US20120232517A1 - Dose Display Mechanism for a Drug Delivery Device - Google Patents

Dose Display Mechanism for a Drug Delivery Device Download PDF

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Publication number
US20120232517A1
US20120232517A1 US13474042 US201213474042A US2012232517A1 US 20120232517 A1 US20120232517 A1 US 20120232517A1 US 13474042 US13474042 US 13474042 US 201213474042 A US201213474042 A US 201213474042A US 2012232517 A1 US2012232517 A1 US 2012232517A1
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US
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Prior art keywords
dose setting
dose
drug delivery
setting dial
delivery device
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Abandoned
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US13474042
Inventor
Masaru Saiki
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Sanofi-Aventis Deutschland GmbH
Terumo Corp
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Sanofi-Aventis Deutschland GmbH
Terumo Corp
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31533Dosing mechanisms, i.e. setting a dose
    • A61M5/31545Setting modes for dosing
    • A61M5/31548Mechanically operated dose setting member
    • A61M5/31563Mechanically operated dose setting member interacting with a displaceable stop member
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31533Dosing mechanisms, i.e. setting a dose
    • A61M5/31545Setting modes for dosing
    • A61M5/31548Mechanically operated dose setting member
    • A61M5/3155Mechanically operated dose setting member by rotational movement of dose setting member, e.g. during setting or filling of a syringe
    • A61M5/31551Mechanically operated dose setting member by rotational movement of dose setting member, e.g. during setting or filling of a syringe including axial movement of dose setting member
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31565Administration mechanisms, i.e. constructional features, modes of administering a dose
    • A61M5/31576Constructional features or modes of drive mechanisms for piston rods
    • A61M5/31583Constructional features or modes of drive mechanisms for piston rods based on rotational translation, i.e. movement of piston rod is caused by relative rotation between the user activated actuator and the piston rod
    • A61M5/31585Constructional features or modes of drive mechanisms for piston rods based on rotational translation, i.e. movement of piston rod is caused by relative rotation between the user activated actuator and the piston rod performed by axially moving actuator, e.g. an injection button
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M2005/3125Details specific display means, e.g. to indicate dose setting
    • A61M2005/3126Specific display means related to dosing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/58Means for facilitating use, e.g. by people with impaired vision
    • A61M2205/583Means for facilitating use, e.g. by people with impaired vision by visual feedback
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31533Dosing mechanisms, i.e. setting a dose
    • A61M5/31545Setting modes for dosing
    • A61M5/31548Mechanically operated dose setting member
    • A61M5/3156Mechanically operated dose setting member using volume steps only adjustable in discrete intervals, i.e. individually distinct intervals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31565Administration mechanisms, i.e. constructional features, modes of administering a dose
    • A61M5/3159Dose expelling manners
    • A61M5/31593Multi-dose, i.e. individually set dose repeatedly administered from the same medicament reservoir
    • A61M5/31595Pre-defined multi-dose administration by repeated overcoming of means blocking the free advancing movement of piston rod, e.g. by tearing or de-blocking
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10TTECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
    • Y10T29/00Metal working
    • Y10T29/49Method of mechanical manufacture
    • Y10T29/49826Assembling or joining

Abstract

This invention relates to a dose display mechanism for a drug delivery device that allows the user to select multiple doses of an injectable drug and for the dispensing of the set dosage of the drug and applying said drug to a patient, preferably by injection.

Description

    CROSS REFERENCE TO RELATED APPLICATIONS
  • This application is a continuation of U.S. application Ser. No. 11/690,984, filed Mar. 26, 2007, which is a continuation of PCT/EP2005/009840, filed Sep. 14, 2005, which is based upon and claims priority to EP 04023628,3, filed Oct. 4, 2004, all of the aforementioned documents being incorporated by reference herein in their entirety.
  • FIELD OF THE INVENTION
  • This invention relates to a dose display mechanism for a drug delivery device that allows the user to select multiple doses of an injectable drug and for the dispensing of the set dosage of the drug and applying said drug to a patient, preferably by injection. In particular, the present invention relates to such devices, which are handled by the patients themselves.
  • BACKGROUND OF THE INVENTION
  • Drug delivery devices, which allow multiple dosing of the required dosage of liquid drug and administration of the liquid to a patient, are well known in the art. Generally, such devices have substantially the same purpose as that of an ordinary syringe.
  • Pen-type injectors of this kind must meet a number of requirements to meet user needs. These devices need to be robust in construction, yet easy to use both in terms of the manipulation of the parts and understanding by a user of its operation. In the case of those with diabetes, many users will be physically infirm and may also have impaired vision. Where the injector is to be disposable rather than reusable, the injector should be cheap to manufacture and easy to dispose of (preferably being suitable for recycling).
