Embodiments described herein generally relate to an injection device. Specifically, embodiments described herein relate to an autoinjector for automatically administering at least two medications.
Activators are components of medical hypodermic syringes that can be operated automatically, and are generally for a single-use. Such a syringe, commonly referred to as an “autoinjector,” is placed with its distal end on an injection site at a region of a body of a subject and is then triggered by a manual action, often taken at an opposite, proximal end of the autoinjector. The terms “proximal” and “distal” refer to the perspective of a person using the autoinjector to administer a medication to a patient. A needle extends from the distal end of the autoinjector.
Autoinjectors are often used to quickly administer life-saving drugs under stressful circumstances, for example, during anaphylaxis resulting from an allergic reaction or after exposure to toxic materials or chemicals.
In accordance with embodiments described herein, an autoinjector device is disclosed that includes an injector unit having a cartridge housing, a first carpule to contain first medication for administration, the first carpule being positioned within an interior area of the cartridge housing, and a second carpule to contain second medication, e.g., for simultaneous or concurrent administration with the first medication, the second carpule being positioned within the interior area of the cartridge housing. In some embodiments, the autoinjector further includes an activator unit that includes an activation housing, a first activation engine positioned within an interior area of the activation housing, the first activation engine including a first spring and a first piston, such that the first spring and the first piston are co-axial with the first carpule, and a second activation engine positioned within the interior area of the activation housing, the second activation engine including a second spring and a second piston, such that the second spring and the second piston are co-axial with the second carpule. In some embodiments, the autoinjector includes a retainer to retain the first spring and the second spring, a safety disk positioned at a proximal end of the activation housing, and a first safety element to engage the safety disk and maintain the activator unit in a storage setting.
In accordance with embodiments described herein, an autoinjector device is disclosed that includes an injector unit having a cartridge housing, a first carpule to contain first medication for administration, the first carpule being positioned within an interior area of the cartridge housing, and a second carpule to contain second medication, e.g., for simultaneous or concurrent administration with the first medication, the second carpule being positioned within the interior area of the cartridge housing. A needle assembly housing is secured to the cartridge housing, a first needle assembly is secured to the first carpule and positioned within an interior area of the needle assembly housing, and includes a first needle guide and a first cannula secured to the first needle guide, and a second needle assembly is secured to the second carpule and positioned within the interior area of the needle assembly housing, and includes a second needle guide and a second cannula secured to the second needle guide. In some embodiments, the autoinjector further includes an activator unit that includes an activation housing, a first activation engine positioned within an interior area of the activation housing, a second activation engine positioned within the interior area of the activation housing, a safety disk positioned at a proximal end of the activation housing, and a first safety element to engage the safety disk and maintain the activator unit in a storage setting.
In any of the various embodiments described herein, an autoinjector may further include a first piston rod connected to a first piston, the first piston rod having an intermediate protrusion, wherein a portion of the first piston rod is positioned within an interior area of a first spring such that a distal end of the first spring abuts a proximal surface of the intermediate protrusion and a distal surface of the intermediate protrusion abuts a distal end of a retainer. In some embodiments, a second piston rod may be connected to a second piston, the second piston rod may have an intermediate protrusion, wherein a portion of the second piston rod is positioned within an interior area of a second spring such that a distal end of the second spring abuts a proximal surface of the intermediate protrusion and a distal surface of the intermediate protrusion abuts a distal end of the retainer.
In any of the various embodiments described herein, an autoinjector may further include a second safety element to engage a safety disk and maintain an activator unit in a storage setting, the second safely element extending parallel to a first safety element.
