The present application is a U.S. National Phase Application pursuant to 35 U.S.C. § 371 of International Application No. PCT/EP2014/050465 filed Jan. 13, 2014, which claims priority to European Patent Application No. 13151367.3 filed Jan. 15, 2013. The entire disclosure contents of these applications are herewith incorporated by reference into the present application.
The present invention relates to a drug delivery device.
Pen type drug delivery devices have application where regular injection by persons without formal medical training occurs. This is increasingly common among patients having diabetes where self-treatment enables such patients to conduct effective management of their diabetes.
For good or perfect glycemic control, the dose of insulin or insulin glargine has to be adjusted for each individual in accordance with a blood glucose level to be achieved. The present invention relates to injectors, for example hand-held injectors, especially pen-type injectors, that is to injectors of the kind that provide for administration by injection of medicinal products from a multidose cartridge. In particular, the present invention relates to such injectors where a user may set the dose.
A user undertaking self-administration of insulin will commonly need to administer between 1 and 80 International Units.
A first aspect of the invention provides a drug delivery device comprising:
a body component located concentrically within a sleeve, wherein the body component comprises body component thread features and the sleeve comprises sleeve thread features that engage with the body component thread features such that the body component is caused to rotate within the sleeve as the body component and the sleeve component move axially with respect to one another by force of an engaging face of the sleeve thread features against an engaging face of the body component thread features causing sliding of the engaging face of the sleeve thread features over the engaging face of the body component thread features
wherein one of the body component and the sleeve constitutes a first part and the other of the body component and the sleeve constitutes a second part, and
wherein a conductive track pattern is formed on the thread features of the first part and plural contacts are formed on the second part such as to contact the conductive track pattern as the body component rotates within the sleeve.
Apparatus so constructed can allow determination of the relative position of the sleeve and the body component through detecting the conductive track pattern whilst providing no or relatively little additional resistance to axial movement of the body component relative to the sleeve compared to a corresponding arrangement in which the conductive track and contacts were absent.
The conductive track pattern may comprise:
a continuous portion that extends helically on the first part and that is not in direct contact with the plural contacts formed on the second part as the body component rotates within the sleeve, and
a discontinuous portion that extends helically on the first part, that is connected to the continuous portion of the conductive track pattern and that is in direct contact with the plural contacts formed on the second part as the body component rotates within the sleeve.
The continuous portion can allow an electrical circuit to be provided with conductive portions of the discontinuous portion.
The discontinuous portion of the conductive track pattern may be provided on the engaging face of the thread component of the first part and wherein the continuous portion of the conductive track pattern is provided on a non-engaging face of the thread component of the first part. For instance it may be provided on the side face, rather than the top face for the discontinuous part.
First and second conductive track patterns may be formed on the thread features of the first part and plural contacts are formed on the second part such as to contact the first and second conductive track patterns as the body component rotates within the sleeve.
The conductive track pattern may alternatively consist of a single conductive track pattern.
The sleeve thread features may form parts of first and second ones of different start threads and wherein the sleeve thread features and the body component thread features form parts of first and second ones of different start threads.
The thread features of each thread of the first part may include a conductive track pattern and wherein the thread features of each thread of the second part includes respective plural contacts.
The body component may constitute the first part and the sleeve may constitute the second part.
Alternatively, the sleeve may constitute the first part and the body component may constitute the second part.
Each of the plural contacts may be sprung, thereby to provide a preload force between the sleeve thread features and the body component thread features. This can allow all or part of the preload force to be transferred from the thread features to the longitudinal force that is applied between the sleeve and the body component as they move relative to one another.
The drug delivery device may further comprise a processor configured to receive and interpret electrical signals from each of the electrical contacts to determine the position of the cylindrical member relative to the housing.
Embodiments will now be described, by way of example only, with reference to the accompanying drawings, in which:
Referring firstly to
A display mount 112 is located on the first housing part 104. A display may be supported on the display mount 112. The display may be an LCD display, a segmented display or any other suitable type of display. The display mount 112 may cover a recess (not shown) in the first housing portion 104. A number of electronic components, described in greater detail with reference to
The first housing part 104 contains a drug dose setting and delivery mechanism. The second housing part 106 contains a drug cartridge (not shown). The drug contained in the drug cartridge may be a medicament of any kind and may preferably be in a liquid form. The drug delivery mechanism of the first housing part 104 may be configured to engage with the drug cartridge of the second housing part 106 to facilitate expulsion of the drug. The second housing part 106 may be detached from the first housing part 104 in order to insert a drug cartridge or to remove a used cartridge. The first and second housing parts 104, 106 may be connected together in any suitable way, for example with a screw or bayonet type connection. The first and second housing parts 104, 106 may be non-reversibly connected together in such a way that the drug cartridge is permanently contained within the drug delivery device 100. Further the first and second housing parts 104, 106 may form part of a single housing part.
