U.S. patent application number 15/435433 was filed with the patent office on 2017-06-08 for dispense interface for an ejection device.
The applicant listed for this patent is SANOFI-AVENTIS DEUTSCHLAND GMBH. Invention is credited to Ilona Eggert, Ben Impey, Frederic Laugere, Andrew Macleod, Cristian Popa.
Application Number | 20170157337 15/435433 |
Document ID | / |
Family ID | 48771451 |
Filed Date | 2017-06-08 |
United States Patent
Application |
20170157337 |
Kind Code |
A1 |
Eggert; Ilona ; et
al. |
June 8, 2017 |
DISPENSE INTERFACE FOR AN EJECTION DEVICE
Abstract
The invention inter alia relates to a dispense interface for an
ejection device. The dispense interface comprises at least two
inlets, at least one outlet, a body part, and a fluid channel
arrangement within the body part configured to provide fluid
communication between the at least two inlets and the at least one
outlet; wherein each of the at least two inlets is formed from a
tubelike fluid element; wherein each of the tubelike fluid elements
is molded into the body part; and wherein each of the tubelike
fluid elements provides at least a part of the fluid channel
arrangement within said body part.
Inventors: |
Eggert; Ilona; (Frankfurt am
Main, DE) ; Laugere; Frederic; (Bedfordshire, GB)
; Popa; Cristian; (Norfolk, GB) ; Impey; Ben;
(Cambridgeshire, GB) ; Macleod; Andrew;
(Cambridgeshire, GB) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
SANOFI-AVENTIS DEUTSCHLAND GMBH |
Frankfurt am Main |
|
DE |
|
|
Family ID: |
48771451 |
Appl. No.: |
15/435433 |
Filed: |
February 17, 2017 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
|
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14412729 |
Jan 5, 2015 |
9610406 |
|
|
PCT/EP2013/064631 |
Jul 10, 2013 |
|
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15435433 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61M 2005/3128 20130101;
A61M 5/343 20130101; A61M 2205/121 20130101; A61M 5/3298 20130101;
A61M 39/223 20130101; A61M 39/22 20130101; A61M 2205/12 20130101;
A61M 2207/00 20130101; A61M 5/3294 20130101; A61M 5/3295 20130101;
A61M 5/19 20130101; A61M 5/2448 20130101; A61M 5/2455 20130101 |
International
Class: |
A61M 5/34 20060101
A61M005/34; A61M 39/22 20060101 A61M039/22; A61M 5/32 20060101
A61M005/32; A61M 5/19 20060101 A61M005/19; A61M 5/24 20060101
A61M005/24 |
Foreign Application Data
Date |
Code |
Application Number |
Jul 11, 2012 |
EP |
12175975.7 |
Claims
1. A dispense interface for an ejection device, said dispense
interface comprising: at least two inlets; at least one outlet; an
integral body part; and a fluid channel arrangement within said
integral body part configured to provide fluid communication
between said at least two inlets and said at least one outlet; an
ullage formed as a recess in a surface of the integral body part; a
valve positioned within the ullage, wherein the valve is configured
to control a fluid flow from said at least two inlets to said at
least one outlet via said fluid channel arrangement and wherein the
valve is selected from one of a diaphragm/flap valve, a shuttling
valve, a molded duckbill valve and a flat spring valve; wherein
each of said at least two inlets is formed from a tubelike fluid
element, wherein the tubelike fluid elements provide fluid
communication between each of the at least two inlets and the
ullage; wherein each of said tubelike fluid elements is molded into
the integral body part; and wherein each of said tubelike fluid
elements provides at least a part of the fluid channel arrangement
within said integral body part and wherein each of said tubelike
fluid elements has a fluid pathway that is at least partially
curved.
2. The dispense interface according to claim 1, wherein each of
said tubelike fluid elements is configured to establish a
releasable fluid connection with a corresponding fluid connector of
a fluid reservoir of said ejection device when said dispense
interface is attached to said ejection device.
3. The dispense interface according to claim 1, wherein each of
said tubelike fluid elements is a needle or a hypo-tube.
4. The dispense interface according to claim 1, wherein said at
least one outlet is formed from a fluid connector, wherein said
fluid channel arrangement empties into said fluid connector, and
wherein said fluid connector is configured to establish a fluid
connection with a corresponding fluid connector of a needle
assembly, when said needle assembly is attached to said dispense
interface.
5. The dispense interface according to claim 1, wherein said at
least one outlet is formed from a needle, wherein said fluid
channel arrangement empties into said needle.
6. The dispense interface according to claim 1, said dispense
interface further comprising: a film layer; wherein said film layer
is bonded to said integral body part to seal said ullage of said
integral body part.
7. A method for manufacturing a dispense interface according to
claim 1, said method comprising: providing at least two tubelike
fluid elements; wherein each of said tubelike fluid elements has a
fluid pathway that is at least partially curved; and molding each
of said tubelike fluid elements into an integral body part such
that each of said tubelike fluid elements provides at least a part
of a fluid channel arrangement within said integral body part.
8. A method according to claim 7, said method further comprising:
providing a film layer; and bonding said film layer to said
integral body part after molding the integral body part to seal
said fluid channel arrangement of said body part.
9. A system, comprising a dispense interface according to claim 1;
an ejection device; wherein said dispense interface is attached to
said ejection device.
10. The system according to claim 9, said system further
comprising: a needle assembly; wherein said needle assembly is
attached to said dispense interface.
11. The system according to claim 9, wherein said ejection device
is a medical device configured to eject a medicament.
12. The method for using a system according to claim 9, said method
comprising: attaching said dispense interface to an ejection device
having at least two fluid reservoirs; ejecting a fluid from at
least one of the reservoirs through said dispense interface; and
detaching said dispense interface from said ejection device.
Description
CROSS REFERENCE TO RELATED APPLICATIONS
[0001] The present application is a continuation of U.S. patent
application Ser. No. 14/412,729, filed Jan. 5, 2015, which is a
U.S. National Phase Application pursuant to 35 U.S.C. .sctn.371 of
International Application No. PCT/EP2013/064631 filed Jul. 10,
2013, which claims priority to European Patent Application No.
12175975.7 filed Jul. 11, 2012. The entire disclosure contents of
these applications are herewith incorporated by reference into the
present application.
TECHNICAL FIELD
[0002] The present patent application relates to an ejection
device, for example a medical device, for delivering at least two
liquids, such as liquid drug agents, from separate reservoirs. Such
drug agents may comprise a first and a second medicament. The
medical device includes a dose setting mechanism for delivering the
drug agents automatically or manually by the user.
[0003] The medical device can be an injector, for example a
hand-held injector, especially a pen-type injector, that is an
injector of the kind that provides for administration by injection
of medicinal products from one or more multidose cartridges. In
particular, the present invention relates to such injectors where a
user may set the dose.
[0004] The drug agents may be contained in two or more multiple
dose reservoirs, containers or packages, each containing
independent (single drug compound) or pre-mixed (co-formulated
multiple drug compounds) drug agents.
BACKGROUND
[0005] Certain disease states require treatment using one or more
different medicaments. Some drug compounds need to be delivered in
a specific relationship with each other in order to deliver the
optimum therapeutic dose. The present patent application is of
particular benefit where combination therapy is desirable, but not
possible in a single formulation for reasons such as, but not
limited to, stability, compromised therapeutic performance and
toxicology.
[0006] For example, in some cases it may be beneficial to treat a
diabetic with a long acting insulin (also may be referred to as the
first or primary medicament) along with a glucagon-like peptide-1
such as GLP-1 or GLP-1 analog (also may be referred to as the
second drug or secondary medicament).
[0007] Accordingly, there exists a need to provide devices for the
delivery of two or more medicaments in a single injection or
delivery step that is simple for the user to perform without
complicated physical manipulations of the drug delivery device. The
proposed drug delivery device provides separate storage containers
or cartridge retainers for two or more active drug agents. These
active drug agents are then combined and/or delivered to the
patient during a single delivery procedure. These active agents may
be administered together in a combined dose or alternatively, these
active agents may be combined in a sequential manner, one after the
other.
SUMMARY
[0008] The drug delivery device also allows for the opportunity of
varying the quantity of the medicaments. For example, one fluid
quantity can be varied by changing the properties of the injection
device (e.g., setting a user variable dose or changing the device's
"fixed" dose). The second medicament quantity can be changed by
manufacturing a variety of secondary drug containing packages with
each variant containing a different volume and/or concentration of
the second active agent.
[0009] The drug delivery device may have a single dispense
interface. This interface may be configured for fluid communication
with a primary reservoir and with a secondary reservoir of
medicament containing at least one drug agent. The drug dispense
interface can be a type of outlet that allows the two or more
medicaments to exit the system and be delivered to the patient.
[0010] The combination of compounds from separate reservoirs can be
delivered to the body via a double-ended needle assembly. This
provides a combination drug injection system that, from a user's
perspective, achieves drug delivery in a manner that closely
matches the currently available injection devices that use standard
needle assemblies. One possible delivery procedure may involve the
following steps:
[0011] 1. Attach a dispense interface to a distal end of the
electro-mechanical injection device. The dispense interface
comprises a first and a second proximal needle. The first and
second needles pierce a first reservoir containing a primary
compound and a second reservoir containing a secondary compound,
respectively.
[0012] 2. Attach a dose dispenser, such as a double-ended needle
assembly, to a distal end of the dispense interface. In this
manner, a proximal end of the needle assembly is in fluidic
communication with both the primary compound and secondary
compound.
[0013] 3. Dial up/set a desired dose of the primary compound from
the injection device, for example, via a graphical user interface
(GUI).
[0014] 4. After the user sets the dose of the primary compound, the
micro-processor controlled control unit may determine or compute a
dose of the secondary compound and preferably may determine or
compute this second dose based on a previously stored therapeutic
dose profile. It is this computed combination of medicaments that
will then be injected by the user. The therapeutic dose profile may
be user selectable. Alternatively, the user can dial or set a
desired dose of the secondary compound.
