The present disclosure relates to an injection device, in particular an injection device that can be activated.
Needle based injection systems (NIS) for the self-administration of drugs such as insulin by patients can be found in a convenient pen shape (i.e. insulin injection pens). In many examples of injection pens, drug delivery is a purely mechanical operation. However, recent variants of these injection pens include electronic components that may perform a number of functions such as dose measurement, data storage and data transmission. These electronic components require a power supply to function. However compact nature of many injection devices can place a constraint on the size of battery that can be accommodated in the injection device.
According to an aspect of the present disclosure, there is provided an injection device comprising: a housing; an actuation member movable between a first position relative to the housing and a second position relative to the housing, wherein the actuation member is arranged to inhibit a mechanical operation of the injection device when the actuation member is in the first position, but allow the mechanical operation of the injection device when the actuation member is in the second position; electronic circuitry; and an actuation sensing arrangement, wherein the actuation sensing arrangement is configured to detect movement of the actuation member from the first position relative to the housing to the second position relative to the housing, and wherein the electronic circuitry is configured to be activated in response to detection by the actuation sensing arrangement that the actuation member has moved from the first position relative to the housing to the second position relative to the housing.
The mechanical operation may comprise a dose programming operation.
The mechanical operation may comprise a dose dispensing operation.
Activation of the electronic circuitry may comprise switching the electronic circuitry from a relatively low-power state to a relatively high-power state.
The actuation member may comprise a hinged member pivotally coupled to the housing such that the hinge member can pivot between the first position and the second position relative to the housing.
The hinged member may be configured to engage with a mechanical part of the injection device to inhibit movement of the mechanical part when the hinged member is in the first position. The hinged member may be disengaged with the mechanical part when in the second position.
The actuation sensing arrangement may comprise a plurality of conductive contacts; wherein the hinged member comprises an electrically conductive portion, wherein the conductive contacts and the electrically conductive portion are arranged such that: the electrically conductive portion forms an electrical connection between the conductive contacts when the actuation member is in one of the first position and the second position; and there is no electrical connection between the conductive contacts via the electrically conductive portion when the actuation member is in the other one of the first position and the second position.
The actuation sensing arrangement may comprise a hinge switch arranged to detect whether the hinged member is in the first position or the second position.
The actuation sensing arrangement may comprise a reed switch; and wherein the hinged member comprises a magnet, wherein the magnet and the reed switch are arranged such that the reed switch is in a first switch state when the actuation member is in the first position and the reed switch is in a second switch state when the actuation member is in the second position.
The injection device may further comprise a dosage knob; wherein the dosage knob is biased from a first linear position relative to the housing towards a second linear position relative to the housing; wherein the hinged member is configured to inhibit movement of the dosage knob from the first linear position to the second linear position when the hinged member is in the first position, wherein the dosage knob is configured to move from the first linear position to the second linear position in response to the hinged member being moved from the first position to the second position, wherein the actuation sensing arrangement is configured to detect movement of the dosage knob from the first linear position relative to the housing to the second linear position relative to the housing, and wherein the electronic circuitry is configured to be activated in response to the detection by the actuation sensing arrangement that the dosage knob has moved from the first linear position relative to the housing to the second linear position relative to the housing.
The actuation member may comprise a container configured to hold the injection device.
The actuation member may comprise a container configured to hold the injection device, wherein the actuation sensing arrangement is configured to detect removal of the injection device from the container, and wherein the electronic circuitry is configured to be activated in response to detection by the actuation sensing arrangement that the injection device has been removed from the container.
The actuation member may comprise a collar. The collar may be movable from the first position relative to the housing to the second position relative to the housing. For example, the collar may be movable along the housing from the first position relative to the housing to the second position relative to the housing. The collar may be threadingly engaged with the housing of the injection device.
The actuation member may comprise a collar threadingly engaged with the housing of the injection device, wherein the collar is movable along the housing from the first position relative to the housing to the second position relative to the housing, wherein the actuation sensing arrangement is configured to detect movement of the collar from the first position relative to the housing to the second position relative to the housing, and wherein the electronic circuitry is configured to be activated in response to detection by the actuation sensing arrangement that the collar has moved from the first position relative to the housing to the second position relative to the housing.
The actuation sensing arrangement may be further configured to detect movement of the actuation member from the second position relative to the housing to the second position relative to the housing, and the electronic circuitry may be configured to be switched from an activated state to a dormant state in response to the detection by the actuation sensing arrangement that the actuation member has moved from the second position relative to the housing to the first position relative to the housing.
The injection device may further comprise a container containing a medicament.
The injection device may be an injection pen or a patch pump.
The injection device may comprise a dosage knob (and/or dose dialling member) biased from a first position relative to the housing to a second position relative to the housing. The first position may be a first linear position relative to the housing and the second position may be a second linear position relative to the housing. The actuation member may be configured to inhibit movement of the dosage knob (and/or dose dialling member) from the first position of the dosage knob (and/or dose dialling member) to the second position of the dosage knob (and/or dose dialling member) when the actuation member is in the first position of the actuation member. The actuation member may be configured to not inhibit movement of the dosage knob (and/or dose dialling member) from the first position of the dosage knob (and/or dose dialling member) to the second position of the dosage knob (and/or dose dialling member) when the actuation member is in the second position of the actuation member. The dosage knob (and/or dose dialling member) may be configured to move from the first position of the dosage knob (and/or dose dialling member) to the second position of the dosage knob (and/or dose dialling member) in response to the actuation member being moved from the first position of the actuation member to the second position of the actuation member. The actuation sensing arrangement may be configured to detect movement of the dosage knob (and/or dose dialling member) from the first position relative to the housing to the second position relative to the housing, and the electronic circuitry may be configured to be activated in response to the detection by the actuation sensing arrangement that the dosage knob (and/or dose dialling member) has moved from the first position relative to the housing to the second position relative to the housing.
