CN101198366A - Methods and devices for assisting patient self-administration - Google Patents
Methods and devices for assisting patient self-administration Download PDFInfo
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- CN101198366A CN101198366A CNA2006800209985A CN200680020998A CN101198366A CN 101198366 A CN101198366 A CN 101198366A CN A2006800209985 A CNA2006800209985 A CN A2006800209985A CN 200680020998 A CN200680020998 A CN 200680020998A CN 101198366 A CN101198366 A CN 101198366A
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Abstract
本发明涉及一种适于通过非电动机构(33)注射液态药物的手动注射笔(1)。注射笔(1)带有多个传感器(50,70,200),它们可在使用者利用装置采取特定行动时产生感应。此外注射笔(1)还带有发声器(10),能够对应于使用者采取的特定行动发出特定的声音。这样,就能够向每一个特定行动发出特定的声音信号。
The invention relates to a manual injection pen (1) suitable for injecting liquid medicine through a non-electric mechanism (33). The injection pen (1) has a plurality of sensors (50, 70, 200) which sense when a user takes a specific action with the device. In addition, the injection pen (1) is also equipped with a sound generator (10), which can emit specific sounds corresponding to specific actions taken by the user. In this way, a specific sound signal can be emitted for each specific action.
Description
技术领域technical field
本发明通常涉及对疾病的治疗和在患者自给药的情形下的处理。特别是,本发明涉及一种使自给药变得简单和/或令人愉快的装置和方法。本发明还涉及给药的方法和向患者出售装置和药物的方法。这特别适合必须自己注射药的患者使用,但这并不意味着限制为注射装置。The present invention generally relates to the treatment of disease and treatment in the context of patient self-administration. In particular, the present invention relates to a device and method for making self-administration easy and/or enjoyable. The present invention also relates to methods of administering drugs and methods of marketing devices and medicaments to patients. This is especially useful for patients who have to inject their own medicine, but it is not meant to be limited to injection devices.
背景技术Background technique
许多种疾病,例如糖尿病和生长障碍疾病通常都需要患者自给药。在多种情况下,不能口服药物。尽管已经开发出很多新的给药途径,但通常仍需要自己注射这些药物;特别是,目前极力推行胰岛素的肺部给药。尽管目前具有用于自注射或吸入药物的装置,但这种装置通常不能提供给(incorporate)使用者友好的反馈。尽管有些输液泵包括一些警报系统,但通常不连续的药剂计量器,如注射笔还无法向使用者以听觉反馈的方式提供太多信息。通常,这种注射笔只包括非常简单的机械卡扣式(click)机构,它能够对注射笔上设定的每一个增量发出“咔哒”声。Many diseases, such as diabetes and growth disorders, often require patient self-administration. In many cases, the drug cannot be taken orally. Although many new routes of administration have been developed, self-injection of these drugs is often still required; in particular, there is currently a strong push for pulmonary delivery of insulin. While devices are currently available for self-injecting or inhaling medication, such devices generally do not incorporate user-friendly feedback. Although some infusion pumps include some alarm systems, generally discrete dose metering devices such as injection pens do not provide much information to the user in the form of audible feedback. Typically, such pens include only a very simple mechanical click mechanism that "clicks" for each increment set on the pen.
发明内容Contents of the invention
本发明改善了患者在自给药方面的体验。在一实施方案中,一种药物输送装置(如注射笔)带有扬声器或其它能够向患者传送听觉、视觉和/或触觉反馈的输出装置。例如,在其中一个实施例中,当使用者最初接触到该装置时,当使用者改变设置时,或者当药物被成功地从装置中输出时,装置都会发出声音。The present invention improves the patient's experience with self-administration. In one embodiment, a drug delivery device, such as an injection pen, has a speaker or other output device capable of delivering audible, visual and/or tactile feedback to the patient. For example, in one embodiment, the device emits a sound when the user initially touches the device, when the user changes a setting, or when a drug is successfully delivered from the device.
虽然本发明可以包括机电驱动的药物输送装置,但也可以包括依靠纯机械部件来输送药物的复杂性低的装置。While the present invention may include electromechanically driven drug delivery devices, it may also include low complexity devices that rely on purely mechanical components to deliver the drug.