[0015] 5. Optionally, after the second dose has been set, the
device may be placed in an armed condition. The optional armed
condition may be achieved by pressing and/or holding an "OK" or an
"Arm" button on a control panel. The armed condition may be
provided for a predefined period of time during which the device
can be used to dispense the combined dose.
[0016] 6. Then, the user will insert or apply the distal end of the
dose dispenser (e.g. a double ended needle assembly) into the
desired injection site. The dose of the combination of the primary
compound and the secondary compound (and potentially a third
medicament) is administered by activating an injection user
interface (e.g. an injection button).
[0017] Both medicaments may be delivered via one injection needle
or dose dispenser and in one injection step. This offers a
convenient benefit to the user in terms of reduced user steps
compared to administering two separate injections.
[0018] The dispense interfaces in the state of the art, however,
are often of complex design. In order to provide the manifold to
guide the medicaments from two different reservoirs to a single
outlet, complex and/or multiple small parts need to be produced and
assembled. The complex part structures and the corresponding
complicated assembly steps may cause the dispense interface to be
difficult and expensive to manufacture.
[0019] Additionally, the dispense interface is regularly kept at
the drug delivery device for a longer period of time. This means
that only the dose dispenser in form of a double ended needle, for
instance, is exchanged for every (or nearly every) injection
procedure. The dispense interface, however, remains at the drug
delivery device. An exchange of the dispense interface itself is
regularly only necessary, when the reservoirs of the drug delivery
device need to be exchanged.
[0020] This causes requirements for the material and design of the
dispense interface to be fulfilled. Since the drug agents from the
first and/or the second reservoir remain inside the dispense
interface after a dispense procedure, a compatibility of the
dispense interface being in contact with the drug agents needs be
to provided. No harmful substances must diffuse into the drug
agents, since these would then be delivered to the patient with the
next delivery procedure. Hence a biocompatibility is required,
which guarantees that either no or negligible amounts of substances
can diffuse into drug agents or are set free into the liquid.
[0021] Furthermore, if the dispense interface remains attached to
the drug delivery device the different drug agents also start to
diffuse into each other over time. A cross-contamination of the
drug agents from one reservoir into the other reservoir needs to be
prevented for the above mentioned reasons of stability, compromised
therapeutic performance and toxicology, for example.
[0022] In light of the aforementioned, the invention inter-alia
faces the technical problem of providing a simple dispense
interface for an ejection device that is easy to manufacture.
[0023] According to a first aspect of the invention, a dispense
interface for a an ejection device comprises at least two inlets,
at least one outlet, a body part, and a fluid channel arrangement
within the body part configured to provide fluid communication
between the at least two inlets and the at least one outlet;
wherein each of the at least two inlets is formed from a tubelike
fluid element; wherein each of the tubelike fluid elements is
molded into the body part; and wherein each of the tubelike fluid
elements provides at least a part of the fluid channel arrangement
within said body part.
[0024] The ejection device may be a drug delivery device such as a
medical device configured to eject a drug agent (e.g. a dose of a
medicament) such as an infusion device or an injection device, for
instance an insulin injection pen. Injection devices may be used
either by medical personnel or by patients themselves. As an
example, type-1 and type-2 diabetes may be treated by patients
themselves by injection of insulin doses, for example once or
several times per day. In particular, the ejection device may be a
medical device configured to deliver (e.g. eject) at least two drug
agents from separate reservoirs.
[0025] Alternatively, the ejection device may for instance be
configured to deliver (e.g. eject) a two-component adhesive from
separate fluid reservoirs comprising a first component of the
two-component adhesive (e.g. a binder) and a second component of
the two-component adhesive (e.g. a hardener), respectively.
[0026] The dispense interface may be a disposable part attachable
to the ejection device (e.g. the medical device). In particular,
the dispense interface may be a single-use part attachable to the
ejection device. Each of the at least two inlets of the dispense
interface may be configured to reside in fluid communication with
one of at least two separate fluid reservoirs of the ejection
device when the dispense interface is attached to the ejection
device.
[0027] The ejection device and/or the dispense interface may
preferably be portable (e.g. handheld) devices.
[0028] The fluid channel arrangement may provide a fluid connection
between each of the at least two inlets of the dispense interface
and the at least one outlet of the dispense interface. Also, the
fluid channel arrangement may provide a fluid connection between
the at least two inlets of the dispense interface. For instance,
the fluid channel arrangement is at least partially Y-like, T-like
or Z-like shaped.
[0029] The at least one outlet of the dispense interface may serve
as a common outlet for separate fluid reservoirs of the ejection
device. As described above, each of these separate fluid reservoirs
may reside in fluid communication with one of the at least two
inlets of the dispense interface when the dispense interface is
attached to the ejection device.
[0030] The fluid channel arrangement within the body part may
comprise one or more connected fluid channels, which inter alia are
at least partially provided by the tubelike fluid elements. The
diameter of the fluid channels may be between 0.01 mm and 10 mm. In
particular, the diameter of the fluid channels may be between 0.1
mm and 1 mm, for instance about 0.3 mm. The ratio between the
length of the fluid channel arrangement and the diameter of the
fluid channels (length:diameter ratio) may be substantially large,
for instance between 10:1 and 1000:1. In particular, the
length:diameter ratio may be between 20:1 and 100:1, for instance
about 33:1 or 66:1. The length of the fluid channel arrangement may
preferably describe the longest fluid path of the fluid channel
arrangement. Since the tubelike fluid elements provide at least a
part of the fluid channel arrangement, the tubelike fluid elements
may comprise the same dimensions as set out above.
[0031] Integrally formed parts having a fluid channel arrangement
with a substantially large ratio between the length of the fluid
channel arrangement and the diameter of the fluid channels
(length:diameter ratio) cannot be simply manufactured, for instance
by molding such as injection molding e.g. in gas molding process.
This is inter-alia due to the fact that the fluid channel
arrangement is difficult to access. Complex tooling is necessary to
manufacture such parts.
[0032] By providing a dispense interface, wherein each of the
tubelike fluid elements is molded into the body part, a fluid
channel arrangement can be provided within a dispense interface
having a large ratio between the length of the fluid channel
arrangement and the diameter of the fluid channels. At the same
time the dispense interface may be provided in an easy way without
any complex tooling.
[0033] Molding the tubelike fluid elements into the body part
particularly means that the process of over-molding is utilized.
The tubelike fluid elements and the body part thus form an integral
part. The tubelike fluid elements may be positioned in a mold or
shell, for example. The body part may then be molded which fixes
each of the tubelike fluid elements in a predetermined
position.
[0034] The tubelike fluid elements may be molded partially or
completely into the body part. Preferably, at least a first end of
each of the tubelike fluid elements protrudes from the body part.
Each end may be used to establish a releasable fluid connection
with the ejection device, for instance with a first and a second
reservoir of the ejection device, respectively. A second end of
each of the tubelike fluid element may also protrude from the body
part, for example into an ullage, which may be formed in the body
part during the molding process. Each of the tubelike fluid
elements preferably has two ends. However, more than two, e.g.
three or four, tubelike fluid elements may be used providing a more
complex fluid channel arrangement. Alternatively or additionally,
more complex tubelike fluid elements, for example with more than
two ends, may be used, as well.
[0035] The molding process of the body part, during which each of
the tubelike fluid elements is molded into the body part, may be an
injection molding process. For instance, the body part is formed in
a single step by injection molding by use of an open-and-shut
tool.
[0036] For instance, use of an open-and-shut tool reduces the need
for fragile core pins. This also allows for relatively complex and
tight tolerance geometry without complex tooling. The molding of
key assembly snap features on the same component, such as an outer
protrusion on the body part, may also help reduce tolerance
stack-ups and also tends to allow for smaller fluid grooves (e.g.
needle wells) and therefore smaller ullage.
[0037] Alternative also the in gas pressure molding process forms a
good surface inside the ullage area of the body part.
[0038] For instance, the body part may be a plastic part from a
thermoplastic or a thermosetting material. Polymer materials may be
used in injection molding of the body part. Polymer materials are
typically biocompatible. For instance, COP (cyclo-olefin polymer)
materials may be used in injection molding of the body part. COP
materials have a high biocompatibility. For instance, COP materials
have little to no extractables and most COP materialy can undergo
sterilization by gamma radiation, steam and/or ethylene oxide.
Other materials such as PP (poly-propylene) or HDPE (high density
poly-ethylene) or other less expensive materials may be used, too.
Especially, the body part of a single use dispense interface may be
made from such a material, as the contact time with the medicament
is rather short (only the time from priming the device until the
injection is completed).
[0039] Biocompatibility may be increased by providing tubelike
fluid elements made of steel, in particular stainless steel, e.g.
EN steel no. 1.4401 or 1.4405, or alternative titan For instance, a
fluid being guided by one of the tubelike fluid elements does not
get in contact with the body part as long as it is guided by the
tubelike fluid element. This may increase freedom when choosing a
material for the molding process of the body part. In addition to
reach a very clean and accurate inner surface of the tube, the
tubes can be electro-polished.
[0040] By providing a dispense interface wherein each of the
tubelike fluid elements provides at least a part of the fluid
channel arrangement, the tubelike fluid elements may reduce or
eliminate the contact area and/or contact time of the liquid guided
through the dispense interface with the material of the body
part.
[0041] The dispense interface of the first aspect of the invention
thus allows a simple manufacturing of the dispense interface, in
particular in a single manufacturing step. Furthermore, the count
and complexity of the assembly parts of the dispense interface is
reduced. The invention is therefore inter alia advantageous to
allow a simple manufacturing and/or assembly of a dispense
interface. Also, it allows a cost-effective manufacturing assembly
of a disposable dispense interface (e.g. a single use dispense
interface). Particularly, potential problems of material
compatibility, absorption and cross contamination between the
fluids (e.g. drugs) and the polymer material may be overcome by
providing a dispense interface wherein each of the tubelike fluid
elements provides at least a part of the fluid channel arrangement
and/or--for a single use dispense interface--by a short contact
time. In this way, also a reduction in the cost of goods can be
achieved.
[0042] According to an exemplary embodiment of the dispense
interface of the first aspect of the invention, each of the
tubelike fluid elements is configured to establish a releasable
fluid connection with a corresponding fluid connector of a fluid
reservoir of the ejection device when the dispense interface is
attached to the ejection device.