According to another aspect, there is provided a method of activating an injection device disclosed herein, the method comprising: detecting movement of the actuation member from a first position relative to the housing to a second position relative to the housing, and activating the electronic circuitry in response to detection that the actuation member has moved from the first position relative to the housing to the second position relative to the housing.
Aspects of the present disclosure may better conserve energy stored in the power supply of an injection device. Aspects of the present disclosure may also provide protection against accidental activation of the injection device, such as during handling, transport and storage of the injection device.
Exemplary embodiments of the present disclosure are described with reference to the accompanying drawings, in which:
Reference will now be made in detail to the embodiments of the present disclosure, examples of which are illustrated in the accompanying drawings, wherein like reference numerals refer to like elements throughout.
In the following, embodiments of the present disclosure may be described with reference to an insulin injection device. The present disclosure is however not limited to such application and may equally well be deployed with injection devices that eject other medicaments.
The injection device 1 of
An insulin dose to be ejected from injection device 1 can be programmed, or ‘dialled in’ by turning a dosage knob 12, and a currently programmed dose is then displayed via dosage window 13, for instance in multiples of units. For example, where the injection device 1 is configured to administer human insulin, the dosage may be displayed in so-called International Units (IU), wherein one IU is the biological equivalent of about 45.5 micrograms of pure crystalline insulin (1/22 mg). Other units may be employed in injection devices for delivering analogue insulin or other medicaments. It should be noted that the selected dose may equally well be displayed differently than as shown in the dosage window 13 in
The dosage window 13 may be in the form of an aperture in the housing 10, which permits a user to view a limited portion of a number sleeve 70 that is configured to move when the dosage knob 12 is turned, to provide a visual indication of a currently programmed dose. The dosage knob 12 is rotated on a helical path with respect to the housing 10 when turned during programming.
In this example, the dosage knob 12 includes one or more formations 71a, 71b, 71c to assist a user in gripping the dosage number 12 during programming. The formations 71a, 71b, 71c may be grooves, ridges or the like.
The injection device 1 may be configured so that turning the dosage knob 12 causes a mechanical click sound to provide acoustical feedback to a user. The number sleeve 70 mechanically interacts with a piston in the insulin container 14. When the needle 15 is stuck into a skin portion of a patient, and then the injection button 11 is pushed, the insulin dose displayed in the display window 13 will be ejected from the injection device 1. When the needle 15 of the injection device 1 remains for a certain time in the skin portion after the injection button 11 is pushed, a high percentage of the dose is actually injected into the patient's body. Ejection of the insulin dose may also cause a mechanical click sound, which is however different from the sounds produced when using dosage knob 12.
In this example, during delivery of the insulin dose, the dosage knob 12 is turned to its initial position in an axial movement, that is to say without rotation, while the number sleeve 70 is rotated to return to its initial position, e.g. to display a dose of zero units.
The injection device 1 may be used for several injection processes until either the insulin container 14 is empty or the expiration date of the medicament in the injection device 1 (e.g. 28 days after the first use) is reached.
Furthermore, before using the injection device 1 for the first time, it may be necessary to perform a so-called “prime shot” to remove air from the insulin container 14 and the needle 15, for instance by selecting two units of insulin and pressing the injection button 11 while holding the injection device 1 with the needle 15 upwards. For simplicity of presentation, in the following, it will be assumed that the ejected amounts substantially correspond to the injected doses, so that, for instance the amount of medicament ejected from the injection device 1 is equal to the dose received by the user. Nevertheless, differences (e.g. losses) between the ejected amounts and the injected doses may need to be taken into account.
In accordance with embodiments of the disclosure, the injection device 1 further contains electronic circuitry 20 as schematically illustrated in
The electronic circuitry 20 may be configured for performing one or more functions of the injection device 1. For example, the one or more functions may include one or more of a monitoring function for one or more operations or variables associated with the injection device, such as one or more operations related to programming of a dose or dispensing of a dose. For example, the electronic circuitry 20 may be configured to determine at least one of a dose dialled into the injection device 1, a dose dispensed from the injection device 1, a time and/or date of dose dialling and/or dose dispensing, whether an operation is a priming operation or a dose dispensing operation, or a temperature of the injection device 1.
As shown in
A communication interface 27 may be provided, which may be a wireless communications interface for communicating with another device via a wireless network such as Wi-Fi, Bluetooth®, NFC or the like, or an interface for a wired communications link, such as a socket for receiving a Universal Series Bus (USB), mini-USB or micro-USB connector. The other device may be a mobile computing device such as a smartphone. The processor arrangement 23 may be configured to transmit data collected by the injection device 1 to the other device via the communication interface 27. For example, the processor arrangement 23 may be configured to transmit data indicative of one or more doses dispensed by the injection device 1 to the other device via the communication interface 27. The other device may store and/or further process the data received from the injection device 1. In some examples, the processor arrangement 23 may be configured to transmit data to a server and/or cloud via the communication interface 27, for storage or processing of the data.
