The present disclosure relates to drug delivery devices. More particularly, the present disclosure relates to devices mounted to the body for automatically delivering a drug to a patient.
Delivery of liquid drugs to a patient via injection using a needle or syringe is well-known. More recently, devices that automate the delivery of liquid drugs have been introduced. These devices (which are commonly referred to as “on-body devices” or “on-body injectors”) are mounted or otherwise secured to the body of the patient (e.g., to the arm or abdomen) and remain in place for an extended amount of time (on the order of hours or days), injecting an amount of the drug into the body of the patient at one or more scheduled times. For example, a device may be configured to deliver a drug over the span of 45 minutes, with delivery beginning 27 hours after the device has been activated and applied to a patient (to ensure that the drug is not delivered sooner than 24 hours after a medical procedure or treatment). These devices improve upon manual methods by obviating the need for the patient to inject themselves with the drug (which carries heightened risks of the patient improperly administering the injection or injecting the drug at an inappropriate time) or to return to a medical facility for one or more injections by a technician or medical professional.
One known on-body device 10 is shown in
The internal components of the device 10 include a reservoir 14 that is configured to be filled with a liquid drug to be delivered to the patient. An upper surface of the housing 12 includes a fill indicator 16 that provides a visual indication of the amount of fluid in the reservoir 14. In addition to the fill indicator 16, the upper surface of the housing 12 may include printed information, such as information regarding the drug to be delivered. The upper surface of the housing 12 may be formed of a translucent material, which allows light from a status light 18 (which may be configured as a light-emitting diode) mounted within the housing 12 (
The drug is injected into the reservoir 14 using a (typically pre-filled) syringe 22 via a port 24 incorporated into the bottom or underside of the housing 12 (
A piston or plunger 28 (
When the device 10 has been activated, it is mounted or secured to the body of the patient. The applicator 26 is first removed from the underside of the housing 12 and discarded, followed by a pull tab 30 being manipulated to remove a release film from an adhesive pad 32 associated with the underside of the housing 12. The housing 12 is then pressed against the body of the patient, with the adhesive pad 32 facing the body. An adhesive present on the adhesive pad 32 causes the adhesive pad 32 (and, hence, the housing 12) to adhere to the body.
Some predetermined time after the device 10 has been activated (which may be on the order of three to five minutes, for example), a distal end portion of a cannula 34 is introduced into the skin of the patient via a cannula window 36 defined in the housing 12 (
As the cannula 34 is not itself configured to pierce the skin, an associated needle 38 is provided within the lumen of the cannula 34, with a sharp or beveled distal end of the needle 38 extending out of a distal end of the cannula 34. A midsection of the needle 38 is mounted within a needle carriage 40, while a proximal end 42 of the cannula 34 is mounted within a cannula carriage 44 that is initially positioned directly adjacent to the needle carriage 40. The needle carriage 40 is pivotally connected to an end of a linkage or crank arm 46, with an opposite end of the linkage 46 being associated with a torsion spring 48. At the designated time (e.g., 3-5 minutes after the device 10 has been activated), the controller causes a lever (not visible) to be released, which allows the spring 48 to recoil, in turn rotating the linkage 46, which rotation causes the needle carriage 40 to move along a linear track 50 from a first position adjacent to the spring 48 (
Continued recoiling of the spring 48 causes further rotation of the linkage 46, which has the effect of moving the needle carriage 40 back toward the spring 48 (i.e., back toward its first position). Rather than moving along with the needle carriage 40, the cannula carriage 44 is held in its second position (
Movement of the needle carriage 40 in a proximal direction away from the cannula carriage 44 causes the needle 38 to partially (but not fully) retract from the cannula 34. In the final condition shown in
As for the mechanism by which the drug is advanced out of the reservoir 14, the device 10 includes a lever 54 mounted to a pivot point 56 (
A first wire or filament 72 extends from the lever 54, around a first pulley 74, and into association with a first electrical contact 76. A second wire or filament 78 extends from the lever 54 in the opposite direction of the first wire 72, around a second pulley 80, and into association with a second electrical contact 82. The wires 72 and 78 (which are commonly referred to as “muscle wires”) are formed of a shape memory alloy (e.g., Nitinol), which causes them to heat up and contract when a current flows through them, while being allowed to stretch when the current is removed and the wire 72, 78 cools. Current is alternately applied to the two wires 72 and 78, causing the one carrying a current to heat up and contract while the other one is allowed to stretch. The wire 72, 78 that contacts will pull on the lever 54, causing it to pivot about the pivot point 56. Thus, alternately applying current to the two wires 72 and 78 will cause the wires 72 and 78 to alternately contact and stretch, which in turn causes the lever 54 to pivot back and forth about the pivot point 56.
