DISCHARGE DEVICE FOR BONE REPLACEMENT MATERIALS

Abstract

A discharge device (1) comprising a housing (200), a container insert (300) rotatably arranged therein and a piston. A lateral cutout (205) is formed in one housing wall (204), and a lateral container opening (303) is formed in one container wall (304). In order to prevent the compound from being compressed as the compound is discharged, the lateral container opening extends continuously as far as the distal container end (302) without a region of the container wall adjoining the lateral container opening in the distal direction along the longitudinal axis. In order to make it easier to put in the compound, the wall thickness of the housing wall decreases continuously toward the lateral cutout (205). In order to prevent clogging of the piston, the cross section of the container insert widens continuously in the distal direction.

Claims

1. A discharge device for discharging a mass, comprising: a housing having a peripheral housing wall an open proximal housing end, and an open distal housing end, wherein a lateral cutout is formed in the housing wall; and a container insert, which is situated in the housing and comprises a peripheral container wall, an open proximal container end, and a distal container end, wherein a lateral container opening is formed in the container wall, and wherein the container insert can be rotated about a longitudinal axis relative to the housing between a closed position, in which the housing wall closes the lateral container opening, and a release position, in which the lateral cutout releases the lateral container opening, wherein the lateral container opening extends continuously in the axial direction up to the distal container end without a region of the container wall adjoining the lateral container opening in the distal direction along the longitudinal axis.

2. A discharge device for discharging a mass, comprising: a housing having a peripheral housing wall, an open proximal housing end, and an open distal housing end, wherein a lateral cutout is formed in the housing wall; a container insert, which is situated in the housing and comprises a peripheral container wall, an open proximal container end, and a distal container end, wherein a lateral container opening is formed in the container wall, and wherein the container insert can be rotated about a longitudinal axis relative to the housing between a closed position, in which the housing wall closes the lateral container opening, and a release position, in which the lateral cutout releases the lateral container opening, wherein the housing wall has a wall thickness in the region of the lateral cutout, which continuously decreases in the circumferential direction toward the lateral cutout through an angular range which is at least 10°.

3. The discharge device as claimed in claim 2, wherein the wall thickness of the housing wall decreases in the circumferential direction toward the lateral cutout in such a way that the housing wall forms a scraping edge on the lateral cutout.

4. The discharge device as claimed in claim 3, wherein the container wall tapers in the circumferential direction toward the lateral container opening in such a way that said wall forms a blade-like shearing edge adjacent to the housing wall, and wherein the scraping edge and the shearing edge adjoin one another in the release position.

5. A discharge device for discharging a mass, comprising: a housing having a peripheral housing wall, an open proximal housing end, and an open distal housing end, wherein a lateral cutout is formed in the housing wall; and a container insert, which is situated in the housing and comprises a peripheral container wall, an open proximal container end, and a distal container end, wherein a lateral container opening is formed in the container wall, and wherein the container insert can be rotated about a longitudinal axis relative to the housing between a closed position, in which the housing wall closes the lateral container opening, and a release position, in which the lateral cutout releases the lateral container opening, wherein the container insert has an open container cross-section which continuously increases in the distal direction along the longitudinal axis across an axial range.

6. The discharge device as claimed in claim 5, wherein the axial range, across which the container cross-section continuously increases, extends from a proximal end of the container opening up to the distal container end.

7. The discharge device as claimed in claim 1, which also comprises a piston which is displaceable in the container insert along the longitudinal axis.

8. The discharge device as claimed in claim 7, wherein the piston defines a piston diameter, wherein the piston is connected to a push rod, wherein the push rod defines a rod diameter, and wherein the piston diameter is larger than the rod diameter.

9. The discharge device as claimed in claim 7, wherein the piston is slotted in such a way that said piston is capable of expanding radially.

10. The discharged device as claimed in claim 1, wherein a deflector is formed on the distal housing end, which adjoins the distal container end in the distal direction and is curved along the distal direction toward the central longitudinal axis.

11. The discharge device as claimed in claim 1, wherein at least one container rotation stop is formed on the container insert, and at least one housing rotation stop is formed on the housing, wherein the container rotation stop is formed so as to be contradirectional to the housing rotation stop, and wherein the container rotation stop and the housing rotation stop are arranged in such a way that the container rotation stop and the housing rotation stop strike one another at least one of during a rotation of the container insert in the housing in the direction of the release position and during an opposing rotation in the direction of the closed position.

