Note : Les descriptions sont présentées dans la langue officielle dans laquelle elles ont été soumises.
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Title:
Injection device
Technical field:
The present invention refers to an injection device for medical
purposes, designed for injection by using a manual hypodermic sir-
tinge, including on the one hand a barrel portion which in one end
has a syringe needle and in the other end a flange and on the other
hand a plunger portion having a plunger displaceable in the barrel
portion, said plunger performing movements, enabling medicine to
be sucked in respectively injected from the barrel portion and having
a gripping means connected with the plunger by means of a plunger
rod, said injection device having an opening, through which the in-
section syringe can at least partly be introduced into a cavity, and
an inner part which is provided with a holding device for the barrel
portion .
When treating certain diseases it is required that the patient
regularly, often daily, is supplied with medical material by means of
injections. One such disease is diabetes, affecting many men voyeur
it is important that the patient to a high degree can attend to add
insulin into the body by themselves. However, complications are con-
netted with this disease and blindness is one of them. Many of the
insulin dependent diabetics also have other additional diseases, which
complicate the insulin injections, for instance a slight hemiplegia,
rheumatism or Parkinson's disease. The fact that the frequency of
diabetes also is increasing with age makes loading and injection of
insulin with a conventional hypodermic syringe to a great problem.
Technical background:
The majority OX the diabetics use a completely manual hypoder-
mix syringe, the so called disposable hypodermic syringe, which a
blind or handicapped person has considerable difficulties to load with
the prescribed amount of insulin and then insert the needle into the
skin followed by injection. It is previously known an aid in the form
of an injection gun, which however only makes the inserting part.
There are also some aids for loading but they are considered to be
too unpractical by the patients.
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Technical problem:
The object of the present invention is to provide an injection
device with which loading as well as inserting and injecting is accomp-
fished without any demands on the users sight or manipulation ability.
The solution:
The object is achieved by means OX an injection device according
to the present invention, which is characterized by that the holding
device is changeable between a releasing position and a holding post-
lion, in which the barrel portion is held against movements in its
longitudinal direction relative to said inner part, and a displacement
device is provided for displacing the plunger portion in two directions
relative to the barrel portion between a fore and a rear displacement
position and provided in the fore displacement position to be in a
releasing position for the plunger portion and in the remaining disk
placement positions to be in a position for bringing about the plunger
portion in both displacement positions, that the inner part is change-
able between a rear position with the syringe needle positioned inside
said opening and an advanced position with the syringe needle pushed
outside said opening in order to insert the needle into a body tissue
and that said injection device includes an outer part, in which an
electric motor is positioned and controlled by means of an electronic
control device, said electric motor being by means of a transmission
mechanism connected to said displacement device for accomplishing
its displacement moveInents in a sequence determined by means of
the control device for loading the injection syringe as well as insert
lion and injection.
Brief description of drawings:
The invention will be more closely described in the following
with an embodiment, reference being made to the enclosed drawings,
in which Fig. 1 shows a partly broken view of the injection device
according to the invention with an attached disposable hypodermic
syringe; Fig. 2 is a schematic section along the line II-II in Fig. 1
of the injection device; Figs. 3 and 4 show in a larger scale a part
view of a mechanism in the injection device for displacing the plunger
part of the disposable hypodermic syringe in two different positions;
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Fig;. 5 and 6 show a supporting mechanism for the disposable hype-
dermis syringe located in the upper part in the injection device in
two different positions in a view along the line Vl-VI in Fig. l;
Figs. 7 and show a section through the injection device along the
line VIII-VIII in Fig. 1, showing a holding means for the body of
the disposable syringe. Fig. 9 shows schematically a block schedule
over an electronic controlling device forming a part of the injection
device. Fig. 10 shows in a partly broken view the injection device
in an initial position before the disposable hypodermic syringe has
been inserted into the injection device. Fig. 11 shows the hypodermic
syringe injecting into a body tissue aster being inserted into the
tissue. Fig. 12 shows the hypodermic syringe injecting after insertion
in a body tissue; Fig. 13 shows a perspective view of a bottle holder
for two injection bottles; jig. 14 is a horizontal view through the
bottle holder while Fig. 15 is a partly broken view showing the bottle
holder adapted to the upper end of the injection device.