The rotatable dial 108 is configured to be rotated by hand by a user of the drug delivery device 100 in order to set a drug dose to be delivered. The dial 108 may be connected to an internal threading system which causes the dial 108 to be displaced axially from the housing 102 as it is rotated in a first direction. The dial 108 may be rotatable in both directions or only in a first direction. The device 100 is configured, once a drug dose has been set by rotation of the rotatable dial 108, to deliver the set drug dose when a user exerts an axial force at the proximal end of the device. The rotatable dial 108 may support a dose delivery button (416 in
Referring now to
The circuitry 200 may be integral with the device 100. Alternatively, the circuitry 200 may be contained within an electronic module that can be attached to the device 100. In addition, the circuitry 200 may comprise additional sensors, such as optical or acoustical sensors. The circuitry 200 may comprise an audible alarm (not shown) which the processor 202 may control to sound an alarm when a dialled dose has not been fully dispensed.
The ROM 204 may be configured to store software and/or firmware. This software/firmware may control operations of the processor 202. The processor 202 utilises RAM 206 to execute the software/firmware stored in the ROM to control operation of the display 210. As such the processor 202 may also comprise a display driver. The processor 202 utilises the flash memory 205 to store determined amounts of dose dialled and/or determined amounts of dose dispensed, as will be described in more detail below.
The batteries 214 may provide power for each of the components including the contacts 212. The supply of electricity to the contacts 212 may be controlled by the processor 202. The processor 202 may receive signals from the contacts 212 and so could determine when the contacts are energised, and is configured to interpret these signals. Information may be provided on the display 210 at suitable times by operation of the software/firmware and the processor 202. This information may include measurements determined from the signals received by the processor 202 from the contacts 212.
A number of contacts 212 may be present in the device 100, as is described below.
A fuller explanation of the operation of the dose setting and delivery mechanism supported within the first housing part 104 will now be given with reference to
The dose setting mechanism 400 comprises an outer housing 404, an inner housing 408 and a rotatable sleeve 406. The rotatable sleeve 406 is an example of a sleeve. The inner housing 408 is an example of a body component. These components are hollow cylinders arranged concentrically. The rotatable sleeve 406 is disposed between the outer and inner housings 404, 408.
The inner housing 408 comprises a groove 432 provided along an external surface 434 of the inner housing 408. A groove guide 436 provided on an inner surface 438 of the rotatable sleeve 406 is rotatably engaged with this groove 432.
A dose dial grip 402 is located at a proximal end of the outer housing 404. The dose dial grip 402 is disposed about an outer surface of a proximal end of the rotatable sleeve 406. An outer diameter of the dose dial grip 402 preferably corresponds to the outer diameter of the outer housing 404. The dose dial grip 402 is secured to the rotatable sleeve 406 to prevent relative movement between these two components. The dose dial grip 402 is represented in the external view of
A spindle 414 is disposed centrally within the mechanism 400. The spindle 414 is provisioned with at least one helical groove. In the embodiment depicted, the spindle 414 has two opposite handed overlapping groove forms that preferably extend over at least a majority of a length of the spindle. Each groove form is effectively continuous over a number of turns. Each groove of the spindle may engage either a non-continuous helical groove form on a body portion or on a driver. Either or both a non-continuous thread formed on a body and a driver may consist of less than one complete turn of thread. A first thread of the spindle 414 is configured to connect with a portion of the inner housing 408.
The dose setting mechanism 400 also comprises a spring 401, a clutch 405 and a driver 409 having a first driver portion 407 and a second driver portion 412. These driver portions 407, 412 extend about the spindle 414. Both the first and the second driver portions 407, 412 are generally cylindrical. The clutch 405 is disposed about the driver 409. The first driver portion 407 may comprise a first component part 410 and a second component part 411. Alternatively, the first driver portion 407 may be an integral component part.
