The present disclosure relates to a connection system for creating an aseptic connection between a container and a delivery conduit of an injection device, to a container for creating an aseptic connection with an injection device, to a connection assembly for creating an aseptic connection with a container, and to associated methods.
Injection devices, such as syringes and autoinjectors, deliver medicaments from a medicament container through a hypodermic needle. Because the hypodermic needle delivers medicaments to a patient's body, sterility of injection devices and medicament containers is of utmost importance.
Often, injection devices are manufactured and sold separately from medicament containers. As a result, a single injection device can be used to deliver a wide range of treatments, by connecting the injection device to a medicament container containing a medicament type and dosage for any one of the wide range of treatments. Before use, a user (medical professional, or patient) couples a medicament container containing a type and dose of medicament for the treatment required, to the injection device. A fluid connection is formed between the container and the hypodermic needle of the injection device, such that injection of the medicament can be performed. Collectively, the injection device and the container form an injection system.
In many injection systems, the container is initially sealed by a septum, thereby sealing the medicament within the container and maintaining sterility of the medicament. Furthermore, the injection device includes a transfer needle (separate from the hypodermic needle), the transfer needle being configured to pierce the septum once the container and the injection device are connected. A fluid conduit fluidly connects the transfer needle to the hypodermic needle. Therefore, once the transfer needle has pierced the septum, the medicament can be delivered to a patient through the hypodermic needle. Such injection systems are particularly useful for home use because the connection between the container and the injection device is easy to achieve (by simply pushing the container or transfer needle into place). Such injection systems can also be used in hospitals.
However, a problem exists that sterility of the outer surface of the septum, and of the transfer needle, is difficult to ensure. Accordingly, there is a risk that one or both of the outer surface of the septum and the transfer needle become contaminated, and that this contamination could enter the patient when an injection is formed. This risk is exaggerated where injection systems are used in the home, because contamination is more likely to occur where a medical professional does not operate the injection system. Furthermore, a user may keep an injection device and containers in a drawer or cupboard in the home, where contamination is likely.
Various exemplary aspects are described below. Each individual aspect can represent a single aspect of the disclosure, or, alternatively, can be included (either wholly or in part) in one or more aspects. Each aspect can be a stand-alone aspect or be intended to interact with, or be combined with, one or more of any of the other aspects below or otherwise described throughout this application in a preferred combination.
In a first aspect, there is provided a connection system for creating an aseptic connection between a container (e.g., a medicament container) and a delivery conduit of an injection device. The delivery conduit can include a transfer needle. The connection system comprising:
Because of the provision of the first flexible barrier, contaminants cannot enter the first cavity via the second opening. Therefore, when a container having a septum is coupled with the first connection assembly such that the septum forms a seal with the first end, the first flexible barrier prevents contaminants from reaching the septum via the second opening. An aseptic environment can thereby be maintained around the septum.
Similarly, because of the provision of the second flexible barrier, contaminants cannot reach the needle via the fourth opening. An aseptic environment can thereby be maintained around a portion (e.g., a free end) of the needle that is located within the second cavity. That is to say, the second cavity may comprise an aseptic cavity.
A user may couple the first and second connection assemblies to one another such that the first sealing interface forms a seal with the second sealing interface, and subsequently remove the first and second flexible barriers, to thereby form a single aseptic area that contains the septum and the needle. Advantageously, though an aseptic connection is formed at this time, a fluid connection between the feature attached to the first connection assembly and the feature attached to the second connection assembly is not yet formed. This prevents the fluid from leaking out of the connection system or otherwise becoming contaminated.
Upon user activation, the needle may be moved into the first cavity to pierce the septum, thereby establishing an aseptic fluid pathway from the container to the needle. Sterility of the system is thus maintained throughout transport and through fluid connection. A method of forming such an aseptic fluid pathway is discussed in further detail in the sixth and seventh aspects.
In a second aspect there is provided a container (e.g., medicament container) for creating aseptic connection with an injection device, the container sealed by a pierceable septum and being attached to a first connection assembly, the first connection assembly comprising:
The container may comprise the pierceable septum at a first end, and a piston at a second end. The piston may be moveable towards the septum, to thereby expel a medicament from the container when the septum has been pierced.
In a third aspect there is provided a second connection assembly for creating an aseptic connection with a container (e.g., medicament container), the second connection assembly comprising:
As the reader will understand, the second and third aspects may collectively form a connection system according to the first aspect. Moreover, the second and third aspects may respectively be considered as a ‘plug’ and corresponding ‘socket’ (or vice versa).
The first and second flexible barriers may each be semi-permeable. For example, each of the first and second flexible barriers may comprise a breathable sterilizable membrane, such as spunbound polyethylene (e.g., Tyvek (RTM)), polyethersulfone (PES), potytetraftuoreethylene (PTFE), etc. Breathable barriers such as these allow gases, such as steam and water vapor, to travel therethrough, while preventing liquids from passing therethrough. Thus, such breathable barriers provide a barrier to microbes and certain particulates. Alternatively, a non-permeable barrier such as a multilayer polyethylene film or an aluminium foil based film can be utilized.
The connection system may be configured such that the first, second, third and fourth openings are substantially aligned along the same axis, when the first sealing interface forms a seal with the second sealing interface.
The first flexible barrier may be further arranged to cover the first sealing interface. The second flexible barrier may be further arranged to cover the second sealing interface. Thus, sterility of the first and/or second sealing interface(s) is also maintained.
The first sealing interface may comprise a first circumferential seal that surrounds the second opening. For example, the first sealing interface may comprise a first O-ring. Similarly, the second sealing interface may comprise a second circumferential seal that surrounds the fourth opening. For example, the second sealing interface may comprise a second O-ring. A diameter of the first O-ring may substantially match a diameter of the second O-ring.