在一些实施方案中,所发出的声音可以是使用者从多种声音中挑选出来的,或者是从外部来源或计算机网络(如因特网)下载到该装置中的。In some embodiments, the emitted sound may be selected by the user from a variety of sounds, or downloaded to the device from an external source or computer network such as the Internet.
在其中一个实施方案中,本发明表现为一种药物输送装置,如注射笔。这种注射笔带有一个或多个在使用者开始使用注射笔或甚至仅仅接触到注射笔时产生感应的传感器。所述传感器可以检测到使用者采取的各种动作。这些动作包括拾取注射笔、移除盖、与针附连在一起、调整剂量,将注射针插入到使用者的皮肤、注射剂量、从使用者的皮肤中取出针、将盖放回原处等。所述装置包括语音芯片或其它可以发声的电子或机械机构。该装置还包括允许语音模式下载到装置的接口。In one of its embodiments, the invention is embodied as a drug delivery device, such as an injection pen. The pen has one or more sensors that sense when the user starts using the pen or even just touches the pen. The sensors can detect various actions taken by the user. These actions include picking up the pen, removing the cap, attaching to the needle, adjusting the dose, inserting the needle into the user's skin, injecting the dose, removing the needle from the user's skin, replacing the cap, etc. . The device includes a voice chip or other electronic or mechanical mechanism that can produce sound. The device also includes an interface that allows the voice mode to be downloaded to the device.
在其中一个实施方案中,各种语音模式被预先装载到该装置中。可以基于该装置的预定使用者来选择语音模式。例如,在出售给儿童的注射笔中,声音可以使模仿流行的儿童卡通片的声音或来自于其它流行儿童文化领域的声音。因此,本发明的这一方面是对于特定的患者群在出售装置和/或出售装置内所含药物方面非常有用的许多方法的其中之一。In one of these embodiments, various voice modes are pre-loaded into the device. The speech mode may be selected based on the intended user of the device. For example, in an injection pen marketed to children, the sounds could be made to mimic the sounds of popular children's cartoons or from other areas of popular children's culture. Thus, this aspect of the invention is one of many methods that may be useful in vending a device and/or vending a drug contained within a device for a particular patient population.
在另一实施方案中,本发明能够提供一种教育使用者正确操作该装置的方式。例如,当本发明结合到笔装置中时,使用者能够被教导通过合成的声音指令来正确操作该笔。即使当患者被充分训练以使用这种特殊的装置,本发明在对患者进行提醒方面也是有用的,例如注射后使针在皮肤下停留预定的时间,警告使用者他们的药物供给正在减少,或者提醒使用者药物快用完了。In another embodiment, the present invention can provide a means of educating the user on the proper operation of the device. For example, when the present invention is incorporated into a pen device, the user can be taught to properly operate the pen through synthesized voice commands. Even when the patient is sufficiently trained to use this particular device, the present invention is useful in alerting the patient, for example by leaving the needle under the skin for a predetermined time after injection, alerting the user that their drug supply is running low, or Reminds the user that the drug is running low.
附图说明Description of drawings
图1示出了本发明的注射笔形式的示例性实施方案。Figure 1 shows an exemplary embodiment of the present invention in the form of an injection pen.
具体实施方式Detailed ways
在这一示例性实施方案中,本发明结合到一标准的注射笔中,如胰岛素注射笔。在美国专利US6277098,US6302855,US6248090,US6004297,US6235004,US5626566中都公开了这种注射笔,这些专利的全部内容结合在本申请中作为参考。In this exemplary embodiment, the invention is incorporated into a standard injection pen, such as an insulin injection pen. Such injection pens are disclosed in US patents US6277098, US6302855, US6248090, US6004297, US6235004, and US5626566, the entire contents of which are incorporated herein by reference.
