Medicinal device with container
09757750 ยท 2017-09-12
Assignee
Inventors
- Holger Holakovsky (Witten, DE)
- Lars Lange (Ratingen, DE)
- Maurice Steinzen (Selm, DE)
- Felix Weiland (Guetersloh, DE)
- Klaus List (Reichelsheim, DE)
Cpc classification
A61M11/007
HUMAN NECESSITIES
B05B11/026
PERFORMING OPERATIONS; TRANSPORTING
B05B11/0013
PERFORMING OPERATIONS; TRANSPORTING
B05B11/1091
PERFORMING OPERATIONS; TRANSPORTING
B05B11/0054
PERFORMING OPERATIONS; TRANSPORTING
International classification
Abstract
The invention relates to a hand-held medicinal device, particularly a nebulizer, for delivering a liquid medicament preparation from a container having a container cap. The medicament preparation may be based for example on an alcoholic solvent or may contain a similar substance with an increased vapor pressure. The proposed nebulizer with the installed container comprises a sealing system made up of two seals at the junction between the device and container, which prevent loss of liquid, diffusion leaks and exchange of gases with the environment at this point.
Claims
1. A device for administering a liquid medicinal formulation, comprising: a container (3) having a flange (32a) defining an opening into the container (3) and an insertion point into the container (3); an insertion funnel (31a) having a first end at the flange (32a) and extending to a second end through the opening and into an internal volume of the container (3) that contains the liquid medicinal formulation, the insertion funnel defining a conically shaped inside surface of wider diameter at the first end than at the second end; a holder (6) configured to engage the flange of the container (3) and including a centrally located protrusion that extends into the first end of the insertion funnel (31a); a rigid tube (9) connected to the holder (6); a first seal in the form of a fitting seal located between the inside surface of the insertion funnel (31a), away from the first end and nearer to the second end, and a portion of the rigid tube (9); and a second seal (30) having elastomeric properties, and a through-opening through which the rigid tube (9) extends in an axial direction, the second seal (30) being located between the inside surface of the insertion funnel (31a), toward the first end thereof, and another portion of the rigid tube (9), where the second seal is located between the inside surface of the insertion funnel (31a) and the protrusion of the holder (6) such that contact by the protrusion of the holder (6) into the insertion funnel (31a) and biasing against the second seal (30) in the axial direction causes the second seal (30) to elastically deform in a radial direction and seal off a space between the first seal, the container (3) and the rigid tube (9) to prevent the escape of liquids and gases and/or to prevent the ingress of gases, wherein: the second seal (3) includes a first surface that engages against the inside surface of the insertion funnel (31a), the first surface is of a conical shape, the second seal (3) includes a second surface that is engaged by the protrusion of the holder, and the second surface is of a concave conical shape, the first seal includes a first area of contact between the inside surface of the insertion funnel (31a) and a first length of the portion of the rigid tube (9) that extends axially along the rigid tube (9), the second seal includes a second area of contact: (i) between the inside surface of the insertion funnel (31a) and an outside surface of the second seal, and (ii) between an inside surface of the second seal and a second length of the another portion of the rigid tube (9) that extends axially along the rigid tube (9), the first area of contact of the first seal and the second area of contact of the second seal (30) are axially displaced from one another along the rigid tube (9) such that a third length of the rigid tube (9) between the first and second lengths thereof forms no seal, and the third length of the rigid tube (9) is about a same length as an axial length of the second seal (30) extending along the tube (9).
2. The device according to claim 1 characterised in that the first seal is substantially leaktight against the liquid components of the medicinal formulation in the container (3) and the second seal (30) is substantially leaktight against gases.
3. The device according to claim 1, characterised in that the second seal (30) radially surrounds the rigid tube (9).
4. The device according to claim 1, characterised in that the second seal (30) is mounted at the device end on the tube or on the holder (6) that forms a container receptacle for the container (3).
5. The device according to claim 1, characterised in that the second seal (30) is axially compressed by the protrusion.
6. The device according to claim 1, characterised in that the second seal (30) is radially compressed perpendicularly to the rigid tube or perpendicularly to an inner guide (6d) on the holder (6).
7. The device according to claim 1, characterised in that the insertion point on the container (3) is facilitated by the insertion funnel (31a).
