JP6166322B2 - An audible indication sound generation type audible automatic injection device informing the completion of injection - Google Patents

Description

  The present invention relates to a device for automatically injecting a product, which allows a user to confirm that the product has been almost completely injected.

  In this application, the distal end of a component or instrument means the end furthest from the user's hand during proper use, and the proximal end refers to the end closest to the user's hand during proper use. It shall be understood to mean. Similarly, in the present application, the “distal direction” defines the injection direction, and the “proximal direction” defines the direction opposite to the injection direction.

  For some diseases, it is necessary to inject drugs or formulations regularly, for example daily. In order to facilitate the treatment of such diseases, several automatic injection devices have been developed that allow patients to inject themselves.

  Of course, it should be clear that such automatic injection devices are extremely easy to use and extremely safe, since patients are usually not nurses or educated about medical devices. In particular, it is important to ensure that a defined amount of formulation is injected with such a device, i.e. the injection must be carried out completely to the end. Further, in some cases, the user may withdraw the automatic injection device before the injection is complete. It is therefore important that the user is informed that the formulation is almost completely injected and that the device may be removed from the injection site.

  From Patent Document 1, an automatic injection device is known that makes a sound during injection and informs the patient that the injection is complete when the sound stops.

  There is a need for a self-injection device that clearly informs the user that the injection is complete.

International Patent Application No. 2007/132353 Pamphlet

  The present invention meets the above needs by providing an alternative to the aforementioned apparatus. The present invention provides an instrument for automatic injection of a formulation into an injection site that generates an audible indication when the injection is complete.

The present invention relates to a device for automatically injecting a formulation at an injection site, said formulation being carried by a container, said container carrying an open proximal end and a needle to provide a formulation discharge port of said container, substantially closed A piston disposed within the container and movable distally with respect to the container, the movement of the piston distally to remove the formulation from the container Extruded through a needle, thereby realizing injection of the formulation,
The instrument is
A piston rod that is to be coupled to the piston in a distal direction during injection;
Biasing means for moving the piston rod distally with respect to the container during injection;
A housing designed to at least partially receive the container, the piston rod and the biasing means;
Indication to the user that the injection of the formulation is complete by generating an audible indication when the piston is near the distal end of the container and the formulation is almost completely pushed out of the container. Control means designed to provide
The control means comprises at least one first element and at least one second element that is flexible or breakable and is directly or indirectly coupled to the housing or the piston rod during injection. The second element is directly or indirectly coupled to the piston rod or the housing during injection, and the first and second elements are connected to each other under the influence of the biasing means at the end of the injection. The audible indication sound is generated in cooperation with each other.

  The device of the present invention allows the user to be clearly notified of the end of the injection.

  In the present application, the expression “A is coupled to B in the X direction” means that A is connected to B when A is moved in the X direction. In other words, when A is moved in the X direction, B is also pulled by A and moved in the X direction.

  In the present application, the expression “A is directly or indirectly coupled to B” means that A is directly connected to B or is A connected to B via an intermediate part connecting A and B. (Indirect coupling) means that A and B are fixed to each other.

  In one embodiment of the invention, the first element is separate from the biasing means.

  In one embodiment of the invention, the first element comprises at least one radially deflectable part deflectable from a stress position to a free position, the radially deflectable part being A sound is generated when moved to a free position, the second element has at least one abutment surface, which abuts against the radially deflecting part before the injection is finished. Tension force is applied and moved to the stress position, and the contact surface is configured to release the tension force under the influence of the biasing means at the end of injection.

  For example, at the end of injection, the biasing means receives a force applied to a radially deflecting part or abutting surface, and the radially deflecting part or the abutting surface is the abutting surface or the radius. A sound is generated due to friction with the surface of the component that is detached from the component that is bent in the direction. In embodiments, another sound may be generated, for example, when the radially deflecting part hits the contact surface when returning to its free position, thereby generating another sound.

