Transformable containers, kits and packages

JP2024517007A5Pending Publication Date: 2025-05-07DOMPE FARMACEUTICI SPA
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Patent Information

Application Number
JP2023568187
Authority / Receiving Office
JP · JP
Patent Type
Applications
Current Assignee / Owner
Priority Date
2021-05-07
Filing Date
2022-05-03
Publication Date
2025-05-07

AI Technical Summary

Technical Problem

Existing deformable plastic containers for medical liquids face challenges such as material incompatibility with medical liquids over long storage periods and the need for specialized production lines, and there are no devices for safe, sterile, and efficient transfer between glass vials and deformable containers without using needles.

Method used

A deformable container with a self-sealing valve and a connecting accessory that allows for safe, sterile transfer of medical solutions from a vial to the deformable container, maintaining solution properties and facilitating quick, contamination-free transfer.

Benefits of technology

The solution ensures the safe, sterile, and efficient transfer of medical solutions from glass vials to deformable containers, maintaining solution integrity and extending the storage life of the medical liquids.

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Abstract

A deformable container for dispensing a medical substance comprises a body forming an interior volume configured to receive a fluidic substance. The body comprises a filling access configured to receive the fluidic substance, a dispensing outlet configured to dispense the fluidic substance, and a valve disposed at the filling access that is movable between an open configuration and a closed configuration. The body comprises an elastically deformable wall forming an interior volume. The present disclosure further relates to a connection accessory comprising a first coupling configured to fluidly connect to the filling access of the deformable container and a second coupling configured to fluidly connect to an interior compartment of a vial. The container and the connection accessory are configurable into a coupling configuration in which the connection accessory is coupled to the filling access of the container and the valve of the container is in an open configuration.
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Description

[Technical field]

[0001] SUMMARY OF THE DISCLOSURE The present invention relates to a deformable container configured to receive a fluid or liquid for subsequent dispensing.

[0002] The invention also relates to a connection accessory configured to connect in fluid communication a deformable container with a vial, which may contain a drug, i.e. a drug in solution or powder form. Notably, the invention relates to the medical field and drug administration and is in the field of devices for transferring medical liquids from a glass vial to a deformable container for administration.

[0003] The invention further relates to a kit comprising a deformable container and a connection accessory.The invention further relates to a package comprising a deformable container with or without a connection accessory.

[0004] Finally, the invention further relates to a method for connecting a deformable container to a vial through a connection accessory, more specifically, the invention relates to the transfer of liquids to be administered as nasal sprays, oral drops, or eye drops through the compression of a deformable container (e.g., a plastic squeeze). [Background technology]

[0005] Deformable plastic containers for medical use have deformable walls that, when pressure is applied, release a defined dose of liquid (solution or suspension) in the form of droplets or spray. However, filling plastic deformable containers requires specific production lines, and some companies prefer to use their own glass vial lines, for example for small batch production for clinical trials.

[0006] Furthermore, in some cases, the material of the deformable container, which is usually based on polyethylene or polypropylene, may not be suitable for contact with medical liquids over the entire required storage period (i.e. to support the so-called long-term stability).

[0007] Although there are devices that simplify the transfer of liquids between a glass vial and a syringe without the use of a needle (e.g., WO 2012 / 004784) or between two glass vials (e.g., WO 2017 / 203511 or WO 2011 / 104711), to date no such device exists that can transfer liquids. The same compression system is used to transfer the liquid into a deformable multi-dose container. This compression system is then used to deliver aliquots of the liquid for administration, ensuring sterility at each stage.

[0008] DE 102006009611 A1 describes a system for preparing and making available a flowable medium formed by mixing a dry substance with a medium for therapeutic purposes, which comprises a) a first container for receiving a fluid and a wall portion that can be deformed against a restoring force to change the volume of the container, b) a second container for receiving the dry substance, and c) a transfer device for creating a fluid communication between the first container and the second container.

[0009] EP 0 702 968 A1 shows an accordion container for chemicals having a section at one end of the container's body for removing the chemicals, and at the other end of the body a one-way valve and a bendable hook are provided, through which medical fluids can be introduced into and removed from the body. Summary of the Invention

[0010] Object of the invention It is an object of the present invention to at least partially overcome one or more of the disadvantages and / or limitations of previous technical solutions.

[0011] A first objective is to provide a deformable container for containing liquid solutions, particularly preservative-free medical solutions, in a safe manner.

[0012] The objective is to provide a deformable container configured to receive a solution and safely store the solution in order to maintain the solution properties over time, particularly to extend the solution's lifespan.

[0013] A further object is to provide a deformable container that is configured to receive a solution and deliver the solution from time to time as needed by a user, ie, a suitable multi-dose delivery container.

[0014] A further object is to provide a deformable container and connecting accessory that facilitates transfer of a solution from a vial to the deformable container for subsequent delivery from the deformable container.

[0015] A further object is to provide a deformable container and a connecting accessory that allows the sterile transfer of a solution from a vial to the deformable container in order to avoid contamination of the solution during transfer.

[0016] A further object is to provide a deformable container and a connection accessory which can further reduce the risk of contamination of the solution during transfer from the vial to the deformable container.

[0017] A further object is to provide a deformable container and a connection accessory that allows for fast and safe transfer of a solution from a vial to the deformable container.

[0018] A further object is to provide a deformable container and connecting accessories that allow for the sterile transfer of solutions from vials to the deformable container in order to maximize the life of the solutions in the deformable container.

[0019] A further goal is to provide a transformable container and connecting accessories such that one skilled in the art can easily and safely achieve the above objectives during use.

[0020] These and other objects, which will become more apparent from the following description, are substantially achieved by a deformable container and connection accessory according to one or more of the following claims and / or embodiments.

[0021] summary The first aspect relates to a deformable container (1) for dispensing a medical substance, The deformable container (1) comprises a body (2) defining an interior volume (3) configured to receive a fluid substance (4), said body (2) comprising: a filling access (8) configured to receive a fluid substance (4) to fill the interior volume (3) of the body (2); a dispensing outlet (10) configured to dispense a quantity of a fluid material (4) from the interior volume (3); a valve (20) disposed in the filling access (8), the valve (20) being movable between an open configuration in which the valve (20) allows fluid passage through the filling access (8) and a closed configuration in which the valve (20) prevents fluid passage through the filling access (8); The body (2) comprises at least one elastically deformable wall defining an interior volume (3).

[0022] A second aspect relates to a deformable container (1) for dispensing a medical substance, The deformable container (1) comprises a body (2) defining an interior volume (3) configured to receive a fluid substance (4), said body (2) comprising: a filling access (8) configured to receive a fluid substance (4) to fill the interior volume (3) of the body (2); a dispensing outlet (10) configured to dispense a quantity of a fluid material (4) from the interior volume (3); and a valve (20) disposed in the filling access (8) and movable between an open configuration in which the valve (20) allows fluid to pass through the filling access (8) and a closed configuration in which the valve (20) prevents fluid from passing through the filling access (8).

[0023] A third aspect relates to a kit (50), comprising: Kit (50) A deformable container (1) for dispensing a medical substance, the deformable container (1) comprising a body (2) defining an interior volume (3) configured to receive a fluid substance (4), the body (2) comprising: a filling access (8) configured to receive a fluid substance (4) to fill the interior volume (3) of the body (2); a dispensing outlet (10) configured to dispense a quantity of a fluid material (4) from the interior volume (3); a valve (20) disposed in the filling access (8) and movable between an open configuration in which the valve (20) allows fluid passage through the filling access (8) and a closed configuration in which the valve (20) prevents fluid passage through the filling access (8); The body (2) comprises a deformable container (1) having at least one elastically deformable wall forming an interior volume (3); A connection accessory (51), a first coupling (52) configured to fluidly connect to a filling access (8) of the deformable container (1); a second coupling (60) configured to fluidly connect to an internal compartment (102) of the vial (101), in particular the internal compartment (102) of the vial (101) containing a fluidic substance (4); a connection accessory (51) having an internal passage (70) that fluidly connects the first coupling portion (52) to the second coupling portion (60) and vice versa; The kit (50) is configurable in a combined configuration; a first coupling part (52) of the connection accessory is coupled to the filling access (8) of the container (1); The valve (20) of the container (1) is in an open configuration such that the internal volume (3) of the container (1) is in fluid communication with the second coupling portion (60) of the connection accessory (51), and in particular, the internal volume (3) of the container (1) is in fluid communication with the compartment (102) of the vial (101).

[0024] A fourth aspect relates to an assembly (100), the assembly (100) comprising: A kit (50) according to any of the preceding embodiments; a vial (101) forming a compartment (102) for containing a substance, The assembly (100) is configurable in an assembled form; the deformable container (1) and the connection accessory (51) are in a coupled configuration; The second coupling portion (60) of the connection accessory (51) is connected to the vial (101); In the assembled configuration, the interior volume (3) of the deformable container (1) is in fluid communication with the compartment (102) of the vial (101) through the connection accessory (51).

[0025] A fifth aspect relates to an assembly (100) comprising a kit (50) comprising: A deformable container (1) for dispensing a medical substance, said container (1) comprising a body (2) defining an interior volume (3) configured to receive a fluid substance (4), said body (2) comprising: a filling access (8) configured to receive a fluid substance (4) to fill the interior volume (3) of the body (2); a dispensing outlet (10) configured to dispense a quantity of a fluid material (4) from the interior volume (3); a valve (20) disposed in the filling access (8) and movable between an open configuration in which the valve (20) allows fluid passage through the filling access (8) and a closed configuration in which the valve (20) prevents fluid passage through the filling access (8); The body (2) comprises a deformable container (1) having at least one elastically deformable wall forming an interior volume (3); A connection accessory (51), a first coupling (52) configured to fluidly connect to a filling access (8) of the deformable container (1); a second coupling (60) configured to fluidly connect to an internal compartment (102) of the vial (101), in particular the internal compartment (102) of the vial (101) containing a fluidic substance (4); a connection accessory (51) having an internal passage (70) that fluidly connects the first coupling portion (52) to the second coupling portion (60) and vice versa; The kit (50) is configurable in a combined configuration; a first coupling part (52) of the connection accessory is coupled to the filling access (8) of the container (1); the valve (20) of the container (1) is in an open configuration such that the internal volume (3) of the container (1) is in fluid communication with the second coupling portion (60) of the connection accessory (51), in particular, the internal volume (3) of the container (1) is in fluid communication with the compartment (102) of the vial (101); The assembly (100) further comprises a vial (101) forming a compartment (102) for containing a substance, the assembly (100) being configurable in an assembled form; the deformable container (1) and the connection accessory (51) are in a coupled configuration; a second coupling portion (60) of the connection accessory (51) is connected to the vial (101); In the assembled configuration, the interior volume (3) of the deformable container (1) is in fluid communication with the compartment (102) of the vial (101) via the connection accessory (51).

[0026] A sixth aspect relates to a method (200) for moving a fluidic substance (4) in a deformable container (1), the method (200) comprising: Providing (201) an assembly (100) according to any one of the previous aspects; connecting (202) a filling access (8) of the deformable container (1) to a first coupling part (52) of a connection accessory (51); connecting (203) a second coupling portion (60) of the connection accessory (51) to the vial (101) to define an assembly configuration; squeezing (204), in particular manually squeezing, the deformable container (1) to reduce the internal volume (3); Releasing (205) the squeeze of the deformable container (1) to allow the body (2) of the deformable container (1) to elastically return; Optionally, sequentially repeating the constricting and unthrottling steps until the fluid substance (4) has been completely transferred into the deformable container (1).

[0027] In a seventh aspect according to any one of the previous aspects, the internal volume (3) of the container (1) is substantially independent of the presence or absence of the fluidic substance (4).

[0028] In an eighth aspect according to any one of the previous aspects, at least one elastically deformable wall forming the internal volume (3) is made of an elastic material, in particular the material is at least one of silicone, rubber, plastic. Preferably, the material is plastic and the container body may be made exclusively of plastic. A possible alternative is a multi-material container including multiple materials of silicone, rubber, plastic or other deformable elastic materials.

[0029] In a ninth aspect according to any one of the preceding aspects, the at least one elastically deformable wall has a thickness of 0.5 mm to 0.9 mm. For example, a deformable container made of low density polyethylene (LDPE) may have a thickness within the above range, for example 0.7 mm.

[0030] In a tenth aspect according to any one of the previous aspects, the reduction in the internal volume (3) is determined by deformation of the body (2) in at least one elastically deformable wall.