8. The device according to claim 1, characterised in that the second seal (30) is shaped so as to include a support region which abuts in the axial direction on the holder (6).
9. The device according to claim 1, characterised in that the holder (6) surrounds the tube and has an inner guide (6d) that is narrower by comparison with the holder's overall diameter and abuts on the tube, wherein the inner guide (6d) comprises a lower edge which is lower than the flange (32a) of the container (3) and projects somewhat into the insertion funnel (31a) when the container (3) has been inserted into the holder (6).
10. The device according to claim 1, characterised in that the rigid tube (9) is a hollow piston inserted in the container (3) or is a capillary or a cannula.
11. The device according to claim 1, characterised in that the rigid tube (9) forms a piston of a high pressure pump.
12. The device according to claim 1, characterised in that the liquid medicinal formulation that is to be administered contains a substance with a high vapour pressure or an alcoholic compound.
13. The device according to claim 1, characterised in that the second seal (30) is formed from a material that is softer than that of the holder (6).
14. The device according to claim 3, characterised in that the second seal (30) is spaced apart from the rigid tube (9) by an inner guide (6d) on the holder (6).
15. A device for administering a liquid medicinal formulation, comprising: a container (3) having a flange (32a) defining an opening into the container (3) and an insertion point into the container (3); an insertion funnel (31a) having a first end at the flange (32a) and extending to a second end through the opening and into an internal volume of the container (3) that contains the liquid medicinal formulation, the insertion funnel defining a conically shaped inside surface of wider diameter at the first end than at the second end; a holder (6) configured to engage the flange of the container (3) and including a centrally located protrusion that extends into the first end of the insertion funnel (31a); a rigid tube (9) connected to the holder (6); a first seal in the form of a fitting seal located between the inside surface of the insertion funnel (31a), away from the first end and nearer to the second end, and a portion of the rigid tube (9); and a second seal (30) having elastomeric properties, and a through-opening through which the rigid tube (9) extends in an axial direction, the second seal (30) being located between the inside surface of the insertion funnel (31a), toward the first end thereof, and another portion of the rigid tube (9), where the second seal is located between the inside surface of the insertion funnel (31a) and the protrusion of the holder (6) such that contact by the protrusion of the holder (6) into the insertion funnel (31a) and biasing against the second seal (30) in the axial direction causes the second seal (30) to elastically deform in a radial direction and seal off a space between the first seal, the container (3) and the rigid tube (9) to prevent the escape of liquids and gases and/or to prevent the ingress of gases, wherein: the first seal includes a first area of contact between the inside surface of the insertion funnel (31a) and a first length of the portion of the rigid tube (9) that extends axially along the rigid tube (9); the second seal includes a second area of contact: (i) between the inside surface of the insertion funnel (31a) and an outside surface of the second seal, and (ii) between an inside surface of the second seal and a second length of the another portion of the rigid tube (9) that extends axially along the rigid tube (9); the first area of contact of the first seal and the second area of contact of the second seal (30) are axially displaced from one another along the rigid tube (9) such that a third length of the rigid tube (9) between the first and second lengths thereof forms no seal; and the third length of the rigid tube (9) is about a same length as an axial length of the second seal (30) extending along the tube (9).
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) In the drawings:
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(11) In the figures, the same reference numerals are used for the same or similar parts, where corresponding or comparable properties and advantages are obtained even if there is no repetition of the associated description.
DETAILED DESCRIPTION OF THE INVENTION
(12)
(13) In the operation of the nebuliser, a distinction is made between the so-called untensioned state with an unfilled metering volume in the pressure chamber (11) (
(14) During the so-called tensioning of the nebuliser (1), its upper housing part (16) is rotated relative to the inner housing part (17) and lower housing (18) by a fixed rotation angle, e.g. 180. A helical thrust gear mounted inside drives a piston pump by relative rotation, so that a predetermined, optionally adjustable amount of liquid (2) is conveyed from the container (3) into the pressure chamber and at the same time the drive spring (7) acting on the hollow piston (9) is tensioned. The final state of the tensioning process is shown in
(15)
(16) In the liquid outlet region of the pressure chamber (11) is a filter system (27, 28) which is located in front of the preferably microstructured nozzle (12) in the direction of flow and protects it from the depositing of particles. A high deposition rate is achieved by the combination of different kinds of filters (27, 28) and filtering techniques. In the case of the embodiment shown, the nozzle (12) is preferably formed by a microstructured component consisting of a glass-silicon composite which itself contains a very fine filter designed as a flow filter in front of the actual nozzle channel. The nebulisation of the liquid through these nozzle channels preferably depends on the high speed impact between two microscopic liquid streams from nozzle channels only a few microns in diameter.