  In one embodiment of the invention, the piston rod comprises a hollow cylinder provided with a collar at its proximal end, the wall of the collar deflects radially outward, and the device is relative to the housing during injection. The longitudinal rod is further spaced proximally with respect to the piston rod, and the distal end of the longitudinal rod slides into the hollow cylinder. Protrusions that can be received and have an outer diameter larger than the inner diameter of the collar, wherein the radially deflecting part includes the wall of the collar, the abutment surface includes the protrusion, The protrusion applies tension to the wall of the collar before the end of injection, and releases the tension by detaching from the collar under the influence of the biasing means at the end of injection.

  In such an embodiment, the friction between the collar and the protrusion generates a sound when the protrusion is detached from the collar under the force applied by the urging means. Thus, the user is informed that the injection is complete.

  In another embodiment of the invention, the radially deflectable component comprises at least one longitudinal flexible leg having a proximal end secured to the housing and a free distal end. The contact surface includes the outer wall of the piston rod, and the outer wall of the piston rod is in contact with the distal end of the flexible leg in the longitudinal direction before the end of injection, applying a tension force thereto, At the end of injection, the outer wall of the piston rod is disengaged from the longitudinal flexible leg under the influence of the biasing means to release the tension.

  In another embodiment of the invention, the radially deflectable part includes at least one longitudinal flexible leg, the longitudinal flexible leg being a distal end fixed to the outer wall of the piston rod. The abutment surface includes a lengthwise protrusion of the inner wall of the housing, the lengthwise protrusion being connected to the proximal end of the lengthwise flexible leg before the end of injection. Contact, apply tension to it, deflect it to its stress position, and at the end of injection, the projection in the length direction is disengaged from the flexible leg in the length direction under the influence of the biasing means To release the tension.

  The device of the present invention may further comprise a contact surface positioned on the inner wall of the housing, wherein the longitudinal flexible leg hits the contact surface when returned to its free position, thereby causing sound. Is generated.

  In another embodiment of the invention, the first element includes a breakable component, the breakable component being connected to the housing directly or indirectly to the proximal end, and to the piston rod. Having a distal end coupled directly or indirectly, the breakable part is broken under the influence of a biasing means at the end of an injection, thereby generating the audible indication sound.

  In one embodiment of the invention, the breakable component includes a deformable wire having a proximal end and a distal end, the proximal end of the deformable wire being positioned in a proximal region of the housing. The fixed point is fixed with respect to the housing during injection, the distal end of the deformable wire is fixed to the proximal end of the piston rod, and the length of the deformable wire is fixed. When the end of injection, the proximal end of the piston rod is shorter than the distance separated from the fixed point, and when the piston rod moves distally under the influence of the biasing means, the deformable wire Breaks at the end of injection. For example, the wire may be made of a material that is rigid or semi-rigid but can be broken. In certain embodiments, the wire is made of nylon or polypropylene.

  In another embodiment of the invention, the piston rod comprises a hollow cylinder with a collar at its proximal end, and the breakable component comprises a rigid cable having a proximal end and a distal end, The proximal end of the rigid cable is secured to a securing point located in the proximal region of the housing, the securing point being secured with respect to the housing during injection, and the distal end of the rigid cable is the hollow cylinder The distal end of the rigid cable is provided with a protrusion having an outer diameter larger than the inner diameter of the collar, and the length of the rigid cable is the length of the piston rod at the end of the injection. The collar is shorter than the distance separated from the fixing point, and the piston rod moves distally under the influence of the biasing means, whereby the rigid case is moved. Le is broken at the time of injection end. For example, the rigid cable may be made of a breakable material. In another embodiment, the rigid cable is made of polypropylene.

  The device of the present invention will be further described with reference to the following description and accompanying drawings.