The electronic circuitry 20 may optionally comprise a display 22. The display 22 is located on the injection device 1 so that it can provide a visual output to a user. The display 22 may comprise one or more LEDs, an LCD display, or any other suitable display means. The display 22 is controlled by the processor arrangement 23 to provide the visual output. The visual output may indicate to a user a status of the injection device 1, such as whether the injection device 1 is switched on or ready for an injection. The visual output may indicate to a user a dose value such as a dose dialled into the injection device 1 or a dose dispensed from the injection device 1. The visual output may indicate instructions to the user regarding how or when to perform various operations using the injection device 1, for example when to perform a priming operation. In some examples, the electronic circuitry 20 may comprise an audio transducer and/or haptic transducer (not shown) in addition or alternative to the display 22. The audio transducer and/or haptic transducer is controlled by the processor arrangement 23 to provide an audio or haptic output to a user.
A power source 29 such as a battery is provided. The power source 29 provides electrical power to one or more components of the electronic circuitry 20.
A sensor arrangement 26 may be provided. The sensor arrangement 26 may comprise one or more sensors configured to detect or determine one or more properties associated with the injection device 1. For example, the sensor arrangement 26 may comprise a dose determination unit configured to determine a dose programmed into the injection device 1 by a user, and/or a dose dispensed by the injection device 1 during an injection operation. In some examples, the sensor arrangement 26 may be configured to detect one or more of an actuation of the injection button 11 by a user, a replacement of a medicament container 14, a removal or replacement of a cap 18, or the like.
The electronic circuitry 20 further comprises an actuation sensing arrangement 28. The actuation sensing arrangement 28 is configured determine whether an actuation member of the injection device 1 is in a first position or a second position with respect to the housing 10 of the injection device 1. This is described in more detail in the embodiments below. The actuation sensing arrangement 28 provides a different output depending on whether the actuation member of the injection device 1 is in the first position or the second position.
The actuation member is arranged to inhibit a mechanical operation of the injection device 1 when the actuation member is in the first position, but allow the mechanical operation of the injection device 1 when the actuation member is in the second position. A user moves the actuation member from the first position to the second position so that the mechanical operation may take place.
The mechanical operation may be a dose programming operation, also known as a dose setting operation. The presence of the actuation member in the first position will prevent the dose programming operation from being performed by a user. For example, the presence of the actuation member in the first position may inhibit a dose being dialled into the injection device 1 using the dosage knob 12. The actuation member when in the first position may inhibit at least one of the dosage knob 12 being rotated or translated by a user relative to the housing 10, or the dose dialling member 19 being rotated or translated by a user relative to the housing 10. The user moves the actuation member from the first position to the second position in order to allow the dose programming operation to take place. The presence of the actuation member in the second position may allow a dose to be dialled into the injection device 1 using the dosage knob 12. The actuation member when in the second position may allow at least one of the dosage knob 12 being rotated or translated by a user relative to the housing 10, or the dose dialling member 19 being rotated or translated by a user relative to the housing 10.
The mechanical operation may be a dose dispensing operation, in which case the presence of the actuation member in the first position will prevent the dose dispensing operation from being performed by a user. For example, the presence of the actuation member in the first position may inhibit actuation of the injection button 11 by a user relative to the housing. The presence of the actuation member in the first position may inhibit translation or rotation of the dosage knob 12 relative to the housing 10, which would otherwise have occurred during a dose dispensing operation. The presence of the actuation member in the first position may inhibit translation or rotation of the dose dialling member 19 relative to the housing 10, which would otherwise have occurred during a dose dispensing operation. The user moves the actuation member from the first position to the second position in order to allow the dose dispensing operation to take place. The presence of the actuation member in the second position may allow a dose to be dispensed by the injection device 1. The actuation member when in the second position may allow actuation of the injection button 11 by a user relative to the housing, allow translation or rotation of the dosage knob 12 relative to the housing 10, or allow translation or rotation of the dose dialling member 19 relative to the housing 10.
The actuation sensing arrangement 28 is used to activate the injection device 1. A user activates the injection device 1 by moving the actuation member from the first position to the second position with respect to the housing 10. The injection device 1 is activated in response to a detection by the actuation sensing arrangement 28 that the actuation member has moved from the first position to the second position. In particular, it is the electronic circuitry 20 of the injection device 1 that is activated in response to the detection that the actuation member has moved from the first position to the second position.
Activation of the electronic circuitry 20 can mean switching on power to one or more components of the electronic circuitry 20, or can mean waking one or more components of the electronic circuitry 20 from a low-power state to a higher-power state. Before the electronic circuitry 20 is activated, it is said to be in a dormant or inactivated state. In the dormant state, one or more components of the electronic circuitry 20 receive no power from the power supply 29 or are in a low-powered state relative to when the electronic circuitry 20 is activated.
In a dormant state of the electronic circuitry 20, one or more sensors of the sensor arrangement 26 may be cut off from power from the power source 29 or may be in a low-powered state. In the activated state of the electronic circuitry 20, the one or more previously dormant sensors of the sensor arrangement 26 may now have power from the power source 29 supplied to them, or may now be switched to a relatively higher-powered state.
In some examples, the processor arrangement 23 may be cut off from power from the power source 29 or may be in a low-powered state (e.g. standby/shutdown state) when the electronic circuitry 20 is in the dormant state. Once the electronic circuitry 20 has been activated, the processor arrangement 23 may now receive power from the power source 29, or may now be in a relatively higher-powered state compared to the previous low-powered state.
Activating the electronic circuitry 20 may comprise switching the electronic circuitry 20 from an ‘OFF’ state or a ‘STANDBY’ state to an ‘ON’ state. Activating the electronic circuitry 20 may therefore comprise connecting the electronic circuitry 20 to the power supply 29.
