EP3484546A1 - Automatic injection device with reduced residual volume - Google Patents

Automatic injection device with reduced residual volume

Info

Publication number
EP3484546A1
EP3484546A1 EP17737317.2A EP17737317A EP3484546A1 EP 3484546 A1 EP3484546 A1 EP 3484546A1 EP 17737317 A EP17737317 A EP 17737317A EP 3484546 A1 EP3484546 A1 EP 3484546A1
Authority
EP
European Patent Office
Prior art keywords
control member
injection device
piston
automatic injection
piston rod
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
EP17737317.2A
Other languages
German (de)
French (fr)
Inventor
Pascal Dugand
Kevin Stamp
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Nemera la Verpilliere SAS
Original Assignee
Nemera la Verpilliere SAS
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Nemera la Verpilliere SAS filed Critical Nemera la Verpilliere SAS
Publication of EP3484546A1 publication Critical patent/EP3484546A1/en
Pending legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/20Automatic syringes, e.g. with automatically actuated piston rod, with automatic needle injection, filling automatically
    • A61M5/2033Spring-loaded one-shot injectors with or without automatic needle insertion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/3129Syringe barrels
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31501Means for blocking or restricting the movement of the rod or piston
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31525Dosing
    • A61M5/3153Dosing by single stroke limiting means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/32Needles; Details of needles pertaining to their connection with syringe or hub; Accessories for bringing the needle into, or holding the needle on, the body; Devices for protection of needles
    • A61M5/3202Devices for protection of the needle before use, e.g. caps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/46Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests having means for controlling depth of insertion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/20Automatic syringes, e.g. with automatically actuated piston rod, with automatic needle injection, filling automatically
    • A61M2005/2086Automatic syringes, e.g. with automatically actuated piston rod, with automatic needle injection, filling automatically having piston damping means, e.g. axially or rotationally acting retarders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M2005/3125Details specific display means, e.g. to indicate dose setting