It is sectional drawing of the length direction before use of 1st embodiment of the instrument of this invention. It is a fragmentary sectional view which shows the position of the control means of the instrument of FIG. 1 before completion | finish of injection. FIG. 2 is a longitudinal sectional view of the device of FIG. 1 at the end of injection. It is sectional drawing of the length direction before use of 2nd embodiment of the instrument of this invention. It is a fragmentary sectional view which shows the position of the control means of the instrument of FIG. 4 before completion | finish of injection. FIG. 5 is a longitudinal sectional view of the device of FIG. 4 at the end of injection. It is a fragmentary sectional view before use of the control means of 3rd embodiment of the instrument of this invention. It is a fragmentary sectional view of the control means of 3rd embodiment of the instrument of this invention before the completion of injection during injection. It is a fragmentary sectional view at the time of completion | finish of injection of the control means of 3rd embodiment of the instrument of this invention. It is a fragmentary sectional view before use of the control means of 4th embodiment of the instrument of this invention. It is a fragmentary sectional view at the time of completion | finish of injection of the control means of 4th embodiment of the instrument of this invention. It is a fragmentary sectional view of the fifth embodiment of the device of the present invention before the end of injection during injection.

  The present invention will now be described in detail with reference to the drawings. FIG. 1 is a longitudinal cross-sectional view of a first embodiment of an automatic injection device according to the present invention in a state provided to a user before use, which will be referred to as device 1 in the following description. . The instrument 1 comprises a container 2 having a proximal open end 3 and a generally closed distal end 4 carrying a needle 5, the container 2 being a formulation that is to be injected into an injection site 7 ( product) 6. The container 2 is provided with an outer flange 2a at the proximal end. A piston 8 is installed in the container 2 and is movable with respect to the container 2. As will be understood from the following description, the preparation 6 is pushed out of the container 2 when the piston 8 moves in the distal direction. The instrument 1 also comprises a piston rod 9. As can be seen from the following description, the piston rod 9 is to be coupled distally to the piston 8 during injection.

  In the example shown in FIGS. 1 to 3, the piston rod 9 includes a hollow cylinder 10 provided with a flange 11 at its distal end and a collar 12 at its proximal end. , Smaller than the inner diameter of the hollow cylinder 10. The collar 12 is provided with an outer flange 12a at its proximal end. The wall 13 of the collar 12 bends radially outward, i.e. the inner diameter of the collar 12 is slightly expandable under the influence of a tension applied in the centrifugal direction around the inner surface of the wall 13 of the collar 12. .

  The instrument 1 further comprises a housing 14, which is worldwide in the form of a tube open at both ends. The housing 14 receives the container 2 and the piston rod 9. As can be seen from the following description, the container 2 is fixed with respect to the housing 14 during the injection phase. The container 2 may be fixed by any coupling or fixing means that are cooperating parts such as clips, etc., at the injection stage, such coupling and / or fixing means being disclosed in US Pat. And is omitted here.

  The housing 14 comprises in its proximal region an inner cylinder 15 provided with a peripheral edge 16 forming a distal abutment surface 17.

  The device of FIGS. 1 to 3 further comprises biasing means for automatically pushing the piston rod 9 distally during injection. In the example shown, these biasing means take the form of a helical spring 18 positioned around the piston rod 9. The proximal end of the helical spring 18 is supported on the distal abutment surface 17 of the peripheral edge 16 of the inner cylinder 15 of the housing 14, and the distal end of the helical spring 18 is the flange 11 at the proximal end of the piston rod 9. Supported on the proximal surface of the.

  In the pre-use position as shown in FIG. 1, the helical spring 18 is in the compressed position and the outer flange 12 a of the collar 12 of the piston rod 9 is positioned in two flexible positions positioned on the inner cylinder 15 of the housing 14. It is supported on the proximal abutment surface of a tooth (not shown).

  In the embodiment shown in FIGS. 1 to 3, the device 1 further comprises a push button 19 for initiating an injection. In the illustrated example, the push button 19 is positioned in the proximal region of the housing 14 and moves slightly in the distal direction under the pressure applied by the user to the proximal transverse wall 19a of the push button 19. Can do. For this purpose, the push button 19 is provided with two teeth 20 extending in the distal direction on the inner surface of the proximal transverse wall 19a. At the time of starting the injection, these two teeth 20 are to contact and deflect two flexible teeth (not shown) of the inner cylinder 15 above the inner cylinder. 9, the piston rod 9 is released from the cylinder 15. Then, the push button 19 functions as injection trigger means.