Best mode of carrying out the invention:
In Figs. 1 and 2 the principal construction of the injection de-
vice 1 is evident. In its upper part 2 it comprises an opening 3,
through which a hypodermic syringe 4 of a disposable type can be
introduced into a cavity 5 in the injection device. The disposable
syringe is of a standard type and mainly consisting of a barrel port
lion 6 which forms a cylindrical part and in its upper part has a
syrinx needle 7 and in its rear part is provided with a flange part
8 in the form of two laterally directed flanges. The disposable syringe
4 furthermore has a plunger part 9 consisting of a plunger 10, a
plunger rod 11 and a gripping plate I situated at the outer end
of the plunger parts. The gripping plate 10 is connected to the plunk
get 10 which is movable inside the syringe body 4 in order to aspic
rate respectively push medical material through the syringe needle
7. The syringe needle is protected by a detachable top cover attached
to the barrel portion. The injection device 1 is built up by three
relative each other movable main parts, viz. an outer part 14, which
forms a house for the injection device, a middle part movable rota-
live the house and a movable inner part 16, movable relative the
middle part, e.g. I cm. In the inner part 16 the disposable sir-
tinge is held in a manner which will be further described in the lot-
lowing. The house 14 has a cylindrically made bore like a guide for
the middle portion, out of which the middle portion can be pulled
out to an extended position, which will also be described more closely
in the following. In the house 14 there are besides the middle portion
15 and the inner portion 16 with attached inner parts also situated
an electrical motor 17 and the main parts of a transmission mechanism
18 for achieving at least some of the working movements of the inject
lion device.
Furthermore the house encloses an electronic controlling device
19, made to control the motor 17 according to certain predetermined
sequences in a manner which will be more closely described in the
following. In the bottom of the house 14 there are accumulators 20
supplying the motor 17 and the controlling device with electric cur-
rent. On the house there are also two adjustable wheels 21, 22 for
adjusting the two different amounts of fluent medicine to be injected.
For the sake of simplicity it is assumed in the present embodiment
that the medicine is insulin, of which certain patients require two
different kinds to be loaded in the syringe.
The amount of insulin of one kind is set by the wheel 21 and
the amount of insulin of the other kind is adjusted by the other
wheel 22. or the sake of simplicity, in the description of handling
with reference to Figs. 1, 10-12, one case is indicated when there
is only one sort, while Figs. 13, 14 and 15 show the case with two
sorts of insulin. The wheel 22 that is intended for the other sort
can for example be set in a zero position. The electrical motor is in
the shown example a D . C . motor with a rotating terminal shaft 23,
which extends parallel with the moving directions of the middle port
lion 15 and the inner portion 16. The DO motor 17 can be provided
with a capsulated gear train (not shown) for gearing down of the
rotations of the motor. The transmission mechanism 18 is constituted
of a pinion 24 on the outgoing shaft 23 and a pinion 25 standing in
a gear connection with the pinion 24 and is fixed on the other end
of a threaded driving shaft 26, which has a rotating bearing in the
house 14 and exhibits in its other end a pinion 27 of a relatively
large width. This pinion 27 stands in gear connection with another
pinion 28 fixed on the end of a screw shaft 29 which is threaded in
the same direction as the driving shaft 26. The screw shaft 29 has
a rotating bearing in the wall to the inner portion 16. The driving
shaft 26 is connected to a driving joggle 30 which has a bore with
internal threads and is guided in a not shown slot in the inner port
lion 16 through which the driving joggle 30 is made to move along
the driving shaft 26 when the driving shaft is rotating. The driving
joggle 30 acts on an edge, e. g. the lower edge 31 of the middle tube
in order to lit it while moving upwards and to displace the middle
tube in the direction out of the house 14 to an outer position shown
in Figs. 11 and 12. In the outer position it is hooked with a spring-
loaded paw having a rotatable bearing in the house 14. The paw is
brought to act on a projecting portion 33 on the middle tube. When
the driving shaft 26 is brought to rotate in the opposite direction,
which makes the driving joggle to move downwards, the middle tube
15 thus remains in its outer position.
