Dosing device with adjustment mechanism for one injector

Description

TECHNICAL FIELD

[0001] The present invention relates to the field of medical injection devices for administering liquid substances, in particular medicaments or medicinal substances such as insulin and hormone preparations. The invention relates to an injector with a dosing device having an adjusting device.

[0002] The actuating device can be adjusted between a release position, in which a drive is released to dispense the substance, and a lock position, in which the drive is blocked and thus no dispensing can take place. BACKGROUND OF THE INVENTION

[0003] Various injection devices are known from the state of the art. Some injection devices have been further developed to simplify handling for the user. Users with limited mobility, shaky hands, muscle stiffness, or muscle weakness may experience difficulties operating the injector. Therefore, injectors with adjustable doses have been developed, which do not require the user to exert the force to dispense the medicinal substance from the injector, but instead incorporate an electric drive for dispensing the substance.

[0004] Such an injector with an electric motor is described, for example, in patent application WO 2011 / 146713 A1. The document discloses an injection system with an injector and a separate control unit, wherein the control unit can communicate wirelessly with the injector. The control unit includes a touchscreen for user inputs such as setting the injection speed, dose, or other injection parameters. The injector is attached to the user's wrist. Using an injection button on the injector, the user can start and stop the injection process. The electric motor in the injector moves a piston rod when the injection button is pressed to dispense the liquid substance from a cartridge in the injector.

[0005] Another automated injector is disclosed in patent application WO 2015 / 138093 A1, which describes an automatic dosing device that can be attached to a conventional injection pen. The dosing device comprises an upper part and a lower part. The lower part contains a controller, a receiving unit, sensors, and a drive unit with a piezo stepper motor. When assembled, this lower part of the dosing device is immovably connected to the cylindrical pen housing, while the upper part comprises an attachment that is rotationally fixed to the dose setting button of the pen. The controller receives information about the dose to be administered wirelessly from a measuring system or a data management system on a mobile phone or PC.Using the drive unit and the attachment, the control unit sets the desired dose on the pen based on the received data, without the user having to turn the dose dial. The user can then start the injection by pressing the injection button. The control unit also detects when the dose dial has been manually adjusted or corrected by the user. Furthermore, the control unit can send information about the administered dose to the data management system.

[0006] Such conventional injection devices with an electric drive or an electric adjustment feature have the disadvantage that, in the event of a malfunction, the substance may not be delivered correctly or in the correct dose. If, for example, the drive does not stop in time, too much is delivered, resulting in an overdose. This can have serious consequences for the user.

[0007] US 2017 / 0165431 discloses an automatic injector with a drive member that is held in a form-fitting manner in the injector housing, allowing it to be displaced relative to the housing but not rotated as long as it is in a dose-setting position. To dispense a set dose, the drive member is moved in the insertion direction, releasing it from the form-fitting connection in the housing. As a result, a preloaded torsion spring can relax and cause the drive member to rotate to dispense the dose.

[0008] CH 711 379 discloses an auto-injection pen. After a desired dose has been set using a dosage knob, a push button is moved distally. This disengages an indicator element from its rotational engagement with the housing. Since a preloaded compression spring induces a force on the indicator element, the indicator element begins to rotate. This rotation displaces the indicator element distally relative to the housing and drives a piston rod. PRESENTATION OF THE INVENTION

[0009] It is an object of the invention to enable a user with limited mobility to release the dosed substance safely and reliably.

[0010] This object is achieved by an injector with a dosing device for dispensing a set dose of a substance in portions, wherein the drive is coupled to the actuating device during the dispensing according to independent claim 1. Preferred embodiments are the subject of the dependent claims. According to the invention, the dosing device of the injector comprises a drive, a dispensing element movable by the drive for dispensing the substance from the injector, and an actuating device. This actuating device has a) a release position in which the drive is released by the actuating device and the drive can move the dispensing element and b) a blocking position in which the drive is blocked by the actuating device by means of a positive locking mechanism, whereby the drive cannot move the dispensing element.

[0011] In the release position, the actuator is coupled to the drive, so that a movement of the actuator is transmitted to the drive, or a movement of the drive is transmitted to the actuator. For example, a movement can first be transmitted from the actuator to the drive and then a movement from the drive to the actuator.

[0012] This coupling between the actuator and the drive creates a kinematic chain between the actuator and the drive in the release position, transmitting movements in both directions. The coupling can also be referred to as positive guidance, as it necessarily transmits movement from the drive to the actuator and vice versa.