  • WO 01/87386 A1 teaches a mechanical dose display for a medicine administration device consisting of at least one flexible disk which is driven by the dose setting actuator and which carries a band of numbers along its perimeter. By folding the disc in such a way that the diametrical opposite points of the perimeter just meet, allows each digit along the perimeter to be about three times as high as corresponding digits written on a drum having a diameter corresponding to the diameter of the tube formed by the folded disc. Through the addition of a second disc it is possible to show a two-digit number.
  • WO 98/10813 A1 discloses a dose setting mechanism by which doses are indicated on a dock dial having a first part secured to the housing and a second part which is rotatable relative to the first part and which is coupled to the dose setting element. One of the parts carries the scale and the other carries an indicating member indicating a point on the scale. By using a dock dial the dial can be made arbitrarily large being limited only by the fact that the device must not be too bulky.
  • U.S. Pat. No. 5,279,585 A discloses an injection device for injecting fluids such as insulin within body tissue. The dose setting means of the device includes a units counter ring, a tens counter ring positioned in adjoining relation to the units counter ring, and a transmission means connecting the units counter means and the tens counter ring.
  • SUMMARY OF THE INVENTION
  • Accordingly, the problem to be solved by the instant invention is to provide a dose display that displays in clear and large indices, i.e., numbers, symbols, letters, etc., the set dose and is suitable for use by visually disabled users, particularly for use with pen-type drug delivery devices.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • FIG. 1 is a perspective view of the counter ring in position on the dose setting dial.
  • FIG. 2 is a schematic showing the numerical value of the first digit of the counter ring (a) and a perspective view of the counter ring (b).
  • FIG. 3 is a schematic showing the numerical value of the second digit of the dose setting dial.
  • FIG. 4 is a perspective view of the entire device indicating the display window.
  • FIG. 5 is a sectional side view illustrating a dose setting operation of the device.
  • FIG. 6 is a sectional side view showing the drive mechanism of the device in an initial state.
  • FIG. 7 is a sectional side view illustrating a dose setting operation of the device.
  • FIG. 8 is a sectional side view illustrating a dose delivery of the device.
  • FIG. 9 is an enlarged scale of FIG. 2.
  • FIG. 10 shows the plunger rod, the lead screw, and the plunger rod holder of the device.
  • FIG. 11 is a sectional side view showing the device in a clutched state.
  • FIG. 12 is a sectional side view showing the device in a declutched state.
  • FIG. 13 is a sectional side view showing an alternative of the free lock.
  • DETAILED DESCRIPTION OF THE EMBODIMENTS
  • A first aspect of the instant invention is to provide a dose display mechanism for a drug delivery device comprising:
      • a dose setting dial having an external thread and external grooves extending from the proximal end to the distal end; and
      • a counter ring in interlocking relationship with the external grooves of the said dose setting dial such that said counter ring is free to move axially along said external grooves with respect to the said dose setting dial whilst being prevented from rotation with respect to the said dose setting dial.
  • It is a second aspect of the instant invention to provide a drug delivery device comprising a) a drive mechanism and b) the dose display mechanism of the instant invention.
  • A third aspect of the instant invention is the use of a dose display mechanism according to the invention in a method of assembling a device according to the invention.
  • A fourth aspect of the instant invention is the use of a device according to the invention for the administration of a pharmaceutical formulation to the human or animal body.
  • Another aspect of the instant invention is a method of assembling a drug delivery device according to the invention, comprising the step of mounting the mechanism according to the invention to any components in order to assemble a drug delivery device.
  • The terms, which are used in order to define the instant invention, are generally to be understood in accordance with the general knowledge of the person skilled in the art. Further, the following terms shall have the following, optionally preferred, meaning in accordance with the instant invention.
  • The term “drug delivery device” according to the instant invention shall preferably mean a multi-dose, disposable, mobile, hand-held device designed to dispense a selected dose of medicament, e.g., insulin, insulin analogues, growth hormones, low molecular heparins, and their derivatives, etc., optionally suitable for self-administration. Said device is usually of the mechanical type. More preferred, the term “drug delivery device” shall mean a disposable, multi-dose, pen-type device having mechanical dose delivery and dose selection mechanisms designed for regular injection by persons without formal medical training, e.g., patients.
  • Usually, the “drug delivery device” of the instant invention comprises a cartridge, which contains a pharmaceutical formulation, which can be administered via a needle, and, optionally a cartridge holder.
  • The term “pharmaceutical formulation” shall preferably mean a liquid or suspension or the like contained in the cartridge, comprising a drug or vaccine. The drug may contain one or more proteins, peptides, or small molecules, which may be administered subcutaneously. Preferably, the drug is one or more hormone or antithrombotic, especially selected from the group consisting of insulins, heparins, derivatives, analogous, and substitutes thereof.