[0031] In an eleventh aspect according to any one of the previous aspects, the reduction in the internal volume (3) is determined by throttling the body (2) at least one elastically deformable wall.

[0032] In a twelfth aspect related to any one of the preceding aspects, the at least one elastically deformable wall of the body (2) of the container (1) is a side wall (7).

[0033] In a thirteenth aspect related to any one of the preceding aspects, the body (2) of the deformable container (1) is configured to return to its original shape after being squeezed.

[0034] In a fourteenth aspect relating to any one of the preceding aspects, the body (2) of the deformable container (1) has an original shape at rest that defines a predetermined size of the interior volume (3), particularly when the container (1) is not subjected to an external load, e.g. when the container (1) is not being squeezed by a user.

[0035] In a fifteenth aspect relating to any one of the preceding aspects, when the body (2) is squeezed by a user, in particular when the reduced size of the internal volume (3) is less than a predetermined size of the internal volume (3), the body of the deformable container (1) has a squeezed shape that defines the reduced size of the internal volume (3).

[0036] In a sixteenth aspect relating to any one of the preceding aspects, at least one elastically deformable wall of the container (1) is configured to elastically return from a squeezed shape to its original shape after a user releases the squeeze of the body (2).

[0037] In a seventeenth aspect according to any one of the preceding aspects, the valve (20) is a self-sealing valve (20) configured to remain in a closed position at rest.

[0038] In an 18th aspect relating to any one of the preceding aspects, the valve (20) is configured to move from a closed position to an open state when the connection accessory (51) is coupled to the filling access (8) of the deformable container (1).

[0039] In a nineteenth aspect related to any one of the preceding aspects, a connection between the filling access (8) and the connection accessory (51) determines switching of the valve (20) from a closed position to an open position.

[0040] In a twentieth aspect related to any one of the preceding aspects, a disconnection between the filling access (8) and the connection accessory (51) determines switching of the valve (20) from an open position to a closed position.

[0041] In a twenty-first embodiment related to any one of the preceding embodiments, the valve (20) is disposed within the filling access (8).

[0042] In a twenty-second aspect relating to any one of the preceding aspects, the filling access (8) defines a collar (9) surrounding the valve (20), in particular a collar (9) completely surrounding the valve (20).

[0043] In a twenty-third aspect relating to any one of the preceding aspects, the valve (20) includes an elastically deformable member (21) that defines a passage between a closed position and an open position.

[0044] In a 24th aspect relating to any one of the preceding aspects, the valve (20), in particular the deformable member (21), is made of an elastically deformable material, in particular the elastically deformable member (21) is made from at least one of silicone and rubber.

[0045] In a twenty-fourth aspect according to any one of the first to twenty-three aspects above, the valve (20) comprises a moving body and a spring acting on the moving body in the absence of an external force, the spring acting on the moving body to keep the valve in a closed position. In particular, when the connection accessory is coupled to the deformable body, the protrusion (54) acts on the moving body and overcomes the spring force (moving the deformable body), thereby opening the valve (20).

[0046] In a twenty-fifth aspect related to any one of the preceding aspects, the valve (20) comprises a deformable member (21) having a slit (22) that opens a fluid passageway when the filling access (8) is coupled and closes the fluid passageway when the connection accessory (51) and the filling access (8) are decoupled.

[0047] In a 26th aspect relating to any one of the preceding aspects, the deformable member (21) of the valve (20) is configured to deform when the filling access (8) is coupled to the connection accessory (51), and the deformation opens the slit (22).

[0048] In a twenty-seventh aspect related to any one of the preceding aspects, the valve (20) is configured to be pressed by the connection accessory (51) when the filling access (8) is coupled to the connection accessory (51).

[0049] In a twenty-eighth aspect relating to any one of the preceding aspects, the filling access (8) defines a collar (9) surrounding the valve (20), the collar having a rigid rim forming an access toward the inside of the access (8), and the valve (20) closes the access such that, when the filling access (8) is coupled to a connection accessory (51), in particular the valve (20) is configured to be pressed by the connection accessory (51) penetrating at least partially through the rigid rim toward the interior volume (3) of the deformable container.

[0050] In a 29th aspect relating to any one of the preceding aspects, the body (2) of the container (1) has an elongated shape.

[0051] In a thirtieth aspect relating to any one of the preceding aspects, the body (2) has a cylindrical shape.

[0052] In a thirty-first aspect related to any of the previous aspects, the body (2) of the container (1) extends in length along a longitudinal axis (X) and in width along a transverse axis (Y).

[0053] In a thirty-second aspect related to the above aspects, the length is greater than the width, particularly the length is at least 1.5 times the width, particularly the length is at least twice the width, and particularly the length is at least three times the width.

[0054] In a thirty-third aspect relating to any one of the preceding aspects, the body (2) of the container (1) comprises a first end (5) carrying a filling access (8), a second end (6) carrying a dispensing outlet (10), and a side wall (7) interposed between the first end (5) and the second end (6).

[0055] In a thirty-fourth embodiment according to the above aspects, the filling access (8) and the dispensing outlet (10) are opposed to each other with respect to the side wall (7) of the body (2) of the container (1).

[0056] In a thirty-fifth embodiment according to any one of the preceding embodiments, the filling access (8) and the dispensing outlet (10) are aligned with each other along a common axis.

[0057] In a thirty-sixth aspect relating to any one of the preceding aspects, the body (2) defines a longitudinal axis (X) extending along a length of the body (2) and optionally parallel to the sidewall (7).

[0058] In a thirty-seventh aspect according to the above aspects, the side wall (7) extends lengthwise along the longitudinal axis X.

[0059] In a thirty-eighth embodiment relating to any one of the two preceding embodiments, the dispensing outlet (10) and the filling access (8) are aligned with each other along an axis substantially parallel to or coincident with the longitudinal axis (X) of the body (2).

[0060] In a thirty-ninth embodiment according to any one of the preceding embodiments, the body (2) of the container (1) has a length of 30 mm to 60 / 80 mm and a width or diameter of 10 mm to 25 mm.

[0061] In a fortieth embodiment according to any one of the preceding embodiments, the internal volume (3) of the container (1) is between 3 milliliters and 15 milliliters, more specifically between 4 milliliters and 12 milliliters.

[0062] In a forty-first aspect related to any one of the preceding aspects, the body (2) is one-piece.

[0063] In a 42nd embodiment according to any one of the preceding embodiments, the container (1) is a plastic multi-dose squeeze bottle.

[0064] In a 43rd aspect relating to any one of the preceding aspects, the dispensing outlet (10) is configured to dispense multiple discrete amounts of the fluid solution at respective individual user demands, and in particular, the discrete amounts are deliverable at discrete time intervals.

[0065] In a forty-fourth aspect relating to the above aspects, the internal volume (3) of the body (2) is larger than each individual amount of volume dispensed each time by the distribution outlet (10), and in particular the internal volume (3) is capable of dispensing between 5 and 500 individual amounts.

[0066] In a forty-fourth aspect relating to any one of the preceding aspects, the internal volume (3) of the body (2) is larger than the volume of the fluid to be transferred (e.g., from a vial), in particular the internal volume (3) is at least 5 times larger than the volume of the fluid to be transferred, in particular the internal volume (3) is at least 10 times larger than the volume of the fluid to be transferred, in particular the internal volume (3) is at least 20 times larger than the volume of the fluid to be transferred, in particular the internal volume (3) is at least 30 times larger than the volume of the fluid to be transferred.

[0067] In a forty-fifth aspect relating to any one of the preceding aspects, each discrete amount of volume of the fluid material (4) dispensed by the dispensing outlet (10) is between 0.020 milliliters and 0.2 milliliters.

[0068] In a 46th aspect relating to any one of the preceding aspects, the dispensing outlet (10) is a dropper.

[0069] In a 47th aspect relating to any one of the preceding aspects, the container (1) further comprises a dispensing accessory (11) connected or configured to be connected to the dispensing outlet (10), the dispensing accessory (11) configured to dispense a fluid substance (4) contained in the internal volume (3).

[0070] In a 48th aspect according to any one of the preceding aspects, the dispensing accessory (11) is a dropper or a spray nozzle.

[0071] In a 49th aspect relating to any one of the preceding aspects, the dispensing accessory (11) is a dropper comprising a housing and an internal membrane (13) disposed inside the housing and functioning as a valve (20) for dispensing individual droplets of the fluid substance (4).

[0072] In a 50th aspect according to the above aspects, the membrane (13) is a sealed position, in which the membrane (13) prevents fluid communication between the interior volume (3) of the container (1) and the dispensing outlet (10), in particular preventing the fluid substance (4) from exiting through the dispensing outlet (10) of the container (1); a delivery position in which the membrane (13) allows fluid communication between the interior volume (3) of the container (1) and the dispensing outlet (10), and in particular allows discrete quantities of the fluid substance (4) to flow out through the dispensing outlet (10) of the container (1).

[0073] The main purpose of the dispensing accessory in the forty-ninth and fiftieth embodiments is to prevent (external) contamination of the liquid contained in the deformable container during and after delivery of each drug dose (even in the absence of a preservative).

[0074] In a 51st aspect relating to any one of the preceding aspects, the dispensing accessory (11) further comprises an elastic member (14) that biases against the membrane (13) to maintain the sealed position, and in particular the elastic member (14) is a metal spring.

[0075] In a 52nd aspect relating to any one of the preceding aspects, the elastic member (14) is configured to enable the membrane (13) to switch from a sealing position to a delivery position based on a predetermined pressure within the internal volume (3) of the container (1).

[0076] In a 53rd aspect relating to any one of the preceding aspects, the container (1) further comprises a cap (15) that can be placed on the dispensing outlet (10), and the cap (15) is movable between a covered position in which the dispensing outlet (10) is covered by the cap (15) and an uncovered position in which the dispensing outlet (10) is not covered, and the cap (15) is movable between the covered position and the uncovered position, and vice versa.

[0077] In a fifty-fourth aspect relating to any one of the preceding aspects, the filling access (8) comprises a threaded connection (53) for connecting to a connection accessory (51).

[0078] In a 55th aspect relating to any one of the preceding aspects, the filling access (8) protrudes from an internal volume (3) defining a collar (9), and in particular the valve (20) is disposed within the collar (9).

[0079] In a fifty-sixth embodiment, the collar (9) comprises an attachment element (9a) for connecting to the connection accessory (51), the attachment element (9a) comprising one of a screw, a bayonet coupling and a snap-on coupling.

[0080] In a fifty-seventh aspect relating to any one of the preceding aspects, the collar (9) of the filling access (8) includes an external thread (9a) for connecting to a connection accessory (51).

[0081] In a fifty-eighth embodiment according to any one of the preceding embodiments, the collar (9) and the body (2) of the container (1) are two separate parts assembled together.

[0082] In a fifty-ninth aspect relating to any one of the preceding aspects, the filling access (8) comprises a luer connector, such as a female luer connector, for connecting to a connection accessory (51).

[0083] In a sixtieth aspect relating to any one of the preceding aspects, the container (1) further comprises a removable cap (15) disposed on the dispensing outlet (10).

[0084] In a 61st aspect relating to any one of the preceding aspects, the internal volume (3) of the container (1) in the preceding state contains a medical fluid, i.e., saline or sterile water or a solvent or thinner, which is used to reconstitute a lyophilized drug, a dried drug, a powdered drug, or a concentrated solution contained in a glass vial.

[0085] A sixty-second embodiment, optionally according to any one of the preceding embodiments, relates to a kit (50), comprising: A deformable container (1) for dispensing a medical substance, the deformable container (1) comprising a body (2) configured to define an interior volume (3) configured to receive a fluid substance (4), the body (2) comprising: a filling access (8) configured to receive a fluid substance (4) to fill the interior volume (3) of the body (2); a dispensing outlet (10) configured to dispense a quantity of a fluid material (4) from the interior volume (3); a valve (20) disposed in the filling access (8) and movable between an open configuration in which the valve (20) allows fluid passage through the filling access (8) and a closed configuration in which the valve (20) prevents fluid passage through the filling access (8); the body (2) comprises at least one elastically deformable wall defining an interior volume (3); A connection accessory (51), a first coupling (52) configured to fluidly connect to a filling access (8) of the deformable container (1); a second coupling portion (60) configured to fluidly connect to the internal compartment (102) of the vial (101), in particular the internal compartment (102) of the vial (101) containing a fluidic substance (4); a connection accessory (51) having an internal passage (70) that fluidly connects the first connection portion (52) to the second connection portion (60) and vice versa; The kit (50) is configurable in a combined configuration; a first coupling part (52) of the connection accessory is coupled to the filling access (8) of the container (1); The valve (20) of the container (1) is in an open configuration such that the internal volume (3) of the container (1) is in fluid communication with the second coupling portion (60) of the connection accessory (51), and in particular, the internal volume (3) of the container (1) is in fluid communication with the compartment (102) of the vial (101).