In any of the various embodiments described herein, an injector unit may further include a needle assembly housing connected to a cartridge housing such that a proximal portion of the needle assembly housing engages a distal portion of the cartridge housing, a first needle assembly to connect to a first carpule, the first needle assembly being positioned within an interior area of the needle assembly housing in a storage setting, and a second needle assembly to connect to a second carpule, the second needle assembly being positioned within the interior area of the needle assembly housing in the storage setting. In some embodiments, the injector unit further includes a proximal sealing member that extends around a proximal end of the needle assembly housing, a first distal sealing member positioned at a first distal opening of the needle assembly housing, and a second distal sealing member positioned at a second distal opening of the needle assembly housing. In some embodiments, the first carpule may extend through the proximal sealing member and the cannula of the first needle assembly may be configured to extend through the first distal sealing member. In some embodiments, the second carpule may extend through the proximal sealing member and the cannula of the second needle assembly is configured to extend through the second distal sealing member. In some embodiments, a distal end of the cartridge housing may abut the proximal sealing member.
In any of the various embodiments described herein, a proximal portion of a cartridge housing may engage a distal portion of an activation housing. In some embodiments, the cartridge housing may engage the activation housing via a snap-fit connection.
In any of the various embodiments described herein, a first safety element may extend along an outer surface of a retainer. In some embodiments, the first safety element may extend along an outer surface of a first side of the retainer and a second safety element may extend along the outer surface of a second side of the retainer.
In any of the various embodiments described herein, a first safety element may be planar and include a base, a first arm and a second arm extending from the base with the first and second arms being separated from one another by a space, wherein each of the first arm and the second arm comprises a flange configured to engage a safety disk. In some embodiments, an autoinjector may further include a safety cap removably securable to a proximal end of an outer housing, wherein the safety cap comprises a safety pin positioned in the space between the first arm and the second arm of the first safety element when the safety cap is secured to the proximal end of the outer housing.
In any of the various embodiments described herein, an autoinjector may further include an engine rod, the engine rod having a proximal end and a proximal surface at the proximal end that abuts a distal surface of a safety disk, wherein a proximal end of a first spring abuts a distal surface of a spring support at the proximal end of the engine rod, and wherein a proximal end of a second spring abuts the distal surface. In some embodiments, the engine rod may extend through a bore of a retainer, such that the retainer is movable along the engine rod.
In any of the various embodiments described herein, a needle assembly housing may be secured to a cartridge housing via a snap-fit connection.
In any of the various embodiments described herein, a first needle assembly may be connected to a distal end of a first carpule via a needle clip, wherein the first needle assembly is movable relative to the needle clip.
The accompanying drawings, which are incorporated herein and form a part of the specification, illustrate the present disclosure and, together with the description, further serve to explain the principles thereof and to enable a person skilled in the pertinent art to make and use the same.
Reference will now be made in detail to representative embodiments illustrated in the accompanying drawings. It should be understood that the following descriptions are not intended to limit the embodiments to one preferred embodiment. To the contrary, it is intended to cover alternatives, modifications, and equivalents as can be included within the spirit and scope of the described embodiments as defined by the claims. The terms “distal” and “proximal”, when used in the following description refer to a position of an end, element or feature relative to an injection site on a body of a subject receiving an injection from the device with “distal” referring to a relative position near the injection site of the subject and with “proximal” referring to a relative position away or distant from the injection site of the subject.
In some situations, it may be beneficial for an injection device to administer more than one medication to a patient, and it may be beneficial to store the medications separately from one another prior to administration. However, storing the medications in separate injection devices may be inconvenient, and it may be cumbersome to store and transport multiple injection devices containing various medications. Further, separately using each injection device, such as by sequentially administering the medication in each injection device may cause additional discomfort to the patient due to administration of a series of separate injections. Instead, it may be desirable to include both medications in a single injection device for administration, e.g., for simultaneous or concurrent administration.
Some embodiments described herein relate to an autoinjector that is configured to administer (e.g., simultaneously or concurrently) two or more medications. In order to administer (e.g., simultaneously or concurrently) two medications, the autoinjector may have two carpules for storing medications that are arranged in a side-by-side orientation such that the carpules are parallel to one another. In some embodiments, the autoinjector may further include two safety elements that are configured to maintain the autoinjector in a storage setting to prevent actuation of the autoinjector. The two safety elements may be arranged parallel to one another and each safety element engages a safety disk so as to retain the autoinjector in the storage setting.