[0013] The coupling in the release position can be designed as a fixed coupling, a gate control, or a geared connection with a defined gear ratio. There doesn't necessarily have to be an increase or decrease ratio between the actuator and the drive; the gear ratio can also be 1:1, for example. Furthermore, the gear ratio in the release position doesn't necessarily have to be constant; it can change.

[0014] The aforementioned coupling between the actuating device and the drive preferably only exists in the release position and is canceled in the locked position. This means that, unlike in the release position, a movement of the actuating device cannot be transmitted to the drive in the locked position. Therefore, the actuating device can preferably be moved in the locked position without the drive moving.

[0015] While the actuator is in the release position, the discharge element, driven by the drive, can discharge the substance from the injector. Preferably, the discharge element is moved into a cartridge located in the injector, thereby expelling the substance from the cartridge.

[0016] The term "release position" does not mean that the drive or the actuating device must assume a single physical position in the release position. Thus, in the release position, the drive and the actuating device, or elements of the actuating device, can assume multiple positions. Preferably, in the release position, the drive and elements of the actuating device are movable in one or more zones or across one or more ranges, in particular, rotation angle ranges.

[0017] Since the adjusting device can preferably be adjusted several times from the locked position to the release position and back to the locked position during dispensing of the set dose, the dose can be dispensed piece by piece or in portions. The drive is temporarily released by the adjusting device in order to dispense a partial dose of the dose to be administered. The drive is then blocked again. The number of adjustments from the locked position to the release position and back to the locked position depends on the amount of the selected dose or the length of time the adjusting device is in the release position. This means that, in contrast to known injection devices, with the dosing device according to the invention the dispensing does not have to take place in a singular, uninterrupted movement or a single stroke, but can take place in portions in several partial doses.

[0018] The dosing device according to the invention with the adjusting device enables precise, controlled, and safe dispensing, as the set dose can be dispensed only in portions in partial doses. Dispensing can therefore be interrupted during the dispensing process if necessary. Furthermore, unlike with known dosing devices, in which the set dose is dispensed in a continuous movement and which only have one end stop, there is no risk of the dispensing not being stopped by the end stop, thus resulting in an overdose. The dosing device according to the invention does not require an end stop for the dispensing stroke, since with a larger dose, the drive is repeatedly blocked by the adjusting device during the dispensing process. This portion-by-portion dispensing in partial doses makes the dispensing process easier to monitor and control.Furthermore, in the dosing device according to the invention, in the release position, a movement of the actuating device is coupled to a movement of the drive, and conversely, a movement of the drive is coupled to a movement of the actuating device. This allows the movement of the drive to be easily controlled, enabling precise and controlled dispensing.

[0019] Despite this portion-wise dispensing, the actuating device according to the invention can, for example, be used with a drive which constantly applies a force to the dispensing element. The actuating device briefly releases the drive so that the force generated by the drive can move the dispensing element a short distance, thereby dispensing a partial dose. Preferably, in the locked position, the actuating device blocks the drive via the dispensing element by preventing the dispensing element or at least parts of the dispensing element from moving, even if the dispensing element is subject to force. In the released position, the blocking of the dispensing element is lifted, and the force acting on the dispensing element from the drive can move the dispensing element or at least parts of the dispensing element.Depending on the size of the set dose, the process is repeated until the entire set dose is delivered in partial doses.

[0020] The term "medicine" or "medicinal substance" in this context encompasses any flowable medicinal formulation suitable for controlled administration via a cannula or hollow needle, for example, a liquid, a solution, a gel, or a fine suspension containing one or more medicinally active ingredients. A medicament can therefore be a composition with a single active ingredient or a premixed or co-formulated composition with multiple active ingredients from a single container. The term particularly includes medicinal products such as peptides (e.g., insulins, insulin-containing medications, GLP-1-containing and derived or analogous preparations), proteins and hormones, biologically derived or active ingredients, hormone- or gene-based active ingredients, nutritional formulations, enzymes, and other substances in both solid (suspended) and liquid form.The term also includes polysaccharides, vaccines, DNA or RNA or oligonucleotides, antibodies or parts of antibodies as well as suitable base, auxiliary and carrier substances.

[0021] In this description, the terms "injection system" or "injector" refer to a device in which the injection needle is removed from the patient's tissue after the medicinal substance has been delivered. Thus, unlike an infusion system, the injection needle in an injection system or injector does not remain in the patient permanently or for an extended period of several hours.

