`
`
`
`
`
`Exhibit R
`
`
`
`
`
`
`USOORE46363E
`
`US RE46,363 E
`(10) Patent Number:
`Apr. 11, 2017
`(45) Date of Reissued Patent:
`
`(52) U.S. Cl.
`CPC ...... A61M 5/14566 (2013.01); A61M 5/3155
`(2013.01); A61M 5/31583 (2013.01);
`(Continued)
`(58) Field of Classification Search
`CPC ............ A61M 5/14566; A61M 5/3155; A61M
`5/31583; A61M 5/20: A61M 5/31535:
`(Continued)
`References Cited
`
`(56)
`
`(19) United States
`(12) Reissued Patent
`Moeller et al.
`
`(54) DIAL-DOWN MECHANISM FOR WIND-UP
`PEN
`
`(71) Applicant: Novo Nordisk A/S, Bagsvaerd (DK)
`
`(72) Inventors: Claus Schmidt Moeller, Fredensborg
`(DK); Christian Peter Enggaard,
`Veby (DK); Bo Radmer, Hilleroed
`(DK); Tom Hede Markussen,
`Bagsvaerd (DK)
`
`(73) Assignee: Novo Nordisk A/S, Bagsvaerd (DK)
`
`(21) Appl. No.: 14/091,774
`
`Nov. 27, 2013
`(22) Filed:
`Related U.S. Patent Documents
`
`U.S. PATENT DOCUMENTS
`
`854,390 A
`2,392,196 A
`
`5/1907 Bridge
`1/1946 Smith
`(Continued)
`
`FOREIGN PATENT DOCUMENTS
`
`AU
`AU
`
`1, 1988
`59.5723
`1, 2004
`2003232576 A1
`(Continued)
`
`OTHER PUBLICATIONS
`
`Annersten, M. et al., Insulin Pens Dribble From the Tip of the
`Needle After Injection, Practical Diabetes Int., vol. 17(4), pp.
`109-111 (2000).
`
`(Continued)
`Primary Examiner — William Doerrler
`(74) Attorney, Agent, or Firm — Wesley Nicolas
`
`ABSTRACT
`(57)
`The present invention relates to a dial-down mechanism for
`an injection device comprising a torsion spring for assisting
`injection of a dose of medicament from the injection device,
`the dial-down mechanism comprising dial-up cam arranged
`to receive and engage with a dial-up key, wherein the dial-up
`cam and the dial-up key are adapted to, upon rotation of a
`dose setting member in a first direction, cooperate to strain
`the torsion spring of the injection device, and a dial-down
`cam arranged to receive and engage with a dial-down key,
`wherein the dial-down cam and the dial-down key are
`(Continued)
`
`7,686,786
`Mar. 30, 2010
`11/665,486
`Oct. 20, 2005
`PCT/EP2005/O11285
`
`Reissue of:
`(64) Patent No.:
`Issued:
`Appl. No.:
`PCT Fed:
`PCT No.:
`S 371 (c)(1),
`Oct. 11, 2007
`(2) Date:
`PCT Pub. No.: WO2006/045526
`PCT Pub. Date: May 4, 2006
`U.S. Applications:
`(62) Division of application No. 13/431,019, filed on Mar.
`27, 2012, which is an application for the reissue of
`Pat. No. 7,686,786.
`(Continued)
`Foreign Application Priority Data
`
`(30)
`
`Oct. 21, 2004 (EP) ..................................... O4O77900
`
`(51) Int. Cl.
`A6M 5/20
`A6M 5/45
`A6M 5/35
`
`
`
`(2006.01)
`(2006.01)
`(2006.01)
`
`Case 1:22-cv-00023-JPB Document 2-18 Filed 03/18/22 Page 2 of 16 PageID #: 437
`
`
`
`Amended
`
`Aleided
`
`
`
`US RE46,363 E
`Page 2
`
`adapted to, upon rotation of the dose setting member in a
`second direction, cooperate to release the torsion spring of
`the injection device, the second rotation direction being
`opposite to the first rotation direction.