The inner part 16 has a displacement device 34 for the gripping
plate 12 of the plunger portion 9. The displacement device 34 is disk
placeable in a bore 35 of the inner part 16 between a fore position
shown in Fig. 10 and a back position shown in Fig. 11. The displace-
mint device 34 is consists of a mainly cylindrical body 36 in which
two gripping means are rotatable attached. They are made to hold
the gripping plate 12 and bring it w ilk in the displacement movements
of the displacement device.
The construction of the displacement device 34 is best shown
in Fig. 4, showing a broken partial view of the injection device in
an enlarged scale. In Fig. 3 the displacement device 34 is shown in
its fore end position, in which the gripping means 37 is positioned
in a releasing position and in Fig. 4 in a somewhat displaced position
in which the gripping means 37 is in a holding position for the grip-
ping plate 12, and in this way the gripping means are positioned
during the displacement movements of the displacement device except
the position shown in Fig. 3. The displacement movements of the
displacement device are achieved with rotation of the screw shaft 29
acting on a nut 38 or more precisely a bore internally threaded, pro-
jetting as a part from the cylindrical body 36. The gripping means
37 are each positioned in a groove 39 in the cylindrical body and each
one has bearings with its own pivot 40 in the cylindrical body. The
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two grooves 39 are successively enlarged over the pivot I in order
to let the gripping means 37 perform a pending movement through
action by a tensioning spring 41 connecting two gripping means with
each other below the cylindrical body. As the inner portion 16 in
its wall has two widening 42 positioned opposite to each other in-
tended to take up the gripping means 37 in the fore end position
of the displacement device 37, the change of the gripping means to
a releasing position is made possible by means of the tension spring
41. As shown in Figs. 3 and 4 the cylindrical body has a pivot 43
with a flange I and a coil spring 45 stringing upwards in order to
hold the pivot 43 in the position shown in Fig. 3 through which the
gripping plate 12 will be held relatively without loose in the hooking
position of the gripping means. In the lower part of the pivot 43 is
a metal socket Lo pressed against a projection I whereby contact
of an electric circuit is achieved with a contact strip 49 against the
metal socket 47 without this contact action being a stop position for
the pivot 43~ thus being able to be further pressed down a little
when contact has been achieved between the metal socket 47 and
the contact strip 49. This switch is the main switch for the control
device 19 and the motor 14. The switch is in a releasing position
when the hypodermic syringe 4 is removed from the injection device
but to be in an on-position according to Fig. 4 when the hypodermic
syringe is in place with the gripping plate 12 pressing down the
pivot 43.