12. The discharge device as claimed in claim 1, wherein the container insert is prefilled with a mass, and wherein the discharge device comprises a removable closure which closes the housing outlet opening.

13. A method of providing a mass to be discharged in a discharge device which comprises a housing having a housing wall and a lateral cutout formed therein, and a container insert, which is rotatably situated in the housing and comprises a container wall and a lateral container opening formed therein, wherein the container insert is prefilled with a first component of the mass, and a removable closure closes the discharge device, and wherein the method comprises the following steps of: rotating the container insert relative to the housing about the longitudinal axis, such that the lateral cutout releases the lateral container opening; adding a second component of the mass through the lateral cutout and through the lateral container opening to the first component in the container insert; rotating the container insert relative to the housing about the longitudinal axis, such that the housing wall closes the lateral container opening; and removing the closure.

14. The discharge device as claimed in claim 2, which also comprises a piston which is displaceable in the container insert along the longitudinal axis.

15. The discharge device as claimed in claim 14, wherein the piston defines a piston diameter, wherein the piston is connected to a push rod, wherein the push rod defines a rod diameter, and wherein the piston diameter is larger than the rod diameter.

16. The discharge device as claimed in claim 14, wherein the piston is slotted in such a way that said piston is capable of expanding radially.

17. The discharged device as claimed in claim 2, wherein a deflector is formed on the distal housing end, which adjoins the distal container end in the distal direction and is curved along the distal direction toward the central longitudinal axis.

18. The discharge device as claimed in claim 2, wherein at least one container rotation stop is formed on the container insert, and at least one housing rotation stop is formed on the housing, wherein the container rotation stop is formed so as to be contradirectional to the housing rotation stop, and wherein the container rotation stop and the housing rotation stop are arranged in such a way that the container rotation stop and the housing rotation stop strike one another at least one of during a rotation of the container insert in the housing in the direction of the release position and during an opposing rotation in the direction of the closed position.

19. The discharge device as claimed in claim 2, wherein the container insert is prefilled with a mass, and wherein the discharge device comprises a removable closure which closes the housing outlet opening.

20. The discharge device as claimed in claim 5, which also comprises a piston which is displaceable in the container insert along the longitudinal axis.

21. The discharge device as claimed in claim 20, wherein the piston defines a piston diameter, wherein the piston is connected to a push rod, wherein the push rod defines a rod diameter, and wherein the piston diameter is larger than the rod diameter.

22. The discharge device as claimed in claim 20, wherein the piston is slotted in such a way that said piston is capable of expanding radially.

23. The discharged device as claimed in claim 5, wherein a deflector is formed on the distal housing end, which adjoins the distal container end in the distal direction and is curved along the distal direction toward the central longitudinal axis.

24. The discharge device as claimed in claim 5, wherein at least one container rotation stop is formed on the container insert, and at least one housing rotation stop is formed on the housing, wherein the container rotation stop is formed so as to be contradirectional to the housing rotation stop, and wherein the container rotation stop and the housing rotation stop are arranged in such a way that the container rotation stop and the housing rotation stop strike one another at least one of during a rotation of the container insert in the housing in the direction of the release position and during an opposing rotation in the direction of the closed position.

25. The discharge device as claimed in claim 5, wherein the container insert is prefilled with a mass, and wherein the discharge device comprises a removable closure which closes the housing outlet opening.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0057] Preferred embodiments of the invention are described in the following with reference to the drawings which are intended merely for the purpose of explanation and are not intended to be interpreted to be limiting. In the drawings:

[0058] FIG. 1 shows a perspective exploded representation of one first exemplary embodiment of a discharge device comprising a housing, a container insert, and a rod;

[0059] FIG. 2 shows a perspective view of the housing from FIG. 1;

[0060] FIG. 3 shows a side view of the housing from FIG. 2;

[0061] FIG. 4 shows a cross-section through the housing from FIG. 3 in the plane A-A from FIG. 3;

[0062] FIG. 5 shows a perspective view of the container insert from FIG. 1;

[0063] FIG. 6 shows a side view of the container insert from FIG. 5;

[0064] FIG. 7 shows a cross-section through the container insert from FIG. 6 in the plane B-B from FIG. 6;

[0065] FIG. 8 shows a perspective view of the rod from FIG. 1;

[0066] FIG. 9 shows a perspective view of the discharge device in a release position;

[0067] FIG. 10 shows a side view of the discharge device from FIG. 9;

[0068] FIG. 11 shows a cross-section through the discharge device from FIG. 10 in the plane C-C from FIG. 10;

