U.S. patent application number 10/917067 was filed with the patent office on 2005-01-27 for jet injector with data logging system for use in compliance and dose monitoring programs.
Invention is credited to Burk, Michael W., Gorton, Lanny A., Slate, John B..
Application Number | 20050020969 10/917067 |
Document ID | / |
Family ID | 28674676 |
Filed Date | 2005-01-27 |
United States Patent
Application |
20050020969 |
Kind Code |
A1 |
Slate, John B. ; et
al. |
January 27, 2005 |
Jet injector with data logging system for use in compliance and
dose monitoring programs
Abstract
An integral data logging system for a jet injector includes at
least one electrical switch that changes state (e.g. from OFF to
ON) during an injection procedure. The switch(es) are connected to
an electrical circuit having a microprocessor, a clock and an
electronic memory. When a switch changes state, this information
along with the applicable date and time is recorded in the
electronic memory. A communications link is provided to upload the
stored data to a remote computer for subsequent manipulation and
analysis to determine compliance with a prescribed dosing regimen.
In one implementation, the injection duration is logged by using a
trigger release switch and an end-of-stroke switch. The
end-of-stroke switch is configured to change state after the drive
bar of the injector transits through the injector tube. The
injection duration is indicative of dose amount and can be used to
distinguish between valid and invalid injections.
Inventors: |
Slate, John B.; (San Diego,
CA) ; Burk, Michael W.; (San Marcos, CA) ;
Gorton, Lanny A.; (San Diego, CA) |
Correspondence
Address: |
NYDEGGER & ASSOCIATES
348 OLIVE STREET
SAN DIEGO
CA
92103
US
|
Family ID: |
28674676 |
Appl. No.: |
10/917067 |
Filed: |
August 12, 2004 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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10917067 |
Aug 12, 2004 |
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10123870 |
Apr 15, 2002 |
|
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6817986 |
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60283840 |
Apr 13, 2001 |
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Current U.S.
Class: |
604/65 |
Current CPC
Class: |
A61M 5/30 20130101; A61M
2205/52 20130101; A61M 5/20 20130101; A61M 5/425 20130101; A61M
2005/2013 20130101; Y10S 128/01 20130101 |
Class at
Publication: |
604/065 |
International
Class: |
A61M 031/00 |
Claims
What is claimed is:
1. A system for determining the dose amount of an injection for use
in an injection monitoring program, said system comprising: a fluid
medicament injector having a fluid chamber and a syringe plunger
for expelling fluid medicament form said fluid chamber; means for
sensing position information about said syringe plunger prior to an
injection; and means connected to said sensing means for recording
said position information to determine an injection dose
amount.
2. A system as recited in claim 1 wherein said sensing means
comprises a plurality of position detectors with each said position
detector having a light emitter for emitting a light beam and a
light sensor to receive said light beam when said plunger does not
lie along the path of said light beam.
3. A system as recited in claim 1 further comprising a
microprocessor and electronic memory mounted on said injector to
electronically store said position information.
Description
[0001] This application is a divisional of application Ser. No.
10/123,870 filed Apr. 15, 2002, which is currently pending, and
which claims the benefit of U.S. Provisional Application Ser. No.
60/283,840 filed Apr. 13, 2001. The contents of application Ser.
No. 10/123,870 are incorporated herein by reference.
FIELD OF THE INVENTION
[0002] The present invention pertains generally to injectors for
delivering a medicament into a patient. More particularly, the
present invention pertains to needle-free jet injectors that are
useful as part of a compliance and dose monitoring program. The
present invention is particularly, but not exclusively, directed to
a jet injector having an integral system capable of producing and
recording injection information for subsequent use in determining
compliance with a prescribed dosing regimen.
BACKGROUND OF THE INVENTION
[0003] Evaluating the effectiveness of drug therapies often
requires information regarding dose administration. Some therapies
require that the patient comply with a dosing regimen involving
frequent injections administered at home or at other sites not
observable by a clinician. If the dosing regimens are not followed
due to a noncompliant patient, then the effectiveness of the
therapy can be significantly diminished and the patient's condition
may fail to improve. Money expended on ineffective treatments is
wasteful, which is a growing concern with rising health care
costs.
