Devices systems and methods for medicament delivery

Information

  • Patent Grant
  • 7416540
  • Patent Number
    7,416,540
  • Date Filed
    Monday, November 22, 2004
    20 years ago
  • Date Issued
    Tuesday, August 26, 2008
    16 years ago
Abstract
Certain exemplary embodiments comprise an apparatus, comprising: a compressed gas container; a plurality of vials adapted to store a liquid medicament, each vial defining a longitudinal axis, the longitudinal axes of the plurality of vials parallel and non-co-axial, the plurality of vials fluidly coupleable to an actuating portion of a contents of the gas container; and a plurality of pistons, each piston adapted to move within a corresponding vial from the plurality of vials, the plurality of pistons adapted to, in response to discharge of the actuating portion of the contents of the compressed gas container, transfer at least a portion of the liquid medicament from the plurality of vials and through a needle that is extendable into a patient.
Description
CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a National Stage filing of, claims priority to, and incorporates by reference herein in its entirety, pending International Application Serial No. PCT/US04/39386, filed 23 Nov. 2004.


BRIEF DESCRIPTION OF THE DRAWINGS

A wide variety of potential embodiments will be more readily understood through the following detailed description of certain exemplary embodiments, with reference to the accompanying exemplary drawings in which:



FIG. 1 is a perspective view of an exemplary embodiment of a system 1000;



FIG. 2 is a front view of an exemplary embodiment of a system 1000;



FIG. 3 is a side view of an exemplary embodiment of a system 1000;



FIG. 4 is a cross-sectional view taken along lines A-A of FIG. 3 of an exemplary embodiment of a system 1000 in a first operative position;



FIG. 5 is a cross-sectional view taken along lines A-A of FIG. 3 of an exemplary embodiment of a system 1000 in a second operative position;



FIG. 6 is a cross-sectional view taken along lines A-A of FIG. 3 of an exemplary embodiment of a system 1000 in a third operative position;



FIG. 7 is a cross-sectional view taken along lines A-A of FIG. 3 of an exemplary embodiment of a system 1000 in a fourth operative position;



FIG. 8 is a cross-sectional view taken along lines A-A of FIG. 3 of an exemplary embodiment of a system 1000 in a fifth operative position;



FIG. 9 is a cross-sectional view taken along lines A-A of FIG. 3 of an exemplary embodiment of a system 1000 in a sixth operative position;



FIG. 10 is a flowchart of an exemplary embodiment of a method 10000;



FIG. 11 is a perspective view of an exemplary embodiment of system 1000;



FIG. 12 is a perspective cross-sectional view taken along lines B-B of FIG. 11;



FIG. 13 is a perspective view of an exemplary embodiment of actuation stick 2200;



FIG. 14 is a cross-sectional view of an exemplary embodiment of gas venting mechanism 8000 taken along lines A-A of FIG. 3.







DEFINITIONS

When the following terms are used herein, the accompanying definitions apply:

    • actuating portion—that part that puts something into action.
    • actuation lock—a device adapted to prevent actuation, such as, for example a pivotable, translatable, keyed, squeezable, and/or removable lock.
    • actuator—a mechanism that puts something into action.
    • adapted to—suitable or fit for a particular purpose.
    • apparatus—a mechanism and/or device.
    • arm—an elongated structural member, which need not be solely linear.
    • can—is capable of, in at least some embodiments.
    • channel—a conduit for one or more fluids.
    • compressed gas—a substantially pressurized substance, such as helium, nitrogen, and/or carbon dioxide, etc., in a gaseous form.
    • comprising—including but not limited to.
    • contain—to hold within.
    • contents—a contained compressed gas.
    • credit card—a card (usually plastic) that assures a seller that the person using it has a satisfactory credit rating and that the issuer will see to it that the seller receives payment for the merchandise and/or services delivered. Typically measuring in size from approximately 3 to approximately 4 inches in length, such as approximately 3.40 inches, 3.375 inches, 85 millimeters, etc., and from approximately 1.75 to approximately 2.75 inches in width, such as approximately 2.10 inches, 2.2125 inches, 2.5 inches, 55 millimeters, etc.
    • discharge—to release from confinement; to emit.
    • eject—to expel.
    • escape port—an opening for the exit of a gas.
    • expulsion pressure—a force applied over an area of a liquid, the force sufficient to expel the liquid in a predetermined manner.
    • extend—to move out and/or away from.
    • extendable—able to move out and/or away from.
    • fluid—a gas and/or liquid.
    • fluidly coupleable—able to be related via a fluid.
    • frangible—a device that is capable of being broken and/or penetrated to allow fluid to flow therethrough.
    • housing—something that covers, protects, holds, and/or supports.
    • in reaction to—responding indirectly and/or directly to.
    • indicate—to show, mark, signify, denote, evidence, evince, manifest, declare, enunciate, specify, explain, exhibit, present, reveal, disclose, and/or display.
    • indicator—a device and/or substance that indicates.
    • liquid medicament—a medicine, medication, drug, pharmaceutical, prescriptive, antidote, anti-venom, hormone, stimulant, vasodilator, anesthetic, and/or nutritional supplement in a substantially liquid form.
    • may—is allowed to, in at least some embodiments.
    • needle—a hollow, slender, sharp-pointed instrument used for injection. Includes cannulas.
    • non-co-axial—not having co-linear axes.
    • patient—a receiver of a liquid medicament, such as a human, mammal, animal, etc.
    • piston—a sliding piece which either is moved by, or moves against, fluid pressure.
    • pivotable—capable of pivoting.
    • plurality—the state of being plural and/or more than one.
    • predetermined—established in advance.
    • puncturer—a device adapted to penetrate using a substantially sharp and/or tapered point, tip, edge, or the like.
    • pusher—a device adapted to convert fluid pressure to mechanical movement.
    • retract—to pull inward.
    • reservoir—a receptacle or chamber for storing and/or directing movement of a fluid.
    • spring—an elastic device, such as a coil of wire, that regains its original shape after being compressed or extended.
    • status—a state or condition.
    • substantially—to a great extent or degree.
    • system—a collection of mechanisms, devices, data, and/or instructions, the collection designed to perform one or more specific functions.
    • tip—a terminal end.
    • transfer—to convey from one place to another.
    • translatable—capable of being transferred from one place to another and/or of being moved with respect to something else.
    • valve—a device that regulates flow through a pipe and/or through an aperture by opening, closing, and/or obstructing a port and/or passageway.
    • vent—to release from confinement.
    • vial—a closable vessel.