[0086] In a sixty-third aspect according to any one of the preceding aspects, in a coupling configuration: A first coupling portion (52) of the connection accessory (51) abuts against the valve (20) of the container (1); The valve (20) of the container (1) is deformed by a first coupling portion (52) of the connection accessory (51), thereby moving from a closed position to an open position.

[0087] In a sixty-fourth aspect relating to any one of the preceding aspects, in a coupled configuration, the connection accessory (51) is fluidly interposed between the deformable container (1) and the vial (101).

[0088] In a 64th aspect relating to any one of the preceding aspects, in a coupled configuration, the connection accessory (51) is interposed between the container (1) deformable along the longitudinal axis X and the vial (101).

[0089] In a sixty-fifth aspect according to any one of the preceding aspects, the filling access (8) of the container (1) comprises a threaded connection (9a) and the first connection (52) of the connection accessory (51) comprises a respective threaded connection (53) for connection to the threaded connection (9a) of the filling access (8) of the container (1); and / or The filling access (8) of the container (1) and the first coupling part (52) of the connection accessory (51) are provided with a snap-on coupling enabling their mutual coupling.

[0090] In a 66th aspect relating to any one of the preceding aspects, the filling access (8) of the container (1) has a luer connector, and the first coupling portion (52) of the connection accessory (51) has a luer connector for respectively connecting to the luer connector of the filling access (8) of the container (1).

[0091] In a 67th aspect relating to any one of the preceding aspects, the luer connector of the filling access (8) of the container (1) is a female luer connector, and the luer connector of the first connection portion (52) of the connection accessory (51) is a male luer connector.

[0092] In a 68th aspect relating to any one of the preceding aspects, the male luer connector of the first coupling portion (52) of the connection accessory (51) has a protrusion (54) that enters into a rigid rim of the filling access (8) and abuts the valve (20) of the filling access (8) of the container (1) when in a coupled configuration, moving the valve (20) to an open position.

[0093] In a sixty-ninth aspect relating to any one of the preceding aspects, the second connecting portion (60) of the connection accessory (51) comprises a hollow needle (61) for connecting to the vial (101), and the connection accessory (51) forms a fluid passage through the needle (61), the internal passage (70), and the first and second connecting portions (52, 60).

[0094] In a 70th aspect relating to any one of the preceding aspects, the second connecting portion (60) of the connection accessory (51) has a collar (62), which is configured to connect to a respective portion of the vial (101) to mechanically restrain the connection accessory (51) to the vial (101).

[0095] In the 70th aspect relating to the above aspect, the collar (62) of the second connecting portion (60) of the connection accessory (51) surrounds the outside of the needle (61), and in particular the needle (61) is completely surrounded by the collar (62) of the second connecting portion (60) of the connection accessory (51).

[0096] In a 71st aspect relating to any one of the preceding aspects, the collar (62) of the second connecting portion (60) of the connection accessory (51) forms a snap-on connection for connecting to the vial (101).

[0097] In a 72nd aspect relating to any one of the preceding aspects, the collar (62) of the second connecting portion (60) of the connection accessory (51) has two or more flexible walls or fingers (63) configured to expand outward during connecting the second connecting portion (60) to the vial (101), and in particular, the connection accessory (51) has three to twelve, in particular four to eight, flexible walls or fingers (63).

[0098] In a seventy-third aspect relating to any one of the preceding aspects, the connection accessory (51) is a single piece.

[0099] In a seventy-fourth embodiment according to any one of the previous embodiments, the connection accessory (51) is made of plastic, or the first coupling portion (52), the second coupling portion (60) and the internal passage (70) are made of plastic, and the needle (61) is made of metal, i.e., stainless steel. Typically, polycarbonate (PC) is used to manufacture the connection accessory (51), for example by injection molding.

[0100] In a 75th aspect relating to any one of the preceding aspects, the first connecting portion (52) and the second connecting portion (60) of the connection accessory (51) are aligned along a common connection axis Z, and in particular, the first connecting portion (52), the second connecting portion (60) and the internal passage (70) are aligned along the same connection axis Z.

[0101] In a seventy-fifth aspect relating to any one of the preceding aspects, the connection accessory (51) does not include a valve.

[0102] In a seventy-fifth aspect relating to any one of the preceding aspects, the internal passage (70) of the connection accessory (51) is a channel that fluidly connects the first connecting portion (52) with the second connecting portion (60).

[0103] In a seventy-fifth aspect relating to any one of the preceding aspects, the first coupling portion (52) is always in fluid communication with the second coupling portion (60).

[0104] A seventy-sixth aspect, optionally according to any one of the preceding aspects, relates to an assembly (100), comprising: A kit (50) according to any one of the preceding embodiments; a vial (101) forming a compartment (102) for containing a substance, The assembly (100) is configurable in an assembled form; the deformable container (1) and the connection accessory (51) are in a coupled configuration; The second coupling portion (60) of the connection accessory (51) is connected to the vial (101); In the assembled configuration, the interior volume (3) of the deformable container (1) is in fluid communication with the compartment (102) of the vial (101) through the connection accessory (51).

[0105] In a 77th aspect relating to any one of the preceding aspects, the second coupling portion (60) of the connection accessory (51) has a hollow needle (61) for fluidly connecting the internal passage (70) of the connection accessory (51), which, in an assembled form, protrudes into the compartment (102) of the vial (101).

[0106] In a 78th aspect relating to any one of the preceding aspects, the vial (101) is provided with a diaphragm (110) through which the needle (61) of the connection accessory (51) can be penetrated.

[0107] In a 79th aspect according to the above aspects, the needle (61) of the connection accessory (51) passes through the diaphragm (110) of the vial (101).

[0108] In an eightieth aspect according to any one of the preceding aspects, the diaphragm (110) of the vial (101) is made of an elastic material, in particular rubber or silicone.

[0109] In an eighty-first aspect according to any one of the preceding aspects, the compartment (102) of the vial (101) contains a fluid substance (4), one of a medical fluid and a powdered substance.

[0110] In an eighty-second embodiment according to any one of the preceding embodiments, the vial (101) contains a medical sterile product for ophthalmic use in liquid or powder form.

[0111] In an eighty-third embodiment relating to any one of the preceding embodiments, the vial (101) comprises a side wall (104), a bottom wall, and a top edge (106) opposite the bottom wall (105).

[0112] In an eighty-fourth aspect according to the above aspects, the diaphragm (110) is disposed on the upper edge (106).

[0113] In an 85th embodiment according to any one of the preceding embodiments, the vial (101) comprises a housing (103) forming an internal compartment (102), the housing being made of glass.

[0114] In an 86th embodiment relating to any one of the preceding embodiments, the compartment (102) of the vial (101) has a volume equal to or substantially equal to or smaller than the internal volume (3) of the deformable container (1).

[0115] In an 87th embodiment according to any one of the preceding embodiments, the volume of the compartment (102) of the vial (101) is between 3 milliliters and 15 milliliters, in particular between 4 milliliters and 12 milliliters.

[0116] In an 88th aspect relating to any one of the preceding aspects, the assembly (100), in the assembled form, forms a sealed volume defined as a combination of the internal volume (3) of the container (1), the compartment (102) of the vial (101), and the internal passage (70) of the connection accessory (51).

[0117] In an 89th aspect related to any one of the preceding aspects, the enclosed volume is fluid-tight.

[0118] In a 90th aspect relating to any one of the preceding aspects, in the assembled configuration, the longitudinal axis X of the container (1), the connection axis Z of the connection accessory (51), and the vial axis V of the vial are aligned with each other.

[0119] A ninety-first aspect, optionally according to any one of the preceding aspects, relates to a method (200) for moving a fluidic substance (4) in a deformable container (1), the method (200) comprising: Providing (201) an assembly (100) according to any one of the previous aspects; connecting (202) a filling access (8) of the deformable container (1) to a first coupling part (52) of a connection accessory (51); connecting (203) a second coupling portion (60) of the connection accessory (51) to the vial (101) to define an assembly configuration; Squeezing (204), in particular manually, the deformable container (1) to reduce its internal volume (3); Releasing (205) the squeeze of the deformable container (1) to allow the body (2) of the deformable container (1) to elastically return; Optionally, the method includes at least the step of sequentially repeating the constricting and unthrottling steps until the fluid substance (4) has been completely transferred into the deformable container (1).

[0120] In a 92nd aspect according to any one of the preceding aspects, connecting a filling access (8) of the deformable container (1) to a first coupling part (52) of a connection accessory (51); connecting the second coupling portion (60) of the connection accessory (51) to the vial (101) to define an assembly configuration, The compartment (102) of the vial (101) is determined to be in fluid communication with the internal volume (3) of the deformable container (1) through the connection accessory (51).

[0121] In a 93rd aspect relating to any one of the preceding aspects, prior to the step of connecting the filling access (8) of the deformable container (1) to the first connection portion (52) of the connection accessory (51), the valve (20) at the filling access (8) of the container (1) is in a closed position.

[0122] In a 94th aspect relating to any one of the preceding aspects, the step of connecting the filling access (8) of the deformable container (1) to a first connection portion (52) of the connection accessory (51) determines that the valve (20) of the filling access (8) of the container (1) moves to an open position to allow fluid passage.

[0123] In a 95th aspect relating to any one of the preceding aspects, the step of connecting the filling access (8) of the deformable container (1) to the first connection portion (52) of the connection accessory (51) determines a deformation of a deformable member (21) of a valve (20) of the filling access (8) of the container (1) and moves the valve (20) to an open position by the deformation to allow fluid passage.

[0124] In a 96th aspect relating to any one of the preceding aspects, the step of connecting the filling access (8) of the deformable container (1) to the first connecting portion (52) of the connection accessory (51) includes screwing the first connecting portion (52) of the connection accessory (51) onto the filling access (8) of the deformable container (1) by rotating.

[0125] In a 97th aspect relating to any one of the aforementioned aspects, the step of connecting the second coupling portion (60) of the connection accessory (51) to the vial (101) comprises: Pressing the second coupling portion (60) of the connection accessory (51) against the upper edge (106) of the vial (101); or The method includes the step of screwing the second coupling portion (60) of the connection accessory (51) into the vial (101) by rotating the second coupling portion (60).

[0126] In a 98th aspect relating to any one of the aforementioned aspects, the step of connecting the second coupling portion (60) of the connection accessory (51) to the vial (101) comprises: The step includes a step of penetrating a diaphragm (110) of the vial (101) with a hollow needle (61) disposed in a second coupling portion (60) of the connection accessory (51), the step determining whether the hollow needle (61) enters a compartment (102) of the vial (101) to fluidly connect the compartment (102) of the vial (101) with an internal volume (3) of the container (1).

[0127] In a 99th aspect relating to any one of the preceding aspects, when the container (1) is initially empty, the step of manually squeezing the deformable container (1) to reduce the internal volume (3) of the container (1) determines the passage of gas or air from the internal volume (3) of the container (1) to the compartment (102) of the vial (101), in particular thereby increasing the pressure in the vial (101).

[0128] In a hundredth aspect relating to any one of the aforementioned aspects, when the container (1) initially contains a medical liquid, i.e., saline or sterile water, a step of manually squeezing the deformable container (1) to reduce the internal volume (3) of the container (1) determines the passage of the medical liquid from the internal volume (3) of the container (1) to the compartment (102) of the vial (101).

[0129] In a 101st aspect relating to any one of the preceding aspects, when the container (1) initially contains a medical liquid and the vial (101) initially contains a powdered substance or another concentrated liquid, the step of manually squeezing the deformable container (1) determines the passage of the medical liquid from the internal volume (3) of the container (1) to the compartment (102) of the vial (101), thereby mixing the medical liquid with the powdered substance or concentrated liquid in the compartment (102), and the mixing produces a fluid substance (4).

[0130] In a 102nd aspect relating to any one of the preceding aspects, the step of releasing the squeeze of the deformable container (1) results in an elastic return of the body (2) of the deformable container (1), which causes a suction step in which the container (1) draws in the fluid substance (4) from the vial (101) into the internal volume (3) of the deformable container (1).

