The present invention relates to an assembly of components for a drug delivery device that allows a user to select single or multiple doses of an injectable liquid drug and to dispense the set dose of the product and to apply said product to a patient, preferably by injection. In particular, the present invention relates to a configuration that enables optimal assembling of such drug delivery devices.
In the disclosure of the present invention reference is mostly made to drug delivery devices used e.g. in the treatment of diabetes by delivery of insulin, however, this is only an exemplary use of the present invention.
Drug delivery devices allowing for multiple dosing of a required dosage of a liquid medicinal product, such as liquid drugs, and further providing administration of the liquid to a patient, are as such well-known in the art. Generally, such devices have substantially the same purpose as that of an ordinary syringe. Drug delivery devices of this kind have to meet a number of user specific requirements. For instance in case of those with diabetes, many users will be physically infirm and may also have impaired vision. Therefore, these devices need to be robust in construction, yet easy to use, both in terms of the manipulation of the parts and understanding by a user of its operation. Further, the dose setting must be easy and unambiguous and where the device is to be disposable rather than reusable, the device should be inexpensive to manufacture and easy to dispose. In order to meet these requirements, the number of parts and steps required to assemble the device and an overall number of material types the device is made from have to be kept to a minimum.
Typically, the liquid drug to be administered is provided in a cartridge that has a moveable piston or bung mechanically interacting with a piston rod of an expelling mechanism of the drug delivery device. By applying thrust to the piston in distal direction, a predefined amount of the liquid drug is expelled from the cartridge. Due to inevitable manufacturing tolerances there may for instance persist axial clearance between a cartridge's piston and the piston rod. Typically, prior to a primary use of the device, an end-user has to conduct a so-called priming of the expelling mechanism in order to ensure, that already with an initial dose setting and a first subsequent dose dispensing step, an accurate amount of the liquid drug is dispensed in a predefined way.
An initial dose setting and expelling of a minor dose may in certain situations also be required for removing any air present in the cartridge and/or a connected needle and for performing a flow check.
Document WO 99/38554 A1 discloses several embodiments of injection devices each suitable for forming a disposable device wherein a liquid drug cartridge is inserted into the device during assembly in a production line.
State of the art pen-type drug delivery devices that incorporate a dose setting feature often include a so-called end-of-content limiter to prevent a user from selecting a size of a dose which exceeds the amount of liquid drug remaining in a cartridge of the device. References WO 01/19434 A1, WO 2006/128794 A2, WO 2010/149209 A1 and WO 2013/156224 A1 include disclosure of such end-of-content limiters.
In the production line, during final assembly operations of the devices, at least a part of the priming is typically carried out using the dose setting and expelling mechanism so that users will experience virtually consistent requirement for a priming operation across individual pen samples irrespective of the initial gap between the piston rod and the piston which emanates from tolerance variations. Reference WO 2009/095332 A1 discloses devices wherein a distance between the distal end of a piston rod means and the plunger is minimized or reduced to zero. WO 2010/124961 A1 and WO 2011/121061 A1 provides further disclosure of related methods and devices.
It is an object of the present invention to provide a drug delivery device featuring improved and facilitated clearance reduction or clearance elimination. It is a further object of the invention to provide a simplified and robust method of eliminating clearance in a drug delivery device. Finally, it is an object of the invention to provide manufacture of drug delivery devices providing consistently uniform and predictable total doseable amount of liquid drug from a held cartridge, aiming in reducing requirements with regard to performing control measurements during manufacturing.
In the disclosure of the present invention, embodiments and aspects will be described which will address one or more of the above objects or which will address objects apparent from the below disclosure as well as from the description of exemplary embodiments.
In a first aspect, the present invention relates to a drug delivery device for dispensing one or more doses of a medicament, comprising:
In accordance with the first aspect the invention provides a simple yet effective means of adjusting or eliminating clearance between the piston rod and the piston of a held cartridge during assembly operations. By a simple adjustment procedure, the axial position between the adjustment member and the piston is adjusted and thus an initial clearance may be reduced into a predefined magnitude or, alternatively, eliminated completely. The simple adjustment procedure provides for a predictable clearance compensation which will require little or no control measurements.