[0069] FIG. 12 shows a cross-section through the discharge device from FIG. 10 in the plane D-D from FIG. 10;

[0070] FIG. 13 shows a perspective view of the discharge device in a closed position;

[0071] FIG. 14 shows a side view of the discharge device from FIG. 13;

[0072] FIG. 15 shows a cross-section through the discharge device from FIG. 14 in the plane E-E from FIG. 14;

[0073] FIG. 16 shows a cross-section through the discharge device from FIG. 14 in the plane F-F from FIG. 14;

[0074] FIG. 17 shows a perspective view of the discharge device in an end state;

[0075] FIG. 18 shows a side view of the discharge device from FIG. 17;

[0076] FIG. 19 shows a cross-section through the discharge device from FIG. 18 in the plane G-G and a cross-section through the discharge device from FIG. 18 in the plane H-H from FIG. 18;

[0077] FIG. 20 shows a cross-section through the discharge device from FIG. 18 in the plane I-I from FIG. 18;

[0078] FIG. 21 shows a perspective view of a second exemplary embodiment of a discharge device;

[0079] FIG. 22 shows a cross-section along a longitudinal axis through the discharge device from FIG. 21;

[0080] FIG. 23 shows a perspective view of a third exemplary embodiment of a discharge device;

[0081] FIG. 24 shows a side view of the discharge device according to FIG. 23;

[0082] FIG. 25 shows a side view of a fourth exemplary embodiment of a discharge device;

[0083] FIG. 26 shows a cross-section along the longitudinal axis through the discharge device according to FIG. 25;

[0084] FIG. 27 shows a detailed view of the region J from FIG. 26 with the rod locked in position;

[0085] FIG. 28 shows a side view of the rod from FIG. 1;

[0086] FIG. 29 shows a detailed view of the region K from FIG. 28;

[0087] FIG. 30 shows a cross-section along the longitudinal axis through the discharge device from FIG. 9;

[0088] FIG. 31 shows a detailed view of the region L from FIG. 30;

[0089] FIG. 32 shows a cross-section along the longitudinal axis through the discharge device from FIG. 9, with the rod having been advanced;

[0090] FIG. 33 shows a detailed view of the region M from FIG. 32;

[0091] FIG. 34 shows a perspective view of a rod according to a fifth exemplary embodiment of the invention;

[0092] FIG. 35 shows a cross-section along the longitudinal axis through a discharge device comprising a rod according to FIG. 34;

[0093] FIG. 36 shows a detailed view of the region N from FIG. 35;

[0094] FIG. 37 shows a cross-section along the longitudinal axis through the discharge device from FIG. 35, with the rod having been advanced; and

[0095] FIG. 38 shows a detailed view of the region O from FIG. 37.

DESCRIPTION OF PREFERRED EMBODIMENTS

[0096] A first embodiment of a discharge device for discharging a poorly flowable mass, e.g., a bone replacement material, is illustrated in FIGS. 1-20. As is evident from FIG. 1, the discharge device 1 comprises a housing 200, a container insert 300, and a rod 400.

[0097] The housing 200 is shown separately in FIGS. 2-4. Said housing comprises a peripheral housing wall (jacket wall) 204 which delimits an inner housing chamber 212 and defines a proximal housing inlet opening 213 and a distal housing outlet opening 203. In the region of the proximal housing end 201, the housing 200 has an expanded region on which a handle 214 in the form of two grip wings is formed. Adjoining the proximal expanded region in the distal direction is a cylindrical region which extends up to the distal housing end 203. In this cylindrical region, an elongate, lateral cutout 205 (i.e., a window) is formed in the housing wall 204, which is delimited in the circumferential direction by two parallel edges extending in parallel to the longitudinal axis L.

[0098] The housing wall 204 defines an inner housing lateral face 207 and an outer housing lateral face 208. The wall thickness of the housing wall 204 decreases continuously in the circumferential direction toward the lateral cutout 205. The inner housing lateral face 207 and the outer housing lateral face 208 enclose an acute angle with respect to one another in this region in a cutting plane perpendicular to the circumferential direction and meet at a scraping edge 209. The function of this scraping edge will be described in greater detail in the following in conjunction with FIG. 11.

[0099] The container insert 300 is shown separately in FIGS. 5-7. Said container insert comprises a container wall 304, an open proximal container end 301, and an open distal container end 302. The container wall 304 has a proximally located, expanded region adjoined by a narrower cylindrical region. In this cylindrical region, a lateral container opening 303 is formed in the container wall 304. The lateral container opening 303 extends continuously in parallel to the longitudinal axis L up to the distal container end 302 without a region of the container wall 304 adjoining the lateral container opening 303 in the distal direction along the longitudinal axis L.