[0022] Injectors typically comprise an elongated cartridge or carpule containing the substance to be dispensed. This cartridge's elongated shape defines a longitudinal axis. Regardless of the injector's shape and the cartridge's orientation within the injector, in this description, a direction parallel to this longitudinal axis of the cartridge is referred to as the axial direction, while a direction perpendicular to the cartridge's longitudinal axis is referred to as the radial direction.

[0023] Furthermore, the insertion end of the injector, which typically houses a needle or cannula, is referred to as the distal end. Similarly, the term proximal end refers to the end of the injector opposite the distal end.

[0024] The term "positive locking" refers to a connection in which at least two connecting partners engage with each other due to their shape, preventing movement of the connecting partners relative to each other, and consequently allowing forces to be transferred from one connecting partner to the other. Specifically, this means that in the locked position, the drive is not only stopped but also blocked by the interlocking of the connecting elements in the actuator.

[0025] In a preferred embodiment, the adjusting device of the dosing device comprises a locking gear. This preferably has a. a release position in which the drive is released by the locking gear and the drive can move the dispensing element; b. a blocking position in which the drive is blocked by the locking gear by means of a positive locking, whereby the drive cannot move the dispensing element, wherein in the release position, the locking gear is mechanically coupled to the drive, so that a movement of the locking gear is transmitted to the drive or a movement of the drive is transmitted to the locking gear, and wherein the coupling between the locking device and the drive is canceled in the locked position, so that in the locked position, a movement of the locking gear cannot be transmitted to the drive .

[0026] The locking mechanism thus allows the dispensing element to remain stationary during the dispensing process for a period of time (in the locked position). However, outside of the resting phase (in the released position), the dispensing element is driven by the drive, allowing it to move. The locking mechanism thus enables the dispensing element to move in steps.

[0027] Preferably, the adjusting device for dispensing a set dose can be adjusted at least twice from the locking position to the release position and from the release position back to the locking position. This allows the set dose to be delivered in portions through several strokes in several partial doses.

[0028] Preferably, the drive is a pre-tensioned elastic element. Due to the pre-tension, the elastic element continuously acts on the dispensing element. A force and / or torque can act directly or indirectly on the dispensing element. However, the elastic element can only move the dispensing element to discharge if the actuating device is in the release position. If the actuating device is moved to the locked position, the drive and preferably also the dispensing element are blocked and cannot move. Further discharge of the substance is therefore impossible.

[0029] The elastic element can be a pre-tensioned mechanical spring, in particular a compression spring or a spiral spring, an elastic plastic element such as an elastomer element or another element made of an elastic material, e.g. a gas spring.

[0030] Alternatively, it is possible that the drive does not have an elastic element, but is implemented, for example, by an electric motor.

[0031] Preferably, the elastic element contains the energy required to fully discharge the medicinal substance. This means that with the pre-tensioned elastic element, the entire contents of the cartridge, usually in multiple doses, can be discharged. The elastic element therefore does not need to be pre-tensioned or retracted during cartridge use.

[0032] According to the invention, the adjusting device is designed as a Geneva-type gear, which comprises a Geneva cam wheel and a Geneva-type spline driven by the Geneva-type cam wheel. The Geneva-type cam wheel preferably comprises an eccentrically arranged cam, while the Geneva-type spline preferably has four radially aligned grooves. However, the Geneva-type spline can also have only three or more than four grooves. Contrary to the common term "Gentese-type gear," the Geneva-type spline does not necessarily have to be designed as a cross with four grooves. In the release position, the cam engages the grooves, whereby the Geneva-type cam wheel interacts with the Geneva-type spline upon rotation.

[0033] This rotation is preferably only possible over a specific angle of rotation, where the Geneva wheel is not blocked by a retaining element of the Geneva cam. As long as the cam of the Geneva cam is located in a groove of the Geneva wheel and the Geneva cam is not blocked, the adjusting device is in the release position.

[0034] Once the Geneva spline has rotated through this specific angle, it is preferably locked again by the Geneva cam wheel's retaining element, and the cam leaves the Geneva spline's groove. The adjusting device is then in the locked position, and the Geneva spline is positively held by the Geneva cam wheel's shaft.