At the designated time (e.g., 27 hours after the device 10 has been activated), the controller provides commands that cause current to be alternately applied to the muscle wires 72 and 78, which causes the lever 54 to alternately pivot about the pivot point 56 in opposite first and second directions. Pivotal movement of the lever 54 in the first direction will cause the first arm 58 of the lever 54 to engage and rotate the first gear 60 an incremental amount, while pivotal movement of the lever 54 in the second direction will cause the second arm 62 of the lever 54 to engage and rotate the second gear 64 an incremental amount (in the same direction in which the first gear 60 is rotated by the first arm 58). Both gears 60 and 64 are associated with a common shaft 84 (which is shown in
After the drug has been delivered (e.g., over the course of a 45-minute session), the controller alerts the patient via a visual cue from the status light 18 and/or an audible cue from the buzzer that drug delivery is complete. Subsequently, the patient removes the device 10 from their skin and discards the device 10.
While devices of the type described above have proven adequate, there is room for improvement of them. For example, such devices integrate the drug reservoir into the housing of the device, which makes the device a single-use article that must be disposed of after use. Thus, it would be advantageous to provide a device configured to allow refill and reuse, rather than requiring removal and replacement of the entire device after every use.
There are several aspects of the present subject matter which may be embodied separately or together in the devices and systems described and claimed below. These aspects may be employed alone or in combination with other aspects of the subject matter described herein, and the description of these aspects together is not intended to preclude the use of these aspects separately or the claiming of such aspects separately or in different combinations as set forth in the claims appended hereto.
In one aspect, a drug delivery assembly defining a fluid flow path is disclosed. The assembly includes a main body and a cartridge. The main body has a body housing including a body interface and a controller. The cartridge includes a cartridge housing having a cartridge interface configured to be removably associated to the body interface. The cartridge further includes a drug reservoir positioned within the cartridge housing. The drug reservoir includes an outlet and is configured to contain a medicament. The controller is configured to execute a drug delivery routine in which at least a portion of the medicament in the drug reservoir is delivered to a subject via the outlet and the fluid flow path. Additionally, the cartridge has an adhesive pad associated with a surface of the cartridge housing and configured to removably attach to a human body surface.
In a second aspect, a drug delivery cartridge is provided for use in combination with a main body including a body housing having a body interface and a controller configured to execute a drug delivery routine in which a medicament is delivered to a subject via a fluid flow path. The cartridge has a cartridge housing including a cartridge interface configured to be removably associated to the body interface. The cartridge also includes a drug reservoir positioned within the cartridge housing. The drug reservoir has an outlet and is configured to contain a medicament. Additionally, an adhesive pad is associated with a surface of the cartridge housing and is configured to removably attach to a human body surface.
In yet another aspect, a main body is provided for use in combination with a drug delivery cartridge including: a cartridge housing having a cartridge interface; a drug reservoir, including an outlet and configured to contain a medicament, positioned within the cartridge housing; and an adhesive pad associated with a surface of the cartridge housing and configured to removably attach to a human body surface. The main body includes a body housing having a body interface configured to removably attach to the cartridge interface. The main body also includes a controller configured to execute a drug delivery routine in which at least a portion of the medicament in the drug reservoir is delivered to a subject via the outlet and a fluid flow path. Notably, the main body does not include an adhesive pad configured to attach to a human body surface.
These and other aspects of the present subject matter are set forth in the following detailed description of the accompanying drawings.
The embodiments disclosed herein are for the purpose of providing a description of the present subject matter, and it is understood that the subject matter may be embodied in various other forms and combinations not shown in detail. Therefore, specific designs and features disclosed herein are not to be interpreted as limiting the subject matter as defined in the accompanying claims.