  • The term “dose setting dial” according to the instant invention shall preferably mean an essentially tubular component of essentially circular cross-section having an external thread engaged with the housing by means of a first screw structure, allowing the dose setting dial to rotatably move towards the proximal end during dose setting and rotatably move towards the distal end during dose dispensing. The “dose setting dial” according to the instant invention is designed to indicate a selected dose of the dispensable pharmaceutical formulation. This may be achieved by use of markings, symbols, numerals, etc., e.g., printed on the external surface of the dose setting dial.
  • Additionally, the dose setting dial may be releasibly connected to the inner cylinder by a dutch means. To set the dose, the dose setting dial may be rotated and the dose setting dial and the inner cylinder rotate together towards the proximal end. During dose dispensing, the dutch means may disengage the dose setting dial from the inner cylinder, such that the dose setting dial may rotate relative to the inner cylinder towards the distal end. Further, the dose setting dial may comprise one or more stops to limit the maximum amount of a single dose.
  • The term “original position” according to instant invention shall mean the starting position of the dose setting dial, i.e., when the set amount of dosage is zero (“00”). This is usually the case, when the device has not yet been used, a full cartridge has been loaded, or the device is in use and the set amount of drug has been completely expelled, respectively, dispensed.
  • The term “inner cylinder” according to the instant invention shall preferably mean any essentially tubular component of essentially circular cross-section, releasibly connected to the dose setting dial, such that relative rotation between said dose setting dial and said inner cylinder is prevented during dose setting but is allowed during dose dispensing. In a preferred embodiment, the inner cylinder is further engaged with the piston rod by means of a free lock. In another preferred embodiment, the inner cylinder is further engaged with the piston rod in order to allow the lead screw to rotate with the inner cylinder during dose setting, e.g., by means of splined projections located in a key way in the inner surface of the inner cylinder. During dose dispensing, the inner cylinder is disengaged from the dose setting dial by a dutch means and is moved towards the distal end without rotation (with respect to the housing).
  • The term “releasibly connected” according to the instant invention shall mean that two components of the instant mechanism or device are reversibly joined with each other, allowing coupling and decoupling. This is achieved, e.g., by a dutch means.
  • The term “dutch means” according to the instant invention shall mean any means, which releasibly connects the dose setting dial and the inner cylinder and which is designed to allow rotation of the dose setting dial and the inner cylinder with respect to the housing when the dose setting dial and the inner cylinder are coupled and, when both are de-coupled, allows rotation of the dose setting dial with respect to the housing, but does not allow rotation of the inner cylinder with respect to the housing and allows axial movement of the inner cylinder. Accordingly, the term “dutch means” is any dutch engaging for the purpose of reversibly locking two components in rotation, e.g., by use of axial forces to engage a set of face teeth (saw teeth, dog teeth, crown teeth) or any other suitable frictional faces.
  • The term “counter ring” according to the instant invention shall preferably mean a component, which is in an interlocking relationship to the dose setting dial. In a preferred embodiment, the counter ring is assembled concentrically on the outer circumference of the dose setting dial (essentially circular shape), optionally adjacent to the front side (at the distal end) of the threaded insert [screw lead].
  • In another preferred embodiment, a positioning means is provided to prevent the counter ring from axial movement with respect to the housing during dose setting and dose dispensing, but allowing rotational movement of the counter ring with respect to the housing during dose setting and dose dispensing. This may be achieved by assembling a positioning collar on the outer circumference of the dose setting dial adjacent to the distal end of the counter ring, which is optionally integrated into the housing.
  • The “counter ring” shall serve to indicate one digit of the amount of the set dose by means of indices along its outer circumference, whereas one or more further indices of the set dose are indicated along the outer circumference of the dose setting dial. Preferably, dialing of the “counter ring” shall enable the smallest increments of the dose (e.g., terms, eights, quarters, or halves of a unit, or single units) to be set.
  • The term “interlocking relationship” according to the instant invention shad mean any constructive connection of the counter ring and the dose setting dial, which allows both, the counter ring and the dose setting dial, to rotate together with respect to the housing, preferably by means of a screw structure (e.g., thread, groove, rib), and also allows longitudinal axial movement of the dose setting dial with respect to the counter ring, when the dose setting dial is moved (either towards the proximal end or the distal end). Preferably, the counter ring remains visible in the display window and displays the set dose (amount of drug) when the dose setting dial is screwed out in order to set the dose.
  • The term “drive mechanism” according to the instant invention shall mean any mechanism (e.g., lead screw, rack and pinion, gear box), which allows force transmission from the proximal to the distal end of a drug delivery device for the purpose of dispensing a pharmaceutical and which is engaged with the dose dialing mechanism of the instant invention.