[0100] The container wall 304 defines an inner container lateral face 305 and an outer container lateral face 306. These lateral faces are each connected, on both sides of the lateral container opening, by a shearing surface 310, wherein each of these shearing surfaces can be considered to be part of the inner container lateral face 305 that is slanted with respect to the circumferential direction. The shearing surfaces 310 and the outer container lateral face 306 meet at one shearing edge 307 in each case. The container wall 304 therefore tapers in the circumferential direction toward the lateral container opening 303 in such a way that said wall forms a blade-like shearing edge 307 in each case. In this case, the particular shearing surface 310 (as part of the inner container lateral face 305) and the outer container lateral face 306 enclose an acute angle with respect to one another in a cutting plane perpendicular to the circumferential direction. The shearing surfaces 310 and shearing edges 307 are described in greater detail in the following in conjunction with FIG. 11.

[0101] The hollow space delimited by the inner container lateral face 306 has an open cross-section which expands very slightly in the distal direction, as will be described in greater detail in conjunction with FIGS. 28 to 38.

[0102] Two radially protruding cams 309, 309′ which function as container rotation stops are formed at the proximal container end 301. This is described in greater detail in the following in conjunction with FIG. 12. In addition, a radially protruding twist handle 308, which facilitates a rotation of the container insert 300 in the housing 200, is formed at the proximal container end 301.

[0103] The rod 400 is shown alone in FIG. 8. At its distal end 402, the rod 400 comprises a piston 405 which is proximally adjoined by a push rod 403. The piston 405 extends radially slightly beyond the push rod 403 in this case, i.e., said piston has a piston diameter which is larger than the rod diameter of the push rod 403. The properties of the piston 405 resulting therefrom are described in greater detail in FIGS. 28 to 33. At its proximal rod end 401, the push rod 403 is connected to a pressure plate 407 via a connecting piece 406. In this embodiment, the pressure plate 407 is a disk-shaped thumb rest, on which a user can apply manual pressure for discharging the mass out of the discharge device 1. The push rod 403 comprises a rod stop in the form of an annular ridge 404 encircling the push rod 403, the function of which will be described in greater detail in conjunction with FIG. 27.

[0104] FIGS. 9-12 show the discharge device in a release position (filling position). In this case, the container insert 300 has been slid through the proximal housing end 201 into the inner housing chamber 212 until the twist handle 308 of the container insert 300 rests against the proximal housing end 201, and the rod 400 has been slid via its distal rod end 402 into the open proximal container end 301 of the container insert 300. In this release position, the lateral container opening 303 in the container wall 304 is located directly below the lateral cutout 205 of the housing wall 204, such that the lateral container opening 303, together with the lateral cutout 205, defines a common filling opening 206 in the discharge device 1. The mass is now filled by a user into this filling opening 206, i.e., through the lateral cutout 205 of the housing 200 and the lateral filling opening 303 of the container insert 300, into the interior of the container insert 300. This can take place manually and/or with the aid of a tool, e.g., a spatula.

[0105] It becomes evident from FIG. 11 in particular that the outer container lateral face 306 of the container wall 304 is in contact with the inner housing lateral face 207 of the housing wall 204, and, in the release position, the shearing edges 307 of the container insert are situated directly adjacent to the scraping edges 209 of the housing. In order to fill the container insert 300, a mass, e.g., a bone replacement material, can be spread over the lateral cutout 205 of the housing 200 along a scraping direction extending transversely to the longitudinal axis L. The scraping edge 209 functions as a filling aid in this case and makes it easier to scrape off the mass. The mass is sheared off toward the inside by means of the shearing edge 307 and thereby enters the interior of the container insert 300.

[0106] As described above, the wall thickness of the housing wall 204 continuously decreases toward the lateral cutout 205 on the outside in the circumferential direction over an angular range a in order to form the scraping edge 209. This angular range a is approximately 35° in this case. The continuous decrease in the wall thickness toward the lateral cutout 205 across a relatively large angular range ensures that the outer housing lateral face 208 curves continuously outwardly with respect to the circumferential direction away from the scraping edge 209 without a normal vector N on the outer housing lateral face 208 having a directional component which extends in the direction of a radial plane P extending centrally through the lateral cutout 205. A funnel effect is avoided as a result. In the present case, the radial plane P is a plane of symmetry of the housing 200, and the housing 200 is designed with mirror symmetry with respect to this radial plane P.