[0004] An example of a therapy in which compliance is an issue is
treating growth hormone deficiency in children. Growth hormone is a
very expensive therapy costing over $10,000 per year. If the date
and time that the injection is administered can be monitored, then
the clinician can provide feedback to the patient or guardian to
improve compliance or recommend discontinuing the therapy.
Additionally, the insurance carrier may refuse to reimburse
patients for therapies that are ineffective due to
non-compliance.
[0005] In treating some diseases, knowledge of the actual dosing
can be important for evaluating whether a particular prescribed
regimen is an effective treatment for an individual patient. For
example, a physician evaluating a diabetic patient's status
benefits from knowing the amount and timing of insulin injections.
In this case, correlating the insulin injections with other data,
such as glucose measurements, allows the physician to provide the
patient with feedback for optimizing their blood glucose control,
which is known to have great benefit.
[0006] Logging injector data for compliance and dose monitoring can
be useful in several clinical applications. As described above,
logging injector data can be useful for therapies requiring a fixed
drug dosage, such as the treatment of growth hormone deficiency.
Additionally, logging injector data is useful for therapies where
the dosage is adjusted based on variable patient demand for the
drug, such as insulin injections to control blood glucose.
[0007] For an effective compliance monitoring system, the validity
of an injection together with the date and time that the injector
is fired is preferably recorded. Specifically, it is useful to
discriminate events that do not represent a valid injection, such
as firing the injector: 1) to practice, 2) by mistake, 3) while
checking device operation, or 4) as an attempt to fake an
injection. In addition, the ability to capture the dose amount
administered during a particular injection can be extremely useful
in a compliance and dose monitoring program.
[0008] The benefits of data logging are not necessarily limited to
needle-free systems intended for self-injection or care sites not
observed by clinicians. Data logging and communications could also
be beneficial in a hospital or a clinic for entry of the injection
into the patient's medical record, for capturing costs, or for
inventory control.
[0009] In light of the above, it is an object of the present
invention to provide a data logging system for a needle-free jet
injector capable of producing and recording injection information
for subsequent use in determining compliance with a prescribed
dosing regimen. It is yet another object of the present invention
to provide a data logging system for a needle-free jet injector
that can record and store the date, time and dose amount of an
injection and can store data from multiple injections. Another
object of the present invention is to provide a data logging system
for a needle-free jet injector that can distinguish between valid
and invalid injections. Still another object of the present
invention is to provide a jet injector that prevents invalid
injections by preventing a user from firing the injector unless the
injector is positioned against the skin. It is another object of
the present invention to provide a data logging system for a
needle-free jet injector that is integrated with a vacuum control
system for the injector. Another object of the present invention is
to provide a relatively small and lightweight data logging system
that is integral with a needle-free jet injector. It is another
object of the present invention to provide a data logging system
for a needle-free jet injector that includes a communications link
to allow the system to communicate to a standard personal computer
and to allow the memory of the system to be accessed and cleared by
the personal computer. Still another object of the present
invention is to provide a data logging system for a needle-free jet
injector that draws a minimal amount of power from the battery
during periods of nonuse. Yet another object of the present
invention is to provide a data logging system for a needle-free
injector which is easy to use, relatively simple to implement, and
comparatively cost effective.
SUMMARY OF THE PREFERRED EMBODIMENTS
[0010] The present invention is directed to a jet injector that
includes an integral data logging system for producing, recording
and communicating injection information. This injection information
can be subsequently used to determine compliance with a prescribed
dosing regimen. For the present invention, the data logging system
includes at least one electrical switch that changes state (e.g.
from OFF to ON) during an injection procedure. Examples of injector
switches that can be used to produce injection information include;
a switch configured to change state when an injector safety is
released, a switch configured to change state when the injector's
vacuum pump is activated, a switch configured to change state when
the injector is triggered, a switch configured to change state when
the injector's drive bar reaches a pre-selected location within the
injector tube and one or more light sensing switches to determine
the position of the syringe plunger immediately prior to an
injection.
[0011] In accordance with the present invention, the switch(es) are
connected to an electrical circuit having an electronic memory.