Some embodiments described herein relate to an autoinjector 100 that includes a distal end 101 directed towards a patient when in use to administer the stored medications, and a proximal end 102 opposite distal end 101 and facing away from the patient, as shown in
Autoinjector 100 may have an outer housing 103 (see, e.g.,
Outer housing 103 is movable in relation to an activation housing 120 of activator unit 220 so as to cause autoinjector 100 to administer the stored medication. In some embodiments, outer housing 103 may slide relative to activation housing 120 in a direction of the longitudinal axis X of autoinjector 100 from proximal end 102 toward distal end 101, i.e., in a direction toward the patient.
With reference to
Autoinjector 100 includes an injector unit 230, as shown in
Autoinjector 100 may include a single carpule, two carpules, or three or more carpules, depending upon the number of medications desired to be, for e.g., simultaneously or concurrently administered. In embodiments having multiple carpules, each carpule may be identical or may be different. In embodiments having two or more carpules, carpules may have different dimensions and/or volumes so as to store different amounts of medication, and in some embodiments the carpules may differ in cross-sectional shape. For convenience and brevity, the construction of a single carpule will be described, and it is understood that any number of carpules may be included in autoinjector 100 that are constructed in accordance with the following description.
A carpule 130 is configured to store a medication for administration to a patient, as shown for example in
A plunger or piston 133 of an activation engine 225 is positioned in an interior volume 136 of carpule 130 at a proximal end 131 of carpule 130 when autoinjector 100 is in a storage setting. When autoinjector 100 is in use, activation engine 225 is configured to drive piston 133 from proximal end 131 toward distal end 132 of carpule 130 to dispense the medication stored within carpule 130. Piston 133 further serves as a seal to prevent medication from escaping proximal end 131 of carpule 130.
A septum 134 may be disposed at a distal end 132 of carpule 130, as best shown in
In some embodiments, carpule 130 may be configured to store two or more medications, as shown in
In some embodiments, autoinjector 100 may include two carpules, such as a first carpule 130 that stores a first medication and a second carpule 130 that stores a second medication. As discussed above, second carpule 130 may be formed in the same manner as first carpule 130. The second medication stored in second carpule 130 may be the same as the first medication, or the second medication may be a different medication. Similar to first carpule 130, second carpule 130 is also positioned within interior area 116 of cartridge housing 110. In the example embodiments shown in the figures, autoinjector 100 includes two carpules 130 (i.e., a first carpule 130 and a second carpule 130).
First and second carpules 130, and any further carpules 130, may be arranged parallel to one another and to longitudinal axis X of autoinjector 100 (see
Autoinjector 100 may further include a needle assembly housing 150, as shown, for example, in
A needle assembly 160 is connected to a carpule 130, as shown in
In some embodiments, needle guide 161 comprises a tubular shell 207 and a support 203 having an aperture 204 to receive a cannula 162 therethrough, as shown, for example, in
In embodiments of autoinjector 100 having a needle clip 166, as is shown for example in
When autoinjector 100 is actuated to administer a medication, carpule 130 is driven towards a distal end 101 of autoinjector 100, and as carpule 130 (and needle clip 166 attached thereto) is driven towards distal end 101, needle guide 161 slides on needle clip 166 toward carpule 130. Specifically, the male connector(s) 206 of bar(s) 208 disengage from the female connector(s) or notch(es) 164, and the bar(s) 208 slide within slot(s) 169 towards proximal end 168 of needle clip 166. As needle guide 161 slides toward carpule 130, cannula 162 fixed thereto also moves towards carpule 130 and may puncture septum 134 of carpule 130 so as to insert proximal end 163 of cannula 162 into interior volume 136 of carpule 130 (see
Needle clip 166 may define a slot 169 extending from distal end 167 toward proximal end 168 configured to receive a bar 208 of needle guide 161 such that needle guide 161 may slide relative to needle clip 166 in a longitudinal direction. Distal end 167 of slot 169 may include a notch 164 so as to secure needle guide 161 in a first position with respect to needle clip 166 in a storage setting, and when autoinjector 100 is actuated, the bar(s) 208 of the needle guide 161 slide into slot(s) 169 of needle clip 166 toward proximal end 168 of needle clip 166.