  • The term “housing” according to the instant invention shall preferably mean an exterior or interior (“insert”) cover. The housing may be designed to enable the safe, correct, and comfortable handling of the drug delivery device (e.g., the drive mechanism). Usually, it is designed to house, fix, protect, guide, and/or engage with the inner mechanism(s) or components of the drug delivery device (e.g., the drive mechanism) by limiting the exposure to contaminants, such as liquid, dust, dirt, etc. In general, the housing may be unitary or a multipart component of tubular or non-tubular shape. Preferably, the “housing” is designed to contain a cartridge and optionally a cartridge holder, which is preferably mounted at the distal end of the housing.
  • The term “engaged” according to the instant invention shah mean the interlocking of two or more components of the dose display mechanism/drug delivery device, preferably the interlocking of screw structures of components.
  • The term “screw structure” according to this application shall mean a full or part thread, e.g., a cylindrical spiral rib/groove located on the internal and/or external surface of a component of the drug delivery device, having an essentially triangular or square or rounded section designed to allow continuous free rotational and/or axial movement between components. Optionally, a screw structure may be further designed to prevent rotational or axial movement of certain components in one direction. Screw structures are incorporated between the threaded insert and the dose setting dial (hereinafter the “first screw structure”), between the inner cylinder and the free lock (hereinafter the “second screw structure”) and between the lead screw and the plunger rod (hereinafter the “third screw structure”). The said screw structures according to instant invention shall preferably have different screw pitches to allow force transmission from the proximal end to the distal end during dose delivery. Therefore, the screw pitch ratios between the 1st, 2nd, and 3rd screw structures are about 1.8-4.2:1.8-4.2:1, preferably about 2.4-3.6:2.4-3.6:1.
  • It is further preferred that the screw pitches of the 1st screw structure and the 2nd screw structure are the same.
  • The term “plunger rod” according to this application shah mean a component of the drive mechanism, which is adapted to operate through/within the housing, designed to transfer forces from the proximal end to the distal end of the drug delivery device, preferably to the cartridge piston, for the purpose of drug dispensing. According to instant invention, the “plunger rod” is essentially cylindrical, hollow and has a non-circular cross-section. The “plunger rod” is a component of the drive mechanism, which is prevented from rotation with respect to the housing by means of the plunger rod holder. The “plunger rod” abuts the cartridge piston at the distal end of the plunger rod. In a particular embodiment, the “plunger rod” has ratchet teeth or the like which interact with the plunger rod holder.
  • The term “plunger rod holder” according to instant invention shall mean any component which prevents movement of the plunger rod towards the proximal end during dose setting, but allows movement of the plunger rod towards the distal end during dose dispensing. Optionally, the plunger rod is also prevented from rotation by the plunger rod holder. In order to achieve the aforementioned, the plunger rod holder engages with the plunger rod, e.g., by means of ratchet teeth and ratchet teeth arms.
  • The plunger rod holder may be a separate component or be an integral part of the housing or any other component. Furthermore, there are many other suitable solutions within the knowledge of the person skilled in the art in order to essentially prevent the plunger rod from movement in the proximal direction.
  • The term “distal end” according to the instant invention shah mean the end of the device or a component of the device, which is closest to the dispensing end of the device.
  • The term “proximal end” according to the instant invention shall mean the end of the device or a component of the device, which is furthest away from the dispensing end of the device.
  • The term “periphery” according to the instant invention shall usually mean the surface of any part, preferably the surface along the longitudinal axis.
  • The term “lead screw” according to the instant invention shall mean any essentially cylindrical component, which is engaged with the plunger rod, preferably threadedly engaged, and rotates with respect to the plunger rod when moving towards the proximal direction during dose setting, and moving axially towards the distal end without rotation during dose dispensing. In a preferred embodiment, the lead screw is further engaged with a free lock, (e.g., a friction dutch, a thrust bearing or the like), preferably threadedly engaged.
  • The term “free lock” shall mean an essentially cylindrical component, which is engaged between the inner surface of the inner cylinder and the lead screw, preferably at the proximal end of the lead screw. The “free lock” rotates and moves axially relative to the inner cylinder by means of a screw structure.
  • The free lock is rotatable relative to the lead screw, whilst movement of the free lock in the axial direction is not possible with respect to the lead screw. Preferably, during dose setting and dose dispensing, relative rotational movement between (a) the free lock and the inner cylinder, and (b) the free lock and the lead screw is allowed and relative axial movement between the free lock and the inner cylinder is allowed, whilst relative axial movement between the free lock and the lead screw is restricted.
  • In a more particular embodiment, the free lock is threadedly engaged between the inner surface of the inner cylinder and the external surface of the lead screw, optionally at the proximal end of the lead screw.
  • In yet another preferred embodiment, the free lock is fixed to the plunger rod holder, whereby relative axial movement between the free lock and the lead screw is not restricted. Accordingly, the term “free lock” means a mechanism combining the characteristics of both a dutch mechanism (e.g., a slip dutch) and a force reduction mechanism.
