Safety pen needle variable indicator

1. A safety pen needle assembly comprising:

a hub;

a needle cannula engaged to the hub, the needle cannula having a distal end for insertion into a patient, and a proximal end extending into the hub;

a sleeve surrounding the hub and needle cannula;

a shield including a window, the shield surrounding the sleeve and movable relative to the sleeve from a first position where the sleeve encloses the needle cannula and hub, to a second position where the needle cannula extends beyond the hub and the sleeve and to a third position where the distal end of the needle cannula is surrounded by the sleeve;

a locking mechanism that engages the shield to the hub to prevent further use of the needle cannula; and

a spring urging the shield to move relative to the sleeve from the second position to the third position, wherein

the window indicates when the needle cannula is extended in the second position via an indicia on the hub and indicates when the locking mechanism is activated in the third position.

2. The safety pen needle assembly of claim 1 , wherein the sleeve or hub is white through the window in the first position.

3. The safety pen needle assembly of claim 1 , wherein the sleeve or hub is green through the window in the second position.

4. The safety pen needle assembly of claim 1 , wherein the sleeve or hub is red through the window in the third position.

5. The safety pen needle assembly of claim 1 , wherein the sleeve or hub displays numbers, patterns, textures and/or symbols through the window to indicate the first, second and third positions.

6. The safety pen needle assembly of claim 1 , wherein the first position is an unlocked position where the shield is free to move to expose or cover the needle cannula.

7. The safety pen needle assembly of claim 1 , wherein the third position is a locked position where the shield is locked in place to fixedly cover the needle cannula.

8. The safety pen needle assembly of claim 1 , wherein the needle cannula is retracted and covered by the hub in the first and third positions.

9. The safety pen needle assembly of claim 1 , further comprising a smart ring having electrical contacts or sensors that determine two or more of a position of the shield, needle insertion and needle exposure time, needle insertion rate and needle exposure rate, the number of injections performed, time intervals between injections or the number of needles used or available for injection.

10. The safety pen needle assembly of claim 9 , wherein the smart ring communicates with a smart device.

11. The safety pen needle assembly of claim 10 , wherein the smart ring communicates a ready, fully deployed or safe mode.

12. The safety pen needle assembly of claim 9 , wherein the smart ring is disposed at a proximal end of the safety pen needle assembly.

13. A medication delivery safety pen needle assembly comprising:

a medication delivery pen; and

the safety pen needle assembly of claim 9 , wherein

the smart ring is disposed at a distal end of the medication delivery pen and at a proximal end of the safety pen needle assembly.

14. The safety pen needle assembly of claim 1 , wherein the shield includes slots that engage rails on the hub in a retracted, unlocked position.

15. The safety pen needle assembly of claim 14 , wherein the slots are not aligned to the rails in an extended, locked position.

16. The safety pen needle assembly of claim 14 , further comprising a second spring that rotates the shield with respect to the hub to misalign the slots to the rails.