  The push button 19 is further provided with a longitudinal rod 21 having a proximal end 21a attached to the inner surface of the proximal transverse wall 19a of the push button 19 and a free distal end 21b. . The outer diameter of the rod 21 in the length direction is smaller than the inner diameter of the hollow cylinder 10 of the piston rod 9. As shown in FIG. 1, the longitudinal rod 21 is spaced proximally with respect to the piston rod 9, and its distal end 21 b is slidably received in the hollow cylinder 10 of the piston rod 9.

  A projection 22 having an outer diameter smaller than the inner diameter of the hollow cylinder 10 and larger than the inner diameter of the collar 12 is provided at the distal end 21 b of the longitudinal rod 21.

  Here, the function of the instrument of FIGS. 1 to 3 will be described.

  The user is provided with the instrument 1 in the pre-use position as shown in FIG. In this position, as described above, the helical spring 18 is in the compressed position. In this position, the longitudinal rod 21 is also received in the hollow cylinder 10 of the piston rod 9.

  When the user decides to inject the formulation, the injection is triggered by applying the instrument 1 to the injection site 7 and applying distal pressure to the proximal transverse wall 19a of the push button 19. The push button 19 is thereby moved distally with respect to the housing 14 and, as described above, the teeth 20 release the piston rod 9 from the inner cylinder 15 and thereby release the helical spring 18 so that the helical spring is Extends distally and returns to its original extended position. The actuating step of releasing the biasing means such as the helical spring 18 of the instrument 1 of the present invention is described in US Pat.

  As the helical spring 18 extends distally, the spring pushes the piston lot 9 distally by its distal end supported on the flange 11 of the piston rod 9. As a result of its distal movement, the piston rod 9 comes into contact with the piston 8 and couples with the container 2, thereby moving the container 2 limitedly distally, and the needle 5 moves into the injection site 7. (See FIG. 3). Such an insertion step is described in Patent Document 1, for example. Then, the outer flange 2a is received in the distal region of the housing 14 via the intermediate spring 30 so that the container 2 does not move further distally. It is stopped by abutting a needle shield 40 which is connected via classical means such as those described. As shown in FIG. 3, the distal end of the needle shield 40 abuts the injection site 7. As a result, when the piston rod 9 moves further to the distal side, the piston 8 moves to the distal side and the injection step starts. Accordingly, the piston rod 9 is coupled to the piston 8 in the distal direction.

  During the insertion and injection steps, the push button 19 remains fixed with respect to the housing 14, for example by means of coupling or fixing (not shown). Thus, the longitudinal rod 21 is fixed with respect to the housing during injection. As a result, when the piston rod 9 moves distally and performs the insertion and injection steps, the longitudinal rod 21 slides with respect to the hollow cylinder 10 of the piston rod 9.

  FIG. 2 shows the relative positions of the piston rod 9 and the longitudinal rod 21 relative to each other before the end of injection. As is apparent from this figure, the protrusion 22 at the distal end 21 b of the longitudinal rod 21 contacts the inner surface of the wall 13 of the collar 12 of the hollow cylinder 10 of the piston rod 9. The wall 13 of the collar 12 is bent in the radial direction, the outer diameter of the protrusion 22 is larger than the inner diameter of the collar 12, and the wall 13 of the collar 12 is deflected outward in the radial direction. In other words, the inner diameter of the collar 12 is slightly expanded by receiving a tension force applied to the inner surface of the wall 13 of the collar 12 by the protrusion 22 serving as a contact surface.

  FIG. 3 shows the relative position of the collar 12 of the piston rod 9 and the projection 22 of the longitudinal rod 21 at the end of the injection when the piston rod 9 has been moved further distally. Under the force of the helical spring 18, the protrusion 22 is disengaged from the collar 12, and the collar returns to its free position. The friction between the wall 13 of the collar 12 and the protrusion 22 when the protrusion is disengaged from the collar 12 generates a sound, which becomes an audible indication sound that informs the user that the injection is complete. As can be seen from FIG. 3, the piston 8 is now close to the distal end of the container 2 and the formulation has been pushed out of the container 2 almost completely.

