in the following the term up refers to the direction towards the dose setting member 102 and the term down refers to the direction towards the needle end . fig1 shows a device according to the invention in an oblique view . visible is the housing 1 comprising a window 16 , where the amount of a set dose can be displayed , the dose setting member 2 by which a dose is set , the push - button 4 by which a set dose is injected and the cartridge holder 3 comprising a thread for the attachment of a double - ended needle . the cartridge holder 3 contains the medicine - filled cartridge 12 ( see fig2 ). the cartridge 12 comprises a piston ( see fig3 ), which cooperates with the lead screw 10 of the injection system to expel a set dose of medicine from the cartridge 12 out through the needle . the cooperation between the different elements of the device will be described in the following . as shown in fig3 , a dosing nut 9 is engaged with a lead screw 10 via a thread connection 34 / 35 ( the thread 34 on the lead screw visible on fig2 ). the lead screw 10 is locked against rotation relative to the housing 1 via a key / groove connection 13 / 36 . the dosing nut 9 is rotational locked to a first gearing member 6 ( key / groove connection 31 / 32 , see fig2 ) which is rotational locked to a driver 8 and a dose setting member 2 , the driver 8 being fixed in the dose setting member 2 so that they act as one part . the first gearing member 6 has a number of protrusions 29 ( see fig2 ) in the bottom which cooperates with grooves 14 in the housing 1 so that when the dose setting member 2 is rotated , the first gearing member 6 will be indexed at certain positions equally spaced around the revolution , and at the same time a clicking sound is made when a dose is set . a gearing mechanism is comprising the first gearing member 6 , a second gearing member 7 and the driver 8 and is situated between the dosing nut 9 and the dose setting member 2 in such a way , that when the dose setting member 2 is being rotated to set a dose , the dosing nut 9 will rotate as well and this will elevate the dosing nut 9 due to the thread engagement 34 / 35 with the lead screw 10 , but the driver 8 and the dose setting member 2 will be elevated a bigger distance due to the gearing mechanism . the gearing mechanism is provided to make it easier to inject a set dose , to make it more visible to the user that the push - button is being moved during injection and to provide more space for numbers to be written on a dial 5 . the second gearing member 7 is axially connected to the dosing nut 9 but is capable of rotating relative to the dosing nut 9 . this can be seen in fig3 . there are two threads on the outer surface of the second gearing member 7 , which are headed in opposite directions , i . e . one is a normal right - handed thread and the other is a left - handed thread . the right - handed thread is engaged with the first gearing member 6 and the left handed thread is engaged with the driver 8 . when a dose is set , the dosing nut 9 will force the second gearing member 7 to elevate along with the dosing nut 9 due to the axial connection and this will cause the second dose member 7 to rotate due to the thread engagement 27 / 39 with the first gearing member ( see fig3 ). this will cause the driver 8 to elevate more than the second gearing member 7 as it is affected in two ways : it is axially elevated by the second gearing member 7 and it is rotated in the thread engagement 24 / 26 between the two elements . because the thread is handed opposite to the thread connection 26 / 39 between the second gearing member 7 and the first gearing member 6 this will cause the driver 8 to elevate further . this means that when the first gearing member 6 and the driver 8 , which are relative rotationally locked via the key / groove 23 / 33 , are moved axially relative to each other , the second gearing member 7 will rotate and move axially a distance smaller than the axially distance moved by the driver 8 . when a dose is injected the applied force on the push - button 4 is transferred to the dosing nut 9 via the dose setting member 4 , the driver 8 and the second gearing member 7 . a gearing in distance is achieved as the driver 8 moves a longer distance than the dosing nut 9 and the lead screw 10 , and a gearing in force is achieved , as the loss of force due to friction is lower than the extra force due to the gearing . the pitches of the threads on the second gearing member 7 can be set to any value as long as the threads are not self - locking and they can thereby be set to be very high . this is very advantageous as it means that the loss of dosing force due to friction can be very low . the directions of the two threads on the double nut can be interchanged , so that the right - handed thread is left - handed and vice versa . the important matter is that they are headed in opposite directions . to be able to display the amount