[0043] Each of the tubelike fluid elements may be designed as a
piercing needle, for example. The corresponding fluid connector may
be a piercable septum in that case. Alternatively or additionally,
there may also be provided (male/female) Luer-connectors or snap
locks on the body part, for example.
[0044] According to an exemplary embodiment of the dispense
interface of the first aspect of the invention, each of the
tubelike fluid elements is at least partially curved. Each of the
tubelike fluid elements may exhibit one or more sections of
constant curvature or of varying curvature. The tubelike fluid
elements may also show an S-shaped double curvature. Each of the
tubelike fluid elements may comprise one or more sections with
substantially no curvature (a substantially linear section). The
sections with no curvature are preferably at the end or the ends of
the tubelike fluid elements, while the curved sections are in
between. An application-specific shape of the tubelike fluid
elements and thus of the fluid channel arrangement can be provided.
In case sections, preferably the ends, of the tubelike fluid
elements protrude from the body part, preferably, the sections
protruding from the body part are substantially linear
sections.
[0045] According to an exemplary embodiment of the dispense
interface of the first aspect of the invention, each of the
tubelike fluid elements is a needle or a hypo-tube. A hypo-tube is
a tube with application-specific properties, for example mechanical
or chemical properties, used in the medical area. A hypo-tube may
be manufactured from stainless steel. In combination with internal
and/or external coatings the properties of the hypo-tube may be
influenced. For instance, the hypo-tube may be laser cut, for
example helically, increasing the mechanical flexibility of the
hypo-tube. Additionally or alternatively, a polymer sheath may be
provided on the outside and/or inside of the hypo-tube to ensure
fluid tightness. In case each of the tubelike fluid elements is a
needle, the needle may also be manufactured from steel, in
particular stainless steel, providing a good biocompatibility. The
hypo-tube or the needle may be molded into the body part, such that
the end of the hypo-tube or the needle tip protrudes from the body
part, in particular substantially perpendicularly.
[0046] According to an exemplary embodiment of the dispense
interface of the first aspect of the invention, the at least one
outlet is formed from a fluid connector, wherein the fluid channel
arrangement empties into the fluid connector, and wherein the fluid
connector is configured to establish a fluid connection with a
corresponding fluid connector of a (ejection) needle assembly, when
the needle assembly is attached to the dispense interface. The
needle assembly may have an injection needle for penetrating the
skin of a patient.
[0047] As described above, non-limiting examples of a fluid
connector may be a piercing needle, a piercable septum and/or a
(male/female) Luer-connector. Such a fluid connector may be
integrally formed with the body part. Alternatively, such a fluid
connector may at least partially be inserted (e.g.
potted/over-molded/mounted) into the body part. For instance, such
a fluid connector may at least partially be potted/over-molded when
the body part is (e.g. injection) molded. For instance, such a
fluid connector may at least partially be glued/mounted in a
separate step after the body part has been (injection) molded.
[0048] The fluid connector forming the at least one outlet of the
dispense interface, allows to exchange the needle assembly more
often than the dispense interface. This is inter alia advantageous
if the needle assembly is a single-use device which has to be
replaced after a single ejection and the dispense interface is a
disposable part which can be used for more than one ejection.
[0049] According to an exemplary embodiment of the dispense
interface of the first aspect of the invention, the at least one
outlet is formed from a needle, wherein the fluid channel
arrangement empties into the needle. The needle may be an injection
needle for penetrating the skin of a patient such as a cannula.
[0050] The needle may at least partially be inserted (e.g.
potted/over-molded/mounted) into the body part. For instance, the
needle may at least partially be potted/over-molded when the body
part is (e.g. injection) molded. For instance, the needle may at
least partially be glued/mounted in a separate step after the body
part has been (injection) molded. For instance, the needle may be
an integral part of the dispense interface.
[0051] Since the at least one outlet is already formed from a
needle, no attachment of a separate needle assembly is necessary.
This embodiment thus inter-alia allows to reduce the overall
complexity of the dispense interface and/or the ejection device.
This is inter-alia advantageous if the dispense interface is a
single use device which has to be replaced after a single
ejection.
[0052] According to an exemplary embodiment of the dispense
interface of the first aspect of the invention, the dispense
interface further comprises an ullage; wherein the tubelike fluid
elements provide fluid communication between each of the at least
two inlets and the ullage. The tubelike fluid elements may prevent
or reduce contact of the guided fluid with the body part at least
between each of the at least two inlets and the ullage. The ullage
is preferably molded into the body part during molding, in
particular injection molding. For instance, the ullage may be a
recess, for example a cylindrical or rectangular recess, formed on
one side of the body part. Ends of each of the tubelike fluid
elements may protrude into the ullage. There may also be provided
more than one ullage.
[0053] The ullage may also comprise a metal chamber, particularly a
steel or stainless steel chamber. The metal chamber may be an
insert inserted into the ullage or the metal chamber may be molded
into the body part. The metal chamber may at least partially be
inserted (e.g. potted/over-molded/mounted) into the body part. For
instance, the metal chamber may at least partially be
potted/over-molded when the body part is (e.g. injection) molded.
For instance, the metal chamber may at least partially be
glued/mounted in a separate step after the body part has been
(injection) molded. For instance, the metal chamber may be an
integral part of the dispense interface.
[0054] According to an exemplary embodiment of the dispense
interface of the first aspect of the invention, the dispense
interface further comprises a valve arrangement, in particular
within the ullage, configured to control a fluid flow from the at
least two inlets to the at least one outlet via the fluid channel
arrangement. The valve arrangement may comprise one or more valves,
preferably one or more non-return valves. Such a valve arrangement
may preferably be configured to prevent cross contamination of
fluids contained in separate fluid reservoirs of the ejection
device. A preferred valve arrangement may also be configured so as
to prevent back flow. Non-limiting examples of such valves are a
diaphragm/flap valve, a shuttling valve, a molded duck bill valve,
a flat spring valve and/or a rotating flap valve.
[0055] The valve arrangement may for instance be integrally formed
with the body part. Alternatively, the valve arrangement may for
instance be manufactured separately from the body part. The valve
arrangement may be inserted (e.g. potted/over-molded/mounted) into
the body part. For instance, the valve arrangement may at least
partially be potted/over-molded when the body part is (e.g.
injection) molded. For instance, the valve arrangement may at least
partially be mounted in a separate step after the body part has
been (injection) molded. The valve arrangement may in particular be
inserted into the ullage and/or into the metal or molded chamber
after molding of the body part. Alternatively, the valve
arrangement may be inserted into the ullage of the body part
together with the metal chamber.
[0056] According to an exemplary embodiment of the dispense
interface of the first aspect of the invention, the dispense
interface further comprises a film layer; wherein the film layer is
bonded to the body part to seal the fluid channel arrangement, in
particular the ullage, of the body part. For instance, the film
layer may be a metal foil, a polymer film, or a bio-polymer film.
The film layer may in particular be a foil or a laminate consisting
of two or more layers of different or the same material. For
instance, the thickness of the film layer may be 1 .mu.m to 1 mm,
in particular 5 .mu.m to 500 .mu.m. For the used materials, a
combination of polyamide (PA) and polypropylene (PP) can be used,
as PP is biocompatible.
[0057] The film layer may be bonded to the body part using adhesive
bending techniques or thermal bonding techniques. Non-limiting
examples of thermal bonding techniques are laser welding or fusion
bonding. The ullage may thus be designed as an accessible recess
after molding the body part. After inserting a metal chamber and/or
a valve arrangement the ullage may be closed by the film layer
sealing the fluid channel arrangement of the body part providing a
fluid tight connection between the at least two inlets and the
outlet. The film layer may also consist of multiple film layer
parts or sections, each bonded to the body part. For the used
materials, a combination of polyamide (PA) and polypropylene (PP)
can be used, as PP is biocompatible.
[0058] For instance, the film layer may be a polymer material,
which is biocompatible. For instance, COP (cyclo-olefin polymer)
materials may be used for the film layer. COP materials have a high
biocompatibility. For instance, COP materials have little to no
extractables and most COP materialy can undergo sterilization by
gamma radiation, steam and/or ethylene oxide. Other materials such
as PP (poly-propylene) or HDPE (high density poly-ethylene) or
other less expensive materials may be used, too. Especially, the
film layer of a single use dispense interface may be made from such
a material, as the contact time with the medicament is rather short
(only the time from priming the device until the injection is
completed). In an example embodiment, the film layer consists of at
least 2 layers. The inner layer shall be out of a biocompatible
material like cyclo-olefin polymer (COP) or polypropylene (PP), the
outer layer can be formed out of material with a higher stiffness
like polyamide (PA). By doing so, the foil itself gets a good
stiffness and cannot be destroyed easily.
[0059] The exemplary embodiments of the dispense interface of the
first aspect of the invention allow a simple manufacturing of the
dispense interface. Furthermore, they allow manufacturing the body
part from a biocompatible material. Potential problems of material
compatibility, absorption and cross contamination between the
fluids (e.g. drugs) and the polymer material are overcome by the
selection of a biocompatible material and/or by providing at least
a part of the fluid channel arrangement by the tubelike fluid
elements and/or--for a single use dispense interface--by a short
contact time.
[0060] According to a second aspect of the invention, a method for
manufacturing a dispense interface of the first aspect of the
invention comprises providing at least two tubelike fluid elements;
(e.g. injection) molding each of the tubelike fluid elements into a
body part such that each of the tubelike fluid elements provides at
least a part of a fluid channel arrangement within the body
part.
[0061] According to an exemplary embodiment of the method according
to the second aspect of the invention, the method further comprises
providing a film layer; and bonding the film layer to the body part
after molding the body part to seal the fluid channel arrangement
of the body part.
[0062] According to a third aspect of the invention, a system
comprises a dispense interface of the first aspect of the
invention; and an ejection device; wherein the dispense interface
is attached to the ejection device.
[0063] The system may further comprise a needle assembly, wherein
the needle assembly is attached to the dispense interface. The
dispense interface may provide a fluid connection between at least
two separate fluid reservoirs of the ejection device and the needle
assembly. As described above, the ejection device may be a medical
device configured to deliver (e.g. eject) at least one
medicament.
