U.S. patent number RE46,814 [Application Number 14/677,006] was granted by the patent office on 2018-05-01 for medication delivery device.
This patent grant is currently assigned to SANOFI-AVENTIS DEUTSCHLAND GMBH. The grantee listed for this patent is Stephen David Butler, Michael Heald, Mark Philip Horlock, Christopher James Smith. Invention is credited to Stephen David Butler, Michael Heald, Mark Philip Horlock, Christopher James Smith.
United States Patent |
RE46,814 |
Smith , et al. |
May 1, 2018 |
Medication delivery device
Abstract
A medication delivery device is provided which is switchable
between an operational state and a resetting state and which
comprises a housing having a proximal end and a distal end, a
piston rod being moveable in a distal direction with respect to the
housing for medication delivery, a conversion element adapted to at
least partially convert a rotational movement of the piston rod
into an axial movement of the piston rod, coupling means prevented
from rotational movement with respect to the housing and adapted to
engage with the conversion element in the operational state, a
drive assembly comprising at least two drive assembly members and
adapted for moving the piston rod in the distal direction, and a
resilient member adapted to provide a force on the drive assembly
for engagement of the drive assembly members. In the operational
state of the device the coupling means is engaged with the
conversion element, the conversion element thereby being prevented
from rotation with respect to the housing. In the resetting state
of the device the coupling means is disengaged from the conversion
element under force of the resilient member, the conversion element
thereby being allowed to rotate with respect to the housing and
thereby allowing a resetting of the device.
Inventors: |
Smith; Christopher James
(Holmes Chapel, GB), Heald; Michael (Crewe,
GB), Butler; Stephen David (Staffordshire,
GB), Horlock; Mark Philip (Cheshire, GB) |
Applicant: |
Name |
City |
State |
Country |
Type |
Smith; Christopher James
Heald; Michael
Butler; Stephen David
Horlock; Mark Philip |
Holmes Chapel
Crewe
Staffordshire
Cheshire |
N/A
N/A
N/A
N/A |
GB
GB
GB
GB |
|
|
Assignee: |
SANOFI-AVENTIS DEUTSCHLAND GMBH
(Frankfurt am Main, DE)
|
Family
ID: |
62016861 |
Appl.
No.: |
14/677,006 |
Filed: |
April 2, 2015 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
Issue Date |
|
Reissue of: |
13943036 |
Jul 16, 2013 |
8834430 |
Sep 16, 2014 |
|
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61M
5/24 (20130101); A61M 5/31585 (20130101); A61M
5/31555 (20130101); A61M 5/31585 (20130101); A61M
5/315 (20130101); A61M 5/31543 (20130101) |
Current International
Class: |
A61M
5/315 (20060101) |
Field of
Search: |
;604/218 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
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0937471 |
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Aug 1999 |
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EP |
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0937476 |
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Aug 1999 |
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EP |
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1923085 |
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May 2008 |
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EP |
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93/07922 |
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Apr 1993 |
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WO |
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99/38554 |
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Aug 1999 |
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WO |
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99/38554 |
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Aug 1999 |
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WO |
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01/10484 |
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Feb 2001 |
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WO |
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02/30495 |
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Apr 2002 |
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WO |
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2006/084876 |
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Aug 2006 |
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WO |
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2008/074897 |
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Jun 2008 |
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WO |
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Other References
Form PCT/IB326, Notification Concerning Transmittal of
International Preliminary Report on Patentability for Int. App. No.
PCT/EP2011/059565, mailed Dec. 27, 2012. cited by applicant .
International Search Report for Int. App. No. PCT/EP2011/059565,
completed Aug. 31, 2011. cited by applicant.
|
Primary Examiner: Wehner; Cary
Attorney, Agent or Firm: McDonnell Boehnen Hulbert &
Berghoff LLP
Claims
We claim:
1. A medication delivery device being switchable between an
operational state and a resetting state, comprising: a housing
having a proximal end and a distal end, a piston rod being moveable
in a distal direction with respect to the housing for medication
delivery, a conversion element adapted to at least partially
convert a rotational movement of the piston rod into an axial
movement of the piston rod, coupling means prevented from
rotational movement with respect to the housing and adapted to
engage with the conversion element in the operational state, a
drive assembly comprising at least two drive assembly members and
adapted for moving the piston rod in the distal direction, a
resilient member adapted to provide a force on the drive assembly
for engagement of the drive assembly members, wherein in the
operational state of the device the coupling means is engaged with
the conversion element, the conversion element thereby being
prevented from rotation with respect to the housing, and in the
resetting state of the device the coupling means is disengaged from
the conversion element under force of the resilient member, the
conversion element thereby being allowed to rotate with respect to
the housing and thereby allowing a resetting of the device.
2. The medication delivery device according to claim 1, wherein the
conversion element is permanently prevented from axial movement
with respect to the housing, and during switching of the device
between the operational state and the resetting state the coupling
means is axially moved with respect to the housing between a first
axial position according to the operational state of the device and
a second axial position according to the resetting state of the
device.
3. The medication delivery device according to claim 2, comprising
retaining means prevented from axial movement relative to the
housing, the conversion element being restrained by the retaining
means from moving axially and being allowed to revolve with respect
to the housing.
4. The medication delivery device according to claim 2, wherein in
the operational state of the device the coupling means is held in
the first axial position, and during switching of the device
between the operational state and the resetting state the coupling
means is axially moved and brought into the second axial position
under force of the resilient member.
5. The medication delivery device according to claim 1, wherein the
coupling means is permanently prevented from axial movement with
respect to the housing, and during switching of the device between
the operational state and the resetting state the conversion
element is axially moved with respect to the housing between a
first axial position according to the operational state of the
device and a second axial position according to the resetting state
of the device.
6. The medication delivery device according to claim 5, wherein in
the operational state of the device the conversion element is held
in the first axial position, and during switching of the device
between the operational state and the resetting state the
conversion element is moved in distal direction and brought into
the second axial position under force of the resilient member.
7. The medication delivery device according to claim 1, comprising
a medication receptacle adapted to be secured to the housing
wherein in the operational state of the device the medication
receptacle is secured to the housing thereby holding the coupling
means in engagement with the conversion element, and in the
resetting state of the device the medication receptacle is removed
from the housing thereby allowing disengagement of the coupling
means from the conversion element.
8. The medication delivery device according to claim 1, wherein the
conversion element comprises first locking means and the coupling
means comprises second locking means, the first and second locking
means being adapted to interlock with each other.
9. The medication delivery device according to claim 8, wherein the
first and second locking means are formed by at least one of teeth,
splines, protrusions, and castellations.
10. The medication delivery device according to claim 1, wherein
the piston rod is threadedly engaged with the conversion
element.
11. The medication delivery device according to claim 1,
.[.comprising.]. .Iadd.where one of the two drive assembly members
comprises .Iaddend.a rotation member which is adapted to be rotated
in a first direction with respect to the housing during setting of
a dose of a medication and to be rotated in a second direction with
respect to the housing during delivery of the dose, the second
direction being opposite to the first direction.
12. The medication delivery device according to claim .[.1.].
.Iadd.11.Iaddend., .[.comprising.]. .Iadd.where one of the two
drive assembly members comprises .Iaddend.a drive member which is
adapted to be rotated with respect to the housing, wherein
rotational movement of the drive member with respect to the housing
is converted into movement of the piston rod in the distal
direction with respect to the housing.
13. The medication delivery device according to claim .[.11.].
.Iadd.12.Iaddend., wherein in the operational state the drive
member is adapted to follow rotational movement of the rotation
member in the second direction with respect to the housing during
delivery of the dose.
14. The medication delivery device according to claim 13, wherein
the drive member and the rotation member are coupled to one another
by a first uni-directional friction clutch mechanism which is
configured to permit relative rotational movement between the drive
member and the rotation member during rotation of the rotation
member in the first direction for setting of the dose and to
prevent relative rotational movement of drive member and rotation
member during rotation of the rotation member in the second
direction for delivery of the dose.
