DK2907126T3 - TRAINING DEVICE FOR AUTOMATIC INJECTION - Google Patents

Description

DESCRIPTION

Technical field [0001] The present invention relates to automatic injection training devices, i.e. educational appliances or dummies to train individuals in the administration of medication by means of automatic injection devices. More specifically, the present invention relates to a training device that simulates the injection of a medicament by an automatic injection device more accurately by means of a damper unit and/or to a training device that has an actuation assembly that is configured such that the device can be reused easily. Further aspects ofthe invention relate to a reload unit for an automatic injection training device.

Related Art [0002] Automatic injection devices for providing active substances (e.g., pen-type injectors) are well-known in the art. In many cases, training versions of such devices are required for showing potential users (e.g., patients or healthcare providers) how a device should be employed and for illustrating the advantages of the device. Such devices are frequently called "promotion" or "training" devices. The devices should mimic the function of a respective injection device but, preferably, should not inject an active substance (e.g., into a tissue of a patient or a user employing the device). More preferably, these promotion or training devices should not inject any substance at all.

[0003] US 5,071,353 discloses a training device for an automatic injector. The device comprises a cylindrical outer sleeve in the rear portion of which a discharge mechanism is connected. The discharge mechanism comprises a plunger, a coil spring which acts on the plunger, a locking device, and a safety member. However, this device does not provide means allowing an accurate simulation of the resistance acting on the discharge mechanism of a regular injection device when an active substance is ejected.

[0004] WO 2011/151315 discloses a training cartridge for a drug delivery device as well as a method for resetting the cartridge. The cartridge comprises a body of substantially cylindrical shape, a piston that is slidably disposed in the body in an axial direction, and a closure means disposed at an axial end portion of the body. The piston and the closure means confine an interior volume coupled to the exterior via at least one fluid escape channel. According to the method disclosed, several steps are required for resetting the cartridge.

[0005] US 2012/0015336 discloses an injection training device with a damping gear assembly. However, this damping unit protrudes from the injection training device.

[0006] There remains a need for improved automatic injection training devices that can be reused more easily and/or more frequently. Also, reset appliances for such training devices are required. Further, there remains a need for improved automatic injection training devices that provide a more accurate simulation of medicament injection.

Summary of the invention [0007] In order to overcome one or several of the above-mentioned problems, an injection device according to claim 1 and an assembly according to claim 11 is provided. Further aspects, improvements and variations are disclosed in the dependent claims, the figures and the description.

[0008] In the present application, when the term "distal" is used, this refers to the direction pointing away from the dose delivery site. When the term "distal part/end" is used, this refers to the part/end of the delivery device, or the parts/ends of the members thereof, which is/are located furthest away from the dose delivery site. Correspondingly, when the term "proximal" is used, this refers to the direction pointing to the dose delivery site. When the term "proximal part/end" is used, this refers to the part/end of the delivery device, or the parts/ends of the members thereof, which is/are located closest to the dose delivery site. With the training device of the present invention, any suitable surface may form the dose delivery site (even if no dose is actually delivered).

[0009] Further, the term injection simulation preferably refers to the phase following actuation of the loaded device, i.e., the phase in which a regular automatic injection device would insert a needle into the patient's skin and/or inject an active substance. The training device of the present invention may be provided with a delivery member or an element resembling such delivery member but preferably does not comprise such delivery member (e.g., a needle).

[0010] The automatic injection training device of the present invention comprises a housing assembly, an actuation assembly, and a damper unit. The housing assembly has an outer housing. The damper unit has a damper housing and a piston assembly that is arranged in said damper housing. The damper housing and the piston assembly preferably are configured such that the damper housing slides in a proximal direction relative to the piston assembly during injection simulation.

[0011] The housing assembly of the device of the present invention may further comprise a proximal end cover and a distal end cover. The housing assembly may have an opening at its proximal end (e.g., an opening provided in the proximal end cover and extending along the longitudinal axis of the device). The opening may be covered by a removable cap.

[0012] The damper unit may be arranged in the outer housing. The damper housing may be slidably arranged in the outer housing and may be slidable along the longitudinal axis of the device. As such, the damper housing may slide in the proximal direction along the longitudinal axis of the device during injection simulation. The damper housing may be operationally associated with a first energy accumulating member such that, due to an output axial force from said first energy accumulating member, the damper housing is moveable in relation to the piston assembly and in relation to the outer housing towards the proximal end of the device from a loaded position to a position following injection simulation. The first energy accumulating member may be a first spring, for example a first helical spring.

[0013] The damper housing may contain a damper fluid that is sealed inside the damper. According to embodiments of the invention, the damper housing may have a cup-shaped structure that is sealed at the proximal end. Suitable damper fluids include gases and liquids, for example air or viscous fluids (e.g., grease).

[0014] The movement of the damper housing in the proximal direction preferably mimics the sound produced by regular injection devices at the start of penetration, providing users of the training device with a similar audible feedback. Additionally or alternatively, a sound element may be provided to produce an audible feedback when the damper housing reaches proximate the position following injection simulation. In embodiments, the damper housing may interact with said sound element, which may be a flexible lever connected to some other component of the device, for example a sleeve surrounding the damper housing.

[0015] The position ofthe piston assembly in relation to the outer housing may be substantially fixed during injection simulation. According to embodiments of the invention, the piston assembly may be coupled to a damper rod, which may be fixedly arranged at a distal end of the device. The damper rod may be held by an element of the housing assembly and/or an element of the actuation assembly, for example an actuator. The damper rod may act as a spring guide for the first helical spring.

