensing end 306 of the cartridge may be inserted or introduced into the cartridge through the opening 305. The opposite end of the cartridge holder is the distal end of the cartridge holder 302, which may be that end which is arranged closest to the dispensing end 306 of the cartridge 301. The distal end of the cartridge holder is preferably designed to retain the cartridge in the holder, e.g. by abutment, such that the cartridge may only leave the cartridge holder through the opening 305.
[0119] If the cartridge 301 is inserted fully into the cartridge holder, such that the distal end of the cartridge holder 302 is closest to the dispensing end 306 of the cartridge, the distal end of the fixing feature 322 retains the cartridge 301 in the holder. During insertion the cartridge 301 passes the fixing feature 322 and applies a distal load to the fixing feature 322. This leads to a distal load path DLP, and a circumferential load path CLP, which acts also in the distal region 317. When the cartridge 301 is moved from the retained position in the proximal direction the cartridge 301 applies through the septum retainer 309 a load to the fixing feature which leads to the proximal load path PLP. The septum retainer 309 acts then in the proximal direction towards the fixing feature 322 which leads to a load and the proximal load path PLP as indicated in
[0120] Each load path DLP, CLP, PLP will tend to create a different deflection mode. Two key load paths DLP, PLP with very different deflection modes are shown in isolation at
[0121] As shown in
[0122] As shown in
[0123] The distal load paths DLP, CLP will tend to cause outwards radial deflection, whereas the proximal load path PLP will tend to cause inwards radial deflection.
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[0125] A flexible arm 345 which extends in the distal region 317 of the cartridge holder 302 may be used to create a self-locking behavior. The flexible arm 345 extends in the proximal direction into the shoulder region 331. The flexible arm 345 is fixed at the shoulder region 331 and is flexible in the direction radially inwardly and outwardly. The flexible arm 345 is framed by a u-shaped opening 347. However, this concept has some downsides. Firstly, its function as a cartridge fixing feature is obvious to an observer viewing the external surfaces of the part. Secondly, it is accessible for manipulation with a narrow bladed tool such as a screwdriver. Thirdly, it has a limited radial stiffness because of the inherent flexibility of the flexible arm 345. This makes it easier to manipulate the flexible arm 345 so that it no longer retains the cartridge 301 effectively.
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[0128] Adjacent to this shoulder region 331 a region with reduced mechanical stiffness 350 which is positionally fixed, which comprises an aperture, is arranged. The purpose of the region with reduced mechanical stiffness 350 is to reduce or eliminate the load emerging from the cartridge 301 towards the fixing feature 322 via a distal load path DLP, CLP when the cartridge 301 is moving in the proximal direction and therefore its tendency to flex radially outwards. This therefore increases the amount of load travelling through the proximal load path PLP with its associated inwards radial deflection. The region with reduced mechanical stiffness 350 comprises in this embodiment an aperture. The addition of the aperture provides self-locking behavior and increases the fixing strength significantly.
[0129] In addition, by reducing or removing the distal load paths DLP, CLP, the stiffness of the cartridge holder 302 in response to proximal loading from the cartridge 301 is reduced. This means that during an impact loading scenario, the forces generated will also be reduced because the impact energy can be absorbed over a longer deflection distance. This also tends to increase fixing strength.
[0130] The aperture may extend radially through a sidewall of the cartridge holder, particularly through the entire sidewall from the exterior of the cartridge holder to the interior of the cartridge holder. The aperture may be arranged in and/or restricted to the distal region of the cartridge holder. The aperture may extend and/or be oriented circumferentially, for example as a slit. The aperture may be arranged parallel to the connection feature, which may be a thread. The aperture within the sidewall of the cartridge holder may be defined by a molding tool which during production may abut, in particular radially, an outer surface of a core pin of the molding tool, the core pin defining the interior of the cartridge holder in that region, in which the aperture is arranged, e.g. the distal region. In this way, without changing the core pins for the interior of the cartridge holder, the fixing feature may be defined.
[0131] Certain aspects are therefore an improvement over what is known in the field in terms of the tamper resistance to prevent unauthorized disassembly of the cartridge 301, because the fixing feature is less visually obvious and less accessible to manipulation by tools.
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[0135] The amount of load travelling along each load path DLP1, DLP2, PLP depends on the stiffness of the load path. A higher stiffness load path absorbs more load than a low stiffness load path. Adjusting the amount of stiffness can be achieved by varying the sized and the depth of the aperture which is positioned similar to the aperture of the previous embodiment. This region of reduced stiffness may take many forms and involve profiling of both the inner and outer surfaces, either as well as or instead of an aperture. A simple example using reduced wall thickness which may be in the form of a groove.
[0136] An additional advantage of this design is that the tamper resistance of the fixing method is further increased, as external manipulation of the fixing feature is made even more difficult by the lack of an aperture.