如图1所示,笔1带有机械式剂量设定机构11和用于从笔中排出药物的机械式驱动机构33,这种笔包括处理器10、与处理器相连的扬声器20和使用者输入部30,40。所述使用者输入部用于控制容积或其它功能,如控制开关。As shown in Figure 1, the
所述笔还可以包括各种传感器,如在使用者接触到笔时产生响应的触觉传感器50。该触觉传感器50可以是在和使用者接触时产生反应的任何传感器,如压力传感器、阻抗变化传感器、电阻传感系统或其它能够在接触时进行检测的装置。此外,笔1还包括用于检测各种部件运动的多个其他传感器。例如,注射笔1可以包括在移除盖100时产生感应的盖移除传感器70。The pen may also include various sensors, such as a
此外,也可以将其它传感器结合到剂量设定机构中并通过设定剂量来触发这些传感器。这些传感器可以是移动接触或依靠磁性接触或者是其它类型的可以感知剂量设定机构移动的传感器。此外,笔1还包括与注射针连接的针插入型传感器200,从而在针插入到皮肤表面时触发该传感器。通常,这些传感器都与处理器10连接,以便在传感器被触发时,将信号发送给处理器。处理器10被构造成可以产生声音或者与发声装置如发声车(sound cart)连接、相联或协作,产生能够驱动扬声器20的声音信号。Additionally, other sensors may also be incorporated into the dose setting mechanism and triggered by setting the dose. These sensors may be moving contacts or rely on magnetic contacts or other types of sensors that sense movement of the dose setting mechanism. Furthermore, the
在该实施方案中,被发送给扬声器的所有声音信号都是相同的。在另一实施方案中,声音信号可以随着所触发的传感器的不同而改变。例如,移除盖100产生一种声音,旋转剂量设定机构产生另一种不同声音,而把针插入到皮肤中则产生又一种声音。In this embodiment, all sound signals sent to the speakers are identical. In another embodiment, the sound signal can vary depending on which sensor is triggered. For example, removing the
如果笔1包含针插入传感器200,那么处理器能够被编程以在从皮肤中取出针时以听得见的提示警告使用者。这一时间能够被编程为对应于注射后将针保留在皮肤中需要的时间(如10秒,通常为4-8秒)。If the
在有些实施方案中,结合本发明的输送装置还可以包括视觉显示或触觉显示。因此,处理器能够显示供使用者使用的选择菜单,使用者能够通过使用者输入部30选择选项。In some embodiments, delivery devices incorporating the present invention may also include visual or tactile displays. Thus, the processor can display a selection menu for the user, and the user can select an option through the
有些实施方案还可以包括允许使用者将声音信号如音乐等下载到笔1中的输入部300。该输入部被构造成允许有线下载或接受与外部设备的无线联通,如个人电脑或网络(如因特网)。Some embodiments may also include an
在一些实施方案中,能够采用声音或患者反馈系统对患者进行提醒。例如,所述装置能够被构造成在该装置一段时间没有被使用向患者发出声音或发送其它听觉信号或视觉信号或触觉提醒。例如,如果在早晨没有使用该装置,所述装置就会发出声音信号。其它的提醒,例如没有输送正常的日剂量也能够触发声音。对于不同的提醒可以采用多种声音。因此,本发明可用于提高患者的顺从性,并因此改善患者的治疗和成果。In some embodiments, the patient can be alerted using a sound or a patient feedback system. For example, the device can be configured to sound or send other audible or visual signals or tactile reminders to the patient when the device has not been used for a period of time. For example, if the device is not used in the morning, the device emits an audible signal. Other reminders, such as failure to deliver the normal daily dose can also trigger the sound. Multiple sounds can be used for different reminders. Accordingly, the present invention can be used to increase patient compliance and thus improve patient treatment and outcomes.
实施例1Example 1
能够构造出按照图1所示的笔。另外下述内容也能够被结合到这种笔中。该笔预先装载了来自于成真的关于虚构的玩具的流行儿童电影中的音乐。电影中的英雄是一个可以发出特殊声音的太空玩具。特别地,在被射击时这个英雄能够在激光中发出特定的声音,并且在它进行冒险时会说出独特的座右铭。A pen can be constructed as shown in FIG. 1 . Additionally the following can also be incorporated into this pen. The pen is preloaded with music from popular children's movies about fictional toys that come true. The hero in the movie is a space toy that can make special sounds. In particular, the hero is able to make specific sounds in lasers when being shot, and will say unique mottos as it goes on adventures.