Definitions

  • the present invention relates to the field of automatic injection devices for liquid products, in particular pharmaceuticals.
  • An automatic injection device is used in particular in the medical field for the automatic administration of a liquid medicament requiring an injection.
  • a device of this type makes it possible in particular for a person, for example suffering from rheumatoid arthritis, multiple sclerosis, diabetes or suffering anaphylactic shock in the event of allergy, to inject himself a dose of independently.
  • an automatic injection device comprising an injection syringe provided with a body carrying an injection needle and a piston rod mounted movable in this body to traverse an injection stroke whose limit is defined by an abutment of the piston rod in the syringe body.
  • the automatic injection device comprises first and second telescopic parts inside which is housed the injection syringe.
  • the relative movement of the first and second telescopic parts controls the operation of the automatic injection device.
  • a user grasps a proximal end of this automatic injection device and presses a distal end of this automatic injection device against his skin so as to cause a relative movement of the first and second telescopic parts in a shortening direction of the automatic injection device.
  • This automatically causes, thanks to the triggering of elastic forces, a succession of operating steps, in particular the penetration of the injection needle into the skin of the user and the injection of the liquid product contained in the body of the user. syringe through the skin. After the injection, follows a step of retracting the needle inside one of the telescopic parts to avoid injury.
  • the automatic injection device described in US8734402 comprises, on the one hand, a piston control member capable of changing between:
  • the automatic injection device comprises means for moving the control member relative to the piston rod between its engaged and disengaged configurations.
  • These means of displacement of the control member comprise a cam track carried by a positioning control member which, during the injection stroke, is immobilized axially with the syringe body. This cam path cooperates, by relative movement during the injection stroke, with a cam carried by the control member.
  • the object of the invention is in particular to provide an automatic injection device in which the retraction of the injection needle operates reliably at the end of the injection stroke and in which the quantity of non-injected product is scaled down.
  • the subject of the invention is an automatic injection device comprising:
  • an injection syringe provided with a syringe body carrying an injection needle and a piston rod movably mounted in this syringe body for traversing an injection stroke whose limit is defined by an abutment of the piston rod in the syringe body,
  • the means for moving the piston control member between its engaged and disengaged configurations comprises at least a first cam track carried by a disengaging member and a cam carried by the piston control member, the disengaging member being movable relative to the piston rod and to the syringe body after the piston rod has reached the end of the injection stroke, so as to cooperate the first cam path carried by the disengaging member with the cam carried by the control member of the piston.
  • the piston rod when the piston control member moves from its configuration engaged with the piston rod to its disengaged configuration, the piston rod can be abutted in the syringe body before the control member reaches its configuration. disengaged, this without blocking the operation of the automatic injection device and prevent retraction of the injection needle.
  • the disengaging member (which is movable relative to the piston rod and the syringe body after the piston rod has reached the end of the injection stroke) allows to complete the body of disengaging its stroke to its disengaged configuration by cooperating the first cam path carried by the disengagement member with the cam carried by the control member.
  • the means for displacing the piston control member between its engaged and disengaged configurations further comprises a second cam path carried by a positioning control member which, during the injection stroke, is immobilized axially with the syringe body, this second cam path cooperating, by relative movement during the injection stroke, with the cam carried by the piston control member;
  • the disengaging member at least partially surrounds the positioning control member, the disengaging member and the positioning control member comprising means for immobilizing rotation between them provided with at least one groove and a additional tongue;
  • the rotational immobilization tongue is formed in the disengagement member, the first cam path delimiting one end of the tongue;
  • the automatic injection device comprises first and second telescopic parts whose relative displacement controls the operation of this automatic injection device, the disengaging member being integral with the first telescopic part, which is intended to be held by a user, and the positioning control member being secured to the second telescopic portion;
  • the disengaging member is movable relative to the piston rod and the syringe body after the piston rod has reached the end of the injection stroke by elastic return means acting between the first and second parts.
  • the elastic return means comprise a plastic spring integrally with the second telescopic portion;
  • the automatic injection device comprises releasable means for locking the first and second telescopic parts during at least part of the injection stroke;
  • the automatic injection device comprises means for releasing the releasable locking means of the first and second telescopic parts carried by a thrust member axially integral with the piston control member during the injection stroke;
  • the releasable locking means comprise at least one retractable pawl carried by the second telescopic portion and cooperating with a notch carried by the first telescopic portion;
  • the release means of the releasable locking means of the first and second telescopic parts comprise a retractable ramp retractable pawl
  • the automatic injection device comprises means for limiting the stroke between the first and second telescopic parts
  • the means for limiting the stroke comprise a radial projection carried by the second telescopic part cooperating with an edge of a slot formed in the first telescopic part to limit the stroke between the first and second telescopic parts during the extension of the device automatic injection and two axial stops respectively carried by the first and second telescopic portions arranged to limit the stroke between the first and second telescopic parts during the shortening of the automatic injection device;
  • the automatic injection device comprises means for visually indicating the end of the injection stroke
  • the visual indication means comprise a window formed through the first telescopic part and at least one visual indicator carried by the piston control member, this visual indicator being positioned in line with the window after the piston rod has reaches the end of the injection stroke.
  • FIG. 1 is a perspective view of an automatic injection device according to a first embodiment of the invention, in an initial configuration, preceding the operation of this automatic injection device;
  • FIG. 2 is a view similar to FIG. 1, the automatic injection device being shown without an outer casing forming a disengaging member;
  • FIG. 3 is a view similar to Figure 2, the automatic injection device being shown without a control member;
  • FIGS. 4 and 5 are sectional views of the automatic injection device respectively according to the planes IV-IV and V-V of Figure 1;
  • FIG. 6 is a perspective view, in section along the plane IV-IV, of the outer casing of the automatic injection device shown in Figure 1;
  • FIG. 7 is a perspective view of a half-shell of the control member of the automatic injection device represented in FIG. 1;
  • FIG. 8 is a perspective view of a piston control member of the automatic injection device shown in FIG. 1;
  • FIG. 9 is a detailed view of the surrounded portion IX of the automatic injection device of FIG. 5 showing injection springs not shown in FIG. 5;
  • FIG. 10 is a perspective view, in section along an X-X plane of FIG. 16, of the automatic injection device represented in FIG. 1, in which the piston control member is in a disengaged configuration;
  • FIG. 13 to 17 are sectional views along the plane IV-IV of the automatic injection device shown in Figure 1 in different operating configurations of the automatic injection device;
  • FIGS. 18 to 21 are front views of an automatic injection device according to a second embodiment of the invention, comprising means for visually indicating the end of the injection stroke in different configurations.
  • FIGS. 1 to 17 show an automatic injection device 22 for a liquid product, according to a first embodiment of the invention. More specifically, the automatic injection device 22 is a medical device for the automatic administration of a liquid medicament by injection.
  • the automatic injection device 22 is of generally cylindrical shape along an axis X.
  • the automatic injection device 22 is provided with an injection syringe 24 (visible in particular in FIGS. 4 and 5) comprising a substantially tubular syringe body 26 of X axis carrying at one of its ends a needle of Injection 28.
  • the other end of the syringe body 26 is provided with a flange 29.
  • a piston 30, of generally cylindrical shape, is slidably mounted in the syringe body 26 and allows the injection of a liquid product contained therein in the syringe body 26.
  • the piston 30 moves in the direction of the injection needle 28 it goes through an injection stroke during which the liquid contained in the injection syringe 24 is ejected by the injection needle 28.
  • This stroke is limited by a wall of injection bottom 32 of the syringe body 26 forming an end stop of the stroke of the piston 30 in the syringe body 26.
  • An initial position of the piston 30 is defined according to the amount of liquid that is to be injected. Before mounting the automatic injection device 22, after filling the injection syringe 24, the piston 30 is put in place at the initial position. The maximum injection stroke that the piston 30 can travel thus extends from the initial position of the piston 30 to a limit defined by the abutment of the piston 30 against the bottom wall 32 of the syringe body 26.
  • the injection syringe 24 is a pre-filled glass syringe with a stuck needle having a capacity of 1 ml (milliliter). Note that the syringe body 26 defines a maximum volume of liquid capacity, but it is possible to fill only partially, choosing an initial position of the piston 30 adapted.
  • the patient grasps the automatic injection device 22 at one end and applies the other end of this automatic injection device 22 against his skin.
  • a succession of movements of different organs of the automatic injection device 22 automatically driven then causes the insertion of the injection needle 28 in the skin of the patient and then the injection of the contents of the syringe body 26 through the needle 28. After the injection, the injection needle 28 retracts into the device 22.
  • a component of the automatic injection device 22 close to the patient's hand during the operation of the automatic injection device 22 and distal an element of the automatic injection device 22 remote from the hand will be referred to as proximal. of the patient. Therefore, the end of the automatic injection device 22 that the patient applies against his skin is a distal end of the automatic injection device 22 and the injection needle 28 is carried by a distal end of the syringe body 26.
  • the automatic injection device 22 When not in use, the automatic injection device 22 may be provided with a protective cap (not visible in the figures) of the RNS (Rigid Needle Shield) type, comprising an inner plug soft rubber intended to receive the end of the injection needle 28 and to seal it.
  • the inner cap is surrounded by a shell of rigid plastic material conferring good mechanical strength to the inner cap.
  • This protective cap is fixedly mounted in a withdrawal member (not shown in the figures) intended to be handled by the user when removing the protective cap.
  • This removal body covers the distal portion of the automatic injection device 22 when mounted on the automatic injection device 22.
  • the injection syringe 24 is positioned within a syringe holder 34 of generally tubular X-axis open on both sides.
  • the injection syringe 24 is immobilized inside the syringe holder 34 in particular by elastomer elements 36 (visible in particular in FIGS. 13 to 17) connected to the syringe holder 34 and in contact with the syringe body 26 of the syringe. such that the injection syringe 24 is immobilized axially by adhesion.
  • Two viewing windows 40 are arranged facing each other in the syringe holder 34. Each viewing window 40 is of elongated shape, extends substantially in the direction of the X axis and makes the injection syringe 24 visible through the syringe holder 34.
  • the syringe holder 34 is slidably mounted in a generally tubular, X-axis positioning control member 42, which positioning control member 42 is substantially longer than the syringe holder 34.
  • the positioning 42 comprises two half-shells 44a, 44b generally semi-cylindrical, an end sleeve 46 and a retaining ring 47.
  • the various elements 44a, 44b, 46 and 47 of the positioning control member 42 are immobilized by compared to others.
  • the end sleeve 46 forms the distal portion of the positioning control member 42. It is the distal surface 48, the most distal of the end sleeve 46, which is intended to be applied against the skin of the patient.
  • the retaining ring 47 has a generally annular shape and is housed in the distal portion of the positioning control member 42.
  • One function of the end sleeve 46 is to protect the injection needle 28 against unintended contact with an element of its environment when the automatic injection device 22 is not used. Indeed, during the insertion of the injection needle 28 into the skin of the patient, the injection syringe 24 moves axially with respect to the positioning control member 42 so that the needle Injection 28 becomes protruding with respect to the distal surface 48 of the end sleeve 46. After completion of the injection, the injection syringe 24 axially retracts into the automatic injection device 22 so that the injection needle 28 is no longer protruding from the distal surface 48. Thus, before and after the operation of the automatic injection device 22, the injection needle 28 is not protruding from the control 42.
  • the syringe holder 34 and the positioning control member 42 comprise means for guiding and limiting the stroke between them, comprising in particular:
  • an internal shoulder 50 of the end sleeve 46 intended to stop the axial movement of the syringe holder 34 relative to the positioning control member 42 in the proximal to distal direction cooperating with a distal surface 52 of the syringe holder 34;
  • the only degree of freedom of the syringe holder 34 with respect to the positioning control member 42 is the X-axis translation.
  • the injection syringe 24 comprises a piston rod 58 kinematically connected to the axial movement of the piston 30, and thus movable in the syringe body 26.
  • the piston rod 58 has a generally cylindrical shape of axis X. The distal end the piston rod 58 cooperates axially with the proximal end of the piston 30. Alternatively, the piston rod 58 and the piston 30 can be screwed to each other. As the piston rod 58 and the piston 30 are kinematically connected in their axial movement these two members travel together the injection stroke.
  • FIG. 8 shows a piston control member 64 of generally tubular shape with an X axis.
  • the piston control member 64 is slidably mounted in the positioning control member 42.
  • piston 64 cooperates with the proximal portion of the piston rod 58 so that the piston control member 64 is able to change angularly with respect to the piston rod 58 between:
  • the piston rod 58 is provided at its proximal end with a proximal shoulder 66 on which four radial projections 68 are provided.
  • the piston control member 64 is provided with an inner shoulder 70 in which four axial grooves 72 are provided.
  • the outer contour defined by the proximal shoulder 66 and the four radial projections 68 of the piston rod 58 has a shape complementary to the inner contour defined by the inner shoulder 70 and the four grooves 72 of the piston control member 64
  • the piston controller 64 In the configuration engaged with the piston rod 58, the four radial projections 68 cooperate with the inner shoulder 70 and the piston control member 64 is adapted to push the piston 30 towards the distal end of the positioning control member 42.
  • the piston controller 64 When the four projections radial 68 and the four axial grooves 72 are vis-à-vis, as can be seen in Figure 10, then the piston controller 64 is in a disengaged configuration. In the disengaged configuration, the radial projections 68 may engage axial grooves 72. When the piston control member 64 and the piston rod 58 move axially, the piston rod 58 can then retract into the piston control member 64.
  • the automatic injection device 22 also comprises a needle control member 74 of generally tubular shape.
  • the needle control member 74 is slidably mounted in the positioning control member 42.
  • the proximal portion of the needle control member 74 is provided with a proximal surface 76 cooperating axially with a distal surface 78 of the distal portion of the piston control member 64.
  • the needle control member 74 and the piston controller 64 are kinematically connected in their axial movements.
  • the needle control member 74 cooperates with the distal portion of the syringe holder 34 such that the needle control member 74 is capable of angularly moving relative to the syringe holder 34 between:
  • the syringe holder 34 is provided at its proximal end with a contact surface 80 adapted to cooperate with two axial abutment surfaces 82 carried by two internal radial projections 84 of the needle control member 74.
  • Two grooves 86 are provided in the contact surface 80 of the syringe holder 34. These grooves 86 allow, when aligned with the axial stops 82 of the needle control member 74 the passage of these axial stops 82 through the contact surface 80 of the syringe holder 34.
  • the needle control member 74 when the internal radial projections 84 of the needle control member 74 are angularly offset relative to the grooves 86 of the syringe holder 34 the needle control member 74 is in its configuration engaged with the syringe holder 34 to push this syringe holder 34. In this configuration the axial stops 82 cooperate with the conical surface. 80 of the syringe holder 34 and the needle control member 74 is able to push the syringe holder 34 into the distal end of the positioning control member 42.
  • the needle control member 74 When the internal radial projections 84 of the needle control member 74 is aligned with the grooves 86 of the syringe holder 34, the needle control member 74 is in a disengaged configuration of the syringe holder 34. In the disengaged configuration, the internal radial projections 84 can engage in the grooves 86. When the organ of Needle control 74 and syringe holder 34 move axially together, needle control member 74 can then advance around syringe holder 34 without pushing it.
  • the needle control member 74 is provided with a cam 88 cooperating with a needle control cam path 90 formed in the positioning control member 42.
  • This needle control cam path 90 is for rotating the needle control member 74 so that when the syringe holder 34, pushed by the needle control member 74, reaches the end of its axial insertion movement of the needle 28, the needle control member 74 reaches, by rotation, its disengagement configuration of the syringe holder 34.
  • the automatic injection device 22 comprises first and second telescopic parts whose relative displacement controls the operation of this automatic injection device 22.
  • the positioning control member 42 forms the second telescopic portion mounted sliding in an outer casing 92 forming the first telescopic part.
  • the outer casing 92 partially surrounds the positioning control member 42 and is intended to be held by the user.
  • the outer housing 92 has a generally tubular X-axis shape partially closed at its proximal end. As the outer housing 92 moves toward the proximal portion of the control member 42, the total length of the automatic injection device 22 increases. This direction of elongation direction displacement of the automatic injection device 22 is qualified.
  • Stroke limiting means between the outer casing 92 and the positioning control member 42 comprise:
  • the outer casing 92 forms a disengaging member 92 carrying a first cam path 110 intended to cooperate with a cam 112 carried by the piston control member 64.
  • This first cam path 110 is formed by the edge 110 of a window 114 which defines the end of one of the tabs 106.
  • the first cam path 110 and the cam 112 of the piston controller 64 forms means for moving the piston controller 64 relative to the piston rod 58 between its engaged and disengaged configurations.
  • the first cam path 110 is inclined with respect to the X axis so that when the first cam path 110 and the cam 112 of the piston controller 64 cooperate and the piston controller 64 moves to the distal portion of the piston controller 64, the piston controller 64 rotates relative to the piston rod 58.
  • a second cam path 116 is provided in the positioning control member 42. Like the first cam path 110, this second cam path 116 is inclined with respect to the X axis so that when the second cam path 116 cam path 116 and cam 112 of the piston controller 64 cooperate and as the piston controller 64 moves toward the distal portion of the positioning control member 42, the control member of piston 64 rotates relative to the piston rod 58.
  • the inclination and the position of this second cam path 116 are such that when the piston 30 and the piston rod 28 abut in the bottom wall 32 of the syringe 24, the piston control member 64 does not reach its disengagement configuration by cooperating with the second cam path 116.
  • first cam path 110 cooperates with the org piston control pin 64 to drive it to its disengagement configuration. This cooperation between the first cam path 110 and the piston control member 64 takes place after the end of the injection, that is after the piston 30 and the piston rod 58 have reached the end. of the injection stroke.
  • the positioning control member 42 is provided with releasable locking means of the positioning control member 42 and the outer casing 92 during at least part of the injection stroke.
  • These releasable locking means comprising two retractable pawls 118 (visible in particular in Figures 13 to 17), positioned on either side of the positioning control member 42 on each of the two half-shells 44a and 44b, for cooperate with four notches 120 formed by four holes 120 formed in the outer housing 92.
  • the four holes 120 are grouped in pairs so that each retractable pawl 118 is able to cooperate with two notches 120.
  • Two notches 120 cooperating with the same retractable pawl 118 are aligned in the direction of the axis X.
  • the retractable catches 118 retractable are formed by flip-flops pivoting between:
  • the automatic injection device 22 also comprises means for releasing the releasable blocking means 118, 120 carried by a thrust member.
  • This thrust member is formed by the needle control member 74.
  • the thrust member comprises a retraction ramp adapted to cooperate with the proximal end of the retractable pawls 118 so that the retractable pawls 118 are locked in their liberation position.
  • the needle control member 74 cooperates axially with the pawls 118 during axial movement of the needle control member 74 in the positioning control member 42.
  • the retractable pawls 118 are not locked in their release position and are biased to their locking position.
  • the automatic injection device 22 is provided with elastic return means acting between the outer casing 92 and the positioning control member 42.
  • These elastic return means comprise two return springs 122, visible only in FIG. 9, positioned between spring supports 124 of the outer housing 92 and bearing surfaces 126 of the positioning control member 42.
  • the return springs 122 are metal compression springs 122, acting in the direction of an elongation of the automatic injection device 22.
  • the spring supports 124 are axial protuberances located within the proximal portion of the outer housing 92.
  • the bearing surfaces 126 of the positioning control member 42 are distal surfaces of the 42. In a variant, it is possible to replace these metal springs 122 by plastic springs made of material with the positioning control member 42.
  • An injection spring 128, visible only in FIG. 9, is positioned in the proximal end of the positioning control member 42.
  • the injection spring 128 acts axially between the positioning control member 42 and the piston control member 64, so as to push the control member piston 64 to the distal portion of the positioning control member 42.
  • the piston control member 64 carries at its proximal end two release tongues 130 of the injection spring 128.
  • the release tongues 130 are intended for cooperate with an orifice 132 of the retaining ring 47 so as to axially immobilize the positioning control member 42 and the piston control member 64.
  • the release tongues 130 are provided with ramps 134 (visible in particular in the figure 8) adapted to cooperate with release surfaces 136 of the outer casing 92.
  • a retraction spring (not shown in the figures) is positioned between the end sleeve 46 and the syringe holder 34.
  • the retraction spring is a compression spring whose one end is supported on an internal shoulder 138 of the sleeve. 46 end and the other end is supported on a shoulder 140 of the syringe holder 34.
  • This retraction spring pushes the syringe holder 34 in the direction of the retraction movement of the syringe holder 34 in the control body of the syringe 34
  • This retraction movement is a movement of the syringe holder 34 towards the proximal end of the positioning control member 42.
  • the user applies an axial force towards the distal portion of the automatic injection device 22, on the outer casing 92.
  • the outer casing 92 moves axially toward the distal portion of the casing.
  • the positioning control member 42 causes the cooperation of the ramps 134 of the release tabs 130 with the release surfaces 136 of the outer casing 92.
  • the release tabs 136 are then deformed inwards and no longer immobilize. axially the piston control member 64 with the positioning control member 42.
  • the retractable pawls 118 pass from a configuration in which they cooperate with the two most distal notches 120 of the outer casing 92 to a configuration in which they cooperate with the two most proximal retractable catches 118 of the outer casing 92.
  • the outer casing 92 is then immobilized in the direction of elongation of the automatic injection device 22.
  • automatic injection 22 then reaches the configuration shown in FIG. 13, in which the piston control member 64 is free to move axially toward the distal portion of the positioning control member 42 and the two axial stops 100 and 102 carried by the positioning control member 42 and the outer housing cooperate 92.
  • an insertion step takes place.
  • the injection spring 128 axially drives the needle control members 74 and piston 64 to the distal portion of the positioning control member 42.
  • the needle control member 74 As the needle control member 74 is in the engagement configuration the syringe holder 34, it cooperates axially with the syringe holder 34 and displaces the latter so that the injection needle 28 becomes protruding with respect to the distal surface 48 of the end sleeve 46 and is inserted into the skin of the patient.
  • the cam 88 of the needle control member 74 cooperates with the needle control cam path 90 so that the needle control member 74 rotates relative to the syringe holder 34. until it disengages from the syringe holder 34.
  • the cam 112 of the piston controller 64 cooperates with the second cam path 116 so that the piston controller 64 rotates relative to the piston rod 58.
  • the piston control member 64 does not reach its disengagement configuration of the piston rod 58.
  • the automatic injection device 22 is in the configuration shown in Fig. 14, wherein the piston controller 64 is in its configuration engaged with the piston rod 64, the needle control member 74 is in its disengaged configuration and the internal shoulder 50 of the end sleeve 46 cooperates with the Distal interface 52 of the syringe holder 34. In this configuration, the injection needle 28 is inserted into the skin of the patient.
  • an injection step takes place.
  • the injection spring 128 continues to urge the needle control members 74 and piston 64 axially toward the distal portion of the positioning control member 42, however, the needle control member 74 no longer cooperates. axially with the syringe holder 34.
  • the piston control member 64 being in configuration engaged with the piston rod 58, it cooperates axially with the piston rod 48 and pushes the latter so that it travels its course. injection.
  • the pharmaceutical liquid is then injected into the patient's body.
  • the cam 112 of the piston control member 64 continues to cooperate with the second cam path 116, by relative movement, but does not reach its disengagement configuration of the piston rod 58.
  • the needle control member 74 cooperates with the proximal end of the retractable pawls 118 and locks them in their release configuration.
  • the outer casing 92 is again able to move axially towards the distal end of the positioning control member 42.
  • the injection device 22 is in the configuration shown in FIG. 15, in which the piston 30 and the piston rod 58 abut against the bottom wall 32 of the syringe body 26, the piston control member 64 is in the configuration taken with the piston rod 58 and the retractable pawls 118 of the positioning control member 42 are in the release configuration.
  • a step of triggering the retraction takes place.
  • the first cam path 110 carried by the outer housing 92, cooperates with the cam 112 of the piston control member 64.
  • the user must release the axial force exerted on the outer casing 92 so that the return spring 122 moves the outer casing 92 in the direction of elongation of the automatic injection device 22
  • the release member 92 is movable relative to the piston rod 58 and to the syringe body 26.
  • the first cam path 110 cooperates with the cam 112 of the piston control member 64 which causes a rotation of the piston control member 64 relative to the piston rod 58 to its disengaged configuration of the piston rod 58.
  • the automatic injection device 22 is in the 16, in which the piston control member 64 is in its disengaged configuration of the piston rod 58 and the radial projections 94 of the retaining ring 47 cooperate with the edges 96 of the lights 98 formed in the outer casing 92.
  • a retraction step takes place. Since the piston control member 64 is in a disengaged configuration of the piston rod 58, the latter is free to move axially towards the proximal portion of the automatic injection device 22. The retraction spring is then free to push the piston. syringe support 34 to the proximal portion of the positioning control member 42. Thus, the injection needle 28 retracts into the positioning control member 42 so that it no longer protrudes from the the distal surface of the end sleeve 46. At the end of this step, the automatic injection device 22 is in the configuration shown in FIG. 17, in which the injection needle 28 is not projecting from the position control member 42. When the device automatic injection 22 is in this configuration, its operation is complete. The patient can then move the automatic injection device 22 away from his skin.
  • the piston controller 64 is provided with visual indication means 138 and 140 of the end of the injection stroke (visible in FIGS. 20 and 21).
  • These indication means 138, 140 comprise two printed indications 138, 140 on the piston control member 64. These printed indications 138, 140 are made visible when they are positioned at the right of a window 142 formed through the housing. 92.
  • a first indication 138 is an indication of the end of the injection stroke. It is visible during the step of triggering the retraction.
  • the second indication 140 is an indication of the end of operation of the automatic injection device 22. It is visible after the step of retraction of the injection needle 28.

Abstract

Automatic injection device (22) comprising: - an injection syringe (24) equipped with a syringe body (26) and with a piston rod mounted movably in this syringe body (26) so as to cover an injection stroke, - a piston control member capable of changing between ■ a configuration in which it is in engagement with the piston rod and ■ a configuration in which it is disengaged from this piston rod, - means for moving the piston control member between its two configurations with respect to the piston rod. The means for moving the control member between its two configurations comprise a camway (110) carried by a disengagement member (92) and a cam carried by the control member. The disengagement member (92) is movable with respect to the piston rod and the syringe body (26) after the end of the injection stroke, in such a way as to cause the camway (110) to interact with the cam.