The first circumferential seal (e.g., first O-ring) may be provided within a first circumferential groove in the first engagement surface. The second circumferential seal (e.g., second O-ring) may be provided within a second circumferential groove in the second engagement surface.
The needle may comprise a free end, wherein the free end is translatable relative to (e.g., towards) the second engagement surface (e.g., from a position in which the free end of the needle is positioned within the second cavity between the third and fourth openings, or alternatively external to the second cavity). Thereby, the free end of the needle may be able to pierce a septum attached to the first engagement body.
In one example, the second engagement surface may be translatable towards the free end of the needle and towards the third opening. Therefore, as the second engagement surface moves towards the third opening, the needle will pass through the fourth opening. Accordingly, when a container having a septum is coupled with the first connection assembly such that the septum forms a seal with the first opening, the needle can extend into the first cavity and pierce the septum—thus establishing a fluid connection with the container.
The needle may be mounted to a needle holder. For example, the needle holder may connect the needle to the third opening and form a seal between the needle and the third opening. The needle holder may be connected to each of the needle and the third opening and may form a seal with each of the needle and the third opening.
The needle may be slidably coupled with the needle holder, such that the needle is translatable relative to the third opening while maintaining its seal. Accordingly, the needle may be moveable through the fourth opening. Accordingly, when a container having a septum is coupled with the first connection assembly such that the septum forms a seal with the first opening, the needle can extend into the first cavity and pierce the septum—thus establishing a fluid connection with the container.
The needle may further be connected to a fluid conduit. That is to say, the end of the needle that is distal from the free end may be connected to a fluid conduit. The fluid conduit may further be connected to a hypodermic needle (as distinct from the needle of the first aspect, which will sometimes be referred to herein as a transfer needle, when necessary to distinguish from the hypodermic needle). Thus, the (transfer) needle may be fluidly connected to the hypodermic needle via the fluid conduit.
The connection system may comprise a first clip mechanism configured to secure the first engagement body to the second engagement body such that the first sealing interface forms a seal with a second sealing interface. The first clip mechanism may comprise at least one indentation on one of the first and second engagement bodies, and a corresponding at least one latch arm on the other of the first and second engagement bodies, wherein the at least one latch arm is configured to engage the at least one indentation so as to maintain the seal between the first and second sealing interfaces. The clip mechanism may be configured to secure the first engagement body to the second engagement body by a snap-fit.
The connection system may comprise a second clip mechanism configured to maintain the connection system in a configuration in which the needle passes through the fourth opening (e.g., so as to pierce a septum connected to the first connection assembly). The second clip mechanism may comprise at least one ridge on one of the first and second engagement bodies, and a corresponding at least one lip on the other of the first and second engagement bodies, wherein the at least one lip is configured to engage the at least one ridge so as to maintain the connection system in the configuration in which the needle passes through the fourth opening. The second clip mechanism may be configured to maintain the connection system in a configuration in which the needle passes through the fourth opening by a snap-fit.
The second engagement body may comprise a first portion at the first end thereof, and a second portion at the second end thereof. The first portion may comprise the third opening, and the second portion may comprise the fourth opening. The first portion may be configured to slide relative to the second portion. The first and second portions may be made from a substantially rigid material, for example a plastically deformable material. The first portion may comprise a circumferential wall which defines a circumferential edge of the second cavity. A circumferential lip may be located at an end of the circumferential wall that is distal from the third opening. The second portion may comprise at least one ridge that is configured to engage the circumferential lip. For example, the second portion may comprise a pair of ridges that are configured to engage the circumferential lip. The second portion may be configured to fit within the circumferential wall of the first portion, such that the circumferential lip engages the at least one ridge as the first portion is made to slide relative to the second portion. The needle is connected to the first portion. For example, the needle may be connected to the first portion so as to be fixed in place relative to the first portion. The second portion may be slidable towards the first end of the second engagement body. The first portion of the second engagement body may comprise a clip mechanism (e.g., the second clip mechanism described above) configured to lock the first portion in place once it reaches the second end of the second engagement body. The needle may extend through the second opening and into the first cavity when the second clip mechanism locks the first and second portions to each other. The clip mechanism may comprise a snap-fit clip mechanism. The clip mechanism may comprise the circumferential lip and the at least one ridge. For example, once the needle has extended through the second opening and into the first cavity, the circumferential lip may lock in place behind a distal end of the at least one ridge, thereby locking the first and second portions to each other so as to prevent their separation.
At least one of first flexible barrier and the second flexible barrier may comprise:
The handle may facilitate easy removal of the at least one of the first flexible barrier and the second flexible barrier from the corresponding opening.
The at least one of the first flexible barrier and the second flexible barrier may further comprise a fold line between the sealing portion and the handle portion, such that the handle portion extends adjacent and substantially parallel to the sealing portion. That is to say, the handle portion may double back on the sealing portion about the fold line. This may further facilitate easy removal of the at least one of the first flexible barrier and the second flexible barrier, by peeling the sealing portion away from the corresponding opening as the handle portion is pulled by a user.
The first and second flexible barriers may be sealed to their respective engagement surfaces in such a way that they are easily removeable, e.g., easily peeled away from their respective engagement surfaces. For example, the first and second flexible barriers may be heat sealed to their respective engagement surfaces. Alternatively, they may be ultrasonically welded to their respective engagement surfaces. They may also be radio frequency sealed or dielectrically sealed. In another example, they may be adhesively coupled to their respective engagement surfaces.
The first connection assembly may be configured to engage an injection end of a container, wherein the injection end of the container comprises a septum arranged to seal the container. That is to say, the first end of the first engagement body may comprise a collar configured to connect to the injection end of the container. The collar may be configured to engage the injection end of the container such that the septum at the connection end of the container forms a seal with the first end of the first engagement body. The container may comprise a vial or cartridge, for example a vial or cartridge containing a medicament.