When a switch changes state, this information along with the
applicable date and time is recorded in the electronic memory. In
greater detail, the electrical circuit preferably includes an
electrical power source, a microprocessor, a clock, electronic
memory and a communications link. Functionally, these electronic
components cooperate to record and store injection information that
can be subsequently accessed via the communications link and used
to determine compliance with a prescribed dosing regimen. More
specifically, it is envisioned that a patient will use the injector
a plurality of times over a predetermined time interval (e.g. daily
for one month). At the end of the interval the patient will provide
the injector to a health-care worker who will then upload the data
recorded and stored in the electronic memory of the injector via
the communications link. For example, the data can be uploaded to a
PC at a health-care facility where the data can then be manipulated
and analyzed to determine compliance with a prescribed dosing
regimen.
[0012] In accordance with the present invention, the data logging
system can be used to distinguish between valid and invalid
injections based on the duration of medicament release from the
injector. For example, if a user fires the injector into the air
(i.e. an invalid injection) the duration of medicament release will
be relatively small as compared to an injection into the skin where
the skin provides a back-pressure that slows medicament release. To
distinguish between valid and invalid injections, a first switch
(hereinafter the trigger release switch) is configured to change
state when the firing cap is depressed indicating the start of an
injection. Additionally, a second switch (hereinafter the
end-of-stroke switch) is configured to change state after the drive
bar of the injector transits through the injector tube and comes to
rest indicating the end of an injection. In one embodiment, a
conductive drive bar contacts a conductive inner barrel after
transit through the injector tube to close the end-of-stroke
switch.
[0013] Also in accordance with the present invention, the electric
circuit can be configured to control a vacuum system for the
injector in addition to its data logging functions. Specifically,
the electric circuit can include a circuit portion that connects an
injector vacuum pump to the power source when the user depresses a
vacuum activation switch on the injector. In a particular
embodiment of the present invention, the vacuum activation switch
also functions to release a mechanical safety and arm the trigger
of the injector. The electric circuit in this embodiment is further
configured to deactivate the vacuum pump when the end-of-stroke
switch described above closes.
[0014] In another embodiment of the present invention, the injector
can be configured to prevent invalid injections (while recording
valid injections). In this embodiment, a pre-determined vacuum
level downstream of the vacuum pump (indicating that the injector
is positioned against a surface such as the skin) is required to
arm the trigger of the injector. In one implementation, a safety
which prevents movement of the trigger is pneumatically released
when the pre-determined vacuum level is achieved. In this
embodiment, the user is unable to fire the injector into the air,
and thus, only valid injections can occur and are recorded.
[0015] In another embodiment of the present invention, one or more
light sensing switches are disposed inside the injector tube to
determine the position of the syringe plunger immediately prior to
an injection. With the initial plunger position, the dose amount
for the respective injection can be calculated by the data logging
system and used to determine compliance.
BRIEF DESCRIPTION OF THE DRAWINGS
[0016] The novel features of this invention, as well as the
invention itself, both as to its structure and its operation, will
be best understood from the accompanying drawings, taken in
conjunction with the accompanying description, in which similar
reference characters refer to similar parts, and in which:
[0017] FIG. 1 is a schematic view of an integrated data logging and
vacuum control system in accordance with the present invention;
[0018] FIG. 2 is a perspective, partially exploded view of an
injector having a data logging and vacuum control system in
accordance with the present invention;
[0019] FIG. 3 is a perspective, cross-section view of the injector
shown in FIG. 2 as seen along line 3-3 in FIG. 2, with the injector
shown in the cocked configuration;
[0020] FIG. 4 is a perspective, cross-section view of a portion of
the injector shown in FIG. 2 as seen along detail line 4-4 in FIG.
3, showing the drive bar in contact with the inner barrel after an
injection;
[0021] FIG. 5 is a schematic diagram of an electrical circuit for
logging injector data and controlling an injector vacuum motor in
accordance with the present invention;
[0022] FIG. 6 is an enlarged, perspective view of the proximal
portion of the injector shown in FIG. 2 showing the safety
interlock feature of the present invention;
[0023] FIG. 7 is a schematic view of an embodiment of the present
invention in which the user is prevented from firing the injector
unless the tip of the injector is held against a surface;
[0024] FIG. 8 is a schematic view of another embodiment of the
present invention in which the user is prevented from firing the
injector unless the tip of the injector is held against a surface;
and
[0025] FIG. 9 is a sectional view as in FIG. 3 of another
embodiment of the present invention in which light sensing switches
are disposed inside the injector tube to determine the position of
the syringe plunger immediately prior to an injection.