In some embodiments the said at least one radially disposed protrusion defines a plurality of radially disposed protrusions. The plurality of radially disposed protrusions may be configured to define a second contour system wherein the plurality of radially disposed protrusions are arranged axially offset to one another to cooperate and engage with respective axially facing steps of the first contour system.
In some embodiments, each said plurality of axially facing steps defines a bottom surface of a respective axially extending channel. In such configuration, the axially extending channel may be formed as individual separate channels separated by rib geometries such that once a protrusion has been received by a selected channel the protrusion cannot be moved into a neighbouring channel.
In some embodiments the piston rod comprises a first rotational block geometry and the adjustment member comprises a second rotational block geometry to cooperate with the first rotational block geometry to prevent the said at least one radially disposed protrusion from disengaging the selected one of said plurality of axially facing steps of the first contour system when the adjustment member is situated in full axial engagement with the piston rod.
In further embodiments each of the at least one radially disposed protrusion defines an abutment surface having a shape mating with an abutment surface defined by each of the plurality of axially facing steps.
Each of said plurality of steps of the first contour system may comprise a surface which extends substantially perpendicularly relative to the axis.
In some embodiments, when the at least one radially disposed protrusion engages a respective one of said series of axially facing steps of the first contour system, a press-fit engagement between the piston rod and the adjustment member is provided.
In some embodiments one of the piston rod and the adjustment member defines an axially extending shaft member being received in a axial bore of the other of the piston rod and the adjustment member. Said other of the piston rod and the adjustment member may further define a longitudinal member comprising the longitudinal bore in an end section thereof so that an end wall portion of the longitudinal member encircles the bore and wherein the end wall portion comprises one or more axially extending slots providing radial resiliency of annular sections divided by the one or more axially extending slots.
In some embodiments, said axial bore is defined by an end portion having walls at least partly circumscribing the axial bore. The walls circumscribing the axial bore may be configured to provide radial resiliency for retaining said axially extending shaft member when it has been fully inserted into the axial bore.
In some embodiments the adjustment member defines said at least one radially disposed protrusion. The adjustment member defines a first end and an opposite second end.
In some embodiments the adjustment member is configured for being inserted between the piston and the piston rod selectively with the first end of the adjustment member facing the piston rod or with the second end of the adjustment member facing the piston rod.
Respective ones of said at least one radially disposed protrusion are arranged at an axial distance from the first end of the adjustment member thereby defining a first set of respective distances and wherein respective ones of said at least one radially disposed protrusion are arranged at an axial distance from the second end of the adjustment member thereby defining a second set of respective distances and wherein the first set of respective distances differ from the second set of respective distances. In this way, the orientation of the adjustment member pointing with its first end either in the proximal direction or in the distal direction is decisive for the axial position of the adjustment member relative to the piston rod.
In certain embodiments, a piston washer is arranged between the adjustment member and the piston. Both the first end and/or the second end of the adjustment member may include a rotation symmetrical portion configured for mating with a bearing surface of a piston washer.
In some embodiments the drug delivery device forms a disposable device wherein the cartridge mounted within the device cannot be replaced with a new cartridge. In other embodiments, the drug delivery device forms a durable device wherein an exhausted cartridge is to be replaced by a new filled cartridge.
In some embodiments, the plurality of steps and the at least one radially disposed protrusion provide axial variation within a range of axial positions wherein said range is less than 4% of the total stroke length that the drive mechanism is operable for moving the piston rod for expelling the entire expellable contents of the cartridge. In certain embodiments said range of axial variations is configured to provide less than 0.9 mm axial variation.