DETAILED DESCRIPTION

Exposure, such as via ingestion, inhalation, and/or injection, to certain allergens, toxins, and/or other substances can cause profound reactions for some and/or all people and/or animals. For example, certain people are highly allergic to certain substances, such as peanuts, shellfish, particular drugs, certain proteins, bee venom, insect bites, etc. The allergic response to the exposure can lead to anaphylactic shock, which can cause a sharp drop in blood pressure, hives, and/or substantial breathing difficulties caused by severe airway constriction. As another example, inhalation of certain nerve agents can cause severe physiological trauma.


Responding rapidly to such exposures can prevent injury and/or death. For example, in response to an exposure leading to anaphylactic shock, an injection of epinephrine (i.e., adrenaline) can provide substantial and/or complete relief from the reaction. As another example, injection of an antidote to a nerve agent can greatly reduce and/or eliminate the potential harm of the exposure. As yet another example, rapid injection of certain drugs, such as a beta blocker, blood thinner, nitroglycerine, antihistamines, insulin, and opiods, etc., can provide substantial relief from various dangerous medical conditions.


Thus, certain exemplary embodiments provide systems, devices, and/or methods for rapidly injecting a medicament.


Certain exemplary embodiments comprise an apparatus, comprising: a compressed gas container; a plurality of vials adapted to store a liquid medicament, each vial defining a longitudinal axis, the longitudinal axes of the plurality of vials parallel and non-co-axial, the plurality of vials fluidly coupleable to an actuating portion of a contents of the gas container; and a plurality of pistons, each piston adapted to move within a corresponding vial from the plurality of vials, the plurality of pistons adapted to, in response to discharge of the actuating portion of the contents of the compressed gas container, transfer at least a portion of the liquid medicament from the plurality of vials and through a needle that is extendable into a patient. Certain exemplary embodiments comprise a method comprising a plurality of activities, comprising: discharging an actuating portion of a contents of a compressed gas container, the compressed gas container contained within an apparatus; in reaction to said discharging activity, moving a piston within a vial, the vial one of a plurality of vials contained within the apparatus, each vial adapted to store a liquid medicament, each vial defining a longitudinal axis, the longitudinal axes of the plurality of vials parallel and non-co-axial, the plurality of vials fluidly coupleable to a contents of the gas container; and transferring a liquid medicament from the vial and through a needle that is extendable into a patient.



FIG. 1 is a perspective view, FIG. 2 is a front view, and FIG. 3 is a side view, of an exemplary embodiment of a system 1000, which can comprise a housing 1100, which, in certain operative embodiments, can comprise a handheld portion 1800 separated via an actuation guard 1200 from an actuation bar 1300. Actuation guard 1200 can prevent accident activation of system 1000. Housing 1100 can be constructed of a durable material, such as stainless steel, aluminum, polycarbonate, etc., to protect a compressed gas container, medicament, injection apparatus and/or user of system 1000. The injection apparatus can be actuated by a fluid pressure, such as pressure provided by the compressed gas, which upon completion of its actuation duties can escape housing 1100 via gas escape opening, such as via status indicator 1400.


A status of a system 1000 can be determined via status indicator 1400, which can provide a view, such as via a UV blocking, photo-sensitive, and/or compressed gas, which upon completion of its actuation duties can escape housing 1100 via gas escape opening, such as via status indicator 1400.


A status of a system 1000 can be determined via status indicator 1400, which can provide a view, such as via a UV blocking, photo-sensitive, and/or translucent window, into an interior of housing 1100. Viewable through the window can be a status of medicament carried by housing 1100, a location of a needle and/or injection apparatus for the medicament, and/or an activation status of system 1000. For example, if the medicament has aged to the point of discoloration, which aging might or might not render the medication useless, harmful, etc., status indicator 1400 can allow that situation to be determined. In certain exemplary embodiments, gas can escape housing 1100 via status indicator 1400 and/or another opening in housing 1100.


Certain exemplary embodiments of system 1000 can provide a compact medicament delivery mechanism that can efficiently and/or rapidly deliver a prescribed dose. The length (L) and width (W) of system 1000 can be similar to that of a credit card, and the thickness (T) can be less than one inch. Thus, certain exemplary embodiments of system 1000 can provide a conveniently carried, easy-to-use, easy to activate drug delivery apparatus that can require little to no training to safely carry, use, and/or dispose of.


To assist a user in positioning system 1000 in a correct orientation for injection, system 1000 and/or housing 1100 can provide various tactile clues. For example, a top 1110 of housing 1100 can be rounded, and a bottom 1120 of actuation bar 1300 of housing 1100 can be flat. Other tactile clues are also possible, such as bulges, ribs, grooves, gaps, roughened surfaces, indentations, etc.



FIG. 4 is a cross-sectional view taken along lines A-A of FIG. 3 of an exemplary embodiment of a system 1000 in a first operative position. FIGS. 5, 6, 7, 8, and 9 show system 1000 of FIG. 4 in second, third, fourth, fifth, and sixth operative positions, respectively.


System 1000 can comprise a housing 1100, handheld portion 1800, actuation guard 1200, and/or actuation bar 1300. System 1000 can comprise system actuator 2000, gas reservoirs 3000, medicament actuator 4000, medicament storage assembly 5000, medicament carrier 9000, needle assembly 6000, use indicator 7000, and/or gas vent mechanism 8000, etc.


Upon removal, release, rotation, and/or relocation of actuation guard 1200, system actuator 2000 can be adapted to rapidly discharge an actuating portion of a contents of a compress gas container. For example, system actuator 2000 can comprise a compressed gas container 2400, which initially can contain a compressed gas 2500, an actuating portion of which can be released from container 2400 by penetration of a gas port 2600 via a point of a puncturer 2700. Upon removal and/or relocation of actuation guard 1200, actuation bar 1300 can be moved closer to and/or in contact with handheld portion 1800. Upon removal and/or relocation of actuation guard 1200, gas container 2400 can be brought into contact with puncturer 2700 via extension of a pre-compressed spring 2300 and/or movement of a actuation stick 2200. Thus, actuation guard 1200 can prevent accident activation of system 1000 and/or unintended discharge of an actuating portion of the contents 2500 of gas container 2400.