[0016] The piston assembly may be configured to provide a first resistance to fluid flowing in a proximal direction therethrough and a second resistance to fluid flowing in a distal direction therethrough, the first resistance being greater than the second resistance. This, on one hand, may ensure that a realistic damping that mimics the injection of an active substance through a delivery member is provided during injection simulation when the device is activated. On the other hand, as will be explained in more detail below, the training device can be reloaded easily, requiring minimal force.

[0017] According to embodiments ofthe invention, the piston assembly may comprise a piston and a valve element. The piston may have one or several fluid passages and the valve element may be configured to obstruct or inhibit fluid flow through said passage/s in a certain direction. The piston may be arranged around a distal portion of the valve element and the fluid passage may be provided by a gap formed between the piston and the valve element. Alternatively or additionally, the distal portion of the valve element may be provided with recesses and/or cut-outs for providing one or several fluid passages in conjunction with the piston.

[0018] Preferably, the valve element obstructs or inhibits fluid from flowing through the passage in a proximal direction. The valve element may have a widened portion (e.g., a disc shaped structure) that provides one or several openings for fluid flowing therethrough and is located on a proximal side of the piston. The piston may be moveable in relation to the valve element. In particular, the piston may be configured to be moved in the proximal direction by fluid pressure when the damper housing is moved in the proximal direction. This may lead to an abutment surface of the piston being pressed against the valve element such that the opening/s ofthe valve element are sealed and flow through the passage is obstructed. Further, the piston may be configured to be moved in the distal direction by fluid pressure when the damper housing is moved in the distal direction, thereby separating the abutment surface from the opening/s and allowing fluid flow through said opening/s and through the fluid passage. The abutment surface may be a closed surface and may face in the proximal direction.

[0019] The piston may further comprise a tapered distal portion that tapers towards an inner wall ofthe damper housing in a distal direction.

[0020] The damper unit may further comprise a pusher element, which may have a proximal portion that is connected and/or fixed to the damper housing. According to embodiments ofthe invention, the pusher element may have a hollow distal portion that accommodates the damper rod and/or the first energy accumulating member. The output force from said first energy accumulating member may act upon the pusher element, which may transmit this force to the damper housing. The damper rod may extend into the damper housing through an opening in the proximal portion of the pusher element. The damper unit may further comprise a seal for ensuring that the damper fluid does not leak through the opening (e.g., when the damper housing is moved). The seal may interact with and/or seal against the damper rod. Further, the seal may be arranged between the damper housing and the pusher element.

[0021] The pusher element may feature one or several recesses, projections and/or openings for being held by an element ofthe actuator assembly, for example the actuator. The recesses, projections and/or openings may be provided along a distal portion ofthe pusher element.

[0022] According to embodiments of the invention, the actuation assembly comprises a first sleeve, the actuator, and/or a second sleeve.

[0023] The first sleeve or actuator sleeve may be slidably arranged in relation to the outer housing and operationally associated with a second energy accumulating member such that, the first sleeve is axially moveable in relation to the outer housing towards the distal end of the device from a starting position to a retracted position against an axial force from said second energy accumulating member and/or such that, due to an output axial force from said second energy accumulating member, the sleeve is axially moveable in relation to the outer housing a predetermined distance towards the proximal end of the device from the retracted position to the starting position. The second energy accumulating member may be a second spring, for example a second helical spring. The second helical spring may be provided around the first sleeve and bear against the housing assembly (e.g., the distal end cover) and/or the actuator.

[0024] The sleeve may be formed as a hollow structure having a central opening configured for accommodating the actuator therein. In embodiments, an inner surface of the sleeve or ribs provided on such inner surface may taper towards the longitudinal axis of the device when following the sleeve in the distal direction.

[0025] The actuation assembly of devices according to the present invention may comprise the actuator, which may feature a biasable portion. The biasable portion may have a first segment that has a first outer diameter and a second segment that has a second outer diameter that is larger than the first outer diameter. According to embodiments of the invention, the second segment may be located proximal from the first segment. The biasable portion may be formed by resilient arms.

[0026] The position of the actuator along the longitudinal axis of the device may be substantially fixed in relation to the outer housing. When the damper housing is in the loaded position, the movement of the damper housing towards the proximal end of the device (e.g., to the position following injection simulation) may be substantially inhibited by the least one biasable portion interacting with the damper housing and/or the pusher element. The actuator may have the shape of a hollow body that has a central opening and accommodates the pusher element and/or the damper housing. The biasable portion may be provided with an inner protrusion that protrudes into a central opening of the actuator and engages the damper housing and/or the pusher element when the damper housing is in the loaded position. For example, the inner protrusion may engage openings, recesses and/or protrusions provided to the pusher element and/or the damper housing. The inner protrusion may be provided in the region of the second segment.

[0027] In the loaded position of the damper housing the biasable portion may be forced or biased in the outward direction due to the output axial force of the first energy accumulating member acting on the pusher element and/or the damper housing. However, when the first sleeve is in the starting position, it preferably overlaps at least part of the biasable portion and/or at least part of or the entire second segment, thereby obstructing or inhibiting the biasable portion from bending outwardly. The pusher element and/or the damper housing, hence, remain engaged by the biasable portion (e.g., its inner protrusion). The inner protrusion of the actuator and/or the opening, recess or protrusions of the pusher element may be tapered such that a force having an outward direction component acts on the biasable portion when the output axial force from the first energy accumulating member pushes the pusher element in the proximal direction.

[0028] The sleeve may further be arranged and/or configured such that the biasable portion bends outwardly and releases the damper housing and/or the pusher element from the loaded position when the first sleeve is moved in a distal direction (e.g., to the retracted position). For example, the first sleeve may be shaped such that an opening or a recess along an inner surface of the sleeve overlaps the biasable portion (in particular the second segment) when the sleeve is retracted. Alternatively or additionally, the proximal end of the first sleeve may be disposed distally from the biasable portion and/or distally of the second segment when the first sleeve reaches the retracted position.