The actuation member may be a catch, a latch, a lock, a clamp or the like. The actuation member can prevent a mechanical operation of the injection device 1 from taking place, such as a dose programming operation or a dose dispensing operation. The actuation member may prevent the mechanical operation from accidentally being started, for example accidentally being started during storage or transportation of the injection device 1. The actuation member may also prevent the mechanical operation from intentionally being started by certain users, such as children.
The presence of the actuation member can also inhibit accidental activation of the electronic circuitry 20, for example during storage or transportation of the injection device 1. This may reduce the likelihood of the power source 29 of the injection device 1 being accidentally drained.
A user moves the actuation member in order to perform an important mechanical operation such as a dose programming or dispensing operation. Activation of the electronic circuitry 20 may therefore be intuitive to a user, since the activation is performed in response to a user performing an action that they perform to administer a dose. The actuation member may serve a dual purpose, acting as both a safety lock for the injection device 1 and as a means for activating the electronic circuitry 20. This may reduce the number of steps that are performed by a user when administering a dose using the injection device 1. Operation of the injection device 1 may be simplified for a user. Safety of the injection device 1 may be improved. Unnecessary energy consumption by the electronic circuitry 20 may be reduced.
The pivotal coupling of the hinged member 30 to the remainder of the injection device 1 allows the hinged member 30 to be pivoted by a user between a first position and a second position relative to the housing 10 of the injection device 1.
In the first position, the hinged member 30 is coupled to the injection device 1 by the hinge 32 and by an engagement feature 34 of the clamp. While the hinged member 30 is in the first position, the engagement feature 34 is configured to inhibit the hinged member 30 from moving to the second position.
The hinged member 30 may comprise a protrusion 36 extending from the main body of the hinged member 30 that can assist the user in moving the hinged member 30 from the first position to the second position. The user may be able to insert part of their finger under the protrusion 36 and apply pressure to the protrusion 36 to cause the hinged member 30 to pivot about the hinge 32 from the first position to the second position.
One or more mechanical operations of the injection device 1 may be inhibited by the presence of the hinged member 30 in the first position, but may be performed when the hinged member 30 is in the second position, as discussed previously. For example, a user may be inhibited from programming a dose into the injection device 1 while the hinged member 30 is in the first position. This may be because the engagement feature 34, or another part of the hinged member 30, engages with a mechanical part of the injection device 1 such as a dose dialling element to inhibit movement of the mechanical part. A user may move the hinged member 30 from the first position to the second position so that a dose may be programmed into the injection device 1. Moving the hinged member 30 from the first position to the second position causes the engagement feature 34, or the other part of the hinged member 30 which engages with the mechanical part of the injection device 1, to disengage from the mechanical part of the injection device 1 so that the mechanical part can move. A dose can therefore be programmed into the injection device 1. The mechanical part may be the dosage knob 12 or the dose dialling member 19, for example.
In some examples, a user may be inhibited from dispensing a dose using the injection device 1 while the hinged member 30 is in the first position. This may be because the engagement feature 34, or another part of the hinged member 30, engages with a mechanical part of the injection device 1 such as a dose dispensing element to inhibit movement of the mechanical part. A user may move the hinged member 30 from the first position to the second position so that a dose may be dispensed from the injection device 1. Moving the hinged member 30 from the first position to the second position causes the engagement feature 34, or the other part of the hinged member 30 which engages with the mechanical part of the injection device 1, to disengage from the mechanical part of the injection device 1 so that the mechanical part can move. A dose can therefore be dispensed from the injection device. The mechanical part may be the dosage knob 12, the dose dialling member 19, or the injection button 11, for example.
By having one or more operations of the injection device 1 inhibited by the presence of the hinged member 30 in the first position but not in the second position, a user can move the hinged member 30 from the first position to the second position each time they intend to perform that operation with the injection device 1.
The actuation sensor arrangement 28 is arranged to detect when the hinged member 30 has moved from the first position to the second position. The actuation sensor arrangement 28 may take a number of forms, as exemplified in
The hinged member 30 is movable between a first position and a second position as discussed previously.
In the example shown in
The dosage knob 12 is held in its first position relative to the housing 10 by the hinged member 30, when the hinged member is in the first position. In this particular example, the dosage knob 12 is held in the first position by the engagement feature 35 being located between the housing 10 and the dosage knob 12.
In order to activate the injection device 1, a user moves the hinged member 30 from the first position to the second position.
In the embodiment of
A user may later move the dosage knob 12 from its second position back to its first position by pulling it away from the housing 10. The user may subsequently move the hinged member 30 from its respective second position to its first position in order to hold the dosage knob 12 in its first position. This movement of the dosage knob 12 from the second position to the first position may be detected by the switch 42a, 42b. In response to the detection, the electronic circuitry 20 may be moved from the activated state back into a dormant state.
In other examples, the dosage knob 12 may instead be biased away from the housing 10 of the injection device 1 instead of towards the housing 10. The second position of the dosage knob relative to the housing may therefore be further from the housing than the first position of the dosage knob 12 relative to the housing 10. The hinged member 30 may extend across the entire length of the dosage knob 12, with the engagement feature 34 being located against the proximal end of the dosage knob 12 when the hinged member 30 is in the first position. Therefore when the hinged member 30 is in its first position, it may hold the dosage knob 12 in its first position relative to the housing 10 and inhibit movement of the dosage knob 12 to the second position of the dosage knob 12 relative to the housing 10. When the hinged member 30 is moved from its first position to its second position, the dosage knob 12 is no longer held by the hinged member 30 and is free to move from its first position to its second position under the influence of the biasing member 40. A switch 42a, 42b is arranged in the injection device to detect this movement of the dosage knob 12 from the first position to the second position, so that the electronic circuitry 20 can be activated.