The drive mechanism includes a dose expelling mechanism. In some embodiments, the drive mechanism further includes a dose setting mechanism operable to set the size of a dose intended for subsequently being expelled from the drug delivery device. In some embodiments the drive mechanism forms a multi-dose expelling mechanism for administering a series of separate doses by injection. In still other embodiments, the drive mechanism is configured for administering only fixed sized doses, and optionally, only a single fixed sized dose.
In some embodiments, the piston rod of the drive mechanism is configured to rotate during dose expelling. In one embodiment, the piston washer is rotatably arranged relative to the piston rod to allow the piston rod to rotate while the piston washer remains non-rotatable. In some embodiments, the piston rod is provided with at least one thread along the length of the piston rod to induce an axial movement of the piston rod as the piston rod is rotated by the drive mechanism.
The drug delivery device may define a housing component that houses the drive mechanism. In some embodiments, the drive mechanism may include a driver adapted to rotationally couple to the piston rod so as to prevent relative rotational movement but allow relative axial slideable engagement between the driver and the piston rod. The driver will in such embodiments be configured to rotate during a dose expelling procedure to induce rotation on the piston rod to rotate the piston rod through a threaded nut element associated with the housing component thereby causing a dose of drug to be expelled. The nut element may comprise a threaded opening engaging the at least one thread of the piston rod.
In some embodiments, the dose setting and expelling mechanism may comprise a dose setting element that rotates relative to a driver during setting of a dose and wherein the dose setting element and the driver rotates together during expelling of a set dose.
In further embodiments of the drug delivery device according to the first aspect, the device comprises an end-of-content limiter which prevents setting a dose which exceeds a doseable amount of liquid drug remaining in the cartridge.
The end-of-content limiter may in some embodiments be arranged between the driver and the dose setting element of the drug delivery device. In exemplary embodiments the end-of-content limiter is engaging the driver and the dose setting element. In such embodiment, as the dose setting element is rotated relative to the driver for dialling up a dose, the end-of-content limiter moves towards an end-of-content stop geometry for example provided by one of the driver and the dose setting element. In other embodiments, the end-of-content limiter is engaging the piston rod and a dose setting element. In such embodiment, as the dose setting element is rotated relative to the piston rod for dialling up a dose, the end-of-content limiter moves towards an end-of-content stop geometry for example provided by one of the piston rod and the dose setting element.
In situations where and end-of-content mechanism is incorporated into the device, the manufacturing and assembly can be carried out without use of the dose setting and expelling mechanism for evening out an initial gap between the piston rod and the piston and thus further enables the end-of-content mechanism of each individual device to provide a consistent and uniform total doseable quantity from each individual pen device.
In all of the embodiments according to the invention a piston washer may be arranged between the adjustment member and the piston of a held cartridge to distribute axial forces exerted by the piston rod onto a large surface portion of the piston. In the context of the present application, when cooperation between the adjustment member and the piston is dealt with, such as by using terms such as contact, abutment, engagement or cooperation, this does not mean that a direct cooperation is provided, but may involve a an element such as a piston washer being arranged between the adjustment member and the piston, either provided as a separate entity or provided as part of the piston or the adjustment member. For example, in the context of the present disclosure, when it is defined that the adjustment member engages or abuts the piston, embodiments wherein a piston washer is arranged between the adjustment member and the piston are encompassed as well.
In accordance with a second aspect of the invention, a method of eliminating clearance between a piston and a piston rod in a drive mechanism of a drug delivery device, wherein the drive mechanism comprises a holder for a medicament containing cartridge having a piston slidably arranged herein in an axial direction, wherein the piston rod is to be operably engaged with the piston of the cartridge for dispensing one or more doses of a medicament, further comprising an adjustment member attached to a distal portion of the piston rod. At least one of the adjustment member and the piston rod includes at least one metallic portion arranged in the vicinity of a polymer material arranged in the interface between the piston rod and the adjustment member. The method of eliminating said clearance during or after assembly of the drive mechanism is characterized by the steps of:
As used herein, the term “insulin” is meant to encompass any drug-containing flowable medicine capable of being passed through a delivery means such as a cannula or hollow needle in a controlled manner, such as a liquid, solution, gel or fine suspension, and which has a blood glucose controlling effect, e.g. human insulin and analogues thereof as well as non-insulins such as GLP-1 and analogues thereof. In the description of exemplary embodiments reference will be made to the use of insulin.