In some embodiments, autoinjector 100 may include a second needle assembly 160 that is constructed in the same manner as first needle assembly 160, and second needle assembly 160 connects to a second carpule 130 in the same manner that first needle assembly 160 connects to first carpule 130, such as by a needle clip 166. Thus, the number of needle assemblies 160 corresponds to the number of carpules 130 in autoinjector 100.
In some embodiments, a proximal sealing member 158 may abut a distal end 114 of cartridge housing 110, as shown in
Autoinjector 100 further includes an activator unit 220, as shown in
Activator unit 220 may include an activation housing 120. Activation housing 120 includes a proximal end 121 opposite a distal end 122 and defines an interior area 126. In some embodiments, a proximal end 112 of cartridge housing 110 engages a distal end 122 of activation housing 120. Cartridge housing 110 may engage activation housing 120 via a snap-fit connection. However, in alternate embodiments, the connection may be by male-female connections, interference fit, bayonet connectors, or may be by glue, adhesives, welding, such as ultrasonic welding, or the like.
An activation engine 225 is positioned within interior area 126 of activation housing 120. Activation engine 225 is configured to drive the dispensing of medications from each carpule 130. The number of activation engines 225 may correspond to the number of carpules 130. Thus, in embodiments having two carpules 130, autoinjector 100 may include two activation engines 225. First activation engine 225 is configured to drive administration of medication from first carpule 130, and in embodiments having a second carpule 130, a second activation engine 225 is configured to drive administration of medication from second carpule 130.
Each activation engine 225 may be configured in the same manner as described herein. For simplicity, the configuration of a single activation engine 225 will be described and it is understood that additional activation engines, such as second activation engine and subsequent activation engines, may be constructed in accordance with the following description.
First activation engine 225 may include a first drive element, such as a first spring 182, and a first piston 133. First spring 182 and first piston 133 may be positioned coaxially with first carpule 130. First spring 182 is configured to drive first carpule 130 toward distal end 101 of autoinjector 100, which causes a cannula 162 of a needle assembly 160 connected to first carpule 130 to extend through needle assembly housing 150 of autoinjector 100, and further to drive first piston 133 toward distal end 132 of first carpule 130 so as to drive medication stored in first carpule 130 to flow through its respective cannula 162 for administration to a patient.
In some embodiments, activation engine 225 further includes a first piston rod 184 connected to first piston 133. A distal end 185 of first piston rod 184 may be connected to first piston 133 by any of various fastening methods, such as by glue or adhesives, male-female connections, welding, bonding, or the like. A portion of first piston rod 184 adjacent a proximal end 183 of piston rod 184 is positioned within an interior area of first spring 182.
First piston rod 184 may further include an intermediate protrusion 187 located on first piston rod 184 at a location between proximal end 183 and distal end 185. Intermediate protrusion 187 extends in a transverse direction relative to a longitudinal axis of first piston rod 184 such that a distal end 186 of first spring 182 abuts a proximal surface 188 of intermediate protrusion 187. In some embodiments, intermediate protrusion 187 may extend circumferentially from piston rod 184.
In some embodiments, autoinjector 100 further includes an engine rod 140, as shown in
In embodiments having two activation engines 225, and thus two springs 182, springs 182 may be positioned on opposing sides of engine rod 140 and extend parallel to engine rod 140.