(17) The central part (23) forms the lateral limit of the pressure chamber (11), the liquid inlet in the form of the passage for the liquid-carrying hollow piston (9), the installation space for the seal (24) that seals off from the hollow piston (9), and the fluidic attachment to the nozzle assembly (29), which contains the nozzle (12) and various associated holder or sealing components. In the embodiment shown comprising a circular cylindrical pressure chamber (11), the central part (23) accommodates, in a central bore, one or more filter components attached to the pressure chamber (11). In the example shown, the filter components are a preliminary filter (27), preferably made of a plastic material, and a fine filter (28), preferably made of metal. Further downstream is connected the microstructured component described above which contains very fine filters and nozzle channels.
(18) In the embodiment shown, the nebuliser (1) or its pressure generator (5) comprises a holder (6) for the container (3). This holder (6) is fixedly connected to the hollow piston (9), preferably moulded on, for example also adhesively bonded or snap-fitted. During the axial tensioning of the drive spring (7) the holder (6), together with the container (3) and the hollow piston (9), is moved downwards, in the drawings. The container (3) is fixed in the nebuliser (1) by means of the holder (6), particularly by a clamping or latching action, such that the hollow piston (9) projects into the fluid chamber of the container (3) and/or is fluidically connected to the liquid (2) in the container (3) and the liquid is aspirated through the hollow piston. The hollow piston (9) and container (3) are thus no longer moved relative to one another during the operation of the nebuliser (1) after the container (3) has been connected to the holder (6), i.e. after the container (3) has been docked on the device there is no relative movement of the components involved in sealing the junction between the device and container. The seals between the device and container (3) or container cap (31) are thus static. This has the advantage that the sealing system, by which the supply of liquid itself is protected from leaks and diffusions, is not subjected to any frictional stress whatever and therefore wear of the seals cannot take place. Preferably the container (3) and holder (6) form a plug-in connection in which, in particular, a plurality of snap-in hooks (6a) of the holder (6) engage in an encircling contour in the upper part of the container (3). This contour may be, for example, an encircling groove or, as in the embodiment shown, the lower collar edge of a container cap (31) that closes off the container (3). In the embodiments shown here, the holder comprises 4 to 12, preferably 6 or 12 snap-in hooks or ribs. If the container (3) together with its container cap (31) is pushed forwards along the hollow piston (9) into the holder (6), the container cap (31) first makes contact with the insertion slopes (6b) on the snap-in hooks (6a). The inwardly sloping insertion slopes (6b) cause the snap-in hooks (6a) to be spread outwards by the container cap (31) until the container cap (31) is able to slide past the inwardly directed beads (6c) of the snap-in hooks (6a). As soon as the lower outer edge of the container cap (31) has passed the bead (6c), the snap-in hooks (6a) spring back inwardly, so that the beads (6c) secure the container (3) at the lower edge of the container cap (31). If necessary, the holder (6) may be configured such that the container (3) is exchangeable. This exchangeability is achieved by means of the springy properties of the snap-in hooks (6a). The length, width and, above all, thickness and material of the holder (6) are selected accordingly. The holder (6) preferably consists of a plastic selected from among the thermoplasts such as, for example PPO (polyphenylene oxide) or PPE (polyphenylene ether) or PBT (polybutylene terephthalate). The geometry of the beads (6c) and the proportion of the beads (6c) on the inner circumferential circle of the holder (6) are matched to one another. For fine adjustment of the forces needed for the insertion or removal of the container (3) into or out of the holder (6) it is useful to equip only some of the ribs on the holder with beads (6c) to form snap-in hooks (6a). Thus, for example, the holder (6) in the embodiment shown in
(19) The exchangeability of the container is determined not only by the properties of the holder (6) but also by its accessibility: in the embodiment shown in
(20) Alternatively to the embodiment shown, the nebuliser (1) may also be configured such that the container (3) is pre-installed in the nebuliser. In this variant with a pre-installed container (3) (not illustrated in the drawings), the container (3) is inserted at the factory in the nebuliser (1) or in an additional retaining or securing element in the lower housing part (18) which is only partially pushed onto the inner housing part (17) when supplied. When it is pushed further onto the inner housing part (17) the lower housing part (18) slides, for example, over a ratchet pathway which is designed to slide only in one direction of movement or, after being pushed fully on, hooks permanently into a latching mechanism of variable configuration. At the same time, while the lower housing part is being pushed on, the container (3) is pushed into its holder (6) and connected to the hollow piston (9). Further details of the configuration of such systems with a pre-installed container (3) can be found in WO2006/125577A2.