of a set dose , a numbered dial 5 is part of the device . this can most clearly be seen on fig3 . the dial 5 engages with the housing 1 via a thread connection 15 / 17 . the dial 5 has two ratchet arms 18 which interact with teeth 20 on the inner cylindrical surface of the dose setting member 2 . when the dose setting member 2 is rotated to set a dose , the ratchet arms 18 will rotate the dial 5 along as the resistance between the dose setting member 2 and the dial 5 due to the ratchet arms 18 is higher than the resistance in the thread between the dial 5 and the housing 1 due to friction . when a set dose is corrected the dose setting member 2 is rotated in the locking direction of the one ratchet arms 18 , and the dial 5 will rotate along . to reduce the loss of energy between the dial 5 and the dose setting member 2 further when a dose is injected , the connection 23 / 33 between the driver 8 and the first gearing member 6 can be formed as a helical track with a higher pitch than the pitches of the second gearing member 7 . this will cause the dose setting member 2 to rotate slowly when a set dose is injected and if the rotational direction is arranged to be the same direction as for the dial 5 , the relative movement between the dial 5 and the dose setting member 2 will be smaller and the loss of energy will be reduced correspondingly . the pitch of the thread 26 on the second gearing member 7 and the number of increments between the housing 1 and the first gearing member 6 has to be corrected accordingly to make this embodiment work . other corrections of parts will also be needed . fig3 shows a device ready for setting a dose . to set a dose , the dose setting member 2 is rotated , which will cause the device to produce a clicking sound for each increment due to the click protrusions 29 on the first gearing member 6 which cooperates with the grooves 14 in the housing 1 , each click corresponding e . g . to a unit of the medicine in the cartridge . furthermore , this interface will provide a number of preferred positions of the dose setting member . the dose setting member 2 rotates the driver 8 and the first gearing member 6 , and this will now elevate the dosing nut 9 ( rotational locked to the first gearing element 6 via key groove connection 31 / 32 ) from a zero position . the driver 8 will elevate as well , but because of the gearing mechanism , it will elevate more than the dosing nut 9 . the dial 5 is rotated along with the dose setting member 2 due to the engagement with the ratchet arms 18 on the dial 5 and it elevates a distance corresponding to the elevation of the driver 8 . in fig4 a dose has been set and the device is ready to inject . the dose setting member 2 , the driver 8 and the first gearing member 6 has been rotated and it can clearly be seen , that the dial 5 , the driver 8 , the dose setting member 2 and the push - button 4 has moved one distance , and that the second gearing member 7 and the dosing nut 9 has moved another and smaller distance . in fig5 the set dose has been injected . the push - button 4 has been pushed which has pushed down the driver 8 and rotated and moved down the second gearing member 7 . however , the second gearing member 7 , the dosing nut 9 and the lead screw 10 has moved down a smaller distance than the push - button 4 , the driver 8 and the dose setting member 2 . the dial 5 has been pushed down and rotated back to the zero position and a clicking sound has been produced due to the interaction between the teeth 20 inside the dose selector 2 and the ratchet arms 18 on the dial 5 . the pushing force is provided via a sliding surface 37 on the dose setting member 2 . as this connection is in the push - button end of the device and above the driver , it can be situated on a very little diameter with a very little loss of energy as a consequence . this is very advantageous . it can be seen that the lead screw 10 has moved a distance corresponding to the movement of the dosing nut 9 when the dose was set . consequently also the piston washer 11 and the piston in the cartridge have moved and the medicine has been expelled . fig6 and 7 shows another embodiment according to the invention with a helical track between the first gearing member 106 and the driver 108 , with a releasable teeth connection between the dial 105 and the dose setting member 102 and with the dose setting member 102 also acting as push - button . as can be seen on fig7 the dosing nut 109 is engaging the lead screw 110 via a thread connection 134 / 135 and is axial but not rotational connected with the second gearing member 107 and rotational but not axial connected with the first gearing member 106 via the teeth 131 on the dosing nut 109 and grooves 132 inside the first gearing member 106 . the lead screw 110 is locked against rotation relative to the housing by a locking part 147 fixed in the housing 101 in which the lead screw 110 can slide down without