The injection device 1 further has an upper supporting means
located in the middle part 15 some distance down from the opening
3. The supporting means 50 are intended to form a support for the
hypodermic syringe a in its upper part and thus to center this in
the cavity 5 of the injection device and to automatically lift off the
needle protection 13 before the syringe is loaded. The location of
the supporting means are shown in Figs. 1 and 11 and its construe-
lion is shown in Figs. 5 and 6. The supporting means 50 are change-
able between a retracted positron shown in Figs. 1 and 5 and a pro-
trued supporting position shown in Figs . I, l l and 12 . In the no-
treated position the hypodermic syringe can be put in place into the
injection device while in the protruded supporting position the hype-
dermis syringe is centered and gets support to its sides. However,
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the hypodermic syringe is not held but is able to make a displace-
mint movement relative the supporting means. This is done during
the moment of insertion, further to be described later on. The sup-
porting means are made of two supporting elements 51 which are
movable from and against each other in grooves on the inside of the
tube like middle part 15. The two supporting elements 51 have in
between them two coil springs 76, striving to keep the supporting
elements from each other in the retracted positions. On the upper
side of the supporting elements are two metal strips 52 situated,
intended to be a part of an electrical circuit to be further described
later on. Included in the supporting means are also two long expand
soon means 53 in the form of electrically conductive bars which are
electrically isolated from the tube like middle part 15 and other parts
of the device too. The two expansion means extend all down to the
lower part of the injection device in the position shown in Fig. 1
and are fixed connected to a spring ring 54, which is displaceable
within the bore of the house 14 relatively the house as well as the
middle part 15 and the inner part 16. The spring ring I however
is connected to the middle part 15 with two tension springs 55 of
which one is shown in Fig. 1. Through this the ring 54 is brought
to follow the outgoing movements of the middle part 15 during the
main part of its displacement distance but is hooked through a hoot
king element 56 in the inner part 16 and remains in the position
shown in Fig. 11, through which the two tension springs 55 are
brought to be stretched during the lay t displacement movements of
the middle part 15. As indicated in lug. 11 with a partly broken
view of one expansion means 53, these have an impact area which
will be hooted against said means. When doing so the expansion
means 53 halts in their displacement movements, through which the
middle part 15 and thus also the supporting elements 51 move rota-
live the expansion means. As each of these in the upper ends are
made with an oblique angled guiding area 57 this relative movement
makes the two supporting means 51 to be pressed inwards against
action of their coil springs 52 to the supporting position shown in
Figs. 6 and 11, whereby the needle protection 13 thus is pressed
upwards and through this will be lifted up and the hypodermic sty-
rinse will be stabilized and centered.
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Upwards in the inner part 16 further on a holding means 58
for the barrel portion 6 of the hypodermic syringe is arranged. The
holding means 58 is made of a narrowed part of the inner part 16
which forms stopping means 59 against which the hypodermic syringe
4 is put in place with its two laterally directed flanges in the flange
part 8. Also the holding means 58 is provided with a holding means
in the form of a twist ring 59, which can rotate in the inner portion
16. The construction of the holding means 58 is best shown in views
of Figs. 7 and 8 where Fig. 7 shows the holding means in a releasing
position and Fig. 8 shows the holding means in a holding position.
The twist ring 60 has a central hole 61 which mainly corresponds to
the form of the portion of the barrel portion 6 of the hypodermic
syringe with the two flanges in the flange portion 8 and somewhat
exceeding the dimensions for these. Through this the flanges are
permitted to be placed on the stopping means 59 and situated on a
level located under the twist ring 60. The twist ring has in its port-
phony a guide screw 62, which penetrates in a long obliquely formed
perforation in the tube formed middle portion 15.
The height of the perforation corresponds to the total displace-
mint distance of the middle portion. In the releasing position shown
in Fig. 7 the hole 61 of the twist ring 60 forms in a way that it coin-
aides with the stopping means 59 for the flange portion 8. By disk
placement of the tube formed middle portion 15 relative the house 14
of the injection device a twisting motion occurs of the twist ring 60,
since the inner portion 16 and thus also the twist ring 6û will not
join in the outputting movements and the guide screw 62 will be guide
Ed in the perforatiorl in the middle portion. As soon as this motion
begins an edge portion of the hole 61 will be moved over the flange
portion 8 of the barrel portion of the hypodermic syringe, thus make
in the barrel portion of the hypodermic syringe to be held in the
inner part 15.