Turning first to the main body 102, it includes a body housing 104 having a body interface 106. The body housing 104 may be made from any suitable, generally rigid material, including plastic polymers such as polyvinyl chloride (PVC), polypropylene, polycarbonate, and polystyrene. The body housing 104 may include at least one body latch 136 (shown in
In the illustrated embodiment, a fluid flow path 124 extends through the body housing 104 between first and second ends 108 and 110. The fluid flow path 124 may be variously configured without departing from the scope of the present disclosure, including having one or more portions that are defined by an interior surface of the body housing 104, one or more potions that are defined by an exterior surface of the body housing 104, and/or one or more portions that are defined by components associated with or incorporated into the body housing 104. The first end 108 of the fluid flow path 124 may be associated with the body interface 106, while the second end 110 may be associated with or positioned adjacent to the body housing 104 and configured to enter a human body. In an exemplary embodiment, the second end 110 of the fluid flow path 124 is configured as a needle and/or a cannula (e.g., of the type described above with regard to the device 10 of
The main body 102 also includes a controller 112 coupled to a power source (e.g., a battery). The controller 112 is configured to command the various electrical components of the drug delivery assembly 100 to execute a drug delivery routine, which may include any of a number of possible steps, including actuating the flow of fluid, such that the fluid will flow through the flow path 124 (as will be described below in further detail). The controller 112 may be variously configured without departing from the scope of the present disclosure, with the controller 112 being provided in an exemplary embodiment as a CPU or MPU configured as a computer chip mounted to a printed circuit board positioned within the body housing 104 that carries programmable software for executing the drug delivery routine.
As for the cartridge 114, it includes a cartridge housing 116 (formed of any suitable, generally rigid material, such as a PVC or other plastic material) having a cartridge interface 118 configured to be removably associated to the body interface 106. The cartridge interface 118 may include at least a portion of a side surface 132 of the cartridge housing 116. In the embodiment shown, the cartridge interface 118 protrudes from the cartridge housing 116 and the body interface 106 is recessed, so as to mate with the cartridge interface 118 upon association (the mated configuration is shown in
A suitable latch and locking system is described in U.S. patent application Ser. No. 17/180,594, which is hereby incorporated herein by reference. Though such a latch and locking system is suitable (and illustrated in
A drug reservoir 128 is positioned within the cartridge housing 116. The drug reservoir 128 includes an outlet 120 (shown in
In all embodiments described herein, the medicament 122 may be any suitable fluid medication. In an exemplary embodiment, the medicament may be pegfilgrastim, though other exemplary medications include (without limitation) one or more of the following: adalimumab, rituximab, risankizumab, etanercept, trastuzumab, ado-trastuzumab emtansine, trastuzumab deruxtecan, bevacizumab, infliximab, pegfilgrastim, filgrastim, tocilizumab, golimumab, interferon beta-1a, ranibizumab, denosumab, pembrolizumab, nivolumab, aflibercept, eculizumab, ocrelizumab, pertuzumab, secukinumab, omalizumab, ustekinumab, vedolizumab, daratumumab, dupilumab, atezolizumab, natalizumab, bortezomib, ipilimumab, durvalumab, emicizumab, palivizumab, guselkumab, mepolizumab, panitumumab, ramucirumab, belimumab, abatacept, certolizumab pegol, ixekizumab, romiplostim, benralizumab, evolocumab, canakinumab, obinutuzumab, cetuximab, erenumab, blinatumomab, romosozumab, mirikizumab, inotuzumab, sacituzumab govitecan, enfortumab vedotin, brentuximab vedotin.
In an exemplary embodiment, a seal may be associated with the outlet 120 (e.g., associated with the cartridge interface 118), preventing the medicament 122 from exiting the drug reservoir 128 via the outlet 120. In such an embodiment, the first end 108 of the fluid flow path 124 may be configured such that, when the cartridge interface 118 is at least partially received by the main body interface 106, the first end 108 of the fluid flow path 124 will engage or contact and open the seal so as to place the fluid flow path 124 into fluid communication with the outlet 120 of the drug reservoir 128. Accordingly, the first end 108 of the fluid flow path 124 may be configured as a projection (e.g., a generally cylindrical or tubular formation) extending from the main body interface 106 that is at least partially received by the outlet 120 to pierce the seal. The seal may be a frangible seal formed of a thin film or foil material, for example.