With the dose setting mechanism 400, as a user dials a dose with the dose dial grip 402, the metal spring 401 is selected to be strong enough to maintain engagement of both clutched couplings: the clutched coupling between the clutch 405 and the rotatable sleeve 406 and clutched coupling between the first driver portion 407 and second driver portion 412. The rotatable sleeve 406 is coupled to the dose dial grip 402 such that when a user rotates the dose dial grip 402, the rotatable sleeve 406 also rotates. As the rotatable sleeve 406 is rotated in a first rotational direction, it moves axially in a proximal direction due to its threaded connection to the inner housing 408.
This threaded connection includes a thread feature 436 on the rotatable sleeve 406 and a thread feature 432 on the inner housing 408. These are best viewed in
When the drug delivery device is being dispensed, the user applies an axial load to the dose delivery button 416 located at the proximal end of the mechanism 400. The dose delivery button dose delivery button 416 is axially coupled to the clutch 405 and this prevents relative axial movement. Therefore, the clutch 405 moves axially towards the cartridge end or the distal end of the dose setting mechanism 400. This movement disengages the clutch 405 from the rotatable sleeve 406, allowing for relative rotation while closing up the Gap ‘a’. The clutch 405 is prevented from rotating relative to a clicker 420 and hence relative to the inner housing 408. However, in this scenario, the coupling between the first driver portion 407 and the second driver portion 412 is also prevented from becoming disengaged. Therefore, any axial load on the spindle 414 only disengages the first and second driver portions 407, 412 when the dose delivery button dose delivery button 416 is not axially loaded. This therefore does not happen during dispense.
A dose limiter 418 (visible in
In some embodiments, the first driver portion 407 comprises a first portion (first component part) 410 that is permanently clipped to a second portion (second component part) 411. In this arrangement, the second component part 411 comprises the plurality of recesses 452 and the first component part 410 includes the outer groove for the dose limiter 418 nut as well as an internal groove 454. This internal groove 454 is used to connect to the spindle 414 and drives the spindle 414 during dose administration. In the illustrated embodiment, the internal groove 454 comprises a part helical groove, which is easier to manufacture than a complete helical groove.
One advantage of this dose setting mechanism 400 utilizing the inner housing 408 is that the inner housing 408 can be made from an engineering plastic that minimizes friction relative to the rotatable sleeve 406 groove guide 436 and the groove 432. For example, one such engineering plastic could comprise Acetal. However, those skilled in the art will recognize that other comparable engineering plastics having a low coefficient of friction could also be used. Using such an engineering plastic enables the material for the outer housing 404 to be chosen for aesthetic or tactile reasons with no friction related requirements since the outer housing 404 does not engage any moving components during normal operation.
The effective driving diameter (represented by ‘D’) of the grooved interface between the rotatable sleeve 406 and the inner housing 408 is reduced compared to certain known drug delivery devices for the same outer body diameter. This improves efficiency and enables the drug delivery device to function with a lower pitch (represented by ‘P’) for this groove and groove guide connection. In other words, as the helix angle of the thread determines whether when pushed axially, the encoded member will rotate or lock to the inner body wherein this helix angle is proportional to the ratio of P/D.
A recess 442 in the outer housing 404 of the drug delivery device 100 can be seen in
The dose setting mechanism 400 illustrated in
An axial force on the spindle 414 causes the spindle 414 to rotate due to its threaded connection to the inner housing 408. This rotation and axial movement of the spindle 414 in turn causes the first driver portion 407 to move axially towards the second driver portion 412. This will eventually decouple the first driver portion 407 and second driver portion 412.
This axial movement of the first driver portion 407 towards the second driver portion 412 results in certain advantages. For example, one advantage is that the metal spring 401 will compress and will therefore close the Gap ‘a’ illustrated in
Another advantage of a dose setting mechanism 400 comprising an inner housing 408 is that the dose setting mechanism 400 can be designed, with a slight modification, as a drug delivery device platform that is now capable of supporting both re-settable and non-resettable drug delivery devices. As just one example, to modify the re-settable dose setting mechanism 400 variant illustrated in
The dose setting mechanism described above is merely one example of a mechanism suitable for supporting the rotatable sleeve 406 and for implementing the present invention. It will be apparent to the skilled person that other mechanisms may also be suitable.