In some embodiments, a retainer 190 as shown in
Retainer 190 may further include a central bore 198 extending from proximal end 191 to distal end 192. Engine rod 140 may be received through central bore 198 such that retainer 190 is movably positioned on engine rod 140. Central bore 198 may have a cross-sectional shape corresponding to a cross-sectional shape of engine rod 140. In some embodiments, central bore 198 may have a square or rectangular cross-sectional area so as to receive an engine rod 140 having a square cross-sectional area, such that retainer 190 may not rotate about engine rod 140, ensuring only linear motion of retainer 190 relative to engine rod 140.
Retainer 190 further defines a slot 193 on an outer surface 194 of retainer 190 that extends from proximal end 191 to distal end 192 of retainer 190. Slot 193 is configured to receive and secure a safety element 170. Outer surface 194 of retainer 190 may include a protrusion 197 within slot 193 for facilitating positioning of safety element 170. Further, distal end 192 of retainer 190 may include a recess 201 configured to receive a tab 176 of safety element 170 for further securing and positioning safety element 170 with respect to retainer 190.
When autoinjector 100 is released from a storage setting to administer medication, compressed springs 182 extend and drive piston rods 184 and retainer 190 in a direction toward distal end 101 of autoinjector 100 along engine rod 140. The movement of retainer 190 toward distal end 101 of autoinjector 100 may be limited by distal end 114 of cartridge housing 110.
In order to maintain autoinjector 100 so that it is ready for use, with spring 182 in a compressed state, autoinjector 100 may include a safety disk 200 and a safety element 170, as shown in
Safety disk 200 may have a generally planar configuration. In an embodiment, safety disk 200 may have a flat figure-eight-like shape with apertures 215 configured to receive proximal ends 183 of piston rods 184 when the autoinjector 100 is in its storage setting. In an embodiment, a safety disk 200 may have a flat shape with a waisted area 216 for receiving features of a safety element 170, such as flange(s) 173 discussed below, when the autoinjector 100 is in its storage setting. Safety disk 200 is arranged at a proximal end 121 of activation housing 120, and in an embodiment is fixed thereto, and abuts spring support 146 at proximal end 141 of engine rod 140. Safety disk 200 may be in a fixed position within autoinjector 100. Safety disk 200 is positioned transverse to the longitudinal axis X of autoinjector 100. Safety disk 200 may comprise metal.
Safety element 170 may be positioned on an outer surface of retainer 190 as shown in
In some embodiments, safety element 170 is positioned on outer surface 194 of retainer 190 and is configured to engage a safety disk 200, as best shown in
In some embodiments, autoinjector 100 may include two safety elements 170, such as a first safety element 170 and a second safety element 170. In such embodiments, second safety element 170 may be identical to first safety element 170, and thus may include a base 171, a pair of arms 172 extending from base 171 and separated by a space 175, and a flange 173 on each arm 172 as described above. However, second safety element 170 is arranged on an outer surface 194 of retainer 190 on a second side of retainer 190 opposite the first side on which first safety element 170 is positioned. Thus, retainer 190 may be formed with a slot 193 on a second side for receiving second safety element 170. Second safety element 170 also engages safety disk 200. Second safety element 170 may be arranged so that it is generally parallel to first safety element 170. The use of an additional safety element 170 on opposing side of retainer 190 may help to evenly distribute the spring force, and may help to maintain spring(s) 182 in a compressed state in the event first safety element 170 breaks or malfunctions. In such embodiments, first safety element 170 is arranged in a generally parallel orientation with respect to second safety element 170.
In order to disengage first and second safety elements 170 from safety disk 200, first and second arms 172 of each safety element 170 may be moved in a direction toward one another, i.e., toward the longitudinal axis X of the autoinjector. In this way, flanges 173 of arms 172 disengage from safety disk 200, and springs 182 drive retainer 190 and safety elements 170 carried thereon towards distal end 101 of autoinjector 100.
