Medical application vessel having a prefillable syringe body

Abstract

The present disclosure relates to a medical application vessel (1) having a syringe body (3), which can be at least partially prefilled with a substance, for injecting the substance into a living being, wherein the syringe body (3) extends from a proximal end (5) of the syringe body (3) to a distal end (7) of the syringe body (3) and defines a first internal volume (9) which can be prefilled with the substance, wherein an injection needle (57) or an injection tube (63) is connected or can be connected to the distal end (7) of the syringe body (3), wherein the first internal volume (9) is delimited on the proximal side by a stopper (13) which can be moved towards the distal end (7), wherein the stopper (13) has, on the proximal side, a piston rod receptacle (15) for a piston rod (17) which is separate from the stopper (13), wherein a proximal sealing means (21), which can be manually removed and / or which can be pierced by the piston rod (17), is disposed proximally to the stopper (13) and seals, on the proximal side, a second internal volume (19) formed axially between the proximal sealing means (21) and the stopper (13).

Description

Title: Medical application container with a prefillable syringe body Description

[0001] The present disclosure relates to a medical application vessel having a syringe body that can be at least partially prefilled with a substance for injecting the substance into a living being. Thus, it concerns prefillable or prefilled medical syringe systems.

[0002] Prefilled medical syringes have the advantage that medical personnel do not have to draw the substance to be injected from an ampoule before injection; instead, they are available to medical personnel ready for use. Prefilled syringes are therefore delivered to medical personnel already prefilled. Such syringes are described, for example, in ISO 1 1040. A prefilled syringe is also known from EP 2 900 301 B1. A technical challenge for prefilled syringes, however, is that they must safely store medications and medical devices over an extended period of time. A storage period of at least three years, during which the substance contained in the prefilled syringe must be guaranteed.The possible storage time of a substance depends largely on the barrier properties of the syringe, the materials used for the syringe body and closure, and the sensitivity and quantity of the substance contained in the syringe. For example, the loss of water vapor or solvent liquid can alter the concentration of a medicinal agent within the substance. The smaller and more sensitive the quantity of the substance, the less tolerance one can have. This could be due to outward diffusion losses or inward diffusion of contaminants. For example, the pH value of the substance could change due to the migration of carbon dioxide into the syringe material. Finally, penetrating oxygen could damage a medicinal agent.

[0003] Therefore, it is very important for prefilled syringe systems in general, and for plastic syringe systems in particular, that they be equipped with elastomer components that exhibit good barrier properties. However, the problem with many elastomer components with good barrier properties is that they interact with many plastics, leading to very high opening forces and / or frictional forces during syringe application. Other elastomer materials lack sufficient purity, are not biocompatible, or contain extractable substances that can contaminate the syringe contents.

[0004] It is therefore the object of the present disclosure to provide a biocompatible medical application vessel with improved barrier properties. The barrier properties are to be improved to such an extent that the medical application vessel can be prefilled with substances that previously could not be stored in prefilled syringes, especially not in small quantities.

[0005] This object is achieved by a medical application vessel according to claim 1. Preferred embodiments of the invention can be found in the subclaims, the description and the figures.

[0006] According to the invention, a medical application vessel is provided with a syringe body that can be at least partially prefilled with a substance for injecting the substance into a living being, wherein the syringe body extends from a proximal end of the syringe body to a distal end of the syringe body and defines a first internal volume into which the substance can be prefilled, wherein an injection needle or an injection tube is connected or connectable to the distal end of the syringe body, wherein the first internal volume is delimited on the proximal side by a plug that can be moved towards the distal end, wherein the plug has a piston rod receptacle on the proximal side for a piston rod that is separate from the plug, wherein a proximal sealing means that can be removed manually and / or pierced by means of the piston rod is arranged proximal to the plug and seals a second internal volume on the proximal side that is formed axially between the proximal sealing means and the plug.