Once gas port 2600 has been punctured, an actuating portion of compressed gas 2500 can escape from container 2400 and flow via gas reservoirs 3000, such as gas channel 3100. The flowing gas can meet and/or apply gas pressure to medicament actuator 4000, which can comprise a pusher 4100, which can travel within a sleeve 1500 defined by walls 1520. Sleeve 1500 can be constructed of metal, stainless steel, aluminum, plastic, polycarbonate, etc. Seals 4200, such as o-rings, can resist gas leakage, such as past pusher 4100 and/or out of housing 1100. Thus, pusher 4100 can function as a piston traveling within a cylinder, although it is not necessarily required that the cross-sectional shape of sleeve 1500 be round.


Medicament actuator 4000 can interface with medicament storage assembly 5000. For example, medicament actuator 4000 can comprise a plurality of plungers 4300, each of which can be capped with a piston 4400 which can sealingly slide and/or move within a corresponding vial 5100 containing a liquid medicament 5200. For example, in response to pressure applied by an actuating portion of the contents 2500 of compressed gas container 2400, pusher 4100 can cause plungers 4300 and/or pistons 4400 to simultaneously move. The number of corresponding sets of plungers 4300, pistons 4400, and/or vials 5100 can be 2, 3, 4, 5, 6, or more. Pistons 4400 can be constructed of a resilient, durable, and/or sealing material, such as a rubber. Each plunger 4300 from the plurality of plungers can define a longitudinal axis, the longitudinal axes (e.g., axes 4310, 4320, 4330, 4340) of the plurality of plungers parallel, non-coaxial, and/or co-planar.


Each vial 5100 from the plurality of vials can be substantially cylindrical with a substantially round and/or substantially elliptical cross-sectional shape. Thus, each vial 5100 can define a longitudinal axis, the longitudinal axes of the plurality of vials parallel, non-coaxial, and/or co-planar. The longitudinal axis of each vial can be co-axial with the longitudinal axis of its corresponding plunger.


Each vial can be capped at one end with a frangible 5300, which can be burst when piston 4400 generates sufficient pressure upon medicament 5200, thereby allowing at least a portion of medicament 5200 to flow out of vial 5100 and into medicament carrier 9000. Thus, the plurality of vials can be fluidly coupleable to the actuating portion of the contents 2500 of gas container 2400.


Medicament carrier 9000 can hold each of vials 5100 and can travel within sleeve 1500. Medicament carrier 9000 can comprise a plurality of channels 9200 adapted to receive medicament 5200 as it exits its respective vial 5100, and direct medicament 5200 to a common conduit 9300. Medicament carrier 9000 can interface with needle assembly 6000 and/or use indicator 7000.


From common conduit 9300, medicament 5200 can enter needle assembly 6000, such as into a single needle 6100 via which medicament can approach needle tip 6200. As medicament actuator 4000 and/or medicament carrier 9000 are driven toward actuator bar 1300, needle tip 6200 can penetrate an end 6400 of needle sheath 6300 and exit actuator bar 1300 at needle port 1340.


Referring to FIG. 5, upon movement of actuation bar 1300 closer to handheld portion 1800, sheath seat 1330 can come in contact with sheath tip 6400, thereby causing sheath 6300 to buckle and/or crumble. As actuator bar 1300 comes in contact with handheld portion 1800, bar stop 1320 can approach medicament carrier stop 9400, while carrier spring 1600 is compressed.


Referring to FIG. 6, as at least a portion of contents 2500 of gas container 2400 escapes, it can flow through channel 3100. The gas, which can still be relatively pressurized, can begin to accumulate behind pusher 4100 to form an expanding gas chamber 3200 and to cause medicament actuator 4000, medicament storage assembly 5000, and medicament carrier 9000 to slide together within sleeve 1500. As medicament actuator 4000, medicament storage assembly 5000, and medicament carrier 9000 slide closer to actuator bar 1300, spring 1600 becomes increasingly compressed between bar stop 1320 and medicament carrier stop 9400. As medicament actuator 4000, medicament storage assembly 5000, and medicament carrier 9000 slide closer to actuator bar 1300, needle tip 6200 can extend further from actuator bar 1300 and sheath 6300 can become further compressed and/or deformed. At its ultimate extension point, needle tip 6200 can extend from housing 1100 from approximately 0.25 millimeters to approximately 20 millimeters, including all values and subranges therebetween, such as up to approximately 2 millimeters, greater than approximately 5 millimeters, from approximately 5.13 millimeters to approximately 9.98 millimeters, etc.


Referring to FIG. 7, as gas chamber 3200 continues to expand, medicament carrier 9000 can be driven until medicament carrier stop 9400 contacts actuator bar stop 1300 thereby resisting further travel of medicament carrier 9000. At that point, additional expansion of gas chamber 3200 can cause medicament actuator 4000, pusher bar 4100, plungers 4300, and/or pistons 4400 to initiate travel with respect to medicament storage assembly 5000, thereby generating an expulsion pressure in vials 5100, and/or thereby rupturing frangibles 5300 and allowing medicament 5200 to enter medicament carrier 9000, and begin flowing through medicament channels 9200, medicament conduit 9300, needle 6100, and/or out needle tip 6200 and into a patient. Alternatively, frangibles 5300 can be replaced and/or augmented by a frangible located at or near where medicament conduit 9300 couples to needle 6100. Frangibles 5300 can be constructed of a thin, taught, resilient, durable, and/or sealing material potentially having a predetermined yield strength, such as a rubber, such as chromo butyl rubber, and/or of a relatively brittle material potentially having a predetermined yield strength, such as ceramic, certain plastics, such as polystyrene, etc.


As medicament carrier stop 9400 contacts actuator bar stop 1300, medicament carrier hooks 9600 can engage with engagement receivers 7100 in use indicator 7000.


Referring to FIG. 8, as gas chamber 3200 continues to expand, medicament actuator 4000, pusher bar 4100, plungers 4300, and/or pistons 4400 can continue moving until they complete their travel within medicament storage assembly 5000, thereby expelling a predetermined dose of medicament 5200 from vials 5100, out of needle assembly 6000, external to housing 1100, and/or into the patient. As gas chamber 3200 reaches its maximum size, medicament actuator 4000, pusher bar 4100, plungers 4300, and/or pistons 4400 can continue moving until they complete their travel with respect to medicament carrier 9000, thereby causing gas release actuator 9700 to engage with gas release valve 8200. Engagement of gas release actuator 9700 with gas release valve 8200 can cause within gas chamber 3200 to exit gas chamber 3200, discharge away from pistons 4400, and/or exhaust from system 1000 and/or housing 1100, such as via status indicator 1400 and/or a gas escape port located on housing 1100).