[0029] The actuation assembly of devices according to the present invention may also comprise a second sleeve. This second sleeve may have the shape and function of a needle cover of regular automatic injection devices and, therefore, is also denominated "needle cover" in the context ofthe present invention.

[0030] The second sleeve may be operationally associated with the first sleeve and may have a proximal end that extends outwards ofthe housing assembly in a proximal direction when the sleeve is in the starting position. Preferably, the second sleeve is arranged such that it is slid in the distal direction in relation to the outer housing when a user presses the device onto a dose delivery site. In this context, the second sleeve may be slidably arranged in relation to the outer housing and moveable in relation to the outer housing towards the distal end of the device from a starting position to a retracted position against an axial force from an energy accumulating member, for example the second energy accumulating member. The second sleeve may protrude a first distance from the housing assembly when it is in the starting position and protrude a second distance from the housing assembly when it is in the retracted position, the second distance being smaller than the first distance. When the second sleeve is pressed against the dose delivery site, it preferably pushes the first sleeve in a distal direction (e.g., to its retracted position) such that the first sleeve frees and/or does not overlap the second segment of the biasable portion once the second sleeve reaches a predetermined position (e.g., the retracted position).

[0031] The second sleeve may also be arranged such that, due to an output axial force from an energy accumulating member (e.g., the second energy accumulating member), the second sleeve is axially moveable in relation to the outer housing a predetermined distance towards the proximal end ofthe device from the retracted position to the starting position. According to embodiments ofthe invention, the second sleeve is not locked in a proximal position (e.g., the starting position) after an injection simulation is performed.

[0032] The second sleeve may provide the sound element for producing a sound when the damper housing reaches proximate the position following injection simulation. For example, the needle cover may comprise a flexible lever that is actuated by the damper housing.

[0033] According to embodiments of the invention, a needle cover extension may be provided at the proximal end of the second sleeve. The needle cover extension may be fixed to the second sleeve and may interact with the proximal end cover to limit movement of the second sleeve in the distal direction. For example the needle cover extension may have a diameter that is larger than the diameter of the second sleeve and/or than the opening provided at the proximal end ofthe housing assembly (e.g., the opening provided in the proximal end cover).

[0034] The first sleeve and/or the actuator may be configured such that the second segment of the biasable portion is overlapped by the first sleeve again when the first sleeve is moved back to the starting position after the injection simulation is performed and the device is withdrawn from the dose delivery site. This may be facilitated by the actuator featuring a tapering segment between the first segment and the second segment and/or the sleeve featuring a tapered inner surface (see above).

[0035] According to embodiments of the invention the device may be configured for being reloadable. For this purpose, the damper housing may be axially moveable in relation to the outer housing and/or in relation to the piston assembly towards the distal end of the device from the position following injection simulation to the loaded position, preferably against the axial force from the first energy accumulating member. The biasable portion of the actuator may be configured to reengage the damper housing and/or the pusher element when the damper housing reaches the loaded position. As mentioned above, the biasable portion may be overlapped by the first sleeve and inhibited from bending outwards substantially (first sleeve in the starting position) when the device is withdrawn from the delivery site. Preferably, the biasable portion can still be extended slightly, such that the pusher element can be slid along the inner protrusion of the actuator until said inner protrusion engages the opening, recess and/or protrusion of the pusher element again.

[0036] As will be apparent to those skilled in the art from the instant description, an inner opening or recess may be provided to the biasable portion instead of or additionally to the inner protrusion described above when a corresponding outer protrusion is provided to the pusher element and/or the damper housing.

[0037] In order to facilitate reloading of training devices, the present invention further relates to a reload unit. The reload unit may be provided in an assembly comprising said reload unit and any of the devices described above.

[0038] The reload unit may comprise a shaft member, an ejector and/or a stand. The stand that may have a first portion that may be configured for accommodating the housing assembly of the training device therein. The first portion may be a hollow and substantially cylindrical structure that extends along the longitudinal axis ofthe device when the reload unit is arranged for a reload procedure. Additionally or alternatively, the stand may have a second portion configured to provide a base for supporting the reload unit in an upright position.

[0039] The shaft member may be arranged inside the first portion of the stand. The shaft member may be configured to extend through a proximal opening of the needle cover such that the damper housing can be pushed in the distal direction by means of the shaft. The length of the shaft member may be sufficient for pushing the damper housing from the position following injection simulation to the loaded position. Preferably, the shaft member is a separate element that is fixed to the second portion ofthe stand. In order to reload the device, it may be introduced into the stand and pressed towards the base. The device, hence, is moved in the axial direction in relation the fixed shaft member, which will extend into the device and push the damper housing in the distal direction.

[0040] The ejector may be configured for ejecting the housing from the reload unit after the reload procedure is completed. For this purpose, the ejector may be slidably arranged in relation to the shaft member and operationally associated with a third energy accumulating member such that the ejector is axially moveable in relation to the shaft member from a starting position to a retracted position against an axial force from said third energy accumulating member and/or such that, due to an output axial force from said third energy accumulating member, the ejector is axially moveable in relation to the shaft member from the retracted position to the starting position. The third energy accumulating member may be a third spring, for example a third helical spring.