The aforementioned embodiment discussed in relation to
The two electrical contacts 60a, 60b and electrically conductive portion 62 effectively form a switch that is ‘closed’ when the hinged member 30 is in the first position, as shown in
In order to activate the injection device 1, a user moves the hinged member 30 from the first position to the second position.
The injection device 1 is activated in response to a detection by the two electrical contacts 60a, 60b that the hinged member 30 has moved from the first position to the second position. In this case, it is detected that the electrical contacts 60a, 60b have changed from being in electrical contact via the electrically conductive portion 62 to no longer being in electrical contact via the electrically conductive portion 62, thereby indicating that the hinged member 30 has moved from the first position to the second position.
In some examples it is the processor arrangement 23 that determines that a current is no longer able to flow from the first electrical contact 60a to the second electrical contact 60b and in response activates the electronic circuitry 20. In other examples, the switch effectively formed by the two electrical contacts 60a, 60b and electrically conductive portion 62 short-circuits a connection between the power supply 29 and one or more components of the electronic circuitry 20 when the hinged member 30 is in its first position. However, when the hinged member 30 is in its second position, the connection between the power supply 29 and the one or more components is no longer short-circuited by the two electrical contacts 60a, 60b and electrically conductive portion 62, allowing power to be supplied to the one or more components of the electronic circuitry 20 from the power supply 29.
After moving the hinged member 30 from the first position to the second position, a user may subsequently move the hinged member 30 back from its second position to its first position, for example after an injection has been completed. This action reconnects the first electrical contact 60a and the second electrical contact 60b via the electrically conductive portion 62. This reconnection may be detected by the processor arrangement 23. In response to the detection, the electronic circuitry 20 may be placed from the activated state back into a dormant state.
A magnet 82 is located in the hinged member 30, for example proximate a surface of the hinged member 30 that is adjacent to an outer surface of the injection device 1 when the hinged member 30 is in its first position. The reed switch 80 and magnet 82 are each located so that the magnet 82 interacts with the reed switch 80 when the hinged member 30 is in the first position, but not when it is in the second position.
To activate the injection device 1, a user moves the hinged member 30 from the first position to the second position.
The injection device 1 is activated in response to a detection by the reed switch 80 that the hinged member 30 has moved from the first position to the second position. In this case, it is detected that the reed switch 80 has changed from closed state to an open state (or open state to a closed state), thereby indicating that the hinged member 30 has moved from the first position to the second position. In response to the detection, the injection device 1 is activated, as described previously.
A user may subsequently move the hinged member 30 back from its second position to its first position, thereby bringing the magnet 82 back into proximity of the reed switch 80 and causing the reed switch 80 to be activated (i.e. moved from a closed state to an open state or vice versa). In response to the detection by the reed switch 80 that the hinged member 30 is back in its first position, the electronic circuitry 20 may be moved from the activated state back into a dormant state. This may be performed by the processor arrangement 23.
The injection device 1 is activated in response to a detection that the hinge switch 100 has moved from the first switch state to the second switch state. The injection device 1 may be activated as described previously in relation to other embodiments.
A user may subsequently move the hinged member 30 back from its second position to its first position. The movement of the hinged member 30 from the second position to the first position can be detected by the hinge sensor 100. In response to the detection, the processor arrangement 23 may move the electronic circuitry 20 from the activated state back into a dormant state.
The collar 120 is located concentrically around the cylindrical housing 10 of the injection device 1, at a proximal end of the housing 10. The collar 120 is therefore located at the same end of the housing 10 as the dosage knob 12.
Rotation of the collar 120 in a first rotational direction around the longitudinal axis of the housing 10 and relative to the housing 10 causes the collar 120 to translate axially along the longitudinal axis of the housing 10 in a first axial direction, for example from the proximal end towards the distal end of the housing 10. Conversely, rotation of the collar 120 in a second rotational direction opposite the first rotational directions around the longitudinal axis of the housing 10 and relative to the housing 10 causes the collar 120 to translate axially along the longitudinal axis of the housing 10 in a second axial direction opposite the first axial direction, for example from the distal end towards the proximal end of the housing 10.
In some examples, a diameter of the dosage knob 12 may be larger than the diameter of the aperture of the collar 120, thereby preventing the dosage knob 12 from moving through the collar 120. A flange 128 may therefore not be required on the collar 120.
One or more mechanical operations of the injection device 1 may be inhibited by the presence of the collar 120 in the first position but may be performed when the collar 120 is in the second position, in a similar manner as described in the embodiment of
The dosage knob 12 may be biased towards the housing 10 from a first position relative to the housing 10 towards a second position relative to the housing 10, as previously described in relation to
In order to activate the injection device 1, a user moves the collar 120 from a first position relative to the housing 10 to a second position relative to the housing 10 by rotating the collar 120 as discussed previously. The rotation of the collar 120 relative to the housing 10 causes it to translate along the housing 10 from a proximal end towards a distal end of the housing 10. The first and second positions of the collar 120 relative to the housing 10 are therefore linear positions relative to the housing 10, but could be rotational positions.
Similar to the embodiment described in relation to
In other examples, the actuation sensing arrangement 28 comprises a switch 42c arranged to be directly activated by the collar 120.
The switch 42c is therefore able to detect whether the collar 120 has moved from its first position into its second position. In such an example, it is not necessary that the dosage knob 12 is biased towards the housing 10. This means that the dosage knob 12 may remain in its first position relative to the housing 10 as the collar 120 is moved from its first position to its second position.
