I did mention the sleeve as an option as well - we will take one with us when we visit and demonstrate how to use it. It sounds like the patient has been on Enbrel for a while and I don't think that they are a compassionate supply patient (?)Please could you do a retrieval (they have the faulty stock there for us to collect) and they will need two boxes supplied as replacements.Trade just giving you the heads up that this request will be coming your way