Injection device

An injection device for injecting a solid dose formulation into a human or animal body, the injection device comprising an actuator (10) having a cassette mounting portion (14); a cassette holder (20) having a cassette storage portion; and a cassette selectively movable between the cassette storage portion and the cassette mounting portion, wherein, the cassette (34) comprises a solid dose formulation and the actuator is receivable in the cassette holder to selectively move the cassette between the cassette storage portion and the cassette mounting portion.

This application is the U.S. national phase of International Application No. PCT/GB2016/050226 filed 2 Feb. 2016, which designated the U.S. and claims priority to GB Patent Application No. 1501697.5 filed 2 Feb. 2015, the entire contents of each of which are hereby incorporated by reference.

An injection device particularly suited for, but not explicitly for, injecting a solid dose formulation into a human or animal body.

Solid dose formulations can be introduced into a human or animal body at either low velocity through injection or high velocity fired from a rifle. High velocity dosing is not appropriate for introducing a solid dose formulation into a human body hence substantial efforts have been made to develop a solid dose formulation having the requisite shape and material properties to facilitate ease of injection into a human body. In some cases, solid dose formulations can be introduced into a human body by methods as simple as pushing the solid dose formulation through the skin without aid of a tool or device.

However, in order to avoid causing undue damage to the human body it is desirable to introduce a solid dose formulation by applying only the force necessary for the solid dose formulation to penetrate the human body. Human skin has a relatively low strength hence it is easy to apply too great a force to the solid dose formulation using manual application methods alone.

Use of a tool or device to introduce a solid dose formulation into a human body is known. Typically a tool, or a portion of such a tool, requires to be disposed of after a single use for hygiene and sanitation purposes. The tool, or portion thereof, should be disposed of in such a manner that it is destroyed by means of incineration or otherwise. This can be problematic as many medical tools or devices are constructed from materials with high temperature melting points. Medical tools and devices are also expensive to manufacture and therefore disposal is undesirable.

The use of an actuator and cassette to inject a solid dose formulation into a human body is known. Such an actuator and cassette is described in PCT/EP2003/007859 which is hereby incorporated by reference.

It has been recognised that patients, in some circumstances, do not use injection devices in the correct manner if left to follow instructions provided with the injection device. A demonstration on how to use an injection device has been shown to reduce errors made by patients in using injection devices. However, known injection devices typically require the patient to handle a cassette which contains a solid dose formulation. Any handling can compromise sterility of the cassette and the solid dose formulation leading to potential infection at an injection site.

The present invention seeks to address the aforementioned problems.

An aspect of the invention provides an injection device for injecting a solid dose formulation into a human or animal body, the injection device comprising an actuator having a cassette mounting portion; a cassette holder having a cassette storage portion; and a cassette selectively movable between the cassette storage portion and the cassette mounting portion, wherein, the cassette comprises a solid dose formulation and the actuator is receivable in the cassette holder to selectively move the cassette between the cassette storage portion and the cassette mounting portion.

The injection device of the present invention eliminates the need for a user to handle the cassette thus maintaining sterility of the cassette. Preventing a user from handling the cassette also significantly reduces user error in use of the injection device. The cassette of the present invention can be disposed of separately to the actuator and/or cassette holder.

The cassette storage portion may comprise a plurality of releasable retaining elements for selectively retaining the cassette. The cassette mounting portion may comprise a bayonet fitting for receiving the cassette. The bayonet fitting of the cassette mounting portion and the releasable fastening elements of the cassette storage portion may be co-operable such that rotation of the actuator in the cassette holder releases the releasable fastening elements to facilitate selective movement of the cassette between the cassette storage portion and the cassette mounting portion.

The bayonet fitting of the cassette mounting portion may comprise a locking mechanism for locking the cassette to the bayonet fitting.

The locking mechanism is advantageous in that the cassette is prevented from being inadvertently detached from the actuator before actuation.

The cassette holder may comprise a cassette holder body and a cassette holder insert, the cassette holder insert being removable from the cassette holder body and defining the cassette storage portion. The cassette holder insert may be disposable.

The actuator may be re-usable.

A further aspect of the invention provides a method of injecting a solid dose formulation into a human or animal body, the method comprising: a) providing an injection device comprising an actuator, a cassette holder and a cassette, the cassette comprising a solid dose formulation b) selectively moving the cassette from the cassette holder to the actuator, c) operating the actuator to inject the solid dose formulation into a human or animal body and d) selectively moving the cassette from the actuator to the cassette holder for disposal.

