1. Field of the Invention
The present invention relates to the field of medical devices and, in particular, to devices for delivery of medicament. More particularly, the present invention relates to a cartridge system for delivery of insulin or other medicament.
2. Description of the Related Art
Diabetes is a disease caused by the body's failure to produce adequate insulin or the cell's failure to respond to insulin resulting in high levels of sugar in the blood. If left untreated, diabetes can cause numerous complications. Typically, treatment for diabetes required both repeated checking of blood glucose levels and several injections of insulin throughout the day. Major drawbacks of such treatment were the need to draw blood and test glucose levels throughout the day, improper or low dosage amounts of insulin, contamination of the insulin delivery system, or lifestyle restriction. Low dosages of insulin over an extended period may cause heart disease, stroke, kidney failure, hypertension, or retinal damage.
Diabetes may be controlled by insulin replacement therapy in which insulin is delivered to the diabetic person, usually by injection, to counteract elevated blood glucose levels. Recent therapies include the basal/bolus method of treatment in which basal, a long acting insulin medication, for example, Humalog® and Apidra®, is delivered via injection once every day. The basal provides the body with a relatively constant dose of insulin throughout the day. At mealtime, an additional dose of insulin, or bolus, is administered based on the amount of carbohydrate and protein in the meal. Accurate calculations of various parameters including the amount of carbohydrates and proteins consumed, and the lapse in time since the last dosage are necessary to determine the appropriate dosage of insulin. The dosages are thus prone to human error and the method is ineffective when doses are skipped, forgotten or miscalculated. Exercise, stress and other factors can also cause the calculations to be inaccurate.
To address these problems, programmable insulin delivery devices or pumps were developed which seek to mimic the way a normal, healthy pancreas delivers insulin to the body. Insulin pumps are programmed to deliver a continual basal dose of insulin and occasionally a bolus dose in response to a patient's meal intake and physical activities. Additionally, the number of times a patient is required to draw blood and test their glucose during the day is reduced, thus lessening the pain and inconvenience of this disease.
Conventional insulin pumps are worn on the body and are connected to a patient via a cannula that is inserted somewhere on the patient's abdomen. The insulin is delivered under the skin and is absorbed into the body through the subcutaneous fat layer. Insulin pumps in the past have been quite large, some requiring the use of a shoulder bag to transport. Over time, they have become smaller in size and most pumps today are roughly the size of a deck of cards. Currently available insulin pumps include Animas OneTouch® Ping®, Deltec Cozmo®, Disetronic Accu-Chek Spirit®, Insulet OmniPod, Medtronic Paradigm™, Sooil USA Diabecarell, and Nipro Amigo®.
With the decreased size of the pump unit also comes a decreased size in the medication reservoir. This reduced reservoir size means more frequent refilling, greater potential for contamination of the reservoir, more frequent changes of the cannula and tubing, and greater expense overall in treating the condition. Recent medical data suggests that a combination of insulin and another medication, such as glucagon, infused at different times or simultaneously, leads to better results in patients.
Therefore, the need exists for a low-cost cartridge system, capable of working in tandem with a pump driver system, that contains a plurality of reservoirs for the delivery of more than one drug.
The present invention overcomes the disadvantages of the prior art and fulfills the needs noted above by providing a drug delivery device having a pump driver system, and a cartridge system.
More specifically, the present invention includes a cartridge system having a plurality of reservoirs each with volume, preferably, of 1.5 ml. Each of the plurality of reservoirs can be pre-filled with different medicaments. A pump membrane is placed between two gold-plated neodymium-iron-boron disk magnets that are each housed within a pump body insert. Each of the pump body inserts has a fluid receiving opening, a fluid discharge opening, a plurality of inlet channels, and a plurality of outlet channels. The pump body inserts are placed between two inlet/outlet members. Each of the inlet/outlet members has a fluid receiving opening, a fluid discharge opening, and a fluid outlet component. Additionally, each of the inlet/outlet members has a male part that securely engages to a female part of the reservoir forming an airtight seal. The reservoir, the fluid receiving opening of the inlet/outlet member, the fluid receiving opening, the plurality of inlet channels, the plurality of outlet channels, and the fluid discharge opening of the pump body insert, the fluid discharge opening and the fluid outlet component of the inlet/outlet member are in fluid communication. The cartridge system further includes valve membranes that are placed between the fluid receiving openings of the pump body inserts and the inlet/outlet members, and between the fluid discharge openings of the pump body inserts and the inlet/outlet members.
The valve membranes of the cartridge system can be pre-stressed and formed, for example, of Silastic Q7-4840. The reservoirs can be formed, for example, of Silastic Q7-4840, or Medical Grade Polyisoprene. The pump body inserts and the inlet/outlet members can be formed, for example, of clear polypropylene homopolymer. The pump membrane can be formed, for example, of Silastic Q7-4840.