[0007] It should be noted at this point that the terms "distal" and "proximal" refer to the person handling the application container, i.e., the medical personnel, and not to the living being into which the substance is injected. The idea of ​​the invention is therefore to store the substance in a first internal volume and to provide a second internal volume proximal to the stopper, which is sealed by the proximal sealant. As a result, the substance is separated from the environment on the proximal side by both the stopper and the proximal sealant, so that both the stopper and the proximal sealant together represent a proximal barrier. The advantage of the invention is that the stopper can be made of a material with a lower barrier effect, but which is biocompatible with substances that previously could not be stored in prefilled syringes.The proximal sealant does not need to be able to slide freely within the syringe body, allowing the use of a material with better barrier properties. The interaction of the stopper and the proximal sealant not only increases the overall barrier effect in the proximal direction, but also creates... This means that different materials can be used for the plug and the proximal sealant to meet specific requirements. For example, liquid silicone rubber (LSR) can be used for the plug, eliminating the need for silicone oil to lubricate the plug. Certain substances, particularly in small quantities, must not be contaminated even with the smallest amounts of silicone oil. A lack of barrier effect on the part of the liquid silicone rubber (LSR) can be compensated for or overcompensated by the proximal sealant, which can, for example, be made of a material of the same or similar type to the syringe barrel, e.g. a cycloolefin polymer (COP). Alternatively or additionally, the proximal sealant can have an aluminum layer or, more generally, a metallized film.

[0008] It should be noted at this point that the present invention only relates to medical application vessels that have a prefillable or prefilled syringe body. Application vessels that must be drawn up with the substance from an ampoule by the medical personnel themselves are not covered by the present invention. Therefore, when reference is made herein to a "prefillable" syringe body, this means a syringe body that is suitable and intended to be at least partially prefilled with a substance. In the manufacturing process of prefilled medical application vessels, it is often the case that a manufacturer of the application vessels delivers them unfilled to a company that prefills the application vessels with the substance and then delivers them to the medical personnel as a prefilled application vessel.The syringe body can be filled with the substance from the proximal side or from the distal side of the syringe body.

[0009] Optionally, the syringe body can be at least partially prefilled with the substance, so that the substance is in the first internal volume In this case, the invention is directed to the product as supplied to medical personnel.

[0010] Optionally, the application vessel can have a proximal-facing annular surface to which the proximal sealant is applied in the form of a sealing film that can be removed manually and / or pierced by the piston rod. The cost of a sealing film and its application to a proximal-facing annular surface is particularly simple and inexpensive compared to high-quality plug coatings or alternative sealants.

[0011] Optionally, a connection for the injection needle or injection tube in the form of a Luer or Luer-Lock connector can be provided at the distal end of the syringe body. This is useful so that the medical application vessel can be connected to a variety of common injection needles or injection tubes via a standardized Luer or Luer-Lock connector. Typically, the Luer or Luer-Lock connector on the application vessel is male, and the corresponding Luer or Luer-Lock connector on the injection needle or injection tube is female. Other standardized or customized connectors are also possible.

[0012] Optionally, the syringe body can be sealed or closed distally with a distal sealant, whereby the distal sealant can be pierced by the injection needle or the injection tube. This is useful in order to achieve an improved barrier effect on the distal side of the syringe body. The distal sealant can close the first internal volume distally, so that the distal sealant is in direct contact with the prefilled substance. For this purpose, the distal sealant can have a proximally facing surface that is biocompatible with the prefilled substance. The distal sealant can be applied in the form of a film to a distal end face of the Luer or Luer-Lock connector of the application vessel. Analogous to the proximal sealant, the distal sealant can be coated on the proximal side with a layer that delimits the first internal volume on the distal side, wherein the layer is made of the same material as the syringe body, preferably a cycloolefin polymer (COP) or a polypropylene (PP).

[0013] Optionally, the proximal sealant can be coated on the distal side with a layer that delimits the second internal volume on the proximal side. The layer is made of the same material as the syringe body, preferably a cycloolefin polymer (COP) or polypropylene (PP). This ensures biocompatibility with the substance in the event that parts of the substance diffuse through the stopper into the second internal volume.