A further aspect of the invention provides a method of injecting a solid dose formulation into a human or animal body, the method comprising: a) providing an injection device comprising an actuator, a cassette holder and a cassette, the cassette comprising a solid dose formulation, b) aligning the actuator with the cassette holder, c) inserting the actuator into the cassette holder to engage the cassette, d) rotating the actuator relative to the cassette holder to lock the cassette to the actuator, e) withdrawing the actuator from the cassette holder, f) injecting the solid dose formulation into a human or animal body, g) aligning the actuator with the cassette holder, h) inserting the actuator into the cassette holder and i) rotating the actuator to lock the cassette to the cassette holder.

The certain embodiments will now be described by way of reference to the figures.

Referring toFIG. 1, an actuator assembly10and cassette holder20are provided for injecting a solid dose formulation into a human or animal body.

The actuator assembly10comprises a body portion12and a cassette mounting portion14. The body portion12houses a mechanism for operating the actuator. The cassette mounting portion14is configured to receive a cassette34comprising a solid dose formulation into a bayonet type fitting16, or similar.

As shown inFIG. 2, the cassette holder20comprises a cassette holder body22which is open at one end. A cassette holder insert24is insertable into the open end of the cassette holder body22. The insert24comprises a cassette storage portion26which stores the cassette34. The cassette storage portion26is defined by three curved prongs28which are biased to urge against the cassette34to hold it in position. The cassette holder body22and insert24are made from plastic in one embodiment but the cassette holder20could also be made from metal. In one embodiment the cassette holder body20and insert24are disposable. In other embodiments only the cassette holder insert24is disposable.

A plurality of cassette holders can be stored in a sterile packaging such as a vacuum formed packaging with individually removable seals. Alternatively, each individual cassette holder can have its own vacuum formed packaging, for example, and each packaged cassette holder can be stored in a non-sterile container

In use, the actuator assembly10is axially aligned with the cassette holder20. The cassette mounting portion14of the actuator assembly10is inserted into the cassette holder20. The dose cassette mounting portion is co-operable with the curved prongs28of the insert24such that rotation of the actuator assembly10through sixty degrees in a pre-defined direction causes the actuator assembly10to act against curved prongs28and displace them relative to the cassette held therebetween. The cassette34is then released by the curved prongs28and retained by the bayonet fitting16. The actuator assembly10can only be rotated through a maximum angle of approximately sixty degrees. Rotation is limited by a stop (not shown) defined on either the actuator assembly10or within the cassette storage portion26.

The cassette34comprises a dosing end (not shown) and a mounting end3). The mounting end36of the cassette34protrudes outwardly from the cassette holder insert24. The mounting end36of the cassette34comprises a bayonet type fitting, or similar, which is co-operable with the bayonet type fitting16of the cassette mounting portion14of the actuator assembly10. When the actuator assembly10is withdrawn from the cassette holder insert24, the cassette34is retained by the bayonet fitting16of the actuator assembly10.

The dosing end of the cassette34comprises the solid dose formulation and is exposed when the cassette34is retained by the actuator assembly10.

To inject the solid dose formulation into a human or animal body, the cassette34is held against the skin at ninety degrees therefrom. The actuator assembly10is pushed downwards until an audible click can be heard. The click signifies that the actuator mechanism has operated and injected the solid dose formulation from the cassette34through the skin and into the human or animal body. Once the solid dose formulation has been injected, the actuator assembly10is withdrawn directly from the injection site.

After the solid dose formulation has been injected into a human or animal body the actuator assembly10is axially aligned with the cassette holder24. The Cassette mounting portion14of the actuator assembly10is inserted into the cassette holder20after use. Rotation of the actuator assembly10through sixty degrees causes it to act against the three prongs28of the cassette holder insert24. The actuator assembly10can only be rotated through a maximum angle of approximately sixty degrees. Rotation is limited by a stop (not shown) defined on either the actuator assembly10or within the cassette storage portion26. The three prongs28are resiliently biased in a position in which they hold the cassette34in place. The three prongs28are displaced by application of a compressive or torsional force to enable the cassette to enter or exit a space defined between the prongs28. Once the cassette34has entered the space between the prongs28, the prongs28revert to their unstressed configuration and retain the cassette34. The dosing end of the cassette is orientated away from the open end of the cassette holder body22. The cassette holder20and/or cassette holder insert24is then discarded in a safe manner.

Injection devices were tested to evaluate handling of cassettes by users. The following table sets out the sample data set used for the evaluation:

For each patient, age, predominant hand, known dexterity issues and primary injection site were recorded. Each patient was asked to use an injection device following instructions provided with the device and the number of errors made by each patient in using the device were recorded (as summarised inFIG. 4).

The majority of errors occurred when the user handled the cassette. Each user was then given a demonstration on how to use the device and the errors made were compared with the first use trial (as summarised inFIG. 5). The number of errors observed in the repeat use trial dropped 77.5% in comparison to the first use trial. The evaluation thus indicated that there was a clear issue of patients using injection devices in an incorrect manner when left to follow the instructions provided with the injection device.