  In this example, the wall 13 of the collar 12 functions as a first flexible element positioned on the piston rod 9, and the protrusion 22 functions as a second element coupled to the housing, the first and first The two elements cooperate with each other under the influence of the biasing means 18 to generate an audible indication sound.

  4 to 6, a second embodiment of the device of the present invention is shown as device 101, in which the first flexible element is coupled to the housing. In these drawings, the same reference numerals as those in FIGS. 1 to 3 remain the same.

  The instrument 101 of FIGS. 4 to 6 has the shape of a hollow cylinder 110 whose distal end is closed by a transverse wall 111. In the illustrated embodiments, the biasing means takes the form of a helical spring 118 received in the hollow cylinder 110 of the piston rod 109. In a manner similar to that described in FIGS. 1-3, the distal end of the helical spring 118 is supported on the proximal surface of the transverse wall 111 of the piston rod 109 and the proximal end of the helical spring 118 is Is supported by an abutment surface (not shown) positioned on the inner cylinder 15.

  Prior to use, the piston rod 109 is coupled to the housing 14 by a radial projection 116 of the inner cylinder 15 that engages a proximal recess 112 located in the proximal region of the outer wall of the piston rod 109.

  The outer wall of the piston rod 109 is further provided with a distal recess 113 that is spaced in the distal direction with respect to the proximal recess 112.

  The instrument 101 further comprises two longitudinal flexible legs 121, the proximal end 121 a of the longitudinal flexible leg 121 is fixed to the housing 14, and the distal end 121 b of the longitudinal leg 121. Is free. As shown in FIG. 4, in the pre-use position, the free distal end 121 b of the longitudinal flexible leg 121 abuts the distal recess 113 on the outer wall of the piston rod 109. In this position, the longitudinal flexible legs 121 are in their free positions, and the inner wall 122 of each of the longitudinal flexible legs 121 is distant from the inner cylinder 15 of the housing 14 as shown in FIG. It is parallel to the longitudinal wall 117 on the distal side and touches it gently.

  To perform the injection, the user presses push button 19 to release piston rod 109 in the same manner as described with respect to FIGS. As already described with respect to the embodiment of FIGS. 1 to 3, the movement of the piston rod 109 distally inserts the needle 5 and makes an injection.

  As mentioned above, the push button 19 is fixed with respect to the housing 14 during injection.

  During the injection phase, the piston rod 109 slides with respect to the longitudinal flexible leg 121 fixed relative to the housing 14. As a result, the distal end 121b of the longitudinal flexible leg 121 is disengaged from the distal recess 113, and therefore the outer diameter of the hollow cylinder 110 of the piston rod 109 changes as shown in FIG. Is deflected radially outward. Therefore, the outer wall of the piston rod 109 applies tension to the flexible leg 121 in the length direction. As can be seen from this figure, when the longitudinal flexible leg 121 is in this stress position, the inner wall 122 of the longitudinal flexible leg 121 is the longitudinal wall on the distal side of the inner cylinder 15. No contact with 117.

  When the piston 8 reaches the distal end of the container 2 as shown in FIG. 6, the piston rod 109 is disengaged from the longitudinal flexible leg 121 under the force of the helical spring 118 extending. Since the outer wall of the piston rod 109 does not apply tension to the distal end 121b of the flexible leg 121 in the longitudinal direction, the flexible leg 121 in the longitudinal direction is in its free position as shown in FIG. Return to. By returning to its free position, the lengthwise flexible leg 121 hits the lengthwise wall 117 on the distal side of the inner cylinder, in particular via its distal end 121b, thereby producing a sound. Inform the user of the completion of the injection. The distal longitudinal wall 117 of the inner cylinder serves as a contact surface for the longitudinal flexible leg where sound is generated.

  FIGS. 7 to 8 show partial cross-sectional views of the first flexible element and the second element of the third embodiment of the device of the present invention in cooperation.