[0014] Optionally, the syringe body can be made of glass and / or a plastic, preferably a cycloolefin polymer (COP) or polypropylene (PP). Glass has an excellent barrier effect and is biocompatible, but it is not as inexpensive to manufacture and cannot be manufactured with as much precision as a plastic syringe body, especially for large syringe volumes. Using a cycloolefin polymer (COP) or polypropylene (PP), a plastic syringe body can be manufactured inexpensively and with precision, even with a small volume, that is both biocompatible and has a sufficient barrier effect.

[0015] Optionally, the proximal sealant can be welded and / or bonded and / or force-fitted and / or positively connected to a proximal-facing annular surface of the application vessel. This is advantageous for securely sealing the second internal volume with the proximal sealant. For example, A hot melt adhesive or other adhesive can be used to adhere the proximal sealant. Additionally or alternatively, a force-fitting and / or form-fitting connection can be achieved, for example, by embossing the proximal sealant into the proximal-facing annular surface.

[0016] Optionally, the proximal sealant can consist of an aluminum layer or a laminate with an aluminum layer. Preferably, the proximal sealant consists of a laminate with an aluminum layer and / or a layer of a cycloolefin polymer (COP), with the cycloolefin polymer (COP) layer preferably adjacent to the second internal volume. The aluminum layer can achieve a particularly high barrier effect, and the COP layer can achieve biocompatibility.

[0017] Optionally, the proximal sealant can be pressed under spring preload onto a proximal-facing annular surface of the application vessel by means of a gripping aid and / or a backstop mounted at the proximal end of the syringe body. This mechanically secures the proximal sealant against external influences with particular security. In this embodiment, it is advantageous if the proximal sealant is not removed manually, but rather pierced by the plunger rod. For this purpose, the mounted gripping aid and / or backstop preferably has a central opening to allow the plunger rod to be pushed through.

[0018] Optionally, the second internal volume located axially between the proximal sealant and the plug can be filled with a gas other than air. This can be useful, for example, if an oxygen-sensitive substance is or will be prefilled, which could be damaged by an oxygen content in the second internal volume if oxygen from it escapes through the plug into the first The second internal volume is therefore preferably filled with a gas with reduced oxygen content or completely without oxygen. Alternatively or additionally, the second internal volume can have a vacuum or negative pressure.

[0019] Optionally, the proximal sealant can be printed on the proximal side with substance filling data and / or a unique device identification (UDI). The data can include, for example, the type, quantity, and / or components of the substance. Preferably, the data includes a filling date and / or a best-before date. The data and / or the UDI can be printed in an alphanumeric and / or machine-readable format, for example, as a barcode or QR code.

[0020] Optionally, the proximal sealant can serve as a visible quality seal. This allows users to immediately see whether the proximal sealant itself and / or the sealing connection with the syringe body is damaged.

[0021] Optionally, the plug can be coated, at least on its periphery, with a liquid silicone resin (LSR), which is in sliding contact with the syringe body and is preferably elastic at temperatures above -100°C. This makes the plug particularly lubricious and allows it to be used without silicone oil, which would be problematic for certain substances, especially in small quantities. Any insufficient barrier effect of the LSR can be compensated or overcompensated by the additional barrier effect of the proximal sealant.

[0022] Optionally, the plug can be in sliding contact with the syringe body without any silicone oil and without a lubricating coating. This is particularly advantageous for small-volume application vessels, for example, in the Ophthalmology, where even the smallest amounts of silicone oil or another lubricant would have a harmful effect on the substance, or would be permanently visible in the patient's eye, for example.

[0023] Optionally, the syringe body can be formed in one piece, and a proximal end face of the syringe body can form a proximal-facing annular surface to which the proximal sealing agent is sealingly applied in the form of a sealing film that can be removed manually and / or pierced by the piston rod. This is a particularly simple embodiment of the application vessel according to the invention, wherein the syringe body is preferably cast in one piece.