turning to reference to Fig. 1 that shows that the inner port
lion will be held in a position in Fig. 1 with a paw 63, which has a
rotatable bearing in the house 14 and can be activated from the out-
side against action of a spring with a trigger 64. The paw 63 cooper
rates with an inner edge I down on the outside of the inner portion
16 as long as the trigger is not pushed. The upper paw 32 has a
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similar trigger 66, which can be pushed in against action of a spring
for releasing of the paw 32, which happens when the middle portion
shall be brought back to its retracted position. This will be done
manually after the injection device has performed its operations. Also
the injection device has on the upper portion of the middle portion
15 an adjustable ring 67, for insertion depth which is threaded on
the middle portion and can be adjusted in different heights through
rotation. Inside said ring 67 is a top cover 68 which constitutes Lye
opening 3 of the injection device and has spring action acting on it
so that it strives to maintain a top position shown in Fig. 1, but
can be pushed down as long as the hypodermic syringe is located in
its inner position. When pushing down the top cover 68 an electric
circuit is closed in order to activate the motor 17 for injection, this
achieved by contact strips or a micro switch located in the top cover.
Fig. 9 shows all schematically the construction of the electronic
eel controlling mechanism 58 for controlling the electrical motor 17.
The adjustable switches 21 and 22 are for example thumb wheel swim-
ekes which are connected to inputs of an electronically sequence block
69 which can be constructed through conventional digital technique
and being made to activate the electrical motor 17 for rotation with
its outgoing shaft 23 in one or the other direction during a prude-
termined time in order to perform all the working movements. The
motor 17 has a feed back control through e.g. an optical pulse giver
70, which brings back information of the numbers of rotation of the
motor and consequently performed work. The optical pulse giver 70
is so constructed with a frequency divider that the feed back signal
is divided down to a frequency that corresponds to a certain amount
of pulses for every unit of insulin, e . g . one pulse per unit . The
insulin dosage is viz. in number of units, thus four units correspond
to one tenth of a millimeter, this usually called a line, since the
hypodermic syringes are graded in such lines. To the sequence block
69 and the feed back circuit also a buzzer 71 is connected, which
marks the amount of units that are sucked in during the loading
moment, e . g . every fourth unit . To the input side of the sequence
block 69 are three switches 73, AL and 75 connected via delaying
and adapting circuits 72. The three switches 73, pa, and 75 are situ-
axed in the injection device in order to start certain actions through
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mechanical activation. One switch 73 has been mentioned earlier and
is situated in the displacement means 34 and is put on by putting
in the hypodermic syringe a, more exactly by pressing down the
pivot 43 with the gripping plate 12. The second switch 74 is put on
when the displacement means 34 is in its back position and can be
made by a micro switch or something live that. The third switch 75
has also been mentioned above and has been designed to close the
electrical circuit through the expansion means 50 or when the top
cover 68 is pushed in and when the trigger 64 is pulled simulate-
nuzzle which activates the motor 17 for injecting. The sequence
block can e . g. be made of a fireboat counter and is counting post-
lions (10-15) to be decoded with an exit 16 demultiplexer. Each of
these exits represent a time phase in the working cycle. They will
be grinned together and will control the motor via logic circuits.
One counter is also arranged for every adjustable switch and is
counted down to zero from the set value.
With reference to Figs. 1, 10, 11 and 12 the different actions
of the use of the displacement device 1 will be described. The in-
trial position of the injection device is shown in Fig. 10 before any
hypodermic syringe has been put into the device. At this stage the
tube formed middle portion 15 is in a totally retracted position and
the driving joggle 30 thus in its lower position.
The displacement means 34 is in its upper position at this mow
mint thus gripping means 37 in its releasing position (see Fig. 3).