[0064] According to a fourth aspect of the invention, a method for
using a system of the third aspect of the invention comprises
attaching the dispense interface to an ejection device having at
least two fluid reservoirs; ejecting a fluid from at least one of
the reservoirs through the dispense interface; and detaching the
dispense interface from the ejection device.
[0065] The method may furthermore comprise attaching a needle
assembly to a dispense interface, wherein the fluid is ejected from
at least one of the reservoirs through the dispense interface out
of the needle assembly.
[0066] Exemplary features/embodiments (exhibiting further features)
of the invention have been described above, which are understood to
apply to the various aspects of the invention. These single
features/embodiments are considered to be exemplary and
non-limiting, and to be respectively combinable independently from
other disclosed features of the various aspects of the invention as
described above. Nevertheless, these exemplary features/embodiments
shall also be considered to be disclosed in all possible
combinations with each other and with the various aspects of the
invention as described above.
BRIEF DESCRIPTION OF THE FIGURES
[0067] These as well as other advantages of various aspects of the
present invention will become apparent to those of ordinary skill
in the art by reading the following detailed description, with
appropriate reference to the accompanying drawings, in which:
[0068] FIG. 1 illustrates a perspective view of a delivery device
with an end cap of the device removed;
[0069] FIG. 2 illustrates a perspective view of the delivery device
distal end showing the cartridge;
[0070] FIG. 3 illustrates a perspective view of the delivery device
illustrated in FIG. 1 or 2 with one cartridge retainer in an open
position;
[0071] FIG. 4 illustrates a dispense interface and a dose dispenser
that may be removably mounted on a distal end of the delivery
device illustrated in FIG. 1;
[0072] FIG. 5 illustrates the dispense interface and the dose
dispenser illustrated in FIG. 4 mounted on a distal end of the
delivery device illustrated in FIG. 1;
[0073] FIG. 6 illustrates one arrangement of a needle assembly that
may be mounted on a distal end of the delivery device;
[0074] FIG. 7 illustrates a perspective view of the dispense
interface illustrated in FIG. 4;
[0075] FIG. 8 illustrates another perspective view of the dispense
interface illustrated in FIG. 4;
[0076] FIG. 9 illustrates a cross-sectional view of the dispense
interface illustrated in FIG. 4;
[0077] FIG. 10 illustrates an exploded view of the dispense
interface illustrated in FIG. 4;
[0078] FIG. 11 illustrates a cross-sectional view of the dispense
interface and needle assembly mounted onto a drug delivery device,
such as the device illustrated in FIG. 1;
[0079] FIG. 12a illustrates a perspective partially transparent
view of an alternative embodiment of a dispense interface;
[0080] FIGS. 12b-d illustrate alternative embodiments of tubelike
fluid elements;
[0081] FIG. 13 illustrates the assembly of a rotating flap valve
arrangement into the alternative embodiment of the dispense
interface illustrated in FIG. 12a;
[0082] FIGS. 14a-b illustrate a further alternative embodiment of a
dispense interface similar to the one illustrated in FIG. 12a after
the assembly steps illustrated in FIG. 13.
[0083] FIG. 15a illustrates an alternative embodiment of a valve
arrangement of a dispense interface;
[0084] FIG. 15b illustrates another alternative embodiment of a
valve arrangement of a dispense interface;
[0085] FIG. 15c illustrates another alternative embodiment of a
valve arrangement of a dispense interface;
[0086] FIG. 15d illustrates another alternative embodiment of a
valve arrangement of a dispense interface;
[0087] FIG. 15e illustrates another alternative embodiment of a
valve arrangement of a dispense interface; and
[0088] FIG. 16 illustrates a flowchart of a method according to the
invention for using a dispense interface.
DETAILED DESCRIPTION
[0089] The drug delivery device illustrated in FIG. 1 comprises a
main body 14 that extends from a proximal end 16 to a distal end
15. At the distal end 15, a removable end cap or cover 18 is
provided. This end cap 18 and the distal end 15 of the main body 14
work together to provide a snap fit or form fit connection so that
once the cover 18 is slid onto the distal end 15 of the main body
14, this frictional fit between the cap and the main body outer
surface 20 prevents the cover from inadvertently falling off the
main body.
[0090] The main body 14 contains a micro-processor control unit, an
electro-mechanical drive train, and at least two medicament
reservoirs. When the end cap or cover 18 is removed from the device
10 (as illustrated in FIG. 1), a dispense interface 200 is mounted
to the distal end 15 of the main body 14, and a dose dispenser
(e.g., a needle assembly) is attached to the interface. The drug
delivery device 10 can be used to administer a computed dose of a
second medicament (secondary drug compound) and a variable dose of
a first medicament (primary drug compound) through a single needle
assembly, such as a double ended needle assembly.
[0091] The drive train may exert a pressure on the bung of each
cartridge, respectively, in order to expel the doses of the first
and second medicaments. For example, a piston rod may push the bung
of a cartridge forward a pre-determined amount for a single dose of
medicament. When the cartridge is empty, the piston rod is
retracted completely inside the main body 14, so that the empty
cartridge can be removed and a new cartridge can be inserted.
[0092] A control panel region 60 is provided near the proximal end
of the main body 14. Preferably, this control panel region 60
comprises a digital display 80 along with a plurality of human
interface elements that can be manipulated by a user to set and
inject a combined dose. In this arrangement, the control panel
region comprises a first dose setting button 62, a second dose
setting button 64 and a third button 66 designated with the symbol
"OK." In addition, along the most proximal end of the main body, an
injection button 74 is also provided (not visible in the
perspective view of FIG. 1). The user interface of the drug
delivery device may comprise additional buttons, such as a "menu"
button, a "back" button, or a "light" button to switch on an
illumination of the display.
[0093] The cartridge holder 40 can be removably attached to the
main body 14 and may contain at least two cartridge retainers 50
and 52. Each retainer is configured so as to contain one medicament
reservoir, such as a glass cartridge. Preferably, each cartridge
contains a different medicament.
[0094] In addition, at the distal end of the cartridge holder 40,
the drug delivery device illustrated in FIG. 1 includes a dispense
interface 200. As will be described in relation to FIG. 4, in one
arrangement, this dispense interface 200 includes a main outer body
212 that is removably attached to a distal end 42 of the cartridge
housing 40. As can be seen in FIG. 1, a distal end 214 of the
dispense interface 200 preferably comprises a needle hub 216. This
needle hub 216 may be configured so as to allow a dose dispenser,
such as a conventional pen type injection needle assembly, to be
removably mounted to the drug delivery device 10.
[0095] Once the device is turned on, the digital display 80 shown
in FIG. 1 illuminates and provides the user certain device
information, preferably information relating to the medicaments
contained within the cartridge holder 40. For example, the user is
provided with certain information relating to both the primary
medicament (Drug A) and the secondary medicament (Drug B).
[0096] As shown in FIG. 3, the first and second cartridge retainers
50, 52 may be hinged cartridge retainers. These hinged retainers
allow user access to the cartridges. FIG. 3 illustrates a
perspective view of the cartridge holder 40 illustrated in FIG. 1
with the first hinged cartridge retainer 50 in an open position.
FIG. 3 illustrates how a user might access the first cartridge 90
by opening up the first retainer 50 and thereby having access to
the first cartridge 90.
[0097] As mentioned above when discussing FIG. 1, a dispense
interface 200 can be coupled to the distal end of the cartridge
holder 40. FIG. 4 illustrates a flat view of the dispense interface
200 unconnected to the distal end of the cartridge holder 40. A
dose dispenser or needle assembly 400 that may be used with the
interface 200 is also illustrated and is provided in a protective
outer cap 420.
[0098] In FIG. 5, the dispense interface 200 illustrated in FIG. 4
is shown coupled to the cartridge holder 40. The axial attachment
means 48 between the dispense interface 200 and the cartridge
holder 40 can be any known axial attachment means to those skilled
in the art, including snap locks, snap fits, snap rings, keyed
slots, and combinations of such connections. The connection or
attachment between the dispense interface and the cartridge holder
may also contain additional features (not shown), such as
connectors, stops, splines, ribs, grooves, pips, clips and the like
design features, that ensure that specific hubs are attachable only
to matching drug delivery devices. Such additional features would
prevent the insertion of a non-appropriate secondary cartridge to a
non-matching injection device.
[0099] FIG. 5 also illustrates the needle assembly 400 and
protective cover 420 coupled to the distal end of the dispense
interface 200 that may be screwed onto the needle hub of the
interface 200. FIG. 6 illustrates a cross sectional view of the
double ended needle assembly 400 mounted on the dispense interface
200 in FIG. 5.
[0100] The needle assembly 400 illustrated in FIG. 6 comprises a
double ended needle 406 and a hub 401. The double ended needle or
cannula 406 is fixedly mounted in a needle hub 401. This needle hub
401 comprises a circular disk shaped element which has along its
periphery a circumferential depending sleeve 403. Along an inner
wall of this hub member 401, a thread 404 is provided. This thread
404 allows the needle hub 401 to be screwed onto the dispense
interface 200 which, in one preferred arrangement, is provided with
a corresponding outer thread along a distal hub. At a center
portion of the hub element 401 there is provided a protrusion 402.
This protrusion 402 projects from the hub in an opposite direction
of the sleeve member. A double ended needle 406 is mounted
centrally through the protrusion 402 and the needle hub 401. This
double ended needle 406 is mounted such that a first or distal
piercing end 405 of the double ended needle forms an injecting part
for piercing an injection site (e.g., the skin of a user).
[0101] Similarly, a second or proximal piercing end 408 of the
needle assembly 400 protrudes from an opposite side of the circular
disc so that it is concentrically surrounded by the sleeve 403. In
one needle assembly arrangement, the second or proximal piercing
end 408 may be shorter than the sleeve 403 so that this sleeve to
some extent protects the pointed end of the back sleeve. The needle
cover cap 420 illustrated in FIGS. 4 and 5 provides a form fit
around the outer surface 403 of the hub 401.