[0024] Optionally, the syringe body can be formed from at least two syringe body parts that can be connected or are connected to one another, wherein the syringe body parts have at least one distal syringe body part and one proximal syringe body part, wherein the first volume is substantially enclosed by the distal syringe body part and the second internal volume is substantially enclosed by the proximal syringe body part. The distal syringe body part can form a main part of the syringe body and the proximal syringe body part a head part of the syringe body. The two syringe body parts preferably comprise the same material, but can also comprise different materials. The syringe body parts can be welded to one another and / or connected by a material fit and / or a force fit and / or a form fit. For example, they can be screwed and / or glued to one another.

[0025] Optionally, the proximal syringe body part can form a pre-assembled unit with the proximal sealant, in which the proximal sealant sits sealingly on a proximal-facing annular surface of the proximal syringe body part, wherein the pre-assembled unit with connectable or connected to the distal syringe body section filled with the substance. This can be advantageous for the manufacturing process if it is easier to connect the pre-assembled unit to the filled distal syringe body section than to apply the proximal sealant to the filled syringe body. The pre-assembled unit can then be pre-assembled outside the filling environment under less stringent environmental conditions.

[0026] Optionally, the distal syringe body section can be axially longer than the proximal syringe body section, preferably several times longer. This is useful to ensure the application vessel is not longer than necessary, since the second internal volume can be designed much smaller than the first internal volume, the size of which is essentially determined by the amount of substance to be prefilled in the application vessel.

[0027] The invention is explained in more detail below with reference to the accompanying figures. They show: Fig. 1 is a longitudinal view of an embodiment of an application vessel according to the invention with a detailed longitudinal sectional view of a proximal portion of the application vessel; Fig. 2 the application vessel from Fig. 1 when the proximal sealant is pierced with the piston rod; Fig. 3a, b how the proximal sealant of the application vessel from Fig. 1 can be removed manually. Fig. 4 shows an embodiment of the application vessel according to the invention with a detailed view of how the distal sealing means is sealingly applied; Fig. 5 shows an embodiment of the application vessel according to the invention with a proximal sealing means in the form of a laminate film; Fig. 6 shows an embodiment of the application vessel according to the invention with a gripping aid; Fig. 7a-c an embodiment of the application vessel according to the invention with a different piston rod design and associated stopper design; Fig. 8 shows an embodiment of the application vessel according to the invention with a two-part syringe body, wherein the syringe body parts are glued together; Fig. 9 shows an embodiment of the application vessel according to the invention with a two-part syringe body, wherein the syringe body parts are screwed together; Fig. 10a-b an embodiment of the application vessel according to the invention with distal sealing means; and Fig. 1 la, b an injection needle and an injection tube which can be connected to an embodiment of the application vessel according to the invention.

[0028] Fig. 1 shows an embodiment of a medical application vessel 1 according to the invention, which has a syringe body 3 which is suitable and intended to be at least partially pre-filled with a substance in order to inject the substance into a living being, for example a patient. The substance can be, for example, a flowable medium with a medicinal active ingredient. The syringe body 3 extends from a proximal end 5 of the syringe body 3 of the application vessel 1 to a distal end 7 of the syringe body 3 of the application vessel 1 and defines a first internal volume 9 into which the substance can be pre-filled. The proximal end 5 is arranged at the top in each of the figures and the distal end 7 is arranged at the bottom.It should be noted at this point that the terms "distal" and "proximal" refer to the person using the application vessel 1 and not to the living being into which the prefilled substance is injected. The application vessel 1 is therefore held by a person using it at the proximal end 5 of the syringe body 3, and an injection needle or an injection tube (see Fig. 1a, b) can be connected to the distal end 7 of the syringe body 3. To connect an injection needle or an injection tube to the application vessel 1, in the embodiment shown in Fig. 1, a distal-side cap 11 is first removed to expose a distal-side Luer or Luer-Lock connection (see Fig. 10a, b).