  • The term “display window” according to the instant invention shall mean any opening in the housing, e.g., a hole, or a transparent section in the housing, which allows the status of the device to be displayed, preferably, the status of dose setting, particularly, the amount of set dose. This may be achieved by means of a dose indicator, which exhibits one or more numerical and/or graphical symbols, values and/or characters, preferably two or three digits, in order to indicate the set dose. In another preferred embodiment, the “display window” displays the value of the selected dose consisting of one or more digits indicated along the outer circumference of the counter ring, and one or more digits indicated along the outer circumference of the dose setting dial. In another embodiment, the display window is located essentially at the proximal end of the device.
  • The present invention describes a dose display mechanism consisting of a dose setting dial and a counter ring each displaying indices on their outer circumference arranged such that a two-indices representation of the selected dose can be displayed. By such an arrangement it is possible to maximize the size of the indices of the display, thus, making it suitable for use by visually impaired users.
  • According to the drug delivery device of instant invention, the distal end of the plunger rod abuts the cartridge piston and the proximal end of the plunger rod is engaged with the lead screw. During dose setting, the lead screw is driven to rotate by the inner cylinder towards the proximal end with respect to the plunger. The plunger rod and lead screw are configured in a telescopic-like structure, thereby reducing the overall length of the drive mechanism.
  • Further, the plunger rod is engaged with the plunger rod holder, such that rotational movement during both dose setting and dose dispensing is prevented. The plunger rod holder is also designed to prevent linear movement of the plunger rod towards the proximal end during dose setting but allow distal linear movement of the plunger rod during dose dispensing. The mechanism of instant invention allows dose setting to be performed repeatedly with great accuracy.
  • Proximal axial movement of the plunger rod during dose setting is prevented by the use of ratchet teeth formed along the outer periphery of the plunger rod which engage with a plurality of ratchet teeth arms formed on the plunger rod holder.
  • Rotational movement of the non-circular cross-section plunger rod is prevented by it being inserted in a corresponding non-circular passage way formed in the plunger rod holder.
  • The invention is described in further detail with reference to the following figures.
  • FIG. 1 shows a perspective view of the dose display mechanism consisting of the said dose setting dial (22) and the counter ring (30) indicating the helical thread (111), rib grooves (64) and a preferred starting position of the counter ring (30). FIG. 1 shows only one digit (66 b) on the outer surface of the dose setting dial (22) for more clarity in accordance with the display window (62).
  • FIG. 2 a shows schematically a plan and perspective view of the counter ring (30). In this embodiment, the counter ring (30) has unit numbers (66 a) on the external surface. Preferably, the interior diameter of the counter ring (30) is essentially the same size as the exterior diameter of the dose setting dial (22). FIG. 2 b indicates a preferred embodiment of the counter ring (30). The inner surface of the counter ring (30) is provided with ribs (63) formed, preferably, in the longitudinal axis and designed to mesh with rib grooves (64) located on the external surface of the dose setting dial (22) as indicated in FIG. 1.
  • FIG. 3 shows schematically a plan view of the dose setting dial (22). In this embodiment, the dose setting dial (22) has tens numbers (66 b) on the external surface, preferably arranged so that each single digit, e.g., 1, 2, 3, . . . , 9, occurs ten times so that it corresponds with the counter ring during one full rotation of 360° to make a two-digit number, e.g., 10, 11, 12, . . . , 19. A further full rotation of 360° will present two-digit numbers in the order 20, 21, 22, . . . , 29. Further full rotations will yield corresponding two-digit numbers relating to 30's, 40's, 50's, etc., up to the maximum possible dose. The digits are preferably arranged helically on the outer surface of the dose setting dial (22) in a pitch corresponding to the pitch of the helical thread (111) of the dose setting dial (22). The helical thread (111) and the grooves (62) are not shown in FIG. 3.
  • FIG. 4 indicates a preferred embodiment of the dose display mechanism in a drug delivery device (1) showing the preferred position of the digits (66 b) of the dose setting dial (22) and the digits (66 a) of the counter ring (30) in the display window (62).
  • FIG. 5 shows schematically a preferred embodiment of a drug delivery device in which the dose setting dial (22) and the counter ring (30) are assembled to a drive mechanism as disclosed in the co-application to this entitled, “Drive Mechanism for a Drug Delivery Device”, PCT/EP2005/009839, which is herewith incorporated by reference. In this embodiment, the dose setting dial (22) is engaged with the housing (2) via the first screw structure (35), which incorporates the threaded insert (31). The dose setting dial (22) is free to rotate with respect to the housing (2) and also to move towards the proximal end during dose setting and towards the distal end during does delivery with respect to the housing (2). The counter ring (30) is prevented from axial movement towards the proximal end during dose setting and axial movement towards the distal end during dose dispensing with respect to the housing (2) by a positioning collar (65) preferably secured to the inner surface of the housing (2) and more preferably formed as an integral part of the housing (2). However, the counter ring (30) is free to rotate with respect to the housing (2) due to its engagement with the dose setting dial (22).
