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2006-03-07
10/471,717
2002-03-26
US 7,008,405 B2
2006-03-07
WO; PCT/GB02/01435; 20020326
WO; WO02/076531; 20021003
Michael J. Hayes
2023-01-30
Injection devices are known for the self administration of medicament by patients. The medicament is typically contained within a cartridge located within the injection device. It is a problem that injection devices should be small enough to fit into a jacket pocket or a hand bag without difficulty. Also, the injection device must be of a size that enables a piston or similar used to drive the Cartridge bung within the cartridge to be moved both to a maximum dispense position within the cartridge and to be fully withdrawn from the cartridge to allow for replacement of the cartridge. A drive mechanism for an injecting device is disclosed in which the drive mechanism comprises a displaceable dosing spindle 6, a dial dose means 8, a transmission means 10, and a cable means 12, a piston comprising a plurality of nested piston members 30, 32, 34, displacement of the transmission means 10 causing the cable means 12 to move at least one of one of the nested piston members to drive a cartridge bung 18.
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A61M5/00 IPC
Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
A61M5/315 IPC
Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests; Syringes; Details Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston ; Appliances on the rod for facilitating dosing ; Dosing mechanisms
The present invention relates to improvements in an injection device, and in particular to improvements to a drive mechanism for a portable injection device for dispensing controlled quantities of a medicament.
Injection devices are known for the self administration of medicament by patients. For example, those suffering from diabetes may require regular injections of insulin. Injection devices allow the patient to select a dose and to administer that dose. It is known to automate this process so that a user need only press a button and the injection device will dispense a selected dose of medicament. This relieves the patient of the task of controlling the amount dispensed while manually expelling the medicament from the injection device. This is a particular problem for the elderly, the in firm, those suffering from vision difficulties and others suffering from diabetes related problems which impair their faculties.
The medicament is typically contained within a cartridge located within the injection device. The cartridge has a bung or piston at one end which is driven towards a second end of the cartridge to expel the medicament from the injection device. It is a problem that injection devices should be small enough to fit into a jacket pocket or a hand bag without difficulty. At the same time, the injection device must be of a size that enables a piston or the like used to drive the cartridge bung within the cartridge to be moved both to a maximum dispense position within the cartridge and to be fully withdrawn from the cartridge to allow for replacement of the cartridge.
It is an advantage of the present invention that it seeks to provide a solution to these conflicting requirements.
According to a first aspect of the present invention, a drive mechanism for an injection device in which a piston is successively moved in relation to a first end of a medicament cartridge containing a medicament selectively to drive a bung closing a first end of the medicament cartridge into the medicament cartridge to expel medicament through a delivery member located at a second end of the medicament cartridge, is disclosed in which the drive mechanism further comprises a displaceable dosing spindle, a dial dose means, a transmission means, and a cable means, the piston comprising a plurality of nested piston members, displacement of the transmission means causing the cable means to move at least one of one of the nested piston members to drive the bung.
In a first embodiment, the cable is connected at a first end to the transmission means and at a seconded to one of the piston members. Preferably the transmission means comprises a spool onto which the cable means is wound, the spool being provided with teeth which engage a threaded portion provided on the displaceable dosing spindle. More preferably the second end of the cable means is connected to an inner piston member and that an intermediate part of the cable means between the first and second ends of the cable means runs over guide means located on other of the nested piston members.
Alternatively the cable may be connected at a first end to an outer piston member and at a second end to an intermediate piston member, the transmission means being adapted to precess along a threaded portion provided on the displaceable dosing spindle. Preferably the transmission means comprises a claw member connected to an inner piston member and that an intermediate part of the cable means between the first and second ends of the cable means runs over a guide means located on the inner piston member.
According to a second aspect of the present invention, an injection device incorporates a drive mechanism according to the first aspect of the invention.
Preferably, the injection device further comprises a displaceable button, displacement of the button causing displacement of the dosing spindle.