[0102] Referring now to FIGS. 4 to 11, one preferred arrangement of
this interface 200 will now be discussed. In this one preferred
arrangement, this interface 200 comprises: [0103] a. a main outer
body 210, [0104] b. an first inner body 220, [0105] c. a second
inner body 230, [0106] d. a first piercing needle 240, [0107] e. a
second piercing needle 250, [0108] f. a valve seal 260, and [0109]
g. a septum 270.
[0110] The main outer body 210 comprises a main body proximal end
212 and a main body distal end 214. At the proximal end 212 of the
outer body 210, a connecting member is configured so as to allow
the dispense interface 200 to be attached to the distal end of the
cartridge holder 40. Preferably, the connecting member is
configured so as to allow the dispense interface 200 to be
removably connected the cartridge holder 40. In one preferred
interface arrangement, the proximal end of the interface 200 is
configured with an upwardly extending wall 218 having at least one
recess. For example, as may be seen from FIG. 8, the upwardly
extending wall 218 comprises at least a first recess 217 and a
second recess 219.
[0111] Preferably, the first and the second recesses 217, 219 are
positioned within this main outer body wall so as to cooperate with
an outwardly protruding member located near the distal end of the
cartridge housing 40 of the drug delivery device 10. For example,
this outwardly protruding member 48 of the cartridge housing may be
seen in FIGS. 4 and 5. A second similar protruding member is
provided on the opposite side of the cartridge housing. As such,
when the interface 200 is axially slid over the distal end of the
cartridge housing 40, the outwardly protruding members will
cooperate with the first and second recess 217, 219 to form an
interference fit, form fit, or snap lock. Alternatively, and as
those of skill in the art will recognize, any other similar
connection mechanism that allows for the dispense interface and the
cartridge housing 40 to be axially coupled could be used as
well.
[0112] The main outer body 210 and the distal end of the cartridge
holder 40 act to form an axially engaging snap lock or snap fit
arrangement that could be axially slid onto the distal end of the
cartridge housing. In one alternative arrangement, the dispense
interface 200 may be provided with a coding feature so as to
prevent inadvertent dispense interface cross use. That is, the
inner body of the hub could be geometrically configured so as to
prevent an inadvertent cross use of one or more dispense
interfaces.
[0113] A mounting hub is provided at a distal end of the main outer
body 210 of the dispense interface 200. Such a mounting hub can be
configured to be releasably connected to a needle assembly. As just
one example, this connecting means 216 may comprise an outer thread
that engages an inner thread provided along an inner wall surface
of a needle hub of a needle assembly, such as the needle assembly
400 illustrated in FIG. 6. Alternative releasable connectors may
also be provided such as a snap lock, a snap lock released through
threads, a bayonet lock, a form fit, or other similar connection
arrangements.
[0114] The dispense interface 200 further comprises a first inner
body 220. Certain details of this inner body are illustrated in
FIG. 8-11. Preferably, this first inner body 220 is coupled to an
inner surface 215 of the extending wall 218 of the main outer body
210. More preferably, this first inner body 220 is coupled by way
of a rib and groove form fit arrangement to an inner surface of the
outer body 210. For example, as can be seen from FIG. 9, the
extending wall 218 of the main outer body 210 is provided with a
first rib 213a and a second rib 213b. This first rib 213a is also
illustrated in FIG. 10. These ribs 213a and 213b are positioned
along the inner surface 215 of the wall 218 of the outer body 210
and create a form fit or snap lock engagement with cooperating
grooves 224a and 224b of the first inner body 220. In a preferred
arrangement, these cooperating grooves 224a and 224b are provided
along an outer surface 222 of the first inner body 220.
[0115] In addition, as can be seen in FIG. 8-10, a proximal surface
226 near the proximal end of the first inner body 220 may be
configured with at least a first proximally positioned piercing
needle 240 comprising a proximal piercing end portion 244.
Similarly, the first inner body 220 is configured with a second
proximally positioned piercing needle 250 comprising a proximally
piercing end portion 254. Both the first and second needles 240,
250 are rigidly mounted on the proximal surface 226 of the first
inner body 220.
[0116] Preferably, this dispense interface 200 further comprises a
valve arrangement. Such a valve arrangement could be constructed so
as to prevent cross contamination of the first and second
medicaments contained in the first and second reservoirs,
respectively. A preferred valve arrangement may also be configured
so as to prevent back flow and cross contamination of the first and
second medicaments.
[0117] In one preferred system, dispense interface 200 includes a
valve arrangement in the form of a valve seal 260. Such a valve
seal 260 may be provided within a cavity 231 defined by the second
inner body 230, so as to form a holding chamber 280. Preferably,
cavity 231 resides along an upper surface of the second inner body
230. This valve seal comprises an upper surface that defines both a
first fluid groove 264 and second fluid groove 266. For example,
FIG. 9 illustrates the position of the valve seal 260, seated
between the first inner body 220 and the second inner body 230.
During an injection step, this seal valve 260 helps to prevent the
primary medicament in the first pathway from migrating to the
secondary medicament in the second pathway, while also preventing
the secondary medicament in the second pathway from migrating to
the primary medicament in the first pathway. Preferably, this seal
valve 260 comprises a first non-return valve 262 and a second
non-return valve 268. As such, the first non-return valve 262
prevents fluid transferring along the first fluid pathway 264, for
example a groove in the seal valve 260, from returning back into
this pathway 264. Similarly, the second non-return valve 268
prevents fluid transferring along the second fluid pathway 266 from
returning back into this pathway 266.
[0118] Together, the first and second grooves 264, 266 converge
towards the non-return valves 262 and 268 respectively, to then
provide for an output fluid path or a holding chamber 280. This
holding chamber 280 is defined by an inner chamber defined by a
distal end of the second inner body both the first and the second
non return valves 262, 268 along with a pierceable septum 270. As
illustrated, this pierceable septum 270 is positioned between a
distal end portion of the second inner body 230 and an inner
surface defined by the needle hub of the main outer body 210.
[0119] The holding chamber 280 terminates at an outlet port of the
interface 200. This outlet port 290 is preferably centrally located
in the needle hub of the interface 200 and assists in maintaining
the pierceable seal 270 in a stationary position. As such, when a
double ended needle assembly is attached to the needle hub of the
interface (such as the double ended needle illustrated in FIG. 6),
the output fluid path allows both medicaments to be in fluid
communication with the attached needle assembly.
[0120] The hub interface 200 further comprises a second inner body
230. As can be seen from FIG. 9, this second inner body 230 has an
upper surface that defines a recess, and the valve seal 260 is
positioned within this recess. Therefore, when the interface 200 is
assembled as shown in FIG. 9, the second inner body 230 will be
positioned between a distal end of the outer body 210 and the first
inner body 220. Together, second inner body 230 and the main outer
body hold the septum 270 in place. The distal end of the inner body
230 may also form a cavity or holding chamber that can be
configured to be fluid communication with both the first groove 264
and the second groove 266 of the valve seal.
[0121] Axially sliding the main outer body 210 over the distal end
of the drug delivery device attaches the dispense interface 200 to
the multi-use device. In this manner, a fluid communication may be
created between the first needle 240 and the second needle 250 with
the primary medicament of the first cartridge and the secondary
medicament of the second cartridge, respectively.
[0122] FIG. 11 illustrates the dispense interface 200 after it has
been mounted onto the distal end 42 of the cartridge holder 40 of
the drug delivery device 10 illustrated in FIG. 1. A double ended
needle 400 is also mounted to the distal end of this interface. The
cartridge holder 40 is illustrated as having a first cartridge
containing a first medicament and a second cartridge containing a
second medicament.
[0123] When the interface 200 is first mounted over the distal end
of the cartridge holder 40, the proximal piercing end 244 of the
first piercing needle 240 pierces the septum of the first cartridge
90 and thereby resides in fluid communication with the primary
medicament 92 of the first cartridge 90. A distal end of the first
piercing needle 240 will also be in fluid communication with a
first fluid path groove 264 defined by the valve seal 260.
[0124] Similarly, the proximal piercing end 254 of the second
piercing needle 250 pierces the septum of the second cartridge 100
and thereby resides in fluid communication with the secondary
medicament 102 of the second cartridge 100. A distal end of this
second piercing needle 250 will also be in fluid communication with
a second fluid path groove 266 defined by the valve seal 260.
[0125] FIG. 11 illustrates a preferred arrangement of such a
dispense interface 200 that is coupled to a distal end 15 of the
main body 14 of drug delivery device 10. Preferably, such a
dispense interface 200 is removably coupled to the cartridge holder
40 of the drug delivery device 10.
[0126] As illustrated in FIG. 11, the dispense interface 200 is
coupled to the distal end of a cartridge housing 40. This cartridge
holder 40 is illustrated as containing the first cartridge 90
containing the primary medicament 92 and the second cartridge 100
containing the secondary medicament 102. Once coupled to the
cartridge housing 40, the dispense interface 200 essentially
provides a mechanism for providing a fluid communication path from
the first and second cartridges 90, 100 to the common holding
chamber 280. This holding chamber 280 is illustrated as being in
fluid communication with a dose dispenser. Here, as illustrated,
this dose dispenser comprises the double ended needle assembly 400.
As illustrated, the proximal end of the double ended needle
assembly is in fluid communication with the chamber 280.
[0127] In one preferred arrangement, the dispense interface is
configured so that it attaches to the main body in only one
orientation, that is it is fitted only one way round. As such as
illustrated in FIG. 11, once the dispense interface 200 is attached
to the cartridge holder 40, the primary needle 240 can only be used
for fluid communication with the primary medicament 92 of the first
cartridge 90 and the interface 200 would be prevented from being
reattached to the holder 40 so that the primary needle 240 could
now be used for fluid communication with the secondary medicament
102 of the second cartridge 100. Such a one way around connecting
mechanism may help to reduce potential cross contamination between
the two medicaments 92 and 102.
[0128] FIGS. 12 to 14 illustrate embodiments of dispense interfaces
2000 alternative to the embodiment of the dispense interface 200
illustrated in FIGS. 7 to 11. Furthermore, at this point, it is
mainly referred to the above description of the embodiment of the
dispense interface 200 illustrated in FIGS. 7 to 11 and, basically,
the differences are described only.