15. The medication delivery device according to claim 12, wherein
the drive member is engaged with a stop member which is adapted to
prevent rotational movement of the drive member in the first
direction with respect to the housing and to permit rotational
movement of the drive member in the second direction with respect
to the housing.
16. The medication delivery device according to claim 15, wherein
the drive member and the stop member are coupled to one another by
a second uni-directional friction clutch mechanism, which is
configured to prevent relative rotational movement between the
drive member and the stop member in the first direction with
respect to the housing and to permit relative rotational movement
between the drive member and the stop member in the second
direction with respect to the housing.
.Iadd.17. A medication delivery device being switchable between an
operational state and a resetting state, comprising: a housing
having a proximal end and a distal end, a piston rod being moveable
in a distal direction with respect to the housing for medication
delivery, a nut configured to cause an axial movement of the piston
rod when the device is in the operational state, a coupling
prevented from rotational movement with respect to the housing and
configured to engage with the nut in the operational state, a drive
assembly comprising at least two drive assembly members and adapted
for moving the piston rod in the distal direction, a resilient
member configured to provide an axial biasing force on the coupling
in the operational state, wherein in the operational state the
coupling is engaged with the nut, the nut thereby being prevented
from rotation with respect to the housing, and in the resetting
state the coupling is disengaged from the nut under the biasing
force of the resilient member, the nut thereby being allowed to
rotate with respect to the housing and thereby allowing a resetting
of the device..Iaddend.
.Iadd.18. A medication delivery device being switchable between an
operational state and a resetting state, comprising: a housing
having a proximal end and a distal end, a piston rod being moveable
in a distal direction with respect to the housing for medication
delivery, a guide component configured to cause an axial movement
of the piston rod when the device is in the operational state, a
coupling prevented from rotational movement with respect to the
housing and configured to engage with the guide component in the
operational state, a drive assembly comprising at least two drive
assembly members and adapted for moving the piston rod in the
distal direction, a resilient member configured to provide an axial
biasing force on the coupling in the operational state, wherein in
the operational state the coupling is engaged with the guide
component, the guide component thereby being prevented from
rotation with respect to the housing, and in the resetting state
the coupling is disengaged from the guide component under the
biasing force of the resilient member, the guide component thereby
being allowed to rotate with respect to the housing and thereby
allowing a resetting of the device..Iaddend.
Description
CROSS REFERENCE TO RELATED APPLICATIONS
The present application is a continuation of U.S. patent
application Ser. No. 13/701,987, filed Dec. 4, 2012, entitled
"Medication Delivery Device," which is a U.S. National Phase
Application pursuant to 35 U.S.C. .sctn. 371 of International
Application No. PCT/EP2011/059565 filed Jun. 9, 2011, which claims
priority to European Patent Application No. 10165637.9 filed on
Jun. 11, 2010. The entire disclosure contents of these applications
are herewith incorporated by reference into the present
application.
FIELD OF INVENTION
The present invention relates to a medication delivery device for
delivering a dose of a medication, for example to a reusable
pen-type injection device. The device may be configured to dispense
variable doses of the medication where a user can vary the size of
a dose. Alternatively, the device may be a fixed dose device, in
particular a device configured to dispense doses of the drug which
may not be varied by the user. The drug delivery device may be a
manually, in particular a non-electrically driven device.
BACKGROUND
In particular, the present invention may relate to such medication
delivery devices where a user may set a dose of medication to be
delivered from a multi-dose cartridge. Most preferably, the
medication delivery device comprises a single- or multi-dose
medication cartridge which can be replaced when the medication for
example has been fully dispensed or has passed its date of
expiry.
Medication delivery devices of the kind mentioned above have become
widespread where regular injections by persons without formal
medical training occur. This is increasingly common among those
having diabetes where self-treatment enables such persons to
conduct effective management of their diabetes.
As a result of environmental and economical reasons, medication
delivery devices of the type mentioned above have been developed to
allow only a part of the device to be discarded, usually the
medication cartridge only, and the other part to be reused. This
provides the additional requirement for such a medication delivery
device that the resetting of a drive mechanism, when a new
cartridge is attached to or inserted into the medication delivery
device, needs to be easy and unambiguous, thereby reducing the
possibility of damage to the drive assembly.
SUMMARY
It is an object of the present invention to disclose a medication
delivery device comprising a reset mechanism which facilitates a
resetting of the medication delivery device and which nevertheless
is cost-effective.
This object is achieved with the medication delivery device
according to claim 1. Further aspects and variations of the
invention derive from the depending claims.
The medication delivery device is switchable between an operational
state and a resetting state and comprises:
a housing having a proximal end and a distal end,
a piston rod being moveable in a distal direction with respect to
the housing for medication delivery,
a conversion element adapted to at least partially convert a
rotational movement of the piston rod into an axial movement of the
piston rod,
a coupling means prevented from rotational movement with respect to
the housing and adapted to engage with the conversion element in
the operational state,
a drive assembly comprising at least two drive assembly members and
adapted for moving the piston rod in the distal direction,
a resilient member adapted to provide a force on the drive assembly
for engagement of the drive assembly members, wherein
in the operational state of the device the coupling means is
engaged with the conversion element, the conversion element thereby
being prevented from rotation with respect to the housing, and
in the resetting state of the device the coupling means is
disengaged from the conversion element on the force of the
resilient member, the conversion element thereby being allowed to
rotate with respect to the housing and thereby allowing a resetting
of the device.
Such a medication delivery device may have the advantage that the
resilient member fulfils double functionalities.
In a first aspect, the resilient member provides a force on the
drive assembly for engagement of the drive assembly members. This
may enable the drive assembly members to interact with each other
for moving the piston rod in the distal direction during medication
delivery. In a second aspect the resilient member may provide a
force such that the coupling means becomes disengaged from the
conversion element during switching of the device from the
operational state into the resetting state. In the resetting state,
the conversion element may be allowed to freely rotate with respect
to the housing. According to this concept, the medication delivery
device is resettable in the resetting state by moving the piston
rod in the proximal direction into the housing and thereby rotating
the conversion element. This may provide for a smooth and easy
reset action and may aid all users, but particularly those with
impaired dexterity. Furthermore the device may be cost-effective
with the resilient member fulfilling double duties because no
additional component is needed.
The term "housing" shall preferably mean any exterior housing
("main housing", "body", "shell") or interior housing ("insert",
"inner body"). The housing may be designed to enable the safe,
correct, and comfortable handling of the medication delivery device
or any of its mechanism.
The term "conversion element" shall preferably mean any component
designed to guide the piston rod in the operational state during
medication delivery, thereby converting rotational movement of the
piston rod into axial movement of the piston rod, preferably in
distal direction with respect to the housing. For this purpose the
conversion element preferably comprises a shape for interacting
with a corresponding shape of the piston rod. For example, the
conversion element may be a kind of nut element and the piston rod
may be a kind of lead screw. Furthermore, when the conversion
element and therefore the medication delivery device are in the
operational state, the conversion element may be designed to
prevent the resetting of the medication delivery device, i.e. it
directly or indirectly prevents a movement of the piston rod in the
proximal direction. Additionally, when the conversion element and
therefore the medication delivery device are in the resetting
state, the conversion element may be designed to enable the
resetting of the medication delivery device, i.e. it directly or
indirectly allows a movement of the piston rod in the proximal
direction. Hence, the medication delivery device is switchable
between the operational state and the resetting state, the
conversion element assuming the respective state.
The term "drive assembly" shall preferably mean any assembly in
which a first drive assembly member is configured to transfer
force, preferably torque, to a second drive assembly member. The
transferred force may cause the second drive assembly member to be
axially displaced with respect to the housing for dose delivery.
Preferably, the drive assembly may drive a piston rod for delivery
of a medication.
The term "operational state" according to the present invention
shall preferably mean a state of the device, where a dispensing of
medication is enabled. Moreover, it preferably means a position of
the conversion element in which the conversion element prevents the
resetting of the medication delivery device. Preferably, the
operational state is furthermore a position or state of the
conversion element in which the conversion element guides and/or
holds the piston rod. When the medication delivery device is used
for dose-setting and/or medication delivery, the conversion element
and therefore the medication delivery device are preferably in the
operational state.