After the drug reservoir 128 is fluidically connected to the fluid flow path 124, the controller 112 is configured to execute a drug delivery routine in which at least a portion of the medicament 122 in the drug reservoir 128 is delivered to a subject via the fluid flow path 124. For example, the fluidic connection may trigger a mechanical or electronic signal to the controller 112 which communicates that it is time to execute the drug delivery routine. In an exemplary embodiment, a piston 134 is movably associated with the drug reservoir 128. Upon initiation of the drug delivery routine, the controller 112 may communicate with the piston 134 (for example by a suitable electronic or mechanical mechanism) such that the piston 134 pushes the medicament 122 out of the drug reservoir 128 to the first end 108 of the flow path 124, and ultimately out of the second end 110 of the flow path 124, delivering the medicament 122 to the subject.
As noted above, an adhesive pad 126 (typically comprising a substrate and associated adhesive) is associated with or affixed to the cartridge housing 116, with the adhesive pad 126 being configured to removably attach to a human body surface. In the embodiment shown in
In the embodiment shown in
In alternative embodiments, the adhesive pad may be sized and configured to accommodate less than the entire main body (i.e., with a portion of the perimeter of the main body extending outwardly of the perimeter of the adhesive pad). This may include the adhesive pad being manufactured with a relatively small surface area or a larger adhesive pad being altered, such as by cutting or otherwise removing a portion of it, to reduce the size. For example, as shown in
In addition to the possibility of the perimeter of the adhesive pad being variously sized and shaped, the remainder of the adhesive pad may also be variously configured without departing from the scope of the present disclosure. For example, in one embodiment the adhesive pad may include a space or opening configured to accommodate the needle and/or cannula of the cartridge. In such an embodiment, the needle and/or cannula may pass through the space defined by the adhesive pad and enter the human body surface without having to pierce through the pad itself. In such an embodiment, the needle and/or cannula may be protected by a seal that covers the second end of the fluid flow path, until the needle and/or cannula pierces the human body surface.
In any event, after completion of the drug delivery procedure, a user may detach the cartridge 114 from the main body 102 and dispose of the cartridge 114. To dispose of the cartridge 114 the user removes the adhesive pad 126 from the user's body surface. In an exemplary embodiment, the adhesive pad 126 may include a pull tab 142 or other pullable member which facilitates removal of the adhesive pad 126 and the associated cartridge 114. In this configuration, the cartridge 114 and the associated adhesive pad 126 are a single-use item. After the main body 102 is detached from the cartridge 114, following the drug delivery routine, the cartridge 114 is disposed of and the main body 102 is put aside for future use. When the user needs a subsequent dose of the medicament 122, a new cartridge 114 is attached to the human body surface of the user via the adhesive pad 126. After attachment of the cartridge 114 to the human body surface, the main body 102 is removably associated with the cartridge 114 to facilitate execution of the drug delivery routine. Alternatively, the main body 102 may be coupled to the cartridge 114 before securing the drug delivery assembly 100 to the patient.
It will be understood that the embodiments and examples described above are illustrative of some of the applications of the principles of the present subject matter. Numerous modifications may be made by those skilled in the art without departing from the spirit and scope of the claimed subject matter, including those combinations of features that are individually disclosed or claimed herein. For these reasons, the scope hereof is not limited to the above description but is as set forth in the following claims, and it is understood that claims may be directed to the features hereof, including as combinations of features that are individually disclosed or claimed herein.