Referring to FIG. 8 and FIG. 9, as sufficient gas is vented from gas chamber 3200, the pressure applied by the gas in gas chamber 3200 can decrease until the force applied by the gas on medicament actuator 4000 is less than the force of compressed spring 1600. Thus, spring(s) 1600 can begin to expand, thereby moving medicament carrier 9000, vial assembly 5000, and medicament actuator 4000 away from actuator bar 1300 and helping to exhaust gas from gas chamber 3200. As medicament carrier 9000 moves, use indicator 7000 can travel with it, due to the engaged relationship of medicament carrier hooks 9600 and engagement receivers 7100 and/or engagement catches 7200 in use indicator 7000. As use indicator 7000 moves away from actuation bar 1300, sheath 6300 can travel with it, thereby creating a gap between sheath tip 6400 and needle port 1340, and thereby exposing a previously non-visible colored portion 1350 of actuation bar 1300 and/or providing an indication that system 1000 has been used (and likely substantially exhausted of its medicament), thereby discouraging any further attempts to use system 1000.


As medicament carrier 9000 moves away from actuator bar 1300, needle 6100 can retract into sheath 6300 which un-buckles and/or un-deforms towards its original shape. Eventually, needle 6100 can retract completely within the boundaries of housing 1100, thereby tending to prevent accidental needle sticks after the initial injection and/or potentially reducing and/or eliminating a sharps hazard.


In certain exemplary embodiments, system actuator 2000 can comprise a finger triggered, twistable, pivotable, and/or lever-operated mechanism. For example, system actuator 2000 can comprise a twistable handle that can screw into gas port 2600. In certain exemplary embodiments, system actuator 2000 can be a finger trigger located on a side of the housing.



FIG. 10 is a flowchart of an exemplary embodiment of a method 10000 for operating a medicament delivery apparatus. At activity 10100, an actuation lock for the apparatus is released. At activity 10200, an actuating portion of the contents of a compressed gas container are released. At activity 10300, via pressure provided by the released gas, a needle is extended from the apparatus. At activity 10400, via pressure provided by the released gas, a piston applies pressure to a medicament stored in one of a plurality of vials. At activity 10500, a frangible containing the medicament in the vial is burst. At activity 10600, the medicament flows from the vial, through the needle, and into a patient. At activity 10700, once a predetermined dose is expelled and/or injected, the needle is withdrawn from the patient and/or retracted into the pre-use bounds of the apparatus. At activity 10800, the apparatus is rendered unusable for additional injections and/or indicated as previously utilized.



FIG. 11 is a perspective view of an exemplary embodiment of system 1000, showing actuation guard 1200 removed from housing 1100, so that actuation guard 1200 no longer separates actuator bar 1300 from handheld portion 1800. Actuation guard 1200 can comprise a grippable portion 1220 that can be gripped by a user to pull actuation guard 1200 away from housing 1100, thereby allowing system 1000 to be activated, such as via slapping actuator bar 1300 against a thigh of the user. Actuation guard 1200 can comprise an actuation stick separator portion 1240, that can keep separate actuation stick prongs 2240 when actuation guard 1200 is installed on housing 1100. Actuation guard 1200 can comprise a guard portion 1260 that can separate actuator bar 1300 from handheld portion 1800 when system 1000 is not in use and/or when system 1000 has not been used.



FIG. 12 is a perspective cross-sectional view taken along lines B-B of FIG. 11, and FIG. 13 is a perspective view of an exemplary embodiment of actuation stick 2200. Referring to FIGS. 12 and 13, system 1000 can comprise housing 1100, actuation bar 1300, and system actuator 2000, which can comprise prong squeezer 1390, actuation stick 2200, prong retainer 2100, spring 2300, upper spring retainer 2260, gas container 2400, gas port 2600, and/or puncturer 2700. When actuation bar 1300 is pressed firmly against a user's body, such as via slapping housing actuation bar against the user's thigh, buttocks, and/or arm, prong squeezer 1390 can urge prong tips 2220 of prongs 2240 of actuation stick 2200 toward one another. Note that prong tips 2200 can have a triangular, wedge, angular, and/or frustro-conical shape. As prongs tips 2220 slide along the angled V-groove of prong squeezer 1390, prong catches 2230 can substantially loose contact with prong retainer 2100. This can allow compressed spring 2300 to rapidly urge actuation stick 2200 and gas container 2400 toward puncturer 2700, which can penetrate gas port 2600, thereby allowing gas to escape from gas container 2400. Although any of many different types of gas containers can be utilized, an exemplary gas container can be obtained from Leland Limited, Inc. of South Plainfield, N.J.



FIG. 14 is a cross-sectional view of an exemplary embodiment of gas venting mechanism 8000 of system 1000 taken along lines A-A of FIG. 3. System 1000 can comprise handheld portion 1800, actuator bar 1300, sleeve 1500. As pistons 4440 near the limit of their travels, medicament 5200 can be expelled along medicament path 5900, which can extend past frangible 5300, through medicament channels 9200, medicament conduit 9300, and needle 6100, and into the body of a user, such as subcutaneously, intramuscularly, and/or at a depth of from approximately 0.25 millimeters to approximately 20 millimeters, including all values and subranges therebetween, such as up to 2 millimeters, greater than 5 millimeters, etc.


As pistons 4440 near the limit of their travels, engagement of gas release actuator 9700 with gas release valve 8200 can cause compressed spring 8300 to move valve arm such that o-ring 8400 is urged away from its seat 8500. This movement can reveal a passage 8600, via which gas can exit gas chamber 3200 along gas exhaust path 8900, which can extend between sleeve inner walls 1520 and outer walls 9100 of medicament carrier 9000. Eventually, gas exhaust path 8900 can extend between handheld portion 1800 and actuator bar 1300. Likewise, an alternative embodiment of valve 8200, made of rubber or any other resilient material, can be placed across seat 8500 to provide a seal that, once gas release actuator 9700 interacts with valve 8200, allows valve 8200 to bend or flap upwards away from seat 8500, causing the gas to escape via passage 8600.