The term "resetting state" according to the present invention shall
preferably mean a state of the device, where a resetting of the
drive mechanism is enabled. Moreover, it preferably means a
position of the conversion element in which the conversion element
allows the resetting of the medication delivery device. The
conversion element is preferably in the resetting state when the
medication delivery device is disassembled, i.e. the medication
receptacle is disengaged from the housing for replacing an old or
empty cartridge with a new cartridge filled with medication.
The term "resilient member" according to the present invention
shall preferably mean any element that is provided for exerting a
force on a component and/or components to ensure that these
components are forced together, e.g. into engagement, or forced
apart, e.g. out of engagement. For example, the drive assembly
members are forced together by the resilient member in the
operational state of the device. Besides, the coupling means and
the conversion element may be forced apart by the resilient member
in the resetting state of the device. Preferably the resilient
member may be manufactured from any suitable flexible energy
storage material known by a person skilled in the art, e.g. metal,
rubber or plastics, and may take any suitable form, e.g. a
spring.
The term "coupling means" according to the present invention shall
preferably mean any component that is part of the housing, fixed to
the housing, engaged with the housing or engaged with a component
fixed to the housing such that the coupling means is prevented from
rotational movement with respect to the housing.
The term "distal end" according to the present invention shall mean
the end of the device or a component of the device which is closest
to the dispensing end of the device. Preferably a needle assembly
is provided at the distal end of the medication delivery device,
the needle of which can be inserted into the skin of a patient for
medication delivery.
The term "proximal end" according to the present invention shall
mean the end of the device or a component of the device which is
furthest away from the dispensing end of the device. Preferably a
button or other dosing element is provided at the proximal end of
the medication delivery device which may be pushed for dose
delivery.
The term "piston rod" according to the present invention shall mean
a component adapted to operate through/within the housing and
designed to be moveable in axial direction (preferably towards the
distal end) through/within the medication delivery device and to
translate its axial movement preferably to a piston or bung of the
cartridge for the purpose of discharging/dispensing a medication
from the cartridge. Said piston rod may be flexible or not. It may
be a simple rod, a lead-screw, a part of a rack and pinion system,
a part of a worm gear system or the like. The piston rod shall
further mean a component having a circular or a non-circular
cross-section. It may be made of any suitable material known by a
person skilled in the art.
The term "medication", as used herein, preferably means a
pharmaceutical formulation containing at least one pharmaceutically
active compound, 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, a hormone or an oligonucleotide, or a mixture
of the above-mentioned pharmaceutically active compound.
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.
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.
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.
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.
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-(w-carboxyheptadecanoyl) human insulin.
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-
-Val-Arg-Leu-Phe-Ile-Glu-Trp-Leu-Lys-Asn-Gly-Gly-Pro-Ser-Ser-Gly-Ala-Pro-P-
ro-Pro-Ser-NH2.
Exendin-4 derivatives are for example selected from the following
list of compounds:
H-(Lys).sub.4-des Pro36, des Pro37 Exendin-4(1-39)-NH2,
H-(Lys).sub.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),
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).sub.6-des Pro36 [Asp28] Exendin-4(1-39)-Lys6-NH2,
des Asp28 Pro36, Pro37, Pro38Exendin-4(1-39)-NH2,
H-(Lys).sub.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).sub.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(O2)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).sub.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;
or a pharmaceutically acceptable salt or solvate of any one of the
afore-mentioned Exedin-4 derivative.
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.
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.
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.
Pharmaceutically acceptable solvates are for example hydrates.
Turning now again to the design of the medication delivery device,
according to a first embodiment the conversion element is
permanently prevented from axial movement with respect to the
housing, whereby during switching of the device between the
operational state and the resetting state the coupling means is
axially moved with respect to the housing between a first axial
position according to the operational state of the device and a
second axial position according to the resetting state of the
device. Hence, the coupling means can assume two different axial
positions with respect to the housing according to the respective
state of the device.
Preferably the medication delivery device in this first embodiment
comprises retaining means prevented from axial movement relative to
the housing, the conversion element being restrained by the
retaining means from moving axially. However, the conversion
element is allowed to revolve with respect to the housing. The
retaining means can be integrally formed as part of the housing or
as a separate member which is secured against axial movement
relative to the housing. The retaining means may be designed to
surround and border the conversion element such that the conversion
element is indirectly secured against axial movement relative to
the housing. Nevertheless, the retaining means preferably do not
prevent the conversion element from revolving with respect to the
housing.
Preferably, according to this first embodiment, in the operational
state of the device the coupling means is held in the first axial
position. Moreover, during switching of the device between the
operational state and the resetting state, the coupling means is
axially moved, preferably in distal direction, and brought into the
second axial position under force of the resilient member. During
switching of the device from the operational state into the
resetting state, the force of the resilient member urges the
coupling means to disengage from the conversion element. The
conversion element and the whole device may be brought into the
resetting state, the conversion element being allowed to revolve
with respect to the housing.
According to another, second embodiment of the present invention,
the coupling means is permanently prevented from axial movement
with respect to the housing, and during switching of the device
between the operational state and the resetting state the
conversion element is axially moved with respect to the housing
between a first axial position according to an operational state of
the device and a second axial position according to the resetting
state of the device. Contrary to the first embodiment explained
above, in this second embodiment the conversion element is axially
moved during switching of the device between the respective states
while the coupling means is the element which is permanently
prevented from axial movement relative to the housing. The coupling
means can be integrally formed as part of the housing or as
separate member which is secured against axial movement with
respect to the housing.
According to this second embodiment, in the operational state of
the device the conversion element is preferably held in the first
axial position. Moreover, during switching of the device between
the operational state and the resetting state, the conversion
element is axially moved, preferably in distal direction, and
brought into the second axial position under force of the resilient
member. During switching of the device from the operational state
into the resetting state, the force of the resilient member urges
the conversion element to be disengaged from the coupling means.
The conversion element and the whole device may be brought into the
resetting state, the conversion element being free to revolve and
rotate relative to the housing.
Preferably the medication delivery device comprises a medication
receptacle adapted to be secured to the housing. The term
"medication receptacle" in this context shall preferably mean a
cartridge containing a medication or a cartridge assembly, most
preferably a cartridge holder for receiving a cartridge containing
a medication. Preferably, in the operational state of the device,
the medication receptacle is secured to the housing thereby holding
the coupling means in engagement with the conversion element. In
the resetting state of the device the medication receptacle may be
removed from the housing thereby allowing disengagement of the
coupling means from the conversion element. Preferably, the device
is in the operational state when the medication receptacle is
secured to the housing and in the resetting state when the
medication receptacle is removed from the housing. Switching of the
whole device between the two states is achieved by securing or
removing the medication receptacle to or from the housing. In
particular, on securing a medication receptacle to the device, the
device may be switched from the resetting state to the operational
state and by removing the medication receptacle from the device,
the device may be switched from the operational state to the
resetting state.
Furthermore, when the medication receptacle is secured to the
housing, the resilient member preferably becomes strained, thereby
providing a force on the drive assembly for engagement of the drive
assembly members. When the medication receptacle is disengaged from
the housing, the resilient member preferably becomes unstrained,
the drive assembly members of the drive assembly being allowed and
enabled to be disengaged from each other.
The medication receptacle preferably is a cartridge holder which is
provided for receiving a cartridge filled with medication. The
cartridge holder may be designed to be engaged with a distal end of
the housing of the device. Alternatively, the medication receptacle
can be a cartridge having first engagement means for engaging
second engagement means of the housing of the device. A cartridge
filled with medication is preferably a tubular sleeve containing
the medication and may be closed by a piston or bung at one end and
by a pierceable septum at the other end. When the piston or bung is
moved distally in the cartridge, the medication is dispensed, e.g.
through a needle which pierces the septum and which is in
communication with the medication.
Preferably the conversion element comprises first locking means and
the coupling means comprises second locking means, the first and
second locking means being adapted to interlock with each other.