[0129] As will now be discussed in greater detail, in one preferred
arrangement, the dispense interfaces 2000 illustrated in FIGS. 12
to 14 inter alia comprise: [0130] a. a body part 2100; [0131] b. a
first tubelike fluid element 2200; [0132] c. a second tubelike
fluid element 2200'; [0133] d. an optional valve arrangement in the
form of rotating flap valve arrangement 2300; [0134] e. an outlet
2400; and [0135] f. axial attachment means 2500.
[0136] One exemplary difference between the dispense interface 200
and the dispense interfaces 2000 is the outer shape. Nevertheless,
the dispense interfaces 2000 are attachable to a drug deliver
device, for example to the cartridge holder 40 of the drug delivery
device 10, by axial attachment means 2500 as described above.
[0137] FIG. 12a illustrates a perspective partially transparent
view of the alternative embodiment of the dispense interface 2000.
The dispense interface 2000 comprises a body part 2100. The body
part 2100 is injection molded. The first tubelike fluid element
2200a and the second tubelike fluid element 2200a' are molded into
the body part 2100 during the injection molding process. The
tubelike fluid elements 2200a, 2200a' are identically designed, but
mirror symmetrically fixed in the body part 2100. For instance, the
tubelike fluid elements 2200a, 2200a' may also be designed
differently from each other.
[0138] The tubelike fluid elements 2200a, 2200a' and in particular
the protruding ends of the tubelike fluid elements 2200a, 2200a',
can thus provide the first and second proximal needles 240, 250 as
illustrated in FIGS. 8 to 11.
[0139] The first tubelike fluid element 2200a forms a first inlet
2210a of the dispense interface with its first end/opening, while
the second tubelike fluid element 2200a forms a second inlet 2210a'
of the dispense interface with its first end/opening. The sections
of the tubelike fluid elements 2200a, 2200a' protruding from the
body part 2100 are substantially linear and protrude substantially
perpendicularly from the body part 2100. The tubelike fluid
elements 2200a, 2200a' may establish a releasable fluid connection
with the fluid reservoirs 90, 100 respectively.
[0140] The tubelike fluid elements 2200a, 2200a' are curved or bent
inside the body part 2100, as indicated with the dashed lines. The
tubelike fluid elements 2200a, 2200a' may deviate from 0.degree. up
to 90.degree. (or above) from a linear course, for example. Here,
the tubelike fluid elements 2200a, 2200a' deviate about 45.degree.
form a linear course (also confer FIG. 12b).
[0141] The body part 2100 further comprises a cylindrical ullage
2110. The ullage 2110 is formed as a recess in the surface of the
injection molded body part 2100. The second ends 2220a, 2220a' of
each of the tubelike fluid elements 2200a, 2200a' protrude from the
body part 2100 into the common ullage 2110, providing a fluid
connection between the first and second inlets 2210a, 2210a' and
the ullage 2110. The ullage further comprises a third fluid pathway
being in connection with the fluid outlet 2400. The ullage further
comprises a pivot pin 2120, which can be utilized for a rotating
flap valve arrangement (also confer FIGS. 13 and 14).
[0142] As can be seen from FIG. 12a, a (not yet sealed) fluid
channel arrangement is provided within the body part 2100 of the
dispense interface 2000 connecting the inlets 2210a, 2210a' with
each other and the outlet 2400.
[0143] FIG. 12b-c illustrate alternative embodiments of tubelike
fluid elements. FIG. 12b exemplarily illustrates the tubelike fluid
element 2200a of the tubelike fluid elements 2200a, 2200a' used in
the dispense interface 2000 illustrated in FIG. 12a. The tubelike
fluid element 2200a is made of a curved or bent needle made of
stainless steel. As can be seen, the bent needle 2200a provides a
sharp needle tip at its one end forming the first inlet 2210a of
the dispense interface 2000. The angle 2230a indicating the
deviation of a linear course of the tubelike fluid element 2200a is
about 45.degree.. However, smaller or larger curvatures and/or
smaller or larger angles may be provided.
[0144] FIG. 12c illustrates an alternative tubelike fluid element
in the form of a hypo-tube 2200b in a linear state, which may be
used instead of the tubelike fluid elements 2200a, 2200a' in form
of bent needles. The hypo-tube 2200b may also be manufactured from
stainless steel. The hypo-tube 2200b has a middle section 2240b,
which section may be laser cut, for example helically, increasing
the mechanical flexibility of the hypo-tube in the section 2240b. A
polymer sheath is also provided in the section 2240b on the outside
of the hypo-tube to ensure fluid tightness. The hypo-tube 2200b can
be flexibly bent, for example in an S-like shape, as illustrated in
FIG. 12d.
[0145] FIG. 13 illustrates the assembly of a rotating flap valve
arrangement 2300 into the alternative embodiment of the dispense
interface illustrated in FIG. 12a. The rotating flap valve
arrangement 2300 has a flap 2310 which is rotatably mounted on the
pivot pin 2120 of the ullage 2110.
[0146] The flap 2310 is rotatable between a first and a second
position. The working principle of the rotatable flap valve
arrangement, however, is described in more details below with
respect to FIGS. 14b and 15e.
[0147] After the rotatable flap 2310 is inserted in the ullage
2110, a film layer 2320 is used in order to seal the ullage of the
body part 2100 by bonding the film layer to said body part 2100. A
fluid tight connection is thus achieved between the first inlet
2210a and the outlet 2400 and between the second inlet 2210a' and
the outlet 2400.
[0148] FIG. 14a illustrates a further alternative embodiment of a
dispense interface 2000 similar to the dispense interface 2000
illustrated in FIG. 12a after the assembly steps illustrated in
FIG. 13. In FIG. 14a the same reference signs as in FIG. 12a are
used for parts which are similar.
[0149] The only difference of the dispense interface 2000 from FIG.
14a compared to the one from FIG. 12a is that instead of the
tubelike fluid elements 2200a, 2200a' illustrated in FIG. 12b in
the form of bent needles the tubelike fluid elements 2200b, 2200b'
illustrated in FIG. 12d in the form of hypo-tubes are molded into
the body part 2100.
[0150] FIG. 14b shows an enlarged view of the rotating flap valve
arrangement 2300. The flap 2310 of the rotating flap valve
arrangement 2300 mounted in the ullage 2110 can rotate about the
pivot pin 2120. The ullage 2110 providing a valve chamber has two
inlets provided by the ends 2220b, 2220b' of the tubelike fluid
elements 2200b and 2220b' and a third fluid pathway being in
connection with the outlet 2400 of the dispense interface 2000.
[0151] The flap 2310 is rotatable between a first and a second
position. In the first position (illustrated in FIG. 14b), the flap
2310 seals the inlet 2220b' and allows fluid to flow from the inlet
2220b to the outlet 2400. In the second position (not illustrated),
the flap 2310 seals the inlet 2220b and allows fluid to flow from
the inlet 2220b' to the outlet 2400.
[0152] When the fluidic pressure in the inlet 2220b' is for
instance increased (e.g. during a dose priming or a dose injecting
step), the flap 2310 will be pushed towards the second position as
indicated by the arrow in FIG. 14b and vice versa.
[0153] However, the dispense interfaces 2000 may also comprise no
valve arrangement or any alternative valve arrangement such as one
of the embodiments illustrated in FIGS. 15a to 15e.
[0154] The function of the rotating flap valve arrangement 2300 of
the dispense interfaces 2000 may basically relate to the function
of the first and second non return valve 262, 264 of the dispense
interface 200. As described above, such a valve arrangement may for
instance be constructed so as to prevent back flow and/or cross
contamination of the first and second medicaments 92, 102 contained
in the first and second reservoirs 90, 100, respectively.
[0155] FIGS. 15a to 15e illustrate embodiments of a valve
arrangement for a dispense interface alternative to the valve seal
260 of dispense interface 200 and rotating flap valve 2300 of
dispense interface 2000, respectively. In FIGS. 15a to 15e the same
reference signs are used for parts which are similar.
[0156] The valve arrangement may for instance be integrally formed
with another part of the dispense interface. Alternatively, the
valve arrangement may for instance be manufactured separately from
the other parts of dispense interface.
[0157] For instance, the valve arrangement may be inserted (e.g.
potted/over-molded/mounted) into the body part. For instance, the
valve arrangement may at least partially be potted/over-molded when
body part is (e.g. injection) molded. For instance, the valve
arrangement may at least partially be mounted in a separate step
after the body part has have been (injection) molded.
[0158] FIG. 15a illustrates a diaphragm/flap valve arrangement
3000a. The diaphragm/flap valve arrangement 3000a has an inlet 3010
and an outlet 3030. The inlet 3010 may for instance reside in fluid
communication with one of the piercing needles 240, 250 of dispense
interface 200 or 2000 and the outlet 3030 may for instance reside
in fluid communication with holding chamber 280 of dispense
interface 200 or the outlet 2400 of dispense interface 2000.
[0159] The diaphragm/flap valve arrangement 3000a has a flexible
diaphragm/flap 3040. When the fluidic pressure in the inlet 3010 is
increased (e.g. during a dose priming or a dose injecting step),
the diaphragm/flap 3040 will change from an un-stressed state to a
stressed state. In the stressed state, the fluidic pressure bends
the diaphragm/flap 3040 as indicated by the arrow in FIG. 15a so
that the diaphragm/flap valve arrangement 3000a opens. In this
stressed condition, the diaphragm/flap valve arrangement 3000a will
allow fluid to flow from the inlet 3010 to the outlet 3030. When
the fluidic pressure in the inlet is removed, the diaphragm/flap
3040 will return to its initial position and seal the inlet 3010,
preventing backflow.
[0160] FIG. 15b illustrates a shuttling valve arrangement 3000b.
The shuttling valve arrangement 3000b has a tube 3050. The tube
3050 has two inlets 3010, 3020 and an outlet 3030. The inlet 3020
may also reside in fluid communication with one of the piercing
needles 240, 250 of dispense interface 200 or 2000. In the tube
3050 a movable element 3060 (e.g. a piston or a ball) is
arranged.