[0041] In order to prevent activation of the device during the reload procedure, the ejector may have a first end with a cup-shaped structure that is configured to accommodate the proximal end of the needle cover extending out of the housing assembly and to bear against an abutment surface of said housing assembly when the device is being reloaded. The cupshaped structure, therefore, avoids that the needle cover is moved in the distal direction, which could lead to activation of the actuation assembly. The ejector may be operationally coupled with the shaft member such that the ejector is inhibited from falling out of the stand. For example, the ejector may be provided with a pin that extends through an opening of the shaft member.

[0042] Aspects of the invention may relate to the reload unit or the damper unit described above as stand-alone components.

Brief description of the drawings [0043] The following Figures below disclose an embodiment of the invention for illustrational purposes only. In particular, the disclosure within the Figures is not meant to limit the range of protection of the invention. The embodiment shown may be modified in many ways within the scope of the claims.

Figure 1:

Perspective view of a device according to an embodiment of the present invention.

Figure 2:

Exploded view of a housing assembly of the device of Figure 1.

Figure 3:

Sectional view of a damper unit of the device of Figure 1.

Figure 4:

Perspective view of a damper housing of the damper unit of Figure 3.

Figure 5A:

Perspective view of a piston assembly of the damper unit of Figure 3.

Figure 5B:

Rotated sectional view showing the piston assembly of Figure 5A in the open position. Figure 5C:

Rotated sectional view showing the piston assembly of Figure 5A in the closed position.

Figure 6A:

Perspective view of a pusher element of the damper unit of Figure 3.

Figure 6B:

Sectional view of the pusher element of Figure 6A.

Figure 7:

Exploded view of an actuation assembly of the device of Figure 1.

Figure 8A:

Perspective view of an actuator of the actuation assembly of Figure 7.

Figure 8B:

Top view of the actuator of Figure 8A.

Figure 8C:

Sectional view of the actuator of Figure 8A.

Figure 9A:

Perspective view of a first sleeve of the actuation assembly of Figure 7.

Figure 9B:

Sectional view of the first sleeve of Figure 9A.

Figure 10A:

Perspective view of a needle cover of the actuation assembly of Figure 7.

Figure 10B:

Sectional view ofthe needle cover of Figure 10A.

Figure 11-16:

Sectional views of the delivery device of Figure 1 illustrating preparation, activation, injection simulation and dose delivery site withdrawal.

Figure 17A:

Exploded view of a reload unit according to embodiments of the present invention.

Figure 17B:

Sectional view ofthe reload unit of Figure 17A in an assembled state.

Figure 18A:

Sectional view of a device according to the present invention in a position following injection simulation with the reload unit of Figure 17A arranged at the proximal end.

Figure 18B:

Enlarged view of the distal part of the device shown in Figure 18A, illustrating details of the actuation assembly.

Figure 19A:

Sectional view of the device and the reload unit of Figures 18A and 18B with the damper housing in the loaded position following reloading.

Figure 19B:

Enlarged view of the distal part of the device shown in Figure 19A, illustrating details of the actuation assembly.

Detailed description ofthe drawings [0044] As shown in Figure 1, a device 1 according to the present invention may comprise a housing assembly 2 and extend along a longitudinal axis L. The housing assembly 2 may be open at the proximal end (not shown) and can be closed with a removable cap 9. As further illustrated in Figure 2, the housing assembly 2 may comprise an outer housing 3, a proximal end cover 4 with an opening 5 extending along the longitudinal axis L, and a distal end cover 6. The proximal end cover 4 may be inserted into the outer housing 3 and fixed therein such that the opening 5 is coaxial with the longitudinal axis L. The outer housing 3 may comprise an inspection window (not shown) for assessing the position of the damper housing and/or the state of the actuation assembly.

[0045] Figure 3 shows a sectional view along the longitudinal axis L of a damper unit 10 that may be inserted into the outer housing 3 of the device 1 of Figure 1. The damper unit 10 comprises a damper housing 11 and a piston assembly 13 with a piston 14 and a valve element 15 that is arranged in said damper housing 11. The damper unit 10 illustrated in Figure 3 further features a pusher element 12, a damper rod 18, and a seal 19. The pusher element 12 is fixedly attached to the damper housing 11, the seal 19 being arranged and held between these two components. As can also be seen in Figure 4, the damper housing 11 has a cup-shaped structure that is closed at the proximal end. The damper fluid (e.g., air or grease), hence, is sealed in the damper housing 11. No fluid passage through which the damper fluid might escape is provided in the proximal part and/or the distal part of the damper housing 11.

[0046] As further shown in Figure 3, the piston assembly 13, more specifically the valve element 15, may be fixed to the damper rod 18, which extends into the damper housing 11 and through the pusher element 12 from a distal fixation point 181. The piston assembly 13, therefore, is substantially fixed in relation to the housing assembly.

[0047] Meanwhile, the damper housing 11 may be slidably arranged in the outer housing of the device 1 along the longitudinal axis L and may be slid in the proximal direction along the longitudinal axis L of the device during injection simulation. For this purpose, the pusher element 12 is associated with a first energy accumulating member in the form of a first helical spring 34 that is arranged around the damper rod 18. As will be explained below, when an injection is simulated, the pusher element 12 and the damper housing 11 are moved in relation to the piston assembly 13 towards the proximal end of the device 1 by the output axial force from said first helical spring 34, thereby pressing the damper fluid in a proximal direction through the piston assembly 13.

[0048] In order to provide a realistic damping effect that simulates the damping occurring when an active substance is delivered through a delivery member (e.g. a needle or nozzle of a regular automatic injection device) but still allow easy reset, the piston assembly 13 of the present invention may be configured to provide a first resistance to fluid flowing in a proximal direction therethrough and a second resistance to fluid flowing in a distal direction therethrough, wherein the first resistance is greater than the second resistance.