Description

Dispositif d'injection automatique à volume résiduel réduit  Automatic injection device with reduced residual volume
La présente invention concerne le domaine des dispositifs d'injection automatique de produits liquides, notamment pharmaceutiques. The present invention relates to the field of automatic injection devices for liquid products, in particular pharmaceuticals.
Un dispositif d'injection automatique est utilisé notamment dans le domaine médical pour l'administration automatique d'un médicament liquide nécessitant une injection. Un dispositif de ce type permet en particulier à une personne, par exemple atteinte d'arthrite rhumatoïde, de sclérose en plaque, de diabète ou subissant un choc anaphylactique en cas d'allergie, de s'injecter elle-même une dose de médicament de manière autonome. On connaît déjà dans l'état de la technique, notamment d'après US8734402, un dispositif d'injection automatique comprenant une seringue d'injection munie d'un corps portant une aiguille d'injection et d'une tige de piston montée déplaçable dans ce corps pour parcourir une course d'injection dont une limite est définie par une mise en butée de la tige de piston dans le corps de seringue.  An automatic injection device is used in particular in the medical field for the automatic administration of a liquid medicament requiring an injection. A device of this type makes it possible in particular for a person, for example suffering from rheumatoid arthritis, multiple sclerosis, diabetes or suffering anaphylactic shock in the event of allergy, to inject himself a dose of independently. Already known in the state of the art, in particular according to US8734402, an automatic injection device comprising an injection syringe provided with a body carrying an injection needle and a piston rod mounted movable in this body to traverse an injection stroke whose limit is defined by an abutment of the piston rod in the syringe body.
Habituellement, le dispositif d'injection automatique comprend des première et seconde parties télescopiques à l'intérieur desquels est logée la seringue d'injection.  Usually, the automatic injection device comprises first and second telescopic parts inside which is housed the injection syringe.
Le déplacement relatif des première et seconde parties télescopiques commande le fonctionnement du dispositif d'injection automatique.  The relative movement of the first and second telescopic parts controls the operation of the automatic injection device.
Ainsi, pour faire fonctionner le dispositif d'injection automatique, un utilisateur saisit une extrémité proximale de ce dispositif d'injection automatique et appuie une extrémité distale de ce dispositif d'injection automatique contre sa peau de façon à provoquer un mouvement relatif des première et seconde parties télescopiques dans un sens de raccourcissement du dispositif d'injection automatique. Ceci provoque automatiquement, grâce notamment au déclenchement de forces élastiques, une succession d'étapes de fonctionnement, en particulier la pénétration de l'aiguille d'injection dans la peau de l'utilisateur puis l'injection du produit liquide contenu dans le corps de seringue à travers la peau. Après l'injection, suit une étape de rétractation de l'aiguille à l'intérieur d'une des parties télescopiques pour éviter toute blessure.  Thus, to operate the automatic injection device, a user grasps a proximal end of this automatic injection device and presses a distal end of this automatic injection device against his skin so as to cause a relative movement of the first and second telescopic parts in a shortening direction of the automatic injection device. This automatically causes, thanks to the triggering of elastic forces, a succession of operating steps, in particular the penetration of the injection needle into the skin of the user and the injection of the liquid product contained in the body of the user. syringe through the skin. After the injection, follows a step of retracting the needle inside one of the telescopic parts to avoid injury.
Pour réaliser une partie au moins de ces étapes de fonctionnement, le dispositif d'injection automatique décrit dans US8734402 comprend, d'une part, un organe de commande de piston susceptible d'évoluer entre :  To achieve at least part of these operating steps, the automatic injection device described in US8734402 comprises, on the one hand, a piston control member capable of changing between:
- une configuration en prise avec la tige de piston pour pousser cette tige de piston, et  a configuration engaged with the piston rod to push this piston rod, and
- une configuration débrayée de cette tige de piston.  a disengaged configuration of this piston rod.
D'autre part, le dispositif d'injection automatique comprend des moyens de déplacement de l'organe de commande par rapport à la tige de piston entre ses configurations en prise et débrayée. Ces moyens de déplacement de l'organe de commande comprennent un chemin de came porté par un organe de contrôle de positionnement qui, pendant la course d'injection, est immobilisé axialement avec le corps de seringue. Ce chemin de came coopère, par mouvement relatif pendant la course d'injection, avec une came portée par l'organe de commande. On the other hand, the automatic injection device comprises means for moving the control member relative to the piston rod between its engaged and disengaged configurations. These means of displacement of the control member comprise a cam track carried by a positioning control member which, during the injection stroke, is immobilized axially with the syringe body. This cam path cooperates, by relative movement during the injection stroke, with a cam carried by the control member.
On observe que la position de la tige de piston dans le corps de seringue lorsque l'organe de commande atteint sa configuration débrayée est rendue imprécise par les incertitudes dimensionnelles de plusieurs des éléments du dispositif d'injection automatique. Si la tige de piston est mise en butée dans le corps de seringue avant que l'organe de commande atteigne sa configuration débrayée, l'organe de commande ne peut plus se déplacer pour atteindre sa configuration débrayée. Le dispositif d'injection automatique est alors bloqué de façon intempestive et la rétraction de l'aiguille d'injection n'a pas lieu.  It is observed that the position of the piston rod in the syringe body when the control member reaches its disengaged configuration is made inaccurate by the dimensional uncertainties of several of the elements of the automatic injection device. If the plunger rod is abutted in the syringe body before the control member reaches its disengaged configuration, the control member can no longer move to reach its disengaged configuration. The automatic injection device is then blocked inadvertently and the retraction of the injection needle does not take place.
Pour remédier à cet inconvénient, il est connu d'adapter les dimensions du dispositif d'injection automatique de manière à ce que la tige de piston ne soit pas mise en butée dans le corps de seringue avant que l'organe de commande atteigne sa configuration débrayée. Cependant, dans ce cas, lorsque l'organe de commande atteint sa configuration débrayée, le liquide contenu dans le corps de la seringue n'est pas totalement injecté.  To remedy this drawback, it is known to adapt the dimensions of the automatic injection device so that the piston rod is not abutted in the syringe body before the control member reaches its configuration. disengaged. However, in this case, when the control member reaches its disengaged configuration, the liquid contained in the body of the syringe is not totally injected.
L'invention a notamment pour but de fournir un dispositif d'injection automatique dans lequel la rétraction de l'aiguille d'injection s'opère de manière fiable en fin de course d'injection et dans lequel la quantité de produit non-injecté est réduite.  The object of the invention is in particular to provide an automatic injection device in which the retraction of the injection needle operates reliably at the end of the injection stroke and in which the quantity of non-injected product is scaled down.
A cet effet, l'invention a pour objet un dispositif d'injection automatique comprenant : For this purpose, the subject of the invention is an automatic injection device comprising:
- une seringue d'injection munie d'un corps de seringue portant une aiguille d'injection et d'une tige de piston montée déplaçable dans ce corps de seringue pour parcourir une course d'injection dont une limite est définie par une mise en butée de la tige de piston dans le corps de seringue, an injection syringe provided with a syringe body carrying an injection needle and a piston rod movably mounted in this syringe body for traversing an injection stroke whose limit is defined by an abutment of the piston rod in the syringe body,
- un organe de commande de piston susceptible d'évoluer entre  a piston control member capable of changing between
o une configuration en prise avec la tige de piston pour pousser cette tige de piston et  o a configuration engaged with the piston rod to push this piston rod and
o une configuration débrayée de cette tige de piston,  o a disengaged configuration of this piston rod,
- des moyens de déplacement de l'organe de commande de piston par rapport à la tige de piston entre ses configurations en prise et débrayée,  means for displacing the piston control member with respect to the piston rod between its engaged and disengaged configurations,
caractérisé en ce que les moyens de déplacement de l'organe de commande de piston entre ses configurations en prise et débrayée comprennent au moins un premier chemin de came porté par un organe de débrayage et une came portée par l'organe de commande de piston, l'organe de débrayage étant mobile par rapport à la tige de piston et au corps de seringue après que la tige de piston ait atteint la fin de la course d'injection, de façon à faire coopérer le premier chemin de came porté par l'organe de débrayage avec la came portée par l'organe de commande de piston. characterized in that the means for moving the piston control member between its engaged and disengaged configurations comprises at least a first cam track carried by a disengaging member and a cam carried by the piston control member, the disengaging member being movable relative to the piston rod and to the syringe body after the piston rod has reached the end of the injection stroke, so as to cooperate the first cam path carried by the disengaging member with the cam carried by the control member of the piston.
Ainsi, lorsque l'organe de commande de piston évolue de sa configuration en prise avec la tige de piston vers sa configuration débrayée, la tige de piston peut être mise en butée dans le corps de seringue avant que l'organe de commande atteigne sa configuration débrayée, ceci sans bloquer le fonctionnement du dispositif d'injection automatique et empêcher la rétraction de l'aiguille d'injection. En effet, l'organe de débrayage (qui est mobile par rapport à la tige de piston et au corps de seringue après que la tige de piston ait atteint la fin de la course d'injection) permet de faire achever à l'organe de débrayage sa course jusqu'à sa configuration débrayée en faisant coopérer le premier chemin de came porté par l'organe de débrayage avec la came portée par l'organe de commande.  Thus, when the piston control member moves from its configuration engaged with the piston rod to its disengaged configuration, the piston rod can be abutted in the syringe body before the control member reaches its configuration. disengaged, this without blocking the operation of the automatic injection device and prevent retraction of the injection needle. Indeed, the disengaging member (which is movable relative to the piston rod and the syringe body after the piston rod has reached the end of the injection stroke) allows to complete the body of disengaging its stroke to its disengaged configuration by cooperating the first cam path carried by the disengagement member with the cam carried by the control member.
Selon d'autres caractéristiques optionnelles correspondant à différents modes de réalisation du dispositif d'injection automatique :  According to other optional features corresponding to different embodiments of the automatic injection device:
- les moyens de déplacement de l'organe de commande de piston entre ses configurations en prise et débrayée comprennent de plus un second chemin de came porté par un organe de contrôle de positionnement qui, pendant la course d'injection, est immobilisé axialement avec le corps de seringue, ce second chemin de came coopérant, par mouvement relatif pendant la course d'injection, avec la came portée par l'organe de commande de piston ;  the means for displacing the piston control member between its engaged and disengaged configurations further comprises a second cam path carried by a positioning control member which, during the injection stroke, is immobilized axially with the syringe body, this second cam path cooperating, by relative movement during the injection stroke, with the cam carried by the piston control member;
- l'organe de débrayage entoure au moins partiellement l'organe de contrôle de positionnement, l'organe de débrayage et l'organe de contrôle de positionnement comprenant des moyens d'immobilisation en rotation entre eux munis d'au moins une rainure et une languette complémentaires ;  the disengaging member at least partially surrounds the positioning control member, the disengaging member and the positioning control member comprising means for immobilizing rotation between them provided with at least one groove and a additional tongue;
- la languette d'immobilisation en rotation est ménagée dans l'organe de débrayage, le premier chemin de came délimitant une extrémité de la languette ;  the rotational immobilization tongue is formed in the disengagement member, the first cam path delimiting one end of the tongue;
- le dispositif d'injection automatique comprend des première et seconde parties télescopiques dont le déplacement relatif commande le fonctionnement de ce dispositif d'injection automatique, l'organe de débrayage étant solidaire de la première partie télescopique, qui est destinée à être tenue par un utilisateur, et l'organe de contrôle de positionnement étant solidaire de la seconde partie télescopique ;  the automatic injection device comprises first and second telescopic parts whose relative displacement controls the operation of this automatic injection device, the disengaging member being integral with the first telescopic part, which is intended to be held by a user, and the positioning control member being secured to the second telescopic portion;
- l'organe de débrayage est rendu mobile par rapport à la tige de piston et au corps de seringue après que la tige de piston ait atteint la fin de la course d'injection par des moyens de rappel élastique agissant entre les première et seconde parties télescopiques dans le sens d'un allongement du dispositif d'injection automatique ; - les moyens de rappel élastique comprennent un ressort en matière plastique venu de matière avec la seconde partie télescopique ; - The disengaging member is movable relative to the piston rod and the syringe body after the piston rod has reached the end of the injection stroke by elastic return means acting between the first and second parts. telescopic in the direction of an elongation of the automatic injection device; - The elastic return means comprise a plastic spring integrally with the second telescopic portion;
- le dispositif d'injection automatique comprend des moyens libérables de blocage des première et seconde parties télescopiques pendant au moins une partie de la course d'injection ;  the automatic injection device comprises releasable means for locking the first and second telescopic parts during at least part of the injection stroke;
- le dispositif d'injection automatique comprend des moyens de libération des moyens libérables de blocage des première et seconde parties télescopiques portés par un organe de poussée solidaire axialement de l'organe de commande de piston pendant la course d'injection ;  the automatic injection device comprises means for releasing the releasable locking means of the first and second telescopic parts carried by a thrust member axially integral with the piston control member during the injection stroke;
- les moyens libérables de blocage comprennent au moins un cliquet escamotable porté par la seconde partie télescopique et coopérant avec un cran porté par la première partie télescopique ;  - The releasable locking means comprise at least one retractable pawl carried by the second telescopic portion and cooperating with a notch carried by the first telescopic portion;