In view of the foregoing it will be appreciated that a user twists the rotatable dial 108 to select an amount of dose to be dispensed from a drug cartridge. This causes the rotatable sleeve 406 to rotate and translate axially (longitudinally) relative to the housing 102. By analysing information that relates to rotation of the rotatable sleeve 406 the extent of rotation of the dial 108, and thus the dose dialled, can be determined. Furthermore, a user presses the dose delivery button 416 to dispense an amount of dose from within a drug cartridge. Pressing the dose delivery button 416 causes the rotatable sleeve 406 to rotate and move axially the other way. Thus by analysing information that relates to rotation of the rotatable sleeve 406, the dose dispensed can also be determined.
A number of schemes for determining an amount of rotation of a sleeve, typically called an encoder sleeve or a number sleeve, are possible. Some possible schemes involve a conductive pattern formed on the cylindrical outside surface of the sleeve. Here, electrical contacts mounted in a fixed position relative to the main housing may be caused to contact different parts of the pattern as the sleeve moves within the main housing. By examining signals provided at the contacts by connection (or no connection) with the pattern, the location of the sleeve within the main housing might be determined, or at least estimated. In other schemes, a pattern on an encoder sleeve may be read optically. Reference is made to the prior art for specific details of known mechanisms and schemes.
Embodiments of the present invention propose a different scheme. In brief, a conductive pattern formed on the cylindrical outside surface of the sleeve is not used. Instead, a conductive pattern is formed on an engaging face of thread features of a body component or a sleeve and contacts are provided on the other component. Apparatus so constructed can allow determination of the relative position of the sleeve and the body component through detecting the conductive track pattern whilst providing no or relatively little additional resistance to axial movement of the body component relative to the sleeve compared to a corresponding arrangement in which the conductive track and contacts were absent. In schemes using a conductive pattern formed on the cylindrical outside surface of the sleeve, conversely, friction forces resulting from contacts sliding over the conductive patter as the sleeves rotates on the inner body can provide significant additional resistance to axial movement of the body component relative to the sleeve.
Referring now to
The thread feature 432 includes three main faces. A first face faces upwardly in the figures, and can be called an engaging face 710. Opposite the engaging face 710 is a bottom face 714, which is not visible in
A helical track 300 is provided on the thread feature 432 on the inner housing 408. The helical track 300 comprises a number of components. Firstly, a connecting track 306 is provided on the side face 712 of the thread feature 432. The connecting track 306 is continuous, that is it is unbroken.
The helical track 300 includes some features on the engaging face 710 of the thread feature 432 of the inner housing 408. These include alternating conductive segments 302 and non-conductive segments 304. The conductive segments 302 are electrically coupled to the connecting track 306, that is located on the side face 712 of the thread feature 432. Successive conductive segments 302 are separated by a non-conductive segment 304. Similarly, successive non-conductive segments 304 are separated by a conductive segment 302.
As will be described, when a contact 212 is mechanically coupled to a conductive segment 302, an electrical circuit is made between the contact and the connecting track 306. When the contact 212 is mechanically coupled only to a non-conductive segment 304, no electrical circuit is made between the contact 212 and the connecting track 306.
The contacts 212 form part of the rotatable sleeve 406, as will now be described with reference to
Referring to these figures, the rotatable sleeve 406 is shown as comprising a generally annular component, with some features at each end. The features at the top end are not of relevance to this explanation, so will not be described.
At the lowermost end of the rotatable sleeve 406 are provided thread features 436. The thread features 436 comprise sections of a twin start thread having the same pitch and direction as the thread components 432 on the inner housing 408. The thread features 436 are provided with an engaging face 716, which is downwardly facing in the figures. In use, the engaging face 716 of the thread features 436 of rotatable sleeve 406 is engaged with the engaging face 710 of the thread features 432 of the inner housing 408.
First and second contacts 212a and 212b are formed on the engaging face 716 of the thread feature 436 of the rotatable sleeve. The contacts 212a and 212b are formed on different ones of the twin start threads, so engage with different ones of the twin start threads features 432 of the inner housing 408 in use.
The contacts 212a, 212b comprise flat-topped protrusions that extend from the generally regular surface that constitutes the engaging face 716 of the thread feature 436 of the rotatable sleeve 406. They may alternatively take the form shown in and described below with reference to
A conductive track 220 commences on the face of the contacts 212a, 212b and extends for some distance along the engaging face 716 of the thread feature 436 of the rotatable sleeve 406, before extending off of the engaging face, as is best seen in
The relative positions of some of the components of the rotatable sleeve 406 and the inner housing 408 when the components are engaged with one another are shown in
Although not shown in the Figures, the ends of the connectors on the inner housing 408 are accessible through a hole in the outer housing 404 and are electrically connected to the encoder 202 or provide an interconnect for a separable module. Because the inner housing 408 also is fixed to the outer housing 404, the tracks may pass through with a rigid connection to more interconnecting tracks on the housing to pass to the encoder 202 directly or through an interface to a separate module.