The present invention also includes a cartridge system having a plurality of orifices to fill or re-fill a plurality of medicaments in the reservoirs. The plurality of orifices can be located on the reservoirs, or on the inlet/outlet members and the plurality of orifices are in fluid communication with the reservoirs.
The present invention further includes a method of delivering medicament using a drug delivery device having a cartridge system. The method includes the steps of providing a drug delivery device having a pump driver system and a cartridge system, loading a plurality of pre-filled reservoirs containing fluid medicament to the cartridge system, engaging securely the cartridge system and the pump driver system, selecting various parameters on a user interface of the pump driver system including selecting pre-determined values or specifying user-defined values for the parameters, and connecting an infusion set to the drug delivery device.
The method of delivering medicament using the drug delivery device includes the additional steps of placing an inset of the infusion set on a body part of a patient, attaching the infusion set to the patient's body, and switching on the drug delivery device.
The method of delivering medicament using the drug delivery device wherein the step of connecting an infusion set to the drug delivery device further includes the steps of connecting one end of a Y-catheter to an outlet component of an inlet/outlet member, and delivering fluid medicament at a given rate. The step of delivering fluid medicament at a given rate can further include delivering fluid medicament at a controlled and continuous rate for a pre-determined or user-defined period of time. Alternatively, the step of delivering fluid medicament at a given rate can further include delivering fluid medicament at a programmable rate that is regulated by the patient.
The present invention also includes a method of delivering medicament using the drug delivery device having the cartridge system. The method includes the steps of providing a drug delivery device having a pump driver system and a cartridge system, loading a plurality of reservoirs to the cartridge system, using an instrument to inject a plurality of fluid medicaments into the plurality of reservoirs, engaging securely the cartridge system and the pump driver system, selecting various parameters on a user interface of the pump driver system including selecting pre-determined values or specifying user-defined values for the parameters, and connecting an infusion set to the drug delivery device. The step of connecting an infusion set to the drug delivery device further includes the steps of connecting one end of a Y-catheter to an outlet component of an inlet/outlet member, and delivering fluid medicament at a given rate. The step of delivering fluid medicament at a given rate can further include delivering fluid medicament at a controlled and continuous rate for a pre-determined or user-defined period of time. Alternatively, the step of delivering fluid medicament at a given rate can further include delivering fluid medicament at a programmable rate that is regulated by the patient.
The present invention further includes a drug delivery device having a pump driver system, a cartridge system, a cannula and an insertion mechanism, and a plurality of conduits. The pump driver system includes a driver that drives the magnets that applies a force to the pump membrane of the cartridge system, a controller in communication with the pump to adjust the force applied by the driver, a power source, and a user interface configured to present information to a user. The cartridge system of the device snaps into the pump driver system and is securely engaged to it. The plurality of conduits each includes a proximal end, a distal end, and a lumen extending from its proximal end to its distal end. The proximal ends of the plurality of conduits are securely engaged to the distal ends of the cannula and the insertion mechanism, and the distal ends are securely engaged to the proximal ends of the fluid outlet component of the inlet/outlet members of the cartridge system.
Other features and advantages of the present invention will become apparent from the following description of the invention, which refers to the accompanying drawings.
Disclosed embodiments relate to a cartridge system for delivery of medicament and a drug delivery device containing the same.
The term “fluid” is defined as a state of matter or substance (liquid or gas) whose particles can move about freely, and has no fixed shape or conform to the shape of their containers.
The term “channel” is defined as a passage for fluids to flow through.
The term “medicament” is defined as a substance used in therapy, a substance that treats, prevents or alleviates the symptoms of disease, a medicine in a specified formulation, or an agent that promotes recovery from injury or ailment.
Referring now to the drawings, where like elements are designated by like reference numerals,
Referring to
The advantages of using polymer materials to make the reservoirs 200a, 200b, pump body inserts 300a, 300b, inlet/outlet members 700a, 700b, and any housing portion is that they can be made in any size, designed in any way and manufactured with biocompatible materials. The polymer reservoirs allow better use of the interior volume available within the pump body, and the collapsible nature of the material allows for more innovative methods for withdrawing the liquid contents. The methods used in the manufacture of the polymer components as well as the arrangement and design of the cartridge system lends itself to being readily adaptable to commonly used sterilization techniques such as gamma irradiation, steam sterilization, or fluidic chemical sterilization.