The invention will now be described, by way of example only, with reference to the accompanying drawings in which:
FIG. 1 shows inside section a first embodiment of an injection device having a delivery device according to the present invention;
FIG. 2 shows a side section similar to FIG. 1 with a path of the cable means shown more clearly;
FIG. 3 shows a similar view to FIG. 2 with the injection device in a ready position;
FIG. 4 shows a view similar to FIG. 3 after dialling of a required dosage;
FIG. 5 shows a view similar to FIG. 4 after delivery of the required dosage;
FIG. 6 shows in side section a second embodiment of an injection device having a delivery device according to the present invention;
FIG. 7 shows a similar view to FIG. 6 with the injection device in a ready position;
FIG. 8 shows a view similar to FIG. 7 after dialling of a required dosage;
FIG. 9 shows a view similar to FIG. 8 after delivery of the required dosage; and
FIG. 10 shows aside section of a mechanism for use with the injection device of FIGS. 6 to 9.
Like reference numerals will be used to refer to like parts of the injection device.
Referring first to FIGS. 1 to 5, there maybe seen a portable injection device incorporating a drive mechanism in accordance with the first aspect of the present invention.
The injection device 2 comprises a main housing 4 in which the drive mechanism is located and a button 20. The dive mechanism comprises a displaceable dosing spindle 6, a dial dose means 8, a transmission means 10, a cable means 12 and a piston. A needle unit 14 including a delivery member in the form a hollow needle is secured to a first end of the main housing 4. A medicament cartridge 16 having a first end and a second end may be stored in the main housing 4. When the needle unit 14 is in place, the needle unit 14 pierces a flexible membrane at the first end of the medicament cartridge 16. A displaceable bung 18 is located at the second end of the medicament cartridge 16. A cover (not shown) maybe provided over the first end of the main housing 4 to protect the needle unit 14 from damage and a user from inadvertent pricking by the needle.
The button 20, as shown in the illustrated embodiment, is preferably in the form of a cap or cup adapted for slidable movement within the main housing 4 as shown in the illustrated embodiment. The main housing 4 and the button 20 are preferably provided with a catch (not shown) releasably to retain the button 20 in a closed or βoffβ position. The button 20 is provided with a stop member 22 on an inner side of the button 20. In the illustrated embodiment, the stop member 22 is formed as a shoulder to one side of the button 20.
The dial dose means 8 is located to the side of the main housing 4. The dial dose means 8 is used by a user to select a dosage of medicament to be dispensed from the injection device 2 in a manner to be described.
The transmission means 10 comprises a spool 24 from which the cable means 12 can be deployed The spool 24 is provided with a plurality of teeth about a peripheral surface thereof.
The dosing spindle 6 is provided along at least a part of its length with a threaded portion 26. The teeth of the spool 24 engage with the threaded portion 26 of the dosing spindle 6. A first end of the dosing spindle 6 is connected to the dose dial means 8 such that dialling of a dose causes rotation of the dosing spindle 6. A second end of the dosing spindle 6 is provided with an abutment surface 28.
The piston comprises a plurality of nested piston members. In the illustrated embodiment, the piston comprises an outer piston member 34, an intermediate piston member 32 and an inner piston member 30. The outer piston member 34 is fixed in relation to the main housing 4. The intermediate piston member 32 is nested for relative movement with respect to and within the outer member 34. The inner piston member 30 is nested for relative movement with respect to and within the intermediate piston member 32. A first end of the inner piston member 30 extends beyond the intermediate piston member 32 and the outer piston member 34. The first end of the inner piston member 30 is adapted in use to selectively drive the bung 18 into the medicament cartridge 16 to expel medicament through the delivery member.
The intermediate piston member 32 and the outer piston member 34 are each provided with guide means about which the cable means 12 is adapted to run. The cable means 12 is secured at a first end to the spool 24 and at a second end to the inner piston member 30. In the illustrated embodiment, the cable means 12 runs from the spool 24 over a first guide means 36 provided on the outer piston member 34, over a second guide means 38 provided at a second end of the intermediate piston member 32, over a third guide means 40 provided at a first end of the intermediate piston member 32 to the inner piston member 30. In the illustrated embodiment, the cable means 12 is secured at a second end of the inner piston member 30 (FIG. 2)
A return means 42 is located between the second end of the inner piston member 30 and the main housing 4. The return means 42 may take any suitable form, for example spring means such as a helical spring.