The connecting track 220 on the rotatable sleeve 406 does not connect to the encoder 202, but it does connect the two contacts together. The track 220 that is leftmost as shown in
The contacts 212a and 212b are sprung, as will be described below with reference to
The helical tracks 300 shown in
An electrical circuit suitable for use with this particular arrangement is shown in
Here, an encoder and power supply is provided by the processor 202 in conjunction with the battery 214, both of which are shown in
Similarly, on the right side of the figure the code 302, 304 on the second of the twin start thread features 432 connects the contact 212b on the second thread of the rotatable sleeve 406 to the encoder and power supply 202 when a conductive segment 302 is in contact with the contact 212b.
The height of the thread features 436 on the rotatable sleeve 406 is such that the sprung contacts 212a and 212b provide a pre-load force between the bottom face 714 of one thread feature 432 of the inner housing and the engaging face 710, or uppermost face, of the other thread feature 432 of the inner housing 408. When the dose delivery button is not pressed, this pre-load force provides adequate pressure to the first and second contacts 212a and 212b to achieve electrical connection between the connecting tracks 220 and the helical track 300 when the contacts 212a and 212b coincide with a conductive segment 302 of the helical track 300.
For instance, the contacts 212a and 212b may take the form shown in
If the preload force is less than or equal to the axial force required to rotate the rotatable sleeve 406, the preload force is completely removed during the dispense operation. If the preload force is greater than the dispense force, there is nonetheless a benefit provided by the described arrangement because the axial force during the dispense operation is in effect subtracted from the preload force, giving a lower force than if the preload force was applied independently.
The helical tracks 300 described above implement an incremental code. The track alternates between conductive “high” values and “low” values. The encoder 202 counts the number of output changes, namely high to low and low to high, to calculate the dialled dose. This approach has fundamental limitations as the encoder 202 is not able to determine whether the device 100 is dialling or un-dialling a dose. Furthermore, incremental coding is not able to determine if the encoder 202 has failed to register dialled units.
Alternative implementations, using different helical tracks 300, can overcome these shortcomings, as is described below.
Firstly, some variations of and modification to the above-described embodiment will now be discussed.
Instead of including the connecting track 306 of the helical track 300 on the side face 712 of the thread feature 432 of the inner housing 408, it may be otherwise provided. For instance, it may be provided on the major face of the inner housing 408, at the part that is closest to the engaging face 710 of the thread feature 432 for example. It may alternatively be provided on the bottom face 714 of the thread feature 432, in which case connecting tracks may extend around the side face 712 to connect the conductive segments 302 on the engaging face 710 with the connecting track 306 on the bottom face 714.
The thread features 432 and 436 need not be twin start threads. They may alternatively be single start threads, or triple or higher order start threads.
Instead of the relatively long thread feature being provided on the inner housing 408, it may instead be provided on the innermost surface of the rotatable sleeve 406. In this case, the inner housing 408 is provided with a thread feature on its outermost surface. However, this need not be continuous, and may be relatively short or may be plural sections of partial thread.
In a second set of embodiments, that will now be described with reference to
As shown in
As with the helical track 300 of the first set of embodiments described above, each helical track 300a, 300b includes conductive segments 302a and 302b and non-conductive segments 304a and 304b. Each helical track 300a, 300b also includes a respective connecting track 306a, 306b. The second helical track 300b has the same alternating code as used in the examples above. Where number 1 represents high values and number 0 represents low values, the code of the second helical track 300b may be represented as:
The first helical track 300a has the following code:
The combinations of these two codes produces a repeating sequence of four unique outputs, as follows:
This is illustrated in
The code can be read by the circuit shown in
On the right side of
It will be appreciated that this does not provide absolute encoding but it does have some advantages over the purely incremental code used in the previous embodiments. Particularly, since there are four different outputs of the arrangement, as shown in
Additionally, if the injection device 100 has been dialled quickly and some of the dialled units have been missed or misread by the encoder 202, the encoder 202 may be able to determined that the dialled dose is incorrect. In this case, the device 100 may indicate to the user to restart dialling. A user can perform this by dialling the dose back down to zero and then again commencing the dialling. The system is not completely error proof because a mis-read by a factor of 4 (which is the period of repeat of the code) would seem to the encoder 202 to be correct.