DESCRIPTION OF THE PREFERRED EMBODIMENT
[0026] Referring to FIG. 1, a system for injector data logging and
injector vacuum control is shown schematically and generally
designated 10. In overview, the system 10 includes a microcomputer
having a microprocessor chip 12 and program memory 13 to process
injection data. As further shown, one or more switches 14 which
change state (e.g. from OFF to ON) during an injection procedure
are input into the microcomputer system. These switches 14 can
include a trigger release switch for indicating the start of an
injection, an end-of-stroke switch for indicating the end of an
injection and a safety switch. A real-time clock 16 is provided to
establish the date and time in which the switches 14 change
state.
[0027] Continuing with FIG. 1, the system 10 is shown to include a
nonvolatile memory 18 (RAM) for storing the date and time
corresponding to the change in state of switches 14. The date and
time can be determined by a real time clock circuit or by software
methods. The nonvolatile memory 18 can be either battery backed RAM
or an EEPROM. After the data is stored in the nonvolatile memory
18, the stored data can be uploaded via a communications link 20 to
a remote computer 22 for subsequent manipulation and analysis. In
one implementation of the present invention, this analysis is
conducted to determine a patient's compliance with a prescribed
medicament dosing regimen. This analysis can include using the data
to calculate the duration of an injection (the calculation can be
performed by either the microprocessor 12 or the remote computer
22). This calculated injection duration can then be used to
determine whether an injection event corresponds to a valid patient
injection or an invalid firing (i.e. when the injector is fired
into the air). The remote computer 22 can also be used to clear the
nonvolatile memory 18 and set the initial date and time via the
communications link 20.
[0028] In accordance with the present invention, the remote
computer 22 is preferably a PC, such as an IBM compatible, and the
communications link 20 can be implemented using conventional RS-232
serial, parallel, USB ports or by infrared or other wireless
methods (e.g., bluetooth). Alternatively, an intermediary device
(not shown) in the patient's home could be used to transmit
injection data via modem to a remote computer 22 located at a
Health Care Provider. It is to be further appreciated that the
communications link 20 could be made using either a direct
connection or via the Internet.
[0029] Referring still to FIG. 1, it can be seen that the system 10
includes a power control switch 24 to selectively deliver power
from a power source 26 to an injector vacuum pump 28. In
particular, the system 10 can be used to activate the vacuum pump
28 in response to a state change of a switch 14 (such as the
closing of a safety switch prior to an injection). The system 10
can also be configured to deactivate the vacuum pump 28 in response
to the change of state of a switch 14 (such as the end-of-stroke
switch). Note: as described further below, the vacuum pump 28 can
be used to provide suction at the injector tip to hold the injector
against the patient's skin and create an advantageous subcutaneous
pocket to receive the medicament.
[0030] The functional elements of the system 10, including the
microprocessor 12, program memory 13, real-time clock 16,
nonvolatile memory 18, the output port of the communications link
20, and the power control switch 24 may be integrated on one
integrated circuit (IC) or on several IC's. Integrated circuits
with a high degree of integration can allow an implementation
requiring minimal space. One possible implementation is a
single-chip microcontroller with either 4-bit or 8-bit word
lengths. Low power versions are available with on-board program
memory 13, real-time clock 16, input and output ports and
communications ports for use in the communication link 20.
[0031] Referring now to FIG. 2, an injector 30 having data logging
and vacuum control capability in accordance with the present
invention is shown. As shown in FIG. 2, the injector 30 is formed
with a tubular housing 32 having a distal end 34, and a proximal
end 36. As further shown, the tubular housing 32 can include a
hollow distal tube 40 and a hollow proximal tube 42, both centered
on the axis 44, with the distal tube 40 being sized for insertion
into the proximal tube 42.