[0131] In a 103rd aspect relating to any one of the preceding aspects, during the step of manually squeezing the deformable container (1) to reduce the internal volume (3), the method includes a step of placing the deformable container (1) over a vial (101).

[0132] In a 104th aspect relating to any one of the preceding aspects, during the step of releasing the squeeze of the deformable container (1) to allow the body (2) of the deformable container (1) to elastically return, the method includes a step of placing a vial (101) on the deformable container (1).

[0133] In a hundred and fifteenth aspect relating to any one of the preceding aspects, manually squeezing the deformable container (1) reduces the internal volume (3).

[0134] In a 106th aspect relating to any one of the aforementioned aspects, the method (200) includes a step of aligning a longitudinal axis X of the deformable container (1) with a vial axis V of the vial (101).

[0135] In a 107th aspect relating to any one of the preceding aspects, the method (200) includes a step of aligning a longitudinal axis X of the deformable container (1) with a vial axis V of the vial (101) and a connection axis Z of the connection accessory (51) such that the longitudinal axis X, the vial axis V and the connection axis Z are coincident with each other or parallel to each other.

[0136] Embodiments of a device with a valve for liquid transfer This embodiment belongs to the field of devices for transferring liquids from a glass vial to another container for administration. More specifically, this embodiment relates to the transfer of liquids to be administered as nasal sprays, oral drops, or eye drops through the compression of a plastic squeeze bottle. This embodiment consists of a device consisting of a plastic multi-dose squeeze bottle with a two-way seal valve at the bottom and a liquid dispenser at the top. The valve is luer-activated, i.e. it opens and stays open when the valve is connected to the top of the vial adapter. The vial adapter has a needle at the base intended to pierce the rubber stopper of the glass vial to access the contents, in addition to a male luer at the top to open the valve of the device and lock the vial adapter to the device itself. To transfer liquid from one container to another, for example from a glass vial to a plastic squeeze bottle, the vial adapter needs to be connected to both the valve of the device and the glass vial. The system thus assembled is ready to transfer liquid and needs to be oriented by the user so that the glass vial is placed at the top. By squeezing or releasing the side wall of the plastic container, the air in the container is forced into the glass vial and the liquid contained therein is forced through the needle of the vial adapter and the open valve into the plastic squeeze bottle. Once the liquid transfer is completed, the unit consisting of the vial adapter and the glass vial can be removed from the plastic squeeze bottle. The plastic squeeze bottle remains sealed by the valve of the device. The squeeze bottle can be used as a normal squeeze bottle and can release a dose of liquid in the form of a spray or drops through the dispensing tip when the cap is removed. In another embodiment of the invention, the unit comprising the device and the vial adapter is supplied in a pre-assembled state. In this embodiment, the valve of the device can be left open from the beginning (already connected to the vial adapter) or can only be opened when the vial adapter is pressed to pierce the rubber stopper of the glass vial.This embodiment requires that there is a moving part at the top of the vial adapter, which penetrates the vial stopper and simultaneously opens the valve of the device, putting the system in communication with the flow of liquid. This embodiment is also suitable for facilitating the reconstitution of powders (or dilution of concentrated liquids) contained in glass vials. In this case, the plastic squeeze bottle of the device is pre-filled with diluent, and once connected to the glass vial, the bottle is squeezed to force the diluent into the glass vial at the bottom. If the diluent has dissolved the powder (or diluted the liquid) contained in the glass vial, the system is turned upside down so that the glass vial is at the top. At this point, the procedure described in the first part is repeated to transfer the liquid from the glass vial to the plastic squeeze bottle of the device. It is important to note how this embodiment allows the transfer of liquid from one container to another without the aid of a needle syringe and in complete isolation from the external environment, thereby preserving the microbiological quality of the liquid itself. To further reduce the risk of contamination, the dispenser of the device may be one of the commercially available dispensers designed to administer multiple doses of a preservative-free sterile liquid (e.g. eye drops as in WO 2014 / 048668), and the vial adapter may be connected to the device valve. One of these is equipped with a sterile filter and is commercially available. An example of an embodiment is described below: (A) The three elements are easy to assemble: the device consists of a plastic squeeze container with a dispenser and a two-way luer-activated valve, the vial adapter and the glass vial contain the liquid to be transferred. The container is made of plastic with a side wall that allows squeezing, similar to most commercially available spray or drop dispensers. The movable element of the luer-activated valve in the dormant state keeps the container completely isolated from the outside environment. The vial adapter has at its top both a male luer connector that opens the valve of the device and a luer lock that locks onto the valve, and at its base a needle that pierces the rubber stopper of the vial. (B) The same three elements are connected to each other.In this configuration, one can see the deformed mobile element in the open valve of the device and the needle of the adapter piercing the rubber stopper of the glass vial. By pressing and releasing the wall of the plastic squeeze container, the air in the container is forced into the glass vial and the liquid is forced to fall by gravity through the needle of the adapter and the open valve into the plastic container. (C) The unit consists of a vial adapter connected to a glass vial separated from the device. Which contains the liquid initially contained in the glass vial. The valve is in the rest position, keeping the plastic container sealed. This device can be used normally as a generic multi-dose squeeze container by removing the cap from the dispenser to release the liquid in the form of a spray or drops. (C') How does this device allow the transfer of a diluent from a plastic container to a glass vial, for example to reconstitute or dilute its contents before returning the liquid obtained to the container? This operation is always performed by pressing and releasing the wall of the container. In this case, the wall is higher than the vial and the diluent is forced to fall by gravity into the vial itself. Finally, flipping the system returns to the configuration of (B). (D) In ​​a variant of the invention, the device with the spacer and the vial adapter are preassembled in a single block. The spacer element holds the device connected to the vial adapter via the locking tab of the modified luer without opening the valve. The valve is therefore in the rest position. (E) In another embodiment according to (D), the unit already connected to the vial adapter is connected to a glass vial. The pressure applied to connect the element also opens the valve, allowing the passage of liquid as previously described. The tab locks the system in the new configuration, keeping the valve open. (F) As in (C), the unit comprising the modified adapter connected to both the glass vial and the element is separated from the device with liquid and can be used as normal.In a first combination, a device for preparing and dispensing liquids is provided, comprising a multi-dose squeeze bottle with a dispenser at one end and a two-way luer-activated seal valve at the other end that opens only when connected to a vial adapter. By compressing and releasing the elastic walls of the squeeze bottle, three different operations can be performed: forcing liquid from the bottle into a glass vial connected to the adapter when it is intended to reconstitute or dilute the contents, aspirating liquid from a vial connected to the adapter, and expelling multiple doses of liquid through the dispenser once the adapter is removed from the valve.

[0137] In a second embodiment of the above combination, the fixed part of the valve is made of polycarbonate, polypropylene or other plastic material, and the movable part of the valve is made of a single element of elastically deformable polymer, for example silicone rubber, or a combination of a rubber or silicone element with a metal or plastic spring.

[0138] In a third combination according to any one of the previous combinations, the squeeze bottle is constructed from polypropylene, polyethylene, polyvinyl chloride or other flexible plastic material, or a combination of resilient plastic materials.

[0139] In a fourth combination related to any one of the preceding combinations, the squeeze container is a tube to which the valve is heat sealed or glued.

[0140] In a fifth combination related to any one of the preceding combinations, the dispenser releases the medicament or other liquid in the form of a spray or droplets.

[0141] In a sixth combination according to any one of the preceding combinations, the dispenser is of a type capable of dispensing multiple doses of a preservative-free sterile liquid, for example having a filter to prevent the ingress of contaminated air from the outside, a membrane that seals itself after each dispense, and / or an element that sterilizes the liquid by contacting it with the liquid being dispensed.

[0142] In a seventh combination according to any one of the preceding combinations, the vial adapter according to the first combination has a hollow pointed element intended to pierce the rubber stopper of the glass vial and, on the opposite side, a male luer connector and luer lock compatible with the valve of the device.

[0143] In an eighth combination related to any one of the preceding combinations, the vial adapter of the seventh combination includes a sterile filter that prevents ingress of contaminated liquid or air into the container.

[0144] In a ninth combination relating to any one of the preceding combinations, the device is pre-assembled with a vial adapter, allowing a user to connect the entire so constructed unit to a glass vial in a single operation.

[0145] In a tenth combination relating to any one of the preceding combinations, the plastic spacer prevents the valve of the device from opening during pre-assembly of the device with the vial adapter so that the valve remains closed until the adapter is connected to a glass vial.

[0146] Certain embodiments and aspects of the present invention are described below with reference to the accompanying drawings, which are provided by way of example only. [Brief description of the drawings]

[0147] [Figure 1] FIG. 2 is a cross-sectional view along the longitudinal axis of a deformable container, a connection accessory and a vial in an unassembled state. [Diagram 2]FIG. 2 is a cross-sectional view along the longitudinal axis of a deformable container, a connection accessory and a vial in an assembled configuration. [Diagram 3] A cross-sectional view along the longitudinal axis of a deformable container, a connection accessory, and a vial shown in chronological order in an assembled form, with the container separated from the connection accessory and empty vial after liquid has been transferred from the vial. [Figure 4] 13 is a cross-sectional view along the longitudinal axis of a further embodiment of a deformable container, a connection accessory and a vial in an unassembled state. FIG. [Diagram 5] FIG. 5 is a cross-sectional view along the longitudinal axis of the further embodiment of FIG. 4, with the deformable container, the connection accessory and the vial in an assembled configuration. [Figure 6] 5 is a cross-sectional view along the longitudinal axis of the further embodiment of FIG. 4 and a subsequent cross-sectional view of the assembled configuration, in which the container is separated from the connection accessory and the empty vial after liquid has been transferred from the vial. [Figure 7] 13A-13C are cross-sectional views of further embodiments of a deformable container, a connection accessory and a vial in an unassembled state. [Figure 8] 1A and 1B show a package including a deformable container and a connection accessory in a combined configuration. [Figure 9] 1 shows a package including a deformable container and a further package including a connection accessory. [Figure 10] 1 shows the main steps for obtaining a fluidic substance in a deformable container according to an embodiment in which the container is initially empty. [Figure 11] 1 shows the main steps for obtaining a fluidic substance in a deformable container, according to an embodiment in which the container initially contains a liquid. [Figure 12] 1 is a flow chart including the main steps of a method for obtaining a fluid substance in a deformable container. [Figure 13a]1 shows the main steps for obtaining a fluid substance in a deformable container according to another embodiment, where the deformable container contains a liquid for reconstitution or dilution and the vial contains a powder or liquid concentrate, respectively. [Figure 13b] 1 shows the main steps for obtaining a fluid substance in a deformable container according to another embodiment, where the deformable container contains a liquid for reconstitution or dilution and the vial contains a powder or liquid concentrate, respectively. [Figure 13c] 1 shows the main steps for obtaining a fluid substance in a deformable container according to another embodiment, where the deformable container contains a liquid for reconstitution or dilution and the vial contains a powder or liquid concentrate, respectively. [Figure 13d] 1 shows the main steps for obtaining a fluid substance in a deformable container according to another embodiment, where the deformable container contains a liquid for reconstitution or dilution and the vial contains a powder or liquid concentrate, respectively. [Figure 13e] 1 shows the main steps for obtaining a fluid substance in a deformable container according to another embodiment, where the deformable container contains a liquid for reconstitution or dilution and the vial contains a powder or liquid concentrate, respectively. [Figure 13f] 1 shows the main steps for obtaining a fluid substance in a deformable container according to another embodiment, where the deformable container contains a liquid for reconstitution or dilution and the vial contains a powder or liquid concentrate, respectively. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0148] definition In this detailed description, corresponding parts shown in the various figures are designated by the same reference numerals. The drawings may illustrate the invention without being drawn to scale. Therefore, parts and components shown in the figures that are relevant for the purposes of the invention may be related solely to schematic diagrams.

[0149] Detailed Description The following disclosure relates to a deformable container 1 and a kit 50 including the deformable container 1 and a connection accessory 51. In the following description, an assembly 100 comprising the deformable container 1, the connection accessory 51 and a vial 101 is also disclosed. Furthermore, the description further discloses a method 200 for fluidly connecting the deformable container 1 to the vial 101 through the connection accessory 51. The deformable container 1, the kit 50 and the assembly 100 belong to the medical field for drug administration. In particular, the deformable container 1, the kit 50 and the assembly 100 may be sold in pharmacies for home use. It is noteworthy that the deformable container 1, the kit 50 and the assembly 100 may also be used by the patient himself. The invention does not necessarily have to be used by those skilled in the medical field. The deformable container 1, the kit 50 and the assembly 100 may relate to dispensing a medical substance 4 in liquid form according to the need of the user.