[0049] As most clearly shown in Figure 5B, which depicts another sectional view of the piston assembly 13 that is rotated for 90° with respect to the view of Figure 3, a fluid passage 141 extends through the piston assembly 13. In the shown embodiment, the fluid passage 141 is provided between a central opening of the piston 14 and the distal portion of the valve element 15, which has a smaller outer diameter than the inner diameter of the central opening. Furthermore, the valve element 15 is provided with cut-outs.

[0050] When fluid pressure on the proximal side of the piston assembly 14 is higher than on the distal side (damper housing 11 being moved in the distal direction when the device is being reloaded), the piston assembly 14 assumes the position of Figure 5B, where the damper fluid can easily flow through openings 151 in a widened portion 152 of the valve element 15 and through the fluid passage 141 (see also Figure 5A). In contrast, when fluid pressure on the distal side of the piston assembly 14 is higher than on the proximal side (damper housing 11 being moved in the proximal direction during injection simulation), the piston 14 is moved towards the valve element 15 such that the abutment surface 142 obstructs fluid flow through the openings 151. As shown in Figure 5C, the opening 151 is covered almost completely, such that fluid flow is restricted substantially.

[0051] Figures 6A and 6B show perspective and sectional views of the pusher element 12 of Figure 3, respectively. As shown therein, the pusher element 12 may have a proximal portion 121 that may be configured for attachment to the damper housing 11 and/or the seal 19. The distal portion 123 of the pusher element 12 may be hollow and may be configured to accommodate the damper rod 18 therein, which may extend into the damper housing 11 through a hole 122 in the proximal portion 121.

[0052] In order to hold the damper housing and the pusher element in the loaded position, the pusher element 12 has openings 124, into which a protrusion of the actuator may extend, as will be described below in more detail. Recesses or protrusions (not shown) may be provided instead of or in addition to the openings 124.

[0053] Figure 7 shows an exploded view of an actuation assembly 30 that may be used for a device 1 according to the present invention. The actuation assembly 30 comprises a first sleeve 33 that is operationally associated with a second energy accumulating member in the form of a second helical spring 35, an actuator 32, and a needle cover 31. A needle cover extension 39 may be provided at the proximal end of the needle cover 31.

[0054] As illustrated in Figures 8A-8C, the actuator 32 may be a generally tubular structure with a central opening 327 that extends along the longitudinal axis L of the device. The central opening 327 may be configured for accommodating the pusher element and/or the damper rod. A distal portion 328 may provide one or more attachment structures 329 for engaging the actuator 32 with the outer housing and/or the distal end cover. A further attachment structure may also engage the damper rod 18 and hold it in a fixed manner.

[0055] The actuator 32 may have a biasable portion 322, which is formed by resilient arms in the illustrated embodiment. The biasable portion 322 has an inner protrusion 326 that extends into the central opening 327 and preferably is formed proximate the proximal end of the biasable portion 322. Further, the biasable portion 322 has a first segment 323 with a first outer diameter and a second segment 324 with a second outer diameter that is larger than said first outer diameter. A tapering segment 325 extending between said first and second segments 323, 324 that preferably tapers away from the longitudinal axis L of the device 1 in the proximal direction may also be provided. As shown also in Figure 8B and 8C, the second segment 324 may be more proximal than the first segment 323 when the actuator 32 is assembled in the device 1. The inner protrusion 326 may be provided in the region of the second segment 324. In other embodiments, an opening or recess may be provided instead of the inner protrusion 326.

[0056] Figures 9A and 9B show perspective and sectional views of the first sleeve 33. The sleeve 33 is formed by a tubular structure with a central opening 337. The central opening 337 may extend along the longitudinal axis L of the device and may be configured for accommodating the actuator 32.

[0057] The first sleeve 33 is pushed in a proximal direction to its starting position by the output axial force of the second helical spring 35 that is operationally associated with said fist sleeve 33 and bears, for example, against the distal end cover 6. When the first sleeve 33 is in said starting position, it covers the biasable portion 322 of the actuator 32. The biasable portion 322, therefore, is substantially inhibited from bending outward. With the inner protrusion 326 of the actuator 32 engaging the opening 124 of the pusher element 12, the pusher element 12 is secured in the loaded position and inhibited from moving in the proximal direction in relation to the outer housing 3 and the piston assembly 13. As will be described below, the first sleeve 33 is pushed in the distal direction when the device is pressed against a dose delivery site, freeing the biasable portion 322 and, thereby, the pusher element 12.

[0058] Along the inner surface of the central opening 337, between a proximal end 331 and a distal end 335 of the first sleeve 33, ribs 333 may be provided. The ribs 333 preferably abut against the actuator 32, for example against the tapering segment 325 of the actuator 32, when the sleeve 33 reaches its starting position and inhibit the sleeve 33 from moving further in the proximal direction due to the output axial force of the second helical spring 35 that is operationally associated with said sleeve 33 (see also Figure 7).

[0059] Figures 10A and 10B show perspective and sectional views of the needle cover 31, respectively. As shown in these Figures, also the needle cover 31 may be formed as a generally tubular structure with a central opening extending therethrough and providing an opening at a proximal end 311. One or several cut-outs 313 may be arranged in the needle cover 31 such that the position of the damper housing 11 can be assessed by looking through the inspection window provided in the outer housing 3, when the needle cover 31 is placed in the housing assembly 2. A distal end 314 of the needle cover 31 may abut a protrusion or collar 334 ofthe first sleeve 33 such that the needle cover 31 is forced in the proximal direction together with the first sleeve 33 by the output axial force of the second helical spring 35.