  • An exemplary drive mechanism for the device (1) is described with reference to FIGS. 4 and 6.
  • The device is of the mechanical pen type and consists of:
      • a housing (2);
      • a cartridge-holder (2 a) coupled to the distal end of the housing (2);
      • a cartridge (3), sealed by a piston (8) mounted in the proximal end of the cartridge and containing a liquid (4) drug, mounted in the cartridge-holder (2 a);
      • a removable cap (12) attached to the distal end of the device;
      • a piston driving assembly (21) assembled in the proximal end of the housing (2).
  • The piston driving assembly transfers an activation force from the proximal end to the distal end during dispensing. The piston driving assembly (21) consists of a dose setting dial (22), an inner cylinder (23), a free lock (24), a lead screw (25), a plunger rod (26), a plunger rod holder (27), a release knob (28), a dose indicator (or counter) (29), a counter ring (30) and a threaded insert (31).
  • Screw structures are incorporated between the threaded insert (31) and the dose setting dial (22) the “first screw structure”), between the inner cylinder (23) and the free lock (24) (i.e., the “second screw structure”), and between the lead screw (25) and the plunger rod (26) the “third screw structure”).
  • Operation of the device will now be described. To set a desired dose to be delivered, a user rotates the rotating knob (22 a) of the dose setting dial (22), thus moving the dose setting dial towards the proximal end by means of the first screw structure (35). During dose setting relative rotation between the dose setting dial (22) and the inner cylinder (23) is prevented by a dutch (56), thus allowing the inner cylinder.
  • When the inner cylinder (23) rotates towards the proximal end during dose setting, the lead screw (25) rotates integrally with the inner cylinder (23) with respect to the plunger rod (26) by virtue of a pair of splined projections (50) located in a key way (51) in the inner surface of the inner cylinder (23). When the lead screw (25) rotates out of the plunger rod (26) towards the proximal end, the plunger rod holder (27) locks the plunger rod (26) to prevent the plunger rod from being displaced towards the proximal end, thus, maintaining the abutment with the piston (8).
  • The rotation of the inner cylinder (23) further moves the free lock (24) towards the distal end through the second screw structure (44).
  • The set dose in the current embodiment is indicated by numerical values (66) on the indicator (counter) (29) and the dose setting dial (22) displayed in the display window (62).
  • To administer a selected dose to a patient, the user depresses the release knob (28) towards the distal end, uncoupling the dose setting dial (22) from the inner cylinder (23) allowing the dose setting dial to rotate relative to the inner cylinder and move towards the distal end. The inner cylinder (23) moves axially towards the distal end, thus, rotating the free lock (24) in a proximal direction at a predetermined speed-reducing ratio transferring the axial movement of the inner cylinder (23) to the lead screw (25) moving it axially towards the distal end. The lead screw (25), thus, pushes the plunger rod (26) towards the distal end. This, in turn, pushes the piston (8) towards the distal end expelling the contents from the cartridge (3) through the needle (5) into the patient.
  • Details of the device of embodiment 1 are described with reference to FIGS. 6-10.
  • The threaded insert (31) is concentrically assembled and secured to the inside of the proximal end portion (2 b) of the housing (2) by suitable methods known by those skilled in the art. The threaded insert (31) is threadedly engaged with the essentially cylindrically shaped dose setting dial (22) forming the first screw structure (35). The dose setting dial (22) is mounted to allow rotational movement towards the proximal end during dose setting and the distal end during dose delivery. Stops (22 d), preferably in the form of a pawl, are formed on the distal end of the dose setting dial (22).
  • A cylindrical rotating knob (22 a) haying a diameter equal to the outer diameter of the housing is attached to the proximal end of the dose setting dial (22). Serrations (22 b) are formed on the outer surface of the rotating knob (22 a) to improve grip for the user.
  • The inner cylinder (23) is assembled concentrically within the dose setting dial (22) and is releasibly connected to the dose setting dial (22) by a dutch means (56). An essentially cylindrically shaped flange portion is formed at the proximal end (23 a) of the inner cylinder (23) and inserted into the hollow recess (22 c) of the rotating knob (22 a).
  • The outer surface of the free lock (24) is threadedly engaged with the inner surface of the inner cylinder (23) forming the second screw structure (44). The free lock (24) is free to rotate and move axially towards the distal end and the proximal end within the inner cylinder (23).
  • The inner surface of the free lock (24) is threadedly engaged with the outer surface of the proximal end of the essentially non-circular cross section lead screw (25). The free lock (24) is free to rotate on the outer surface of the lead screw (25) and move axially towards the distal end and the proximal end of the lead screw (25).