(21) Preferably, the medicinal devices under consideration here are designed for delivering a number of dosage units of the liquid medicinal formulation. Thus, the nebuliser (1) in
(22) For the embodiments selected here, corresponding to which the attachment of the container is also shown in detail in
(23) If solvent escapes through the gaseous phase, less solvent is left behind for the medicinal formulation in the container (3) and the active substance is concentrated in the liquid (2). As a result of this concentration, a relatively increased dose of active substance would be withdrawn when a measured quantity of liquid (2) was removed. Thus, this loss of solvent through the gaseous phase must be limited or if possible prevented. This is one of the demands made of the configuration of the container (3), the choice of materials used and the configuration of the seals when the container (3) is inserted in the respective device or in the nebuliser (1).
(24) Preferably, a multilayered film or the like is used as the flexible wall material for the bag (32) that holds the liquid (2). The film comprises a plastics layer compatible with the medicinal liquid and a metal layer such as a layer of aluminium or the like. This minimises the diffusion or permeation of gas through the wall of the bag.
(25) The container (3) selected for the embodiments shown comprises an inner bag (32), a flange (32a), a container cap (31) and a rigid sleeve (34). The flexible multilayer bag (32) which is closed at the bottom is directly connected at its upper part to a flange (32a), preferably made of plastics, that provides a grip. The rigid sleeve (34) surrounds the bag (32) and protects it outwardly from mechanical damage. The container cap (31) is preferably made of plastics, most preferably of HD-PE, and particularly a material that is the same as or similar to the flange (32a). After the bag (32) has been filled with liquid (2), the container cap (31) is tightly connected to the flange (32a) preferably by a thermo-forming process or a welding process (e.g. ultrasound or laser welding).
(26) The container cap (31) comprises as the insertion point an insertion funnel (31a) projecting into the interior of the bag (32), which forms a centred guide for the hollow piston (9) when the container is attached to the nebuliser (1), and thus prevents the container (3) from being pierced by the hollow piston (9) in an uncontrolled manner with respect to the junction. Before being attached to the nebuliser (1) the container or the end of the insertion funnel (31a) facing the interior of the container (3) is closed off with a membrane (31b) which is pierced or flipped open when the hollow piston (9) is inserted. In this way, the membrane (31b) protects the un-pierced container from the escape of liquid. In addition, there is the possibility (not shown in the drawings) of providing the container during storage with a top seal which may consist for example, of a metal foil, preferably aluminium, and closes off the upper open end of the insertion funnel (31a). A seal of this kind may serve as a guarantee of origin and protect the insertion funnel (31a) from contamination during the transporting of individual cartridges. Gases that may possibly pass through the membrane (31b) are held back by a metallic top seal. Before the container (3) is installed in the device the top seal can be removed, e.g. by pulling it off using a protruding tab.
(27) After the container (3) has been fully inserted in the holder (6) of the nebuliser (1) there is a press-fit between the inserted tube or hollow piston (9) and the wall of the insertion funnel (31a). This press-fit in one part of the insertion funnel (31a) forms a seal belonging to the container cap (31), which is also referred to as the first seal. The radially acting press-fit seals the contact point between the hollow piston (9) and the interior of the container (3) against loss of liquid on the outside past the hollow piston (9) over a length of 1 to 10 millimeters, preferably 2 to 7 millimeteres, most preferably 5 mm. In the embodiment shown, the hollow piston (9) is made of metal, preferably stainless steel. The container cap (31) consists of a plastics material which is softer than the hollow piston (9), preferably PE or HD-PE. However, the material of the container cap (31) cannot be of unlimited softness as the inherent stability is important to the operational reliability of the system. For this reason, the press-fit between the hollow piston (9) and the insertion funnel (31a) may be designed to be sealed against the passage of liquid but not necessarily against permeability to gases. Depending on the method of manufacture of the hollow piston (9), there may for example be striations or uneven areas up to a few microns deep on its surface, which favour the permeation of gases through the press-fit. For this reason a second seal (30) with different sealing properties from the press-fit is installed at this point in order either to catch the gas escaping through the press-fit or in the approach area to prevent air entering the system from outside past the hollow piston (9).