[0161] The diameter of the movable element 3060 corresponds to the
diameter of the tube 3050 such that the movable element 3060 is
movable between a first and a second (longitudinal) position in the
tube 3050. In the first position (illustrated in FIG. 15b), the
movable element 3060 seals the inlet 3010 and allows fluid to flow
from the inlet 3020 to the outlet 3030. In the second position (not
illustrated), the movable element 3060 seals the inlet 3020 and
allows fluid to flow from the inlet 3010 to the outlet 3030. When
the fluidic pressure in the inlet 3010 is for instance increased
(e.g. during a dose priming or a dose injecting step), the movable
element 3060 will be pushed towards the second position as
indicated by the arrow in FIG. 15b.
[0162] FIG. 15c illustrates a molded duckbill valve arrangement
3000c. The molded duckbill valve arrangement 3000c has a first and
a second duckbill valve 3080, 3090. When the fluidic pressure in
the inlet 3020 is increased (e.g. during a dose priming or a dose
injecting step), the second duckbill valve 3090 will change from an
un-stressed state to a stressed state. In the stressed state, the
fluidic pressure inverts the naturally flattened shape of the
duckbill valve as indicated in FIG. 15c so that the duckbill valve
opens. In this stressed condition, the second duckbill valve 3090
will allow fluid to flow from the inlet 3020 to the outlet 3030.
When the fluidic pressure in the inlet 3020 is removed, the second
duckbill valve 3090 will return to its flattened shape and seal the
inlet 3020, preventing backflow. The first duckbill valve 3080
operates in a similar manner as the second duckbill valve 3090 when
the fluidic pressure is increased in the inlet 3010.
[0163] FIG. 15d illustrates a flat spring valve arrangement 3000d.
The flat spring valve arrangement 3000d has a first and a second
flat spring 3100, 3110. The first and the second flat spring 3100,
3110 may for instance be integrally formed.
[0164] When the fluidic pressure in the inlet 3010 is increased
(e.g. during a dose priming or a dose injecting step), the first
flat spring 3100 will change from an un-stressed state to a
stressed state. In the stressed state, the fluidic pressure bends
the first flat spring 3100 as indicated by the arrow in FIG. 15d so
that the flat spring valve arrangement 3000d opens. In this
stressed condition, the flat spring valve arrangement 3000d will
allow fluid to flow from the inlet 3010 to the outlet 3030. When
the fluidic pressure in the inlet 3010 is removed, the first flat
spring 3100 will return to its initial position and seal the inlet
3010, preventing backflow. The second flat spring 3110 operates in
a similar manner as the first flat spring 3100 when the fluidic
pressure is increased in the inlet 3020.
[0165] FIG. 15e illustrates a rotating flap valve arrangement
3000e. The rotating flap valve arrangement 3000e has a flap 3120
which is rotatably mounted in a valve chamber 3130. The valve
chamber has two inlets 3010, 3020 and an outlet 3030.
[0166] The flap 3120 is rotatable between a first and a second
position. In the first position (illustrated in FIG. 15e), the flap
3120 seals the inlet 3010 and allows fluid to flow from the inlet
3020 to the outlet 3030. In the second position (not illustrated),
the flap 3120 seals the inlet 3020 and allows fluid to flow from
the inlet 3010 to the outlet 3030.
[0167] When the fluidic pressure in the inlet 3010 is for instance
increased (e.g. during a dose priming or a dose injecting step),
the flap 3120 will be pushed towards the second position as
indicated by the arrow in FIG. 15e.
[0168] FIG. 16 illustrates a flowchart of a method according to the
invention for using a dispense interface. In particular, the use of
a previously described dispense interface is illustrated.
[0169] In a first step 601, a packaging of the dispense interface
can be opened by a user and the dispense interface can be taken
from the packaging.
[0170] Then, in step 602, if the dispense interface is provided
with a first safety element, like a needle cover, the first safety
element can be removed from the first proximal needle and/or the
second proximal needle, each of which may be provided by a tubelike
fluid element. For instance, if a predetermined braking line is
provided, the first safety element can be detached by an angular
movement performed by the user. It shall be understood that in
alternative embodiments, the safety element can be formed by caps
or the like.
[0171] After removing the first safety element, the first and
second proximal needles are exposed. Then in step 603, the dispense
interface is attached to an ejection device. In particular, the
dispense interface is tightly attached to the ejection device.
Thereby, the first proximal needle can puncture a first reservoir
and the second proximal needle can puncture a second reservoir of
the ejection device.
[0172] If the dispense interface comprises a second safety element
for covering an ejection needle, which is in fluid communication
with the outlet 2400, in step 604, the second safety element is
removed. The third needle, like an ejection needle, is exposed. For
instance, if a predetermined breaking line is provided, the safety
element can be removed by a circular and pull movement performed by
the user. For avoiding a detachment of the dispense interface from
the ejection device, the predetermined breaking line can be first
cut by the circular movement and then the safety element can be
removed by a pull movement.
[0173] In the next step 605, at least one fluid of at least one
reservoir can be ejected, as described hereinbefore. For instance,
a drug or medicament can be ejected.
[0174] Afterwards, the used dispense interface is detached from the
ejection device (step 606). For instance, the used dispense
interface can be pulled out by the user.
[0175] The term "drug" or "medicament", as used herein, means a
pharmaceutical formulation containing at least one pharmaceutically
active compound,
[0176] wherein in one embodiment the pharmaceutically active
compound has a molecular weight up to 1500 Da and/or is a peptide,
a proteine, a polysaccharide, a vaccine, a DNA, a RNA, an enzyme,
an antibody or a fragment thereof, a hormone or an oligonucleotide,
or a mixture of the above-mentioned pharmaceutically active
compound,
[0177] wherein in a further embodiment the pharmaceutically active
compound is useful for the treatment and/or prophylaxis of diabetes
mellitus or complications associated with diabetes mellitus such as
diabetic retinopathy, thromboembolism disorders such as deep vein
or pulmonary thromboembolism, acute coronary syndrome (ACS),
angina, myocardial infarction, cancer, macular degeneration,
inflammation, hay fever, atherosclerosis and/or rheumatoid
arthritis,
[0178] wherein in a further embodiment the pharmaceutically active
compound comprises at least one peptide for the treatment and/or
prophylaxis of diabetes mellitus or complications associated with
diabetes mellitus such as diabetic retinopathy,
[0179] wherein in a further embodiment the pharmaceutically active
compound comprises at least one human insulin or a human insulin
analogue or derivative, glucagon-like peptide (GLP-1) or an
analogue or derivative thereof, or exedin-3 or exedin-4 or an
analogue or derivative of exedin-3 or exedin-4.
[0180] Insulin analogues are for example Gly(A21), Arg(B31),
Arg(B32) human insulin; Lys(B3), Glu(B29) human insulin; Lys(B28),
Pro(B29) human insulin; Asp(B28) human insulin; human insulin,
wherein proline in position B28 is replaced by Asp, Lys, Leu, Val
or Ala and wherein in position B29 Lys may be replaced by Pro;
Ala(B26) human insulin; Des(B28-B30) human insulin; Des(B27) human
insulin and Des(B30) human insulin.
[0181] Insulin derivates are for example B29-N-myristoyl-des(B30)
human insulin; B29-N-palmitoyl-des(B30) human insulin;
B29-N-myristoyl human insulin; B29-N-palmitoyl human insulin;
B28-N-myristoyl LysB28ProB29 human insulin;
B28-N-palmitoyl-LysB28ProB29 human insulin;
B30-N-myristoyl-ThrB29LysB30 human insulin;
B30-N-palmitoyl-ThrB29LysB30 human insulin;
B29-N--(N-palmitoyl-Y-glutamyl)-des(B30) human insulin;
B29-N--(N-lithocholyl-Y-glutamyl)-des(B30) human insulin;
B29-N-(.omega.-carboxyheptadecanoyl)-des(B30) human insulin and
B29-N-(.omega.-carboxyhepta-decanoyl) human insulin.
[0182] Exendin-4 for example means Exendin-4(1-39), a peptide of
the sequence H
His-Gly-Glu-Gly-Thr-Phe-Thr-Ser-Asp-Leu-Ser-Lys-Gln-Met-Glu-Glu-Glu-Ala-A-
rg-Leu-Phe-Ile-Glu-Trp-Leu-Lys-Asn-Gly-Gly-Pro-Ser-Ser-Gly-Ala-Pro-Pro-Pro-
-Ser-NH2.