Number | Name | Date | Kind |
---|---|---|---|
20020169439 | Flaherty | Nov 2002 | A1 |
20030088238 | Poulsen | May 2003 | A1 |
20030167036 | Flaherty | Sep 2003 | A1 |
20040116866 | Gorman et al. | Jun 2004 | A1 |
20040199123 | Nielsen | Oct 2004 | A1 |
20080091139 | Srinivasan | Apr 2008 | A1 |
20080125700 | Moberg et al. | May 2008 | A1 |
20090131860 | Nielsen | May 2009 | A1 |
20100137832 | Mathews et al. | Jun 2010 | A1 |
20100262078 | Blomquist | Oct 2010 | A1 |
20110178461 | Chong | Jul 2011 | A1 |
20120010594 | Holt et al. | Jan 2012 | A1 |
20150374919 | Gibson | Dec 2015 | A1 |
20160038689 | Lee et al. | Feb 2016 | A1 |
20160082182 | Gregory et al. | Mar 2016 | A1 |
20160199574 | Ring et al. | Jul 2016 | A1 |
20160220798 | Netzel | Aug 2016 | A1 |
20160296704 | Gibson | Oct 2016 | A1 |
20160354555 | Gibson et al. | Dec 2016 | A1 |
20170119969 | McCullough et al. | May 2017 | A1 |
20170124284 | McCullough et al. | May 2017 | A1 |
20170147787 | Albrecht et al. | May 2017 | A1 |
20170182253 | Folk et al. | Jun 2017 | A1 |
20170340837 | Nazzaro et al. | Nov 2017 | A1 |
20170361015 | McCullough | Dec 2017 | A1 |
20170368260 | McCullough et al. | Dec 2017 | A1 |
20180021508 | Destefano et al. | Jan 2018 | A1 |
20180028747 | Hanson et al. | Feb 2018 | A1 |
20180036476 | McCullough et al. | Feb 2018 | A1 |
20180085517 | Laurence et al. | Mar 2018 | A1 |
20180256823 | Nazzaro et al. | Sep 2018 | A1 |
20180272059 | Marbet et al. | Sep 2018 | A1 |
20180304014 | Knudsen et al. | Oct 2018 | A1 |
20190009019 | Shor et al. | Jan 2019 | A1 |
20190022306 | Gibson | Jan 2019 | A1 |
20190050375 | Fitzgibbon et al. | Feb 2019 | A1 |
20190060562 | Olivas et al. | Feb 2019 | A1 |
20190083702 | Nekouzadeh et al. | Mar 2019 | A1 |
20190134296 | Barbedette et al. | May 2019 | A1 |
20190143043 | Coles et al. | May 2019 | A1 |
20190143047 | Jazayeri et al. | May 2019 | A1 |
20190151544 | Stonecipher | May 2019 | A1 |
20190167908 | Fitzgibbon et al. | Jun 2019 | A1 |
20190192766 | Stonecipher | Jun 2019 | A1 |
20190247579 | Damestani et al. | Aug 2019 | A1 |
20190275241 | Ring et al. | Sep 2019 | A1 |
20190328965 | Moberg | Oct 2019 | A1 |
20190365986 | Coiner et al. | Dec 2019 | A1 |
20190374707 | Damestani et al. | Dec 2019 | A1 |
20190381238 | Stonecipher et al. | Dec 2019 | A1 |
20200023122 | McCullough et al. | Jan 2020 | A1 |
20200164145 | Chang et al. | May 2020 | A1 |
20200164155 | Mojarrad et al. | May 2020 | A1 |
20200179609 | Tan-Malecki et al. | Jun 2020 | A1 |
20200197628 | McCullough et al. | Jun 2020 | A1 |
20200206429 | Hering et al. | Jul 2020 | A1 |
20200230313 | Mojarrad et al. | Jul 2020 | A1 |
20200238004 | McCullough | Jul 2020 | A1 |
20200254172 | Forster et al. | Aug 2020 | A1 |
20200261643 | Boyaval | Aug 2020 | A1 |
20200261648 | Groszmann et al. | Aug 2020 | A1 |
20200261657 | Gibson et al. | Aug 2020 | A1 |
20200289745 | Harris et al. | Sep 2020 | A1 |
20200297927 | Conrath et al. | Sep 2020 | A1 |
20200322793 | Yang | Oct 2020 | A1 |
20200338271 | Harris et al. | Oct 2020 | A1 |
20200345929 | Ben-David | Nov 2020 | A1 |
20210228799 | Streit | Jul 2021 | A1 |
20220339348 | Othel-Jacobsen | Oct 2022 | A1 |
Number | Date | Country |
---|---|---|
2018081234 | May 2018 | WO |
2018183039 | Oct 2018 | WO |
2018226565 | Dec 2018 | WO |
2019018169 | Jan 2019 | WO |
2019022950 | Jan 2019 | WO |
2019022951 | Jan 2019 | WO |
2019032101 | Feb 2019 | WO |
2019143753 | Jul 2019 | WO |