Some variations of and modification to this embodiment will now be discussed.
Although in the above, the code that is provided by the helical tracks 300a, 300b is a conventional binary code, it may instead be provided by a Gray code. The use of a Gray code has an advantage that the chances of mis-reading in a transition where two (or more) bits of the code change is reduced. Referring to
Instead of including the connecting tracks 306a, 306b of the helical track 300 on the side faces 712a, 712b of the thread features 432 of the inner housing 408, they may be otherwise provided. For instance, they may be provided on the major face of the inner housing 408, at the part that is closest to the engaging face 710 of the thread feature 432 for instance. They may alternatively be provided on the bottom face 714 of the thread feature 432, in which case connecting tracks may extend around the side face 712 to connect the conductive segments 302 on the engaging face 710 with the connecting track 306 on the bottom face 714.
The thread features 432 and 436 need not be twin start threads. They may alternatively be single start threads, or triple or higher order start threads.
Instead of the relatively long thread features 432a, 432b being provided on the inner housing 408, they may instead be provided on the innermost surface of the rotatable sleeve 406. In this case, the inner housing 408 is provided with a thread feature on its outer most surface. However, this need not be continuous, and may be relatively short or may be a number of short sections of partial thread.
Also, although it is the sleeve 406 that rotates and the inner housing 408 is fixed relative to the main body 102, it may instead be the inner housing 408 that rotates and the sleeve 406 may be fixed relative to the housing 102.
A third set of embodiments will now be described with reference to
In this embodiment, seven different parts of a code are read by seven different contacts 212. Outputs from the seven contacts 212 are then assembled to produce a seven-bit code by the encoder 202. An example of the code is shown below.
100000110000101000011100010010001011000110100011110010011001 010100101110011011001110100
This translates to the output shown in
In this example, the contacts 212 are located at seven consecutive bits of the code, which is formed by the conductive segments 302 and the non-conductive segments 304 of the helical track 300. Alternatively, the contacts 212 may be located to contact different parts of the code, some or all of which may be non-consecutive, as is described below with reference to
A seven bit code allows determination of a unique number between 0 and 128, which is sufficient for determining a dialled dose in the range of 0 to 80. Having a shorter code, for instance 6, 5 or 4 bits, simplifies the apparatus (at least because there are fewer contacts), although it allows a smaller range of dialled dose units to be uniquely identifiable. Nevertheless, using a shorter code may be preferred in some embodiments.
The greater the number of contacts 212, the more difficult it is technically to include the contacts on the inner housing 408.
As is best seen from
Here, it is a single start thread 426. It includes a helical track 300, that extends for a significant part of the length of the thread feature 436. The thread feature 436 includes three main faces. The engaging face 716 is the lowermost face in the figures. This is opposite to the engaging face 716 in the previous embodiment because in this embodiment it is the lowermost face of the thread feature 436 that provides a reactive force against the corresponding thread feature 432 of the inner housing 408, particularly when a dose is being delivered. An uppermost face 714 is opposite the engaging face 710. As with the above embodiments, the engaging face 710 and the uppermost face 714 may be angled slightly from perpendicular with the axis of the device 100. A side face 712 connects the engaging face 710 and the bottom face 714. The side face 712 is generally concentric with the outer cylindrical surface of the inner housing 408.
The connecting track 306 of the helical track 300 is provided on the engaging face 710 of the thread feature 432 The connecting track 306 is shown in the Figures as a very thin connection running along the engaging face 710. The conductive segments 302 and non-conductive segments 304 are provided on the engaging face 710, which is the lowermost face, of the thread feature 432.
Clearly visible in
The inner housing 408 is provided with contacts 212. In particular, seven contacts 212 are provided on the inner housing 408 in contact with the helical track 300. First to third contacts 212a, 212b and 212c are shown in
All of the contacts 212 are substantially the same, and the first contact 212a is shown in detail in
Here, it can be seen also that a thread feature 432 of the inner housing 408 comprises a part of a thread. The thread feature 432 provides a part of a thread that has the same pitch as the thread 436 on the rotatable sleeve 406.
The contact 212a comprises an arm 730. The arm is supported at one end on a support 734. The arm 730 is connected to the connecting track 220 at the location of the support 734, in this example on the underside of the support 734. The support 734 is provided by a protrusion that extends from the main cylindrical body of the inner housing 408.