[0060] Figure 11 illustrates a training device 1 according to embodiments of the present invention in an initial, loaded position with the cap 9 covering the proximal end ofthe device 1. In Figure 12 the cap 9 is removed, such that the device 1 is prepared for being used. As can be seen in these Figures, the first sleeve 33 and the needle cover 31 are forced in the proximal direction by the second helical spring 35. The first sleeve 33 and the needle cover 31 are in the starting position.

[0061] The proximal end 311 of the needle cover 31 extends out of the housing assembly 2 a first distance through an opening provided in the proximal end cover 4.

[0062] With the first sleeve 33 in the starting position, the sleeve 33 covers the biasable portion 322 of the actuator 32, also overlapping the second segment 324. The biasable portion, therefore, is inhibited from bending outward in a substantial manner. As a result, the pusher element 12 is secured in the loaded position by the inner protrusion 326 of the actuator 32 engaging the opening 124 of the pusher element 12. The damper housing 11 and the pusher element 12, hence, are inhibited from moving in the proximal direction in relation to the outer housing 3 and the piston assembly 13.

[0063] When the device 1 is pressed against a surface serving as a dose delivery site during the training procedure, the needle cover 31 and the first sleeve 33 are moved in the distal direction in relation to the outer housing 3 from the starting position (see Figure 12) to a retracted position (see Figure 13) in which the proximal end 311 of the needle cover 31 extends out of the housing assembly 2 a second distance that is smaller than the first distance of the starting position. In alternative embodiments, the needle cover 31 may be pushed into the housing assembly 2 completely.

[0064] In the retracted position, the first sleeve 33 frees the second segment 324 of the biasable portion 322. For example, as shown in the illustrative embodiment of Figure 13, the proximal end of the first sleeve 33 does not overlap the entire biasable portion anymore when the sleeve 33 is moved to the retracted position. The biasable portion 322 (i.e., the resilient arms of the actuator 32), therefore, will be bend outwardly by an output axial force from the first helical spring 34 that acts on the pusher element 12 and is transmitted to the biasable portion 322 along the inner protrusion 326. In consequence, the pusher element 12 and the damper housing 11 will be released by the inner protrusion 326 and move in the proximal direction to a position following injection simulation due to said output axial force from the first helical spring 34 (see Figure 14). The movement of the damper housing 11 in the proximal direction is retarded by the piston 13 in order to provide a realistic simulation of medicament delivery. When moving in the proximal direction, the damper unit may also mimic the sound produced by regular injection devices at the start of penetration and provide users of the training device 1 with a similar audible feedback. The sound may be produced, for example, by the damper fluid flowing through the piston assembly 13 and/or sliding of the piston assembly 13 along the damper housing 11.

[0065] Figure 15, which illustrates a sectional view of the device 1 in the position of Figure 14 when rotated by 90°, shows that the needle cover 31 may be provided with a lever 315. The lever 315 interacts with the damper housing 11 such that an additional audible feedback is emitted when the damper housing 11 reaches proximate the position following injection simulation. Feedback mechanism may also be provided to other components of the device 1, additionally or alternatively to the lever 315.

[0066] When the device 1 is withdrawn from the surface serving as the dose delivery site (Figure 16), the first sleeve 33 and the needle cover 31 are moved from the retracted position to the starting position due to the output axial force of the second helical spring 35. In the illustrative embodiment, the needle cover remains unlocked afterwards.

[0067] Figures 17Aand 17B illustrate a reload unit 80 according to the present invention in an exploded and in an assembled state, respectively. As shown, the reload unit 80 may have a stand 81 with a hollow first portion 812 that is shaped to accommodate therein the outer housing of delivery devices according to the present invention. Further, a base 814 may be provided.

[0068] A shaft member 83 with a shaft 831 is arranged in the first portion 812 and fixed to the base 814. The longitudinal axis of the shaft 831 and the longitudinal axis of the first portion 812 of the stand preferably are congruent. As also shown in Figure 18A, the shaft 831 may be configured such that it can be inserted into the device 1 through the central opening of the needle cover 31. The device 1 may be reloaded by introducing the shaft 831 through said central opening and pushing the damper housing 11 in the distal direction from the position following injection simulation (Figures 18Aand 18B) to the loaded position (Figures 19Aand 19B). The damper housing 11 and the pusher element 12 will be moved in the distal direction against the axial force of the first helical spring (not shown) until the inner protrusion 326 engages the opening 124 and secures the pusher element 12 in the loaded position. The movement can be performed easily since the piston assembly 13 provides a relatively low resistance to fluid flowing in the distal direction therethrough. With the first sleeve 33 in the starting position (see Figures 11 and 12), the damper housing 11 remains in the loaded position until the actuation assembly is activated again.

[0069] Once reloading of the device 1 is completed, the device 1 may be ejected from the reload unit 80 by means of an ejector 85. The ejector 85 is moved from a starting position (Figure 18A) to a retracted position (Figure 19A) against the output axial force of a third energy accumulating member in the form of a third helical spring 87 when the device is being reloaded. Therefore, the third helical spring 87 will force the ejector back into its starting position when the force exerted during the reload procedure (e.g., by a user reloading the device 1) is released and eject the device 1 from the reload unit 80. In the illustrated embodiment, the ejector 85 has a cup-shaped structure 852 at a first end, which is the end of the ejector 85 that interacts with the device 1. The cup-shaped structure is shaped to accommodate the proximal end 311 of the needle cover 31 extending out of the housing assembly so that the actuation assembly is not activated during the reload procedure.

[0070] While the invention has been illustrated and described in detail in the drawings and foregoing description, such illustration and description are to be considered illustrative or exemplary and not restrictive. It will be understood that changes and modifications may be made by those of ordinary skill within the scope of the following claims.