Still other embodiments will become readily apparent to those skilled in this art from reading the above-recited detailed description and drawings of certain exemplary embodiments. It should be understood that numerous variations, modifications, and additional embodiments are possible, and accordingly, all such variations, modifications, and embodiments are to be regarded as being within the spirit and scope of this application. For example, regardless of the content of any portion (e.g., title, field, background, summary, abstract, drawing figure, etc.) of this application, unless clearly specified to the contrary, there is no requirement for the inclusion in any claim herein or of any application claiming priority hereto of any particular described or illustrated activity or element, any particular sequence of such activities, or any particular interrelationship of such elements. Moreover, any activity can be repeated, any activity can be performed by multiple entities, and/or any element can be duplicated. Further, any activity or element can be excluded, the sequence of activities can vary, and/or the interrelationship of elements can vary. Accordingly, the descriptions and drawings are to be regarded as illustrative in nature, and not as restrictive. Moreover, when any number or range is described herein, unless clearly stated otherwise, that number or range is approximate. When any range is described herein, unless clearly stated otherwise, that range includes all values therein and all subranges therein. Any information in any material (e.g., a United States patent, United States patent application, book, article, etc.) that has been incorporated by reference herein, is only incorporated by reference to the extent that no conflict exists between such information and the other statements and drawings set forth herein. In the event of such conflict, including a conflict that would render invalid any claim herein or seeking priority hereto, then any such conflicting information in such incorporated by reference material is specifically not incorporated by reference herein.