Preferably, the first and second locking means are formed by at
least one of teeth, splines, protrusions, and castellations. In the
operational state, the first and second locking means may interlock
with each other when the coupling means and the conversion element
are engaged. In the resetting state, the first and second locking
means may be disengaged when the coupling means and the conversion
element are disengaged. By interlocking of the first and second
locking means in the operational state a rotational movement of the
first and second locking means relative to each other is inhibited.
Preferably the first and second locking means are formed such that
one locking means engages in a respective negative shape of the
other locking means such that the teeth, splines, protrusions and
castellations of one locking means locks the other locking means in
order to prevent rotational movement with respect to the
housing.
Preferably the piston rod is threadedly engaged with the conversion
element. The conversion element thereby preferably comprises an
inner thread for engaging an outer thread of the piston rod.
Optionally, the conversion element comprises a circular or
non-circular opening for holding the piston rod with a
corresponding circular or non-circular form or a piston rod with a
section having the corresponding circular or non-circular form.
Accordingly, the conversion element may act, as described above, as
"nut means" or a "body nut" for guiding the piston rod and for
converting a rotational movement of the piston rod into an axial
movement of the piston rod, preferably in distal direction with
respect to the housing during the operational state. In the
resetting state as mentioned above, the conversion element is free
to rotate with respect to the housing, the piston rod being allowed
to be moved in the proximal direction into the housing. Thereby,
the conversion element, the piston rod and in particular the
threaded engagement of the conversion element and the piston rod
may be designed such that a proximal movement of the piston rod
results in rotational movement of the free-to-rotate conversion
element. The thread pitch of the thread of the piston rod
preferably is adapted such that the threaded engagement of the
conversion element and the piston rod does not inhibit the
conversion of proximal movement of the piston rod into rotational
movement of the conversion element. Thus, the threaded engagement
of the conversion element and the piston rod acts as a
non-self-locking engagement at least in the resetting state of the
device.
Preferably the medication delivery device comprises a drive member
which is a first drive assembly member of the drive assembly and
which is adapted to be rotated with respect to the housing, wherein
rotational movement of the drive member with respect to the housing
is converted into movement of the piston rod in the distal
direction with respect to the housing. Preferably, the drive member
is at least in the operational state engaged with the piston rod
such that rotational movement of the drive member results in a
rotational movement of the piston rod, whereby the conversion
element, being engaged with the piston rod, urges the piston rod
into a helical movement such that a rotational movement of the
piston rod is at least partially converted into movement of the
piston rod in the distal direction with respect to the housing.
However, in the resetting state the piston rod can be axially moved
in proximal direction into the housing, the conversion element
thereby freely rotating.
If during proximal movement the piston rod does not rotate with
respect to the housing, movement of the piston rod may be not
converted into rotational movement of the drive member such that
the drive member does not rotate. But if during proximal movement
the piston rod does rotate with respect to the housing, movement of
the piston rod may be converted into rotational movement of the
drive member as the drive member is held in engagement with the
piston rod. Thus, in the case that the piston rod rotates during
resetting, the drive member may have to be separated and disengaged
from other drive assembly members, for example via a separation
mechanism of the drive assembly, in order that the drive member can
follow rotational movement of the piston rod without being
inhibited in rotational movement by other drive assembly
members.
Preferably the medication delivery device comprises a rotation
member which is a second drive assembly member of the drive
assembly and which is adapted to be rotated in a first direction
with respect to the housing during setting of a dose of a
medication and to be rotated in a second direction with respect to
the housing during delivery of the dose, the second direction being
opposite to the first direction. Preferably in the operational
state the drive member is adapted to follow rotational movement of
the rotation member in the second direction with respect to the
housing during delivery of the dose. It is preferred, that the
drive member and the rotation member are engaged or held in
abutment by the force provided by the resilient member during
setting and delivery of the dose in the operational state.
Preferably, during setting of a dose in the operational state, the
rotation member is rotated in the first direction, whereby
rotational movement of the drive member can be avoided.
During delivery of the dose in the operational state a rotational
movement of the rotation member in the second direction may be
transmitted into rotational movement of the drive member in the
second direction. That may cause the piston rod to start the
helical movement of the kind mentioned above, whereby the piston
rod traverses the housing of the device in distal direction and
pushes a piston or bung of the cartridge in distal direction
thereby expelling a predetermined amount, i.e. a dose, of the
medication out of a needle at the distal end of the device.
Preferably the drive member and the rotation member are coupled to
one another by a first uni-directional friction clutch mechanism
which is configured to permit rotational movement between the drive
member and the rotation member during rotation of the rotation
member in the first direction for setting of the dose and to
prevent relative rotational movement of drive member and rotation
member during rotational movement of the rotation member in the
second direction for delivery of the dose.
Preferably the drive assembly is designed such that the drive
member is engaged with a stop member which is as a third drive
assembly member of the drive assembly and which is adapted to
prevent rotational movement of the drive member in the first
direction with respect to the housing and to permit rotational
movement of the drive member in the second direction with respect
to the housing. That means, during setting of the dose of
medication and rotating the rotation member in the first direction,
the drive member is prevented from rotational movement which
results in preventing a helical movement of the piston rod in
proximal direction and thus prevents inaccuracy of a preset dose.
However, during delivery of the dose rotational movement of the
rotation member is transmitted into rotational movement of the
drive member such that the piston rod is moved in distal direction
for expelling a medication out of the device.
Preferably the drive member and the stop member are coupled to one
another by a second uni-directional friction clutch mechanism,
which is configured to prevent relative rotational movement between
the drive member and the stop member in the first direction with
respect to the housing and to permit relative rotational movement
between the drive member and the stop member in the second
direction with respect to the housing.
Further features, refinements and expediencies become apparent from
the following description of the exemplary embodiments in
connection with the figures.
BRIEF DESCRIPTION OF THE FIGURES
FIG. 1 schematically shows a partly sectional side view of an
exemplary embodiment of a medication delivery device.
FIG. 2 schematically shows a perspective sectional view of a part
of a drive assembly with schematically indicated movements of
elements thereof during setting of a dose.
FIG. 3 schematically shows a more detailed side view of a part of
FIG. 2.
FIG. 4 schematically shows a perspective sectional view of a first
embodiment of the reset mechanism in exploded view of the
components.
FIG. 5 schematically shows a more detailed perspective sectional
view of a part of FIG. 4.
FIG. 6 shows a sectional view of the embodiment according to FIG. 4
in the operational state.
FIG. 7 schematically shows a perspective sectional view of the
embodiment according to FIG. 4 in the resetting state.
FIG. 8 schematically shows a perspective sectional view of a second
embodiment of the reset mechanism in exploded view of the
components.
FIG. 9 schematically shows a more detailed perspective sectional
view of a part of FIG. 8.
FIG. 10 shows a sectional view of the embodiment according to FIG.
8 in the operational state.
FIG. 11 schematically shows a perspective sectional view of the
embodiment according to FIG. 8 in the resetting state.
FIG. 12 schematically shows a more detailed perspective sectional
view of a part of FIG. 11.
DETAILED DESCRIPTION
Turning now to FIG. 1, a medication delivery device 1 comprises a
medication receptacle 2 and a drive assembly 3. The medication
receptacle 2 comprises a cartridge 4. Medication 5 is retained in
the cartridge 4. The medication 5 is preferably liquid medication.
The cartridge 4 preferably comprises a plurality of doses of the
medication 5. The medication 5 may comprise for example insulin,
heparin, growth hormones or any other composition of the type named
above. The cartridge 4 has an outlet 6 at its distal end.
Medication 5 can be dispensed from the cartridge through outlet 6.
The device 1 may be a pen-type device, in particular a pen-type
injector. The device 1 may be a disposable or a reusable device.
The device 1 may be a device configured to dispense fixed doses of
the medication or variable, preferably user-settable, doses. The
device 1 may be a needle-based or a needle free device. The device
1 may be an injection device.