- les moyens de libération des moyens libérables de blocage des première et seconde parties télescopiques comportent une rampe d'escamotage du cliquet escamotables;  - The release means of the releasable locking means of the first and second telescopic parts comprise a retractable ramp retractable pawl;
- le dispositif d'injection automatique comprend des moyens de limitation de la course entre les première et seconde parties télescopiques ;  the automatic injection device comprises means for limiting the stroke between the first and second telescopic parts;
- les moyens de limitation de la course comprennent une saillie radiale portée par la seconde partie télescopique coopérant avec un bord d'une lumière ménagée dans la première partie télescopique pour limiter la course entre les première et seconde parties télescopiques lors de l'allongement du dispositif d'injection automatique et deux butées axiales portées respectivement par les première et seconde parties télescopiques agencées de manière à limiter la course entre les première et seconde parties télescopiques lors du raccourcissement du dispositif d'injection automatique ;  the means for limiting the stroke comprise a radial projection carried by the second telescopic part cooperating with an edge of a slot formed in the first telescopic part to limit the stroke between the first and second telescopic parts during the extension of the device automatic injection and two axial stops respectively carried by the first and second telescopic portions arranged to limit the stroke between the first and second telescopic parts during the shortening of the automatic injection device;
- le dispositif d'injection automatique comprend des moyens d'indication visuelle de la fin de course d'injection ;  the automatic injection device comprises means for visually indicating the end of the injection stroke;
- les moyens d'indication visuelle comprennent une fenêtre ménagée à travers la première partie télescopique et au moins un indicateur visuel porté par l'organe de commande de piston, cet indicateur visuel se positionnant au droit de la fenêtre après que la tige de piston ait atteint la fin de la course d'injection.  the visual indication means comprise a window formed through the first telescopic part and at least one visual indicator carried by the piston control member, this visual indicator being positioned in line with the window after the piston rod has reaches the end of the injection stroke.
L'invention sera mieux comprise à la lecture de la description qui va suivre donnée uniquement à titre d'exemple et faite en se référant aux dessins annexés, dans lesquels :  The invention will be better understood on reading the description which follows, given solely by way of example and with reference to the appended drawings, in which:
- la figure 1 est une vue en perspective d'un dispositif d'injection automatique selon un premier mode de réalisation de l'invention, dans une configuration initiale, précédent le fonctionnement de ce dispositif d'injection automatique;  FIG. 1 is a perspective view of an automatic injection device according to a first embodiment of the invention, in an initial configuration, preceding the operation of this automatic injection device;
- la figure 2 est une vue similaire à la figure 1 , le dispositif d'injection automatique étant représenté sans un boîtier extérieur formant organe de débrayage; FIG. 2 is a view similar to FIG. 1, the automatic injection device being shown without an outer casing forming a disengaging member;
- la figure 3 est une vue similaire à la figure 2, le dispositif d'injection automatique étant représenté sans un organe de contrôle ;  - Figure 3 is a view similar to Figure 2, the automatic injection device being shown without a control member;
- les figures 4 et 5 sont des vues en coupe du dispositif d'injection automatique respectivement selon les plans IV-IV et V-V de la figure 1 ;  - Figures 4 and 5 are sectional views of the automatic injection device respectively according to the planes IV-IV and V-V of Figure 1;
- la figure 6 est une vue en perspective, en coupe selon le plan IV-IV, du boîtier extérieur du dispositif d'injection automatique représenté à la figure 1 ;  - Figure 6 is a perspective view, in section along the plane IV-IV, of the outer casing of the automatic injection device shown in Figure 1;
- la figure 7 est une vue en perspective d'une demi-coque de l'organe de contrôle du dispositif d'injection automatique représenté à la figure 1 ;  FIG. 7 is a perspective view of a half-shell of the control member of the automatic injection device represented in FIG. 1;
- la figure 8 est une vue en perspective d'un organe de commande de piston du dispositif d'injection automatique représenté à la figure 1 ;  FIG. 8 is a perspective view of a piston control member of the automatic injection device shown in FIG. 1;
- la figure 9 est une vue de détail de la partie entourée IX du dispositif d'injection automatique de la figure 5 montrant des ressorts d'injection non-représentés à la figure 5;  FIG. 9 is a detailed view of the surrounded portion IX of the automatic injection device of FIG. 5 showing injection springs not shown in FIG. 5;
- la figure 10 est une vue en perspective, en coupe selon un plan X-X de la figure 16, du dispositif d'injection automatique représenté à la figure 1 , dans laquelle l'organe de commande de piston est dans une configuration débrayée ;  FIG. 10 is a perspective view, in section along an X-X plane of FIG. 16, of the automatic injection device represented in FIG. 1, in which the piston control member is in a disengaged configuration;
- les figures 11 et 12 dont des vues de détail de la partie cerclée XI de la figure 1 , dans différentes configurations de fonctionnement du dispositif d'injection automatique ;  - Figures 11 and 12 including detailed views of the circled portion XI of Figure 1, in different operating configurations of the automatic injection device;
- les figure 13 à 17 sont des vues en coupe selon le plan IV-IV du dispositif d'injection automatique représenté à la figure 1 dans différentes configurations de fonctionnement du dispositif d'injection automatique ;  - Figures 13 to 17 are sectional views along the plane IV-IV of the automatic injection device shown in Figure 1 in different operating configurations of the automatic injection device;
- les figures 18 à 21 sont des vues de face d'un dispositif d'injection automatique selon un second mode de réalisation de l'invention comprenant des moyens d'indication visuelle de la fin de course d'injection dans différentes configurations. On a représenté sur les figures 1 à 17 un dispositif d'injection automatique 22 d'un produit liquide, selon un premier mode de réalisation de l'invention. Plus précisément, le dispositif d'injection automatique 22 est un dispositif médical permettant l'administration automatique d'un médicament liquide par injection. Le dispositif d'injection automatique 22 est de forme généralement cylindrique selon un axe X.  FIGS. 18 to 21 are front views of an automatic injection device according to a second embodiment of the invention, comprising means for visually indicating the end of the injection stroke in different configurations. FIGS. 1 to 17 show an automatic injection device 22 for a liquid product, according to a first embodiment of the invention. More specifically, the automatic injection device 22 is a medical device for the automatic administration of a liquid medicament by injection. The automatic injection device 22 is of generally cylindrical shape along an axis X.
Le dispositif d'injection automatique 22 est muni d'une seringue d'injection 24 (visible notamment sur les figures 4 et 5) comprenant un corps de seringue 26 essentiellement tubulaire d'axe X portant à l'une de ses extrémités une aiguille d'injection 28. L'autre extrémité du corps de seringue 26 est munie d'une collerette 29. Un piston 30, de forme généralement cylindrique, est monté coulissant dans le corps de seringue 26 et permet l'injection d'un produit liquide contenu dans le corps de seringue 26. Lorsque le piston 30 se déplace en direction de l'aiguille d'injection 28 il parcourt une course d'injection pendant laquelle le liquide contenu dans la seringue d'injection 24 est éjecté par l'aiguille d'injection 28. Cette course est limitée par une paroi de fond 32 du corps de seringue 26 formant une butée de fin de la course du piston 30 dans le corps de seringue 26. Une position initiale du piston 30 est définie en fonction de la quantité de liquide que l'on souhaite injecter. Avant le montage du dispositif d'injection automatique 22, après remplissage de la seringue d'injection 24, le piston 30 est mis en place à la position initiale. La course d'injection maximale que le piston 30 peut parcourir s'étend donc depuis la position initiale du piston 30 jusqu'à une limite définie par la mise en butée du piston 30 contre la paroi de fond 32 du corps de seringue 26. The automatic injection device 22 is provided with an injection syringe 24 (visible in particular in FIGS. 4 and 5) comprising a substantially tubular syringe body 26 of X axis carrying at one of its ends a needle of Injection 28. The other end of the syringe body 26 is provided with a flange 29. A piston 30, of generally cylindrical shape, is slidably mounted in the syringe body 26 and allows the injection of a liquid product contained therein in the syringe body 26. When the piston 30 moves in the direction of the injection needle 28 it goes through an injection stroke during which the liquid contained in the injection syringe 24 is ejected by the injection needle 28. This stroke is limited by a wall of injection bottom 32 of the syringe body 26 forming an end stop of the stroke of the piston 30 in the syringe body 26. An initial position of the piston 30 is defined according to the amount of liquid that is to be injected. Before mounting the automatic injection device 22, after filling the injection syringe 24, the piston 30 is put in place at the initial position. The maximum injection stroke that the piston 30 can travel thus extends from the initial position of the piston 30 to a limit defined by the abutment of the piston 30 against the bottom wall 32 of the syringe body 26.
La seringue d'injection 24 est, dans cet exemple, une seringue préremplie en verre, à aiguille collée, ayant une contenance de 1 mL (millilitre). On notera que le corps de seringue 26 délimite un volume maximal de contenance de liquide, mais qu'il est envisageable de ne le remplir que partiellement, en choisissant une position initiale du piston 30 adaptée.  In this example, the injection syringe 24 is a pre-filled glass syringe with a stuck needle having a capacity of 1 ml (milliliter). Note that the syringe body 26 defines a maximum volume of liquid capacity, but it is possible to fill only partially, choosing an initial position of the piston 30 adapted.
Pour réaliser une injection, le patient saisit le dispositif d'injection automatique 22 par une extrémité et applique l'autre extrémité de ce dispositif d'injection automatique 22 contre sa peau. Une suite de mouvements de différents organes du dispositif d'injection automatique 22 pilotés automatiquement entraine alors l'insertion de l'aiguille d'injection 28 dans la peau du patient puis l'injection du contenu du corps de seringue 26 à travers l'aiguille d'injection 28. Après l'injection, l'aiguille d'injection 28 se rétracte dans le dispositif 22.  To perform an injection, the patient grasps the automatic injection device 22 at one end and applies the other end of this automatic injection device 22 against his skin. A succession of movements of different organs of the automatic injection device 22 automatically driven then causes the insertion of the injection needle 28 in the skin of the patient and then the injection of the contents of the syringe body 26 through the needle 28. After the injection, the injection needle 28 retracts into the device 22.
On qualifiera, dans la suite, de proximal un élément du dispositif d'injection automatique 22 proche de la main du patient pendant le fonctionnement du dispositif d'injection automatique 22 et de distal un élément du dispositif d'injection automatique 22 éloigné de la main du patient. Par conséquent l'extrémité du dispositif d'injection automatique 22 que le patient applique contre sa peau est une extrémité distale du dispositif d'injection automatique 22 et l'aiguille d'injection 28 est portée par une extrémité distale du corps de seringue 26.  In the following, a component of the automatic injection device 22 close to the patient's hand during the operation of the automatic injection device 22 and distal an element of the automatic injection device 22 remote from the hand will be referred to as proximal. of the patient. Therefore, the end of the automatic injection device 22 that the patient applies against his skin is a distal end of the automatic injection device 22 and the injection needle 28 is carried by a distal end of the syringe body 26.
Lorsqu'il n'est pas utilisé le dispositif d'injection automatique 22 peut être muni d'un capuchon de protection (non visible sur les figures) de type RNS (sigle anglo-saxon «Rigid Needle Shield»), comportant un bouchon intérieur en caoutchouc tendre destiné à recevoir l'extrémité de l'aiguille d'injection 28 et à en assurer l'obturation. Le bouchon intérieur est entouré d'une coque en matériau plastique rigide conférant une bonne tenue mécanique au bouchon intérieur. Ce capuchon de protection est monté immobile dans un organe de retrait (non représenté sur les figures) destiné à être manipulé par l'utilisateur lors du retrait du capuchon de protection. Cet organe de retrait recouvre la partie distale du dispositif d'injection automatique 22 lorsqu'il est monté sur le dispositif d'injection automatique 22. When not in use, the automatic injection device 22 may be provided with a protective cap (not visible in the figures) of the RNS (Rigid Needle Shield) type, comprising an inner plug soft rubber intended to receive the end of the injection needle 28 and to seal it. The inner cap is surrounded by a shell of rigid plastic material conferring good mechanical strength to the inner cap. This protective cap is fixedly mounted in a withdrawal member (not shown in the figures) intended to be handled by the user when removing the protective cap. This removal body covers the distal portion of the automatic injection device 22 when mounted on the automatic injection device 22.
Comme on peut le voir par exemple sur les figures 3 à 5, la seringue d'injection 24 est positionnée à l'intérieur d'un support de seringue 34 de forme généralement tubulaire d'axe X ouvert des deux côtés. La seringue d'injection 24 est immobilisée à l'intérieur du support de seringue 34 notamment par des éléments en élastomère 36 (visibles notamment sur les figures 13 à 17) liés au support de seringue 34 et en contact avec le corps de seringue 26 de telle sorte que la seringue d'injection 24 est immobilisée axialement par adhérence. Deux fenêtres de visualisation 40 (visibles notamment sur les figures 1 à 2) sont ménagées l'une en face de l'autre dans le support de seringue 34. Chaque fenêtre de visualisation 40 est de forme allongée, s'étend sensiblement dans la direction de l'axe X et permet de rendre la seringue d'injection 24 visible à travers le support de seringue 34.  As can be seen for example in Figures 3 to 5, the injection syringe 24 is positioned within a syringe holder 34 of generally tubular X-axis open on both sides. The injection syringe 24 is immobilized inside the syringe holder 34 in particular by elastomer elements 36 (visible in particular in FIGS. 13 to 17) connected to the syringe holder 34 and in contact with the syringe body 26 of the syringe. such that the injection syringe 24 is immobilized axially by adhesion. Two viewing windows 40 (visible in particular in FIGS. 1 to 2) are arranged facing each other in the syringe holder 34. Each viewing window 40 is of elongated shape, extends substantially in the direction of the X axis and makes the injection syringe 24 visible through the syringe holder 34.