The container 160 is configured to hold the injection device 1.
The container 160 is formed from a main body 162, a first retaining feature 164 and a second retaining feature 166. The first retaining feature 164 and second retaining feature 166 each extend upwards from the main body 162 of the container 160 to form a recess 168 therebetween. The recess 168 is dimensioned to at least partially contain the injection device 1.
The injection device 1 of
The first retaining feature 164 and second retaining feature 166 of the container 160 are separated by a distance that allows the injection device 1 to be held between the first retaining feature 164 and a second retaining feature 166 when the dosage knob 12 is in its first position relative to the housing 10, but not when the dosage knob 12 is in its second position relative to the housing 10. This is because the injection device 1 has a shorter longitudinal length when the dosage knob 12 is in the first position comparted to when it is in the second position.
In order to activate the injection device 1, a user at least partially removes the injection device 1 from the container 160.
The injection device 1 contains an actuation sensing arrangement 28 configured to detect when the dosage knob 12 has moved from its first position relative to the housing 10 to its second position relative to the housing 10, and therefore that the injection device 1 has been at least partially removed from the container 160. The actuation sensing arrangement may comprise a switch 42a, 42b, 42c, for example as described previously in relation to other embodiments. The switch 42a, 42b, 42c is arranged in the injection device to be closed when the dosage knob 12 is in its first position and open when the dosage knob 12 is in its second position, or vice versa. The switch 42a, 42b, 42c therefore detects whether the dosage knob 12 is in the first positon or the second position. In response to a detection that the dosage knob 12 has moved from its first position to its second position, the electronic circuitry 20 may be activated.
In some examples, the electronic circuitry 20 of the injection device 1 may be put back into a dormant state by placing the injection device 1 back in the container 160. The process is similar to that described previously with reference to
The injection device 1 being held in the container 160 as shown in
In step 170, the movement of an actuation member from a first position relative to the housing 10 of the injection device 1 to a second position relative to the housing 10 of the injection device 1 is detected by the actuation sensing arrangement 28. The actuation member may have been moved from the first position to the second position by a user of the injection device 1.
In step 172, and in response to detection of the movement of the actuation member form the first position to the second position, the electronic circuitry 20 is activated as discussed previously.
In some examples, step 172 is performed as soon as it is detected by the actuation sensing arrangement 28 that the actuation member has moved from its first position relative to the housing 10 of the injection device 1 to its second position relative to the housing 10 of the injection device 1. However, in other examples step 172 is performed a predetermined period of time after the detection by the actuation sensing arrangement 28. The predetermined period of time may be a period of time between 1 second and 110 seconds, for example.
In some examples, after the predetermined period of time has elapsed, it is again detected whether the actuation member remains is in its second position. If the actuation member has remained in its second position, step 172 is performed. However, if the actuation member no longer remains is in its second position then step 172 is not performed and the electronic circuitry remains in its dormant state. In some examples, step 172 may only be performed if it has been detected that the actuation member remains in its second position during the entirety of the predetermined time period.
In step 180, the movement of the actuation member from the second position relative to the housing 10 to the first position relative to the housing 10 is detected by the actuation sensing arrangement 28.
In step 182, the electronic circuitry 20 waits for a predetermined period of time to elapse in response to the detection by the actuation sensing arrangement 28. The predetermined period of time may be between 1 second and 10 seconds, such as 3 seconds, for example.
In step 184, after the predetermined period of time has elapsed, it is detected whether the actuation member remains in the first position. If so, the method moves to step 186 in which the electronic circuitry 20 is moved from the active state to a dormant state. If not, the electronic circuitry 20 remains in the active state. In some examples, the actuation member remains in the first position during the entire predetermined period of time for the electronic circuitry 20 to be placed into the dormant state.
In some examples, step 184 is not present. The method therefore moves from step 182 straight to step 186. By waiting a predetermined period of time before moving the electronic circuitry 20 into a dormant state, the processor arrangement 23 is given additional time to finish perform any currently running functions.
In some examples, both step 180 and step 184 are not present. In such a case, the method moves straight from step 182 to step 186. Therefore the electronic circuitry 20 is moved into the dormant state almost immediately in response to detection that the actuation member has moved from its first position to its second position.
The above embodiments have generally been described with the injection device 1 being pen injector. However, the above embodiments can also be used with other types of injection devices including, but not limited to, autoinjectors and patch pumps.
The terms “drug” or “medicament” are used synonymously herein and describe a pharmaceutical formulation containing one or more active pharmaceutical ingredients or pharmaceutically acceptable salts or solvates thereof, and optionally a pharmaceutically acceptable carrier. An active pharmaceutical ingredient (“API”), in the broadest terms, is a chemical structure that has a biological effect on humans or animals. In pharmacology, a drug or medicament is used in the treatment, cure, prevention, or diagnosis of disease or used to otherwise enhance physical or mental well-being. A drug or medicament may be used for a limited duration, or on a regular basis for chronic disorders.
As described below, a drug or medicament can include at least one API, or combinations thereof, in various types of formulations, for the treatment of one or more diseases. Examples of API may include small molecules having a molecular weight of 500 Da or less; polypeptides, peptides and proteins (e.g., hormones, growth factors, antibodies, antibody fragments, and enzymes); carbohydrates and polysaccharides; and nucleic acids, double or single stranded DNA (including naked and cDNA), RNA, antisense nucleic acids such as antisense DNA and RNA, small interfering RNA (siRNA), ribozymes, genes, and oligonucleotides. Nucleic acids may be incorporated into molecular delivery systems such as vectors, plasmids, or liposomes. Mixtures of one or more drugs are also contemplated.