[0150] According to one embodiment, the substance may be an ophthalmic product and the deformable container 1 may be configured to contain a solution and dispense it in discrete amounts at time intervals (i.e., administer in multiple doses) as needed by the user. In particular, the ophthalmic product contained in the deformable container 1 may be dispensed in the form of droplets. The fluid substance 4 may be used as a treatment for moderate (persistent epithelial defects) or severe (corneal ulcers) neurotrophic keratitis. The fluid substance may comprise or consist of chenegelmine solution. Cenegelmine solution is a sterile, preservative-free medicine used to treat neurotrophic keratitis. Neurotrophic keratitis is an eye condition in which damage to the trigeminal nerve that supplies the eye surface results in sensory loss and non-healing lesions.

[0151] According to a further embodiment, the deformable container 1 may be configured to dispense the medical substance as a spray.

[0152] Further details regarding the construction of the deformable container 1, the kit 50 and the assembly 100 will be provided below.

[0153] Transformable container 1 Reference number 1 refers to a deformable container as shown in Figures 1-11.

[0154] The deformable container 1 comprises a body 2 forming an internal volume 3 configured to receive a fluid substance 4. The body 2 may comprise a first end 5, a second end 6, and a sidewall 7 longitudinally interposed between the first end 5 and the second end 6. The first end 5 and the second end 6 may be opposed to each other relative to the sidewall 7. The sidewall 7 of the body 2 extends lengthwise along a longitudinal axis X substantially parallel to the sidewall 7. The longitudinal axis X may be orthogonal to the first end 5 and the second end 6. The body 2 extends widthwise along a transverse axis Y orthogonal to the longitudinal axis X. In particular, the sidewall 7 may define a maximum width of the body 2. The first end 5 and the second end 6 may extend substantially along the transverse axis Y.

[0155] The body 2 may have a substantially cylindrical shape, in particular in this embodiment the first end 5 and the second end 6 may have a circular shape and the side wall 7 has a cylindrical shape and defines a diameter of the body 2 of the deformable container 1. According to alternative embodiments, the body may have an elliptical or polygonal shape, in particular the cross section along a plane perpendicular to the longitudinal axis may define a side wall 7 having an elliptical or polygonal, i.e. square, rectangular, triangular or hexagonal shape.

[0156] The body 2 may have an oval shape, the length along the longitudinal axis being greater than the respective width along the transverse axis. In particular, the length may be at least 1.5 times the width, in particular the length may be at least twice the width, optionally the length may be at least 3 or 5 times the width. In one embodiment, the length of the body 2 may be 1.5 to 5 times, in particular 2 to 4 times the width of the body.

[0157] The container body 2 may extend in length from 20 mm to 90 mm, in particular from 30 mm to 60 mm. The container body 2 may extend in width or diameter from 5 mm to 30 mm, in particular from 10 mm to 25 mm. At least one elastically deformable wall, i.e. the side wall 7 of the body 2, may have a thickness of from 0.5 mm to 0.9 mm.

[0158] The internal volume 3 of the body 2 is generally greater than 3 milliliters. It may be between 3 milliliters and 15 milliliters, more particularly between 4 milliliters and 12 milliliters, in particular in the unsqueezed resting state.

[0159] It is noteworthy that the body 2 comprises at least one elastically deformable wall that defines the boundary of the internal volume 3. In particular, the deformable wall may constitute a side wall 7 of the body 2. Furthermore, the deformable wall may comprise the first end 5 and / or the second end 6 of the body in addition to or instead of the side wall 7. The body may be made of a one-piece plastic or silicone material, or a combination thereof. In particular, at least the side wall 7 and the second end 6 may be made as a single piece. More particularly, the body may be made as a single piece, in particular seamlessly. In this regard, different plastic materials may be used, including but not limited to polyethylene, polypropylene, polyvinyl chloride or other flexible materials, or combinations thereof. In a preferred embodiment, polyethylene, i.e. LDPE, is used. The body 2 may be made by injection molding or blow molding.

[0160] The expression "elastically deformable" referring to at least one deformable wall of the body 2 denotes that the deformable wall can be repeatedly squeezed by a user and subsequently substantially returns to its original shape, for example an original cylindrical shape. In other words, the deformable container body 2 is configured to return to its original shape after being squeezed, which may be cylindrical. Indeed, the deformable container body 2 has its original shape at rest, in particular when there is no external load on the container, for example when the container is not being squeezed by a user, thereby defining a predefined size of the interior volume.

[0161] Notably, the interior volume 3 of the container 1 is substantially independent of the presence or absence of a fluidic substance. Indeed, the presence of fluid in the container does not result in expansion of the container itself, and the absence of fluid does not result in collapse of the container. The body 2 of the deformable container may assume a squeezed shape that defines a reduced size of the interior volume when the body is squeezed by a user. Notably, the reduced size of the interior volume is smaller than the predefined size of the interior volume. Indeed, when the deformable container 1 is squeezed by a user, the original shape is changed and the interior volume is reduced.

[0162] The above mentioned materials for making the body 2, ie plastic, silicone or other materials with similar mechanical and elastic properties, enable the body to provide this elastic and deformable behavior.

[0163] The body 2 includes a filling access 8 configured to receive a fluidic substance 4 for filling the interior volume 3 of the body 2. The filling access 8 defines an opening in the body 2 to allow fluid communication with the interior volume 3. As a result, a fluidic substance may exit the interior volume 3 through the filling access 8, and / or a fluidic substance may enter the interior volume through the filling access 8 for subsequent dispensing as needed by a user. Further details regarding the filling procedure of the deformable container are provided below in the next section. The filling access 8 may have a minimum size, i.e., diameter, of 3.5 mm to 5 mm.

[0164] As shown in the attached drawings, the filling access 8 may be carried by the first end 5 of the body 2. The filling access 8 may in particular start from the first end 5 and project away from the internal volume 3 defining a collar 9. The collar may extend from the first end 5 to a height of 2 mm to 5 mm. The collar may be cylindrical. The lumen formed internally by the collar may have a size of 3.5 mm to 5 mm.

[0165] The collar 9 may further comprise an attachment element 9a for connecting to the connection accessory 51. The attachment element may comprise one of a screw, a bayonet coupling and a snap-on coupling. The embodiment shown in the figures comprises the collar 9 of the filling access 8 having an external thread for connecting to the connection accessory 51. It should be noted that the collar 9 and the body 2 of the container 1 may be two separate parts assembled together. Alternatively, the collar 9 and the body 2 of the container 1 may be made as a single part, in particular without seams. The filling access 8 may comprise a luer connector for connecting to the connection accessory 51. In particular, the luer connector of the filling access 8 may be a female luer connector as shown in the embodiment in the attached drawings.

[0166] The deformable container 1 further comprises a valve 20 arranged on the filling access 8 and movable between an open configuration allowing fluid passage through the filling access 8 and a closed configuration in which the valve 20 prevents fluid passage through the filling access 8. In particular, when the valve 20 is arranged in the open position, it allows both fluid to flow out of the container 1 through the filling access 8 and fluid to flow into the internal volume 3 of the container 1 through the filling access 8. In other words, when the valve 20 is arranged in the open position, it allows both inflow and outflow directions of fluid. Conversely, when the valve is arranged in the closed position, both inflow and outflow directions of fluid are prevented. Of note, the passage between the closed and open positions, or vice versa, is not dependent on pressure in the internal volume 3 of the body 2, and the valve 20 cannot be opened by applying internal pressure. As shown in the attached drawings, the valve 20 may be arranged inside the collar 9 of the filling access such that the collar 9 surrounds the outside of the valve 20, in particular entirely. The outside of the valve 20 may therefore be completely surrounded by a collar 9 which defines lateral protection for the valve.

[0167] The valve 20 may be a self-sealing valve configured to maintain a closed position at rest. The valve is therefore in a closed position when "out of contact", preventing fluid passage through the filling access 8 and, in effect, sealing the container. The valve 20 is configured to move from a closed position to an open state when the connection accessory 51 is coupled to the filling access 8 of the deformable container. In particular, the connection between the filling access 8 and the connection accessory 51 determines the switching of the valve from the closed position to the open position. Conversely, the disconnection between the filling access 8 and the connection accessory 51 determines the switching of the valve 20 from the open position to the closed position.

[0168] The valve may comprise an outer body housing an elastically deformable member 21 that determines the passage between the closed and open positions. In particular, the deformation of the deformable member 21 caused by the connection of the connection accessory 51 to the filling access 8 of the container 1 determines the passage between the closed and open positions, or vice versa. The deformable member 21 may be made of an elastically deformable material, for example silicone or rubber. The outer body may be made of a hard plastic, such as polycarbonate. Both the deformable member and the outer body may each be manufactured by injection molding. The deformable member 21 of the valve 20 may comprise a slit 22. The slit 22 is configured to open the fluid passage when the filling access 8 is coupled to the connection accessory 51 and to close the fluid passage when the filling access 8 is decoupled. In particular, the deformable member 21 of the valve 20 is configured to deform when the filling access 8 is coupled to the connection accessory 51, the deformation opening the slit 22. Further details on the structure of the connection accessory 51 that allows the actuation of the open position of the valve 20 are provided in the next section related to the kit 50.

[0169] The container body 2 further comprises a dispensing outlet 10 configured to dispense a quantity of fluid substance 4 from the internal volume 3. The dispensing outlet 10 may be arranged at the second end 6 of the body 2. In particular, the second end 6 of the body 2 may carry the dispensing outlet 10 such that a side wall 7 is longitudinally interposed between the first end 5 and the second end 6. Optionally, the filling access 8 and the dispensing outlet 10 may be opposed to each other with respect to the side wall 7 of the container body 2, in particular, the filling access 8 and the dispensing outlet 10 may be aligned along a common axis parallel to the longitudinal axis X of the body 2 or aligned along the longitudinal axis X of the body 2.

[0170] As already mentioned at the beginning of the description, the container 1 may be configured to dispense the fluidic substance in various ways, for example as drops or spray. Irrespective of the dispensing mode, i.e. drops or spray, the dispensing outlet 10 is configured to dispense a number of individual quantities of the fluid solution 4 according to each individual user request, the individual quantities being deliverable at individual time intervals. The term "individual" indicates that a time interval is interposed between two subsequent deliveries of the fluidic substance, which time interval may define the frequency with which the dispensing outlet 10 dispenses drops of the substance, or the frequency of the treatment. In more general terms, the term "individual" indicates that the dispensing outlet 10 is configured to dispense "multiple" deliveries of the substance. In particular, the dispensing outlet 10 prevents dispensing the entire substance contained in the internal volume 3 of the container 1 at once. The dispensing outlet 10 is configured to divide the dispensing into several events, i.e. multiple events.

[0171] Indeed, the container 1 of the present invention is configured to contain the fluid substance over a storage period of, for example, between 1 and 28 days, typically at least 1 or 2 weeks, during which the dispensing outlet 10 dispenses discrete amounts of the fluid substance as needed by a user, for example once or twice or three or more times per day during the storage period.

[0172] For example, the medical fluid in the container may be 0.5 to 10 milliliters, and typically the medical fluid transferred to the deformable container is 2 to 6 milliliters.

[0173] The internal volume 3 of the body 2 is larger than the total amount of medical fluid transferred therein and larger than each individual volume dispensed by the dispensing outlet 10 each time. The internal volume (3) is at least 5, 10 or 20 times larger than the volume of fluid transferred. In particular, the internal volume (3) is at least 30 times larger than the volume of fluid transferred. Furthermore, the internal volume (3) allows for the dispensing of 5 to 500 individual volumes. Each individual volume of the volume of fluid material dispensed by the dispensing outlet 10 is between 0.020 milliliters and 0.2 milliliters.