`
`11 Claims, 5 Drawing Sheets
`
`Related U.S. Application Data
`(60) Provisional application No. 60/626,270, filed on Nov.
`9, 2004.
`
`(52) U.S. Cl.
`CPC ........... A61M 5/20 (2013.01); A61M 5/31535
`(2013.01); A61M 5/31553 (2013.01); A61M
`5/31586 (2013.01); A61M 5/31593 (2013.01);
`A61M 2005/202 (2013.01)
`(58) Field of Classification Search
`CPC .......... A61M 5/31586: A61M 5/31593: A61M
`5/31553; A61M 2005/202
`USPC ................ 604/134, 135, 136, 131, 132, 133
`See application file for complete search history.
`
`(56)
`
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`U.S. Patent
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`Apr. 11, 2017
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`Sheet 1 of 5
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`US RE46,363 E
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`Case 1:22-cv-00023-JPB Document 2-18 Filed 03/18/22 Page 8 of 16 PageID #: 443
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`Fig. B Amended
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`U.S. Patent
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`Apr. 11, 2017
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`Sheet 2 of 5
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`US RE46,363 E
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`Case 1:22-cv-00023-JPB Document 2-18 Filed 03/18/22 Page 9 of 16 PageID #: 444
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`Fig. 28 Amended
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`U.S. Patent
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`Apr. 11, 2017
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`Case 1:22-cv-00023-JPB Document 2-18 Filed 03/18/22 Page 10 of 16 PageID #: 445
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`Fig. 3 Amended
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`US RE46,363 E
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`36
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`Case 1:22-cv-00023-JPB Document 2-18 Filed 03/18/22 Page 11 of 16 PageID #: 446
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`Fig. 4 Amended
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`US RE46,363 E
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`Case 1:22-cv-00023-JPB Document 2-18 Filed 03/18/22 Page 12 of 16 PageID #: 447
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`FG, SA
`
`Amended
`
`
`
`1.
`DAL-DOWN MECHANISM FOR WIND-UP
`PEN
`
`US RE46,363 E
`
`appears in the
`Matter enclosed in heavy brackets
`original patent but forms no part of this reissue specifica
`tion; matter printed in italics indicates the additions
`made by reissue; a claim printed with strikethrough
`indicates that the claim was canceled, disclaimed, or held
`invalid by a prior post-patent action or proceeding.
`
`10
`
`CROSS-REFERENCE TO RELATED
`APPLICATIONS
`
`15
`
`This application is a 35 U.S.C. S. 371 national stage
`application of International Patent Application PCT/
`EP2005/011285 (published as WO 2006/045526), filed Oct.
`20, 2005, which claimed priority of European Patent Appli
`cation 04077900.1, filed Oct. 21, 2004; this application
`further claims priority under 35 U.S.C. S 119 of U.S.
`Provisional Application 60/626,270, filed Nov. 9, 2004.
`This application is a Divisional Reissue of U.S. application
`Ser: No. 13/431,019, filed Mar: 27, 2012, which is an
`Application for Reissue of U.S. Pat. No. 7,686,786, issued
`Mar: 30, 2010 (U.S. application Ser: No. 1 1/665,486, filed
`Oct. 11, 2007), which is a 35 U.S.C. S371 national stage
`application of International Patent Application PCTV
`EP2005/01 1285 (published as WO2006/045526), filed Oct.
`20, 2005, which claimed priority of European Patent Appli
`cation 04077900. 1, filed Oct. 21, 2004; this application
`further claims priority under 35 U.S.C. S I 19 of U.S. Provi
`Sional Application 60/626,270, filed Nov. 9, 2004, incorpo
`rated herein by reference.
`
`25
`
`30
`
`35
`
`FIELD OF THE INVENTION
`
`The present invention relates to a dial-down mechanism
`for automatic wind-up pens. In particular, the present inven
`tion relates to integrated axial and radial dial-down mecha
`nisms for wind-up pens.