The drug or medicament may be contained in a primary package or “drug container” adapted for use with a drug delivery device. The drug container may be, e.g., a cartridge, syringe, reservoir, or other solid or flexible vessel configured to provide a suitable chamber for storage (e.g., short- or long-term storage) of one or more drugs. For example, in some instances, the chamber may be designed to store a drug for at least one day (e.g., 1 to at least 30 days). In some instances, the chamber may be designed to store a drug for about 1 month to about 2 years. Storage may occur at room temperature (e.g., about 20° C.), or refrigerated temperatures (e.g., from about −4° C. to about 4° C.). In some instances, the drug container may be or may include a dual-chamber cartridge configured to store two or more components of the pharmaceutical formulation to-be-administered (e.g., an API and a diluent, or two different drugs) separately, one in each chamber. In such instances, the two chambers of the dual-chamber cartridge may be configured to allow mixing between the two or more components prior to and/or during dispensing into the human or animal body. For example, the two chambers may be configured such that they are in fluid communication with each other (e.g., by way of a conduit between the two chambers) and allow mixing of the two components when desired by a user prior to dispensing. Alternatively or in addition, the two chambers may be configured to allow mixing as the components are being dispensed into the human or animal body.
The drugs or medicaments contained in the drug delivery devices as described herein can be used for the treatment and/or prophylaxis of many different types of medical disorders. Examples of disorders include, e.g., diabetes mellitus or complications associated with diabetes mellitus such as diabetic retinopathy, thromboembolism disorders such as deep vein or pulmonary thromboembolism. Further examples of disorders are acute coronary syndrome (ACS), angina, myocardial infarction, cancer, macular degeneration, inflammation, hay fever, atherosclerosis and/or rheumatoid arthritis. Examples of APIs and drugs are those as described in handbooks such as Rote Liste 2014, for example, without limitation, main groups 12 (anti-diabetic drugs) or 86 (oncology drugs), and Merck Index, 15th edition.
Examples of APIs for the treatment and/or prophylaxis of type 1 or type 2 diabetes mellitus or complications associated with type 1 or type 2 diabetes mellitus include an insulin, e.g., human insulin, or a human insulin analogue or derivative, a glucagon-like peptide (GLP-1), GLP-1 analogues or GLP-1 receptor agonists, or an analogue or derivative thereof, a dipeptidyl peptidase-4 (DPP4) inhibitor, or a pharmaceutically acceptable salt or solvate thereof, or any mixture thereof. As used herein, the terms “analogue” and “derivative” refers to a polypeptide which has a molecular structure which formally can be derived from the structure of a naturally occurring peptide, for example that of human insulin, by deleting and/or exchanging at least one amino acid residue occurring in the naturally occurring peptide and/or by adding at least one amino acid residue. The added and/or exchanged amino acid residue can either be codable amino acid residues or other naturally occurring residues or purely synthetic amino acid residues. Insulin analogues are also referred to as “insulin receptor ligands”. In particular, the term “derivative” refers to a polypeptide which has a molecular structure which formally can be derived from the structure of a naturally occurring peptide, for example that of human insulin, in which one or more organic substituent (e.g. a fatty acid) is bound to one or more of the amino acids. Optionally, one or more amino acids occurring in the naturally occurring peptide may have been deleted and/or replaced by other amino acids, including non-codeable amino acids, or amino acids, including non-codeable, have been added to the naturally occurring peptide.
Examples of insulin analogues are Gly(A21), Arg(B31), Arg(B32) human insulin (insulin glargine); Lys(B3), Glu(B29) human insulin (insulin glulisine); Lys(B28), Pro(B29) human insulin (insulin lispro); Asp(B28) human insulin (insulin aspart); human insulin, wherein proline in position B28 is replaced by Asp, Lys, Leu, Val or Ala and wherein in position B29 Lys may be replaced by Pro; Ala(B26) human insulin; Des(B28-B30) human insulin; Des(B27) human insulin and Des(B30) human insulin.
Examples of insulin derivatives are, for example, B29-N-myristoyl-des(B30) human insulin, Lys(B29) (N-tetradecanoyl)-des(B30) human insulin (insulin detemir, Levemir®); B29-N-palmitoyl-des(B30) human insulin; B29-N-myristoyl human insulin; B29-N-palmitoyl human insulin; B28-N-myristoyl LysB28ProB29 human insulin; B28-N-palmitoyl-LysB28ProB29 human insulin; B30-N-myristoyl-ThrB29LysB30 human insulin; B30-N-palmitoyl-ThrB29LysB30 human insulin; B29-N—(N-palmitoyl-gamma-glutamyl)-des(B30) human insulin, B29-N-omega-carboxypentadecanoyl-gamma-L-glutamyl-des(B30) human insulin (insulin degludec, Tresiba®); B29-N—(N-lithocholyl-gamma-glutamyl)-des(B30) human insulin; B29-N-(ω-carboxyheptadecanoyl)-des(B30) human insulin and B29-N-(ω-carboxyheptadecanoyl) human insulin.