Le support de seringue 34 est monté coulissant dans un organe de contrôle de positionnement 42 de forme généralement tubulaire, d'axe X, cet organe de contrôle de positionnement 42 étant sensiblement plus long que le support de seringue 34. L'organe de contrôle de positionnement 42 comporte deux demi-coques 44a, 44b généralement hémicylindriques, un manchon d'extrémité 46 et une bague de retenue 47. Les différents éléments 44a, 44b, 46 et 47 de l'organe de contrôle de positionnement 42 sont immobilisés les uns par rapport aux autres. Le manchon d'extrémité 46 forme la partie distale de l'organe de contrôle de positionnement 42. C'est la surface distale 48, la plus distale du manchon d'extrémité 46, qui est destinée à être appliquée contre la peau du patient. La bague de retenue 47 a une forme générale annulaire et est logée dans la partie distale de l'organe de contrôle de positionnement 42. Une fonction du manchon d'extrémité 46 est de protéger l'aiguille d'injection 28 contre tout contact involontaire avec un élément de son environnement lorsque le dispositif d'injection automatique 22 n'est pas utilisé. En effet, lors de l'insertion de l'aiguille d'injection 28 dans la peau du patient, la seringue d'injection 24 se déplace axialement par rapport à l'organe de contrôle de positionnement 42 de telle sorte que l'aiguille d'injection 28 devient saillante par rapport à la surface distale 48 du manchon d'extrémité 46. Après la fin de l'injection, la seringue d'injection 24 se rétracte axialement dans le dispositif d'injection automatique 22 de telle sorte que l'aiguille d'injection 28 n'est plus saillante par rapport à la surface distale 48. Ainsi, avant et après le fonctionnement du dispositif d'injection automatique 22, l'aiguille d'injection 28 n'est pas saillante de l'organe de contrôle 42.  The syringe holder 34 is slidably mounted in a generally tubular, X-axis positioning control member 42, which positioning control member 42 is substantially longer than the syringe holder 34. The positioning 42 comprises two half-shells 44a, 44b generally semi-cylindrical, an end sleeve 46 and a retaining ring 47. The various elements 44a, 44b, 46 and 47 of the positioning control member 42 are immobilized by compared to others. The end sleeve 46 forms the distal portion of the positioning control member 42. It is the distal surface 48, the most distal of the end sleeve 46, which is intended to be applied against the skin of the patient. The retaining ring 47 has a generally annular shape and is housed in the distal portion of the positioning control member 42. One function of the end sleeve 46 is to protect the injection needle 28 against unintended contact with an element of its environment when the automatic injection device 22 is not used. Indeed, during the insertion of the injection needle 28 into the skin of the patient, the injection syringe 24 moves axially with respect to the positioning control member 42 so that the needle Injection 28 becomes protruding with respect to the distal surface 48 of the end sleeve 46. After completion of the injection, the injection syringe 24 axially retracts into the automatic injection device 22 so that the injection needle 28 is no longer protruding from the distal surface 48. Thus, before and after the operation of the automatic injection device 22, the injection needle 28 is not protruding from the control 42.
Le support de seringue 34 et l'organe de contrôle de positionnement 42 comprennent des moyens de guidage et de limitation de la course entre eux, comprenant notamment :  The syringe holder 34 and the positioning control member 42 comprise means for guiding and limiting the stroke between them, comprising in particular:
- un épaulement interne 50 du manchon d'extrémité 46 destiné à arrêter le mouvement axial du support de seringue 34 par rapport à l'organe de contrôle de positionnement 42 dans le sens proximal vers distal en coopérant avec une surface distale 52 du support de seringue 34 ; an internal shoulder 50 of the end sleeve 46 intended to stop the axial movement of the syringe holder 34 relative to the positioning control member 42 in the proximal to distal direction cooperating with a distal surface 52 of the syringe holder 34;
- des ergots radiaux 54 (visibles notamment sur la figure 5) portés par le support de seringue 34 coopérant avec des encoches axiales 56 du manchon d'extrémité radial lugs 54 (visible in particular in FIG. 5) carried by the syringe holder 34 cooperating with axial notches 56 of the end sleeve
46 de manière à empêcher la rotation d'axe X du support de seringue 34 par rapport à l'organe de contrôle de positionnement 42. 46 to prevent X-axis rotation of the syringe holder 34 relative to the positioning control member 42.
Ainsi, le seul degré de liberté du support de seringue 34 par rapport à l'organe de contrôle de positionnement 42 est la translation d'axe X. Thus, the only degree of freedom of the syringe holder 34 with respect to the positioning control member 42 is the X-axis translation.
La seringue d'injection 24 comprend une tige de piston 58 liée cinématiquement au mouvement axial du piston 30, et donc déplaçable dans le corps de seringue 26. La tige de piston 58 a une forme générale cylindrique d'axe X. L'extrémité distale de la tige de piston 58 coopère axialement avec l'extrémité proximale du piston 30. En variante, la tige de piston 58 et le piston 30 peuvent être vissés l'un à l'autre. Comme la tige de piston 58 et le piston 30 sont liés cinématiquement dans leur mouvement axial ces deux organes parcourent conjointement la course d'injection.  The injection syringe 24 comprises a piston rod 58 kinematically connected to the axial movement of the piston 30, and thus movable in the syringe body 26. The piston rod 58 has a generally cylindrical shape of axis X. The distal end the piston rod 58 cooperates axially with the proximal end of the piston 30. Alternatively, the piston rod 58 and the piston 30 can be screwed to each other. As the piston rod 58 and the piston 30 are kinematically connected in their axial movement these two members travel together the injection stroke.
Sur la figure 8 on a représenté un organe de commande de piston 64 de forme généralement tubulaire d'axe X. L'organe de commande de piston 64 est monté coulissant dans l'organe de contrôle de positionnement 42. L'organe de commande de piston 64 coopère avec la partie proximale de la tige de piston 58 de telle sorte que l'organe de commande de piston 64 est susceptible d'évoluer angulairement par rapport à la tige de piston 58 entre :  FIG. 8 shows a piston control member 64 of generally tubular shape with an X axis. The piston control member 64 is slidably mounted in the positioning control member 42. piston 64 cooperates with the proximal portion of the piston rod 58 so that the piston control member 64 is able to change angularly with respect to the piston rod 58 between:
- une configuration en prise avec la tige de piston 58 pour pousser cette tige de piston 58 et  a configuration engaged with the piston rod 58 to push this piston rod 58 and
- une configuration débrayée de cette tige de piston 58.  a disengaged configuration of this piston rod 58.
La tige de piston 58 est munie à son extrémité proximale d'un épaulement proximal 66 sur lequel quatre saillies radiales 68 sont ménagées. L'organe de commande de piston 64 est muni d'un épaulement intérieur 70 dans lequel quatre gorges axiales 72 sont ménagées. Le contour extérieur défini par l'épaulement proximal 66 et les quatre saillies radiales 68 de la tige de piston 58 a une forme complémentaire du contour intérieur défini par l'épaulement intérieur 70 et les quatre gorges 72 de l'organe de commande de piston 64. Ainsi, lorsque les quatre saillies radiales 68 sont décalées angulairement par rapport aux quatre gorges axiales 72, l'organe de commande de piston 64 est dans sa configuration en prise avec la tige de piston 58. Dans la configuration en prise avec la tige de piston 58, les quatre saillies radiales 68 coopèrent avec l'épaulement intérieur 70 et l'organe de commande de piston 64 est apte à pousser le piston 30 vers l'extrémité distale de l'organe de contrôle de positionnement 42. Lorsque les quatre saillies radiales 68 et les quatre gorges axiales 72 sont en vis-à-vis, comme cela est visible sur la figure 10, alors l'organe de commande de piston 64 est dans une configuration débrayée. Dans la configuration débrayée, les saillies radiales 68 peuvent s'engager dans les gorges axiales 72. Lorsque l'organe de commande de piston 64 et la tige de piston 58 se rapprochent axialement, la tige de piston 58 peut alors de rétracter dans l'organe de commande de piston 64. The piston rod 58 is provided at its proximal end with a proximal shoulder 66 on which four radial projections 68 are provided. The piston control member 64 is provided with an inner shoulder 70 in which four axial grooves 72 are provided. The outer contour defined by the proximal shoulder 66 and the four radial projections 68 of the piston rod 58 has a shape complementary to the inner contour defined by the inner shoulder 70 and the four grooves 72 of the piston control member 64 Thus, when the four radial projections 68 are angularly offset from the four axial grooves 72, the piston controller 64 is in its configuration engaged with the piston rod 58. In the configuration engaged with the piston rod 58, the four radial projections 68 cooperate with the inner shoulder 70 and the piston control member 64 is adapted to push the piston 30 towards the distal end of the positioning control member 42. When the four projections radial 68 and the four axial grooves 72 are vis-à-vis, as can be seen in Figure 10, then the piston controller 64 is in a disengaged configuration. In the disengaged configuration, the radial projections 68 may engage axial grooves 72. When the piston control member 64 and the piston rod 58 move axially, the piston rod 58 can then retract into the piston control member 64.
Le dispositif d'injection automatique 22 comprend également un organe de commande d'aiguille 74 de forme générale tubulaire. L'organe de commande d'aiguille 74 est monté coulissant dans l'organe de contrôle de positionnement 42. La partie proximale de l'organe de commande d'aiguille 74 est munie d'une surface proximale 76 coopérant axialement avec une surface distale 78 de la partie distale de l'organe de commande de piston 64. Ainsi, l'organe de commande d'aiguille 74 et l'organe de commande de piston 64 sont liés cinématiquement dans leurs mouvements axiaux. L'organe de commande d'aiguille 74 coopère avec la partie distale du support de seringue 34 de telle sorte que l'organe de commande d'aiguille 74 est susceptible d'évoluer angulairement par rapport au support de seringue 34 entre :  The automatic injection device 22 also comprises a needle control member 74 of generally tubular shape. The needle control member 74 is slidably mounted in the positioning control member 42. The proximal portion of the needle control member 74 is provided with a proximal surface 76 cooperating axially with a distal surface 78 of the distal portion of the piston control member 64. Thus, the needle control member 74 and the piston controller 64 are kinematically connected in their axial movements. The needle control member 74 cooperates with the distal portion of the syringe holder 34 such that the needle control member 74 is capable of angularly moving relative to the syringe holder 34 between:
- une configuration en prise avec le support de seringue 34 pour pousser ce support de seringue 34 et  a configuration engaged with the syringe holder 34 to push this syringe holder 34 and
- une configuration débrayée de ce support de seringue 34.  a disengaged configuration of this syringe support 34.
Comme illustré notamment sur les figures 4, 5 et 13, le support de seringue 34 est muni à son extrémité proximale d'une surface de contact 80 apte à coopérer avec deux surfaces formant butée axiale 82 portées par deux saillies radiales internes 84 de l'organe de commande d'aiguille 74. Deux rainures 86 sont ménagées dans la surface de contact 80 du support de seringue 34. Ces rainures 86 permettent, lorsqu'elles sont alignées avec les butées axiales 82 de l'organe de commande d'aiguille 74, le passage de ces butées axiales 82 à travers la surface de contact 80 du support de seringue 34. Ainsi lorsque les saillies radiales internes 84 de l'organe de commande d'aiguille 74 sont décalées angulairement par rapport aux rainures 86 du support de seringue 34 l'organe de commande d'aiguille 74 est dans sa configuration en prise avec le support de seringue 34 pour pousser ce support de seringue 34. Dans cette configuration les butées axiales 82 coopèrent avec la surface de contact 80 du support de seringue 34 et l'organe de commande d'aiguille 74 est apte à pousser le support de seringue 34 dans vers l'extrémité distale de l'organe de contrôle de positionnement 42. Lorsque les saillies radiales internes 84 de l'organe de commande d'aiguille 74 sont alignées avec les rainures 86 du support de seringue 34, l'organe de commande d'aiguille 74 est dans une configuration débrayée du support de seringue 34. Dans la configuration débrayée, les saillies radiales internes 84 peuvent s'engager dans les rainures 86. Lorsque l'organe de commande d'aiguille 74 et le support de seringue 34 se rapprochent axialement, l'organe de commande d'aiguille 74 peut alors avancer autour du support de seringue 34 sans le pousser. As illustrated in particular in Figures 4, 5 and 13, the syringe holder 34 is provided at its proximal end with a contact surface 80 adapted to cooperate with two axial abutment surfaces 82 carried by two internal radial projections 84 of the needle control member 74. Two grooves 86 are provided in the contact surface 80 of the syringe holder 34. These grooves 86 allow, when aligned with the axial stops 82 of the needle control member 74 the passage of these axial stops 82 through the contact surface 80 of the syringe holder 34. Thus, when the internal radial projections 84 of the needle control member 74 are angularly offset relative to the grooves 86 of the syringe holder 34 the needle control member 74 is in its configuration engaged with the syringe holder 34 to push this syringe holder 34. In this configuration the axial stops 82 cooperate with the conical surface. 80 of the syringe holder 34 and the needle control member 74 is able to push the syringe holder 34 into the distal end of the positioning control member 42. When the internal radial projections 84 of the needle control member 74 is aligned with the grooves 86 of the syringe holder 34, the needle control member 74 is in a disengaged configuration of the syringe holder 34. In the disengaged configuration, the internal radial projections 84 can engage in the grooves 86. When the organ of Needle control 74 and syringe holder 34 move axially together, needle control member 74 can then advance around syringe holder 34 without pushing it.
L'organe de commande d'aiguille 74 est muni d'une came 88 coopérant avec un chemin de came 90 de commande d'aiguille ménagé dans l'organe de contrôle de positionnement 42. Ce chemin de came 90 de commande d'aiguille est destiné à faire tourner l'organe de commande d'aiguille 74 de telle sorte que lorsque le support de seringue 34, poussé par l'organe de commande d'aiguille 74, atteint la fin de son mouvement axial d'insertion de l'aiguille d'injection 28, l'organe de commande d'aiguille 74 atteint, par rotation, sa configuration de débrayage du support de seringue 34.  The needle control member 74 is provided with a cam 88 cooperating with a needle control cam path 90 formed in the positioning control member 42. This needle control cam path 90 is for rotating the needle control member 74 so that when the syringe holder 34, pushed by the needle control member 74, reaches the end of its axial insertion movement of the needle 28, the needle control member 74 reaches, by rotation, its disengagement configuration of the syringe holder 34.
On notera que le dispositif d'injection automatique 22 comprend des premières et secondes parties télescopiques dont le déplacement relatif commande le fonctionnement de ce dispositif d'injection automatique 22. En effet, l'organe de contrôle de positionnement 42 forme la seconde partie télescopique montée coulissante dans un boîtier extérieur 92 formant la première partie télescopique. Le boîtier extérieur 92 entoure partiellement l'organe de contrôle de positionnement 42 et est destiné à être tenu par l'utilisateur. Le boîtier extérieur 92 a une forme générale tubulaire d'axe X partiellement fermée à son extrémité proximale. Lorsque le boîtier extérieur 92 se déplace vers la partie proximale de l'organe de contrôle 42, la longueur totale du dispositif d'injection automatique 22 augmente. On qualifie ce sens de déplacement de sens d'allongement du dispositif d'injection automatique 22. Au contraire, lorsque le boîtier extérieur 92 se déplace vers la partie distale de l'organe de contrôle de positionnement 42 la longueur totale du dispositif d'injection automatique 22 diminue. On qualifie ce sens de déplacement de sens de raccourcissement du dispositif d'injection automatique 22. Des moyens de limitation de la course entre le boîtier extérieur 92 et l'organe de contrôle de positionnement 42 comprennent :  Note that the automatic injection device 22 comprises first and second telescopic parts whose relative displacement controls the operation of this automatic injection device 22. Indeed, the positioning control member 42 forms the second telescopic portion mounted sliding in an outer casing 92 forming the first telescopic part. The outer casing 92 partially surrounds the positioning control member 42 and is intended to be held by the user. The outer housing 92 has a generally tubular X-axis shape partially closed at its proximal end. As the outer housing 92 moves toward the proximal portion of the control member 42, the total length of the automatic injection device 22 increases. This direction of elongation direction displacement of the automatic injection device 22 is qualified. On the contrary, when the outer casing 92 moves towards the distal portion of the positioning control member 42, the total length of the injection device automatic 22 decreases. This direction of shortening direction of the automatic injection device 22 is qualified. Stroke limiting means between the outer casing 92 and the positioning control member 42 comprise:
- deux saillies radiales 94 portées par la bague de retenue 47 de l'organe de contrôle de positionnement 42 destinées à coopérer avec des bords 96 de lumières 98 (visibles notamment sur la figure 1 ) ménagées dans le boîtier extérieur 92 pour limiter la course de l'organe de contrôle de positionnement 42 lors de l'allongement du dispositif d'injection automatique 22 ;  two radial projections 94 carried by the retaining ring 47 of the positioning control member 42 intended to cooperate with edges 96 of openings 98 (visible in particular in FIG. 1) formed in the outer casing 92 to limit the stroke of the positioning control member 42 during the extension of the automatic injection device 22;
- deux butées axiales 100, 102 portées respectivement par l'organe de contrôle de positionnement 42 et le boîtier extérieur 92 agencées de manière à limiter la course entre l'organe de contrôle de positionnement 42 et le boîtier extérieur 92 lors du raccourcissement de du dispositif d'injection automatique 22 ;  two axial stops 100, 102 respectively carried by the positioning control member 42 and the outer casing 92 arranged so as to limit the stroke between the positioning control member 42 and the outer casing 92 during the shortening of the device automatic injection 22;
- des rainures 104 (visibles sur les figures 2 et 7) ménagées dans l'organe de contrôle de positionnement 42 et des languettes 106 portées par la surface intérieure du boîtier extérieur 92 coopérant de manière à immobiliser le boîtier extérieur 92 en rotation par rapport à l'organe de contrôle de positionnement 42. Le boîtier extérieur 92 forme un organe de débrayage 92 portant un premier chemin de came 110 destiné à coopérer avec une came 112 portée par l'organe de commande de piston 64. Ce premier chemin de came 110 est formé par le bord 110 d'une fenêtre 114 qui délimite l'extrémité de l'une des languettes 106. Le premier chemin de came 110 et la came 112 de l'organe de commande de piston 64 forment des moyens de déplacement de l'organe de commande de piston 64 par rapport à la tige de piston 58 entre ses configurations en prise et débrayée. Le premier chemin de came 110 est incliné par rapport à l'axe X de telle sorte que lorsque le premier chemin de came 110 et la came 112 de l'organe de commande de piston 64 coopèrent et lorsque l'organe de commande de piston 64 se déplace vers la partie distale de l'organe de commande de piston 64, l'organe de commande de piston 64 tourne par rapport à la tige de piston 58. grooves 104 (visible in FIGS. 2 and 7) formed in the positioning control member 42 and tongues 106 carried by the surface inside the outer casing 92 cooperating so as to immobilize the outer casing 92 in rotation relative to the positioning control member 42. The outer casing 92 forms a disengaging member 92 carrying a first cam path 110 intended to cooperate with a cam 112 carried by the piston control member 64. This first cam path 110 is formed by the edge 110 of a window 114 which defines the end of one of the tabs 106. The first cam path 110 and the cam 112 of the piston controller 64 forms means for moving the piston controller 64 relative to the piston rod 58 between its engaged and disengaged configurations. The first cam path 110 is inclined with respect to the X axis so that when the first cam path 110 and the cam 112 of the piston controller 64 cooperate and the piston controller 64 moves to the distal portion of the piston controller 64, the piston controller 64 rotates relative to the piston rod 58.
Un second chemin de came 116 est ménagé dans l'organe de contrôle de positionnement 42. Tout comme le premier chemin de came 110, ce second chemin de came 116 est incliné par rapport à l'axe X de telle sorte que, lorsque le second chemin de came 116 et la came 112 de l'organe de commande de piston 64 coopèrent et lorsque l'organe de commande de piston 64 se déplace vers la partie distale de l'organe de contrôle de positionnement 42, l'organe de commande de piston 64 tourne par rapport à la tige de piston 58. L'inclinaison et la position de ce second chemin de came 116 sont telles que lorsque le piston 30 et la tige de piston 28 sont en butée dans la paroi de fond 32 de la seringue d'injection 24, l'organe de commande de piston 64 n'atteint pas sa configuration de débrayage en coopérant avec le second chemin de came 116. Pour que l'organe de commande de piston 64 atteigne sa configuration de débrayage, il est nécessaire que le premier chemin de came 110 coopère avec l'organe de commande de piston 64 pour l'entraîner jusqu'à sa configuration de débrayage. Cette coopération entre le premier chemin de came 110 et l'organe de commande de piston 64 a lieu après la fin de l'injection, c'est-à-dire après que le piston 30 et la tige de piston 58 aient atteint la fin de la course d'injection.  A second cam path 116 is provided in the positioning control member 42. Like the first cam path 110, this second cam path 116 is inclined with respect to the X axis so that when the second cam path 116 cam path 116 and cam 112 of the piston controller 64 cooperate and as the piston controller 64 moves toward the distal portion of the positioning control member 42, the control member of piston 64 rotates relative to the piston rod 58. The inclination and the position of this second cam path 116 are such that when the piston 30 and the piston rod 28 abut in the bottom wall 32 of the syringe 24, the piston control member 64 does not reach its disengagement configuration by cooperating with the second cam path 116. In order for the piston control member 64 to reach its disengaging configuration, it is necessary to that the first cam path 110 cooperates with the org piston control pin 64 to drive it to its disengagement configuration. This cooperation between the first cam path 110 and the piston control member 64 takes place after the end of the injection, that is after the piston 30 and the piston rod 58 have reached the end. of the injection stroke.
L'organe de contrôle de positionnement 42 est muni de moyens libérables de blocage de l'organe de contrôle de positionnement 42 et du boîtier extérieur 92, pendant au moins une partie de la course d'injection. Ces moyens libérables de blocage comprenant deux cliquets escamotables 118 (visibles notamment sur les figures 13 à 17), positionnés de part et d'autre de l'organe de contrôle de positionnement 42 sur chacune des deux demi- coques 44a et 44b, destinés à coopérer avec quatre crans 120 formés par quatre trous 120 ménagés dans le boîtier extérieur 92. Les quatre trous 120 sont groupés deux à deux de manière à ce que chaque cliquet escamotable118 soit apte à coopérer avec deux crans 120. Deux crans 120 coopérant avec un même cliquet escamotable118 sont alignés suivant la direction de l'axe X. Les cliquets escamotables 118 escamotables sont formés par des bascules pivotant entre : The positioning control member 42 is provided with releasable locking means of the positioning control member 42 and the outer casing 92 during at least part of the injection stroke. These releasable locking means comprising two retractable pawls 118 (visible in particular in Figures 13 to 17), positioned on either side of the positioning control member 42 on each of the two half-shells 44a and 44b, for cooperate with four notches 120 formed by four holes 120 formed in the outer housing 92. The four holes 120 are grouped in pairs so that each retractable pawl 118 is able to cooperate with two notches 120. Two notches 120 cooperating with the same retractable pawl 118 are aligned in the direction of the axis X. The retractable catches 118 retractable are formed by flip-flops pivoting between:
- une configuration de libération, où l'extrémité distale des cliquets escamotables 118 n'est pas saillante par rapport à l'organe de contrôle de positionnement 42, et a release configuration, in which the distal end of the retractable pawls 118 is not protruding with respect to the positioning control member 42, and
- une configuration de blocage où l'extrémité distale des cliquets escamotables 118 est saillante vers l'extérieur de l'organe de contrôle de positionnement 42 et une extrémité proximale des cliquets escamotables 118 est saillante vers l'intérieur de l'organe de contrôle de positionnement 42. a locking configuration in which the distal end of the retractable pawls 118 protrudes outwardly from the positioning control member 42 and a proximal end of the retractable pawls 118 protrudes inwardly of the control member of the positioning 42.
Lorsqu'ils sont dans leur configuration de blocage, les cliquets escamotables 118 sont aptes à coopérer avec les crans 120. Lorsqu'un cliquet escamotable 118 coopère avec un cran 120, l'organe de contrôle de positionnement 42 ne peut pas se déplacer vers l'extrémité distale du boîtier extérieur 92 par rapport à ce boîtier extérieur 92 mais peut tout de même se déplacer dans le sens opposé. Le dispositif d'injection automatique 22 comprend aussi des moyens de libération des moyens libérables de blocage 118, 120 portés par un organe de poussée. Cet organe de poussée est formé par l'organe de commande d'aiguille 74. L'organe de poussée comporte une rampe d'escamotage apte à coopérer avec l'extrémité proximale des cliquets escamotables 118 de telle sorte que les cliquets escamotables 118 soient verrouillés dans leur position de libération. L'organe de commande d'aiguille 74 coopère axialement avec les cliquets 118, lors du mouvement axial de l'organe de commande d'aiguille 74 dans l'organe de contrôle de positionnement 42. Lorsque l'organe de commande d'aiguille 74 ne coopère pas avec les cliquets escamotables 118, les cliquets escamotables 118 ne sont pas verrouillés dans leur position de libération et sont rappelés élastiquement vers leur position de blocage. When in their blocking configuration, the retractable pawls 118 are able to cooperate with the notches 120. When a retractable pawl 118 cooperates with a catch 120, the positioning control member 42 can not move towards the notch. distal end of the outer housing 92 relative to the outer housing 92 but can still move in the opposite direction. The automatic injection device 22 also comprises means for releasing the releasable blocking means 118, 120 carried by a thrust member. This thrust member is formed by the needle control member 74. The thrust member comprises a retraction ramp adapted to cooperate with the proximal end of the retractable pawls 118 so that the retractable pawls 118 are locked in their liberation position. The needle control member 74 cooperates axially with the pawls 118 during axial movement of the needle control member 74 in the positioning control member 42. When the needle control member 74 does not cooperate with the retractable pawls 118, the retractable pawls 118 are not locked in their release position and are biased to their locking position.
Le dispositif d'injection automatique 22 est muni de moyens de rappel élastique agissant entre le boîtier extérieur 92 et l'organe de contrôle de positionnement 42. Ces moyens de rappel élastique comprennent deux ressorts de rappel 122, visibles uniquement sur la figure 9, positionnés entre des supports de ressort 124 du boîtier extérieur 92 et des surfaces d'appui 126 de l'organe de contrôle de positionnement 42. Les ressorts de rappel 122 sont des ressorts de compression 122, métalliques, agissant dans le sens d'un allongement du dispositif d'injection automatique 22. Les supports de ressort 124 sont des protubérances axiales situées à l'intérieur de la partie proximale du boîtier extérieur 92. Les surfaces d'appui 126 de l'organe de contrôle de positionnement 42 sont des surfaces distales de l'organe de contrôle de positionnement 42. En variante, il est possible de remplacer ces ressorts métalliques 122 par des ressorts en matière plastique venus de matière avec l'organe de contrôle de positionnement 42.  The automatic injection device 22 is provided with elastic return means acting between the outer casing 92 and the positioning control member 42. These elastic return means comprise two return springs 122, visible only in FIG. 9, positioned between spring supports 124 of the outer housing 92 and bearing surfaces 126 of the positioning control member 42. The return springs 122 are metal compression springs 122, acting in the direction of an elongation of the automatic injection device 22. The spring supports 124 are axial protuberances located within the proximal portion of the outer housing 92. The bearing surfaces 126 of the positioning control member 42 are distal surfaces of the 42. In a variant, it is possible to replace these metal springs 122 by plastic springs made of material with the positioning control member 42.
Un ressort d'injection 128, visible uniquement sur la figure 9, est positionné dans l'extrémité proximale de l'organe de contrôle de positionnement 42. Le ressort d'injection 128 agit axialement entre l'organe de contrôle de positionnement 42 et l'organe de commande de piston 64, de manière à pousser l'organe de commande de piston 64 vers la partie distale de l'organe de contrôle de positionnement 42. L'organe de commande de piston 64 porte à son extrémité proximale deux languettes de libération 130 du ressort d'injection 128. Les languettes de libération 130 sont destinées à coopérer avec un orifice 132 de la bague de retenue 47 de manière à immobiliser axialement l'organe de contrôle de positionnement 42 et l'organe de commande de piston 64. Les languettes de libération 130 sont munies de rampes 134 (visible notamment sur la figure 8) aptes à coopérer avec des surfaces de libération 136 du boîtier extérieur 92. An injection spring 128, visible only in FIG. 9, is positioned in the proximal end of the positioning control member 42. The injection spring 128 acts axially between the positioning control member 42 and the piston control member 64, so as to push the control member piston 64 to the distal portion of the positioning control member 42. The piston control member 64 carries at its proximal end two release tongues 130 of the injection spring 128. The release tongues 130 are intended for cooperate with an orifice 132 of the retaining ring 47 so as to axially immobilize the positioning control member 42 and the piston control member 64. The release tongues 130 are provided with ramps 134 (visible in particular in the figure 8) adapted to cooperate with release surfaces 136 of the outer casing 92.
Un ressort de rétraction (non représenté sur les figures) est positionné entre le manchon d'extrémité 46 et le support de seringue 34. Le ressort de rétraction est un ressort de compression dont une extrémité est en appui sur un épaulement interne 138 du manchon d'extrémité 46 et l'autre extrémité est en appui sur un épaulement 140 du support de seringue 34. Ce ressort de rétraction pousse le support de seringue 34 dans le sens du mouvement de rétraction du support de seringue 34 dans l'organe de contrôle de positionnement 42. Ce mouvement de rétraction est un mouvement du support de seringue 34 vers l'extrémité proximale de l'organe de contrôle de positionnement 42. On décrira-ci-dessous les différentes étapes de fonctionnement du dispositif d'injection automatique 22.  A retraction spring (not shown in the figures) is positioned between the end sleeve 46 and the syringe holder 34. The retraction spring is a compression spring whose one end is supported on an internal shoulder 138 of the sleeve. 46 end and the other end is supported on a shoulder 140 of the syringe holder 34. This retraction spring pushes the syringe holder 34 in the direction of the retraction movement of the syringe holder 34 in the control body of the syringe 34 This retraction movement is a movement of the syringe holder 34 towards the proximal end of the positioning control member 42. The various stages of operation of the automatic injection device 22 will be described below.