  The instrument 201 of FIGS. 7-8 comprises a piston rod 209 that is closed at its distal end by a transverse wall 211 and has a hollow cylinder 210 that receives a helical spring 218 as biasing means therein. Have. The piston rod 209 is provided at its outer wall with a proximal recess 212 and a flexible longitudinal leg 213 spaced distally with respect to the proximal recess 212. The distal end 213b of the flexible longitudinal leg 213 is fixed to the outer wall of the piston rod 209, and its proximal end 213a is free. The instrument 201 further comprises a housing 214 having a longitudinal projection 215 on its inner wall. The inner wall of the housing 214 has a radial tooth 216 spaced proximally from the longitudinal projection 215 and a contact surface 214a spaced distally from the longitudinal projection 215. Is provided.

  As shown in FIG. 7, in the pre-use position of the instrument 201, the proximal end 213a of the flexible longitudinal tongue 213 abuts the longitudinal projection 215 of the housing 214 and The teeth 216 engage the proximal recess 212 on the outer wall of the piston rod 209.

  When triggering the injection, the radial teeth 216 are disengaged from the proximal recess 212 (step not shown) and the piston rod 209 is released and is subjected to the action of the released helical spring 218 to the distal side. Moved. As shown in FIG. 8, during the injection phase, the piston rod 209 moves distally and the distal end 213a of the flexible longitudinal tongue 213 is relative to the longitudinal projection 215 of the housing 214. Slide distally. During this step, the lengthwise protrusion 215 applies tension to the flexible lengthwise tongue 213 at its stress location.

  At the end of the injection, as shown in FIG. 9, the distal end 213a of the flexible longitudinal tongue 213 reaches the distal end of the projection 215, disengages from the longitudinal projection 215, and the stress Return to the position where you have not received. By returning to its unstressed position, the distal end 213a of the flexible longitudinal tongue 213 strikes the contact surface 214a of the inner wall of the housing 2145, thereby producing a sound and completing the injection. Inform the user.

  In Figures 10a and 10b, a fourth embodiment of the device of the present invention is shown in part, wherein the first element is breakable. 10a and 10b includes a piston rod 309 to which a distal end 321b of a wire 321 is fixed. The proximal end 321a of the wire 321 is secured to a fixation point 320 on the transverse wall 319a of the push button 319 that is coupled to a housing (not shown) during injection. The fixation point 320 is thus located in the proximal region of the housing 14 and is fixed with respect to the housing 14 during injection. The wire 321 is deformable and can be bent back in position before use of the instrument 301, as shown in FIG. 10a.

  The length of the wire 321 is shorter than the distance that the proximal end 309a of the piston rod 309 separates from the fixation point 320 when the instrument 301 is in the end of injection position. As a result, when the piston (not shown) reaches the distal end of the container (not shown), the wire 321 pulls the piston rod 309 in the distal direction as shown in FIG. 10b (not shown). ) Is stretched and broken.

  When the wire 321 breaks, as shown in FIG. 10a, a sound is generated, thereby notifying the user of the completion of the injection.

  The wire 321 may be made of any material that can be broken under tension. For example, the wire 321 is made of nylon, polypropylene or other rigid or semi-rigid but breakable material.

  FIG. 11 partially shows a fifth embodiment of the instrument of the present invention, in which a rigid cable 421 is used instead of the wires of FIGS. 10a and 10b, and the proximal of the rigid cable 421 is shown. The end 421a is fixed at a fixing point 420 positioned on the push button 419, which is connected to a housing (not shown) during the injection phase. The rigid cable 421 can slide in the hollow cylinder 410 of the piston rod 410.

  The distal end 421b of the rigid cable 421 is provided with a protrusion 422 whose outer diameter is larger than the inner diameter of the collar provided at the proximal end 409a of the hollow cylinder 410 of the piston rod 409. The wall of the collar 412 is not flexible and the inner diameter of the collar 412 cannot expand even when subjected to tension.

  The length of the rigid cable 421 is shorter than the distance at which the fixing point 420 is separated from the collar 412.