在该实施例中,当从笔上移除盖时,笔会发出类似于英雄在被射击时的激光声音。当使用者调整剂量时,会发出另一种类似于观看电影时产生的声音。当使用者把针插入到皮肤表面时,则会从笔中发出又一种声音。这种声音可以使使用者安心,告诉他疼痛的部分已经结束,或者使用者是“非常勇敢”的或者发出其它鼓励的词语或声音。当已经过去足够的时间,需要拔出针时,笔会发出英雄玩具的座右铭。In this embodiment, when the cap is removed from the pen, the pen makes a laser sound similar to the hero's laser sound when being shot. When the user adjusts the dose, another sound similar to that produced while watching a movie is produced. Another sound is emitted from the pen as the user inserts the needle into the surface of the skin. This sound can reassure the user, telling him that the painful part is over, or that the user is "very brave" or other words or sounds of encouragement. When enough time has passed and the needle needs to be pulled out, the pen will emit the Hero Toys motto.
实施例2Example 2
根据实施例1,能够制作电视广告来展示儿童使用这种注射笔。电视广告可以在提供用于所述笔的声音的电影的播放过程中和播放前后显示。由于电影的目标观众是儿童,因此该广告的目标同样也是儿童。假定儿童观众足够多,那么就能计算出收看这则广告且需要这种注射笔的潜在的儿童数量。因此,本发明能够提供一种利用收看儿童电视或电影向儿童和他们的父母亲介绍新的药物输送技术的方法,以便能够帮助那些需要这种技术的人。According to
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Cited By (7)
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CN102497900A (en) * | 2009-07-14 | 2012-06-13 | 赛诺菲-安万特德国有限公司 | Drug delivery device |
CN103458945A (en) * | 2011-04-11 | 2013-12-18 | 诺沃—诺迪斯克有限公司 | Injection device incorporating dose monitoring |
CN103648552A (en) * | 2011-07-15 | 2014-03-19 | 赛诺菲-安万特德国有限公司 | Drug delivery device with electro-mechanic drive mechanism |
CN106714873A (en) * | 2014-09-15 | 2017-05-24 | 赛诺菲 | Providing temperature-based feedback regarding delivery of a medicament |
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CN102497900B (en) * | 2009-07-14 | 2014-05-21 | 赛诺菲-安万特德国有限公司 | Drug delivery device |
CN102497900A (en) * | 2009-07-14 | 2012-06-13 | 赛诺菲-安万特德国有限公司 | Drug delivery device |
CN103458945A (en) * | 2011-04-11 | 2013-12-18 | 诺沃—诺迪斯克有限公司 | Injection device incorporating dose monitoring |
CN103458945B (en) * | 2011-04-11 | 2016-01-13 | 诺沃—诺迪斯克有限公司 | In conjunction with the injection device of dose monitoring |
US10758676B2 (en) | 2011-07-15 | 2020-09-01 | Sanofi-Aventis Deutschland Gmbh | Drug delivery device with electro-mechanic drive mechanism |
CN103648552A (en) * | 2011-07-15 | 2014-03-19 | 赛诺菲-安万特德国有限公司 | Drug delivery device with electro-mechanic drive mechanism |
CN103648552B (en) * | 2011-07-15 | 2016-08-31 | 赛诺菲-安万特德国有限公司 | drug delivery device with electromechanical drive mechanism |
CN106267472A (en) * | 2011-07-15 | 2017-01-04 | 赛诺菲-安万特德国有限公司 | Drug delivery device with electromechanical drive mechanism |
US11660395B2 (en) | 2011-07-15 | 2023-05-30 | Sanofi-Aventis Deutschland Gmbh | Drug delivery device with electro-mechanic drive mechanism |
CN106267472B (en) * | 2011-07-15 | 2019-08-30 | 赛诺菲-安万特德国有限公司 | Drug delivery device with electromechanical driving mechanism |
CN106714873A (en) * | 2014-09-15 | 2017-05-24 | 赛诺菲 | Providing temperature-based feedback regarding delivery of a medicament |
CN109843360A (en) * | 2016-08-17 | 2019-06-04 | 尼莎·沙惠尼 | Injection Monitoring Equipment and Systems |
US11752274B2 (en) | 2016-08-17 | 2023-09-12 | Sawhney Nisha | Injection monitoring device and system |
US11475795B2 (en) | 2016-12-07 | 2022-10-18 | Shl Medical Ag | Training device |
CN110036432A (en) * | 2016-12-07 | 2019-07-19 | 艾斯曲尔医疗公司 | Training device |
CN112135649A (en) * | 2018-05-18 | 2020-12-25 | 诺和诺德股份有限公司 | Sensor assembly with identifier determination |
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