Claims
  • 1. An apparatus, comprising: a housing having an inner surface;a medicament container disposed within the housing, the medicament container configured to contain a medicament; andan actuator configured to be disposed within the housing and to move the medicament container within the housing, the actuator including: an energy storage member having a surface, a portion of the surface being in contact with a portion of the inner surface of the housing, the energy storage member having a first position and a second position, in the first position the energy storage member has a first potential energy, in the second position the energy storage member has a second potential energy less than the first potential energy, the energy storage member configured to convert a portion of the first potential energy into a kinetic energy when moving between the first position and the second position to move the medicament container within the housing, the portion of the surface of the energy storage member configured to move relative to the portion of the inner surface of the housing when the energy storage member moves between the first position and the second position, the energy storage member having a longitudinal axis offset from a longitudinal axis of the medicament container; anda release member configured to selectively deploy the energy storage member from the first position to the second position.
  • 2. The apparatus of claim 1, wherein the actuator is further configured to move a plunger within the medicament container to expel a medicament contained within the medicament container.
  • 3. The apparatus of claim 1, wherein the actuator is further configured to move a plunger within the medicament container to expel a medicament contained within the medicament container, the plunger being moved with a force sufficient to break a frangible seal disposed within the medicament container.
  • 4. The apparatus of claim 1, wherein the energy storage member is a gas container configured to contain a gas having a first pressure when the gas container is in the first position and a second pressure when the gas container is in the second position, the second pressure being lower than the first pressure.
  • 5. The apparatus of claim 1, wherein: the energy storage member is a gas container configured to contain a gas having a first pressure when the gas container is in the first position and a second pressure when the gas container is the second position, the second pressure being lower than the first pressure; andthe actuator includes a puncturer configured to penetrate a portion of the gas container when the gas container is in the second position.
  • 6. The apparatus of claim 1, wherein the release member includes a spring having a retracted configuration and an expanded configuration, the spring configured to engage the energy storage member such that when the spring moves from the retracted configuration to the expanded configuration the energy storage member is moved from the first position to the second position.
  • 7. The apparatus of claim 1, further comprising a needle defining a lumen therethrough, the lumen being in fluid communication with the medicament container.
  • 8. The apparatus of claim 1, wherein the medicament container is configured to be moved along its longitudinal axis between a first position and a second position, the apparatus further comprising a needle defining a lumen therethrough, the lumen being fluidically isolated from the medicament container when the medicament container is in its first position, the lumen being in fluid communication with the medicament container when the medicament container is in its second position.
  • 9. The apparatus of claim 1, wherein the actuator is configured to move the medicament container along its longitudinal axis between a first position and a second position and the energy storage member is a first energy storage member, the apparatus further comprising a second energy storage member configured to move the medicament container along its longitudinal axis between the second position and a third position.
  • 10. The apparatus of claim 1, wherein the actuator is configured to move the medicament container along its longitudinal axis between a first position and a second position, the apparatus further comprising a bias member configured to bias the medicament container in the first position.
  • 11. The apparatus of claim 1, wherein the housing has a substantially rectangular shape.
  • 12. The apparatus of claim 1, wherein the medicament container is any one of a vial, an ampule or a cartridge.
  • 13. An apparatus, comprising: a housing;a medicament container movably disposed within the housing;a gas container movably disposed within the housing such that the gas container can move relative to the medicament container from a first position to a second position, the gas container having a longitudinal axis offset from a longitudinal axis of the medicament container, the gas container configured to produce a force to move the medicament container within the housing when the gas container is moved from the first position to the second position; anda release member configured to move the gas container from the first position to the second position.
  • 14. The apparatus of claim 13, wherein: the medicament container is configured to move in a first direction substantially parallel to the longitudinal axis of the medicament container; andthe gas container is configured to move from the first position to the second position in a second direction substantially parallel to the longitudinal axis of the gas container.
  • 15. The apparatus of claim 13, wherein: the medicament container is configured to move in a first direction; andthe gas container is configured to move between the first position and the second position in a second direction opposite the first direction.
  • 16. The apparatus of claim 13, wherein the gas container is configured to contain a gas having a first pressure when the gas container is in the first position and a second pressure when the gas container is in the second position, the second pressure being lower than the first pressure.
  • 17. The apparatus of claim 13, wherein the gas container is configured to contain a gas having a first pressure when the gas container is in the first position and a second pressure when the gas container is the second position, the second pressure being lower than the first pressure, the apparatus further comprising: a puncturer configured to penetrate a portion of the gas container when the gas container is in the second position.
  • 18. The apparatus of claim 13, wherein the release member includes a spring having a retracted configuration and an expanded configuration, the spring configured to engage the gas container such that when the spring moves from the retracted configuration to the expanded configuration the gas container is moved from the first position to the second position.
  • 19. The apparatus of claim 13, further comprising: a plunger disposed within the medicament container, the force produced by the gas container configured to move the plunger within the medicament container to expel a medicament contained within the medicament container.
  • 20. The apparatus of claim 13, wherein the medicament container is configured to be moved along the longitudinal axis of the medicament container between a first medicament container position and a second medicament container position, the apparatus further comprising: a needle defining a lumen therethrough, the lumen being fluidically isolated from the medicament container when the medicament container is in the first medicament container position, the lumen being in fluid communication with the medicament container when the medicament container is in the second medicament container position.
  • 21. An apparatus, comprising: a housing having an inner surface defining a lumen;a medicament container disposed within the housing;a needle movably disposed within the housing; andan energy storage member movably disposed within the lumen of the housing such that at least a portion of the inner surface of the housing surrounds the energy storage member, the energy storage member having a longitudinal axis offset from a longitudinal axis of the needle, the energy storage member configured to produce a force to move the needle within the housing from a first needle position to a second needle position when the energy storage member is moved within the lumen and relative to the inner surface of the housing from a first energy storage position to a second energy storage position,the needle being in fluid communication with the medicament container when the needle is in the second needle position.