In some embodiments, autoinjector 100 further includes a safety cap 240, as shown in
Safety cap 240 may be removably securable to outer housing 103 by an interference fit, snap fit, or the like. In order to prevent use of autoinjector 100 when safety cap 240 is secured to outer housing 103, safety cap 240 may include a safety pin 205. When safety cap 240 is secured to outer housing 103, safety pin 205 is positioned between the pair of arms 172 of safety element 170 so as to maintain engagement of safety element 170 with safety disk 200 (see
With arms 172 of the safety element 170 separated by safety pin 205 of safety cap 240, flanges 173 of each arm 172 engage the proximal surface of the safety disk 200. When safety pin 205 is removed, arms 172 are separated by space 175 and are configured to be moved towards one another in order to disengage flanges 173 from the safety disk 200, when appropriate, allowing activation engines 225 to operate.
In operation, autoinjector 100 is maintained in a storage setting with springs 182 in a compressed state, carpules 130 pre-filled with medication, and cannulas 162 of needle assemblies 160 enclosed within autoinjector 100, as shown in
With safety cap 240 removed from outer housing 103, outer housing 103 may be actuated to cause administration of medication. A user, such as the patient, may position a distal end 101 of autoinjector 100 in contact with an injections site at a region of a body of the patient at which it is desired to administer the stored medications. To actuate autoinjector 100, the user may slide outer housing 103 in a direction toward distal end 101 of autoinjector 100 (i.e., toward the patient), as shown in
When safety elements 170 are disengaged from safety disk 200, springs 182 of activation engine 225 may extend from a compressed state as shown in
In some embodiments, autoinjector 100 may further include an end cap 210, as shown in
In operation of an autoinjector 100 according to an embodiment, autoinjector 100 may be positioned with end cap 210 in contact with a body of a patient, in a location where it is desired to administer the medication, such as for example, a thigh or buttock. Spring 218 is compressed in a retracted setting with distal end 212 of end cap 210 in close proximity to, or abutting, distal end 152 of needle assembly housing 150. Once autoinjector 100 is actuated to administer medication, cannulas 162 of needle assembly 160 extend through needle assembly housing 150 and end cap 210 to administer medication to the patient. When autoinjector 100 is removed from contact with the body of the patient, spring 218 of end cap 210 is released and extends so that end cap 210 covers distal ends 165 of cannulas 162 which project beyond needle assembly housing 150 after administration of the medications. However, in some embodiments, as shown in
In some embodiments, autoinjector 100 may further include a spring 180 extending between proximal end 102 of outer housing 103 and proximal end 121 of activation housing 120, as shown in
It is to be appreciated that the Detailed Description section, and not the Summary and Abstract sections, is intended to be used to interpret the claims. The Summary and Abstract sections may set forth one or more but not all exemplary embodiments of the present disclosure(s) as contemplated by the inventors, and thus, are not intended to limit the present disclosure(s) and the appended claims in any way.
The present disclosure has been described above with the aid of functional building blocks illustrating the implementation of specified functions and relationships thereof. The boundaries of these functional building blocks have been arbitrarily defined herein for the convenience of the description. Alternate boundaries can be defined so long as the specified functions and relationships thereof are appropriately performed.
The foregoing description of the specific embodiments will so fully reveal the general nature of the disclosure(s) that others can, by applying knowledge within the skill of the art, readily modify and/or adapt for various applications such specific embodiments, without undue experimentation, and without departing from the general concept of the present disclosure(s). Therefore, such adaptations and modifications are intended to be within the meaning and range of equivalents of the disclosed embodiments, based on the teaching and guidance presented herein. It is to be understood that the phraseology or terminology herein is for the purpose of description and not of limitation, such that the terminology or phraseology of the present specification is to be interpreted by the skilled artisan in light of the teachings and guidance herein.
The breadth and scope of the present disclosure(s) should not be limited by any of the above-described exemplary embodiments, but should be defined only in accordance with the claims and their equivalents.
This invention was made with government support under grant number MCDC W15QKN-16-9-1002 awarded by Department of Defense. The government has certain rights in the invention.
Filing Document | Filing Date | Country | Kind |
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PCT/US2021/049210 | 9/7/2021 | WO |
Number | Date | Country | |
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63075718 | Sep 2020 | US |