(28) Preferably the seal (30) is pre-assembled on the holder (6), surrounding the hollow piston (9) and supported by the inner guide (6d). If the container (3) is then inserted in the nebuliser (1) and pushed axially onto the hollow piston (9), the seal (30) is axially compressed between the inner guide (6d) and the inner wall of the insertion funnel (31a) on the container cap (31). Looking at the attachment of the container (3) to the device as a whole, a sealing action is obtained by axial compression, particularly parallel to the tubular component or hollow piston (9) and by radial compression, particularly perpendicular to the hollow piston (9). By the combination of a radially acting seal in the form of the press-fit between the hollow piston (9) and container cap (31) and the essentially axially acting additional seal (30) between the container cap (31) and the container receptacle, the system is provided with a double-acting seal. The seal (30) preferably consists of an elastomer such as silicon and/or carbon-based elastomeric polymers. Suitable materials include natural and synthetic elastomers, for example nitrile rubber, butadiene rubber, styrene-butadiene rubber, isoprene rubber, styrene-isoprene copolymers, butyl rubber such as isobutene-isoprene rubber, polyurethane, fluorine rubber, siloxans such as in particular silicones and diene such as in particular EPDM (ethylene-propylene-diene rubber) or other elastomers suitable for use in the medical field. Depending on the requirements, e.g. the need for special material resistances or frictional properties related to the assembly process, the seal may additionally be coated. Thus, for example, sealing components coated with PTFE (polytetrafluoroethylene) consisting of fluorine rubber are advantageous against the background of improved separability on assembly machines for mass production.
(29) The use of a soft elastomer, particularly one with a Shore hardness in the range from 40 to 70 Shore, for the seal (30) has the advantage that a hard-soft seal is formed both relative to the insertion funnel (31a) and relative to the hollow piston (9). Unevennesses in the comparatively hard surface of the insertion funnel (31a) and hollow piston (9) can thus be evened out by the seal (30), so that the transitional area between the components is also leaktight in respect of volatile substances. The seal (30) can thus also be termed a gas phase seal as the permeation of gases along the hollow piston (9) is prevented here. The seal (30) shown in the particular embodiment in
(30)
(31)
(32) Analogously to the embodiment in
(33) A preferred assembly process for the seal (30) according to the embodiments in
(34) First of all, the hollow piston (9) is fixedly connected to the holder (6), preferably by moulding the plastic material of the holder (6) to the hollow piston (9) directly in an inlay injection moulding process. Then the holder (6) with the hollow piston (9) is mounted in the nebuliser (1) which is open on the container side (i.e. at the bottom in this case) but otherwise fully assembled. Before or preferably after the assembly of the holder (6) in the nebuliser (1) the radially symmetrical component that forms the seal (30) is pushed along the hollow piston (9) from below, in a centred manner, into its position on the holder (6) or on the inner guide (6d). This process is preferably carried out without any contact so as not to cause any damage to the hollow piston such as, for example, striations or other unevenness which could weaken the effectiveness of the first seal, in this embodiment the seal produced by the press-fit between the hollow piston (9) and the container cap (31). For contact-free assembly, a material with an elongation at break of at least 200%, preferably with an elongation at break of between 300% and 500% is used for the seal (30). In this context, this means that the radially symmetrical component can be expanded in diameter to at least double, preferably three to five times its size without any cracks forming. The material must also be selected so that the component undergoes purely elastic deformation during this loading and then returns to its original shape. The assembly of the component that forms the seal (30) is preferably carried out by means of a device in which at least three gripper arms project into the circular passage in the component and spread it out from the inside outwards. The spread-out component is pushed over the hollow piston (9) into its position on the holder (6). A plastic sleeve located on the inside between the grippers may additionally serve to protect the hollow piston. As soon as the component that forms the seal (30) has reached its axial position on the hollow piston (9) or holder (6), an outer sleeve is advanced which pushes the component downwards from the gripper arms as they are retracted. Depending on the shape of the sealing component or on the presence of a support region, a further fine adjustment of the position of the component that forms the seal (30) may also take place while the container (3) is being docked on the nebuliser (1) if the container cap (31), the seal (30) and the holder (6) are optionally pushed axially further together. After the assembly of the component that forms the seal (30) in the pre-assembled nebuliser (1), before delivery the latter may be closed off with a lower housing part (18) without a container, if desired, or preferably completed with a partially docked container (3) and lower housing part (18) to form a pre-assembled system.