  During the injection phase, the protrusion 422, when sliding in the hollow cylinder 10 of the piston rod 409, finally contacts the collar 412 just before the end of the injection.

  When the protrusion 422 comes into contact with the collar, the wall of the collar 412 is not flexible and therefore cannot be detached from the collar 412. As a result, under the force of the helical spring 418 that moves the piston rod 309 distally, the rigid cable breaks at the end of the injection, thereby generating a sound and notifying the user of the completion of the injection.

  The rigid cable 421 may be made of any material that can be broken when subjected to tension. For example, the rigid cable 421 is made of polypropylene or other breakable material.

  The device of the present invention allows the user to clearly know that the injection has been completed. This is particularly important in self-injection devices where the injection is realized through automatic means such as biasing means and the user has no effect. Since the user is a patient and is generally unfamiliar with the injection device, the person is informed that the injection has been completed and the preparation has been almost completely pushed out, and the injection device can be safely withdrawn from the injection site. It is important to be able to do that.

Claims (5)

A device (1) for automatically injecting a formulation (6) into an injection site (7), said formulation being carried by a container (2), said container comprising an open proximal end (3) and a needle (5) A generally closed distal end (4) that carries a formulation discharge port of the container and a piston (8) is disposed within the container and distally with respect to the container Is movable, and the piston moves distally to push the formulation out of the container through a needle, thereby realizing injection of the formulation;
The appliance (1)
A piston rod ( 309; 409), which is to be coupled to the piston (8) in the distal direction during injection;
Biasing means (18; 118; 218; 418) for moving the piston rod ( 309; 409) distally with respect to the container (2) during injection;
A housing (14; 214) designed to at least partially receive the container (2), the piston rod ( 309; 409) and the biasing means (18; 118; 218; 418);
The piston (8) is in the vicinity of the distal end (4) of the container (2) and generates an audible indication sound when the formulation (6) is almost completely pushed out of the container, thereby in contrast, and a control means which is designed to provide indications that injection of the formulation has been completed,
The control means includes a breakable part (321; 421), the breakable part comprising a proximal end (321a; 421a) directly or indirectly coupled to the housing and the piston rod (309). 409) and a distal end (321 b ; 421 b ) coupled directly or indirectly to the breakable part at the end of injection under the influence of the biasing means , Thereby generating the audible indication sound (1).   The breakable part includes a deformable wire (321) having a proximal end (321a) and a distal end (321b), the proximal end (321a) of the deformable wire (321) being Fixed to a fixation point (320) located in the proximal region of the housing, the fixation point (320) being fixed relative to the housing during injection, and the distal end (321b) of the deformable wire (321) is The length of the deformable wire (321) is fixed to the proximal end (309a) of the piston rod (309) so that the proximal end (309a) of the piston rod (309) is When the piston rod (309) moves distally under the influence of the biasing means, which is shorter than the distance separated from the fixing point (320), the deformable wire (321) is injected. Apparatus according to claim 1, characterized in that the break at the end (1).   The instrument (1) according to claim 2, wherein the wire (321) is made of nylon or polypropylene.   The piston rod (409) comprises a hollow cylinder (410) provided with a collar (412) at its proximal end (409a), the breakable parts being a proximal end (421a) and a distal end (421b). ), Wherein the proximal end (421a) of the rigid cable (421) is secured to a securing point (420) located in a proximal region of the housing, the securing point (420) is fixed with respect to the housing during injection, and the distal end (421b) of the rigid cable (421) is slidably received in the hollow cylinder (410), the rigid cable (421). A projection (422) having an outer diameter larger than the inner diameter of the collar (412) is provided at the distal end (421b) of the rigid cable (421). The length is shorter than the distance at which the collar (412) of the piston rod (409) is separated from the fixing point (420) at the end of injection, and the piston rod (409) is far away under the influence of the biasing means. The appliance (1) according to claim 1, characterized in that the rigid cable (421) breaks at the end of injection by moving to the distal side. Said rigid cable (421) is instrument according to claim 4, characterized in that it is made of polypropylene (1).

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