[0029] In the embodiment shown in Fig. 1, the syringe body 3 of the application vessel 1 is formed in one piece from a plastic material comprising a chloro-olefin polymer (COP). The first internal volume 9 defined by the syringe body 3 of the application vessel 1 has the shape of an elongated cylinder with a preferably circular cross-section. On the proximal side, i.e., from above in Fig. 1, the first internal volume 9 is delimited by a plug 13 movable toward the distal end 7. The plug 13 has, at least on its periphery, a liquid silicone rubber (liquid silicone resin, LSR) that is free of silicone oil and has a low friction coefficient. is in sliding contact with the syringe body 3 without any layering and is preferably elastic at temperatures above -100°C. The plug 13 has, on its proximal side, i.e., on its upper side in Fig. 1, a piston rod receptacle 15 for receiving a piston rod 17 (see Fig. 2) separate from the plug 13. The piston rod receptacle 15 is designed here as a relatively coarse internal thread with a few turns.

[0030] Proximal to the plug 13, i.e. above the plug 13 in Fig. 1, there is a second internal volume 19. The second internal volume 1 is much shorter than the first internal volume 9 and is not pre-filled with the substance. The second internal volume 19 can be filled with air or, preferably, with a gas other than air. On the distal side, i.e. from below in Fig. 1, the plug 13 seals the second internal volume 19 and thus separates the second internal volume 19 from the first internal volume 9. On the proximal side, i.e. from above in Fig. 1, the second internal volume 19 is sealed by a proximal sealing means 21. The proximal sealing means 21 can be removed manually and / or pierced by means of the piston rod 17. In the embodiment shown in Fig.In the embodiment shown in Figure 1, the proximal sealing means 21 is a manually removable sealing film which, at least on the distal side, i.e., toward the second internal volume 19, has a layer made of the same material as the syringe body 3, i.e., a cycloolefin polymer (COP). To facilitate manual removal of the sealing film 21, the sealing film 21 protrudes laterally on at least one side with a grip tab 23 so that a user can easily grasp it with a tweezer grip of the thumb and index finger and peel off the sealing film 21. The syringe body 3 has a collar 24 at its proximal end 5, which forms a proximally facing annular surface 25. Here, the sealing film 21 is circumferentially welded or glued to the annular surface 25 to form a seal.

[0031] Fig. 2 shows how the proximal sealant 21 is pierced with a piston rod 17. The piercing of the proximal sealant with the piston rod 17 can be provided in addition to the manual removal of the proximal sealant 21 or as an alternative thereto. The piston rod 17 can be supplied together with the medical application vessel 1 as a separate accessory or can already be in the possession of the user. The piston rod 17 can be reused for several application vessels 1 if necessary. However, the piston rod 17 must fit the application vessel 1, i.e. be of a sufficiently long length to be able to move the stopper 13 all the way to the distal end of the first internal volume 9 in order to be able to press out the entire contents of the first internal volume 9 during injection. Furthermore, it is advantageous if, as shown in Fig.2, a distal end 27 of the piston rod 17 is designed to complement the piston rod receptacle 15 of the plug 13. In the exemplary embodiment shown in Fig. 2, the distal end 27 of the piston rod 17 has a coarse external thread with a few turns, wherein the external thread fits exactly into the internal thread of the piston rod receptacle 15 of the plug 13. The piston rod 17 can therefore be screwed into the plug 13 before the plug 13 is moved axially by the piston rod 17. If the plug 13 is sufficiently elastic, the distal end 27 of the piston rod 17 can simply be pressed axially into the piston rod 15, if necessary, without the need for screwing. A thumb pressure surface 31 is formed on the proximal end 29 of the piston rod 17, onto which a user can press with their thumb.The collar 24 forms a distally facing finger pulling surface 33 surrounding the syringe body 3, which can be gripped by an operator with the index finger and middle finger.

[0032] In Fig. 3a, b the possibility is illustrated how the proximal sealant 21 can be manually removed from the proximal literally facing annular surface 25 of the collar 24 of the syringe body 3. Furthermore, it can be seen in Fig. 3a that the proximal sealing means 21 is embossed in a ring-shaped circumferential manner into the annular surface 25. This is shown in more detail in Fig. 4. By mechanical punching and / or thermoplastic deformation, an annular circumferential section 35 is pressed into a corresponding annular circumferential groove 37 in the annular surface 25. The groove 37 can already be provided during the formation of the syringe body 3 or can be created when the annular section 35 is embossed into the annular surface 25. The proximal sealing means 21 is plastically deformed and thus at least partially connected to the collar 24 of the syringe body 3 in a force-fitting and form-fitting manner. This strengthens the welding or bonding.