[0137] Figure SB shows a schematic 3D-view of the distal region 317, the shoulder region 331 and a section of the main body region 318 of the cartridge holder 302. At the distal region 317 a region with reduced stiffness 350 in the form of a rectangular groove is shown. The groove is arranged adjacent to the shoulder region 331. The longer side of the rectangle extends parallel to the shoulder region.
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[0140] The concept also includes several additional features which serve to increase the self-locking behavior.
[0141] The fixing surface 324 of the fixing feature 322 may be convex curve so that the contact with the cartridge septum retainer 309 will preferentially be made at the center of the fixing surface 324.
[0142] This is shown in a schematic cross-sectional view in
[0143] Alternatively, as shown in a cross sectional view of the fixing feature 322 and a section of the septum retainer 309 in
[0144]
[0145] This may provide an increase in the self-locking behavior. An additional advantage of the aperture is that the force required to assemble the cartridge into the cartridge holder 302 is reduced, due to the increased flexibility of the fixing feature provided by the aperture.
[0146]
[0147] In 1.5 mL and 3 mL cartridges 301, the septum retainer 309 is supported over part of its length by the septum 308 and part of its length by the cartridge glass. High radial contact pressures applied to the region supported only by the septum 308 are more likely to compromise seal integrity than contact pressures applied to the region supported by the cartridge glass, as the septum 308 is softer and is also the component that provides the sealing interface.
[0148] To address this risk, the internal bore of the cartridge holder needle hub includes a first 328 and a second 329 internal diameter with a conical surface connecting them together. The first internal diameter 328 may be larger than the second internal diameter 329, whereas the second internal diameter 329 may be arranged distal in view of the first internal diameter 328.
[0149] This geometry is intended to reduce the interference between the septum retainer 309 and the fixing feature 322 whilst the fixing feature 322 is contacting the region of the septum retainer 309 that is supported by the septum 308, reducing the likelihood of seal integrity being compromised.
[0150] As the septum retainer 309 gains support from the glass, the septum retainer 309 transitions to contacting on the conical face, increasing interference now that the septum retainer 309 is better able to resist deformation. Towards the end of the assembly stroke and in the final assembled state, the septum retainer 309 contacts on the region with smaller diameter 329, thus providing increased interference and therefore fixing strength. This design therefore allows for greater assembly interference, which is likely to improve fixing strength, whilst minimizing the risk of seal integrity being compromised.
[0151]
[0152]
[0153]
[0154]
[0155] As an additional feature to reduce the peak localized contact pressure on the septum retainer and the risk to seal integrity, the fixing feature is also profiled so that interference peaks at the center of the feature, and reduces towards the edges
[0156]
[0157]
[0158] The current design is intended for use in retaining 1.5 mL and 3 mL cartridges within their Cartridge Holders. However, it may easily be adapted to retain any cartridge, ampule or container within a housing where the benefits of simple assembly, high fixing strength and improved tamper resistance are required.
[0159] The scope of protection is not limited to the examples given herein above. Any invention disclosed herein 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.
[0160] 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.
[0161] 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.
[0162] 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.
[0163] 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.
[0164] 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.
[0165] 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.
[0166] 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.
[0167] 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®), 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.
[0168] An examples of an oligonucleotide is, for example: mipomersen sodium (Kynamro®), a cholesterol-reducing antisense therapeutic for the treatment of familial hypercholesterolemia.
[0169] Examples of DPP4 inhibitors are Vildagliptin, Sitagliptin, Denagliptin, Saxagliptin, Berberine.
[0170] 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.
[0171] 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.
[0172] 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).
[0173] 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.
[0174] 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.
[0175] 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).
[0176] 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.
[0177] 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.
REFERENCE NUMERALS
[0178] 300 cartridge assembly [0179] 301 cartridge [0180] 302 cartridge holder [0181] 303 cartridge retaining section [0182] 304 inner wall [0183] 305 opening [0184] 306 dispensing end [0185] 307 drug/medicament [0186] 308 septum [0187] 309 septum retainer [0188] 310 head portion [0189] 311 main body portion [0190] 312 neck portion [0191] 313 cartridge surface [0192] 314 shoulder surface [0193] 315 distal end wall [0194] 316 opening [0195] 317 distal region [0196] 318 main body region [0197] 319 needle connector [0198] 320 connection region [0199] 321 step [0200] 322 fixing feature [0201] 323 injection gate [0202] 324 fixing surface [0203] 325 opening [0204] 326 surface [0205] 327 opening [0206] 328 region with first internal diameter [0207] 329 region second internal diameter [0208] 331 shoulder region [0209] 340 cartridge body [0210] 341 reinforcement section [0211] 342 cartridge support feature [0212] 1 drug delivery device [0213] 120 cap [0214] 70 dose setting member [0215] 10 housing [0216] 230 window [0217] A thickness [0218] B distance [0219] PLP proximal load path [0220] DLP distal load path [0221] CLP circumferential load path [0222] Y axis perpendicular to distal or proximal direction [0223] 345 flexible arm [0224] 347 U-shaped cavity [0225] 350 Region with reduced mechanical stiffness [0226] 355 Region with increased mechanical stiffness