In use, a user releases the button 20 to ready the injection device 2 (FIG. 3). A user then dials a required dose using the dial dose means 8. This causes the dosing spindle 6 to rotate and precess along its axis towards a second end of the housing 4. From FIG. 4, it can be seen that a dose has been dialled and that the abutment surface 28 at the second end of the dosing spindle 6 has been moved into contact with the stop member 22 on the inside of the button 20.
The button 20 may now be pressed to deliver the dialled dosage of medicament. As the button 20 is driven towards the first end of the housing 4, the stop member 22 on the button 20 pushes the abutment surface 28 of the dosing spindle 6 such that the dosing spindle 6 is also driven towards the fist end of the housing 4. Since the dosing spindle 6 is not rotated, the spool 24 is rotated to draw the cable means onto the spool, thereby shortening the effective length of the cable means between the spool and the inner piston member 30.
This causes the inner piston member 30 and the intermediate piston member 32 to be drawn out of the nested position and the inner piston member 30 to be advanced towards the medicament cartridge bung 18 to drive the medicament cartridge bung 18 forward to expel medicament from the medicament cartridge 16 (FIG. 5).
This process maybe repeated until the medicament cartridge 16 is empty, the medicament cartridge contains insufficient medicament to deliver the dialled dose or some other condition is met. The piston may then be withdrawn by allowing the dosing spindle 6 to rotate freely such that the inner piston member 30 can be drawn back to a nested position under the action of there turn means 42. In normal use, the dosing spindle 6 may only be rotated under the action of the dial dose means 8.
A second embodiment of the invention is shown in FIGS. 6 to 10. The injection device comprises a main housing 4β² in which the drive mechanism is located and a button 20β². The drive mechanism comprises a displaceable dosing spindle 6β², a dial dose means 8β², a transmission means 10β², a cable means 12β² and a piston. A needle unit 14β² including a delivery member in the form a hollow needle is secured to a first end of the main housing 4β². A medicament cartridge 16β² having a first end and a second end may be stored in the main housing 4β². When the needle unit 14β² is in place, the needle unit 14β² pierces a flexible membrane at the first end of the medicament cartridge 16β². A displaceable bung 18β² is located at the second end of the medicament cartridge 16β². A cover (not shown) ray be provided over the first end of the main housing 4β² to protect the needle unit 14β² from damage and a user from inadvertent pricking by the needle.
The button 20β², as shown in the illustrated embodiment, is preferably in the form of a cup adapted for slidable movement within the main housing 4β² as shown in the illustrated embodiment. The main housing 4β² and the button 20β² are preferably provided with a catch (not shown) releasably to retain the button 20β² in a closed or off position. The button 20β² is provided with a stop member 22β² on an inner side of the button 20β². In the illustrated embodiment, the stop member 22β² is formed as a extension formed on an inner surface of the button 20β².
The dial dose means 8β² is located to one side of the main housing 4β². The dial dose means 8β² is used by a user to select a dosage of medicament to be dispensed from the injection device 2β² in a manner to be described.
The dosing spindle 6β² comprises a radially extending flange about apportion intermediate between a first end of the dosing spindle 6β² and a second end of the dosing spindle 6β². A spline 44 is provided about the first end of the dosing spindle 6β² whereby the dosing spindle 6β² is connected to the dial dose means 8β² such that dialling of a dose causes rotation of the dosing spindle 6β². A second end of the dosing spindle 6β² is provided with an abutment surface 28β². The second end of the dosing spindle 6β² is provided with a threaded portion 26β² along at least a part thereof.
The piston comprises a plurality of nested piston members. In the illustrated embodiment, the piston comprises an outer piston member 34β², an intermediate piston member 32β² and an inner piston member 30β². The outer piston member 34β² is fixed in relation to the main housing 4β² and receives the inner piston member 30β² and the intermediate piston member 32β² therein. The intermediate piston member 32β² is nested for relative movement with respect to and within the outer piston member 34β². The inner piston member 30β² is nested for relative movement with respect to and within the intermediate piston member 32β². A first end of the intermediate piston member 32β² extends beyond the inner piston member 30β² and the outer piston member 34β². The first end of the intermediate piston member 32β² is adapted in use to selectively drive the bung 18β² into the medicament cartridge 16β² to expel medicament through the delivery member.