In FIG. 1, the distal end of the device 1 was assigned reference
numeral 7 and the proximal end of the device was assigned reference
numeral 8.
The outlet 6 may be covered by a membrane 9, which protects
medication 5 against external influences during storage of the
cartridge. For medication delivery, membrane 9 may be opened, e.g.
pierced. For example, membrane 9 may be pierced by a needle unit
(not explicitly shown). The needle unit may be (releasably)
attached to the distal end of the medication receptacle 2. The
needle unit may provide for fluid communication from the inside of
the cartridge 4 to the outside of the cartridge through outlet
6.
A piston 10 is retained within the cartridge 4. The piston 10 is
movable with respect to the cartridge. The piston 10 may seal the
medication 5 within the cartridge. The piston 10 expediently seals
the interior of the cartridge 4 proximally. Movement of the piston
10 with respect to the cartridge 4 in the distal direction causes
medication 5 to be dispensed from the cartridge through outlet 6
during operation of the device.
The medication receptacle 2 furthermore comprises a cartridge
retaining member 11. The cartridge 4 is retained within the
cartridge retaining member 11. The cartridge retaining member 11
may stabilize the cartridge 4 mechanically. Additionally or
alternatively, the cartridge retaining member 11 may be provided
with a fixing member (not explicitly shown) for attaching the
medication receptacle 2 to the drive assembly 3.
The medication receptacle 2 and the drive assembly 3 are secured to
one another, preferably releasably secured. A medication receptacle
2 which is releasably secured to the drive assembly may be detached
from the drive assembly 3, for example in order to allow for
providing for a new cartridge 4, if all of the doses of medication
which once were in the cartridge formerly attached to the drive
assembly 3 have already been dispensed. The cartridge retaining
member 11 may be releasably secured to the drive assembly 3 via a
thread, for example.
Alternatively, the cartridge retaining member 11 may be dispensed
with. It is particularly expedient, in this case, to apply a robust
cartridge 4 and to attach the cartridge directly to the drive
assembly 3.
The drive assembly 3 is configured for transferring force,
preferably user-exerted force, particularly preferably manually
exerted force, to the piston 10 for displacing the piston 10 with
respect to the cartridge 4 in the distal direction. A dose of
medication may be dispensed from the cartridge in this way. The
size of the delivered dose may be determined by the distance by
which the piston 10 is displaced with respect to the cartridge 4 in
the distal direction.
Furthermore, the drive assembly comprises a piston rod 12. The
piston rod 12 may be configured for transferring force to the
piston 10, thereby displacing the piston 10 in the distal direction
with respect to the cartridge 4. A distal end face of the piston
rod 12 may be arranged to abut a proximal end face of the piston
10. A bearing member (not explicitly shown) may be arranged to
advance the piston 10, preferably to abut the proximal end face of
the piston 10. The bearing member may be arranged between piston 10
and piston rod 12. The bearing member may be fixed to the piston
rod 12 or a separate member. If the piston rod 12 is configured to
be rotated during operation of the device, for example during dose
delivery, it is particularly expedient to provide for a bearing
member. The bearing member may be displaced together with the
(rotating) piston rod 12 with respect to the housing. The piston
rod 12 may be rotatable with respect to the bearing member. In this
way, the risk that the rotating piston rod 12 drills into the
piston and thereby damages the piston is reduced. Accordingly,
while the piston rod 12 rotates and is displaced with respect to
the housing, the bearing member is preferably only displaced, i.e.
does not rotate. The piston rod 12 may be bounded by the bearing
member.
The drive assembly 3 comprises a housing 13 which the piston rod 12
may be retained in. A proximal end side 14 of the medication
receptacle 2 may be secured to the drive assembly 3 at a distal end
side 15 of the housing 13, for example via a threaded connection.
Housing 13, cartridge 4 and/or cartridge retaining member 11 may
have a tubular shape.
The drive assembly 3 comprises a dose part 16. The dose part 16 is
movable with respect to the housing 13. The dose part 16 may be
movable in the proximal direction with respect to the housing for
setting of a dose of the medication 5 which is to be delivered and
in the distal direction with respect to the housing for delivery of
the set dose. The dose part 16 is preferably connected to the
housing 13. The dose part 16 may be secured against rotational
movement with respect to the housing. The dose part 16 may be moved
(displaced) between a proximal end position and a distal end
position with respect to the housing 13 (not explicitly shown). The
distance by which the dose part is displaced with respect to the
housing during setting of the dose may determine a size of the
dose. The proximal end position and the distal end position may be
determined by a respective stop feature which may limit the
proximal or distal travel of the dose member with respect to the
housing. The device 1 may be a variable dose device, i.e. a device
configured for delivering doses of medication of different,
preferably user-settable, sizes. Alternatively, the device may be a
fixed dose device.
The device 1 may be a manually, in particular non-electrically,
driven device. The (user-applied) force which causes the dose part
16 to be moved with respect to the housing 13 in the distal
direction may be transferred to the piston rod 12 by the drive
assembly 3. For this purpose, drive assembly members may be
provided which are not explicitly shown in FIG. 1. The drive
assembly 3 is preferably configured to not move the piston rod 12
with respect to the housing 13 when the dose part is moved in the
proximal direction with respect to the housing for setting of the
dose.
An embodiment of a drive assembly 3 which is suitable for being
implemented in the medication delivery device 1 as described above
is described in connection with FIGS. 2 and 3.
The drive assembly 3 comprises a housing part 17. The housing part
17 has a proximal end 18 and a distal end 19. The housing part 17
may be (outer) housing 13 of FIG. 1, a part thereof or an insert
within housing 13, the insert being preferably secured against
rotational and axial movement with respect to housing 13. The
housing part 17 may be an insert sleeve, for example. The insert
sleeve may be snap-fitted or glued to housing 13, for example. The
housing part 17 may have a tubular shape. Housing part 17 may
comprise outer fixing elements (not shown), for example snap-fit
elements, for fixing housing part 17 to housing 13.
The piston rod 12 is retained in the housing 13, preferably within
housing part 17. The piston rod 12 is driven in the distal
direction with respect to the housing part 17 during dose
delivery.
The drive assembly furthermore comprises a drive member 20 which is
a first drive assembly member of the drive assembly 3. Drive member
20 is retained within the housing part 17. Drive member 20 is
configured to transfer force, preferably torque, to the piston rod
12. The transferred force may cause the piston rod 12 to be
displaced in the distal direction with respect to the housing part
17 for dose delivery.
Drive member 20 is rotatable with respect to housing part 17. The
drive member 20 may engage the piston rod 12. Rotational movement
of the drive member 20, for example rotational movement in a second
direction may be converted into distal movement of the piston rod
12 with respect to the housing part 17. This is explained in more
detail below.
The drive assembly furthermore comprises a rotation member 21 which
is a second drive assembly member of the drive assembly 3. The
rotation member 21 is rotatable with respect to the housing part 17
in a first direction, in particular for setting of a dose of the
medication, and in a second direction, in particular for delivering
the set dose. The second direction is opposite to the first
direction. According to FIGS. 2 and 3, the first direction may be
counter-clockwise and the second direction may be clockwise as seen
from the proximal end of the device, for example.
Drive member 20, rotation member 21 and/or piston rod 12 are
preferably configured to be rotatable about a (common) rotation
axis. The rotation axis may extend through drive member 20,
rotation member 21 and/or piston rod 12. The rotation axis may be
the main longitudinal axis of the piston rod 12. The rotation axis
may run between the proximal end and the distal end of the housing
part 17.
The rotation member 21 is coupled to the drive member 20 by a
uni-directional clutch mechanism, in particular a friction clutch
mechanism. This clutch mechanism permits rotational movement of the
rotation member 21 with respect to the drive member 20 when the
rotation member 21 rotates in the first direction with respect to
the housing part 17. The clutch mechanism prevents rotational
movement of the rotation member 21 with respect to the drive member
20, when the rotation member 21 rotates in the second direction
with respect to the housing part 17. The drive member 20 may thus
follow rotational movement of the rotation member 21 in the second
direction with respect to the housing part 17.