In a fourth aspect there is provided a container (e.g., medicament container) filling system comprising:
By using the connection system according to the first aspect to fill the container from the bulk storage container, sterility of the container and of the medicament is not compromised during filling of the container.
The container may comprise a vial, cartridge, or syringe. The bulk storage container may comprise a flexible bag, stainless steel container, etc.
In a fifth aspect there is provided an injection device comprising:
The hypodermic needle may be fluidly connected to the transfer needle by a fluid conduit. The hypodermic needle may be oriented non-parallel with the transfer needle. For example, the hypodermic needle may be oriented generally perpendicular to the transfer needle.
The housing may define a skin contact surface. The hypodermic needle may be configured to protrude from the skin contact surface. For example, the hypodermic needle may be translatable between a retracted position in which the hypodermic needle is concealed within the housing, and an injection position in which the hypodermic needle protrudes through an opening in the skin contact surface of the housing. The injection device may comprise an adhesive layer applied to the skin contact surface, wherein the skin contact surface is configured to attach the injection device to the injection site.
The housing may further comprise an enclosure for receiving a container. The enclosure may be in a surface of the housing that is separate from the skin contact surface.
A piston rod may be arranged to engage a piston disposed within an internal volume of a container, the piston rod configured to advance towards the transfer needle of the connection assembly. That is to say, the injection device may be configured to receive a container having a septum and a piston, such that the transfer needle pierces the septum. Following piercing of the septum by the transfer needle, the piston rod may then be configured to engage the piston to thereby expel a medicament from the container via the transfer needle, as the piston rod moves towards the transfer needle. The injection device may further comprise a telescopic screw assembly configured to advance the piston rod towards the needle of the connection assembly.
In a sixth aspect there is provided a method of forming an aseptic fluid pathway using the system of the first aspect, the method comprising:
Where the first connection assembly of the first aspect is coupled to a container comprising a septum (such that a first end of the first engagement body forms a seal with the septum), the method may comprise moving the needle into the first cavity and through the septum, to thereby establish fluid communication with the container.
In a seventh aspect there is provided a method of forming an aseptic fluid pathway between a container (e.g., medicament container) and an injection device, the method comprising:
The container may be a container according to the second aspect. The injection device may be an injection device according to the fifth aspect.
In an eighth aspect there is provided a method of forming an aseptic environment, the method comprising:
The container may be a container according to the second aspect. Sterilising the cavity may comprise treating the assembled container and connection assembly with sterilising radiation, such as gamma radiation. Alternatively, sterilisation may be performed by an autoclave steriliser. Attaching the connection assembly to the container may comprise attaching the first end of the connection assembly to the container such that the first end of the connection assembly forms a seal with the septum.
According to another aspect of this disclosure, a connection system for use with an injection device includes a first connection assembly, a second connection assembly, and a coupling assembly configured to secure the first and second connection assemblies together. The first includes a first body configured to connect to a medicament container, the first body defining a first opening therethrough configured to be in fluid communication with the medicament container; a first coupling surface on the first body; a first seal adjacent to the first coupling surface; and a first flexible barrier disposed on the first coupling surface, such that the first opening is closed by the first flexible barrier. The second connection assembly includes a second body configured to receive a needle therein, the second body defining a second opening therethrough; a second coupling surface on the second body, the second coupling surface being configured to be placed adjacent to the first coupling surface; a second flexible barrier disposed on the second coupling surface, such that the second opening is closed by the second flexible barrier; and a second seal adjacent to the second coupling surface. When the first and second connection assemblies are secured together, an insertion axis is defined parallel to the needle and extending through the first and second openings of the first and second connection assemblies. When the first and second connection assemblies are secured together, the first and second flexible barriers are configured to be removed, such that the first and second openings fluidly communicate with each other. The needle is configured to be moved through the second opening and the first opening and into the medicament container, such that the needle is in fluid communication with the medicament container. An aseptic connection is formed between the first and second connection assemblies.
Optionally, the needle can be configured to pierce a septum of the medicament container so as to create the fluid communication between the needle and the medicament container.
At least one of the first and second connection assemblies can include a first seal adjacent to the respective first and second coupling surfaces, such that when the first and second connection assemblies are coupled together, the first seal contacts the other of the first and second connection assemblies to form a liquid-tight seal between the first and second connection assemblies.
The first connection assembly can include the first seal, and the second connection assembly includes a second seal, and wherein the first and second seals are configured to contact each other when the first and second connection assemblies are coupled together.
The coupling assembly can include a protrusion on one of the first and second bodies and a receptacle on the other of the first and second bodies, the receptacle being configured to receive the protrusion therein when the first and second connection assemblies are moved towards each other. When the protrusion is in the receptacle, movement of the first and second connection assemblies away from each other can be precluded.
The needle can be configured to be movable between a first position, a second position, and a third position, the first, second, and third positions being axially displaced from one another along the insertion axis. When the needle is in the first position, a tip of the needle can be entirely within the second connection assembly and can be disposed so as not to extend out of the second opening. When the needle is in the second position, the tip of the needle can be disposed within the first opening of the first connection assembly. When the needle is in the third position, the tip of the needle can be configured to be in the medicament container.
The needle can be disposed on a needle hub movable within a chamber defined by the second body of the second connection assembly. The chamber can have a first segment having a first diameter and a second segment having a second diameter different from the first diameter. The friction between the needle hub and the first segment can be greater than the friction between the needle hub and the second segment. The needle hub can include a keyed protrusion thereon configured to be received into a corresponding keyed receptacle on an injection device.
According to another aspect of this disclosure, an injection device for providing a medicament to a user can include a housing having an injection needle configured to be moved to an injection site; a medicament container disposed in the housing, the medicament container being configured to receive the medicament therein; a transfer needle configured to be placed into fluid communication with the injection needle and the medicament container, such that the medicament can be moved from the medicament container to the injection needle through the transfer needle; and a connection system configured to form an aseptic connection between the transfer needle and the medicament container.