[0107] The cooperation of the radially protruding cams 309, 309′, each of which forms a container rotation stop, with a cam 215, which is formed so as to be complementary thereto on the housing and which forms a housing rotation stop, is illustrated in FIG. 12. In the release position, the cam 309 strikes the cam 215 in the circumferential direction and thereby prevents further rotation of the container insert 300 in the housing 200 in the counterclockwise direction.

[0108] FIGS. 13-16 illustrate an intermediate position of the discharge device, which lies between the release position and the closed position. In this intermediate position, the discharge device 1 was filled with the mass, initially in its release position, and the container insert 300 was subsequently rotated in the housing 200 about the longitudinal axis L to the extent that the scraping edge 209 on the one side of the lateral cutout of the housing is in contact with the shearing edge 307 on the opposite side of the lateral container opening. In this case, the shearing surface 310—which extends diagonally with respect to the circumferential direction—on the shearing edge 307 causes parts of the mass that are still located in the region of the scraping edge 209 to be sheared off by the shearing edge 307 and to be pushed in the direction of the interior of the container insert. Due to this shearing effect, the risk that, e.g., bone fragments, will become lodged between the container wall 304 and the housing wall 204 is reduced.

[0109] FIGS. 17-20 illustrate the closed position of the discharge device. In this closed position, the container insert 300 was rotated further, starting from the intermediate position, such that the container opening 303 in the container insert 300 is now located on an opposite side of the lateral cutout 205 of the housing 200 and, as a result, is completely covered by the housing wall 204. In other words, the filling opening 206 is now securely closed, and the discharge device 1 is ready for discharge.

[0110] FIG. 20 illustrates how, in this position, the cam 309′ functioning as a container rotation stop strikes, in the circumferential direction, the cam 215 functioning as the housing rotation stop and thereby prevents the further rotation of the container insert 200 in the clockwise direction past the closed position.

[0111] FIG. 21 shows a discharge device according to a second embodiment. This second embodiment largely corresponds to the first embodiment but comprises a removable closure 217 in the form of a closure cap. The closure cap 217 is designed as a screw cap in this case. Said cap closes the housing outlet opening 203 by way of an internal thread—which is formed on an inner side of the closure cap—having threaded engagement with a corresponding outer thread which is formed on the outer housing lateral face 208 on the distal housing end 202.

[0112] This embodiment is advantageous primarily when the container insert 300, which was prefilled with a component of the mass to be discharged (e.g., a powder), has been slid into the housing 200. In the closed position, this component is completely enclosed in the discharge device. In order to now add a further component (e.g., a liquid component such as blood, blood plasma, or aspirated bone marrow), a user grips the twist handle 308 of the container insert 300 and rotates said handle in such a way that the discharge device moves into the release position. The user can now fill the second component (e.g., wet the powder) therein and transfer the discharge device 1 into the closed position again by rotating the container insert 300 in the housing 200. The housing outlet opening 203 is subsequently exposed by removing the closure cap 217, and therefore the mass, which has been made available in this way, can be discharged by advancing the rod 400.

[0113] FIGS. 23 to 26 show a third and a fourth embodiment of a discharge device. These embodiments, in turn, largely correspond to the first embodiment, wherein the distal housing end 202 has a different design in each case, however. In the third embodiment according to FIGS. 23 and 24, the distal housing end extends diagonally with respect to the longitudinal axis L. In the fourth embodiment according to FIGS. 25 and 25, adjoining the distal housing end is a deflector 211 which is curved in the distal direction toward the central longitudinal axis L along the distal direction. Due to these embodiments, it is easier to discharge the mass toward one side.

[0114] FIG. 27 shows a detailed view of the region J of FIG. 26, wherein the rod 400, via its rod stop 404 in the form of an annular ridge, strikes a container stop 311 in the form of a detent projection in the open proximal container end 301 in such a way that a displacement of the rod 400 along the proximal direction through the proximal housing end 201 out of the container insert 300 is prevented. As a result, the rod 400 can be prevented from falling out of the discharge device.

[0115] FIGS. 28 and 29 illustrate the piston 400 according to the first embodiment, wherein the properties of the piston 405, which extends radially beyond the push rod 403, shall now be illustrated in particular. The piston 405 defines a piston diameter, while the push rod 403 defines a smaller rod diameter. The transition between the piston and the push rod takes place via a conical ramp.