[0035] The Geneva gear mechanism thus enables a controlled and defined rotation of the Geneva spline, thus enabling a controlled, step-by-step movement of the dispensing element. The dispensing element is thus not pushed against a stop as is common in conventional technology, but rather is guided a short distance, so that a precisely defined amount of substance is ejected from the cartridge.

[0036] In an alternative embodiment not according to the invention, the adjusting device can comprise a different locking gear instead of a Geneva gear. For example, the adjusting device can have a step-shaped element on which, in the locked position, the drive continuously acts with a force on a step without, however, being able to move the dispensing element. In order to dispense a partial dose, the step-shaped element can preferably be moved with an actuator of the adjusting device so that it is shifted by one step, whereby the drive is briefly released and the dispensing element can move by the amount of this step. During this movement, with the adjusting device in the release position, a defined amount of substance can be dispensed from the cartridge. In contrast to the Geneva gear, however, the movement in the release position is not guided by a cam engaging in a groove.

[0037] The dosing device preferably comprises an electrical actuation device with which the adjusting device can be adjusted from the locked position to the released position and back to the locked position. This eliminates the need to manually operate the adjusting device using muscle power, but can be adjusted electrically. This is particularly advantageous if the user has limited mobility, for example, due to muscle weakness or shaky hands.

[0038] The electrical actuating device can, for example, be designed as an electromagnetic actuator with an electromagnet and a coil. Furthermore, the actuating device can be implemented as a piezo actuator, an electric motor, or with a controllable memory metal (shape memory alloy). The actuating device is preferably designed as a stepper motor.

[0039] The electrical actuating device is advantageously remotely controllable. This allows a control unit for the actuating device to be housed in an external device outside the dosing device and the injector. This can simplify operation for the user, as they do not have to hold the injector and set the dose on the injector at the same time. Instead, the user can set the injection parameters and trigger the injection process using a remote control. They can then, for example, hold the injector with one hand and operate the remote control with the other. Since the injector has a drive and the actuating device is preferably operated electrically, the user does not have to use muscle power to operate the injector and, in particular, does not have to exert muscle power to dispense the substance.

[0040] Furthermore, thanks to the remote control, the dosing device can be designed simply. For example, the dosing device and the injector do not need to include a display unit or user input unit, as the display and user input options can be implemented on the remote control. This is particularly advantageous if the injector is designed as a disposable injector and should be manufactured as cost-effectively as possible.

[0041] Preferably, the electrical actuation device is wirelessly controllable. This allows data transmission—i.e., setting the injection parameters and triggering the injection—from a remote control to the injector to be wireless. The remote control can be a device specifically designed to operate the injector. However, the remote control functions can also be implemented in software installed on a computer. Since there is no cable, handling is simplified.

[0042] In a preferred embodiment, communication between the remote control and the electrical actuation device takes place via a Bluetooth wireless connection. Alternatively, communication can also take place via another wireless local network, such as ZigBee, Wi-Fi, WiMAX, or LTE.

[0043] In a preferred embodiment, the electrical actuating device can be controlled by a mobile user terminal. The user terminal can, for example, be a smartphone, a tablet computer, a smartwatch, or a laptop. Preferably, the electrical actuating device not only allows momentary control by the user terminal, but is also programmable by the user terminal. For example, based on a therapy plan stored in the user terminal, doses can be programmed in advance for specific times of day. This means that at the time of injection, the user only needs to trigger the injection and does not have to set the dose in advance. Furthermore, the user terminal can, for example, display warnings to the user based on a therapy plan or remind them of upcoming injections using optical, acoustic, or haptic signals.

[0044] In a preferred embodiment, the dispensing element is a piston rod unit comprising a threaded rod and a piston, wherein the threaded rod is rotatable relative to the piston and can thus displace the piston, which is mounted in a rotationally fixed manner in the housing. The piston is preferably threadedly connected to the threaded rod and can thus be axially displaced relative to the threaded rod and relative to the housing in which the piston rod unit is accommodated by a rotational movement of the threaded rod. The threaded rod is preferably axially fixed relative to the housing. This axial displacement of the piston preferably pushes it into the cartridge, whereby the substance is dispensed from the cartridge.

[0045] In another design, it is also possible for the threaded rod to be immovably connected to the piston. In this case, for example, the threaded rod can be threaded into the housing. By rotating the threaded rod relative to the housing, it is moved axially along with the piston, and the piston is pushed axially into the cartridge.