[0032] With cross reference now to FIGS. 2 and 3, it can be seen
that a drive bar 46 is disposed within the housing 32 for movement
along the longitudinal axis 44 during an injection. Further, as
shown, an inner barrel 48 is positioned near the distal end 34 of
the housing 32 to limit movement of the drive bar 46 in the distal
direction at the completion of an injection. Also shown, a plunger
50 and a medicament chamber 52 are provided in the housing 32 at
the proximal end 36. It is to be appreciated that the plunger 50 is
insertable into the chamber 52 to expel fluid medicament from the
chamber 52 and out through an injector tip 54.
[0033] With cross reference to FIGS. 3 and 4, it can be seen that
the drive bar 46 translates within the housing 32 from a cocked
position (shown in FIG. 3) to a post-injection position (shown in
FIG. 4). For the present invention, the distal tube 40 is
insertable into the proximal tube 42 to move the drive bar 46 into
the cocked position (i.e. near the proximal end 36 of housing 32)
immediately before an injection. A cocking return spring 56 is
provided to reposition the distal tube 40 relative to the proximal
tube 42 after cocking (i.e. to an uncollapsed position). Also
shown, a mechanism such as a drive spring 58 is mounted inside the
housing 32 for urging the drive bar 46 toward the distal end 34 of
the housing 32.
[0034] With cross reference to FIGS. 2-4, it can be seen that the
injector 30 includes a firing cap 62. As shown, the firing cap 62
is mounted on the housing 32 at the proximal end 36. Bearings 60,
firing cap 62 and trigger spring 64 cooperate to engage the drive
bar 46 during cocking and hold the drive bar 46 in the cocked
position. It is to be appreciated that when the firing cap 62 is
depressed by the user, the firing cap 62 disengages the bearings 60
and thereby releases the drive bar 46. Once the drive bar 46 is
released, the force applied by the drive spring 58 is sufficient to
translate the drive bar 46 along the longitudinal axis 44 of the
housing 32 in the distal direction. By comparing FIGS. 3 and 4, it
can be seen that the drive bar 46 is free to translate unhindered
until the drive bar 46 impacts the plunger 50. The impact between
the drive bar 46 and plunger 50 will force the plunger 50 into the
medicament chamber 52, expelling medicament from the chamber 52 and
through the injector tip 54. After impact, the drive bar 46
continues to translate in the distal direction, forcing the plunger
50 further into the chamber 52 to expel additional medicament,
until the drive bar 46 finally contacts the inner barrel 48. Upon
contact with the inner barrel 48, further travel of the drive bar
46 in the distal direction is prevented by the inner barrel 48. At
this point, the drive spring 58 functions to hold the drive bar 46
against the inner barrel 48 until a subsequent injection is
initiated by the user.
[0035] Referring now with cross reference to FIGS. 2 and 3, the
injector 30 includes a vacuum system having a vacuum pump 28 for
creating suction in a suction compartment 66 that surrounds the
injector tip 54. As further shown, a battery 68 is provided to
power the vacuum pump 28. Also shown, a vacuum ON/safety switch 70
that is user operable is included to control the vacuum pump 28. A
printed circuit board 72 is provided containing a portion of an
electrical circuit (shown in FIG. 5) that connects the battery 68
and vacuum pump 28 to the vacuum ON/safety switch 70. A return
spring 73 is provided to bias the vacuum ON/safety switch 70 in the
open (i.e. OFF) position.
[0036] For the present invention, the electrical circuit also
includes an electrical connection to the drive bar 46 and an
electrical connection to the inner barrel 48. Specifically, one
lead from the electrical circuit is electrically connected to the
proximal tube 42, which in turn, via drive spring 58, is in
electrical contact with the drive bar 46. Further, as shown, wire
74 is provided to maintain an electrical connection between the
inner barrel 48 and the electrical circuit on the printed circuit
board 72. Importantly for the present invention, both the drive bar
46 and inner barrel 48 are constructed of electrically conductive
materials. Preferably, the distal tube 40 is made of a
nonconductive material such as plastic to insulate the inner barrel
48 from the proximal tube 42 when the drive bar 46 is not in
contact with the inner barrel 48. With this cooperation of
structure, contact between the drive bar 46 and inner barrel 48
acts as a switch (referred herein as the end-of-stroke switch 76)
which closes at the end of an injection.