  • 22. The apparatus of claim 21, wherein: the needle is configured to move between the first needle position and the second needle position in a first direction substantially parallel to the longitudinal axis of the needle; andthe energy storage member is configured to move between the first energy storage position and the second energy storage position in a second direction substantially parallel to the longitudinal axis of the energy storage member.
  • 23. The apparatus of claim 21, wherein: the needle is configured to move between the first needle position and the second needle position in a first direction; andthe energy storage member is configured to move between the first energy storage position and the second energy storage position in a second direction opposite the first direction.
  • 24. The apparatus of claim 21, wherein the energy storage member is a gas container configured to contain a gas having a first pressure when the gas container is in the first energy storage position and a second pressure when the gas container is in the second energy storage position, the second pressure being lower than the first pressure.
  • 25. The apparatus of claim 21, further comprising: a release member configured to move the energy storage member from the first energy storage position to the second energy storage position.
  • 26. The apparatus of claim 21, further comprising: a spring having a retracted configuration and an expanded configuration, the spring configured to engage the energy storage member such that when the spring moves from the retracted configuration to the expanded configuration the energy storage member is moved from the first energy storage position to the second energy storage position.
  • 27. The apparatus of claim 21, wherein: a distal end portion of the needle is disposed within the housing when the needle is in the first needle position; andthe distal end portion of the needle is disposed outside of the housing when the needle is in the second needle position.
  • 28. The apparatus of claim 21, wherein the needle is fluidically isolated from the medicament container when the needle is in the first needle position.
  • 29. The apparatus of claim 21, wherein the medicament container is movably disposed within the housing.
  • 30. An apparatus, comprising: a housing having a first inner surface and a second inner surface;a medicament container disposed within the housing,a plunger having a first end portion and a second end portion, the first end portion of the plunger disposed within the medicament container, the second end portion of the plunger and the first inner surface of the housing collectively defining a gas chamber, the plunger configured to move in a first direction within the medicament container from a first plunger position to a second plunger position;a gas container disposed within the housing such that a portion of the gas container is in contact with the second inner surface of the housing, the gas container configured to move in a second direction from a first gas container position to a second gas container position, the second direction opposite the first direction, the portion of the gas container configured to move relative to the second inner surface of the housing when the gas container is moved from the first gas container position to the second gas container position, the gas container configured to release a gas into the gas chamber to move the plunger from the first plunger position to the second plunger position when moved from the first gas container position to the second gas container position; anda release member configured to selectively deploy the gas container from the first gas container position to the second gas container position.
  • 31. The apparatus of claim 30, wherein the gas container defines a longitudinal axis offset from a longitudinal axis of the plunger.
  • 32. The apparatus of claim 30, wherein: the first direction is substantially parallel to a longitudinal axis of the plunger; andthe second direction is substantially parallel to a longitudinal axis of the gas container.
  • 33. The apparatus of claim 30, wherein: the gas container defines a longitudinal axis offset from a longitudinal axis of the plunger;the first direction is substantially parallel to the longitudinal axis of the plunger; andthe second direction is substantially parallel to the longitudinal axis of the gas container.
  • 34. The apparatus of claim 30, wherein the first end portion of the plunger is configured to expel a medicament contained within the medicament container when the plunger is moved from the first plunger position to the second plunger position.
  • 35. The apparatus of claim 30, wherein the medicament container is movably disposed within the housing.
  • 36. The apparatus of claim 30, further comprising: a puncturer configured to penetrate a portion of the gas container when the gas container is in the second gas container position.
  • 37. The apparatus of claim 30, wherein the release member includes a spring having a retracted configuration and an expanded configuration, the spring configured to engage the gas container such that when the spring moves from the retracted configuration to the expanded configuration the gas container is moved from the first gas container position to the second gas container position.
  • 38. An apparatus, comprising: a housing having a distal end surface configured to be disposed against a body;a medicament container movably disposed within the housing;an energy storage member disposed within the housing, the energy storage member having a first position and a second position, in the first position the energy storage member is disposed a first distance from the distal end surface of the housing and has a first potential energy, in the second position the energy storage member is disposed a second distance from the distal end surface of the housing and has a second potential energy, the second potential energy less than the first potential energy, the second distance greater than the first distance, the energy storage member configured to convert a portion of the first potential energy into a kinetic energy when moving between the first position and the second position to move the medicament container within the housing, the energy storage member having a longitudinal axis offset from a longitudinal axis of the medicament container; anda release member configured to selectively deploy the energy storage member from the first position to the second position.
  • 39. An apparatus, comprising: a housing having an inner surface defining a lumen;a medicament container movably disposed within the housing;an energy storage member disposed within the lumen of the housing such that at least a portion of the inner surface of the housing surrounds the energy storage member, the energy storage member having a longitudinal axis offset from a longitudinal axis of the medicament container; the energy storage member configured to produce a force to move the medicament container within the housing when the energy storage member is moved within the lumen and relative to the inner surface of the housing from a first position to a second position; anda release member configured to move the energy storage member from the first position to the second position.
PCT Information
Filing Document Filing Date Country Kind 371c Date
PCT/US2004/039386 11/22/2004 WO 00 11/22/2004
Publishing Document Publishing Date Country Kind
WO2006/057636 6/1/2006 WO A
US Referenced Citations (255)
Number Name Date Kind
2960087 Uytenbogaart Nov 1960 A
3055362 Uytenbogaart Sep 1962 A
3115133 Morando Dec 1963 A
3426448 Sarnoff Feb 1969 A
3688765 Gasaway Sep 1972 A
3768472 Hodosh et al. Oct 1973 A
3795061 Sarnoff et al. Mar 1974 A
3945379 Pritz et al. Mar 1976 A
4108177 Pistor Aug 1978 A
4360019 Portner et al. Nov 1982 A
4424057 House Jan 1984 A