In the following the invention will be further described with reference to the drawings, wherein
Generally, in the figures, like structures are mainly identified by like reference numerals.
The shown figures are schematic representations for which reason the configuration of the different structures as well as their relative dimensions are intended to serve illustrative purposes only. In the following, when the term member or element is used for a given component, it generally indicates that in the described embodiment the component is a unitary component, however, the same member or element may alternatively comprise a number of sub-components just as two or more of the described components could be provided as unitary components, e.g. manufactured as a single injection moulded part. The term “assembly” does not imply that the described components necessarily can be assembled to provide a unitary or functional assembly during a given assembly procedure but is merely used to describe components grouped together as being functionally more closely related.
Shown in
More specifically, the pen device shown in
Only components directly necessary for the understanding of the present disclosure will be described herein. For the full description of the expelling mechanism reference is made to WO 99/38554 A1 which is hereby incorporated by reference.
In the fully assembled state, the distal housing component 2 is fixedly attached to the proximal housing component 1, e.g. by an axial snap connection, the distal housing component 2 having openings allowing a portion of the cartridge 89 to be inspected. The cartridge may for example contain an insulin, GLP-1 or growth hormone formulation. The device is designed to irreplaceably accommodate a cartridge 89 inserted through a proximal receiving opening in the distal housing component 2, the cartridge being provided with a piston driveable by a piston rod forming part of the expelling mechanism. A piston washer 9 may be located between the piston rod and the piston for transferring axial forces exerted by the piston rod to the piston.
Again referring to
Particular variants of the injection pen shown in
The helical track has a length which correlates with the total amount of drug in a new full cartridge. During dose setting the driver 31 remains non-rotatable while the dose setting element 30 rotates. Hence, when dialling up a dose the nut member 32 moves towards an end stop of helical track 33. During dose expelling the driver 31 rotates with the dose setting element 30. Hence nut member 32 maintains its present position relative to helical track 33. The nut member 32 only abuts the end stop of the helical thread 33 when the sum of accumulated expelled doses and the present set dose equals the total amount of liquid drug in a full cartridge. This prevents setting a dose that exceeds the amount of liquid drug remaining in the cartridge.
The shown end-of-content limiter provides only a non-limiting example of a suitable end-of-content limiter to be used in connection with the injection device shown in
In accordance with the assembling procedure of the prior art injection device shown in
The proximal subassembly includes the remaining components of the injection device, i.e. the proximal subassembly includes the proximal housing component 1 and the dose setting and expelling mechanism in a state where the nut member 32 assumes a predefined start position relative to the helical track of the driver (i.e. bushing 82) and where the driver tube 85 assumes a predefined rotational orientation relative to the proximal housing component 1. This allows the piston rod 7 to slide into engagement with the driver tube 85 as the distal subassembly is axially brought into engagement with the proximal subassembly for finally securing the two subassemblies relative to each other, this without requiring relative rotation between piston rod 7 and driver tube 85.
Production tolerances on the piston rod, the dose setting and expelling mechanism, cartridge body, cartridge filling level and other components result in variations in piston rod position and piston position in each device during assembly.
In mechanical devices production, in order to minimize a potential clearance between the piston rod and the piston of the cartridge, positioning may be carried out by initially positioning the piston rod 7 in a nominal position. Due to tolerances various different clearance gaps between the piston and the piston rod will show when the distal and proximal subassemblies of each sample are permanently secured together. On the basis of measurements or estimations, which may be performed at different steps of the assembly process, the actual gap in each sample traditionally has been eliminated or at least partly reduced by operating the dose setting and expelling mechanism. Operating the dose setting and expelling mechanism may be carried out either after final assembly or prior to final assembly of the different subassemblies. However such compensation procedure means that the end-of-content mechanism will be operated to a lesser or higher degree even before the device is shipped to the user meaning that the experienced total doseable volume varies from sample to sample. Generally such variations and inconsistencies from one sample to another should be avoided as this may provide the impression that the quality of the device could be somewhat non-optimal.