[0033] Fig. 5 shows an embodiment of the proximal sealant 21, in which the proximal sealant 21 consists of a laminate with multiple layers. Here, at least one layer of the laminate is an aluminum layer 39, which has a particularly high barrier effect. Furthermore, the laminate of the proximal sealant 21 has a layer 41 made of a chloro-olefin polymer (COP), wherein the COP layer 41 adjoins the second internal volume 19 to provide biocompatibility with the prefilled substance if it diffuses at least partially through the plug 13 into the second internal volume 19.

[0034] Fig. 6 shows an embodiment with a gripping aid 43 mounted on the proximal end 5 of the syringe body 3, i.e. on the collar 24. The gripping aid 43 serves, on the one hand, to provide a larger finger-pulling surface 33' than the relatively small finger-pulling surface 33 of the collar 24 of the syringe body 3. The gripping aid 43 here encompasses the collar 24 of the syringe body 3 with slight elastic deformation and is thereby resiliently pressed onto the proximal-facing annular surface 25 of the collar 24. pre-tensioned and thus presses the proximal sealant 21 from above, i.e. distally, onto the annular surface 25. This mechanically secures the sealing connection between the proximal sealant 21 and the collar 24.

[0035] Fig. 7a-c show another embodiment of the piston rod 17, in which the distal end 27 tapers distally with a laterally circumferential locking lug 45. Due to the distal taper, the piston rod 17 forms a distal tip, with which the piston rod 17 can be more easily pushed through the proximal sealing means 21. The female piston rod receptacle 15 of the plug 3 is designed to correspond to the male distal end 27 of the piston rod 17, so that the piston rod 17 can be easily pressed into the plug 3 with elastic deformation of the plug 3 until the circumferential locking lug 45 is engaged behind by the plug 3. The plug 3 is then securely connected to the piston rod 17, so that the plug 3 can then be moved distally by means of the piston rod 17 for injecting the substance.

[0036] Fig. 8 shows an embodiment of the syringe body 3, which is formed from two interconnected syringe body parts 3a, b. A distal syringe body part 3a forms a main part of the syringe body 3, which encloses the first internal volume 9 and also defines the distal end 7 of the syringe body 3. A proximal syringe body part 3b forms a head part of the syringe body 3 and essentially encloses the second internal volume 19 and forms the collar 24 with the proximally facing annular surface 25 at the proximal end 5 of the syringe body 3. The two syringe body parts 3a, b are welded and / or glued to one another in the embodiment shown in Fig. 8. A joining seam 47 between the syringe body parts 3a, b here forms a circumferential joining edge 49, which ensures coaxial alignment of the two nested syringe body parts 3a, b. In this embodiment, the proximal sealant 21 can form a preassembled unit together with the proximal syringe body part 3b. The distal syringe body part 3a can be prefilled with the substance, and then the preassembled unit comprising the proximal syringe body part 3b and the proximal sealant 21 can be welded and / or glued together at the joint seam 47. This can be advantageous from a production point of view, since special environmental conditions must prevail when filling the syringe body 3.

[0037] Fig. 9 shows an embodiment in which the syringe body 3 is also constructed in several parts, with the syringe body parts 3a, b being screwed together. A seal and / or adhesive bond can be provided between the syringe body parts 3a, b in addition to the force-locking and form-locking connection of the screw connection. A bond-free screw connection can be advantageous, for example, if bonding is not possible under the harsh environmental conditions at the filling site.