[0174] The container may comprise a dispensing accessory 11 connected or configured to be connected to the dispensing outlet 10. The dispensing accessory 11 may be a separate component from the body 2 or may be assembled during the manufacture of the body 2. The dispensing accessory 11 may be a dropper or a spray nozzle. The dispensing accessory 11 may be connected to the body 10 of the container 1 through a threaded or snap-on connection. According to the illustrated embodiment, the dispensing accessory 11 is a dropper comprising a housing 12 and an internal membrane 13 arranged inside the housing 12. The membrane 13 functions as a valve for dispensing individual drops of the fluidic substance 4. The membrane 13 is movable between a sealing position and a delivery position. In the sealing position, the membrane 13 blocks fluid communication between the internal volume 3 of the container 1 and the dispensing outlet 10, in particular blocking the flow of the fluidic substance through the dispensing outlet 10 of the container. In the delivery position, the membrane 13 allows fluid communication between the internal volume 3 of the container 1 and the dispensing outlet 10 so that individual amounts of the fluidic substance can flow through the dispensing outlet 10 of the container.

[0175] The housing 12 defines the outer structure of the dispensing accessory 11 and is made (e.g., by injection molding) of a plastic material such as polypropylene or polyethylene. The housing 12 may have the same shape as the body of the container, for example, the housing 12 may have a cylindrical shape.

[0176] The membrane 13 may be made of an elastic material, for example silicone or rubber. The membrane 13 may be movable between the sealing position and the delivery position along a dispenser axis, which may be parallel or coincident with the longitudinal axis X of the body 2 of the container 1. The dispensing accessory 11 may further comprise an elastic member 14 biasing against the membrane 13 to maintain the sealing position, the elastic member 14 may be a metal spring. The elastic member 14 is configured to allow the membrane to switch from the sealing position to the delivery position at a predefined pressure within the internal volume of the container 1. The pressure inside the container 1 may be increased by squeezing the body 2, for example the user may squeeze the side wall 7 of the body 2 with his fingers. As a result, the internal pressure increases above a threshold value that determines the switch from the sealing position to the delivery position. Alternatively, the elastic member 14 may be part of the membrane 13, and thus the elastic member 14 and the membrane 13 may be made integrally. In this case, the elastic material of the membrane may function as the elastic member 14 to maintain the sealing position.

[0177] According to a further embodiment, the dispensing outlet 10 is a dropper made integral with the body (embodiment not shown in the attached figures).

[0178] The container may further comprise a cap 15 positionable on the dispensing outlet 10 and movable between a covered position and an uncovered position and vice versa. In the covered position, the cap 15 covers the dispensing outlet 10, protecting the dispensing outlet 10 and keeping the dispensing outlet 10 sterile. In particular, when the cap 15 is positioned in the covered position, it may be connected to the dispensing outlet 10 or the dispensing accessory 11 in a fluid-tight manner. When the cap 15 is in the uncovered position, the dispensing outlet 10 is uncovered to allow delivery of the fluidic substance.

[0179] It should be noted that the interior volume 3 of the container 1 may not initially contain any substance, i.e., the container 1 may be empty at the time of sale. Alternatively, the interior volume 3 of the container 1 may initially be filled with a medical liquid, i.e., saline or sterile water. The amount of medical liquid contained in the container 1 may be less than the maximum size of the interior volume. For example, the container may be filled to 1 / 10, 1 / 3, 1 / 2, or 2 / 3 of the maximum size of the interior volume 3.

[0180] Kit 50 The present disclosure is further directed to a kit 50. The kit includes a deformable container 1 as described in the previous section of the description and according to the embodiments and the appended claims. The kit 50 further comprises a connection accessory 51, shown in Figs. 1-11, which is connected or configured to be connected to the filling access 8 of the container 1. The connection accessory 51 comprises a first coupling part 52 configured to fluidly connect to the filling access 8 of the deformable container 1. For the connection, the first coupling part 52 of the connection accessory 51 may comprise a threaded coupling for connecting to a threaded coupling part (mounting element 9a) of the filling access 8 of the container. Alternatively, the filling access 8 of the container 1 and the first coupling part 52 of the connection accessory 51 comprise a snap-on coupling enabling their mutual coupling.

[0181] According to the embodiment shown in Figs. 1 to 11, the first coupling part 52 of the connection accessory 51 comprises a luer connector for connecting to a luer connector of the filling access 8 of the container 1. In particular, the luer connector of the first coupling part 52 of the connection accessory 51 may be a male luer connector, whereas the luer connector of the filling access 8 of the container 1 may be a female luer connector. The male luer connector of the first coupling part 52 of the connection accessory 51 comprises a protrusion 54 which, when in the coupled configuration, abuts against the valve 20 of the filling access 8 of the container 1 and moves the valve 20 to an open position. The coupled configuration is defined when the first coupling part 52 of the connection accessory 51 is coupled to the filling access 8 of the container 1. In particular, the protrusion 54 abuts against the deformable member 21 of the valve 20 of the filling access 8 of the container 1 when in the coupled configuration. The protrusions 54, when in the coupled configuration, may penetrate (or in any event deform) the slits 22 in the deformable member 21 of the valve 20, thereby opening the slits and thereby forming an open fluid passageway.

[0182] When the first coupling part 52 of the connection accessory 51 is coupled to the filling access 8 of the container 1, the protrusion 54 of the connection accessory may be disposed inside the collar 9 of the filling access 8 of the container 1. In particular, the collar 9 of the container 1 may completely surround the protrusion 54 of the connection accessory when the first coupling part 52 of the connection accessory 51 is coupled to the filling access 8 of the container 1. Optionally, the deformable member 21 of the valve 20 may be pinched and squeezed in particular between the collar 9 and the protrusion 54 when the first coupling part 52 of the connection accessory 51 is coupled to the filling access 8 of the container 1. Of note, when the kit 50 is in the coupled configuration, the valve of the container 1 is in the open configuration. Thus, fluid communication between the interior volume of the container 1 and the first coupling part 52 of the connection accessory is only allowed when the kit 50 is in the coupled configuration.

[0183] The connection accessory 51 further comprises a second coupling 60 configured to fluidly connect to the internal compartment 102 of the vial 101, which will be described in more detail in the next section regarding the assembly 100. The second coupling 60 is in fluid communication with the first coupling 52 through an internal passage 70 of the connection accessory 51. The internal passage 70 is interposed between the first coupling 52 and the second coupling 60. In particular, the first coupling 52 and the second coupling 60 may be aligned along a common connection axis Z. Optionally, the first coupling 52, the second coupling 60 and the internal passage 70 may be aligned along the same connection axis Z. The connection axis Z is a straight line.

[0184] Thus, the first coupling portion 52, the second coupling portion 60 and the internal passage 70 of the connection accessory 51 combine to define a fluid passage to enable fluid communication between the internal volume of the vial 101 and the internal volume of the container 1.

[0185] In one embodiment, a sterile filter may be positioned along the internal passageway to filter any liquid passing through the passageway, further reducing the risk of contamination during transport.

[0186] The first coupling part 52 may further comprise a collar 55 at least partially surrounding the outside of the protrusion 54 of the first coupling part 52. The collar 55 of the first coupling part 52 may extend in the height direction along the connection axis Z away from the second coupling part 60. In particular, the collar 55 of the first coupling part 52 may have a cylindrical shape extending parallel to the connection axis Z. The collar 55 of the first coupling part 52 may have a mounting element 55a for connecting to a mounting element 9a of the collar 9 of the filling access 8. The mounting element 55a may include one of a thread, a bayonet coupling and a snap-on coupling. In particular, the thread may be arranged on an inner wall of the collar 55 of the first coupling part 52. In this case, the thread faces the protrusion 54.

[0187] According to the embodiment shown in Figures 1-3 and 7-11, the collar 55 of the first coupling part 52 is configured to be directly coupled to the collar 9 of the deformable container 1 when in the coupled configuration. In particular, according to the embodiment shown in Figures 1-3 and 7-11, the connection accessory 51 is a single piece made of a plastic material, such as polycarbonate, for example made by injection molding.

[0188] Further embodiments of the connection accessory are shown in Figs. 4-6. The connection accessory 51 comprises a connector 56 configured to engage a collar 55 of the first coupling part 52 of the connection accessory 51 with a collar 9 of the container 1. The connector 56 is a separate component from the collar 55 of the connection accessory 51. The connector 56 is connected to the collar 55 of the first coupling part 52 of the connection accessory 51 by an interlocking bond or adhesive. The connector 56 surrounds the outside of the collar 55 of the first coupling part 52 of the connection accessory 51. Furthermore, the connector 56 is configured to surround the outside of the collar 9 of the container when in the coupled configuration. In particular, the connector 56 has a cylindrical shape defining an inner surface configured to engage with the outer surface of the collar 55 of the first coupling part 52 of the connection accessory 51 and the outer surface of the collar 9 of the container 1. The second coupling part 60 of the connection accessory 51 may comprise a hollow needle 61 for connecting to the vial 101. The needle 61 is hollow to allow fluid communication with the compartment 102 of the vial 101. The connection accessory 51 thus forms a fluid passage through the needle 61, the internal passage 70, and the first and second couplings 52, 60. The needle 61 may be aligned along the connection axis Z. The needle 61 may be a G18 to G24 needle with a gauge (i.e. bore diameter) of 0.83 mm to 0.32 mm. Of course, other needles may be used. The needle has a length that is smaller than the height of the collar 62 that couples with the glass vial top, so that the needle does not extend beyond the overall vertical width of the accessory, reducing the risk of being pricked. The needle may have a length of 4 mm to 10 mm. The needle 61 may be made of plastic, i.e. the same material used to manufacture the first coupling 52, the second coupling 60, and the internal passage 70. Alternatively, the needle 61 may be made of metal, i.e. stainless steel. The second coupling portion 60 of the connection accessory 51 may include a collar 62 that surrounds the needle 61. The collar 62 may be configured to couple to a respective portion of the vial 101 to mechanically constrain the connection accessory 51 to the vial 101. The collar 62 of the second coupling portion 60 of the connection accessory 51 may define a snap-on coupling for connecting to the vial, as shown in Figures 1-11.For example, the collar 62 of the second coupling part 60 may comprise two or more flexible walls or fingers 63 configured to expand outwardly when coupling the second coupling part 60 to the vial 101. In particular, the connection accessory 51 may comprise 3 to 12 flexible walls or fingers 63, in particular 4 to 8 flexible walls or fingers 63. The flexible walls or fingers may be made of plastic. Alternatively, the flexible walls or fingers may be made of metal, rubber or silicone. According to one embodiment, the connection accessory 51 is made integrally, for example of plastic.

[0189] Assembly 100 The present disclosure is also directed to an assembly 100. The assembly 100 comprises a container 1, a connection accessory 51 and a vial 101. In other words, the assembly 100 comprises a kit 50 and a vial 101. The assembly 100 is intended to allow a user (a person applying the product), for example a patient or a person administering a drug to a patient, to transfer a substance contained in a compartment 102 of the vial 101 into an internal volume 3. The vial 101 may contain a fluid substance 4, a medical fluid substance or a powder substance. For example, the vial 101 may contain an ophthalmic product in a liquid or powder state. The vial 101 comprises a housing 103 forming the internal compartment 102. The housing 103 may be made of glass, which allows the longevity of the substance inside to be maximized. The housing 103 may be cylindrical or polygonal in shape.

[0190] Glass vials usually have a rubber stopper and an aluminum ring that blocks it. They often have a plastic flip-off to keep the cap clean. The compartment 102 of the vial may have a volume equivalent or substantially equal to the internal volume 3 of the deformable container 1. Alternatively, the internal volume 3 of the deformable container 1 may be larger in volume than the compartment 102, for example the deformable container 1 may be 1.5 or 5 times larger in volume than the compartment 102. In particular, the volume of the compartment 102 of the vial may be between 3 milliliters and 15 milliliters, in particular between 4 milliliters and 12 milliliters. The housing 103 of the vial 101 may comprise a side wall 104, a bottom wall 105, and an upper edge 106 opposite the bottom wall 105. The side wall extends lengthwise along the vial axis V between the bottom wall and the upper edge 106. If the vial is cylindrical, the vial axis is the cylindrical axis. The vial further comprises a diaphragm 110 that can be penetrated by the needle 61 of the connection accessory 51. The diaphragm 110 may be located at the upper edge 106 of the housing 103. The diaphragm 110 may be substantially perpendicular to the vial axis. The diaphragm 110 of the vial may be made of an elastic material, i.e. rubber or silicone. The diaphragm 110 is fluid-tightly constrained to the upper edge 106 of the vial 101. As a result, the fluid contained in the vial 101 is preserved. The compartment 102 of the vial 1 is hermetically closed before the needle 61 of the connection accessory penetrates the diaphragm 110 into the compartment. The assembly 100 can be configured in the assembled form shown in Figures 2 and 5. The deformable container 1 and the connection accessory 51 are in a coupled configuration, and the second coupling part 60 of the connection accessory 51 is connected to the vial. In particular, the second coupling part 60 of the connection accessory 51 may be connected to the vial 101 via a flexible wall or finger 63. Figures 10d, 10e, and 11g-11l also show the assembly 100 in an assembled configuration. When in the assembled configuration, the assembly 100 forms a closed volume defined as a combination of the interior volume 3 of the container 1, the compartment 102 of the vial 101, and the interior passage 70 of the connection accessory 51.