Since the middle tube 15 is in its inner position the holding means
58 also is in a release position and the supporting means 50 in no-
treated position. All three switches 73, 74, 75 is in this moment in
non-closed position. When a hypodermic syringe 4 is put into the
injection device through the opening 3 to the moment when its flange
portion 8 comes in contact against the stopping means 59 (see Fig. 1),
the pivot 43 is pressed down in the displacement means 34 (see also
Fig. 4), making the switch 73 to close. At this moment the motor 17
is started in such a direction, that the driving joggle 30 is display
god upwards at the same moment as the displacement means moves
inwards, i. e . downwards . At the same moment the gripping means
37 change at once to a holding position through the movements of
the displacement means, bringing with the gripping plate 12 in
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direction backwards and the plunger 10 to be displaced downwards.
Fig. 1 shows this position when the middle tube 15 has been lifted
some distance by the driving joggle 30 and the displacement means
34 is moved some dustiness downwards. That the plunger follows and
the displacement means 34 moves downwards in this first movement
has however no function, since tile loading action has not begun.
This first movement has the only purpose to bring with the long
expansion means 53 and the ring 54 with the tension spring 55. Some
distance before the upper end position for the middle portion 15 the
expansion means 53 are hooked and thus also the ring 15 through
the hooking part 56 on the inner part 16 (see Fig. 11), this making
the ring and the expansion means to stop in their upward going
movement, while the middle portion 15 continues the last distance.
Ail this movement the two supporting elements 51 of the supporting
means 50 are changed from their retracted position to their preheater-
dyed positions in order to center the hypodermic syringe through
cooperation with the oblique edges 57 of the expansion means 53.
During the pushing out movement of the middle portion 15 the disk
placement means 58 also are changed from its releasing position to
its holding position according to Fig. B. In its outer position the
middle portion is hooked up through the paw 32 and remains thus
in this position. In this end position the switch 74 is activated,
making the controlling means 19 to activate and switch the rotating
direction of the motor 14.
The switch 74 can be a switch that e.g. is situated in the both
Tom of the inner portion 16 and to be activated of the displacement
means 34 which at this moment is in its lower end position according
to Fig . 11.
At this moment the displacement means I moves back to its
fore position shown in Fig. 10, which is the starting point for the
loading moment. This begins by the displacement means 34 moves in
direction downwards to a position that corresponds to the preset
insulin volume, set by the wheel 21. A mainly circular detachable
bottle holder 69 is put above the top cover 68 and has a round open-
in 70, through which an insulin bottle 71 turned down can be put
inside in order for the hypodermic needle 7 to penetrate the rubber
membrane in the end of the bottle. At this moment the switch 75 is
closed which e . g. can be the two metal strips 52 earlier mentioned
.
and the metallic top 72 at the membrane of the insulin bottle 71. For
practical reasons this however will be replaced by a micro switch or
something similar because of the fact that not all bottles have an
electrically conductive surface. At this moment the controlling means
19 is activated in order to start the motor 14 making the displace-
mint means to move upwards to its upper end position, thus the in-
Solon bottle 71 will be filled with an amount of air corresponding to
the amount of insulin to be injected, which creates a favorable ox-
cuss of pressure. When the displacement means 34 has reached its
fore position and thus also the plunger its upper position, the rota-
lion direction is switched after which the displacement means 34 is
pulled down to a position that corresponds to the preset insulin vow
fume plus additional volume corresponding e . g. to two units after
which it turns back and stops in a position corresponding to the
preset volume. During this movement thus insulin is sucked in and
any possible encased air will be ejected, as shown in Fig. 11. The
preset amount of insulin thus now is in the hypodermic syringe 4.