[0037] As best seen in FIG. 3, the electrical circuit also contains
a connection to trigger release switch 78 which is positioned to
close when the firing cap 62 is depressed. Thus, trigger release
switch 78 closes at the start of an injection and opens after the
injector 30 is cocked (i.e. when the firing cap 62 is replaced to
its pre-firing, proximal position)
[0038] A suitable electrical circuit for controlling the vacuum
system and logging injection data in accordance with the present
invention is shown schematically in FIG. 5. As shown, the circuit
includes the vacuum ON/safety switch 70, the end-of-stroke switch
76, and the trigger release switch 78 described above.
[0039] Referring now to FIG. 5, it is to be appreciated that the
electrical circuit includes a vacuum control circuit 80 that is
configured to pass current from the battery 68 to the vacuum pump
28 when the vacuum ON/safety switch 70 is closed and the
end-of-stroke switch 76 is open. Further, the vacuum control
circuit 80 is configured to prevent current from passing through
the vacuum pump 28 when the vacuum ON/safety switch 70 is open and
the end-of-stroke switch 76 is closed. Additionally, the vacuum
control circuit 80 is configured to prevent current from passing
through the vacuum pump 28 whenever the vacuum ON/safety switch 70
is open.
[0040] To function in the manner described above, the vacuum
control circuit 80 preferably includes a pair of MOSFET n type
transistors 82, 84. Preferably, the transistors 82, 84 are both
ultra low threshold (0.9 V) so that current can be passed to the
vacuum pump 28 even when the battery 68 has emptied to below 2.0 V.
Those skilled in the art will appreciate that only one MOSFET
transistor 82, 84 is required to control the vacuum pump 28. The
second MOSFET transistor 82, 84 is added to prevent damage to the
first MOSFET transistor 82, 84 from excessive heat if the battery
68 is installed backwards.
[0041] A capacitor 86 is provided to hold the voltage at the gates
of the transistors 82, 84 steady to ensure steady power to the
vacuum pump 28. Diode 88 is provided to protect the transistors 82,
84 by shunting any negative kick generated by the effect of the
inductance of the DC motor windings in the vacuum pump 28 in
response to rapidly changing current. A large resistor 90 is
provided to limit power loss when the vacuum ON/safety switch 70
and end-of-stroke switch 76 are both closed. Resistor 92 is
provided in parallel to end-of-stroke switch 76 and capacitor 86.
Resistor 92 biases the gate of the transistors 82, 84 such that
they are non-conducting (vacuum pump 28 is off) when the vacuum
ON/safety switch 70 is open. When the vacuum ON/safety switch 70
and end-of-stroke switch 76 are open, the gate is pulled low to
ground through the resistor 92. The value of the resistor 92 is
chosen such that with the selected value for resistor 90 and when
the injector 30 is cocked and vacuum ON/safety switch 70 is closed
and end-of-stroke switch 76 is open, the voltage at the gates of
transistors 82, 84 is as close to the voltage of the battery 68 as
possible.
[0042] In addition to the vacuum control circuit 80, the electrical
circuit shown in FIG. 5 includes a microcontroller 94 having
integrated program memory, RAM, input ports for sensing switch
states, and output ports for transmitting and receiving data over a
communication link. A real-time clock 96 provides date and time
data when an injection is detected. This data is stored on a
nonvolatile EEPROM memory 98. A power control system 100 consisting
of transistors 102, 104, 106, 108 and charge pump IC 110 control
the system power such that the microcontroller 94 is only turned on
when needed and to minimize power usage during storage.
[0043] During storage (i.e. between injections), the electric
circuit is configured to place the electrical circuit in a
low-power sleep mode to conserve power. During the sleep state,
only the real time clock 96, the vacuum ON/safety switch 70 and an
activation circuit for the communications port 112 are energized.
The quiescent power consumption of the activation circuit for the
communications port 112 is approximately 3 uA (assuming a 3V
battery) and the real time clock 96 consumes about 1 uA to keep
time. Either one of two events could activate the microcontroller
94, namely, attaching a communications cable jack into the
communications port 112 or closing the vacuum ON/safety switch 70.