Optionally, the connection system can include a first connection assembly and a second connection assembly. The first connection assembly can include a first body configured to connect to the medicament container. The first body can define a first opening therethrough configured to be in fluid communication with the medicament container. The first connection assembly can also include a first coupling surface on the first body; a first seal adjacent to the first coupling surface; and a first flexible barrier disposed on the first coupling surface, such that the first opening is closed by the first flexible barrier. The second connection assembly can include a second body configured to receive the transfer needle therein, the second body defining a second opening therethrough; a second coupling surface on the second body, the second coupling surface being configured to be placed adjacent to the first coupling surface; a second flexible barrier disposed on the second coupling surface, such that the second opening is closed by the second flexible barrier; and a second seal adjacent to the second coupling surface. When the first and second connection assemblies are secured together, an insertion axis can be defined parallel to the transfer needle and extending through the first and second openings of the first and second connection assemblies. When the first and second connection assemblies are secured together, the first and second flexible barriers can be configured to be removed, such that the first and second openings fluidly communicate with each other. The transfer needle can be configured to be moved through the second opening and the first opening and into the medicament container, such that the transfer needle is in fluid communication with the medicament container.
The transfer needle can optionally be disposed on a needle hub movable within a chamber defined by the second body of the second connection assembly. The needle hub can include a keyed protrusion thereon configured to be received into a corresponding keyed receptacle on the housing.
Optionally, the housing can define a receptacle configured to receive the medicament container and the connection system therein. The connection system can be configured to have a first rotational orientation and a second rotational orientation angularly displaced from the first rotational orientation. The housing can include a first keyed feature extending into the receptacle, the receptacle being configured to preclude movement of the connection system into the receptacle when the connection system is in the first orientation, and to allow movement of the connection system into the receptacle when the connection system is in the second orientation.
The connection system can optionally include a coupling assembly configured to secure the first and second connection assemblies together.
The medicament container can optionally include a septum thereon that provides a liquid seal between the medicament in the medicament container and the connection system. The septum can be configured to be pierced by the transfer needle such that the fluid communication is formed between the transfer needle and the medicament container.
The housing can include a movable door configured to be opened and closed, the medicament container being receivable onto the door.
Optionally, the injection device can include an activation button assembly configured to cause movement of the injection needle from a first position, in which the injection needle is spaced from the injection site, to a second position, in which the needle contacts the injection site.
According to another aspect of this disclosure, a method of forming an aseptic connection between a medicament container and an injection needle in an injection device is described. The method can include the step of introducing the medicament container into a receptacle of a housing of the injection device. The medicament container can have a first end defining a container opening through which a medicament is movable into or out of the medicament container. The method can include the step of engaging a first connection assembly of a connection system with the first end of the medicament container, the first connection assembly having a first body and a first opening extending through the first body, the first opening of the first connection assembly being positionable so as to be in fluid communication with the container opening. The method can further include the step of engaging the first connection assembly with a second connection assembly of the connection system, the second connection assembly having a second body and a second opening extending through the second body, the second opening being positionable to be in fluid communication with the first opening. The method can further include the step of actuating a transfer needle disposed in the second connection assembly to be moved into the container opening such that a fluid communication is formed between the medicament container and the transfer needle.
Optionally, the first end of the medicament container can include a septum configured to seal the container opening, and the step of actuating the transfer needle can include piercing the septum with the transfer needle.
The transfer needle can be disposed on a needle hub slidably movable within the second body of the second connection assembly, and the step of actuating the transfer needle can include causing a relative slidable translation between the needle hub and the second body. The method may optionally further include moving the second connection assembly toward a wall of the housing of the injection device and contacting the wall with the needle hub, such that the wall prevents movement of the needle hub but permits slidable movement of the second body relative to the needle hub, such that the transfer needle is moved toward the first connection assembly.
Optionally, at least one of the first and second connection assemblies can include a sealing element, the method further comprising contacting the sealing element with the other of the first and second connection assemblies to form a liquid-tight seal between the first and second connection assemblies. Optionally, the sealing element can include an O-ring or a gasket. The sealing element can include a rubber, a polymer, or both.
Optionally, at least a first flexible barrier can be disposed on one of the first and second connection assemblies between the first opening of the first connection assembly and the second opening of the second connection assembly. The method can further include the step of removing the at least first flexible barrier after the first and second connection assemblies are engaged. Optionally, the first connection assembly can include the first flexible barrier, and the second connection assembly can include a second flexible barrier. The method can include steps of removing the first and second flexible barriers after the first and second connection assemblies are engaged.
The method can optionally include a step of securing the first connection assembly to the second connection assembly by engaging a first protrusion on one of the first and second connection assemblies with a corresponding first receptacle on the other of the first and second connection assemblies. The first connection assembly can be precluded from being separated from the second connection assembly when the first protrusion is engaged with the second protrusion.
Optionally, the housing can include a protrusion extending into the receptacle of the housing, the protrusion being configured to prevent translation of the connection system within the receptacle of the housing when the connection system is in a first insertion orientation, and the protrusion being configured to permit translation of the connection system within the receptacle when the connection system is in a second insertion orientation. The method can optionally include a step of rotating the connection system by a predetermined distance to transition the connection system from the first insertion orientation to the second insertion orientation. The method can include rotating the connection system by 15 to 180 degrees to transition the connection system from the first insertion orientation to the second insertion orientation.
Optionally, a door can be disposed on the housing and be movable relative to the housing. The door can define at least a portion of the receptacle of the housing. The method may optionally include moving the door to an open position to permit introduction of the medicament container into the receptacle and moving the door to a closed position to preclude removal of the medicament container from the receptacle.
The invention will be described in more detail with reference to a number of non-limiting examples as shown in the following drawings, in which:
Like reference numerals are used for like components throughout the drawings.