At the opposite end to the support 734, the arm 730 has a free end 732. It is the free end 732 of the arm 730 that contacts the helical track 300 in use.
The arm 730 is resilient, and is biased into the position shown in
The distance between the thread features 432 and the free end 732 of the arm 730 is such that the contacts 212 provide preload forces acting on the thread features 436 of the rotatable sleeve 406 in use. This is represented by the arrows in
During dispensing a dose, the thread feature 436 of the inner housing 408 causes the rotatable sleeve 406 to rotate as it travels helically in a distal direction. Due to friction between the thread feature 436 and the thread feature 432, an axial force must be applied to the inner housing 408 for relative motion to occur. As the force applied to the dose delivery button is applied to the inner housing 408, the preload force acting on the thread features 432, 436 is reduced and this force is instead transferred to the dose delivery button. This is illustrated by the arrows in
When a user of the device 100 twists the rotatable dial 108 to select or dial in a drug dose, the processor 202 may be activated and may be controlled by software stored in the ROM 204 to execute a check on the contacts 212a to determine the absolute rotational position of the rotatable sleeve 406, and hence the drug dose which has been dialled. The processor 202 may also be configured to determine the number of drug units which have been delivered.
The process of determining a dialled dose will now be described. In order to determine the drug dose which has been dialled, the processor 202 first causes the batteries 214 to apply a voltage to all contacts 212 that are needed to read the code from the helical track or tracks 300. The processor then uses signals received at other inputs to determine which of the contacts 212 are in contact with conducting portions 302 and which are in contact with non-conducting portions 304.
Analysing which contacts are associated with a code value of “1” and which are associated with a code value of “0”, the processor 202 can determine the unique seven bit binary code associated with the absolute rotational position of the rotatable sleeve 406. The processor 202 can then use the seven bit binary code to determine the dialled drug dose. This may be achieved by the processor 202 upon searching a lookup table stored in the ROM 204, the lookup table providing a conversion from the seven bit binary code result to a dose unit dialled.
In addition to (or instead of) determining a dialled dose, the device 100 may be configured to determine an amount of dose that has been dispensed. For example, when an amount of dose has been dispensed the processor 202 may determine the position of the rotatable sleeve 406 relative to the housing 102 in the foregoing manner. In particular the processor 202 may determine the seven bit binary code associated with the absolute rotational position of the rotatable sleeve 406. The dose amount associated with such a binary code may then be determined from a lookup table. The processor 202 may determine the drug dose which has been dispensed (or is yet to be dispensed, if any) by subtracting a remaining drug dose from an initially dialled drug dose. The display 210 may be used to show the dose amount yet to be dispensed if a user does not dispense the full amount of a dialled dose.
Having determined the drug dose which has been dispensed, the processor 202 may store the result in the Flash memory 205. As mentioned above the display 210 may be controlled to display the result of the dispensed dose determination. The display 210 may show the result of the dispensed dose determination for a predetermined time, for example 60 seconds. Alternatively or in addition, the dispensed dose history may be retrieved electronically from the Flash memory 205 by a user of the device 100 or by a health care professional. During dialling of the device, the dialled dose may be indicated to the user in any conventional way, for example by use of numerals printed on the encoded member. In some other embodiments, the dialled dose is not determined or indicated to the user.
Although a seven bit coding system has been described, the third embodiment is equally applicable for any number of contacts greater than three. The seven bit system is preferred as it allows the full 0-80 unit dose range to be absolutely encoded.
Furthermore, the processor 202 may implement the process of checking the contacts 212 while the rotatable sleeve 406 is actually rotating, i.e. while the device 100 is actually being dialled or is being used to dispense a substance. Alternatively the checking process may only be performed when the processor 202 detects that the rotatable sleeve 406 has been in a certain position for a predetermined amount of time (for example 100 milliseconds), thereby indicating that the device 100 has been dialled or dispensed an intended amount by a user.
It will be appreciated that in other arrangements the code defined by the helical track 300 may have a different configuration, in particular it may define a different combination of “0”s and “1”s to that used in the above illustrative example.
Part of an alternative code for the helical track 300 is illustrated in
Alternatively, a single-track Gray code equivalent could be used. However, such a code would be relatively long, compared to the codes described above.