When the communications cable jack is inserted into the
communications port 112, resistor 114 is removed from the gate of
transistor 106 and it will turn on. Transistor 106 will then pull
the gate of transistor 102 low, which applies V_BAT to the enable
of the 3.3V charge pump 110. Charge pump 110 supplies the power to
the microcontroller 94 and its peripherals. If the vacuum ON/safety
switch 70 is closed, the charge pump 110 will be enabled as
transistor 104 pulls the enable line to the battery voltage. The
microcontroller 94 then has approximately 500 ms to complete its
power up cycle and drive the ON signal high, which will turn on
transistor 108 and hold the system power on. At the end of an
injection the microcontroller 94 can turn itself off by pulling the
ON line low.
[0044] During an injection, vacuum ON/safety switch 70 is pressed
to start the vacuum pump 28 and power up the microcontroller 94.
This pulls the gates of transistors 82 and 84 high, turning them on
and starting the vacuum pump 28. Closing vacuum ON/safety switch 70
also turns on transistor 104, enabling power to the microcontroller
94. The user then depresses the firing cap 62 (shown in FIG. 2),
which releases the drive bar 46 and closes the trigger release
switch 78. At the end of the injection the drive bar 46 contacts
the inner barrel 48 and thus closes the end of stroke switch 76.
This pulls the charge off the gates of transistors 82, 84 and 116
to turn off the vacuum pump and turns off transistor 116, which
indicates to the microcontroller 94 the end of the injection. The
time between detecting the closure of the trigger release switch 78
to the closure of the end-of-stroke switch 76 can be calculated and
indicates the duration of the injection. Once the microcontroller
94 records the data in the EEPROM memory 98, it turns itself off by
pulling the ON line low. After an injection, the vacuum ON/safety
switch 70, the end of stroke switch 76 and the trigger release
switch 78 are all closed. This results in a quiescent drain of
approximately 6 uA for end-of-stroke switch 76 closed,
approximately 3 uA for the activation circuit for the
communications port 112 and approximately 1 uA for the real time
clock 96 to keep time. A table of system status base on the state
of the three switches can be seen in Table 1.
1TABLE 1 Switch Switch Battery Current 70 76 Switch 78 System
Status Drain closed closed closed post injection sleep 10 uA closed
closed open cocking/transitioning NA closed open closed injecting
<10 mA + motor current closed open open vacuum ON, <10 mA +
motor ready to inject current open closed closed invalid NA open
closed open cocking/transitioning NA open open closed
cocking/transitioning NA open open open sleeping 4 uA
[0045] Preferably, the electrical circuit uses a microcontroller 94
that is a flash programmable, very low power device with on board
flash ROM and static RAM. Furthermore, the microprocessor 94
preferably occupies a very small 20-pin USSOP package, to keep the
PC board 72 (shown in FIG. 2) as small as possible. The
microcontroller 94 shown in FIG. 5 operates using up to a 4 MHz
clock and communicates with the EEPROM memory 98 and real time
clock 96 using separate, standard 2-wire bus connections (standard
IIC protocol). Pins 1-4 are attached to pads to allow for flash
programming in circuit without overdriving any other component. The
communications port 112 is preferably a RS-232 link, as shown in
FIG. 5, and can be implemented on standard I/O lines and can
achieve a maximum communications rate of 9600-baud using the 2 MHz
crystal. As shown in FIG. 2, a communications receptacle 118 is
provided on the injector 30 to accept an I/O line for electrical
connection to the communications port 112.
[0046] Referring now to FIG. 6, it can be seen that user operable
vacuum ON/safety switch 70 can also function as a safety release
button for the firing cap 62. As shown, an interlock ring 120 can
be mounted on the proximal end 36 of the housing 32 for rotation
about the longitudinal axis 44 of the housing 32. As such, the
interlock ring 120 is interposed between the proximal end 36 of the
housing 32 and the firing cap 62. As further shown, the interlock
ring 120 is attached to the vacuum ON/safety switch 70 for rotation
about the longitudinal axis 44 of the housing 32 in response to
movements of the vacuum ON/safety switch 70. A tab 122 projects
proximally from the interlock ring 120 for interaction with a slot
124 formed in the firing cap 62. When the vacuum ON/safety switch
70 is depressed (i.e. closed), the interlock ring 120 is rotated to
align the tab 122 of the interlock ring 120 with the slot 124 of
the firing cap 62. With the tab 122 and slot 124 aligned, the
firing cap 62 is armed (i.e. capable of being depressed to initiate
an injection). The return spring 73, which biases the vacuum
ON/safety switch 70 in the OFF position, also biases the interlock
ring 120 into a position where the tab 122 and slot 124 are
misaligned to thereby disarm and lock the firing cap 62 whenever
the vacuum ON/safety switch 70 is not depressed.