[0046] As an alternative to the two designs described above, it is also possible for the threaded rod not to be rotatable relative to the housing, but to be mounted within the housing so that it can only be moved axially. In this case, the piston rod unit preferably comprises a drive sleeve that is rotatable relative to the threaded rod but axially immobile relative to the housing, and which is threadedly connected to the threaded rod. For dispensing, the drive sleeve is rotated by the drive, whereby the threaded rod and the piston are moved axially relative to the drive sleeve and the housing without rotating. The piston is pushed axially into the cartridge.

[0047] Both the versions with the rotating threaded rod and the alternative version with a non-rotating but movable threaded rod offer the advantage that the piston rod unit can be designed compactly.

[0048] Preferably, the threaded rod or drive sleeve is locked in the locking position of the adjusting device, preventing it from rotating in any direction. This ensures that the substance cannot be discharged in the locking position.

[0049] If the adjusting device is designed as a Geneva gear, the threaded rod is preferably connected to the Geneva spline in a rotationally fixed manner. Thus, the positive locking of the Geneva spline also blocks the threaded rod, preventing the substance from being released.

[0050] The invention further relates to an injector with a dosing device having the features described above and a carpule holder for receiving a carpule.

[0051] The injector is preferably a disposable injection pen. A disposable injection pen is an injector used to subcutaneously inject the substance contained in a non-refillable and non-replaceable cartridge or prefilled syringe. Once the intended amount of the substance has been injected in one or more injections, the disposable injection pen is discarded. The cartridge or prefilled syringe in the disposable injection pen cannot be replaced. In contrast, in a reusable injector, the cartridge or prefilled syringe containing the medicinal substance is replaceable. FIGURES

[0052] Preferred embodiments of the invention are described below in conjunction with the attached figures. These are intended to illustrate basic possibilities of the invention and are in no way to be interpreted as limiting. Fig. 1 shows a side view of the injector according to the invention, Fig. 2 shows an exploded view with the components of the metering device according to the invention, Fig. 3 shows a perspective view of the Geneva gear in the locked position without the injector housing, and Fig. 4 shows a view of the Geneva gear in the released position without the injector housing. FIGURE DESCRIPTION

[0053] In Figure 1 An injector 1 according to the invention in the form of a disposable injection pen is shown. The injector 1 comprises a housing 2, a housing holder 3, and a lid 4. The housing 2 is connected at its distal end to a cartridge holder 5, in which a cartridge containing a medicinal substance is accommodated.

[0054] In the exploded view in Figure 2The individual parts of the dosing device according to the invention are visible in the injector 1. The dosing device of the injector 1 includes a gear unit, a piston rod unit, and a preloaded drive spring 8 as a drive for dispensing the medicinal substance from the injector 1. The piston rod unit comprises a threaded rod 7 and a piston 6. All individual parts are housed in the housing 2, which is closed with the housing holder 3 and the cover 4.

[0055] The following is based on the Figure 2 The structural design of the dosing device is described. The functions are then explained in detail.

[0056] The gear unit comprises a Geneva gear for selectively enabling or disabling the drive of the injector 1, an electric motor 12 in the form of a stepper motor for adjusting the Geneva gear, and a transmission gear for transmitting the torque generated by the electric motor 12. The Geneva gear comprises a Geneva cam wheel 17 with a cam 17.1 and a Geneva spline wheel 18 driven by the cam 17.1. The latter has several radially outwardly extending grooves into which the cam 17.1 can engage.

[0057] The electric motor 12 is immobilely mounted in a base plate 10. It is supplied with electrical energy from a battery (not shown) and generates a torque that is translated by a motor pinion 13 to a larger first gear 14. The first gear 14 is connected via a shaft in a rotationally fixed manner to a smaller second gear 15, which translates the torque a second time by engaging with a larger third gear 16. The third gear 16 is connected on a shaft in a rotationally fixed manner to the Geneva cam wheel 17. This transmits the translated torque further to the Geneva cam wheel 17. The cam 17.1 of the rotating Geneva cam wheel 17 engages sectionally with the Geneva spline wheel 18 during a rotation of the Geneva cam wheel 17. As a result, the Geneva cam wheel 17 and the Geneva spline wheel 18 rotate simultaneously and in opposite directions.The Geneva wheel 18 is connected via a shaft in a rotationally fixed manner to a pinion 19, which engages in an internal thread of a drive disk 9.