The loading action has now been finished, thus the insulin boil-
to 71 and the bottle holder 69 will be pulled away and - the adequate
depth of insertion is set by the adjustable ring for setting the in-
section depth 57. After this the injection device is pushed against
the body tissue 76 where the insulin is to be injected while the top
cover 68 is pressed in. The top cover is pressed at this moment
against action of its coil spring to the depth that the upper side of
the adjustable ring for setting the insertion depth is resting against
the skin. The device is now ready for insertion which occurs by
pulling the trigger 64 at which under action of the tension springs
55 the inner portion 16 together with the hypodermic syringe 4 is
inserted until the spring ring 54 comes in contact with its upper
end position, that is determined of a contact portion 78 with which
a part 79 of the spring ring cooperates (see Fig. 12). The hypoder-
mix syringe with its needle thus penetrates to the necessary depth
and through closure of the switch 75, which is achieved when the
top cover 68 is pushed and the trigger 64 is pulled at the same time,
the injection action occurs, that is that the motor 17 displaces the
displacement means 34 and accordingly the plunger 10 of the hype-
dermis syringe 4 forwards in a way that the enclosed amount of in-
13
Solon will be injected in the body tissue. At the scone time the buzzer can ring if so wanted. When the plunger 10 has reached its end
position and all of the amount of insulin has been injected, the inject
lion device is withdrawn and is placed on its previous place. The
driving joggle 30 is in this moment in its lower end position, making
it possible to release the middle part 15 from its hooked position by
pushing the upper paw 61. The middle portion can manually be
pushed inside in the house 14, at which the barrel portion 5 of the
hypodermic syringe will be released from its holding position, all
done in a similar manner as has been previously described but in
an opposite way. The gripping means 37 has also been changed to a
releasing position, making also the gripping plate free in a manner
that the hypodermic syringe can be totally withdrawn from the in-
section device.
According to a favorable way of carrying out the invention,
the top cover I also acts as a safety contact in order to prevent
insertion of the injection device to occur when not intended. If pro-
section is to occur the trigger must be pulled and the top cover must
be pushed down in the same moment. A twisting disc is situated on
the top cover over the upper portions of the expansion means 53
and prevents movements upwards of the expansion means as long as
the top cover is not pushed inwards. This safety function can only
be canceled by a circular movement made by pushing in the top
cover at which an oblique edge of the top cover acts on the twisting
disc in order for the twisting disc to twist when the top cover is
pushed in. At this moment a notch in the twisting disc will be situ-
axed at the middle of each upper end of the expansion means, in
order to make it possible for the expansion means to freely be disk
placed upwards and projection can occur.
As mentioned above for the sake of simplicity, loading and in-
section of one kind of insulin has only been mentioned. Principally
the injection device works in a similar manner at the use of two
kinds of insulin. In this case the two dosages are set by the ad-
just able switches 21 and I Sucking in air in the hypodermic sty-
rinse occurs to a volume corresponding to the total amount of in
Solon, that is the sum of the cunount of insulin for both kinds of
insulin. The two kinds of insulin are provided each in an insulin
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bottle of which the firs is placed in the upper part in the injection
device and ejection of air occurs corresponding to the amount of
insulin for the first kind of insulin. After this the first bottle it
withdrawn and the other bottle is attached. Then air corresponding
to the amount of insulin for the other kind of insulin is injected in
corresponding bottle. Then the set amount of insulin is sucked in
to the hypodermic syringe from the second bottle, after which the
bottle is withdrawn and the first bottle is put on. The amount of
insulin for the bottle of insulin is after this sucked into the hype-
dermis syringe from the first bottle that then is withdrawn and the
device is ready to inject in exactly the same manner as in the exam-
to described above.
The bottle holder shown in Figs. 13, 14 and 15 for the bottles
81 and 82 with two kinds of medicine e . g . two different kinds of
insulin facilitates the loading procedure especially for blind people,
since any error cannot happen, provided only that the bottles are
in the right place in the bottle holder. This bottle holder has two
cylindrical through going cavities 83, I made to enclose each a boil-
le. This cavity has an in steps narrowing portion 85, designed to
form a support for the narrowing portion 86 of the bottle. Further-
more a tube formed portion 87 is projecting from the body of the
bottle holder 80 by each cavity. This projecting portion has ester-
net threads and is slotted in order to create many elements 88, that
in their upper ends have a narrowing diameter. Each tube formed
portion 8'1 is surrounded of a ring 89, through which each bottle
81, 82 can be cramped by screwing up the ring after the bottles
have been inserted. The in steps narrowing part 85 of the cavity
has a ring formed supporting area 90 facing downwards. Through
this supporting area the bottle holder is intended to rest against a
supporting area facing upwards in the upper end of the injection
device, as shown in Fig. 15. From this it is evident that also in
this example an injection device with a slightly divergent construe-
lion is shown, compared with other figures. The narrowing part 85
of the holder I is so designed that it can project in the opening of
the top cover and thus get support from its edge area. The holding
ability of the bottle holder 80 is achieved also by four downwards
projecting hooking means 91, 92, 93 and 94.