[0191] Notably, when in the assembled configuration, the vial 101, the deformable container 1, and the connection accessory 51 are aligned along a common axis, with the connection accessory 51 being interposed between the vial and the container along this common axis. The common axis may coincide with the longitudinal axis X of the deformable container. In particular, when in the assembled configuration, the vial axis V of the vial 101 may coincide with the longitudinal axis of the deformable container 1. In particular, when in the assembled configuration, the vial axis V of the vial 101 may coincide with the longitudinal axis of the deformable container 1 and the connection axis Z of the connection accessory 51.

[0192] method 200 The present disclosure is further directed to a method 200 for transferring a medical fluid from a vial 101 to a container 1. In particular, the method 200 is directed to transferring a fluidic substance 4 in said deformable container 1. Figure 12 illustrates in a flow chart the steps of the method 200. Furthermore, Figures 10, 11 and 13 illustrate the steps of the method in sequence.

[0193] The method 200 comprises the step 201 of providing an assembly 100 according to the above description (see Figs. 10(a), 10(b), 11(a) and 11(b)). In particular, the method 200 comprises the step of providing a deformable container 1, a connection accessory 51 and a vial 101.

[0194] In step 201, the container 1 may initially be empty, as shown in Figs. 1-3, 5, 8 and 10(a). Alternatively, in step 201, the container 1 may initially contain a medical liquid 4a, i.e., saline or sterile water, as shown in Fig. 11(a). In step 201, the vial 101 contains a fluid substance 4, either a medical liquid or a powdered substance. The mixing of the medical fluid 4a of the container 1 with the powdered substance of the vial 101 produces the fluid substance 4 for subsequent delivery to the user. Obviously, the vial 101 may instead contain a concentrated liquid that needs to be diluted by a thinner contained in the deformable container. The powdered substance may be a freeze-dried substance.

[0195] Step 201 may further comprise removing the deformable container 1 from a package 300 (see Fig. 10(b) and Fig. 11(b)) configured to protect the deformable container 1 after manufacture, i.e. during transport and storage. Step 201 may further comprise removing the connection accessory 51 from a further package 301 (see Fig. 10(b) and Fig. 11(b)) configured to protect the connection accessory 51 after manufacture, i.e. during transport and storage. Step 201 may further comprise removing the vial 101 from a package configured to protect the vial 101 after manufacture, i.e. during transport and storage. Of note, in step 201, the container 1 and the connection accessory 51 may be provided separately, for example housed in different packages, as shown in Fig. 9. Alternatively, the container 1 and the connection accessory 51 may be provided in the same package, but not combined. In a further alternative embodiment, in step 201, the container 1 and the connection accessory 51 may be provided in a combined configuration in a common package 302, as shown in FIG.

[0196] The method further comprises a step 202 (see Fig. 10(c), Fig. 11(d) and Fig. 11(e)) of connecting the filling access 8 of the deformable container 1 to the first coupling part 52 of the connection accessory 51. The step 202 of connecting the filling access 8 of the deformable container 51 to the first coupling part 52 of the connection accessory 51 determines the valve 20 of the filling access 8 of the container 1 to move to an open position to allow fluid passage. In particular, the step 202 determines the deformation of the deformable member 21 of the valve 20 of the container to move the valve to an open position. The step 202 of connecting the filling access 8 of the deformable container 1 to the first coupling part 52 of the connection accessory 51 may comprise screwing by rotating the first coupling part 52 of the connection accessory 51 on the filling access 8 of the deformable container 1. Alternatively, the step 202 may comprise a step of pressing the filling access 8 of the deformable container 1 against the first coupling part 52 of the connection accessory 51 to perform a snap-on connection.

[0197] The method further includes a step 203 of connecting the second coupling part 60 of the connection accessory 51 to the vial 100 to define an assembly configuration (see Fig. 10(c)-(d) and Fig. 11(f)-(g)). The step 203 of connecting the second coupling part 60 of the connection accessory 51 to the vial 101 may include a step of pressing the second coupling part 60 of the connection accessory outwardly against the upper edge 106 of the vial 101 to determine a deformation of the flexible wall or finger 63, so that the flexible wall or finger 63 is constrained to the upper edge 106 of the vial 101. Alternatively, the step 203 may include screwing the second coupling part 60 of the connection accessory 51 to the vial 101 by rotating it. Notably, the step 203 of connecting the second coupling 60 of the connection accessory 51 to the vial 101 includes a step of penetrating the diaphragm 110 of the vial 101 by the hollow needle 61. In particular, the penetration of the diaphragm 110 by the needle 61 occurs during the step 203 of connecting the second coupling 60 of the connection accessory 51 to the vial 101. Thus, the step 203 advances the hollow needle 61 into the compartment 102 of the vial 101, placing the compartment 102 of the vial 101 in liquid communication with the internal volume 3 of the container 1. Notably, the steps 202 and 203 place the compartment 102 of the vial in fluid communication with the internal volume 3 of the deformable container 1 through the connection accessory 51, defining an assembled configuration. Conversely, before the step 202 of connecting the filling access 8 of the deformable container 1 to the first coupling 52 of the connection accessory 51, the valve 20 at the filling access 8 of the container is in a closed position.

[0198] The method further comprises a step 204 of squeezing, in particular manually squeezing, the deformable container 1 in order to reduce the internal volume 3 (see Fig. 10(d) and Fig. 11(i)). Step 203 is performed by a user, for example a patient. The user squeezes the side wall 7 of the container using the fingers of the hand. The side wall 7 deforms, causing a reduction in the internal volume 3. If the container 1 is initially empty, the step 204 of manually squeezing the deformable container 1 determines the passage of gas or air from the internal volume 3 of the container to the compartment 102 of the vial 101, thereby increasing the pressure in the vial. If the vial 101 is above an empty compressible container, this pressure will cause liquid to flow from the vial to the deformable container when the squeezing of the container wall is released. Of note, if the container 1 is initially empty, the vial contains a fluidic substance 4 in a liquid state. Alternatively, as shown in FIG. 11(a), if the container 1 initially contains a medical liquid 4a, i.e. saline or sterile water, a step 204 of manually squeezing the deformable container 1 determines the passage of this medical liquid 4a from the internal volume 3 of the container 1 to the compartment 102 of the vial 1. This procedure must be performed with the vial 101 located at a lower position than the compressible container with the liquid. It is noteworthy that, if the container 1 initially contains a medical liquid 4a, as shown in FIG. 11(a), the step 204 results in a mixture of the medical liquid 4a of the container 1 with the substance, i.e. liquid or powder substance, of the vial 101. The mixture of the medical fluid 4a of the container 1 with the substance of the vial 101 produces a liquid-like fluid substance 4. If the container 1 initially contains a medical liquid 4a, the method 200 may also comprise a step of placing the deformable container 1 above the vial 101, as shown in FIG. 11(h). The deformable container 1 must be maintained above the vial 101 during the step 204 of manually squeezing the deformable container 1 .

[0199] The method further comprises a step 205 of releasing the squeeze of the deformable container 1 to allow an elastic return of the body 2 (see Fig. 10(e) and Fig. 11(l)). During step 205, the body 2 returns to its original shape, i.e. to the shape it had in step 201. The step 205 of releasing the squeeze of the deformable container 1 causes the internal volume 3 to re-expand after being squeezed. In particular, the elastic return of the body 2 causes an aspiration step in which the container 1 sucks the fluidic substance 4 from the vial 101 into the internal volume 3 of the container 1.

[0200] Notably, the method 200 may comprise a step of placing the vial 101 on the deformable container 1 during a step 205 of releasing the squeeze of the deformable container 1, as shown in FIG. 10(e) and FIG. 11(1). The method 200 may also comprise sequentially repeating the squeezing and releasing the squeezing steps until the fluidic substance 4 is completely transferred into the deformable container 1. Finally, the method comprises detaching the vial 101 and the connection accessory 51 from the container 1. The user can then dispense the fluidic substance 4a at a time interval defined by the physician. The method may further comprise a step of aligning the longitudinal axis X of the deformable container 1 with the vial axis V of the vial 101. In particular, the method 200 may comprise a step of aligning the longitudinal axis X of the deformable container 1 with the vial axis V of the vial 101 and the connection axis Z of the connection accessory 51. In this way, the longitudinal axis X, the vial axis V and the connection axis Z are coincident or parallel to each other. Notably, steps 201, 202, 203, 204 and 205 may be performed consecutively in that numerical order.

[0201] Looking at the specific example of Figure 13, the method refers to a configuration in which a vial 101 contains a substance 16 that must be either reconstituted or diluted. In other words, the vial 101 contains either a drug in powder form or a concentrated solution. Similarly, the deformable container contains a solution 4 to reconstitute or dilute the substance 16.

[0202] The deformable container 1 is in its package 300 and the connection accessory 51 is contained in a respective further package 301 (see Fig. 13a). The sterile package is opened and the connection accessory 51 is coupled to the deformable container 1, which results in the valve moving to the open position (Fig. 13b). The kit is then further coupled to the vial 101 as shown in Fig. 13c, forming a flow path between the internal volume 3 of the deformable container 51 and the internal compartment 102 of the vial 101. Alternatively, the connection accessory 51 may be coupled inversely, first to the vial 101 and then to the deformable container 1 a second time (not shown in the sequence in Fig. 13).

[0203] The user presses the side wall of the deformable container 2 as shown in FIG. 13d. The liquid 4 is forced downwards in the vial 101 through the passage 70 to mix with the substance 16 in the vial. Once the two components are properly mixed, the assembly 100 is turned upside down as shown in FIG. 13e. The deformable container 1 (which returns to its original shape after being pressed as shown in FIG. 13d) is pressed again by the user and deformed as shown. Air enters the vial 101 through the needle, increasing the pressure in the internal compartment 102. As soon as the pressure is released by the user, the deformable container 1 starts to elastically return to its original shape and the mixed liquid flows downwards into the deformable container 1. Once the entire solution has passed, the vial 101 is removed from the assembly and the container 1 is ready to deliver the drug.

[0204] The user presses again against the side wall of the deformable container, as shown in Fig. 13f. As the valve 20 is closed, the internal pressure causes the dispensing accessory 11 to expel the product, e.g. a dropper expels droplets. See again Fig. 13f.

Claims

1. A kit (50) comprising a deformable container (1) for dispensing a medical substance and a connection accessory (51), The deformable container (1) comprises a body (2) defining an interior volume (3) configured to receive a fluid substance (4); The body (2) is a filling access (8) configured to receive the fluid substance (4) to fill the internal volume (3) of the body (2); a dispensing outlet (10) configured to dispense a quantity of said fluid material (4) from said internal volume (3); a valve (20) disposed in the filling access (8) and movable between an open configuration in which the valve (20) allows fluid passage through the filling access (8) and a closed configuration in which the valve (20) prevents fluid passage through the filling access (8); The body (2) comprises at least one elastically deformable wall defining the internal volume (3), The connection accessory (51) is a first coupling (52) configured to fluidly connect to the filling access (8) of the deformable container (1); a second coupling (60) configured to fluidly connect to the interior compartment (102) of the vial (101); an internal passage (70) that fluidly connects the first coupling portion (52) with the second coupling portion (60) and vice versa; The kit (50) may be configured in a combined configuration; the first coupling part (52) of the connection accessory is coupled to the filling access (8) of the container (1); the valve (20) of the container (1) is in the open configuration such that the interior volume (3) of the container (1) is in fluid communication with the second coupling (60) of the connection accessory (51); the connection between the filling access (8) and the connection accessory (51) determines the switching of the valve (20) from the closed position to the open position; and / or A kit (50), wherein a disconnection between the filling access (8) and the connection accessory (51) determines a switching of the valve (20) from the open position to the closed position.

2. In the above-mentioned coupling configuration, The first coupling portion (52) of the connection accessory (51) abuts against the valve (20) of the container (1); the valve (20) of the container (1) is deformed by the first coupling part (52) of the connection accessory (51) thereby moving from a closed position to an open position; 2. The kit (50) of claim 1, wherein the connection accessory (51) is fluidly interposable between the deformable container (1) and the vial (101).