`
`40
`
`BACKGROUND OF THE INVENTION
`
`Case 1:22-cv-00023-JPB Document 2-18 Filed 03/18/22 Page 13 of 16 PageID #: 448
`
`In known injection devices, such as wind-up pens, based
`on torsion springs, the use of dial-down mechanisms rely on
`that the user of the injection device applies a force to a
`rotatable dose setting member of the injection device. The
`force must be applied in order to axially withdraw the dose
`setting member a certain distance to release the dose setting
`member from a toothing mechanism or ratchet positioned
`within the body of the injection device. By releasing the
`dose setting member from this toothing mechanism the dose
`setting member can be reversed by rotation and set at a new
`and lower dose.
`An example of a known wind-up pen applying a torsion
`spring may for example be found in U.S. Pat. No. 5,104,380.
`However, the pen suggested in U.S. Pat. No. 5,104,380 does
`not offer a dial-down mechanism. A dial-down mechanism
`is provided in WO 02/053214. However, the proposed
`solution in WO 02/053214 involves a linear spring.
`It is a disadvantage of known torsion spring-based dial
`down systems that the user must apply a force to withdraw
`the dose setting member a certain axial distance and, at the
`same time, adjust the angular position of the dose setting
`member. Especially for persons having reduced motoric
`
`45
`
`50
`
`55
`
`60
`
`65
`
`2
`skills or reduced finger strength, Such as children, elderly
`people or disabled people this is a rather complicated
`procedure.
`US 2004/1991 17 discloses a medication delivery pen
`including an arrangement where incorrect dosage settings
`may be corrected by a user via a dial-back feature that
`enables the user to reset the dose amount without expelling
`medication and without having to dial a dose knob to an
`extended, reset position. The medication delivery pen of US
`2004/1991 17 is a so-called manual pen where the injection
`of a medicament from the pen is driven by a force purely
`provided by the user of the pen. Thus, the injection of a
`medicament is not assisted by any resilient member, Such as
`a spring, and the dial-down arrangement disclosed in US
`2004/1991 17 is not arranged to maintain a resilient member
`in a given strained position.
`It is an object of the present invention to provide a
`dial-down mechanism for automatic wind-up pens. Auto
`matic wind-up pens are here to be understood as pens having
`a resilient member, Such as a spring, to assist injecting a
`medicament from an injection device.
`
`SUMMARY OF THE INVENTION
`
`The above-mentioned object is complied with by provid
`ing, in a first aspect, a dial-down mechanism for an injection
`device comprising a torsion spring for assisting injection of
`a dose of medicament from the injection device, the dial
`down mechanism comprising
`dial-up cam arranged to receive and engage with a dial-up
`key, wherein the dial-up cam and the dial-up key are
`adapted to, upon rotation of a dose setting member in
`a first direction, cooperate to strain the torsion spring of
`the injection device, and
`a dial-down cam arranged to receive and engage with a
`dial-down key, wherein the dial-down cam and the
`dial-down key are adapted to, upon rotation of the dose
`setting member in a second direction, cooperate to
`release the torsion spring of the injection device, the
`second rotation direction being opposite to the first
`rotation direction.
`Generally speaking the dial-down mechanism may be
`implemented as a radial dial-down mechanism or as an axial
`dial-down mechanism. In the radial dial-down mechanism
`the dial-down key or keys are arranged to move in the radial
`direction of the mechanism. This may also be the radial
`direction of the injection device. In the axial dial-down
`mechanism, the dial-down key or keys are arranged to move
`in the axial direction of the injection device.
`Also it should be noted that the dial-up key or keys, and
`the dial-down key or keys may be different keys—i.e.
`physically separated keys. However, it may also be that the
`dial-up and dial-down key is constituted by the same key.
`Thus, it may be that the mechanism according to the present
`invention comprises only a single key which is used for both
`dial-up and dial down.
`The dial-up