In these embodiments, the helical track 300 and also the thread feature 432 of the rotatable sleeve 406 are also both relatively long, because the seven contacts 212 are relatively widely spaced apart along the code formed by the helical track 300.
Some variations of and modification to the third embodiment will now be discussed.
Instead of including the connecting track 300 of the helical track on the engaging face 710 of the thread feature 432 of the rotatable sleeve 406, it may be otherwise provided. For instance, it may be provided on the major inner face of the rotatable sleeve 406, at the part that is closest to the engaging face 710 of the thread feature 432 for example. It may alternatively be provided on the uppermost face 714 of the thread feature 432, in which case connecting tracks may extend around the side face 712 to connect the conductive segments 302 on the engaging face 710 with the connecting track 306 on the bottom face 714. It may alternatively be provided on the side face 712.
The thread features 432 and 436 need not be single start threads. They may alternatively be twin start threads, or triple or higher order start threads.
Instead of the relatively long thread feature being provided on the rotatable sleeve 406, it may instead be provided on the outermost surface of the inner housing 408, and with the previous embodiments. In this case, the rotatable sleeve 406 is provided with a thread feature on its outermost surface. However, this need not be continuous, and may be relatively short or may be a number of short sections of partial thread.
Also, although it is the rotatable sleeve 406 that rotates and the inner housing 408 is fixed relative to the main body 102, it may instead be the inner housing 408 that rotates and the sleeve 406 may be fixed relative to the housing 102.
The processor 202 is capable of determining the extent of rotation of the rotatable sleeve 406 (and thus how far it has travelled axially) by analysing which contacts 212a-212g engage conductive segments 302 and which contacts engage non-conductive segments 304.
In all of the above embodiments, the helical tracks 300, 300a, 300b, 301a, 301b may be formed by wrapping a metallic strip around the inner housing 408 or the rotatable sleeve 406, as the case may be. Such a metallic strip may have a non-conductive backing to support the metallic layer. The non-conductive backing may have an adhesive on the reverse side for securing the strip to the outer surface 440 of the rotatable sleeve 406 or the inner housing 408. The helical tracks 300, 300a, 300b, 301a, 301b may alternatively comprise conductive ink printed onto a non-conductive substrate. This non-conductive substrate may be the inner housing 408 or rotatable sleeve 406 itself or a secondary substrate which is subsequently attached to the inner housing 408 or rotatable sleeve 406. The helical tracks 300, 300a, 300b, 301a, 301b may be formed by wrapping a metallic strip around the inner housing 408 or the rotatable sleeve 406, as the case may alternatively be provided by application of a selective plating technique.
In all of the embodiments, having determined the drug dose which has been dispensed, the processor 202 may store the result in the Flash memory 205. As mentioned above the display 210 may be controlled to display the result of the dispensed dose determination. The display 210 may display the result of the dispensed dose determination for a predetermined time, for example 60 seconds. Alternatively or in addition, the dispensed dose history may be retrieved electronically from the Flash memory 205 by a user of the device 100 or by a health care professional. During dialling of the device, the dialled dose may be indicated to the user in any conventional way, for example by use of numerals printed on the encoded member. In some other embodiments, the dialled dose is not determined or indicated to the user.
Sensing of the presence or absence of track is performed using a contact and the processor. At a general level, this may involve hardware that compares a voltage signal provided by the contact with a threshold and indicting the presence or absence of track through an output that indicates whether the voltage exceeded or did not exceed respectively the threshold. In a processor implementation, it may involve buffering the signal provided by the contact, for instance using an inverter gate or other buffer, sampling the buffered signal and comparing the sampled signal to a reference. Other ways of sensing the presence or absence of track will be apparent to the skilled person.
Finally, it will be appreciated that the above described embodiments are purely illustrative and are not limiting on the scope of the invention. Other variations and modifications will be apparent to persons skilled in the art upon reading the present application. Moreover, the disclosure of the present application should be understood to include any novel features or any novel combination of features either explicitly or implicitly disclosed herein or any generalization thereof and during the prosecution of the present application or of any application derived there from, new claims may be formulated to cover any such features and/or combination of such features.
Number | Date | Country | Kind |
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13151367 | Jan 2013 | EP | regional |
Filing Document | Filing Date | Country | Kind |
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PCT/EP2014/050465 | 1/13/2014 | WO | 00 |
Publishing Document | Publishing Date | Country | Kind |
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WO2014/111338 | 7/24/2014 | WO | A |
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