4441629 Mackal Apr 1984 A
4484910 Sarnoff Nov 1984 A
4573976 Sampson et al. Mar 1986 A
4610666 Pizzino Sep 1986 A
4617557 Gordon Oct 1986 A
4624660 Mijers et al. Nov 1986 A
4640686 Dalling et al. Feb 1987 A
4643721 Brunet Feb 1987 A
4666430 Brown et al. May 1987 A
4673657 Christian Jun 1987 A
4689042 Sarnoff et al. Aug 1987 A
4693708 Wanderer et al. Sep 1987 A
4781697 Slaughter Nov 1988 A
4782841 Lopez Nov 1988 A
4784652 Wikström Nov 1988 A
4853521 Claeys et al. Aug 1989 A
4874382 Lindemann et al. Oct 1989 A
4894054 Miskinyar Jan 1990 A
4906235 Roberts Mar 1990 A
4915695 Koobs Apr 1990 A
4959056 Dombrowski et al. Sep 1990 A
4968302 Schluter et al. Nov 1990 A
4983164 Hook et al. Jan 1991 A
5000736 Kaufhold, Jr. et al. Mar 1991 A
5024656 Gasaway et al. Jun 1991 A
5037306 van Schoonhoven Aug 1991 A
5038023 Saliga Aug 1991 A
5041088 Ritson et al. Aug 1991 A
5062603 Smith et al. Nov 1991 A
5071353 van der Wal Dec 1991 A
5085642 Sarnoff et al. Feb 1992 A
5092843 Monroe et al. Mar 1992 A
5125898 Kaufhold, Jr. et al. Jun 1992 A
5167641 Schmitz Dec 1992 A
5199949 Haber et al. Apr 1993 A
5224936 Gallagher Jul 1993 A
5240146 Smedley et al. Aug 1993 A
5281198 Haber et al. Jan 1994 A
5286258 Haber et al. Feb 1994 A
5298023 Haber et al. Mar 1994 A
5312326 Myers et al. May 1994 A
5314412 Rex May 1994 A
5343519 Feldman Aug 1994 A
5344407 Ryan Sep 1994 A
5354284 Haber et al. Oct 1994 A
5356376 Milijasevic et al. Oct 1994 A
5363842 Mishelevich et al. Nov 1994 A
5380281 Tomellini et al. Jan 1995 A
5383851 McKinnon, Jr. et al. Jan 1995 A
5417660 Martin May 1995 A
5466217 Myers et al. Nov 1995 A
5514135 Earle May 1996 A
5558679 Tuttle Sep 1996 A
5567160 Massino Oct 1996 A
5568555 Shamir Oct 1996 A
5569192 van der Wal Oct 1996 A
5584815 Pawelka et al. Dec 1996 A
5615771 Hollister Apr 1997 A
5616132 Newman Apr 1997 A
5645534 Chanoch Jul 1997 A
5681291 Galli Oct 1997 A
5695476 Harris Dec 1997 A
5716338 Hjertman et al. Feb 1998 A
5772635 Dastur et al. Jun 1998 A
5792190 Olson et al. Aug 1998 A
5800397 Wilson et al. Sep 1998 A
5805423 Wever et al. Sep 1998 A
5809997 Wolf Sep 1998 A
5832488 Eberhardt Nov 1998 A
5837546 Allen et al. Nov 1998 A
RE35986 Ritson Dec 1998 E
5846089 Weiss et al. Dec 1998 A
5852590 de la Huerga Dec 1998 A
5853292 Eggert et al. Dec 1998 A
5868713 Klippenstein Feb 1999 A
5868721 Marinacci Feb 1999 A
D407487 Greubel et al. Mar 1999 S
5925021 Castellano et al. Jul 1999 A
5941857 Nguyen et al. Aug 1999 A
5964739 Champ Oct 1999 A
5971953 Bachynsky Oct 1999 A
6015438 Shaw Jan 2000 A
6039713 Botich et al. Mar 2000 A
6045534 Jacobsen et al. Apr 2000 A
6063053 Castellano et al. May 2000 A
6074213 Hon Jun 2000 A
6077106 Mish Jun 2000 A
6084526 Blotky et al. Jul 2000 A
6086562 Jacobsen et al. Jul 2000 A
6096002 Landau Aug 2000 A
6099504 Gross et al. Aug 2000 A
6102896 Roser Aug 2000 A
6119684 Nöhl et al. Sep 2000 A
6149626 Rachynsky et al. Nov 2000 A
6158613 Novosel et al. Dec 2000 A
6161281 Dando et al. Dec 2000 A
6165155 Jacobsen et al. Dec 2000 A
6179812 Botich et al. Jan 2001 B1
6193695 Rippstein, Jr. Feb 2001 B1
6202642 McKinnon et al. Mar 2001 B1
6210359 Patel et al. Apr 2001 B1
6210369 Wilmot Apr 2001 B1
6219587 Ahlin et al. Apr 2001 B1
6221045 Duchon et al. Apr 2001 B1
6221055 Shaw et al. Apr 2001 B1
6245046 Sibbitt Jun 2001 B1
6259654 de la Huerga Jul 2001 B1
6264629 Landau Jul 2001 B1
6312412 Saied et al. Nov 2001 B1
6317630 Gross et al. Nov 2001 B1
6334070 Nova et al. Dec 2001 B1
6364866 Furr et al. Apr 2002 B1
6371939 Bergens et al. Apr 2002 B2
6387078 Gillespie May 2002 B1
6405912 Giannou Jun 2002 B2
6411567 Niemiec et al. Jun 2002 B1
6413236 Van Dyke Jul 2002 B1
6425897 Overes et al. Jul 2002 B2
6428517 Hochman et al. Aug 2002 B1
6428528 Sadowski Aug 2002 B2
6475181 Potter et al. Nov 2002 B1
6478771 Lavi et al. Nov 2002 B1
6494863 Shaw et al. Dec 2002 B1
6500150 Gross et al. Dec 2002 B1
6514230 Munk et al. Feb 2003 B1
6529446 de la Huerga Mar 2003 B1
6530900 Daily et al. Mar 2003 B1
6530904 Edwards et al. Mar 2003 B1
6535714 Melker et al. Mar 2003 B2
6540675 Aceti et al. Apr 2003 B2
6544234 Gabriel Apr 2003 B1
6551276 Mann et al. Apr 2003 B1
6551298 Zhang Apr 2003 B1
6554798 Mann et al. Apr 2003 B1
6558320 Causey, III et al. May 2003 B1
6569123 Alchas May 2003 B2
6572584 Shaw et al. Jun 2003 B1
6574166 Niemiec Jun 2003 B2
6575939 Brunel Jun 2003 B1
RE38189 Walker et al. Jul 2003 E
6585685 Staylor Jul 2003 B2
6585698 Packman et al. Jul 2003 B1
6589158 Winkler Jul 2003 B2
6595956 Gross et al. Jul 2003 B1
6633796 Pool et al. Oct 2003 B1
6641566 Douglas et al. Nov 2003 B2
6645181 Lavi et al. Nov 2003 B1
6689093 Landau Feb 2004 B2
6702778 Hill et al. Mar 2004 B2
6707763 Osberg et al. Mar 2004 B2
6708050 Carim Mar 2004 B2
6722916 Buccinna et al. Apr 2004 B2
6723077 Pickup et al. Apr 2004 B2
6726661 Munk et al. Apr 2004 B2
6743635 Neel et al. Jun 2004 B2
6749437 Chan Jun 2004 B2
6752781 Landau et al. Jun 2004 B2
6767336 Kaplan Jul 2004 B1
6770052 Hill et al. Aug 2004 B2
6783509 Landau et al. Aug 2004 B1
6786875 Barker et al. Sep 2004 B2
6793646 Giambattista et al. Sep 2004 B1
6803856 Murphy et al. Oct 2004 B1
6808514 Schneider et al. Oct 2004 B2
6809653 Mann et al. Oct 2004 B1
6817986 Slate et al. Nov 2004 B2
6830560 Gross et al. Dec 2004 B1
6839304 Niemiec et al. Jan 2005 B2
6872200 Mann et al. Mar 2005 B2
6875195 Choi Apr 2005 B2
6923764 Aceti et al. Aug 2005 B2
6936029 Mann et al. Aug 2005 B2
6937150 Medema et al. Aug 2005 B2
6942646 Langley et al. Sep 2005 B2
6946299 Neel et al. Sep 2005 B2
6949082 Langley et al. Sep 2005 B2
6952604 DeNuzzio et al. Oct 2005 B2
6953445 Wilmot et al. Oct 2005 B2
6953693 Neel et al. Oct 2005 B2
6958691 Anderson et al. Oct 2005 B1
6959247 Neel et al. Oct 2005 B2
6961285 Niemiec et al. Nov 2005 B2
6964650 Alexandre et al. Nov 2005 B2
6969259 Pastrick et al. Nov 2005 B2
6979316 Rubin et al. Dec 2005 B1
6979326 Mann et al. Dec 2005 B2
6985870 Martucci et al. Jan 2006 B2
6997911 Klitmose Feb 2006 B2
7014470 Vann Mar 2006 B2
7113101 Peterson et al. Sep 2006 B2
7116233 Zhurin Oct 2006 B2
7126879 Snyder Oct 2006 B2
7158011 Brue Jan 2007 B2
20010005781 Bergens et al. Jun 2001 A1
20020074345 Schneider Jun 2002 A1
20020076679 Aman Jun 2002 A1
20030028145 Duchon et al. Feb 2003 A1
20030040717 Saulenas et al. Feb 2003 A1
20030100862 Edwards et al. May 2003 A1
20030106824 Wilmot et al. Jun 2003 A1
20030135388 Martucci et al. Jul 2003 A1
20030233070 De La Senia et al. Dec 2003 A1
20040015125 Alexandre et al. Jan 2004 A1
20040019326 Gilbert et al. Jan 2004 A1
20040039336 Amark et al. Feb 2004 A1
20040039337 Letzing Feb 2004 A1
20040039368 Reilly et al. Feb 2004 A1
20040054327 Gillespie, III Mar 2004 A1
20040116854 Abulhaj et al. Jun 2004 A1
20040138611 Griffiths et al. Jul 2004 A1
20040159364 Landau et al. Aug 2004 A1
20040220524 Sadowski et al. Nov 2004 A1
20040249358 McWethy et al. Dec 2004 A1
20040267204 Brustowicz Dec 2004 A1
20050033234 Sadowski et al. Feb 2005 A1
20050033386 Osborn et al. Feb 2005 A1
20050062603 Fuerst et al. Mar 2005 A1
20050090781 Baba et al. Apr 2005 A1
20050134433 Sweeney, II Jun 2005 A1
20050148931 Juhasz Jul 2005 A1
20050148945 Chen Jul 2005 A1
20050159705 Crawford et al. Jul 2005 A1
20050165360 Stamp Jul 2005 A1
20050171477 Rubin et al. Aug 2005 A1
20050182358 Veit et al. Aug 2005 A1
20050197654 Edman et al. Sep 2005 A1
20050261742 Nova et al. Nov 2005 A1
20050267403 Landau et al. Dec 2005 A1
20050277891 Sibbitt Dec 2005 A1
20060030819 Young et al. Feb 2006 A1
20060053036 Coffman et al. Mar 2006 A1
20060058848 Piraino et al. Mar 2006 A1
20060111666 Hommann et al. May 2006 A1
20060111671 Klippenstein May 2006 A1
20060129090 Moberg et al. Jun 2006 A1
20060189938 Hommann et al. Aug 2006 A1
20060200077 Righi et al. Sep 2006 A1
20060247579 Friedman Nov 2006 A1
20060265186 Holland et al. Nov 2006 A1
20070074722 Giroux et al. Apr 2007 A1
20070149925 Edwards et al. Jun 2007 A1
20070184847 Hansen et al. Aug 2007 A1
20070210147 Morrone et al. Sep 2007 A1
20070213598 Howard et al. Sep 2007 A1
Foreign Referenced Citations (12)
Number Date Country
1 712 178 Oct 2006 EP
PA04009276 Jan 2005 MX
WO 9104760 Apr 1991 WO
WO 9526009 Sep 1995 WO
WO 0124690 Apr 2001 WO
WO 0126020 Apr 2001 WO
WO 0188828 Nov 2001 WO
WO 03095001 Nov 2003 WO
WO 03097133 Nov 2003 WO
WO 03099358 Dec 2003 WO
WO 2005050526 Jun 2005 WO
WO 2006109778 Oct 2006 WO
Related Publications (1)
Number Date Country
20070088268 A1 Apr 2007 US