Pour faire fonctionner le dispositif d'injection automatique 22, il est nécessaire, dans un premier temps, de retirer l'organe de retrait et le capuchon de protection de la partie distale du dispositif d'injection automatique 22. Le dispositif d'injection automatique 22 est alors dans la configuration représentée à la figure 1 , que l'on qualifiera de configuration initiale. Ensuite, l'utilisateur saisi le dispositif d'injection automatique 22 par le boîtier extérieur 92 et applique la surface distale 48 du manchon d'extrémité 46 contre sa peau à l'endroit où l'injection du liquide contenu dans le corps de seringue 26 est souhaitée.  To operate the automatic injection device 22, it is necessary, in a first step, to remove the withdrawal member and the protective cap from the distal portion of the automatic injection device 22. The automatic injection device 22 is then in the configuration shown in Figure 1, which we qualify as initial configuration. Then, the user grasps the automatic injection device 22 through the outer housing 92 and applies the distal surface 48 of the end sleeve 46 against his skin where the injection of the liquid contained in the syringe body 26 is desired.
Ensuite, lors d'une étape de déverrouillage, l'utilisateur applique un effort axial, vers la partie distale du dispositif d'injection automatique 22, sur le boîtier extérieur 92. Ainsi, le boîtier extérieur 92 se déplace axialement vers la partie distale de l'organe de contrôle de positionnement 42. Ce déplacement entraine la coopération des rampes 134 des languettes de libérations 130 avec les surfaces de libération 136 du boîtier extérieur 92. Les languettes de libération 136 sont alors déformées vers l'intérieur et n'immobilisent plus axialement l'organe de commande de piston 64 avec l'organe de contrôle de positionnement 42. Durant cette étape, les cliquets escamotables 118 passent d'une configuration dans laquelle ils coopèrent avec les deux crans 120 les plus distaux du boîtier extérieur 92 à une configuration dans laquelle ils coopèrent avec les deux cliquets escamotables 118 les plus proximaux du boîtier extérieur 92. Le boîtier extérieur 92 est alors immobilisé dans le sens de l'allongement du dispositif d'injection automatique 22. Le dispositif d'injection automatique 22 atteint ensuite la configuration représentée à la figure 13, dans laquelle l'organe de commande de piston 64 est libre de se déplacer axialement vers la partie distale de l'organe de contrôle de positionnement 42 et les deux butées axiales 100 et 102 portées par l'organe de contrôle de positionnement 42 et le boîtier extérieur coopèrent 92. Then, during an unlocking step, the user applies an axial force towards the distal portion of the automatic injection device 22, on the outer casing 92. Thus, the outer casing 92 moves axially toward the distal portion of the casing. the positioning control member 42. This displacement causes the cooperation of the ramps 134 of the release tabs 130 with the release surfaces 136 of the outer casing 92. The release tabs 136 are then deformed inwards and no longer immobilize. axially the piston control member 64 with the positioning control member 42. During this step, the retractable pawls 118 pass from a configuration in which they cooperate with the two most distal notches 120 of the outer casing 92 to a configuration in which they cooperate with the two most proximal retractable catches 118 of the outer casing 92. The outer casing 92 is then immobilized in the direction of elongation of the automatic injection device 22. automatic injection 22 then reaches the configuration shown in FIG. 13, in which the piston control member 64 is free to move axially toward the distal portion of the positioning control member 42 and the two axial stops 100 and 102 carried by the positioning control member 42 and the outer housing cooperate 92.
A la suite de cette étape de déverrouillage, une étape d'insertion a lieu. Le ressort d'injection 128 pousse axialement les organes de commande d'aiguille 74 et de piston 64 vers la partie distale de l'organe de contrôle de positionnement 42. Comme l'organe de commande d'aiguille 74 est en configuration en prise avec le support de seringue 34, il coopère axialement avec le support de seringue 34 et déplace ce dernier de telle sorte que l'aiguille d'injection 28 devient saillante par rapport à la surface distale 48 du manchon d'extrémité 46 et est insérée dans la peau du patient. Durant cette étape, la came 88 de l'organe de commande d'aiguille 74 coopère avec le chemin de came 90 de commande d'aiguille de telle sorte que l'organe de commande d'aiguille 74 tourne par rapport au support de seringue 34 jusqu'à sa configuration de débrayage du support de seringue 34. De la même manière, la came 112 de l'organe de commande de piston 64 coopère avec le second chemin de came 116 de telle sorte que l'organe de commande de piston 64 tourne par rapport à la tige de piston 58. Cependant l'organe de commande de piston 64 n'atteint pas sa configuration de débrayage de la tige de piston 58. A la fin de cette étape, le dispositif d'injection automatique 22 est dans la configuration représentée à la figure 14, dans laquelle l'organe de commande de piston 64 est dans sa configuration en prise avec la tige de piston 64, l'organe de commande d'aiguille 74 est dans sa configuration débrayée et l'épaulement interne 50 du manchon d'extrémité 46 coopère avec la surface distale 52 du support de seringue 34. Dans cette configuration, l'aiguille d'injection 28 est insérée dans la peau du patient.  Following this unlocking step, an insertion step takes place. The injection spring 128 axially drives the needle control members 74 and piston 64 to the distal portion of the positioning control member 42. As the needle control member 74 is in the engagement configuration the syringe holder 34, it cooperates axially with the syringe holder 34 and displaces the latter so that the injection needle 28 becomes protruding with respect to the distal surface 48 of the end sleeve 46 and is inserted into the skin of the patient. During this step, the cam 88 of the needle control member 74 cooperates with the needle control cam path 90 so that the needle control member 74 rotates relative to the syringe holder 34. until it disengages from the syringe holder 34. In the same manner, the cam 112 of the piston controller 64 cooperates with the second cam path 116 so that the piston controller 64 rotates relative to the piston rod 58. However the piston control member 64 does not reach its disengagement configuration of the piston rod 58. At the end of this step, the automatic injection device 22 is in the configuration shown in Fig. 14, wherein the piston controller 64 is in its configuration engaged with the piston rod 64, the needle control member 74 is in its disengaged configuration and the internal shoulder 50 of the end sleeve 46 cooperates with the Distal interface 52 of the syringe holder 34. In this configuration, the injection needle 28 is inserted into the skin of the patient.
A la suite de cette étape d'insertion, une étape d'injection a lieu. Le ressort d'injection 128 continue de pousser axialement les organes de commande d'aiguille 74 et de piston 64 vers la partie distale de l'organe de contrôle de positionnement 42, cependant, l'organe de commande d'aiguille 74 ne coopère plus axialement avec le support de seringue 34. L'organe de commande de piston 64 étant en configuration en prise avec la tige de piston 58, il coopère axialement avec la tige de piston 48 et pousse cette dernière de telle sorte qu'elle parcourt sa course d'injection. Le liquide pharmaceutique est alors injecté dans le corps du patient. Durant cette étape, la came 112 de l'organe de commande de piston 64 continue à coopérer avec le second chemin de came 116, par mouvement relatif, mais n'atteint pas sa configuration de débrayage de la tige de piston 58. Durant cette étape, l'organe de commande d'aiguille 74 coopère avec l'extrémité proximale des cliquets escamotables 118 et les verrouille dans leur configuration de libération. Lorsque les cliquets escamotables 118 sont en configuration de libération, le boîtier extérieur 92 est de nouveau apte à se déplacer axialement vers l'extrémité distale de l'organe de contrôle de positionnement 42. A la fin de cette étape, le dispositif d'injection automatique 22 est dans la configuration représentée à la figure 15, dans laquelle le piston 30 et la tige de piston 58 sont en butée contre la paroi de fond 32 du corps de seringue 26, l'organe de commande de piston 64 est en configuration en prise avec la tige de piston 58 et les cliquets escamotables 118 de l'organe de contrôle de positionnement 42 sont en configuration de libération. Following this insertion step, an injection step takes place. The injection spring 128 continues to urge the needle control members 74 and piston 64 axially toward the distal portion of the positioning control member 42, however, the needle control member 74 no longer cooperates. axially with the syringe holder 34. The piston control member 64 being in configuration engaged with the piston rod 58, it cooperates axially with the piston rod 48 and pushes the latter so that it travels its course. injection. The pharmaceutical liquid is then injected into the patient's body. During this step, the cam 112 of the piston control member 64 continues to cooperate with the second cam path 116, by relative movement, but does not reach its disengagement configuration of the piston rod 58. During this step, the needle control member 74 cooperates with the proximal end of the retractable pawls 118 and locks them in their release configuration. . When the retractable pawls 118 are in the release configuration, the outer casing 92 is again able to move axially towards the distal end of the positioning control member 42. At the end of this step, the injection device 22 is in the configuration shown in FIG. 15, in which the piston 30 and the piston rod 58 abut against the bottom wall 32 of the syringe body 26, the piston control member 64 is in the configuration taken with the piston rod 58 and the retractable pawls 118 of the positioning control member 42 are in the release configuration.
A la suite de cette étape d'injection, une étape de déclenchement de la rétraction a lieu. Pour déclencher la rétraction de l'aiguille d'injection 28, il est nécessaire que le premier chemin de came 110, porté par le boîtier extérieur 92, coopère avec la came 112 de l'organe de commande de piston 64. Pour que cette coopération ait lieu, l'utilisateur doit relâcher l'effort axial qu'il exerce sur le boîtier extérieur 92 de manière à ce que le ressort de rappel 122 déplace le boîtier extérieur 92 dans le sens de l'allongement du dispositif d'injection automatique 22. Il est à noter que lors de cette étape, l'organe de débrayage 92 est mobile par rapport à la tige de piston 58 et au corps de seringue 26. Lors de ce déplacement, le premier chemin de came 110 coopère avec la came 112 de l'organe de commande de piston 64 ce qui entraine une rotation de l'organe de commande de piston 64 par rapport à la tige de piston 58 jusqu'à sa configuration débrayée de la tige de piston 58. A la fin de cette étape, le dispositif d'injection automatique 22 est dans la configuration représentée à la figure 16, dans laquelle l'organe de commande de piston 64 est dans sa configuration débrayée de la tige de piston 58 et les saillies radiales 94 de la bague de retenue 47 coopèrent avec les bords 96 des lumières 98 ménagées dans le boîtier extérieur 92.  Following this injection step, a step of triggering the retraction takes place. To trigger the retraction of the injection needle 28, it is necessary that the first cam path 110, carried by the outer housing 92, cooperates with the cam 112 of the piston control member 64. For this cooperation takes place, the user must release the axial force exerted on the outer casing 92 so that the return spring 122 moves the outer casing 92 in the direction of elongation of the automatic injection device 22 It should be noted that during this step, the release member 92 is movable relative to the piston rod 58 and to the syringe body 26. During this movement, the first cam path 110 cooperates with the cam 112 of the piston control member 64 which causes a rotation of the piston control member 64 relative to the piston rod 58 to its disengaged configuration of the piston rod 58. At the end of this step , the automatic injection device 22 is in the 16, in which the piston control member 64 is in its disengaged configuration of the piston rod 58 and the radial projections 94 of the retaining ring 47 cooperate with the edges 96 of the lights 98 formed in the outer casing 92.
A la suite de cette étape de déclenchement de la rétraction, une étape de rétraction à lieu. Comme l'organe de commande de piston 64 est en configuration débrayée de la tige de piston 58, cette dernière est libre de se déplacer axialement vers la partie proximale du dispositif d'injection automatique 22. Le ressort de rétraction est alors libre de pousser le support de seringue 34 vers la partie proximale de l'organe de contrôle de positionnement 42. Ainsi, l'aiguille d'injection 28 se rétracte dans l'organe de contrôle de positionnement 42 de telle sorte qu'elle n'est plus saillante de la surface distale du manchon d'extrémité 46. A la fin de cette étape, le dispositif d'injection automatique 22 est dans la configuration représentée à la figure 17, dans laquelle l'aiguille d'injection 28 n'est pas saillante de l'organe de contrôle de positionnement 42. Lorsque le dispositif d'injection automatique 22 est dans cette configuration, son fonctionnement est terminé. Le patient peut alors éloigner le dispositif d'injection automatique 22 de sa peau. Following this step of triggering the retraction, a retraction step takes place. Since the piston control member 64 is in a disengaged configuration of the piston rod 58, the latter is free to move axially towards the proximal portion of the automatic injection device 22. The retraction spring is then free to push the piston. syringe support 34 to the proximal portion of the positioning control member 42. Thus, the injection needle 28 retracts into the positioning control member 42 so that it no longer protrudes from the the distal surface of the end sleeve 46. At the end of this step, the automatic injection device 22 is in the configuration shown in FIG. 17, in which the injection needle 28 is not projecting from the position control member 42. When the device automatic injection 22 is in this configuration, its operation is complete. The patient can then move the automatic injection device 22 away from his skin.
On décrira ci-dessous, en se référant aux figures 18 à 21 , un dispositif d'injection automatique 22 selon un second mode de réalisation de l'invention. Dans ce cas, les éléments analogues à ceux des figures précédentes sont désignés par des références identiques.  The following will be described, with reference to FIGS. 18 to 21, an automatic injection device 22 according to a second embodiment of the invention. In this case, elements similar to those of the preceding figures are designated by identical references.
Dans ce mode de réalisation, l'organe de commande de piston 64 est muni de moyens d'indication visuelle 138 et 140 de la fin de la course d'injection (visibles sur les figures 20 et 21 ). Ces moyens d'indication 138, 140 comprennent deux indications imprimées 138, 140 sur l'organe de commande de piston 64. Ces indications imprimées 138, 140 sont rendues visibles quand elles sont positionnées au droit d'une fenêtre 142 ménagée à travers le boîtier extérieur 92. Une première indication 138 est une indication de la fin de la course d'injection. Elle est visible pendant l'étape de déclenchement de la rétraction. La seconde indication 140 est une indication de la fin du fonctionnement du dispositif d'injection automatique 22. Elle est visible après l'étape de rétraction de l'aiguille d'injection 28.  In this embodiment, the piston controller 64 is provided with visual indication means 138 and 140 of the end of the injection stroke (visible in FIGS. 20 and 21). These indication means 138, 140 comprise two printed indications 138, 140 on the piston control member 64. These printed indications 138, 140 are made visible when they are positioned at the right of a window 142 formed through the housing. 92. A first indication 138 is an indication of the end of the injection stroke. It is visible during the step of triggering the retraction. The second indication 140 is an indication of the end of operation of the automatic injection device 22. It is visible after the step of retraction of the injection needle 28.
L'invention n'est pas limitée aux modes de réalisation présentés et d'autres modes de réalisation apparaîtront clairement à l'homme du métier. Il est notamment possible de positionner l'organe de débrayage sur un élément autre que le boîtier extérieur et l'inclinaison du chemin de came pourrait être supprimée et compensée par une forme différente du premier chemin de came.  The invention is not limited to the embodiments presented and other embodiments will become apparent to those skilled in the art. In particular, it is possible to position the disengaging member on an element other than the outer casing and the inclination of the cam path could be eliminated and compensated by a different shape of the first cam path.