Turning now to
In the shown embodiment, the piston rod comprises a first contour system comprising a plurality of steps 175′ and 175″ wherein the steps are circumferentially disposed and arranged axially offset from one another. In the shown embodiment, a pair of first steps 175′ is arranged 180 degrees apart with the first steps being disposed at the same distance from the distal end of the piston rod 170. Also a pair of second steps 175″ is arranged 180 degrees relative to each other but rotated approximately at right angles with respect to the first pair of steps 175′. Both second steps 175″ are disposed at the same distance from the distal end of the piston rod 170 but at a different depth relative to the first pair of steps 175′. In the shown embodiment, the first steps 175′ are arranged at a more shallow depth than the second steps 175″.
By inserting the first end 151 of the adjustment member 150 into bore 171 of the piston rod 170, while selecting the angular orientation of the adjustment member 150 relative to the piston rod 170, the protrusion 155 of adjustment member 150 may be introduced into a selected set of pockets in bore 171 leading to the first pair of steps 175′, this situation being shown in
During assembly of the drug delivery device, prior to final assembly, the axial clearance between the piston rod 170 and the piston of a held cartridge 89 can be measured or otherwise estimated. Non-limiting examples of such clearance determination may involve measuring the position of the piston relative to the cartridge or, if the cartridge is held by a housing part of the device, measuring the position of the piston relative to the housing part. And it may involve measuring the position of the piston rod with respect to a housing part of the device which accommodates the drive mechanism. In accordance with the determined axial clearance, the angular orientation between the adjustment member and the piston rod can be selected so that the effective length of the assembly formed by the piston rod and the adjustment member effectively compensates for tolerance variations in a manner that, when the adjustment member is in full axial engagement with the piston rod, the clearance between the adjustment member/piston rod and the piston is eliminated or, alternatively, reduced to a gap of a predefined axial size.
In the embodiment shown in
The steps 175′, 175″ and 175′″ forms a contour system 175 of steps that are circumferentially disposed and arranged axially offset from one another. This is further visible in the upper view of
The three lower views of
A third embodiment of a modified piston rod and adjustment member is shown in
As shown in
As described in connection with the first embodiment, any of the second and third embodiments may further be designed for the adjustment member 150 to be selectively insertable in the bore 171 of piston rod 170 in either of two ways providing a further means of varying the axial length of the assembly formed by the piston rod and the adjustment member. In this way the axial distance from the one or more radial extending protrusions to the end portions of the adjustment member may be designed in accordance with the desired variability. In further embodiments, the contour system 175 of the piston rod 170 forms a first contour system whereas the adjustment member 150 may be provided with a second contour system providing a similar arrangement of steps wherein each step is arranged axially offset with respect to the other steps. In such embodiment, the first contour system and the second contour system are configured to cooperate with each other to provide the desired variability.
In some embodiments the shape of the adjustment member is formed so as to enable insertion of the adjustment member into the bore 171 of the piston rod 170 selectively in two ways, either with the first end 151 or with the second end 152 pushed into the bore 171. If the adjustment member is formed with a protrusion where the distance L′ is different from L″, this may be utilized to create further variability of the tolerance compensation by appropriately choosing which end 151 or 152 that is to be selected for insertion into the bore 171.
In some embodiments, after the adjustment member has been inserted into the correct pocket and the axial blocking surfaces of the protrusion 155 abuts a selected step or a set of steps 175′/175″, the adjustment member is withheld in the bore 171, e.g. by means of a press-fitting or a snap-fitting. Alternatively, the adjustment member and the piston rod may be adhered or welded relative to each other, or secured mechanically by an alternative method.