  • The distal end of the lead screw (25) is threadedly engaged with the proximal end of the plunger rod (26) forming the third screw structure (47).
  • The essentially non-circular cross-section, preferably a square tube shape, plunger rod (26) has small pitch ratchet teeth (38) on its outer surface, preferably on two opposing faces of the outer surface.
  • The plunger rod holder (27) is secured to the inner side of the distal end of the housing (2) by any suitable means known by a person skilled in the art. A square passageway (37), having a dimension equal to the outer diameter of the plunger rod (26), is formed in the centre of the plunger rod holder (27). The plunger rod (26) is engaged with the square passageway (37), such that rotation of the plunger rod (26) is prevented by the plunger rod holder (27).
  • A plurality of pairs of flexible ratchet teeth arms (39), preferably two, is formed on the plunger rod holder (27). These form the ratchet mechanism (40) of the device. Further embodiments could be envisaged where three or four ratchet teeth arms are formed on the plunger rod holder (27) having, for example, 90° (e.g., 4 arms) or 120° (e.g., 3 arms) offset or the like.
  • The ratchet mechanism (40) is engaged with the ratchet teeth (38) of the plunger rod (26) such that axial movement of the plunger rod (26) towards the proximal end is prevented but axial movement of the plunger rod (26) towards the distal end is allowed.
  • A plurality of spline grooves (49), preferably two, is formed on the inner surface of the inner cylinder (23). A plurality of splined projections (50), preferably two, is formed on the outer surface of the proximal end of the lead screw (25). The splined projections (50) engage with the spline grooves (49) of the inner cylinder (23) permitting axial movement of the lead screw (25) towards the distal end and the proximal end with respect to the inner cylinder (23). The spline grooves (49) and the splined projections (50) together form a splined structure (51).
  • A release knob (28) of essentially cylindrical shape, open at the distal end and dosed at the proximal end, is assembled concentrically in the hollow (22 c) on the inner side of the rotating knob (22 a). An annular rib (53) is formed on the outer circumference of the release knob (28) and is engaged with an annular groove (52) on the inner circumference of the rotating knob (22 a). The release knob (28) is thus free to rotates and move axially towards the distal end and the proximal end with respect to the rotating knob (22 a). Movement of the release knob (28) towards the distal end and the proximal end is limited by the width of the annular groove (52).
  • The release knob (28) moves such that it can be brought in and out of abutment with the flange portion (23 b) of the inner cylinder (23).
  • A wave-shaped annular (54), e.g., as teeth or the like, is formed on the distal end face of the flange portion (23 b) of the inner cylinder (23) and is engaged with a corresponding wave-shaped shoulder (55) on the dose setting dial (22). The wave-shaped annular (54) and the wave-shaped shoulder (55) together form a first dutch (56) releasibly connecting the dose setting dial (22) and the inner cylinder (23) such that relative rotational movement is prevented during dose setting.
  • A second dutch (60) is formed between the proximal end of the inner cylinder (23) and the inner face of the release knob (28). The second dutch (60) consists of two complementary wave-shaped configurations, teeth-shaped configurations or the like located on the release knob (28) and the inner cylinder (23).
  • In the present embodiment, the set dose is indicated as a numerical value on the counter ring (30) and the dose setting dial (22). The set dose is viewed through a display window (62) located at the proximal end of the housing (2). The display window (62) of the present embodiment is open, although a transparent lens could be used to cover the display window (62) to prevent the ingress of dirt, dust, liquid, etc., into the mechanism and/or act as a magnifier.
  • The counter ring (30) is engaged with the dose setting dial (22) by means of a plurality of rib grooves (64) formed on the outer circumference of the dose setting dial (22) from its distal end to its proximal end, and a corresponding number of ribs (63) formed on the inner surface of the counter ring (30). The counter ring (30) can move axially towards both the proximal end and distal end of the dose setting dial (22). To prevent axial movement of the counter ring (30) with respect to the dose setting dial (22), a positioning collar (65) is assembled on the outer circumference of the dose setting dial (22) and secured to the inner surface of the housing (2) adjacent to the proximal end of the counter ring (30). A cylindrical positioning collar (65), integrated into the housing (2), abuts the distal end of the counter ring (30). Thus, the counter ring (30) is able to rotate with the dose setting dial (22) with respect to the housing during dose setting and dose delivery, but is prevented from axial movement with respect to the housing (2).
  • In the present embodiment, the counter ring (30) displays the “unit” values for the set dose from “0” to “9”. The “tens” values are indicated on the dose setting dial (22) such that during on complete revolution of the counter ring (30) the corresponding “tens” value is continuously displayed.
  • All three screw structures in the device according to instant invention (i.e., 35, 44, and 47) have differing screw pitches. The ratio in the screw pitches between the first (35), the second (44) and the third screw structure (47) is about 3:2:1, in order to achieve an efficient reduction of transmission forces (“speed reduction”) of the screw structures.