[0038] Fig. 10a, b show the distal end 7 of the application vessel 1 in more detail. The distal end 7 of the application vessel 1 is shown here for the embodiment according to Fig. 9, but can be used in any embodiment. The distal end 7 of the syringe body 3 forms a connection for an injection needle or an injection tube (see Fig. 11a,b) in the form of a Luer or Luer-Lock connection 51. Analogous to the proximal end 5 of the syringe body 3, the distal end 7 of the syringe body 3 is closed with a distal sealing means 53. The distal sealing means 53 can be designed in the same way as the proximal sealing means 21, namely as a manually peelable and / or pierceable sealing film. For manual removal, the distal sealing means 43 can, analogous to the proximal sealing means 21, have a grip. bottle 55, which projects laterally and can be grasped by an operator to withdraw the distal sealant 53. However, the piston rod 17 is not used to pierce the distal sealant 53, but rather an injection needle or an injection tube (see Fig. 1 la, b). The distal sealant 53 is welded and / or glued to the syringe body 3, analogous to the proximal sealant 21, in order to seal the first internal volume 9 on the distal side. The distal sealant 53 is mechanically secured by the screwed-on cap 11, which is removed before an injection needle or injection tube is attached.

[0039] Fig. 11a shows an exemplary injection needle 57 with a female Luer connection 59, which can be connected to the Luer or Luer-Lock connection 51 of the application vessel 1. The injection needle 57 here has a cannula 61, which extends into the female Luer connection 59 of the injection needle 57, so that the cannula 61 can pierce the distal sealing means 53 of the application vessel 1. The injection tube 63 according to Fig. 11b has an essentially identical female Luer connection 59 as the injection needle 57 according to Fig. 11a, so that the injection tube 63 can also be connected to the application vessel 1 alternatively. A cannula 61, with which the distal sealing means 53 can be pierced, is also provided in the female Luer connection 59 of the injection tube 63.

[0040] List of reference symbols: 1 application vessel 3 syringe bodies 3a, b Syringe body parts 5 proximal end of the syringe body 7 distal end of the syringe body 9 first internal volume 1 1 distal cap 13 plugs 15 Piston rod holder 17 Piston rod 19 second internal volume 21 proximal sealant / sealing film 23 handle bottle 24 collars 25 ring surface pointing proximally 27 distal end of the piston rod 29 proximal end of the piston rod 31 Thumb pressure area 33, 33 ' finger traction surface 35 annular embossed section of the proximal sealant 37 Groove in the proximal-facing ring surface 39 aluminum layer 41 COP layer 43 Grip aid 45 ring-shaped locking lug 47 Joining seam 49 Joining edge 51 Luer or Luer-Lock connector 53 distal sealant 55 handle bottle 57 Injection needle 59 female Luer or Luer-Lock connector 61 cannula 63 Injection hose

Claims

Claims 1. Medical application vessel (1) with a syringe body (3) which can be at least partially prefilled with a substance for injecting the substance into a living being, wherein the syringe body (3) extends from a proximal end (5) of the syringe body (3) to a distal end (7) of the syringe body (3) and defines a first internal volume (9) into which the substance can be prefilled, wherein an injection needle (57) or an injection tube (63) is connected or connectable to the distal end (7) of the syringe body (3), wherein the first internal volume (9) is delimited on the proximal side by a plug (13) which can be moved towards the distal end (7), wherein the plug (13) has on the proximal side a piston rod receptacle (15) for a piston rod (17) separate from the plug (13), wherein proximal to the plug (13) there is a manually removable and / or by means of the piston rod (17) pierceable proximal sealing means (21) is arranged,which seals a second internal volume (19) formed axially between the proximal sealing means (21) and the plug (13) on the proximal side.

2. Medical application vessel (1) according to claim 1, wherein the syringe body (3) is at least partially prefilled with the substance, so that the substance is located in the first internal volume (9).

3. Medical application vessel (1) according to claim 1 or 2, wherein the application vessel (1) has a proximally facing annular surface (25) to which the proximal sealing means (21) is sealingly applied in the form of a sealing film that can be removed manually and / or pierced by means of the piston rod (17).

4. Medical application vessel (1) according to one of the preceding claims, wherein a connection for the injection needle (57) or the injection tube (63) in the form of a Luer or Luer-Lock connection (51) is formed at the distal end (7) of the syringe body (3).