As shown in the schematic of
The schematic showing the injection device 100 depicts a housing 114, which is configured to receive therein the components of the injection device 100, such as the medicament container 102. The injection device 100 can include a skin contact surface 116 configured to contact the skin 106 of the patient. An adhesive layer may be disposed on, or adjacent to, the skin contact surface 116 to improve attachment to the skin 106.
In some embodiments, it is contemplated that the hypodermic needle 104 can comprise part of an infusion set (not shown) spaced from the housing 114, rather than being directly attached to the housing 114. In such devices, the injection device 100 can pump the medicament to the remotely located hypodermic needle 104 for delivery to a patient.
It should be appreciated that
The injection device 200 includes a hypodermic needle configured to be disposed at the desired injection site, such as in or on the user's skin 106. The hypodermic needle of the injection device 200 may be similar to, or substantially the same as, the needle 104 depicted in the schematic of
An actuator 220 may be provided on the housing 201 to initiate an injection procedure. The actuator 220 may include a button, a switch, a trigger, or the like configured to cause the hypodermic needle to be moved from the retracted position to the injection position. The actuator 220 can include a mechanical actuator for advancing the hypodermic needle toward and/or into the injection site (e.g., at the skin 106). Alternatively, the actuator 220 may be configured to initiate an injection procedure under the control of a control unit.
The injection device 200 is configured to receive a medicament container 202 therein through an opening, a hatch, a cutout, a door, or the like. The injection device 200 may include a door 222 configured to selectively allow insertion of the medicament container 202. The medicament container 202 may be introduced into, or onto, the door 222. The door 222 is shown in the closed position in
Turning now to
As can also be seen from
The injection device 200 may include a transfer needle 208 configured to pierce the septum 212 at the first end of the medicament container 202. The transfer needle 208 may be substantially similar to, or the same as, the transfer needle 108 described above. The transfer needle 208 is configured to pierce the septum 212. Upon piercing the septum 212, a fluid flow path may be established between the internal volume of the medicament container 202 and the transfer needle 208. The transfer needle 208 may be hollow and may be configured to receive therein the medicament from within the medicament container 202. As the plunger 218 is moved toward the first end, the medicament may be discharged from the internal volume of the medicament container 202, through the septum 212, and into the transfer needle 208.
As shown in
The plunger 218 is advanced along the body of the medicament container 202 by a drive assembly. The drive assembly of the device 200 shown in
In the configuration shown in
As the reader will understand, before assembly of an injection device, there is a risk that a septum or transfer needle exposed to an external environment could become contaminated, compromising the sterility of the connection. This may occur when a transfer needle pierces the septum, and contamination from the needle or the septum may enter the medicament container, thus contaminating the medicament stored within.
Referring to
The connection system 400 includes a first connection assembly 402 and a second connection assembly 404. The two connection assemblies 402 and 404 are shown separately in
The first connection assembly 402 includes a first engagement body 403 and is shown in
The second end of the first engagement body 403 includes a second opening 418, such that a first cavity 420 is formed between the first and second openings 409 and 418. The first cavity 420 extends from the first opening 409 to the second opening 418. The first and second openings 409 and 418 of the first engagement body 402 are arranged such that the neck 203 and the septum 212 of the medicament container 202 are located within the first cavity 420 when assembled together as shown in
The second connection assembly 404 includes a second engagement body 424. The second engagement body 424 includes a first portion 424a at a first end of the second engagement body 424, and a second portion 424b at the second end of the second engagement body 424. The first portion 424a can be slidably coupled with the second portion 424b as will be described in more detail below. The first portion 424a of the second engagement body 424 includes a third opening 428, at which a needle holder 430 can be attached. The transfer needle 208 can be inserted into the needle holder 430, such that a free end 432 of the transfer needle 208 is positioned within a second cavity 434 of the second engagement body 424. The second portion 424b of the second engagement body 424 includes the second engagement surface 438. The second engagement surface 438 includes a circumferential groove 440 configured to receive a seal 442. The seal 442 can include an O-ring, a gasket, or another suitable seal. The seal 442 forms a sealing interface on the second engagement surface 438. The second end of the second engagement body 424 defines a fourth opening 444, with the second cavity 434 being defined between the third and fourth openings 428 and 444.
A second flexible barrier 446 can be affixed to the second engagement surface 438. The second flexible barrier 446 extends over the fourth opening 444 and the second sealing interface. By sealing the fourth opening 444, the second flexible barrier 446 can prevent or decrease contamination of the transfer needle 208.
The first and second flexible barriers 422 and 446 can each comprise a semi-permeable aseptic membrane. Alternatively, the first and second flexible barriers 422 and 446 can each comprise a non-permeable aseptic membrane. The first flexible barrier 422 and the second flexible barrier 446 can be attached to their respective engagement surfaces so as to be manually removeable. That is to say, the first flexible barrier 422 can be removeable from the first engagement surface 412 to thereby expose the second opening 418 and the first sealing interface. Similarly, the second flexible barrier 446 can be removeable from the second engagement surface 438 to thereby expose the fourth opening 444 and the second sealing interface.
In some aspects, the first and second flexible barriers 422 and 446 can comprise a single flexible sheet. That is, each of the first and second flexible barriers 422 and 446 can be separate discrete portions of the same unitary component. Accordingly, removal of the singular unitary sheet can cause removal of each of the first and second flexible barriers 422 and 446, either serially or simultaneously. In such an arrangement, the first flexible barrier 422 is connected to the second flexible barrier 446. The first and second flexible barriers 422 and 446 may be separated from each other prior to use, or, alternatively, may remain connected to each other throughout use.