[0183] Exendin-4 derivatives are for example selected from the
following list of compounds:
H-(Lys)4-des Pro36, des Pro37 Exendin-4(1-39)-NH2,
H-(Lys)5-des Pro36, des Pro37 Exendin-4(1-39)-NH2,
des Pro36 [Asp28] Exendin-4(1-39),
des Pro36 [IsoAsp28] Exendin-4(1-39),
des Pro36 [Met(O)14, Asp28] Exendin-4(1-39),
des Pro36 [Met(O)14, IsoAsp28] Exendin-4(1-39),
des Pro36 [Trp(O2)25, Asp28] Exendin-4(1-39),
des Pro36 [Trp(O2)25, IsoAsp28] Exendin-4(1-39),
des Pro36 [Met(O)14 Trp(O2)25, Asp28] Exendin-4(1-39),
des Pro36 [Met(O)14 Trp(O2)25, IsoAsp28] Exendin-4(1-39); or
des Pro36 [Asp28] Exendin-4(1-39),
des Pro36 [IsoAsp28] Exendin-4(1-39),
des Pro36 [Met(O)14, Asp28] Exendin-4(1-39),
des Pro36 [Met(O)14, IsoAsp28] Exendin-4(1-39),
des Pro36 [Trp(O2)25, Asp28] Exendin-4(1-39),
des Pro36 [Trp(O2)25, IsoAsp28] Exendin-4(1-39),
des Pro36 [Met(O)14 Trp(O2)25, Asp28] Exendin-4(1-39),
des Pro36 [Met(O)14 Trp(O2)25, IsoAsp28] Exendin-4(1-39),
[0184] wherein the group -Lys6-NH2 may be bound to the C-terminus
of the Exendin-4 derivative; or an Exendin-4 derivative of the
sequence
H-(Lys)6-des Pro36 [Asp28] Exendin-4(1-39)-Lys6-NH2,
des Asp28 Pro36, Pro37, Pro38Exendin-4(1-39)-NH2,
H-(Lys)6-des Pro36, Pro38 [Asp28] Exendin-4(1-39)-NH2,
H-Asn-(Glu)5des Pro36, Pro37, Pro38 [Asp28]
Exendin-4(1-39)-NH2,
des Pro36, Pro37, Pro38 [Asp28] Exendin-4(1-39)-(Lys)6-NH2,
H-(Lys)6-des Pro36, Pro37, Pro38 [Asp28]
Exendin-4(1-39)-(Lys)6-NH2,
H-Asn-(Glu)5-des Pro36, Pro37, Pro38 [Asp28]
Exendin-4(1-39)-(Lys)6-NH2,
H-(Lys)6-des Pro36 [Trp(O2)25, Asp28] Exendin-4(1-39)-Lys6-NH2,
H-des Asp28 Pro36, Pro37, Pro38 [Trp(O2)25]
Exendin-4(1-39)-NH2,
H-(Lys)6-des Pro36, Pro37, Pro38 [Trp(O2)25, Asp28]
Exendin-4(1-39)-NH2,
H-Asn-(Glu)5-des Pro36, Pro37, Pro38 [Trp(O2)25, Asp28]
Exendin-4(1-39)-NH2,
des Pro36, Pro37, Pro38 [Trp(O2)25, Asp28]
Exendin-4(1-39)-(Lys)6-NH2,
H-(Lys)6-des Pro36, Pro37, Pro38 [Trp(O2)25, Asp28]
Exendin-4(1-39)-(Lys)6-NH2,
H-Asn-(Glu)5-des Pro36, Pro37, Pro38 [Trp(O2)25, Asp28]
Exendin-4(1-39)-(Lys)6-NH2,
H-(Lys)6-des Pro36 [Met(O)14, Asp28] Exendin-4(1-39)-Lys6-NH2,
des Met(O)14 Asp28 Pro36, Pro37, Pro38 Exendin-4(1-39)-NH2,
H-(Lys)6-desPro36, Pro37, Pro38 [Met(O)14, Asp28]
Exendin-4(1-39)-NH2,
H-Asn-(Glu)5-des Pro36, Pro37, Pro38 [Met(O)14, Asp28]
Exendin-4(1-39)-NH2,
des Pro36, Pro37, Pro38 [Met(O)14, Asp28]
Exendin-4(1-39)-(Lys)6-NH2,
H-(Lys)6-des Pro36, Pro37, Pro38 [Met(O)14, Asp28]
Exendin-4(1-39)-(Lys)6-NH2,
H-Asn-(Glu)5 des Pro36, Pro37, Pro38 [Met(O)14, Asp28]
Exendin-4(1-39)-(Lys)6-NH2,
H-Lys6-des Pro36 [Met(O)14, Trp(O2)25, Asp28]
Exendin-4(1-39)-Lys6-NH2,
H-des Asp28 Pro36, Pro37, Pro38 [Met(O)14, Trp(02)25]
Exendin-4(1-39)-NH2,
H-(Lys)6-des Pro36, Pro37, Pro38 [Met(O)14, Asp28]
Exendin-4(1-39)-NH2,
H-Asn-(Glu)5-des Pro36, Pro37, Pro38 [Met(O)14, Trp(O2)25, Asp28]
Exendin-4(1-39)-NH2,
des Pro36, Pro37, Pro38 [Met(O)14, Trp(O2)25, Asp28]
Exendin-4(1-39)-(Lys)6-NH2,
H-(Lys)6-des Pro36, Pro37, Pro38 [Met(O)14, Trp(O2)25, Asp28]
Exendin-4(S1-39)-(Lys)6-NH2,
H-Asn-(Glu)5-des Pro36, Pro37, Pro38 [Met(O)14, Trp(O2)25, Asp28]
Exendin-4(1-39)-(Lys)6-NH2;
[0185] or a pharmaceutically acceptable salt or solvate of any one
of the afore-mentioned Exedin-4 derivative.
[0186] Hormones are for example hypophysis hormones or hypothalamus
hormones or regulatory active peptides and their antagonists as
listed in Rote Liste, ed. 2008, Chapter 50, such as Gonadotropine
(Follitropin, Lutropin, Choriongonadotropin, Menotropin),
Somatropine (Somatropin), Desmopressin, Terlipressin, Gonadorelin,
Triptorelin, Leuprorelin, Buserelin, Nafarelin, Goserelin.
[0187] A polysaccharide is for example a glucosaminoglycane, a
hyaluronic acid, a heparin, a low molecular weight heparin or an
ultra low molecular weight heparin or a derivative thereof, or a
sulphated, e.g. a poly-sulphated form of the above-mentioned
polysaccharides, and/or a pharmaceutically acceptable salt thereof.
An example of a pharmaceutically acceptable salt of a
poly-sulphated low molecular weight heparin is enoxaparin
sodium.
[0188] Antibodies are globular plasma proteins (.about.150 kDa)
that are also known as immunoglobulins which share a basic
structure. As they have sugar chains added to amino acid residues,
they are glycoproteins. The basic functional unit of each antibody
is an immunoglobulin (Ig) monomer (containing only one Ig unit);
secreted antibodies can also be dimeric with two Ig units as with
IgA, tetrameric with four Ig units like teleost fish IgM, or
pentameric with five Ig units, like mammalian IgM.
[0189] The Ig monomer is a "Y"-shaped molecule that consists of
four polypeptide chains; two identical heavy chains and two
identical light chains connected by disulfide bonds between
cysteine residues. Each heavy chain is about 440 amino acids long;
each light chain is about 220 amino acids long. Heavy and light
chains each contain intrachain disulfide bonds which stabilize
their folding. Each chain is composed of structural domains called
Ig domains. These domains contain about 70-110 amino acids and are
classified into different categories (for example, variable or V,
and constant or C) according to their size and function. They have
a characteristic immunoglobulin fold in which two .beta. sheets
create a "sandwich" shape, held together by interactions between
conserved cysteines and other charged amino acids.
[0190] There are five types of mammalian Ig heavy chain denoted by
.alpha., .delta., .epsilon., .gamma., and .mu.. The type of heavy
chain present defines the isotype of antibody; these chains are
found in IgA, IgD, IgE, IgG, and IgM antibodies, respectively.
[0191] Distinct heavy chains differ in size and composition;
.alpha. and .gamma. contain approximately 450 amino acids and
.delta. approximately 500 amino acids, while .mu. and .epsilon.
have approximately 550 amino acids. Each heavy chain has two
regions, the constant region (CH) and the variable region (VH). In
one species, the constant region is essentially identical in all
antibodies of the same isotype, but differs in antibodies of
different isotypes. Heavy chains .gamma., .alpha. and .delta. have
a constant region composed of three tandem Ig domains, and a hinge
region for added flexibility; heavy chains .mu. and .epsilon. have
a constant region composed of four immunoglobulin domains. The
variable region of the heavy chain differs in antibodies produced
by different B cells, but is the same for all antibodies produced
by a single B cell or B cell clone. The variable region of each
heavy chain is approximately 110 amino acids long and is composed
of a single Ig domain.
[0192] In mammals, there are two types of immunoglobulin light
chain denoted by .lamda. and .kappa.. A light chain has two
successive domains: one constant domain (CL) and one variable
domain (VL). The approximate length of a light chain is 211 to 217
amino acids. Each antibody contains two light chains that are
always identical; only one type of light chain, .kappa. or .lamda.,
is present per antibody in mammals.
[0193] Although the general structure of all antibodies is very
similar, the unique property of a given antibody is determined by
the variable (V) regions, as detailed above. More specifically,
variable loops, three each the light (VL) and three on the heavy
(VH) chain, are responsible for binding to the antigen, i.e. for
its antigen specificity. These loops are referred to as the
Complementarity Determining Regions (CDRs). Because CDRs from both
VH and VL domains contribute to the antigen-binding site, it is the
combination of the heavy and the light chains, and not either
alone, that determines the final antigen specificity.
[0194] An "antibody fragment" contains at least one antigen binding
fragment as defined above, and exhibits essentially the same
function and specificity as the complete antibody of which the
fragment is derived from. Limited proteolytic digestion with papain
cleaves the Ig prototype into three fragments. Two identical amino
terminal fragments, each containing one entire L chain and about
half an H chain, are the antigen binding fragments (Fab). The third
fragment, similar in size but containing the carboxyl terminal half
of both heavy chains with their interchain disulfide bond, is the
crystalizable fragment (Fc). The Fc contains carbohydrates,
complement-binding, and FcR-binding sites. Limited pepsin digestion
yields a single F(ab')2 fragment containing both Fab pieces and the
hinge region, including the H--H interchain disulfide bond. F(ab')2
is divalent for antigen binding. The disulfide bond of F(ab')2 may
be cleaved in order to obtain Fab'. Moreover, the variable regions
of the heavy and light chains can be fused together to form a
single chain variable fragment (scFv).
[0195] Pharmaceutically acceptable salts are for example acid
addition salts and basic salts. Acid addition salts are e.g. HCl or
HBr salts. Basic salts are e.g. salts having a cation selected from
alkali or alkaline, e.g. Na+, or K+, or Ca2+, or an ammonium ion
N+(R1)(R2)(R3)(R4), wherein R1 to R4 independently of each other
mean: hydrogen, an optionally substituted C1 C6-alkyl group, an
optionally substituted C2-C6-alkenyl group, an optionally
substituted C6-C10-aryl group, or an optionally substituted
C6-C10-heteroaryl group. Further examples of pharmaceutically
acceptable salts are described in "Remington's Pharmaceutical
Sciences" 17. ed. Alfonso R. Gennaro (Ed.), Mark Publishing
Company, Easton, Pa., U.S.A., 1985 and in Encyclopedia of
Pharmaceutical Technology.
[0196] Pharmaceutically acceptable solvates are for example
hydrates.
* * * * *