The drive member 20 is arranged to abut and/or engage the rotation
member 21 and, in particular, engages rotation member 21. The drive
member 20 comprises a toothing 22 at one end, e.g. its proximal
end. The rotation member 21 comprises a toothing 23 at one end
which end faces the drive member 20, e.g. its distal end. Toothing
22 comprises a plurality of teeth 24. Toothing 23 comprises a
plurality of teeth 25. Teeth 24 and/or 25 may extend along the
rotation axis. Toothings 22 and 23 may be configured to mate with
one another.
The teeth 24 may be circumferentially disposed on the drive member
20, particularly at the end of the drive member 20 which faces the
rotation member 21. The teeth 25 may be circumferentially disposed
on the rotation member 21, particularly at the end of the rotation
member 21 which faces the drive member 20.
When the steep end faces of two teeth abut and the rotation member
21 is rotated further on in the second direction, the steep sides
stay in abutment and drive member 20 follows the rotation of
rotation member 21. When the rotation member 21 rotates in the
first direction, the ramp of the teeth--which ramps, in particular,
run obliquely with respect to the rotation axis--slide along each
other and, inconsequence, the rotation member 21 may rotate with
respect to the drive member 20.
The drive assembly 3 furthermore comprises a stop member 26 which
is a third drive assembly member of the drive assembly 3. The drive
member 20 may be arranged between the stop member 26 and the
rotation member 21. The stop member 26 is configured for preventing
rotational movement of the drive member 20 in the first direction
with respect to the housing part 17 during setting of a dose, i.e.
when the rotation member 21 rotates in the first direction. Thus,
the rotation member 21 may rotate in the first direction with
respect to the housing part 17, whereas the drive member 20 and the
stop member 26 do not rotate.
The stop member 26 is coupled to the drive member 20 by another
uni-directional clutch mechanism, in particular a friction clutch
mechanism. This clutch mechanism prevents rotational movement of
the drive member 20 with respect to the stop member 26 when the
rotation member 21 rotates in the first direction with respect to
the housing part 17. The clutch mechanism permits rotational
movement of the drive member 20 with respect to the stop member 26,
when the rotation member 21 rotates in the second direction with
respect to the housing part 17.
Thus, the rotation member 21 may rotate with respect to the drive
member 20 and the stop member 26 in the first direction during
setting of the dose, with rotation of the drive member 20 being
prevented by its interaction with the stop member 26, and rotation
member 21 as well as drive member 20 may rotate with respect to the
stop member 26 in the second direction during delivery of the
dose.
The stop member 26 may be arranged to abut and/or engage the drive
member 20 during setting of the dose and, preferably, during
delivery of the dose. The stop member 26 has a toothing 27 at one
end which faces the drive member 20, e.g. its proximal end. The
teeth may be ramp-shaped with a steep side and a less steep ramp.
The teeth may be azimuthally disposed along the stop member 26, in
particular on the perimeter of the stop member 26.
Drive member 20 has a toothing 28 at one end which faces the stop
member 26, e.g. its distal end. Toothings 22 and 28 of the drive
member 20 are oppositely disposed. Toothing 28 may be configured in
accordance with toothing 23 of the rotation member 21. Toothing 22
may be configured in accordance with toothing 27 of the stop member
26. Toothings 27 and 28, in particular the steep sides of the
teeth, do cooperate, e.g. abut, for preventing rotation of the
drive member 20 with respect to the housing part 17 and, in
particular, with respect to the stop member 26 in the first
direction.
Stop member 26 is preferably secured against rotational movement
with respect to the housing part 17. Stop member 26 may be fixed to
the housing or integrated into the housing. Stop member 26 may be
fixed against displacement with respect to the housing part 17 or
displacement with respect to the housing part 17 may be
allowed.
As it is illustrated in the present embodiment, stop member 26 is
displaceable with respect to the housing but non-rotatable with
respect to the housing part 17. For that purpose, one or a
plurality of, preferably oppositely disposed, guide features, for
example guide lugs 29, are provided in the stop member 26. The
respective guide feature 29 engages a corresponding guide slot 30
which may be provided in the housing, e.g. in housing part 17. This
can be seen in FIGS. 2 and 3. A guide feature 29 cooperates with a
guide slot 30 to prevent rotational movement of the stop member 26
with respect to the housing part 17, with axial movement of the
stop member 26 with respect to the housing being allowed. The axial
movement of the stop member 26 may compensate for play between
components of the drive assembly 3 during operation.
From the group comprising drive member 20, stop member 26 and
rotation member 21 one or more members, preferably two members or
three members, may be axially displaceable (double arrow 45 in
FIGS. 2 and 3) with respect to the housing part 17 and, preferably,
with respect to the piston rod 12. Therein, the drive member 20 and
another one of the recited members 21 or 26 may be axially
displaceable with respect to the housing. The remaining member may
be secured against axial displacement or may also be axially
displaceable during operation of the drive assembly 3 for
medication delivery. Accordingly, if the drive member 20 and the
stop member 26 are axially displaceable, the rotation member 21 may
be axially secured or axially displaceable and so on. Play between
the components caused by relative (axial) movement of components of
the clutch mechanism with respect to the housing can be compensated
for in this way. The distance by which the respective components
may be axially displaced with respect to the housing may correspond
to the (maximum) depth of a tooth of the respective toothing 22 or
28 of the drive member 20. Alternatively, the distance may be
greater than the (maximum) depth of a tooth of the respective
toothing.
Furthermore, the drive assembly 3 comprises a resilient member 31,
preferably a spring member. The resilient member 31 may be biased
during medication delivery operation of the drive assembly 3. The
resilient member 31 may provide for a force that tends to keep
drive assembly members in engagement, i.e. the drive member 20 in
engagement with the stop member 26 and/or the rotation member 21.
The force may be exerted along the rotation axis. In the situation
shown in FIGS. 2 and 3, this force may be exerted in the proximal
direction. The resilient member 31 may be a helical (coil) spring.
The resilient member 31 may be a compression spring.
The resilient member 31 may keep the drive member 20 and the stop
member 26 in (permanent) mechanical contact, e.g. in abutment, with
each other during setting and delivery of a dose of the medication.
Alternatively or additionally, the resilient member 31 may keep the
drive member 20 and the rotation member 21 in (permanent)
mechanical contact, preferably abutment, with each other during
setting and delivery of a dose of the medication.
The resilient member 31 may be integrated within stop member 26 or
a separate component. The resilient member 31 may be arranged on
the distal end side of the stop member 26.
The drive assembly 3 furthermore comprises a support member 32.
Support member 32 is expediently fixed against axial and rotational
movement with respect to the housing part 17 or integrated into
housing part 17. Support member 32 is arranged on that side of the
drive member 20 which is remote from the stop member 26. Support
member 32 may be a protrusion, for example a ring-like protrusion.
Rotation member 21 may extend through an opening in support member
32. The support member 32 may provide for a counter force to the
force which is exerted by the resilient member 31. Permanent
abutment of the rotation member 21 with the drive member 20 and of
the drive member 20 with the stop member 26 during setting and
delivery of medication is facilitated in this way.
The rotation member 21 has an (radially) outwardly protruding
member 33, for example a flange portion. The protruding member 33
is expediently provided for abutting support member 32, in
particular the distal end side of support member 32.
The drive assembly 3 furthermore comprises a dose member 34. Dose
member 34 may be dose part 16 or may be a part of the dose part 16
of FIG. 1. Dose member 34 is movable with respect to the housing in
the proximal direction (arrow 43) for setting of a dose and for
delivery of the dose. For example, the dose member 34 may be moved
in the proximal direction with respect to the housing part 17
during dose setting and in the distal direction with respect to the
housing part 17 during dose delivery. The dose member 34 may engage
the housing part 17 or, alternatively, another part of housing 13
(not explicitly shown). Dose member 34 is preferably secured
against rotational movement with respect to the housing part 17.
The dose member 34 may comprise a guide feature 35, for example a
guide lug or a guide slot, that engages another guide feature, for
example a guide slot or a guide lug, respectively, that is provided
in the housing part 17 or the housing 13.