rotating . the thread 127 on the second gearing member 107 is engaging the thread segments 139 on the first gearing member 106 and the thread 126 on the second gearing member 107 is engaging the thread segments 124 on the driver 108 . the first gearing member 106 and the driver 108 are further more connected via a helical track 123 on the driver 108 and track segments 133 on the first gearing member 106 ( the respective threads and tracks can best be seen on fig6 ). the first gearing member 106 is capable of rotating relative to the housing 101 producing a clicking sound by means of a click protrusion 129 cooperating with teeth 114 in a click bushing 146 fixed in the housing 101 ( best seen on fig6 ). a connector 142 is axial connected to the dose setting member 102 and rotational connected to the driver 108 via keys on the connector 142 . the dose setting member 102 and the connector 142 are snapped together and are allowed to move axially a short distance by which movement the teeth 143 on the dose setting member 102 is disengaging the teeth 149 on the numbered dial 105 and the teeth 144 on the connector 142 is disengaging the teeth 150 on the numbered dial 105 . a spring 140 , a spring bushing 141 and the dose setting member 102 is connected with the dial 105 and the connector 142 in such a way , that the spring 140 and the spring bushing 141 will try to push the dial 105 back into engagement with the dose setting member 102 and the connector 142 . a flange 152 on the driver 108 snaps into the dial 105 such that only rotational movement between the two parts are allowed and such that the dial 105 cannot be pushed to far relative to the injection . the dial 105 is via a thread connection 115 / 117 engaging a threaded element 145 which is fixed in the housing 101 . when the dose setting member 102 is rotated to set a dose the dial 105 will be rotated as well due to the teeth engagement 143 / 149 between the parts . the teeth engagement 144 / 150 between the dial 105 and the connector 142 ensures that the connector 142 will be rotated as well and thereby also the driver 108 and the first gearing member 106 , however , the first gearing member 106 will rotate less than the driver 108 due to the helical path connection 123 / 133 between the two parts and the relative axial movement between them . the first gearing member 106 will produce a clicking sound during dose setting and index the dose setting at specific positions corresponding to specific amounts of drug due to the protrusion 129 on the first gearing member 106 cooperating with the teeth 114 inside the click bushing 146 . the dosing nut 109 and the second gearing member 107 will be pushed up due to the thread engagement between the dosing nut 109 and the lead screw 110 and this will rotate the second gearing member 107 due to the thread engagement 127 / 133 with the first gearing member 106 . the driver 108 will now be both pushed up and rotated up by the second gearing member 107 due to the thread connection 124 / 126 between them and consequently it will move up higher than the dosing nut 109 and the second gearing member 107 . the dial 105 will move up the same distance as the driver 108 due the thread connection 115 / 117 with the threaded element 145 fixed in the housing 101 . when the dose setting member 102 is pushed and the set dose is injected , the dose setting member 102 and the connector 142 is disengaged from the dial 105 . after the connector 142 has reached the end of the key / groove connection with the driver 108 , the driver 108 will be pushed down . the first gearing member 106 does not rotate during injection and the driver 108 and the connector 142 will rotate slightly . the second gearing member 107 will be pushed down by the driver 108 but due to the two opposite handed threads 126 / 127 on the second gearing member 107 which are engaging the thread segment 133 on the first gearing member 106 and the thread segment 124 on the driver 108 it will move a smaller distance . the first gearing member 106 and the dosing nut 109 does not rotate during injection so when the dosing nut 109 is pushed down it will also push down the non - rotating lead screw 110 and this will push down the foot 111 and the piston in the cartridge 112 and medicine will be expelled through the needle .
the invention relates to a gearing mechanism for a dose delivery device wherein the dose can be set by rotating a dose setting member , and by which the dose setting member and a push - button elevates from one end of the device proportional to the set dose from a position fixed relative to a housing , and by which an injection of the set dose can be done by pressing the push - button back to its not elevated position , moving a piston rod cooperating with the piston in an cartridge and expelling a medicament out of the through a needle . the gearing mechanism is arranged in the device in such a way , that the loss of energy is very low .