As shown in
In order to ensure sterility of the septum 212 and the transfer needle 208 after the first and second flexible barriers 422 and 446 have been removed, the connection system 400 can include a first clip mechanism 450. The first clip mechanism 450 includes a snap-fit clip mechanism that is configured to maintain engagement of the first and second engagement surfaces 412 and 438. In particular, when the first and second engagement surfaces 412 and 438 are bought into engagement, the first clip mechanism 450 can snap into place, thus preventing their separation. The first clip mechanism 450 (labeled generally in
When a user removes the first and second flexible barriers 422 and 446 from the first and second engagement surfaces 412 and 438, the first clip mechanism 450 prevents separation of the first and second sealing interfaces, such that sterility of the septum 212 and of the transfer needle 208 is not compromised. The first clip mechanism 450 is illustrated in further detail in
Although the first clip mechanism 450 described above comprises a pair of inward-facing lips 450a deflecting over a pair of corresponding ridges 450b, the skilled person will appreciate that other structural configurations can be used to achieve a snap-fit engagement as described above. For example, the skilled person will appreciate that instead of a pair of inward-facing lips configured to deflect over a pair of corresponding ridges, the snap fit clip can comprise three or more inward facing lips configured to engage one or more corresponding ridges.
Because the first portion 424a of the second engagement body is slidably coupled with the second portion 424b, the transfer needle 208 is thereby moveable towards the second engagement surface 438 of the second connection assembly 404. In so doing, the transfer needle 208 moves towards the fourth opening 444 and into the configuration shown in
With continued references to
Although the second clip mechanism 448 described above a circumferential lip 448b configured to move over corresponding ridge 448a before locking in place, the skilled person will appreciate that other snap-fit configurations can be provided to provide the engagement as described above. For example, the skilled person will appreciate that instead of a circumferential lip 448b, the second clip mechanism 448 can comprise two or more inward-facing lips 448a configured to deflect over one or more corresponding ridges 448a.
The latch arms 450d are configured to engage the indentations 450c (via lips 450a), to thereby prevent separation of the first and second connection assemblies 402 and 404 once the first and second engagement surfaces 412 and 438 are in abutment with one another. Additionally, because the latch arms 450d are provided on opposing lateral edges of the second engagement portion 424b with gaps therebetween, a user is able to easily remove the first and second flexible barriers 422 and 446 even when the first and second engagement surfaces 412 and 438 are in abutment. Also shown in
The circumferential lip 448b is configured to engage the ridges 448a, to thereby prevent movement of the second engagement surface 438 relative to the third opening 428 when the needle has pierced the septum 212. As a user moves the second engagement surface 438 towards the third opening 428 by pushing the first portion 424a of the second engagement body 424 towards the first engagement body 403, the circumferential lip 448b abuts a near edge 448c of the ridges 448b. Under the force applied by the user, plastic deformation of the connection assembly allows the circumferential lip 448b to move over the ridges 448a. Once the transfer needle 208 has pierced the septum 212, the circumferential lip 448a can then be moved past the far edge 448d of the ridges 448b and snap into place behind the far edge 448d of the ridges 448b. Accordingly, separation of the components is prevented. In particular, because the near edge 448c of each ridge 448b is sloped, whereas the far edge 448d of each ridge 448b forms a right-angle with the outer surface of the outer surface of the first portion 424a, the force required to pierce the septum with the needle is less than the force that would be required to separate the components after they have been coupled. Accordingly, separation of the components once the transfer needle 208 has pierced the septum 212 is substantially prevented. That is to say, it is not possible to separate the components again without causing permanent damage to the connection assembly 400.
Although the connection assembly 400 is depicted with reference to the injection device 100, it will be appreciated that the connection assembly 400 can be utilized with the injection device 200 or with another suitable injection device. If used with the injection device 200, it will be understood that numerical reference to components specific to the injection device 100 can be replaced with, or supplemented with, corresponding like-named or like-functioning components described with respect to the injection device 200 previously.
Referring to
Referring to
As shown in
It will be appreciated that the connection system 500 of
At step 800, a user opens a door 122 of an on-body injection device 100 that comprises a second connection assembly 404 according to
At step 802, a user selects a medicament container 102 that contains a correct medicament type and dose for a treatment to be administered, and which comprises a first connection assembly 402 according to
At step 804, the user removes the first and second flexible barriers 422, 446. In particular, the user peels away the first and second flexible barriers, thereby removing the barrier between the transfer needle 108 and the septum 112. This corresponds to the second state illustrated in
At step 806, the user closes the door 122 of the injection device 100. In so doing, the medicament container 102 is moved into a position within the injection device 100 in which it is ready for an injection to be performed. In particular, the second end of the medicament container (which comprises the piston 118) aligns with the piston rod of the injection device 100.
At step 808, the user peels away an adhesive covering on the skin contact surface 116 of the injection device 100, and affixes the skin contact surface 116 of the injection device 100 to the patient's skin, ready for an injection to be performed. The adhesive on the skin contact surface 116 retains the injection device 100 in place.
At step 810, the transfer needle 108 is moved through the fourth opening 444 and towards the septum 112, until it pierces the septum 112. Once the septum 112 is pierced, the second clip mechanism 448 engages to hold the transfer needle 108 in place. In this state, a fluid pathway between the medicament container 102 and the injection device 100 has been established. This corresponds to the third state illustrated in
At step 812, the user presses the button 120, thereby activating the injection mechanism, such that an injection is performed. The medicament is delivered to the patient through the hypodermic needle 104.
It should be understood that, although the embodiment of
c depict a connection system 600 according to yet another embodiment. The connection system 600 can be utilized with the injection device 100, 200, or another suitable injection device. Components described with respect to the connection system 600 may be similar to, or the same as, similarly named and referenced components described elsewhere in this application. The connection system 600 includes a first connection assembly 602 and a second connection assembly 604. The first and second connection assemblies 602 and 604 can be coupled together. In some aspects, the coupling may be intended to be irreversible, such that the first and second connection assemblies 602 and 604 cannot be readily uncoupled from one another after coupling without applying excessive force, damaging the connection system 600, and/or requiring a specialized tool. The first and second connection assemblies 602 and 604 may be coupled via a coupling assembly 650 having respective components on each of the first and second connection assemblies 602 and 604 as will be described below.