5. Medical application vessel (1) according to one of the preceding claims, wherein the syringe body (3) is closable or closed on the distal side with a distal sealing means (53), wherein the distal sealing means (53) is pierceable by means of the injection needle (57) or the injection tube (63).

6. Medical application vessel (1) according to one of the preceding claims, wherein the proximal sealing means (21) is coated on the distal side with a layer (41) which delimits the second internal volume (19) on the proximal side, wherein the layer (41) is made of the same material as the syringe body (3), preferably of a cyclo-olefin polymer (COP) or a polypropylene (PP).

7. Medical application vessel (1) according to one of the preceding claims, wherein the syringe body (3) is made of glass and / or a plastic, preferably a cyclo-olefin polymer (COP) or polypropylene (PP).

8. Medical application vessel (1) according to one of the preceding claims, wherein the proximal sealing means (21) is welded and / or materially connected and / or force-locked and / or positively connected to a proximally facing annular surface (25) of the application vessel (1).

9. Medical application vessel (1) according to one of the preceding claims, wherein the proximal sealing means (21) is glued to a proximally facing annular surface (25) of the application vessel (1) by means of an adhesive, preferably a hot melt adhesive.

10. Medical application vessel (1) according to one of the preceding claims, wherein the proximal sealing means (21) consists of an aluminum layer (39) or a laminate with an aluminum layer (39). 1 1. Medical application vessel (1) according to one of the preceding claims, wherein the proximal sealing means (21) consists of a laminate with a layer (41) of a cyclo-olefin polymer (COP), wherein the layer (41) of the cyclo-olefin polymer (COP) preferably adjoins the second internal volume (19).

12. Medical application vessel (1) according to one of the preceding claims, wherein the proximal sealing means (21) is pressed under resilient pretension onto a proximally facing annular surface (25) of the application vessel (1) by means of a gripping aid (43) mounted on the proximal end (5) of the syringe body (3) and / or a backstop.

13. Medical application vessel (1) according to one of the preceding claims, wherein the second internal volume (19) arranged axially between the proximal sealing means (21) and the plug (13) is filled with a gas other than air.

14. Medical application vessel (1) according to one of the preceding claims, wherein the proximal sealing means (21) is printed on the proximal side with data about a substance filling and / or a unique product identifier, UDI.

15. Medical application vessel (1) according to one of the preceding claims, wherein the proximal sealing means (21) serves as a quality seal visible from the outside.

16. Medical application vessel (1) according to one of the preceding claims, wherein the stopper (13) has at least on its circumference a liquid silicone rubber (LSR) which is in sliding contact with the syringe body (3) and is preferably elastic at temperatures above -100 °C.

17. Medical application vessel (1) according to one of the preceding claims, wherein the stopper (13) is in sliding contact with the syringe body (3) without silicone oil and without a sliding coating.

18. Medical application vessel (1) according to one of the preceding claims, wherein the syringe body (3) is formed in one piece and a proximal end face of the syringe body (3) forms a proximal-facing annular surface (25) to which the proximal sealing means (21) is sealingly applied in the form of a sealing film which can be removed manually and / or pierced by means of the piston rod (17).

19. Medical application vessel (1) according to one of claims 1 to 17, wherein the syringe body (3) consists of at least two syringe body parts (3a, b) which can be connected to one another or are connected. is formed, wherein the syringe body parts (3a, b) have at least one distal syringe body part (3a) and one proximal syringe body part (3b), wherein the first internal volume (9) is substantially enclosed by the distal syringe body part (3a) and the second internal volume (19) is substantially enclosed by the proximal syringe body part (3b).

20. Medical application vessel (1) according to claim 19, wherein the proximal syringe body part (3b) forms a pre-assembled unit with the proximal sealing means (21), in which the proximal sealing means (21) is sealingly applied to a proximal-facing annular surface (25) of the proximal syringe body part (3b), wherein the pre-assembled unit is connectable or connected to the distal syringe body part (3a) filled with the substance.

21. Medical application vessel (1) according to claim 19 or 20, wherein the distal syringe body part (3a) is axially longer than the proximal syringe body part (3b), preferably by a multiple.

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