[0071] Furthermore, in the claims the word "comprising" does not exclude other elements or steps, and the indefinite article "a" or "an" does not exclude a plurality. A single unit may fulfil the functions of several features recited in the claims. The terms "essentially", "about", "approximately" and the like in connection with an attribute or a value particularly also define exactly the attribute or exactly the value, respectively. Any reference signs in the claims should not be construed as limiting the scope.

REFERENCES CITED IN THE DESCRIPTION

This list of references cited by the applicant is for the reader's convenience only. It does not form part of the European patent document. Even though great care has been taken in compiling the references, errors or omissions cannot be excluded and the EPO disclaims all liability in this regard.

Patent documents cited in the description • US5071353A [0603] • WQ2011151315A [00041 • US2Q120015336A [00051

Claims (13)

1. Træningsindretning (1) til automatisk injektion med et husaggregat (2) indeholdende et ydre hus (3); et aktiveringsaggregat (30); og en dæmperenhed (10) omfattende et dæmperhus (11) og et stempelaggregat (13) anbragt i dæmperhuset (11), hvor dæmperhuset (11) glider i en proksimal retning i forhold til stempelaggregatet (13), når en injektion simuleres, hvor dæmperhuset (11) er operationelt knyttet til et første energiakkumulerende element (34), således at en aksial udgangskraft fra det første energiakkumulerende element (34) kan bringe dæmperhuset til at bevæge sig i forhold til stempelaggregatet (13) og det ydre hus (3) mod den proksimale ende af indretningen (1) fra en spændt position til en position efter injektionssimulering, og hvor stempelaggregatet (13) er konfigureret til at tilvejebringe en første modstand mod at væske flyder i en proksimal retning derigennem og en anden modstand mod at væske flyder i en distal retning derigennem, hvor den anden modstand er mindre end den første modstand.An automatic injection training device (1) with a housing assembly (2) containing an outer housing (3); an actuator (30); and a damper unit (10) comprising a damper housing (11) and a plunger assembly (13) disposed in the damper housing (11), the damper housing (11) sliding in a proximal direction to the piston assembly (13) when an injection is simulated, wherein the damper housing (11) is operatively attached to a first energy accumulating element (34) such that an axial output force from the first energy accumulating element (34) can cause the damper housing to move relative to the piston assembly (13) and the outer housing (3) towards the proximal end of the device (1) from a tense position to a position after injection simulation, and wherein the piston assembly (13) is configured to provide a first resistance to fluid flowing in a proximal direction therethrough and a second resistance to fluid flowing in a distal direction therethrough, wherein the second resistance is less than the first resistance. 2. Indretning (1) ifølge krav 1, hvor positionen af stempelaggregatet (13) i forhold til det ydre hus (3) er hovedsageligt fikseret under injektionssimulering.Device (1) according to claim 1, wherein the position of the piston assembly (13) relative to the outer housing (3) is substantially fixed during injection simulation. 3. Indretning (1) ifølge ethvert foregående krav, hvor stempelaggregatet (13) omfatter et stempel (14), et ventilelement (15) og en væskepassage (141), og hvor stemplet (14) samvirker med ventilelementet (15) til at hindre strøm af væske gennem passagen (141) i den proksimale retning.Device (1) according to any preceding claim, wherein the piston assembly (13) comprises a piston (14), a valve element (15) and a fluid passage (141) and wherein the piston (14) interacts with the valve element (15) to prevent flow of liquid through the passage (141) in the proximal direction. 4. Indretning (1) ifølge ethvert foregående krav, hvor aktiveringsaggregatet (30) omfatter en bøsning (33), der er glidbart anbragt i forhold til det ydre hus (3) og operationelt knyttet til et andet energiakkumulerende element (35), således at bøsningen (33) kan bevæges aksialt i forhold til det ydre hus (3) mod den distale ende af indretningen (1) fra en startposition til en tilbagetrukket position imod en aksial kraft fra det andet energiakkumulerende element (35), og/eller således, at en aksial udgangskraft fra det andet energiakkumulerende element (35) kan bevæge bøsningen (11) aksialt i forhold til det ydre hus (3) en forudbestemt strækning mod den proksimale ende af indretningen fra den tilbagetrukne position til startpositionen.Device (1) according to any preceding claim, wherein the actuating assembly (30) comprises a sleeve (33) slidably disposed relative to the outer housing (3) and operatively attached to another energy accumulating element (35), such that the sleeve (33) may be moved axially with respect to the outer housing (3) toward the distal end of the device (1) from a starting position to a retracted position against an axial force of the second energy accumulating element (35), and / or thus; that an axial output force of the second energy accumulating element (35) can move the bush (11) axially with respect to the outer housing (3) a predetermined stretch towards the proximal end of the device from the retracted position to the starting position. 5. Indretning (1) ifølge ethvert foregående krav, hvor aktiveringsaggregatet (30) omfatter en aktuator (32); hvor aktuatoren (32) har en forspændingsparat del (322) med et første segment (323), der har en første yderdiameter, og et andet segment (324), der har en anden yderdiameter, hvor det andet segment (324) er mere proksimalt end det første segment (323), og den anden yderdiameter er større end den første yderdiameter; og hvor bøsningen (33) overlapper mindst en del af det andet segment (324) og hindrer den forspændingsparate del (322) i at bevæge sig i en udadgående retning, når bøsningen (33) er i startpositionen.Device (1) according to any preceding claim, wherein the actuator (30) comprises an actuator (32); wherein the actuator (32) has a biasing portion (322) having a first segment (323) having a first outer diameter and a second segment (324) having a second outer diameter, the second segment (324) being more proximal than the first segment (323) and the second outer diameter is greater than the first outer diameter; and wherein the bush (33) overlaps at least part of the second segment (324) and prevents the bias-ready portion (322) from moving in an outward direction when the bush (33) is in the starting position. 