[0116] FIGS. 30 to 33 illustrate a discharge device 1 according to the first embodiment, the container insert 300 of which continuously expands on the inside in the distal direction. Both the outer container lateral face 306 and the push rod 403 have a cylindrical shape having a constant diameter in each case, while the inner container lateral face 305 defines an inner container diameter which continuously increases along the longitudinal axis L in the distal direction. As the advance of the rod 400 in the container insert 300 increases, the radial spacing of the push rod 403 from the inner container lateral face 305 therefore becomes increasingly greater.

[0117] FIG. 30 shows the discharge device 1 comprising a rod 400 accommodated therein, the distal rod end 402 of which is located in the region of the proximal container end 302. FIG. 31 shows a detailed view of the region L of FIG. 30, which shows that the outer circumferential surface of the piston 405 is located in direct proximity to the inner container lateral face 305 in this case, although a narrow gap is formed therebetween. Said gap is adjoined, in the proximal direction, by a larger gap between the outer lateral face of the push rod 403 and the inner container lateral face 305. FIGS. 32 and 33 show the discharge device 1 comprising a rod 400 accommodated therein, wherein the rod 400 has been advanced in the distal direction and is now located with its distal rod end 402 in the region of the distal housing end 202 and the container end 302. Since the inner container lateral face 305 defines a container diameter which increasingly enlarges along the distal direction, the gap between the outer lateral face of the piston 405 or the outer lateral face of the push rod 403 and the inner container lateral face 305 also increases in a corresponding manner. Due to this gap, which increases in the distal direction, a jamming of the rod 400 can be avoided if the mass enters the gap between the piston 405 and the inner container lateral face 305 or even passes by the piston 405 and enters the region of the push rod 403. In this case, it suffices when the diameter of the container expands only very slightly, e.g., by less than one-tenth of a millimeter per centimeter of length (i.e., by less than 1 percent).

[0118] A fifth embodiment of the invention is illustrated in FIGS. 34 to 38. This embodiment corresponds to the first embodiment, although the rod 400′ comprises, at its distal rod end, a piston 405′ having two intersecting slots (indentations), wherein the slots extend radially through the piston 405′ and are open in the distal direction. These slots are positioned perpendicularly to one another and subdivide the piston into four identical segments in this case. These segments can deflect radially inward, in the direction of the longitudinal axis, when a radial forces acts on said segments. This makes it possible for the piston 405′ to expand radially or compress radially along the radial direction when said piston is guided through a container having a changeable open cross-section.

[0119] For this purpose, FIGS. 35 to 38, similarly to FIGS. 30 to 33, illustrate the use of this rod 400′ in a discharge device 1, the container insert 300 of which continuously conically expands on the inside in the distal direction. The slotted piston 405′ has a smaller radial expansion and a smaller circumference in the proximal region of the container insert 300, with a smaller inner container diameter, than in the distal region with a larger inner container diameter, since the segments of the piston 405′ increasingly spread apart in a resilient manner as the inner container diameter increases. In this case, the slotted piston 405′ ensures that the mass to be discharged can be efficiently and completely discharged even in the case of a relatively greatly distally expanding container insert 300.

LIST OF REFERENCE NUMBERS

[0120] 1 discharge device [0121] 200 housing [0122] 201 proximal housing end [0123] 202 distal housing end [0124] 203 housing outlet opening [0125] 204 housing wall [0126] 205 lateral cutout [0127] 206 filling opening [0128] 207 inner housing lateral face [0129] 208 outer housing lateral face [0130] 209 scraping edge [0131] 210 scraping surface [0132] 211 deflector [0133] 212 inner housing chamber [0134] 213 housing inlet opening [0135] 214 handle [0136] 215 housing rotation stop [0137] 216 grip surface [0138] 217 closure [0139] 300 container insert [0140] 301 proximal container end [0141] 302 distal container end [0142] 303 lateral container opening [0143] 304 container wall [0144] 305 inner container lateral face [0145] 306 outer container lateral face [0146] 307 shearing edge [0147] 308 twist handle [0148] 309, 309′ container rotation stop [0149] 310 shearing surface [0150] 311 container stop [0151] 400, 400′ rod [0152] 401 proximal rod end [0153] 402 distal rod end [0154] 403 push rod [0155] 404 rod stop [0156] 405, 405′ piston [0157] 406 connecting piece [0158] 407 pressure plate [0159] 500 functional element [0160] L longitudinal axis [0161] P radial plane [0162] N normal vector