[0058] The first gear 14, along with its shaft and the second gear 15, is rotatably mounted in the housing holder 3 and the base plate 10. Likewise, the third gear 16, connected to the Geneva cam gear 17 via a shaft, is rotatably mounted in the housing holder 3 and the base plate 10. The Geneva spline gear 18 is rotatably mounted in a retaining plate 11 on one side and is mounted in the base plate 10 on the other. The retaining plate 11 is supported on the base plate 10. The drive pulley 9 is also rotatably mounted by the housing 2.

[0059] The threaded rod 7 is immovably connected to the drive disk 9. Furthermore, the external thread of the threaded rod 7 is threadedly connected to the sleeve-shaped piston 6, which surrounds the threaded rod 7 and is mounted in the housing 2 in a rotationally fixed but axially displaceable manner.

[0060] The pre-tensioned drive spring 8 is supported at its first end on an inner side of the sleeve-shaped piston 6 and rests at its second end on an axial stop in the housing 2.

[0061] At a distal end of the housing 2, it has a circumferential recess into which the cartridge holder 5 is snapped and thus immovably connected to the housing 2. The cartridge holder 5 has a receptacle at its distal end to which an injection cannula can be attached. Furthermore, the cartridge holder has a plug on which the piston 6 rests.

[0062] The Figure 3shows the Geneva gear in a locked position in which the drive spring 8 is blocked by the piston 6, the threaded rod and the positively held Geneva spline 18. The preload of the drive spring 8 exerts a force in the axial direction on the piston 6. Since the piston 6 is threadedly connected to the threaded rod 7, a torque is generated which is transmitted from the threaded rod 7 via the drive disk 9 to the Geneva spline 18. However, the latter cannot rotate as it is held in position by a positive fit by the Geneva cam wheel 17, in particular by a segment of the shaft of the Geneva cam wheel, which engages a correspondingly shaped, concave counterpart between two legs of the Geneva spline. The force generated by the preloaded drive spring 8 is thus absorbed by the positive fit in the Geneva gear.

[0063] In order to release a certain dose of the medicinal substance, the Geneva gear must be moved from this locking position to a release position, which is Figure 4 can be seen. In order to change to the release position, the Geneva cam wheel 17 must be rotated about its axis. To do this, the electric motor 12 must rotate the Geneva cam wheel 17 via the gearing by an angle of rotation until an indentation 17.2 in the shaft of the Geneva cam wheel 17 cancels the positive connection with the Geneva spline wheel 18. Simultaneously with the release of the positive connection and while the Geneva cam wheel 17 continues to rotate, the cam 17.1, which is aligned with the indentation 17.2, engages in a radial groove in one of the legs in the Geneva spline wheel 18 and prevents unbraked rotation of the Geneva spline wheel 18. The Geneva cam wheel 17 and the Geneva spline wheel 18 then rotate in opposite directions.

[0064] This release position is maintained as long as the cam 17.1 is engaged with the groove and the Geneva grooved wheel 18 is rotatable due to the indentation 17.2 in the shaft of the Geneva cam wheel 17.

[0065] As soon as the Geneva cam wheel 17 has rotated far enough that the indentation 17.2 has rotated away from the Geneva spline wheel 18, the shaft of the Geneva cam wheel 17 blocks the Geneva spline wheel 18. The cam 17.1 is then no longer engaged with the groove, and the Geneva spline wheel 18 is again held in a form-fitting manner by the shaft of the Geneva cam wheel 17. Only after the Geneva cam wheel 17 has rotated completely, except for the angle of rotation, are the indentation 17.2 and the cam 17.1 again available for interaction with the Geneva spline wheel 18. The angle of rotation during which the Geneva cam wheel 17 interacts with the Geneva spline wheel 18 can be referred to as the unit angle of rotation. In the preferred embodiment, the unit angle of rotation corresponds to a quarter turn of the Geneva groove wheel 18. Accordingly, this has four radial grooves and four concave recesses in between.Alternatively or complementarily to the transmission, the Geneva cam gear 17 can comprise several indentations 17.2 and cams 17.1 distributed around its circumference. Alternatively, the Geneva grooved gear 18 can also have three or five grooves and recesses.

[0066] During rotation through the unit angle of rotation, the drive spring 8 can relax slightly, causing the piston 6 to move in the axial and distal directions. The distal end of the piston 6 interacts with the cartridge plug and pushes the plug slightly into the cartridge, releasing the medicinal substance.