(35)
(36) Depending on the choice of materials in the alternative shown in
(37)
(38) Alternatively to the embodiments shown in the drawings, the second seal may also be formed by a sealing layera region that is additionally moulded onto the holder (6), the material of which differs from that of the holder (6). This additional material region may consist of an elastomeric material and may fill similar regions on the holder (6) to the independent elastomeric components in the embodiments according to
(39) Alternatively, the sealing layer may also be a region consisting of one of the elastomeric materials mentioned, which is additionally moulded onto the container (3) or onto the container cap (31). In this case, the sealing layer is located either on the inner edge of the insertion point or on the inner wall of the insertion funnel (31a) or in the upper region of the container cap (31). The sealing layer may be configured for example as one or more moulded-on tabs protruding upwards before the insertion of the container (3) into the holder (6) and then pressed inwards into the gap between the container cap (31) and the inner guide (6d) as the contours of the holder (6) are inserted. A sealing layer mounted on the container cap (31) in this way has the advantage, particularly in reusable devices, i.e. a nebuliser (1) which is operated with numerous containers (3) one after the other, that each seal (30) is used only once and cannot therefore be damaged in advance. Each container (3) introduces into the device a new unused sealing system consisting of a first and second seal.
(40) In another embodiment (not shown) in which the second seal (30) acts similarly to the embodiment in
(41) The propellant-free nebuliser shown here serves to deliver a liquid medicinal formulation as an inhalable aerosol and is suitable for delivering both aqueous and also, preferably, alcoholic, particularly ethanolic, medicinal formulations. In particular, a liquid medicinal formulation which is to be administered and which contains a substance with a high vapour pressure or an alcohol compound is used here.
(42) Preferred ingredients of the preferably liquid medicinal formulation are listed in particular in the publications WO09/047173A2 and WO09/115200A1, in which the lists of substances and formulation recipes given (WO09/115200A1, pages 25 to 40 and WO09/047173A2, pages 15 to 21) are incorporated by reference in their entirety. In particular, the fluids described in these publications may be aqueous or non-aqueous solutions, mixtures, formulations with and without solvent, such as ethanol or the like.
(43) The proposal to equip the junction of a container with a device for delivering liquid with a dual seal against the loss of liquid and gas can be applied to numerous devices in which liquids are conveyed or transported. In particular, the invention is directed to all kinds of dosage withdrawal means, i.e. devices from which a predefined quantity of liquid is drawn from a container on each actuation. Moreover, the proposed nebuliser (1) operates mechanically, although the sealing system envisaged here is not restricted to use in purely mechanical devices for delivering a liquid. It may, for example, also be used in systems in which the liquid is delivered by electrical, hydraulic or other pumps or by propulsion means. Terms such as pressure generator should thus be understood in general terms. In this sense the present invention may also be used across different sectors; even applications beyond the medicinal or medical sector are possible.
(44) TABLE-US-00001 List of reference numerals 1 nebuliser 23 central part 2 liquid 24 seal 3 container 25 support ring 5 pressure generator 26 check nut 6 holder (for container) 27 preliminary filter 6a snap-in hook (on holder) 28 fine filter 6b inner guide (on holder) 29 nozzle assembly 7 drive spring 30 seal 8 locking ring 31 container cap 9 hollow piston 31a insertion nozzle 10 non-return valve (in container cap) 11 pressure chamber 31b membrane (in container cap) 12 nozzle 31c cylindrical opening region 12a nozzle channels (in container cap) 12b very fine filter 32 bag 14 aerosol 32a flange (on the bag) 16 upper housing part 34 sleeve 17 inner housing part 40 button 18 lower housing part 41 counter 19 safety closure