Referring to
With reference to
The connection system 600 can include a coupler or a coupling assembly 650 configured to connect and secure the first and second connection assemblies 602 and 604. In some aspects, the coupling assembly 650 may be similar to, or substantially the same as, any of the connection mechanisms described elsewhere in this application, such as the first clip mechanism 450. Referring to
During assembly of the connection system 600, the first connection assembly 602 may be moved toward the second connection assembly 604 along an axis 601 (see
The transfer needle 208 is movable within the second connection assembly 604 and can be moved toward and/or away from the first connection assembly 602 along the axis 601. With continued reference to
The needle hub 680 (and, thus, the transfer needle 208) may be configured to be disposed at different positions relative to the rest of the connection system 600 based on the configuration of the first and second connection assemblies 602 and 604. In a first configuration, such as shown in
In a second configuration, the first and second connection assemblies 602 and 604 can be brought closer together and coupled via the coupling assembly 650 described above. The first and second connection assemblies 602 and 604 can be fixedly secured to one another, and a seal can be formed between the opening 618 of the first connection assembly 602 and the opening 644 of the second connection assembly 604. The seal may be formed via contact between the seal 616 of the first connection assembly 602 and the seal 642 of the second connection assembly 604. The seal can be formed via contact of the seal 616 and/or the seal 642 with the body 624 of the second connection assembly 604 and/or the body 603 of the first connection assembly 602, respectively.
When the connection system 600 is in the second configuration, the needle hub 680 can be moved into a second position along the axis 601, such as shown in
The connection system 600 can be transitioned into a third configuration from the second configuration. When the connection system 600 is in the third configuration, the needle hub 680 can be in a third position. The needle hub 680 can be transitioned from the second position to the third position by being slidably moved along the axis 601 toward the opening 644. In the third position, the needle tip 209 is moved toward and through the septum 212, such that the needle tip 209 pierces the septum 212 and enters the medicament containers 202. At this point, a fluid connection can be established between the medicament containers 202 and the transfer needle 208.
The specific position, arrangement, and orientation of the needle hub 680 relative to the second connection assembly 604 can depend on the interaction of the needle hub 680 and the chamber 666. Referring again to
The needle hub 680 may include one or more features thereon configured to contact, or otherwise engage with, the inner walls of the chamber 666 when the needle hub 680 is in the first, second, and/or third positions. Referring again to
The body 624 of the second connection assembly 604 may include a ledge 668 extending into the chamber 666. The ledge 668 may separate the first and second segments 666a and 666b and may be between the first and second segments 666a and 666b. The ledge 668 may extend partially or entirely circumferentially around the interior of the body 624 that defines the chamber 666. In use, the ledge 668 may be configured to be contacted by the protrusion 682 of the needle hub 680 when the needle hub 680 is being moved from the first position to the second position and/or form the second position to the third position. As seen in the figures, in some aspects, the ledge 668 may be sloped toward the opening 644, such that the protrusion 682 of the needle hub 680 can slidably move along the ledge 668 during movement of the needle hub 680 when the protrusion 682 is moved from the first segment 666a to the second segment 666b. Such a sloped arrangement can facilitate slidable movement of the needle hub 680 toward the opening 644. The sloped arrangement can further prevent or hinder movement of the needle hub 680 away from the opening 644 when the protrusion 682 is within the second segment 666b by requiring a greater force to be applied to the needle hub 680 to cause the protrusion 682 to slide along the ledge 668 into the first segment 666a from the second segment 666b than the force that is needed to be applied to the needle hub 680 to cause the protrusion 682 to slide along the ledge 668 into the second segment 666b from the first segment 666a.
It will be appreciated that the connection system 600 can include a first and second flexible barrier, such as the first and second flexible barriers 422 and 446 described previously. It should also be understood that the included flexible barriers can be formed of a suitable size and shape to accommodate the dimensions of the individual components described above with respect to the connection system 600. An exemplary first flexible barrier 622 and second flexible barrier 646 are depicted in
The connection system 600 may be utilized in an injection device, such as the wearable injection system device 200 described previously or another suitable injection device. A portion of an exemplary injection device 900 is depicted in
The door 901 can define a receptacle 903 therein configured to receive the connector system 600 and/or the medicament container 202. At least a portion of the receptacle 903 can be dimensioned to receive the connector system 600 therein. In some aspects, the receptacle 903 can be dimensioned or keyed such that the connector system 600 is receivable therein only in a predetermined orientation. The connector system 600 may be designed such that the transition from the first configuration to the second configuration, or form the second configuration to the third configuration, is not possible unless the connector system 600 is properly situated within the receptacle 903. The keyed arrangement of the receptacle 903 can thus prevent inadvertent or premature connection of components of the connector system 600 by ensuring that the individual components are actively positioned according to the required orientation to be received within the receptacle 903.