  • Embodiment 2 of the device (1) is described with reference to FIGS. 11 and 12.
  • The present embodiment 2 includes a modification to the first dutch (56), between the dose setting dial (22) and the inner cylinder (23).
  • FIG. 11 indicates an alternative dutch (57) that is located at the proximal end of the inner cylinder (23). The dutch (57) consists of conical cam faces (57 a) and a plurality of equidistantly spaced first engaging portions (54 a). Through the axial movement of the release knob (28) either towards the distal end or towards the proximal end, the dutch (57) can be compressed or expanded to cause the first engaging portions (54 a) to engage with or disengage from the corresponding second engaging portion (54 b) formed on the inner face of the rotating knob (22 a). The first engaging portions (54 a) and the second engaging portion (54 b) are engaged, e.g., by the spring force of a pair of spring acting portions (not shown).
  • During dose setting, the first engaging portions (54 a) and second engaging portion (54 b) are engaged under the spring force, thus, coupling the inner cylinder (23) with the dose setting dial (22) and preventing relative rotation between the inner cylinder (23) and the dose setting dial (22).
  • During dose dispensing, the release knob (28) is pushed in the distal direction disengaging the first engaging portions (54 a) from the second engaging portion (54 b), thereby disconnecting the dose setting dial (22) from the inner cylinder (23) and allowing the dose setting dial (22) to rotate with respect to the inner cylinder (23).
  • The mechanism and the device of the present invention is not limited to the embodiments 1 and 2 described above, but allows various effective alterations based on the technical idea of the present invention. For example, FIG. 13 shows an alternative solution, wherein the free lock is fixed to the plunger rod holder. In this case, the screw pitch ratios between the 1st, 2nd and 3rd screw structures are about 3:3:1.

Claims (9)

  1. 1. A dose display mechanism for a drug delivery device having a dispensing end, the dose display mechanism comprising:
    a dose setting dial having a proximal end, a distal end, and an external surface, the distal end being closer to the dispensing end of the drug delivery device than the proximate end, the dose setting dial having an external helical thread and external grooves extending from the proximate end to the distal end, the external surface having indices thereon, the indices being arranged lengthwise along the dose setting dial for visual display of a dose setting of the drug delivery device; and
    a counter ring having an external surface, the external surface of the counter ring having indices thereon positionable adjacent to the indices on the external surface of the dose setting dial, the indices on the counter ring cooperating with the indices on the dose setting dial to provide a visual display of the dose setting of the drug delivery device wherein the indices on both the counter ring and the dose setting dial are visible, the counter ring being in an interlocking relationship with the external grooves of the dose setting dial such that the counter ring is free to move axially along the external grooves with respect to the dose setting dial while being prevented from rotation with respect to the dose setting dial.
  2. 2. A drug delivery device comprising
    a) a drive mechanism; and
    b) the dose display mechanism as defined in claim 1.
  3. 3. The device according to claim 2 containing insulin, heparin, or a derivative or analogue thereof.
  4. 4. A method of delivering a pharmaceutical formulation to a human or animal body comprising administering the pharmaceutical formulation from a drug delivery device comprising the dose display mechanism according to claim 1.
  5. 5. A method of delivering a pharmaceutical formulation to a human or animal body comprising administering the pharmaceutical formulation from a drug delivery device according to claim 2.
  6. 6. A method according to claim 4, wherein the pharmaceutical formulation contains insulin, heparin, a derivative thereof or an analogue thereof.
  7. 7. A method according to claim 5, wherein the pharmaceutical formulation contains insulin, heparin, a derivative thereof or an analogue thereof.
  8. 8. A method of assembling a drug delivery device comprising a drive mechanism and a dose display mechanism according to claim 1, comprising mounting the dose display mechanism to any other components of the drug delivery device.
  9. 9. A method of assembling a drug delivery device comprising a drive mechanism and a dose display mechanism according to claim 1, and containing insulin, heparin, or a derivative or analogue of insulin or heparin, comprising mounting the dose display mechanism to any other components of the drug delivery device.
US13474042 2004-10-04 2012-05-17 Dose Display Mechanism for a Drug Delivery Device Abandoned US20120232517A1 (en)

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EP20040023628 EP1642607A1 (en) 2004-10-04 2004-10-04 Dose display mechanism for a drug delivery device
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PCT/EP2005/009840 WO2006037435A1 (en) 2004-10-04 2005-09-14 Dose display mechanism for a drug delivery device
US11690984 US8202255B2 (en) 2004-10-04 2007-03-26 Dose display mechanism for a drug delivery device
US13474042 US20120232517A1 (en) 2004-10-04 2012-05-17 Dose Display Mechanism for a Drug Delivery Device

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EP1799286A1 (en) 2007-06-27 application
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