[0047] Referring now to FIG. 7, an embodiment of an injector 126 in
accordance with the present invention having a system for
preventing invalid injections is shown. This system for preventing
invalid injections is used in conjunction with the data logging and
vacuum control system described above. Since invalid injections are
prevented, invalid injections are not recorded by the data logging
system, and thus, compliance with a prescribed dosage regimen can
be accurately monitored. As shown in FIG. 7, the injector 126
includes a vacuum pump 128 to deliver a vacuum to a suction
compartment 130. The suction compartment 130 is provided to hold
the injector 126 against the surface 132 of the patient's skin
during an injection and can be used to create a subcutaneous pocket
to receive medicament from the injector 126.
[0048] In this embodiment, a vacuum sensor 134 monitors the vacuum
downstream of the vacuum pump 128. It is to be appreciated that a
significantly higher vacuum will be obtained downstream of the
vacuum pump 128 and in the suction compartment 130 when the
injector 126 is held against a surface 132 than when the injector
126 is not held against a surface 132 (i.e. when the injector 126
is oriented for firing into the air). Thus, the vacuum sensor 134
is configured to signal the actuator 136 when the vacuum level
downstream of the vacuum pump 128 exceeds a pre-selected amount.
Upon receipt of the signal from the vacuum sensor 134, the actuator
136 withdraws safety tab 138, arming firing cap 140.
[0049] Referring now to FIG. 8, another embodiment of an injector
142 in accordance with the present invention having a system for
preventing invalid injections is shown. As shown in FIG. 8, the
injector 142 includes a vacuum pump 144 to deliver a vacuum to a
suction compartment 146. The suction compartment 146 is provided to
hold the injector 142 against the surface 148 of the patient's skin
during an injection and to create a subcutaneous pocket to receive
medicament from the injector 142.
[0050] In the FIG. 8 embodiment, a current sensor 150 monitors the
electrical current flowing through the motor of the vacuum pump
144. It is to be appreciated that motor current will increase due
to a vacuum load on the vacuum pump 144. Thus, the current sensor
150 is configured to signal the actuator 152 when the pre-selected
current flows through the motor of the vacuum pump (indicating that
the injector 142 is being held against a surface 148). Upon receipt
of the signal from the current sensor 150, the actuator 152
withdraws safety tab 154, arming firing cap 156. In an alternative
embodiment of the present invention, the maximum current flowing
through the vacuum pump 144 during an injection event is used to
determine whether the injection event is a valid or invalid
injection. In this alternative embodiment, invalid injections are
not prevented, but rather are distinguished from valid injections
by the compliance system.
[0051] Referring now to FIG. 9, an embodiment of the present
invention having a system for determining the position of the
syringe plunger 158 immediately prior to an injection is shown.
With the initial position of the syringe plunger 158, the dose
amount for the respective injection can be calculated by the data
logging system and used to determine compliance. As shown in FIG.
9, the system includes a plurality of light emitters 160, for which
emitters 160a-c are exemplary, mounted in the distal tube 162 and
positioned to emit light beams across the distal tube 162.
Directional arrow 164 shows an exemplary path for a light beam
emitted from emitter 160a. As further shown, the system includes a
plurality of light sensing switches 166a-c that are disposed inside
the distal tube 162 to receive a light beam from a respective
emitter 160. It is to be appreciated that depending on the position
of the syringe plunger 158, one or more of the light beams will be
blocked and will not reach the corresponding light sensing switch
166. In this way, the position of the syringe plunger 158 can be
determined. Sensor wires 168a-c transmit a signal from a respective
light sensing switch 166 to the electrical circuit for processing
by the data logging system to determine the dose amount for the
injection.
[0052] While the particular device as herein shown and disclosed in
detail is fully capable of obtaining the objects and providing the
advantages herein before stated, it is to be understood that it is
merely illustrative of the presently preferred embodiments of the
invention and that no limitations are intended to the details of
construction or design herein shown other than as described in the
appended claims.
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