Dose member 34 may be moved in the proximal direction and in the
distal direction with respect to rotation member 21. Dose member 34
is arranged to be coupleable and is preferably (permanently)
coupled to rotation member 21 such that movement of the dose
member, e.g. in the proximal direction with respect to the housing
part 17, for setting a dose of the medication is converted into
rotational movement of the rotation member 21 in the first
direction (arrow 44) and movement of the dose member, e.g. in the
distal direction with respect to the housing part 17, for
delivering the dose is converted into rotational movement of the
rotation member 21 in the second direction opposite to the first
direction.
The rotation member 21 may be provided with an (outer) thread 36.
Thread 36 may be engaged with one of or a plurality of engagement
members 49 of dose member 34. The respective engagement member may
be arranged on the inside of the dose member. The respective
engagement member may be a thread or a part of a thread, for
example. Thus, dose member 34 and rotation member 21 may be
threadedly coupled, in particularly threadedly engaged. The
rotation member 21 may be arranged inside the dose member 34.
The drive member 20 and the piston rod 12 are configured for
rotational movement of the drive member 20 with respect to the
housing being converted into rotational movement of the piston rod
12 with respect to the housing. The drive member 20 may engage the
piston rod 12. The piston rod 12 is displaceable with respect to
the drive member 20 along a displacement axis. Presently, the
displacement axis runs along the rotation axis. The drive member 20
may be splined to the piston rod 12, for example.
The piston rod 12 may be threadedly coupled to the housing 13. The
piston rod 12 may be provided with an outer thread, for example.
The piston rod 12 comprises an engagement track 37, preferably two
oppositely disposed engagement tracks 37, on the outside. The
(respective) engagement track 37 may interrupt the outer thread of
the piston rod 12. The (respective) engagement track 37 preferably
extends along the axis along which the piston rod 12 is
displaceable with respect to the housing 13 and, in particular,
with respect to the drive member 20.
Rotational movement of the drive member 20 with respect to the
housing may thus be converted into rotational movement of the
piston rod 12 with respect to the housing and the rotational
movement of the piston rod 12 is, on account of the threaded
engagement of the piston rod 12 and the housing (part), converted
into movement of the piston rod 12 with respect to the housing in
the distal direction.
The dose part 16 (cf. FIG. 1) may comprise a dose button 48. Dose
button 48 may be configured to be gripped by a user. Dose button 48
may be arranged and connected to the dose member 34 at the proximal
end. Dose button 48 and dose member 34 may be unitary.
Turning now to FIG. 4, a first embodiment of a resettable drive
assembly of the medication delivery device 1 is shown. For setting
and dispensing a dose of a medication, the resettable drive
assembly comprises the same functional and structural features as
described in FIGS. 2 and 3. In FIG. 4, further features of the
drive assembly are shown which allow a resetting of the drive
assembly. Essential components are depicted in exploded view. FIG.
4 shows a part of the housing 13 with the stop member 26 and its
respective toothing 27. As described in FIGS. 2 and 3, the stop
member 26 interacts with the drive member 20 for driving the piston
rod 12. In FIG. 4 only the stop member 26 is depicted. Furthermore,
the resilient member 31 is depicted in FIG. 4, providing a force
for engagement and abutment of stop member 26 with the respective
drive member 20 and rotation member 21 (see FIGS. 2 and 3).
Besides the function of holding the stop member 26 in engagement
with the drive member 20, the resilient member 31 also has the
function for providing a force for disengagement of parts of the
drive assembly, i.e. a conversion element 38 and coupling means 39,
such that a resetting is enabled. The conversion element 38 and
coupling means 39 are arranged at a distal end of the housing 13.
The resilient member 31 is located such that it may engage with the
coupling means 39 on the distal side of resilient member 31 and may
engage with the stop member 26 on the proximal side of resilient
member 31.
The conversion element 38 can be surrounded and bordered by
retaining means 40 which are integrally formed as part of the
housing 13 according to the embodiment of FIG. 4. The retaining
means 40 prevent the conversion element 38 from axial movement but
permit the conversion element 38 to rotate with respect to the
housing 13. The conversion element 38 comprises an inner thread for
threaded engagement with an outer thread of the piston rod 12. Thus
the conversion element 38 acts as "nut means" or "body nut" that
guides and holds the piston rod 12. In the operational state of the
device 1 when dispensing a dose, rotational movement of the piston
rod 12 is thereby converted by the conversion element 38 into
helical movement such that the piston rod 12 is axially moved in
distal direction through the housing 13.
Preferably, the coupling means 39 is prevented from rotational
movement with respect to the housing 13. This can be effected by
engagement of the coupling means 39 with at least a part of the
housing 13 or a part integrally formed on the inner diameter of the
housing 13 or a component fixed to the housing 13, e.g. a spline,
protrusion or a connecting element for connecting the retaining
means 40 to the housing 13. The coupling means 39 may engage with
the at least one connecting element such that rotational movement
of the coupling means 39 is inhibited. In the operational state of
the device 1 the conversion element 38 interacts with the coupling
means 39 such that the conversion element 38 is prevented from
rotational movement with respect to the housing via the coupling
means 39. For this purpose, the conversion element 38 comprises a
first locking means 41 and the coupling means 39 comprises a second
locking means 42.
FIG. 5 shows a detailed view of the whole resettable drive assembly
comprising the conversion element 38, coupling means 39 and the
retaining means 40 arranged within the housing 13. The first and
second locking means 41 and 42, according to this embodiment, are
designed as teeth. In particular, the teeth of the first locking
means 41 are circumferentially arranged at an outer diameter of the
conversion element 38. The teeth of the second locking means 42 on
the coupling means 39 are arranged at an inner diameter of the
coupling means 39 such that they act as a negative form for
interlocking with the teeth of the first locking means 41 of the
conversion element 38.
According to the embodiment of FIGS. 4 and 5 the conversion element
38 interacts with the retaining means 40 such that the conversion
element 38 is permanently secured against axial movement with
respect to the housing. The coupling means 39 is designed such that
it is axially moveable with respect to the housing and can be
brought in a first position according to the operational state,
thereby interlocking with the conversion element 38 and can be
brought in a second position according to the resetting state
thereby being disengaged from the conversion element 38. The
resilient member 31 provides a respective force for disengaging the
coupling means 39 from the conversion element 38 during switching
the device 1 from the operational state into the resetting
state.
FIG. 6 shows a sectional side view of the components according to
FIGS. 4 and 5 which are assembled together. In particular, FIG. 6
shows the operational state of the device 1, wherein the coupling
means 39 is located and held in the first position, i.e. in
abutment with the conversion element 38, thereby interlocking with
the conversion element 38 and preventing it from rotational
movement with respect to the housing. The coupling means 39 is
preferably held in this position by a proximal end side of a
medication receptacle (not shown) which is inserted in and engaged
with the distal end side of the housing 13, the proximal end side
of the medication receptacle directly or indirectly urging the
coupling means 39 to be held in this position against the force of
the resilient member 31. Due to the engagement of the coupling
means 39 with the conversion element 38, the conversion element 38
is prevented from rotational movement with respect to the housing
13. Furthermore, the piston rod 12 is threadedly engaged with the
conversion element 38 such that a rotational movement of the piston
rod becomes transmitted into helical and thus axial movement of the
piston rod 12. Due to this distal movement a piston or bung or
plunger of a cartridge of the medication receptacle (not shown) can
be pushed in distal direction for expelling medication out of the
cartridge.
FIG. 6 shows the arrangement of the resilient member 31 between the
conversion element 38 and the coupling means 39 being engaged to
each other on the one side and the stop member 26 on the other
side. Due to this arrangement, the resilient member 31 is enabled
to fulfil double duties. Firstly, the resilient member 31 provides
a force for engagement of the stop member 26 with the drive
assembly members as explained above. Secondly, the resilient member
31, as it is strained in the operational state, provides a force on
the coupling means that urges the coupling means 39 to be separated
and disengaged from the conversion element 38 during switching of
the device from the operational state as depicted in FIG. 6 into
the resetting state as explained below.