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In a similar manner the upper portion of the injection device is
formed with two notches, designed to fit to two hooking means at a
time, that is either the hooking means 91, 92 or the hooking means
93, 94 depending on the bottle 81, 82 that is means to be used duo
ring the loading procedure. The two hooking means 91, 92 and 93,
94 respectively have different dimensions for each bottle. In a eon-
responding way the notches in the upper part of the injections de-
vice have different dimensions. Through this arrangement thus each
bottle can be attached only in one way, which is important for the
shape of the loading action. The third switch that has been desert-
bed earlier is in this case replaced by two switches 95, 96 which
are designed to close each a circuit through contact with any con-
dueling part of the device . The two switches 95, 96 could e . g. be
connected to each one of the two expansion means 93, at which the
bottle holder 80 has another contact part that e . g . is situated in
the ring formed supporting area 90 and is designed in a different
way for each of the holding parts of the two bottles. The contact
parts in the holder 80 are so situated that when attaching one bottle,
that is the narrowing part 85, the switch go is activated but when
attaching the other bottle the other switch 96 is activated. This can
for example be arranged in a way that the supporting area 90 has
over a part an electrically conducting cover, that reaches along the
outside of the narrowing part 85 and achieves contact with e.g. an
electrically conductive part of the top cover and through this anti-
Yates the electrical controlling means 58 in a way that loading takes
place to the right amount of insulin. At the narrowing part 85 for
the other bottle the electrically conductive layer is placed at another
part of the projecting surface 90 so that the other switch 96 will be
activated and closing another circuit of activation of the electrical
controlling mechanism for loading of the other kind of insulin.
The holder 80 for the two bottles 81, 82 are thus used in a
way that first the bottle holder 80 is placed in a way that one boil-
to 81 will be situated right above the upper part of the injection
device so that the hypodermic syringe can penetrate into the bottle
and loading can occur with the first kind of insulin. After this the
holder is withdrawn and moved away so that the other mottle of ins-
fin 82 will be situated right above the hypodermic syringe and loading
16
can occur with the other dosage of insulin. The two switches 95, 96
are arranged in a manner that at the moment of injection the top
cover 68 will in a similar way as mentioned above close an electrical
circuit in order to start the injection action through activation of
the electrical controlling mechanism.
The invention is not limited to the examples described and
shown above in the drawings, but can be varied within the scope of
the following claims. For example it is possible that the electronic
part, that is the controlling means 19 and the accumulator 20 are
placed in a unit separate from the device and connected with the
other part through a flexible cable. It is furthermore possible that
the pulling out action of the middle tube is not performed by the
electrical motor, but can also be done totally in a manual way, at
which the motor thus only performs the displacement movements for
the displacement device 34.
Under these circumstances only one threaded shaft is sufficient
at which also the driving joggle 30 is left out. It is also possible
that the electrical motor is of a linear type and situated in the both
Tom with the driving shaft coccal with the middle part and the
length axis of the inner part.
The depth of the insertion depth can be achieved in a different
manner, for example through an adjustable screw that determines
the lower end position for the top cover by stopping the top cover
against the upper part of the screw. The holding means can be no-
placed by means that is movable radially from the wall of Lowe inner
part, they can be done in form of pins or something similar.