The inner piston member 30β² is provided with guide means 36β² about which the cable means 12β² is adapted to run. The cable means 12β² is secured at a first end to the outer piston member 34β² and at a second end to the intermediate piston member 32β². In the illustrated embodiment, the cable means 12β² runs from the outer piston member 34β² over the guide means 36β² provided on the inner piston member 30β² to where the cable means 12β² is secured to the intermediate piston member 32β².
The transmission means 10β² comprises a claw 46. The claw 46 is mounted on the second end of the dosing spindle 6β² such that the dosing spindle 6β² may precess therethrough. The claw 46 is connected to a second end of the inner piston member 30β².
In use, a user releases the button 20β² to ready the injection device 2β² (FIG. 7). A user then dials a required dose using the dial dose means 8β². This causes the dosing spindle 6β² to rotate and precess along its axis through the claw 46 towards a second end of the housing 4β². From FIG. 8, it can be seen that a dose has been dialled and that the abutment surface 28β² at the second end of the dosing spindle 6β² has been moved towards the stop member 22β² on the inside of the button 20β².
The button 20β² may now be pressed to deliver the dialled dosage of medicament. As the button 20β² is driven towards the first end of the housing 4β², the stop member 22β² on the button 20β² meets the abutment surface 28β² of the dosing spindle 6β² such that the dosing spindle 6β² is also driven towards the first end of the housing 4β². Since the dosing spindle 6β² is not rotated, the claw 46 is moved towards the first end of the housing 4β² together with the inner piston member 30β² attached thereto. This pushes the inner piston member 30β² away from the outer piston member 34β². This has the effect of causing the cable means 12β² to draw the intermediate piston member 32β² out of the outer piston member 34β² and be advanced towards the medicament cartridge bung 18β² to drive the medicament cartridge bung 18β² forwards to expel medicament from the medicament cartridge 16β² (FIG. 9).
This process maybe repeated until the cartridge 16β² is empty, the medicament cartridge contains insufficient medicament to deliver the dialled dose or some other condition is met (FIG. 10).
The relative arrangement of the drive mechanism and the medicament cartridge means that the main housing provides a relatively large flat face where a relatively large dose display, such as a liquid crystal display may be located. This in turn enables the dose display to use relatively large figures or other characters. This is an advantage for those with impaired vision.
1. A drive mechanism for an injection device in which a piston, comprising a plurality of nested piston members, is successively moved in relation to a first end of a medicament cartridge containing a medicament selectively to drive a bung closing a first end of the medicament cartridge into the medicament cartridge to expel medicament through a delivery member located at a second end of the medicament cartridge and further comprising a dial dose means, is characterised in that the drive mechanism yet further comprises a displaceable dosing spindle, a cable means and a transmission means displaceable to cause the cable means to move at least one of the plurality of nested piston members to drive the bung.
2. A drive mechanism according to claim 1, characterised in that the cable is connected at a first end to the transmission means and at a second end to one of the piston members.
3. A dive mechanism according to claim 2, characterised in that the transmission means comprises a spool onto which the cable means is wound, the spool being provided with teeth which engage a threaded portion provided on the displaceable dosing spindle.
4. A drive mechanism according to claim 2, characterised in that return means are provided to return the nested piston members to a retracted position.
5. A drive mechanism according to claim 1, characterised in that the transmission means comprises a spool onto which the cable means is wound, the spool being provided with teeth which engage a threaded portion provided on the displaceable dosing spindle.
6. A drive mechanism according to claim 5 characterised in that the second end of the cable means is connected to an inner piston member and that an intermediate part of the cable means between the first and second ends of the cable means runs over guide means located on other of the nested piston members.
7. A drive mechanism according to claim 6, characterised in that return means are provided to return the nested piston members to a retracted position.
8. A drive mechanism according to claim 5, characterised in that return means are provided to return the nested piston members to a retraced position.
9. A drive mechanism according to claim 1, characterised in that return means are provided to return the nested piston members to a retracted position.
10. A drive mechanism according to claim 9, characterised in that return means comprises spring means.