This resetting state is shown in FIG. 7. A switching from the
operational state into the resetting state was initiated by
removing the medication receptacle from the housing 13. The
resilient member 31 urges the coupling means 39 to move axially
away from the conversion element 38, i.e. the coupling means 39 is
brought from the first position into a second position. Hence, the
device has been switched from the operational state depicted in
FIG. 6 into the resetting state depicted in FIG. 7. The traverse
path of the coupling means 39 is depicted by respective arrows 46
marking the distance between the first position of the coupling
means 39 according to FIG. 6 and the second position of the
coupling means 39 according to FIG. 7.
Thus, in the resetting state of FIG. 7, the coupling means 39 is
disengaged from the conversion element 38 thereby allowing the
conversion element 38 to freely rotate with respect to the housing
13. From this it follows that the piston rod 12 can be moved in
proximal direction back into the housing 13. According to FIG. 7,
the piston rod is in a position after expelling the last dose of
medication and can be moved in proximal direction back into the
housing 13. The movement of the piston rod 12 is indicated by the
arrow 45 pointing towards the distal end of the piston rod 12.
Movement of the piston rod 12 in proximal direction can e.g. be
effected by a force which is exerted by a hand of a user or a new
cartridge being secured to the housing 13.
The movement of the piston rod 12 results in rotational movement of
the conversion element 38 which is free to rotate as described
above. Preferably, the thread pitch of the piston rod 12 is to be
adapted such that the threaded engagement of the piston rod 12 and
the conversion element 38 does not inhibit rotational movement of
the conversion element 38 during the resetting of the piston rod 12
back into the housing 13.
In FIG. 8 another embodiment of a device 1 with a respective
resettable drive assembly 3 is depicted in exploded view of the
corresponding components. FIG. 8 shows parts of a device 1
according to the description of FIGS. 1 to 3, in particular a
medication receptacle 2 with a cartridge retaining member 11 which
can be inserted in and engaged at its proximal end side 14 with the
distal end side 15 of the housing 13 wherein the drive members are
incorporated. In particular, the housing 13 houses a drive member
20 and a stop member 26 which in the operational state are engaged
and held in engagement by a force of a resilient member 31. The
functionality of the drive member 20 and the stop member 26 has
been explained in connection with FIGS. 2 and 3.
Furthermore, the housing 13 houses a conversion element 38 and
coupling means 39. According to this embodiment and contrary to the
embodiment explained in FIGS. 4 to 7, the conversion element 38 is
axially moveable and can be brought and held in a first position
according to an operational state of the device and can be brought
and held in a second position according to a resetting state of the
device due to a force provided by the resilient member 31. The
conversion element 38 comprises an inner thread for threaded
engagement with an outer thread of the piston rod 12. In the
operational state of the device, rotational movement of the piston
rod 12 is thereby converted by the conversion element 38 into
helical movement such that the piston rod 12 is axially moved in
distal direction through the housing 13. The coupling means 39 is
integrally formed as part of the housing 13 according to this
embodiment.
FIG. 9 shows a more detailed view of parts of FIG. 8, especially
the conversion element 38 and the coupling means 39 interacting
with each other and being separable by the force of the resilient
member 31. The conversion element 38 comprises first locking means
41, i.e. teeth, which can be brought into engagement with second
locking means 42 of coupling means 39, whereby the second locking
means 42 acts as matching teeth for interlocking with the first
locking means 41. A circumferential protrusion 50 integrally formed
in the inner diameter of the housing 13 is provided for abutment of
the conversion element 38 in the second position according to the
resetting state of the device after the conversion element 38 has
been separated from the coupling means 39 due to the force of the
resilient member 31.
The stop member 26 can be secured against rotational movement with
respect to the housing by means of at least one protrusion 51 which
is integrally formed on the inner diameter of the housing 13 and
which interacts with at least one negative form on the outer
diameter of the stop member 26.
FIG. 10 shows the components of FIGS. 8 and 9 assembled together.
In particular, FIG. 10 shows the operational state of the second
embodiment according to FIGS. 8 and 9. The medication receptacle 2
with its cartridge retaining member 11 is inserted in and engaged
with its proximal end side 14 at the distal end side 15 of the
housing 13, thereby pressing the conversion element 38 against the
coupling means 39 and holding the conversion element 38 in its
position, i.e. in abutment with the coupling means 39. Hence, the
conversion element 38 interlocks with the coupling means 39 such
that the conversion element 38 is secured against rotational
movement with respect to the housing. In this operational state the
piston rod 12 which is threadedly engaged with the conversion
element 38 can be moved in distal direction pushing a piston or
plunger or bung (not shown) of a cartridge within the medication
receptacle 2 in distal direction for expelling a medication.
FIG. 10 shows the resilient member 31 being arranged between the
conversion element 38 and the coupling means 39 on one side and the
drive assembly comprising stop member 26 and drive member 20 on the
other side.
Furthermore, the resilient member 31 is strained due to the
medication receptacle 2 inserted within the housing 13. In detail,
the resilient member 31 pushes the conversion element 38 in
proximal direction and thus the conversion element 38 compresses
the resilient member 31 which abuts in proximal direction with the
stop member 26. Accordingly, the resilient member 31, on the one
hand, provides a force for holding the drive member 20 and the stop
member 26 in engagement and preferably in abutment with each other
and, on the other hand, provides a force for separating the
conversion element 38 from the coupling means 39 during the
switching of the device from the operational state according to
FIG. 10 into the resetting state as explained below.
In FIG. 11 the resetting state of the device is shown. Switching of
the device 1 from the operational state according to FIG. 10 and
the resetting state according to FIG. 11 was initiated with the
medication receptacle 2 being removed from the housing 13. The
resilient member 31 becomes unstrained urging the conversion
element 38 to be separated and disengaged from the coupling means
39 in distal direction. The conversion element 38 is free to
rotate. Hence, the piston rod 12 can be moved in proximal direction
back into the housing 13 as indicated by the arrow 45 pointing
towards the distal end of the piston rod 12. According to FIG. 11
the piston rod is in a position after expelling the last dose of
medication.
FIG. 12 shows a detailed view of parts of FIG. 11. Due to the force
of the resilient member 31, on the one hand, the conversion element
38 has become separated from the coupling means 39, the first
locking means 41 being disengaged from the second locking means 42,
i.e. the respective circumferential teeth being separated from each
other. The conversion element 38 is brought and held in the second
position according to the resetting state whereby the traverse path
of the conversion element between the first position and the second
position is depicted by two arrows 46 marking the distance between
the first and second position. Preferably, in this resetting state
the resilient member 31 provides no more force for holding the stop
member 26 and drive member 20 in engagement such that drive member
20 and stop member 26 can be separated from each other, thereby
bringing the drive member 20 in a position away from the stop
member 26. This traverse path is also depicted by second arrows 47
marking the distance between the drive member 20 and the stop
member 26. But it is also conceivable that stop member 26 and drive
member 20 remain in engagement with each other.
In this resetting state of FIG. 12 the piston rod 12 can be moved
in proximal direction back into the housing, whereby the conversion
element 38 is free to rotate with respect to the housing such that
a resetting of the piston rod 12 is possible. Preferably, the
thread pitch of the piston rod 12 is adapted such that rotational
movement of the conversion element 38 is not inhibited. The piston
rod 12 either can be exclusively axially moved in proximal
direction without rotation of the piston rod, the drive member 20
thereby not rotating. But it is also conceivable that the piston
rod 12 can be helically moved back into the housing 13 due to the
separation of the drive member 20 from the stop member 26, the
drive member 20 thereby freely rotating with respect to the housing
13 due to disengagement from the stop member 26.
In general, the medication delivery device with its reset mechanism
as described and explained above provides for a smooth and easy
reset action and aids all users, but particularly those with
impaired dexterity. Furthermore, the device is cost-effective with
its sole resilient member fulfilling double duties. The embodiments
described above are exemplary and do not restrict the
invention.
* * * * *