Claims

REVENDICATIONS
1 . Dispositif d'injection automatique (22) comprenant : 1. Automatic injection device (22) comprising:
une seringue d'injection (24) munie d'un corps de seringue (26) portant une aiguille d'injection (28) et d'une tige de piston (58) montée déplaçable dans ce corps de seringue (26) pour parcourir une course d'injection dont une limite est définie par une mise en butée de la tige de piston (58) dans le corps de seringue (26), un organe de commande de piston (64) susceptible d'évoluer entre :  an injection syringe (24) provided with a syringe body (26) carrying an injection needle (28) and a piston rod (58) movably mounted in said syringe body (26) to traverse a injection stroke, a limit of which is defined by an abutment of the piston rod (58) in the syringe body (26), a piston control member (64) capable of changing between:
o une configuration en prise avec la tige de piston (58) pour pousser cette tige de piston (58), et  a configuration engaged with the piston rod (58) to push the piston rod (58), and
o une configuration débrayée de cette tige de piston (58),  o a disengaged configuration of this piston rod (58),
des moyens de déplacement de l'organe de commande de piston (64) par rapport à la tige de piston (58) entre ses configurations en prise et débrayée,  means for moving the piston control member (64) relative to the piston rod (58) between its engaged and disengaged configurations,
caractérisé en ce que les moyens de déplacement de l'organe de commande de piston (64) entre ses configurations en prise et débrayée comprennent au moins un premier chemin de came (110) porté par un organe de débrayage (92) et une came (112) portée par l'organe de commande de piston (64), l'organe de débrayage (92) étant mobile par rapport à la tige de piston (58) et au corps de seringue (26) après que la tige de piston (58) ait atteint la fin de la course d'injection, de façon à faire coopérer le premier chemin de came (110) porté par l'organe de débrayage (92) avec la came (112) portée par l'organe de commande de piston (64). characterized in that the means for moving the piston control member (64) between its engaged and disengaged configurations comprises at least a first cam path (110) carried by a disengaging member (92) and a cam ( 112) carried by the piston control member (64), the disengaging member (92) being movable relative to the piston rod (58) and the syringe body (26) after the piston rod ( 58) has reached the end of the injection stroke, so as to cooperate the first cam path (110) carried by the disengagement member (92) with the cam (112) carried by the control member of piston (64).
2. Dispositif d'injection automatique (22) selon la revendication 1 , dans lequel les moyens de déplacement de l'organe de commande de piston (64) entre ses configurations en prise et débrayée comprennent de plus un second chemin de came (116) porté par un organe de contrôle de positionnement (42) qui, pendant la course d'injection, est immobilisé axialement avec le corps de seringue (26), ce second chemin de came (116) coopérant, par mouvement relatif pendant la course d'injection, avec la came (112) portée par l'organe de commande de piston (64). The automatic injection device (22) of claim 1, wherein the means for moving the piston controller (64) between its engaged and disengaged configurations further comprises a second cam path (116). carried by a positioning control member (42) which, during the injection stroke, is immobilized axially with the syringe body (26), this second cam path (116) cooperating, by relative movement during the stroke of injection, with the cam (112) carried by the piston control member (64).
3. Dispositif d'injection automatique (22) selon la revendication 2, dans lequel l'organe de débrayage (92) entoure au moins partiellement l'organe de contrôle de positionnement (42), l'organe de débrayage (92) et l'organe de contrôle de positionnement (42) comprenant des moyens d'immobilisation en rotation entre eux munis d'au moins une rainure (104) et une languette (106) complémentaires. 3. Automatic injection device (22) according to claim 2, wherein the release member (92) at least partially surrounds the positioning control member (42), the disengagement member (92) and the positioning control member (42) comprising means for immobilizing rotation between them provided with at least one groove (104) and a tab (106) complementary.
4. Dispositif d'injection automatique (22) selon la revendication 3, dans lequel la languette (106) d'immobilisation en rotation est ménagée dans l'organe de débrayage (92), le premier chemin de came (110) délimitant une extrémité de la languette (106). An automatic injection device (22) according to claim 3, wherein the rotational immobilization tongue (106) is formed in the disengaging member (92), the first cam path (110) delimiting one end of the tongue (106).
5. Dispositif d'injection automatique (22) selon l'une quelconque des revendications 2 à 4, comprenant des première (92) et seconde parties télescopiquesAn automatic injection device (22) according to any of claims 2 to 4, comprising first (92) and second telescopic portions
(42) dont le déplacement relatif commande le fonctionnement de ce dispositif d'injection automatique (22), l'organe de débrayage (92) étant solidaire de la première partie télescopique (92), qui est destinée à être tenue par un utilisateur, et l'organe de contrôle de positionnement (42) étant solidaire de la seconde partie télescopique (42). (42) whose relative movement controls the operation of this automatic injection device (22), the disengaging member (92) being integral with the first telescopic part (92), which is intended to be held by a user, and the positioning control member (42) being integral with the second telescopic portion (42).
6. Dispositif d'injection automatique (22) selon la revendication 5, dans lequel l'organe de débrayage (92) est rendu mobile par rapport à la tige de piston (58) et au corps de seringue (26) après que la tige de piston (58) ait atteint la fin de la course d'injection par des moyens de rappel élastique (122) agissant entre les première (92) et seconde (42) parties télescopiques dans le sens d'un allongement du dispositif d'injection automatique (22). The automatic injection device (22) according to claim 5, wherein the disengaging member (92) is movable relative to the piston rod (58) and the syringe barrel (26) after the rod piston (58) has reached the end of the injection stroke by elastic return means (122) acting between the first (92) and second (42) telescopic portions in the direction of an elongation of the injection device automatic (22).
7. Dispositif d'injection automatique (22) selon la revendication 6, dans lequel les moyens de rappel élastique (122) comprennent un ressort en matière plastique venu de matière avec la seconde partie télescopique (42). The automatic injection device (22) according to claim 6, wherein the elastic return means (122) comprises a plastic spring integrally formed with the second telescopic portion (42).
8. Dispositif d'injection automatique (22) selon l'une quelconque des revendications 5 à 7, comprenant des moyens libérables de blocage (118, 120) des première et seconde parties télescopiques (42, 92) pendant au moins une partie de la course d'injection. An automatic injection device (22) according to any one of claims 5 to 7, comprising releasable locking means (118, 120) of the first and second telescopic portions (42, 92) during at least a portion of the injection stroke.
9. Dispositif d'injection automatique (22) selon la revendication 8, comprenant des moyens de libération des moyens libérables de blocage (118, 120) des première et seconde parties télescopiques (42, 92) portés par un organe de poussé (74) solidaire axialement de l'organe de commande de piston (64) pendant la course d'injection. 9. Automatic injection device (22) according to claim 8, comprising means for releasing the releasable locking means (118, 120) of the first and second telescopic parts (42, 92) carried by a thrust member (74). axially secured to the piston control member (64) during the injection stroke.
10. Dispositif d'injection automatique (22) selon la revendication 8 ou 9, dans lequel les moyens libérables de blocage (118, 120) comprennent au moins un cliquet escamotable (118) porté par la seconde partie télescopique (42) et coopérant avec un cran (120) porté par la première partie télescopique (92). An automatic injection device (22) according to claim 8 or 9, wherein the releasable locking means (118, 120) comprise at least one retractable pawl (118) carried by the second telescopic portion (42) and cooperating with a notch (120) carried by the first telescopic portion (92).
1 1 . Dispositif d'injection automatique (22) selon les revendications 9 et 10 prises ensemble, dans lequel les moyens de libération des moyens libérables de blocage (118, 120) des première et seconde parties télescopiques (42, 92) comportent une rampe d'escamotage du cliquet escamotable (118). 1 1. Automatic injection device (22) according to claims 9 and 10 taken together, wherein the release means of the releasable locking means (118, 120) of the first and second telescopic portions (42, 92) comprise a retraction ramp retractable ratchet (118).
12. Dispositif d'injection automatique (22) selon l'une quelconque des revendications 5 à 11 , comprenant des moyens de limitation de la course (94, 96, 100, 102) entre les première et seconde parties télescopiques (42, 92). An automatic injection device (22) according to any one of claims 5 to 11, including stroke limiting means (94, 96, 100, 102) between the first and second telescopic portions (42, 92). .
13. Dispositif d'injection automatique (22) selon la revendication précédente dans lequel les moyens de limitation de la course (94, 96, 100, 102) comprennent une saillie radiale (94) portée par la seconde partie télescopique (42) coopérant avec un bord (96) d'une lumière (98) ménagée dans la première partie télescopique (92) pour limiter la course entre les première et seconde parties télescopiques (42, 92) lors de l'allongement du dispositif d'injection automatique (22) et deux butées axiales (100, 102) portées respectivement par les première et seconde parties télescopiques (42, 92) agencées de manière à limiter la course entre les première et seconde parties télescopiques (42, 92) lors du raccourcissement du dispositif d'injection automatique (22). 13. Automatic injection device (22) according to the preceding claim wherein the stroke limiting means (94, 96, 100, 102) comprise a radial projection (94) carried by the second telescopic portion (42) cooperating with an edge (96) of a lumen (98) in the first telescopic portion (92) for limiting the stroke between the first and second telescopic portions (42, 92) during elongation of the automatic injection device (22); ) and two axial stops (100, 102) carried respectively by the first and second telescopic portions (42, 92) arranged to limit the stroke between the first and second telescopic portions (42, 92) during the shortening of the device. automatic injection (22).
14. Dispositif d'injection automatique (22) selon l'une quelconque des revendications précédentes, comprenant des moyens d'indication visuelle (138, 142) de la fin de course d'injection. 14. Automatic injection device (22) according to any one of the preceding claims, comprising means for visual indication (138, 142) of the injection end of stroke.
15. Dispositif d'injection automatique (22) selon les revendications 5 et 14 prises ensemble, dans lequel les moyens d'indication visuelle (138, 142) comprennent une fenêtre (142) ménagée à travers la première partie télescopique (92) et au moins un indicateur visuel (138) porté par l'organe de commande de piston (64), cet indicateur visuel (138) se positionnant au droit de la fenêtre (142) après que la tige de piston (58) ait atteint la fin de la course d'injection. The automatic injection device (22) according to claims 5 and 14 taken together, wherein the visual indication means (138, 142) comprises a window (142) formed through the first telescopic portion (92) and at minus a visual indicator (138) carried by the piston control member (64), which visual indicator (138) is positioned to the right of the window (142) after the piston rod (58) has reached the end of the the injection stroke.
EP17737317.2A 2016-07-15 2017-06-13 Automatic injection device with reduced residual volume Pending EP3484546A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR1656809A FR3053894B1 (en) 2016-07-15 2016-07-15 AUTOMATIC INJECTION DEVICE WITH REDUCED RESIDUAL VOLUME.
PCT/FR2017/051507 WO2018011480A1 (en) 2016-07-15 2017-06-13 Automatic injection device with reduced residual volume

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EP3484546A1 true EP3484546A1 (en) 2019-05-22

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US (1) US11224694B2 (en)
EP (1) EP3484546A1 (en)
JP (1) JP7005613B2 (en)
CN (1) CN109475692B (en)
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WO (1) WO2018011480A1 (en)

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CN109999279B (en) * 2019-05-05 2021-04-20 河南省中医院(河南中医药大学第二附属医院) Needle inserting device for anesthesia department
USD988507S1 (en) * 2019-12-23 2023-06-06 Sanofi Medical injection device
WO2021162086A1 (en) * 2020-02-14 2021-08-19 大成化工株式会社 Injection device

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GB9412301D0 (en) * 1994-06-17 1994-08-10 Safe T Ltd Hollow-needle drugs etc applicators
US20030105430A1 (en) 2001-11-30 2003-06-05 Elan Pharma International Limited Wil House Automatic injector
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CN109475692B (en) 2021-12-24
FR3053894B1 (en) 2018-07-20
CN109475692A (en) 2019-03-15
FR3053894A1 (en) 2018-01-19
JP2019523116A (en) 2019-08-22
WO2018011480A1 (en) 2018-01-18
JP7005613B2 (en) 2022-01-21
US20200238010A1 (en) 2020-07-30
US11224694B2 (en) 2022-01-18

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