[0067] The angle of rotation through which the threaded rod 7 rotates during a single release preferably results in a release of 10 µl of the substance or - if the substance is an insulin preparation - one unit of insulin. In another embodiment, however, this amount can also be smaller or larger. The amount that is released for a unit angle of rotation of the Geneva wheel 18 during a release position depends on the transmission ratio between the Geneva wheel 18 and the piston 6 and the size of the unit angle of rotation of the Geneva gear. Depending on the size of the dose to be administered, the Geneva cam wheel 17 is rotated several times around its axis by the electric motor 12, thus releasing the drive spring 8 several times. This means that the Geneva gear changes back and forth several times between the locked position and the release position (several unit angles of rotation) in order to dispense the entire dose in partial doses.The piston 6 is displaced axially in stages.

[0068] The necessary force to push the plug axially into the cartridge is thus provided by the preload of the drive spring 8. The electric motor 12 drives only the Geneva cam gear 17 via the gear box, thus releasing the Geneva spline gear 18 and the threaded rod for the specified angle of rotation during the release position. This means that the electric motor 12 does not generate the torque for the feed for dispensing, but only the torque for adjusting the Geneva cross gear.

[0069] The electric motor 12 can be controlled via Bluetooth using a remote control or a user device such as a smartphone. Setting the dose to be administered and triggering the injection therefore does not need to be done on the injector 1, but can be done on the user device. LIST OF REFERENCE SYMBOLS

[0070] 1Injector 2Housing 3Housing holder 4Housing cover 5Cartridge holder 6Piston 7Threaded rod 8Drive spring 9Drive disc 10Base plate 11Retaining plate 12Electric motor 13Engine pinion 14First gear 15Second gear 16Third gear 17Gentian cam 17.1Cam 17.2Indentation 18Gentian spline 19Pinion

Claims

1. Injector (1) for the metered delivery of a medicinal substance, comprising a cartridge holder (5) for accommodating a cartridge, a drive (8), a dispensing element (6, 7), which is movable by the drive (8), for dispensing the substance from the injector (1), and an adjusting device, characterized in that the adjusting device is a Geneva mechanism, comprising a Geneva cam wheel (17) and a Geneva slotted wheel (18) driven by the Geneva cam wheel (17), a) in a release position, the drive (8) being released by the Geneva mechanism (17, 18) and the drive (8) being able to move the dispensing element (6, 7); b) in a locking position, the drive (8) being blocked by the Geneva mechanism (17, 18) by means of positive-locking engagement, as a result of which the drive (8) cannot move the dispensing element (6, 7), in the release position, the Geneva mechanism being coupled to the drive (8) such that a movement of the Geneva mechanism (17, 18) is transmitted to the drive (8) or a movement of the drive (8) is transmitted to the Geneva mechanism (17, 18), and the coupling between the Geneva mechanism (17, 18) and the drive (8) being removed in the locking position such that, in the locking position, a movement of the Geneva mechanism (17, 18) cannot be transmitted to the drive (8).

2. Injector (1) according to claim 1, characterized in that the drive (8) is a preloaded resilient element.

3. Injector (1) according to claim 2, characterized in that the resilient element is a mechanical spring (8).

4. Injector (1) according to claim 2 or 3, characterized in that the resilient element contains the energy required to completely dispense the medicinal substance.

5. Injector (1) according to any of claims 1-4, characterized in that the injector (1) comprises an electrical actuating means (12) with which the Geneva mechanism (17, 18) can be adjusted between the release position and the locking position.

6. Injector (1) according to claim 5, characterized in that the electrical actuating means (12) can be remotely controlled.

7. Injector (1) according to claim 6, characterized in that the electrical actuating means (12) can be controlled wirelessly, in particular via Bluetooth.

8. Injector (1) according to claim 6 or 7, characterized in that the electrical actuating means (12) can be controlled by a mobile user terminal.

9. Injector (1) according to any of claims 1-8, characterized in that the dispensing element (6, 7) is a piston rod unit comprising a threaded rod (7) and a piston (6), the piston (6) being in threaded connection with the threaded rod (7) and the piston (6) being axially movable, relative to the threaded rod (7) and relative to a housing in which the piston rod unit is accommodated, by a rotational movement of the threaded rod (7).

10. Injector (1) according to claim 9, characterized in that in the locking position, the threaded rod (7) is blocked so that it cannot rotate.

11. Injector (1) according to any of claims 1 to 10, characterized in that the injector (1) is a disposable injection pen.