During use, the connection system 600 can be moved along the axis 601 toward and into the receptacle 903 toward a first end 902 of the door 901. The door 901 can include one or more ribs 906 extending from an inner surface of the door 901 into the receptacle 903. The ribs 906 can define the keyed arrangement of the receptacle 903. The connection system 600 can have at least a first insertion orientation and a second insertion orientation. When the connection system 600 is in the first insertion orientation and is moved into or through the receptacle 903 toward the first end 902, the connection system 600 can contact the one or more ribs 906. This contact can preclude the connection system 600 from further movement toward the first end 902. When the connection system 600 is in the second insertion orientation, the connection system 600 can be moved toward the first end 902 without substantially contacting the one or more ribs 906, and is thus not blocked by the ribs 906 from further movement along the axis 601. The second insertion orientation can be rotationally offset from the first insertion orientation around the axis 601. To transition the connection system 600 from the first insertion orientation to the second insertion orientation, the connection system 600 may be rotated about the axis 601 by a predetermined distance. In some aspects, the connection system 600 may need to be rotated by approximately 15 degrees, approximately 30 degrees, approximately 45 degrees, approximately 60 degrees, approximately 90 degrees, approximately 120 degrees, or approximately 180 degrees relative to the first insertion orientation to be placed into the second insertion orientation. Referring to the exemplary embodiment depicted in
Referring to
Turning to
As the connection system 600 moves toward the first end 902, the needle hub 680 can contact a wall 908 of the door 901 at the first end 902. The wall 908 can prevent further axial translation of the needle hub 680. As the rest of the connection system 600 is translated along the axis 601 toward the first end 902, the body 624 of the second connection assembly 604 can slidably move over the needle hub 680, such that the chamber 666 is slidably moved relative to the needle hub 680. This movement causes the needle hub 680 to be moved from its first position to its second position. It will be appreciated that the movement between the needle hub 680 and the body 624 is relative, and this description is not limited to one component moving while the other being stationary, or vice versa.
Referring to
In some aspects, the needle hub 680 can include a keyed projection 684 thereon that is configured to engage with a corresponding keyed receptacle 910 defined on the wall 908. The cross-sectional geometry of the keyed projection 684 can be complementary to the cross-sectional geometry of the keyed receptacle 910, such that the needle hub 680 can be received into the keyed receptacle 910 only when in the desired rotational orientation relative to the axis 601. The engagement between the keyed receptacle 910 and the keyed projection 684 can help prevent rotation of the needle hub 680 and/or the rest of the connection system 600 after the needle hub 680 contacts the wall 908. This can decrease the chance of incorrect angling of the transfer needle 208 or damage to the transfer needle 208 due to undesired movement of the needle hub relative to the wall 908.
In step 1004, the one or more flexible barriers 622 and 646 can be removed from the first and second connection assemblies 602 and 604, respectively. The first flexible barrier 622 can be removed before the second flexible barrier 646, or vice versa. In some aspects, both flexible barriers 622 and 646 can be removed simultaneously. The seals 616 and 642 help form an aseptic seal between the first and second connection assemblies 602 and 604 once the flexible barriers 622 and 646 are removed. Once the flexible barriers 622 and 646 are removed, the opening 618 in the first connection assembly 602 is in fluid communication with the opening 644 of the second connection assembly 604.
In step 1006, the transfer needle 208 can be moved from its first position to its second position, where the needle tip 209 is moved towards the first connection assembly 602. The needle tip 209 can be moved into the opening 618 of the first connection assembly 602. At this stage, the transfer needle 208 is still spaced from the septum 212 and the medicament container 202. The transfer needle 208 can be moved by contacting the needle hub 680 with the wall 908 of the door 901 of the injection device described above and causing the body 624 of the second connection assembly 604 to slidably move over the needle hub 680, thus moving the opening 644 toward the needle tip 209.
In some aspects, prior to step 1006, the connection system 600 may have to be oriented properly to be permitted to move within the receptacle 903 of the injection device 900 as described above. The one or more protrusions or ribs 906 can be disposed in the receptacle 903 such that the connection system 600 is blocked from being translated toward the wall 908 when the connection system 600 is in the first insertion orientation. Accordingly, prior to being able to complete step 1006, the connection system 600 may need to be rotated from the first insertion orientation to the second insertion orientation as described above.
In step 1008, the transfer needle 208 can be moved to its third position, where the needle tip 209 is moved towards the septum 212 and contacts and pierces the septum 212. After the needle tip 209 has pierced the septum 212, the transfer needle 208 is in fluid communication with the interior of the medicament container 202. A medicament inside the medicament container 202 can then be moved from the medicament container 202 into the transfer needle 208.
In step 1010, the medicament can be delivered from the medicament container 202, through the transfer needle 208, to a hypodermic needle (e.g., the hypodermic needle 104), and to the desired injection site (e.g., the skin 106). Step 1010 can include actuating an actuation mechanism configured to
The method 1000 can further include a step of positioning the injection device 900 at the desired injection site.
The method 1000 can also include moving the hypodermic needle towards and/or into the injection site. The hypodermic needle can be moved via a mechanism configured to cause the hypodermic needle to be moved to the desired location (e.g., by pressing the actuation button 220).
The method 1000 can also include actuating securing the injection device 900 to the user's skin 106.
The methods and processes described herein are not limited to any particular sequence, and the steps relating thereto may be performed in other sequences that are appropriate. For example, described steps may be performed in an order other than that specifically described, or multiple steps may be combined in a single step. The described steps may be performed in serial, in parallel, or in some other manner. Steps may be added to or removed from the depicted methods. One or more steps, or sequence of steps, can be repeated. Unless otherwise expressly stated, the described methods should not be construed as requiring that its operations be performed in a specific order.
The preceding detailed description describes systems and methods for ensuring sterility of an on-body injection device (e.g., the injection devices 100 or 900). However, the skilled person will understand that the invention is not limited to use in connection with the exemplary on-body device described here. Rather, one or more benefits associated with the present invention may be implemented in connection with other drug delivery devices, as will be apparent to the skilled person in light of the preceding detailed description.
The term “comprising” should be interpreted as meaning “including but not limited to”, such that it does not exclude the presence of features not listed.
The embodiments described and shown in the accompanying drawings above are provided as examples of ways in which the invention may be put into effect and are not intended to be limiting on the scope of the invention. Modifications may be made, and elements may be replaced with functionally and structurally equivalent parts, and features of different embodiments may be combined without departing from the disclosure.
This application claims the benefit of U.S. Provisional Application No. 63/114,250, filed Nov. 16, 2020, the entirety of which is incorporated herein for any and all purposes.
Filing Document | Filing Date | Country | Kind |
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PCT/US2021/059533 | 11/16/2021 | WO |
Number | Date | Country | |
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63114250 | Nov 2020 | US |