Multi-cartridge fluid delivery device

Inventors

Gonnelli, Robert R.Levesque, Steven F.Nardi, Ronald V.

Assignees

Mannkind CorpBiovalve Technologies Inc

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Publication Number

US-12246159-B2

Patent

Publication Date

2025-03-11

Expiration Date


Abstract

A fluid delivery device for administering a first medicament and a second medicament includes a first fluid reservoir configured to contain the first medicament and a second fluid reservoir configured to contain the second medicament. The fluid delivery device may include one or more basal drive mechanisms to provide a basal delivery of one or more of the first and second medicaments. The fluid delivery device may further include one or more bolus drive mechanisms to provide a bolus delivery of one or more of the first and second medicaments.

Core Innovation

The invention concerns a dual/multi-cartridge fluid delivery device with separate first and second medicaments, where the device delivers basal delivery and bolus delivery. The device includes a first basal delivery of the first medicament and a second basal delivery of the second medicament, and also delivers a first bolus delivery of the first medicament and a second bolus delivery of the second medicament. Basal delivery is a sustained delivery of medicament, while bolus delivery is a predetermined amount delivered over a shorter amount of time than the basal delivery.

The device architecture supports basal and bolus actuation using a basal drive mechanism and a bolus drive mechanism. The basal drive mechanism includes drive components such as coil spring, basal drive piston, hydraulic fluid reservoir, pump chamber, and flow restrictors, and may use reservoir and actuation structures such as flexible or balloon-type basal reservoirs, hinged plates, and flexible barrier members. The bolus drive mechanism uses a ratchet and bolus piston to deliver predetermined bolus amounts for the first and second medicaments.

Multiple device architecture variants are described for reducing mixing and enabling delivery with different needle arrangements. Separate versus shared needle arrangements include spatial separation and depth-differential needles to reduce mixing, and an optional Y-shaped needle enabling mixing when compatible. Additional variants include separate vs single vs multiple basal drive mechanisms, with piston and piston-size variations used to change bolus ratio between medicaments, and optional single-needle delivery configurations. Documented example medicament pairings include insulin and an insulin analog, together with a second medicament, including broader medicament pairings such as incretin (GLP-1) and other listed therapeutic classes.

Claims Coverage

The independent claims are directed to a method of administering first and second medicaments with distinct basal and bolus deliveries, and to a corresponding fluid delivery device. Across the independent claims, the inventive features center on separate basal and bolus delivery for first and second medicaments using corresponding drive mechanisms, together with the temporal distinction that basal delivery is sustained and bolus delivery is a predetermined amount delivered over a shorter time.

Basal and bolus delivery of two medicaments from a fluid delivery device

Delivering a first basal delivery of a first medicament and a second basal delivery of a second medicament, and delivering a first bolus delivery of the first medicament and a second bolus delivery of the second medicament, where basal delivery is sustained and bolus delivery is a predetermined amount delivered over a shorter amount of time than the basal delivery.

Separate basal drive mechanism actuation for first and second basal deliveries

Delivering the first basal delivery includes actuating a first basal drive mechanism and delivering the second basal delivery includes actuating the first basal drive mechanism.

Separate bolus drive mechanism actuation for first and second bolus deliveries

Delivering the first bolus delivery includes actuating a first bolus drive mechanism and delivering the second bolus delivery includes actuating the first bolus drive mechanism.

Fluid delivery device with first basal drive mechanism and bolus drive mechanism for two medicaments

A fluid delivery device comprising a first medicament, a second medicament, a first basal drive mechanism for delivering a first basal delivery of the first medicament and a second basal delivery of the second medicament, and a bolus drive mechanism including a ratchet and a bolus piston coupled to the ratchet for delivering a first bolus delivery of the first medicament and a second bolus delivery of the second medicament, where basal delivery is sustained and bolus delivery is a predetermined amount delivered over a shorter amount of time than the basal delivery.

Ratchet and bolus piston bolus drive mechanism coupled to deliver both bolus deliveries

A bolus drive mechanism, including a ratchet and a bolus piston coupled to the ratchet, for delivering the first bolus delivery of the first medicament and the second bolus delivery of the second medicament.

Sustained basal delivery with predetermined bolus delivery over shorter time

Wherein the basal delivery is a sustained delivery of medicament and the bolus delivery is a predetermined amount of medicament delivered over a shorter amount of time than the basal delivery.

The independent claims cover both a method and a fluid delivery device that administer two medicaments using separate basal and bolus deliveries. The claims require basal delivery as sustained and bolus delivery as a predetermined amount over a shorter time, with basal and bolus deliveries performed using corresponding basal and bolus drive mechanisms, including a bolus drive mechanism that includes a ratchet and a bolus piston coupled to the ratchet.

Stated Advantages

Compact portable use.

Enabling delivery regimens and PK profiles not achievable with conventional single formulation dosing.

Providing sustained release PK and pulsatile PK profiles, including peak-valley profile.

Documented Applications

Administering insulin and an insulin analog together with a second drug, using basal delivery and bolus delivery from the fluid delivery device.

Administering broader pairs of medicaments from the fluid delivery device, including medicament pairings beyond insulin/insulin analog, as listed in the document (e.g., incretin (GLP-1), amylin (pramlintide), biguanide (metformin), glucosidase inhibitor (acarbose), sulfonylurea, meglitinide, PPARγ agonist (pioglitazone/rosiglitazone), saccharide, glucagon, IGF-1/IGF-2, C-peptide, antibacterial agents, and dopamine receptor agonist/antagonist).

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