6. Indretning (1) ifølge krav 5, hvor aktuatoren (32) yderligere har et konisk segment (325) mellem det første segment (323) og det andet segment (324).Device (1) according to claim 5, wherein the actuator (32) further has a tapered segment (325) between the first segment (323) and the second segment (324). 7. Indretning (1) ifølge krav 6 eller 7, hvor, når dæmperhuset (11) er i den ladede position, bevægelsen af dæmperhuset (11) mod den proksimale ende af indretningen (1) er hovedsageligt hæmmet ved at den mindst ene forspændingsparate del (322) samvirker med dæmperhuset (11) og/eller ved at et skubbeelement (12) er forbundet med dæmperhuset (11).Device (1) according to claim 6 or 7, wherein, when the damper housing (11) is in the charged position, the movement of the damper housing (11) towards the proximal end of the device (1) is substantially inhibited by the at least one biasing part (322) cooperates with the damper housing (11) and / or in that a pushing element (12) is connected to the damper housing (11). 8. Indretning (1) ifølge krav 5 til 7, hvor, når dæmperhuset (11) er i den lastede position, og bøsningen (33) bevæges til den tilbagetrukne position, bøjer den forspændingsparate del (322) udad og udløser dæmperhuset (11) og/eller skubbeelementet (12).Device (1) according to claims 5 to 7, wherein, when the damper housing (11) is in the loaded position and the bushing (33) is moved to the retracted position, the biasing part (322) bends outwards and releases the damper housing (11) and / or the pushing member (12). 9. Indretning (1) ifølge ethvert foregående krav, hvor dæmperhuset (11) kan bevæges aksialt i forhold til det ydre hus (3) og/eller i forhold til stempelaggregatet (13) mod den distale ende af indretningen (1) fra positionen, der efterfølger injektionssimulering, til den ladede position imod den aksiale kraft fra det første energiakkumulerende element (34).Device (1) according to any preceding claim, wherein the damper housing (11) can be moved axially with respect to the outer housing (3) and / or relative to the piston assembly (13) towards the distal end of the device (1) from the position, following injection simulation, to the charged position against the axial force of the first energy accumulating element (34). 10. Indretning (1) ifølge ethvert foregående krav, hvor aktiveringsaggregatet (30) yderligere omfatter en kanylekappe (31), der er operationelt knyttet til eller udformet integralt med bøsningen (33) og har en proksimal ende, der strækker sig ud fra husaggregatet (2) i en proksimal retning, når bøsningen (33) er i startpositionen.Device (1) according to any preceding claim, wherein the actuator (30) further comprises a cannula sheath (31) operatively attached to or integrally formed with the sleeve (33) and having a proximal end extending from the housing assembly ( 2) in a proximal direction when the bush (33) is in the starting position. 11. Aggregat omfattende en indretning (1) ifølge ethvert foregående krav og en genladningsenhed (80) med en skaftdel (83), der er konfigureret til at blive indført i yderhuset (3) gennem en proksimal åbning i kanylehætten (31), en udskyder (85), der er anbragt glidbart i forhold til skaftdelen (83) og operationelt knyttet til et tredje energiakkumulerende element (87), således at udskyderen (85) kan bevæges aksialt i forhold til skaftdelen (83) fra en startposition til en tilbagetrukket position imod et aksial kraft fra det tredje energiakkumulerende element (87) og/eller sådan, at i kraft af en aksial udgangskraft fra det tredje energiakkumulerende element (87) kan udskyderen (85) bevæges aksialt i forhold til skaftdelen (83) fra den tilbagetrukne position til startpositionen.An assembly comprising a device (1) according to any preceding claim and a recharging unit (80) having a shaft portion (83) configured to be inserted into the outer housing (3) through a proximal opening in the needle cap (31), (85) slidably disposed relative to the shaft portion (83) and operatively attached to a third energy accumulating member (87) so that the pusher (85) can be moved axially relative to the shaft portion (83) from a starting position to a retracted position. against an axial force of the third energy-accumulating element (87) and / or such that, by virtue of an axial output force of the third energy-accumulating element (87), the pusher (85) can be moved axially with respect to the shaft portion (83) from the retracted position to the starting position. 12. Aggregat ifølge krav 11, hvor genladningsenheden (80) omfatter en fod (81), der har en første portion (812), som er konfigureret til rumme og/eller styre husaggregatet (2) og/eller hvor genladningsenheden (80) omfatter en anden portion (814), der er konfigureret til at udgøre en basis til understøtning af genladningsenheden (80) i en opret position.The assembly of claim 11, wherein the recharge unit (80) comprises a foot (81) having a first portion (812) configured to accommodate and / or control the housing assembly (2) and / or wherein the recharge unit (80) comprises a second portion (814) configured to form a base for supporting the recharge unit (80) in an upright position. 13. Aggregat ifølge krav 11 eller 12, hvor udskyderen (85) har en første ende med en kopformet struktur (852), der er konfigureret til at rumme den proksimale ende af kanylehætten (31), der strækker sig ud af husaggregatet (2) deri, og som er konfigureret til at hvile mod en vederlagsflade (9) på husaggregatet (2), når indretningen (1) bliver genladet.An assembly according to claim 11 or 12, wherein the extruder (85) has a first end having a cup-shaped structure (852) configured to accommodate the proximal end of the needle cap (31) extending from the housing assembly (2). therein, and which is configured to rest against a toll surface (9) on the housing assembly (2) when the device (1) is recharged.