This invention relates to drug delivery devices for addressing the problems associated with solids coming out of drug suspension.
Certain drugs or medicaments (those terms being used interchangeably herein) are preferably provided in powder or dry form (e.g., lyophilized form). Such powdered drugs are commonly suspended in a liquid diluent or carrier to allow delivery to an individual through injection. The powder drug is combined with the diluent prior to injection and administered in solution form. Drug delivery systems typically have a reservoir with a large diameter, for example a syringe barrel or drug cartridge, for containing the drug solution.
Prior art devices have been developed that provide a diluent and dry substance in separate chambers of a common container or reservoir, with the container being configured to permit the flow of the diluent to the dry substance to cause mixing thereof in forming a solution. For example, U.S. Pat. No. 4,874,381 to Vetter is directed to an injector configured for mixing, while U.S. Pat. No. 4,968,299 to Ahlstrand et al. is directed to a drug cartridge for mixing.
However, due to differences in density of solids and liquids in a solid/liquid suspension, the relative velocities of the two suspension constituents may be different, thus leading to possible separation of the solid particles out of solution. Further, certain drugs are capable of being mixed and then stored for a period of time. During the storage period, solids may have a tendency to separate out of the liquid carrier. Separation of the solids from the liquid is problematic for many reasons, for example, the separation may result in delivery of an insufficient or excessive dose of the drug to the individual. Further, when solids become separated from the liquid, gravitational forces may drive the solids towards the lower end of the reservoir (typically, the patient end), which is proximal to the opening of the needle cannula or other dispensing apertures. This collection of solids proximal to the needle opening or dispensing aperture is undesirable, as it may cause clogging of the needle opening.
In one aspect of the subject invention, a drug delivery device is provided which includes a reservoir for containing a medicament and has a proximal end and a distal end, the medicament including a suspension of solids in a liquid carrier. Further, the drug delivery device includes a needle in fluid communication with the reservoir and having a distal end for injection into a patient, and a proximal end in the reservoir. An accumulation surface is defined at least partially about the needle, distally of the proximal end of the needle. The accumulation surface defines a distally-extending indentation which is sized and shaped to collect, during use, solids that come out of suspension. Advantageously, with the subject invention, the accumulation surface allows for solids to accumulate at a location spaced from the proximal end of the needle, thereby minimizing the possibility of clogging the needle.
In a second aspect of the subject invention, a drug delivery device is provided herein which includes a barrel having a proximal end and a distal end. The barrel at least partially defines a reservoir for containing a medicament, the medicament including a suspension of solids in a liquid carrier. A needle is in fluid communication with the reservoir and has a distal end for injection into a patient, and a proximal end in the reservoir. A plunger is provided in the reservoir, the plunger being selectively movable for urging the suspension from the reservoir through the needle. Further, the drug delivery device includes at least one agitator disposed in the reservoir in communication with the suspension, the agitator configured to agitate the suspension during movement of the plunger. Advantageously, with the subject invention, an agitator may be provided which agitates the suspension to cause mixing thereof thereby minimizing the amount of solids out of solution in the suspension.
As will be recognized by those skilled in the art, the various aspects of the subject invention described herein may be used singularly or in any combination.
These and other features of the invention will be better understood through a study of the following detailed description and accompanying drawings.
With reference to the figures, a drug delivery device 10 is shown for delivery of a drug in a fluid suspension to an individual. As will be appreciated by those skilled in the art, the drug delivery device 10 may be of various forms. With reference to
With reference to
As best shown in
As shown in
With reference to
With a pen injector configuration, a drug cartridge 48 is typically provided. The drug cartridge 48 may include the barrel 16, the stopper 22 and the septum 30 and define the reservoir 12. The main difference between the drug cartridge 48 and the configuration of
The suspension 14 includes a medicament for delivery into an individual. The suspension 14 includes solid components held in a liquid carrier. The active medicament agent or agents may be in the solid components of the suspension 14 and/or in the liquid carrier. The suspension 14 may contain solids dissolved to varying degrees, including at least some solids completely dissolved, or it may include solid particles, suspended in the liquid carrier. The suspension 14 may be pre-mixed before it is disposed in the reservoir 12, or it may be mixed after it has been disposed in the reservoir 12. For example, the reservoir 12 may house a liquid diluent and a solid drug in separate compartments, such as in a reconstitution arrangement as is known in the art, where the two components are mixed prior to delivery to an individual. Examples of suitable reconstitution arrangements may be found, for example, in U.S. Pat. No. 4,874,381 and in U.S. Pat. No. 4,968,299, the contents of which are incorporated by reference herein.
During storage or use of the drug delivery device 10, the solid components of the suspension 14 may come out of solution. With reference to
Preferably, the proximally-facing surface 54 also includes a proximally-extending protrusion 62 located adjacent to the accumulation surface 58. The protrusion 62 is preferably sized and positioned so that the needle cannula 38 extends therethrough during use.
As will be appreciated by those skilled in the art, the indentation 60 may be formed with various configurations, including being formed as one or more discontinuous indentations. For example, the indentation 60 may be formed as one or more dimples in the proximally-facing surface 54.
With reference to
With reference to
In addition to providing a manner by which solid particles may be accumulated, it may be desired to provide features for agitating the suspension 14, thereby possibly causing sufficient mixing and causing solid particles to go back into solution in the suspension 14. An agitator may be provided in the reservoir 12 configured to cause agitation upon movement of the plunger 26, particularly distal movement of the plunger 26. Thus, as the suspension 14 is driven towards the needle cannula 38 under force of movement of the plunger 26, the suspension 14 is caused to flow in a generally distal direction. In one embodiment, with reference to
The plunger 26 will force the suspension 14 through the channels 68 about the plug 69. Distal movement of the plunger 26 will impart distally directed momentum to the suspension 14 such that the suspension 14 will generally move distally down the channels 68. The channels 68 will provide a rotational aspect to the flow, thus causing turbulence in minimizing separation in the suspension 14. It is preferred that the channels 68 be located at least partially proximally of the proximal end 40 of the needle cannula 38. In this manner, any mixing of the suspension 14 may be done proximally of the needle cannula 38 thereby increasing the possibility of mixing the suspension 14 and then causing the mixed suspension to be delivered through the needle cannula 38. Other configurations of the channels 68 are possible. In addition, the channels 68 may be wholly or partially located distally of the proximal end 40 of the needle cannula 38.
The plug 69 preferably fits sufficiently tightly against the barrel 16 and/or the annular component 67 to be generally stationary. In addition, as shown in
With reference to
One or more of the fins 70 may be provided. Preferably, the fins 70 are plate shaped and extend in a distal direction from the septum 30 or the distal end 20 of the barrel 16. Various shapes and configurations of the fins 70 are possible. Channels 72 are formed between the fins 70 into which the suspension 14 is urged under force of movement of the plunger 26. The fins 70 reduce flow area and thus cause the suspension 14 to accelerate through the channels 72 in passing to the proximal end 40 of the needle cannula 38. This increase in velocity helps maintain the suspension thereby minimizing separation therein. In addition, the fins 70 direct any of the suspension 40 which by-passes the proximal end 40 of the needle cannula 38 in a generally distal direction. The fluid is directed to strike against, and rebound from, the septum 30 and/or the distal end 20 of the barrel 16. Upon rebounding, the suspension 14 is forced to mix with the suspension 14 that is flowing from behind.
In a further embodiment of an agitator, and with reference to
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