In accordance with the second aspect of the invention,
In
The piston rod 270 of the fourth embodiment again is formed with a bore 271 that emerges from the distal facing surface of the piston rod. In the shown embodiment, the inner surface of the bore is along its length provided with regularly arranged small circumferentially extending ribs. The inner diameter of the bore 271 is formed slightly smaller than the outer diameter of the adjustment member 250 so that the adjustment member 250 is frictionally held by the bore 271 when the adjustment member is arranged in an initial axial position within bore 271. In the initial axial position, the adjustment member 250 extends distally from the distal end portion of the piston rod 270 by an extent larger than the clearance between the adjustment member and the piston. In accordance with the second aspect of the invention at least one of the adjustment member and the piston rod includes at least one metallic portion arranged in the vicinity of the interface between the piston rod 270 and the adjustment member 250. In the shown embodiment the adjustment member 250 is formed by an inductively heatable metal.
During assembly operations wherein the cartridge and the piston rod are moved gradually closer to each other, the piston of the cartridge will push the adjustment member 250 further into the bore 271 until the cartridge and the piston rod reach their final destination relative to each other. By applying a suitable inductive field directed onto the metallic portion of the assembly made up by the piston rod and the adjustment member the surrounding material of the piston rod and/or the adjustment member will melt and provide a full adherence between the piston rod and the adjustment member. The adjustment member 250 is thus effectively secured to the piston rod 270 in the correct position to eliminate the clearance between the piston rod and the piston.
In alternative embodiments, during assembly, instead of moving the adjustment member 250 relative to the piston rod 270 by means of the piston of a cartridge, a separate tool may control the depth of insertion in accordance with a target position determined by means of measuring the axial position of the piston of the cartridge and/or the axial position of the piston rod relative to a reference point, such as a reference point on a housing component.
In the fifth embodiment shown in
In the fifth embodiment, the through-going bore enables the adjustment member 250 to be moved in the distal direction relative to the piston rod 270. In applications where the cartridge and the piston rod assume their target assembly positions leaving a gap between the piston rod and the piston, the adjustment member 250 may be moved from an initial position within the piston rod towards a final position in engagement with the piston of the held cartridge, optionally by means of a cooperating piston washer intermediately arranged between the adjustment member and the piston.
In some embodiments of the above described configurations the end of the adjustment member 150 or 250 being intended to cooperate with the piston of a held cartridge may be so formed that the adjustment member exhibits a geometry forming a disc shape so as to act as a piston washer. Such disc shaped member may be provided freely rotatable relative to the remainder of the adjustment member or may be fixedly fitted not providing independent rotation. However, in the shown embodiments a single end or both ends of the adjustment member is formed with a pointed tip which is formed to cooperate with a bearing surface of a piston washer thus enabling the piston rod to rotate freely relative to the piston washer.
The injection device shown in
In alternative embodiments of injection devices these may incorporate an energy storage aiding to expel a set dose when a user operates a dose injection button. Depending on the type of expelling mechanism embodied in a given drug delivery device, the expelling mechanism may comprise a spring which is strained during dose setting and then released to drive the piston rod when the release button is actuated. Still other alternative mechanisms may include a spring member which stores sufficient energy for expelling the total contents of a cartridge during one or more separate dose administrations. Each such type of injection devices can be structured to enable assembly by the above described methods and features in accordance with the different aspects of the present invention.
While certain features of the invention have been illustrated and described herein, many modifications, substitutions, changes, and equivalents will now occur to those of ordinary skill in the art. It is, therefore, to be understood that the appended claims are intended to cover all such modifications and changes as fall within the true spirit of the invention.
Number | Date | Country | Kind |
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16178694.2 | Jul 2016 | EP | regional |
Filing Document | Filing Date | Country | Kind |
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PCT/EP2017/067153 | 7/7/2017 | WO | 00 |