As far as autoinjectors go, the EpiPen® could be considered the most famous, and the most dominant in today’s market. So, when was the EpiPen invented? How do you use an EpiPen? What is the EpiPen made of? How does the EpiPen work and, how can the EpiPen be improved?

As part of his induction at Haughton Design, Graduate Design Engineer, Rob was tasked with tearing down an EpiPen, reviewing its function, reverse engineering it and remodelling it in SolidWorks. Here’s his journey and findings:

When was the EpiPen invented and what is its history?

EpiPen® was developed in the mid-1970s following the development of autoinjectors to combat the threat of nerve agents being used in warfare. Rapid response and simplicity of use were essential. Many were quick to realize that the technology could be adapted to treat life-threatening allergic reactions, replacing complex kits that were used at the time. The springs first developed for military use are still used to this day! Following development, the EpiPen® was approved by the FDA in 1987. The device has undergone various improvements to safety and efficacy through the years, resulting in today’s version. As far as autoinjectors go, the EpiPen® could be considered the most famous, and the most dominant in today’s market. In 2015, the EpiPen® held 89% of the market share for epinephrine/adrenaline autoinjectors. It is synonymous with its use, like the Hoover is to vacuum cleaners.

Figure 1: Todays EpiPen on the left, previous version on the right. Courtesy of NBC News.

Upon First Inspection

The EpiPen comes in a protective carry casing. This case is made of a strong impact resistant plastic that comfortably absorbs any impacts or shocks from everyday use (drops, squeezing etc). The case is simple to open (can be opened one handed) and the EpiPen® itself slides straight out. Once the EpiPen is in hand, you notice the Instructions For Use (IFUs) placed on the outside. The IFUs are bright in color and detail the 3 main steps for safe and effective use. You initially notice how color has been used to signify danger (orange) and calm (blue) to indicate which end is safe to handle.

 

How do you use an EpiPen?

STEP 1: Pull off the Cap. There is slight resistance to this motion, preventing it from being accidentally removed by the user. This primes the device, making injection possible.

STEP2: User holds the pen, keeping their thumb away from the needle end. EpiPen recommends holding the device 10cm away from the desired injection site, then jabbing the device swiftly toward the injection site at 90 degrees.

STEP 3: Slowly retract the device from the injection site after 3 seconds. The orange shroud covers the needle as quickly as you can pull it away, meaning the needle is never exposed from start to finish. All being well the dose should be successfully administered.

Figure 3: Epipen user steps. Courtesy UNC School of medicine.

What is an EpiPen made of?

So, for these simple steps to be enabled, what’s in an EpiPen®, how is an EpiPen made and, what are some of the EpiPen’s design requirements? We conducted a teardown to isolate the individual components:

 

 

Part

Description

Material

Manufacture

Weight

Requirements

1 Outer Housing PP

 

Injection Moulding 15.7g Good Chemical Resistance & Impact Resistant
2 Safety Cap ABS

 

Injection Moulding 1.2g Good Colouration & Surface Hardness
3 Top Casing ABS

 

Injection Moulding 3.8g Surface Hardness & Impact Resistance
4 Release Collar ABS

 

Injection Moulding 1.5g High Rigidity, Abrasion Resistance & Impact Resistance
5 Injector Carrier PBT

 

Injection Moulding 4.6g Good Toughness & Workability
6 Control Tabs POM Acetal

 

Injection Moulding 0.1g Good Wear Resistance & Low Friction Coefficient
7 Protective Sheath ABS

 

Injection Moulding 4.1g Good Colouration & Impact Resistance
8 Drive Spring Alloy Steel Heat Tempered 6.6g Low Cost & Strong Under Compression

Spring Constant = 15.1 N/cm

 

9 Sheath Activation

Spring

Alloy Steel

 

Heat Tempered 1.6g Low Cost & Strong Under Compression

Spring Constant = 1.1 N/cm

 

10a Plunger Body POM Acetal

 

Injection Moulding 2.2g Good Wear Resistance & Low Friction Coefficient
10b Plunger Seal Butyl Rubber

 

Injection Moulding 0.5g Non-toxic & Strong Pressure Seal
11a Adrenaline Vial Borosilicate Glass

 

Machine Blown 3.8g Good Chemical Resistance & Sterile
11b Hub 3003 Aluminium

Alloy

 

Die Casting 0.4g Good Strength To Weight Ratio
12 Needle Stainless Steel

 

Extruded + Cut 0.1g

 

No Corrosion & Strong Under Compression
13 Needle Cover Synthetic Polyisoprene

 

Injection Moulding 0.6g Non-Toxic, Bio-Friendly & Non-Porous

How does an EpiPen work mechanically?

Step 1:

How does the EpiPen work? Step 1

 

Step 2:

How does the EpiPen work? Step 2

 

Step 3:

How can the EpiPen be improved?

Naturally, the device has been optimized to function adequately with the fewest components possible. For example, the control tabs are used to perform 3 actions; locking the protective sheath, releasing it after firing, and preventing the needle from retracting. The needle cover has three functions; keep the needle clean, prevent adrenaline leaking and also working as a shock absorber. As manufacturing capabilities advance, it will be interesting to see how this affects the number of components that are used.

Colour is used well to denote what is safe and what is dangerous. However, a 2014 study found that of a sample of 100 adults, only 16 were able to perform all steps correctly. This may in part be due to association, people using previous experience to inform use of new products and medical devices. For example, association with the clicky pen – it has button at the top that you press for the pen to be released. Thus, new users look for something they can press – on the EpiPen®, it is the orange shroud. In situations where there is time to read the instructions before administering the dose, once learned, the user steps are very simple. If someone is panicking, will they read and comprehend the instructions? This also goes for the date indicator, the responsibility is on the patient (as they carry it), is someone without training always going to check the indicator when someone needs adrenaline?

In conclusion, EpiPen® formed the foundation for what an AAI can do. Mechanically, this device is very well optimised. Usability wise, there are definite improvements compared to the older versions. Other AAI’s such as Jext or Emerade in the UK have been developed to overcome some of the issues with the EpiPen® but for one reason or another, the EpiPen® has stood up to the competition. EpiPen® is a cleverly designed device – we hope that this breakdown of the device has been insightful. Please get in touch to discuss how Haughton Design can help with your drug delivery device development.

 

EpiPen® is a registered trademark for Mylan Pharmaceuticals (now part of Viatris).

Robert Garland - Medical Device Design Development Engineer at Haughton Design Rob Garland 4 November 2022

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Get in Touch with Rob Garland

Design Development Engineer

Rob graduated from the Dyson School of Design Engineering at Imperial College London in 2021 with a Master’s in Design Engineering. Prior to joining HD, he worked in the automotive sector using state of the art 3D scanning and 3D printing techniques. He has a keen interest in human centred, interaction and experience design and has expertise in additive manufacturing, CAD, IoT, UI and mechatronics.

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