The reservoir 200a has a substantially symmetrical body having a top end (not shown), a bottom end (not shown), an inner wall 204, and an outer wall 202. The top end of the reservoir 200a has an opening 203 that is encircled by the inner wall 204 and the outer wall 202. At the top end, the inner wall 204 and the outer wall 202 project in an upward direction to form a female part 201. The female part 201 is preferably of length about 0.42 inches. The female part 201 is securely engaged to a male part 702 (
The thickness of the reservoir 200a is preferably between 50μ and 200μ. The top end, the bottom end, the inner wall 204 and the outer wall 202 enclose a reservoir space for storage of fluid medicament. The reservoirs 200a, 200b of the cartridge system 100 are preferably dual reservoir, pre-filled with fluid medicaments, each of the reservoirs 200a, 200b capable of holding 1.5 ml of fluid medicament. Although
In another preferred embodiment of the invention, the reservoirs 200a, 200b can be any free-form shaped body. The reservoirs 200a, 200b can be mounted within a reservoir shell 206, the inside of the reservoir shell 206 having an insulation layer 205.
In yet another preferred embodiment of the invention, as shown in
In yet another preferred embodiment of the invention, as shown in
It is to be understood that the reservoirs 200a, 200b mounted within a reservoir shell 206 having an insulation layer 205 or without the reservoir shell 206 can include a cap for removably closing the opening 203. The reservoirs may be designed to work with any drug delivery device for delivery of medicaments.
Referring to
The second pump body insert 300b, shown in
The cartridge system 100 has a pump membrane 400 as shown in
Referring to
The second inlet/outlet member 700b, shown in
The male part 702 of the inlet/outlet members 700a, 700b can have tooth-like channels to ensure that a low resistance path for fluid flow exists for all configurations of the reservoirs 200a, 200b. The reservoirs 200a, 200b, the pump body inserts 300a, 300b, the pump membrane 400, and the inlet/outlet members 700a, 700b are securely engaged using housing units 800a, 800b, 800c shown in
Four valve membranes 600, shown in
When cartridge system 100 is assembled together, the first reservoir 200a, the fluid receiving opening 704 of the first inlet/outlet member 700a, the fluid receiving opening 301 of the first pump body insert 300a, the plurality of inlet channels 308a and the plurality of outlet channels 307a, 307b of the first pump body insert 300a, the fluid discharge opening 302 of the first pump body insert 300a, and the fluid discharge opening 703 and the fluid outlet component 701 of the first inlet/outlet member 700a are in fluid connection. Likewise, the second reservoir 200b, the fluid receiving opening 704 of the second inlet/outlet member 700b, the fluid receiving opening 301 of the second pump body insert 300b, the plurality of inlet channels 308a, 308b and the plurality of outlet channels 307a of the second pump body insert 300b, the fluid discharge opening 302 of the second pump body insert 300b, and the fluid discharge opening 703 and the fluid outlet component 701 of the second inlet/outlet member 700b are in fluid connection.
In another embodiment of the present invention, a system 900 is shown in
Referring to
Referring to
A diabetic patient can use the drug delivery device 1000 along with the accessories 1101, 1102 shown in
The step of connecting an infusion set to the drug delivery device can include connecting the distal ends of a Y-catheter to the luer slips of the fluid outlet component of the inlet/outlet members. Subsequently, the patient user can place an inset of the infusion set on a body part of the patient, attach the infusion set to the body, and switch on the drug delivery device. When the patient user uses only one reservoir in the cartridge system, the step of connecting an infusion set to the drug delivery device can include connecting the distal end of the Y-catheter to the luer slip of the outlet component of the inlet/outlet member.
The delivery of medicaments can be at a controlled and continuous rate for a pre-determined or user-defined period of time. Alternatively, the delivery of medicament can also be at a programmable rate that is regulated by the patient. The drug delivery device can be preprogrammed to infuse medicaments at a constant basal rate or variable bolus rate over a certain period of time. The device can deliver micro-doses of medicaments—insulin, glucagon or other medication—at controlled and continuous rate for a pre-determined period of time.
In another method of delivering medicament using the drug delivery device 1000 having the cartridge system 100, a drug delivery device 1000 having a pump driver system 1001 and a cartridge system 100 is provided to the patient user. A plurality of reservoirs 200a, 200b are loaded to the cartridge system 100 and the reservoirs 200a, 200b are filled with medicaments using an instruments, for example, a syringe. The cartridge system 100 is then snapped into and securely engaged to the pump driver system 1001. The user then selects various parameters on a user interface on the pump driver system 1001. These parameters can include, but not be limited to, basal rate, insulin amount, bolus rate based on the calories of carbohydrates, protein, fat or fiber consumed, and the blood glucose level including the actual and target glucose levels. The user can either select pre-determined values or specify user-defined values for each of the parameters. The user connects an infusion set having accessories 1101, 1102 to the drug delivery device 1000. Subsequently, the patient user can place an inset of the infusion set on a body part of the patient, attach the infusion set to the body, and switch on the drug delivery device.
While the present invention is described herein with reference to illustrative embodiments for particular applications, it should be understood that the invention is not limited thereto. Those having ordinary skill in the art and access to the teachings provided herein will recognize additional modifications, applications, embodiments and substitution of equivalents all fall within the scope of the invention. Accordingly, the invention is not to be considered as limited by the foregoing description.