3. the valve (20) of the container (1) being a self-sealing valve (20) configured to remain in the closed position at rest, wherein the valve (20) is configured to move from the closed position to the open position when the connection accessory (51) is coupled to the filling access (8) of the deformable container (1). The kit (50) of claim 1.

4. At least one elastically deformable wall forming said internal volume (3) is made of an elastic material and includes a side wall (7) of said body (2), said elastic material being at least one of silicone, rubber and plastic; the body (2) of the deformable container (1) is configured to return to its original shape after being squeezed, and the internal volume (3) of the container (1) is substantially independent of the presence or absence of the fluid substance (4); The kit (50) of claim 1, wherein the at least one elastically deformable wall has a thickness of 0.5 mm to 0.9 mm.

5. The body (2) of the deformable container (1) comprises: an original shape at rest defining a predetermined size of said internal volume (3); a constricted shape that defines a reduced size of the internal volume (3) when the body (2) is squeezed by a user, the reduced size of the internal volume (3) being less than a predetermined size of the internal volume (3); 5. The kit (50) according to any one of claims 1 to 4, wherein the at least one elastically deformable wall of the container (1) is configured to elastically return from the squeezed shape to the original shape after a user releases squeezing the body (2).

6. 5. A kit (50) according to any one of claims 1 to 4, wherein the valve (20) is arranged inside the filling access (8), the filling access (8) defining a collar (9) completely surrounding the valve (20), the collar (9) having a rigid rim forming an access to the inside of the filling access (8), and the valve (20) comprises an elastically deformable member (21) closing the access and determining a passage between the closed position and the open position.

7. 7. The kit (50) of claim 6, wherein the deformable member (21) of the valve (20) has a slit (22) that opens a fluid passage when the filling access (8) is coupled to a connection accessory (51) and closes the fluid passage when the filling access (8) is disconnected, and the member of the valve (20) is configured to deform when the filling access (8) is coupled to the connection accessory (51), the deformation opening the slit (22) and the valve (20) being configured to be pressed by the connection accessory (51) when the filling access (8) is coupled to the connection accessory (51).

8. The body (2) of the container (1) has a cylindrical shape and extends a length along a longitudinal axis (X) and a width along a transverse axis (Y), the length being greater than the width; The body (2) of the container (1) has a length of 30 mm to 60 mm and a width or diameter of 10 mm to 15 mm; 5. The kit (50) according to any one of claims 1 to 4, wherein the internal volume (3) of the container (1) is between 3 milliliters and 15 milliliters, the container is a plastic multi-dose squeeze bottle, the dispensing outlet (10) is configured to dispense a plurality of individual amounts of fluid solution according to the needs of each individual user, the individual amounts being deliverable at individual time intervals, and the internal volume (3) of the body (2) is greater than each individual amount dispensed each time by the dispensing outlet (10).

9. The body (2) of the container (1) comprises a first end (5) carrying the filling access (8), a second end (6) carrying the dispensing outlet (10), and a side wall (7) interposed between the first end (5) and the second end (6), 5. The kit (50) according to any one of claims 1 to 4, wherein the filling access (8) and the dispensing outlet (10) are located opposite each other with respect to the side wall (7) of the body (2) of the container (1).

10. 10. The kit (50) of claim 9, wherein the body (2) defines a longitudinal axis (X) extending along a length of the body (2) and parallel to the side wall (7), and the dispensing outlet (10) and the filling access (8) are aligned with each other along an axis substantially parallel to or coincident with the longitudinal axis (X) of the body (2).

11. The kit (50) of any one of claims 1 to 4, wherein the container (1) further comprises a dispensing accessory (11) connected or configured to be connected to the dispensing outlet (10), the dispensing accessory (11) configured to dispense the fluid substance (4) contained in the internal volume (3), the dispensing accessory (11) being a dropper or a spray nozzle.

12. The dispensing accessory (11) is a dropper comprising a housing and an internal membrane (13) arranged inside the housing and acting as a valve (20) for dispensing individual drops of the fluid substance (4), The membrane (13) a sealed position in which the membrane (13) prevents fluid communication between the internal volume (3) of the container (1) and the dispensing outlet (10) to prevent the fluid substance (4) from exiting through the dispensing outlet (10) of the container (1); The kit (50) of claim 11, wherein the membrane (13) is movable between a delivery position, which allows fluid communication between the internal volume (3) of the container (1) and the dispensing outlet (10) and a delivery position, which allows individual quantities of a fluid substance (4) to flow through the dispensing outlet (10) of the container (1).

13. The dispensing accessory (11) further comprises a resilient member (14) biased against the membrane (13) to maintain the sealed position; 13. The kit (50) of claim 12, wherein the elastic member (14) is configured to enable the membrane (13) to switch from the sealing position to the delivery position based on a predetermined pressure within the internal volume (3) of the container (1).

14. the filling access (8) of the container (1) comprises a threaded connection (9a), and the first connection (52) of the connection accessory (51) comprises a respective threaded connection (53) for connection to the threaded connection (9a) of the filling access (8) of the container (1), The kit (50) according to any one of claims 1 to 4, wherein the filling access (8) of the container (1) and the first connecting portion (52) of the connection accessory (51) have a snap-on connection enabling their mutual connection.

15. the filling access (8) of the container (1) comprises a luer connector, and the first coupling (52) of the connection accessory (51) comprises a respective luer connector for connection to the luer connector of the filling access (8) of the container (1), the luer connector of the filling access (8) of the container (1) is a female luer connector and the luer connector of the first coupling part (52) of the connection accessory (51) is a male luer connector; 5. The kit (50) of any one of claims 1 to 4, wherein the male luer connector of the first coupling part (52) of the connection accessory (51) has a protrusion (54) that fits into and abuts a rigid rim of the filling access (8) and, when in the coupled configuration, moves the valve (20) to the open position relative to the valve (20) of the filling access (8) of the container (1).

16. The second coupling portion (60) of the connection accessory (51) is a hollow needle (61) for connection to said vial (101), said connection accessory (51) forming a fluid passage through said needle (61), said internal passage (70), said first coupling portion (52) and said second coupling portion (60); a collar (62) configured to couple to a respective portion of the vial (101) to mechanically restrain the connection accessory (51) to the vial (101), the collar (62) of the second coupling part (60) surrounding the outside of the needle (61), the needle (61) being completely surrounded by the collar (62) of the second coupling part (60) of the connection accessory (51); Equipped with 5. The kit (50) of any one of claims 1 to 4, wherein the collar (62) of the second coupling portion (60) of the connection accessory (51) defines a snap-on coupling for connecting to the vial (101) and comprises two or more flexible walls or fingers (63) configured to expand outwardly during coupling of the second coupling portion (60) to the vial (101).

17. The kit (50) of any one of claims 1 to 4, wherein the first connecting portion (52) and the second connecting portion (60) of the connection accessory (51) are aligned along a common connection axis (Z), and the first connecting portion (50), the second connecting portion (60) and the internal passage (70) are aligned along the same connection axis (Z).

18. A deformable container (1) for dispensing a medical substance, said deformable container (1) comprising a body (2) defining an interior volume (3) configured to receive a fluid substance (4), said body (2) comprising: a filling access (8) configured to receive the fluid substance (4) to fill the internal volume (3) of the body (2); a dispensing outlet (10) configured to dispense a quantity of said fluid material (4) from said internal volume (3); a valve (20) disposed in the filling access (8), the valve (20) being movable between an open configuration in which the valve (20) allows fluid passage through the filling access (8) and a closed configuration in which the valve (20) prevents fluid passage through the filling access (8); the valve (20) being a self-sealing valve (20) configured to remain in the closed position at rest; the connection between the filling access (8) and the connection accessory (51) determines the switching of the valve (20) from the closed position to the open position, and / or A disconnection between the filling access (8) and the connection accessory (51) determines a switching of the valve (20) from the open position to the closed position, the body (2) comprising at least one elastically deformable wall forming the internal volume (3). , a deformable container (1).

19. A kit (50) according to any one of claims 1 to 4; An assembly (100) comprising a vial (101) forming a compartment (102) for containing a substance and containing a sterile medical product for ophthalmic use in liquid or powder form, The assembly (100) is configurable in an assembled form; said deformable container (1) and said connection accessory (51) are in said coupled configuration; the second coupling portion (60) of the connection accessory (51) is connected to the vial (101), and in the assembled configuration, the internal volume (3) of the deformable container (1) is in fluid communication with the compartment (102) of the vial (101) through the connection accessory (51); The second coupling part (60) of the connection accessory (51) comprises a hollow needle (61) for fluidly connecting the internal passage (70) of the connection accessory (51) to the compartment (102) of the vial (101), in the assembled configuration, the needle (61) protruding inside the compartment (102) of the vial (101); the vial (101) comprises a diaphragm (110) through which the needle (61) of the connection accessory (51) can penetrate, and in the assembled configuration, the needle (61) of the connection accessory (51) passes through the diaphragm (110) of the vial (101); The assembly (100), wherein the diaphragm (110) of the vial (101) is made of an elastic material.

20. said assembly (100), in said assembled configuration, forms a closed volume defined as a combination of said internal volume (3) of said container (1), said compartment (102) of said vial (101) and said internal passage (70) of said connection accessory (51); 20. The assembly (100) of claim 19, wherein the connection accessory (51) and the vial (101) are aligned with each other along a common axis.

21. A method (200) for moving a fluidic substance (4) in a deformable container (1), the method comprising: Providing (201) an assembly (100) according to claim 19; a step (202) of connecting the filling access (8) of the deformable container (1) to the first coupling (52) of the connection accessory (51), where before the step of connecting the filling access (8) of the deformable container (1) to the first coupling (52) of the connection accessory (51), the valve (20) at the filling access (8) of the container (1) is in a closed position, and the step of connecting the filling access (8) of the deformable container (1) to the first coupling (52) of the connection accessory (51) determines that the valve (20) of the filling access (8) of the container (1) is moved to an open position to allow fluid passage; connecting (203) the second coupling portion (60) of the connection accessory (51) to the vial (101) to define the assembled configuration; determining, by the steps (202) and (203), that the compartment (102) of the vial (101) is in fluid communication with the internal volume (3) of the deformable container (1) through the connection accessory (51); squeezing (204) the deformable container (1) to reduce the internal volume (3); Releasing (205) the squeeze of the deformable container (1) to allow the body (2) of the deformable container (1) to elastically return; and c) sequentially repeating the constricting and releasing steps until the fluid substance (4) has been completely transferred into the deformable container (1).

22. The step of connecting the filling access (8) of the deformable container (1) to the first coupling (52) of the connection accessory (51) comprises determining a deformation of a deformable member (21) of the valve (20) of the filling access (8) of the container (1) such that said deformation moves said valve (20) to an open position to allow a fluid passage; The step of connecting the second coupling part (60) of the connection accessory (51) to the vial (101) includes a step of a hollow needle (61) disposed in the second coupling part (60) of the connection accessory (51) penetrating a diaphragm (110) of the vial (101); 22. The method of claim 21, wherein the step determines that the hollow needle (61) enters the compartment (102) of the vial (101) to fluidly connect the compartment (102) of the vial (101) with the internal volume (3) of the container (1).

23. the container (1) is initially empty and the step of manually squeezing the deformable container (1) determines the passage of gas or air from the internal volume (3) of the container (1) to the compartment (102) of the vial (101), thereby increasing the pressure in the vial (101); or 22. The method according to claim 21, wherein the container (1) initially contains a medical liquid, i.e. saline or sterile water, and the step of manually squeezing the deformable container (1) determines the passage of the medical liquid from the internal volume (3) of the container (1) to the compartment (102) of the vial (101).

24. said container (1) initially containing a medical liquid and said vial (101) initially containing a powdered substance or another concentrated liquid, the step of manually squeezing said deformable container (1) determining the passage of said medical liquid from said internal volume (3) of said container (1) into said compartment (102) of said vial (101), thereby mixing said medical liquid with said powdered substance or another concentrated liquid in said compartment (102); The mixing produces the fluid substance (4); 22. The method according to claim 21, wherein the step of releasing the squeeze of the deformable container (1) results in an elastic return of the body (2) of the deformable container (1), which causes a suction step in which the container (1) draws the fluid substance (4) from the vial (101) into the internal volume (3) of the deformable container (1).