Examples of GLP-1, GLP-1 analogues and GLP-1 receptor agonists are, for example, Lixisenatide (Lyxumia®), Exenatide (Exendin-4, Byetta®, Bydureon®, a 39 amino acid peptide which is produced by the salivary glands of the Gila monster), Liraglutide (Victoza®), Semaglutide, Taspoglutide, Albiglutide (Syncria®), Dulaglutide (Trulicity®), rExendin-4, CJC-1134-PC, PB-1023, TTP-054, Langlenatide/HM-11260C, CM-3, GLP-1 Eligen, ORMD-0901, NN-9924, NN-9926, NN-9927, Nodexen, Viador-GLP-1, CVX-096, ZYOG-1, ZYD-1, GSK-2374697, DA-3091, MAR-701, MAR709, ZP-2929, ZP-3022, TT-401, BHM-034. MOD-6030, CAM-2036, DA-15864, ARI-2651, ARI-2255, Exenatide-XTEN and Glucagon-Xten.
An example of an oligonucleotide is, for example: mipomersen sodium (Kynamro®), a cholesterol-reducing antisense therapeutic for the treatment of familial hypercholesterolemia.
Examples of DPP4 inhibitors are Vildagliptin, Sitagliptin, Denagliptin, Saxagliptin, Berberine.
Examples of hormones include hypophysis hormones or hypothalamus hormones or regulatory active peptides and their antagonists, such as Gonadotropine (Follitropin, Lutropin, Choriongonadotropin, Menotropin), Somatropine (Somatropin), Desmopressin, Terlipressin, Gonadorelin, Triptorelin, Leuprorelin, Buserelin, Nafarelin, and Goserelin.
Examples of polysaccharides include a glucosaminoglycane, a hyaluronic acid, a heparin, a low molecular weight heparin or an ultra-low molecular weight heparin or a derivative thereof, or a sulphated polysaccharide, e.g. a poly-sulphated form of the above-mentioned polysaccharides, and/or a pharmaceutically acceptable salt thereof. An example of a pharmaceutically acceptable salt of a poly-sulphated low molecular weight heparin is enoxaparin sodium. An example of a hyaluronic acid derivative is Hylan G-F 20 (Synvisc®), a sodium hyaluronate.
The term “antibody”, as used herein, refers to an immunoglobulin molecule or an antigen-binding portion thereof. Examples of antigen-binding portions of immunoglobulin molecules include F(ab) and F(ab′)2 fragments, which retain the ability to bind antigen. The antibody can be polyclonal, monoclonal, recombinant, chimeric, de-immunized or humanized, fully human, non-human, (e.g., murine), or single chain antibody. In some embodiments, the antibody has effector function and can fix complement. In some embodiments, the antibody has reduced or no ability to bind an Fc receptor. For example, the antibody can be an isotype or subtype, an antibody fragment or mutant, which does not support binding to an Fc receptor, e.g., it has a mutagenized or deleted Fc receptor binding region. The term antibody also includes an antigen-binding molecule based on tetravalent bispecific tandem immunoglobulins (TBTI) and/or a dual variable region antibody-like binding protein having cross-over binding region orientation (CODV).
The terms “fragment” or “antibody fragment” refer to a polypeptide derived from an antibody polypeptide molecule (e.g., an antibody heavy and/or light chain polypeptide) that does not comprise a full-length antibody polypeptide, but that still comprises at least a portion of a full-length antibody polypeptide that is capable of binding to an antigen. Antibody fragments can comprise a cleaved portion of a full length antibody polypeptide, although the term is not limited to such cleaved fragments. Antibody fragments that are useful in the present disclosure include, for example, Fab fragments, F(ab′)2 fragments, scFv (single-chain Fv) fragments, linear antibodies, monospecific or multispecific antibody fragments such as bispecific, trispecific, tetraspecific and multispecific antibodies (e.g., diabodies, triabodies, tetrabodies), monovalent or multivalent antibody fragments such as bivalent, trivalent, tetravalent and multivalent antibodies, minibodies, chelating recombinant antibodies, tribodies or bibodies, intrabodies, nanobodies, small modular immunopharmaceuticals (SMIP), binding-domain immunoglobulin fusion proteins, camelized antibodies, and VHH containing antibodies. Additional examples of antigen-binding antibody fragments are known in the art.
The terms “Complementarity-determining region” or “CDR” refer to short polypeptide sequences within the variable region of both heavy and light chain polypeptides that are primarily responsible for mediating specific antigen recognition. The term “framework region” refers to amino acid sequences within the variable region of both heavy and light chain polypeptides that are not CDR sequences, and are primarily responsible for maintaining correct positioning of the CDR sequences to permit antigen binding. Although the framework regions themselves typically do not directly participate in antigen binding, as is known in the art, certain residues within the framework regions of certain antibodies can directly participate in antigen binding or can affect the ability of one or more amino acids in CDRs to interact with antigen.
Examples of antibodies are anti PCSK-9 mAb (e.g., Alirocumab), anti IL-6 mAb (e.g., Sarilumab), and anti IL-4 mAb (e.g., Dupilumab).
Pharmaceutically acceptable salts of any API described herein are also contemplated for use in a drug or medicament in a drug delivery device. Pharmaceutically acceptable salts are for example acid addition salts and basic salts.
Those of skill in the art will understand that modifications (additions and/or removals) of various components of the APIs, formulations, apparatuses, methods, systems and embodiments described herein may be made without departing from the full scope and spirit of the present disclosure, which encompass such modifications and any and all equivalents thereof.
Number | Date | Country | Kind |
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20315238.4 | May 2020 | EP | regional |
The present application is the national stage entry of International Patent Application No. PCT/EP2021/062401, filed on May 11, 2021, and claims priority to Application No. 20315238.4, filed on May 11, 2020, the disclosures of which are incorporated herein by reference.
Filing Document | Filing Date | Country | Kind |
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PCT/EP2021/062401 | 5/11/2021 | WO |