Abstract: An apparatus and method of using a device for dispensing fluid having a flexible and collapsible container, a fluid dispenser pump connected to the flexible and collapsible fluid container configured to draw fluid from the flexible and collapsible fluid container into the fluid dispenser pump and to dispense fluid through a fluid delivery channel to an exit port upon actuation of the pump; and the dispenser pump having an actuator that has a dose delivery button, and a sensor located in the apparatus and configured to actuate the dispenser pump upon physical contact of the dose delivery button by a user.

Abstract: A reader includes a first antenna, a second antenna spaced apart from the first antenna, an RFID reader circuit, and a processor. The first antenna and the second antenna are connected to the RFID reader circuit. The first antenna is configured to receive a first signal from an RFID tag. The second antenna is configured to receive a second signal from the RFID tag. The processor controls the RFID reader circuit to determine a first value of a signal parameter associated with the RFID tag based on the first signal and a second value of the signal parameter associated with the RFID tag based on the second signal, receives, from the RFID reader circuit, the first value and the second value, and determines, based on the first value and the second value, whether the RFID tag is located between the first antenna and the second antenna.

Abstract: Various aspects of the subject disclosure relate to a compounder system having a cartridge that includes controllable fluid pathways. The cartridge may include a syringe pump for moving fluid and/or gas, and one or more syringe valves or rotary valves for controlling which of the controllable fluid pathways is open for flow of the fluid and/or gas.

Abstract: A battery cell includes a first electrode formed from at least one of a metal foil, a metal mesh or a metal layer on a substrate. A second electrode can be formed from at least partially oxidized material in a form of at least one of a metal foil, a metal layer on a substrate, a metal mesh, or a battery electrode that includes plurality of particles on current collector. A layer of an ion exchange material can be positioned between the first and second electrodes, with the ion exchange material capable of acting as an electrolyte in some embodiments.

Abstract: A blood component sampling cassette which can be more efficiently manufactured at lower cost as compared to a typical cassette, a blood sampling circuit set, and a blood component sampling system. A blood component sampling cassette (22) includes a cassette main body (23) made of a soft material to which heat sterilization is applicable. The cassette main body (23) is provided with a retransfusion line (44). The retransfusion line (44) is provided with a reservoir (47) configured to temporarily store a blood component to be returned to a blood donor. The reservoir (47) is pressed by a retransfusion pump (49) to discharge the blood component from the reservoir (47).

Abstract: A device for delivering fluid to a user includes a fluid reservoir for holding the fluid, the fluid reservoir defining an internal volume and a stopper positioned in the internal volume of the fluid reservoir, wherein the stopper is formed with a cavity. The device further includes a piston having a distal end received within the cavity of the stopper and an actuator coupled to the piston for driving the piston into the internal volume of the fluid reservoir. Also, the device includes a coupling device for engaging the piston in the cavity of the stopper at a desired position and a sensor for determining whether the piston is engaged in the cavity of the stopper at the desired position.

Abstract: A filling aid. The filling aid includes a needle housing portion including at least one tab having a starting position and a filling position, and a filling needle cradle including a filling needle, the filling needle cradle slidable connected to the needle housing portion and having a starting position and a filling position, wherein when the at least one tab on the needle housing moves from a starting position to a filling position, the filling needle cradle slides from a starting position to a filling position, and wherein when the at least one tab on the needle housing moves from a filling position to a starting position, the filling needle cradle slides from a filling position to a starting position.

Abstract: A treatment device system includes a treatment machine for performing a therapy on a patient, the treatment machine including at least one fluid conveyor and a controller, the controller having a first memory, to cause the at least one fluid conveyor to produce a therapeutic fluid by mixing purified water and at least one concentrate. The system also includes and a water purifier in fluid communication with and providing the purified water to the treatment machine. A wired or wireless control line provides two way communication between the controller of the treatment machine and the internal central controller of the water purifier, wherein the controller of the treatment machine transmits data via the control line to the internal central controller of the water purifier for control of the water purifier, the data provided based on at least one of the operator inputs received via the user interface.

Abstract: A medicine injection pen includes a rotatable drive member and a rotary encoder associated with the drive member. The rotary encoder is configured to determine an amount of liquid medicine dispensed based on a rotational orientation of the drive member.

Abstract: An infusion tube system and a method for manufacture are provided. An infusion tube system including an infusion tube and a connector attached to the infusion tube at an end of the infusion tube is disclosed. The connector has a proximal end and includes a connector body extending from a distal end to a proximal end along a center axis and defining a cavity. The connector body includes an end wall with an inner surface, and at least one vent opening, and a sidewall extending from the end wall along the center axis with an inner and outer surface. The connector includes a membrane covering the at least one vent opening, the membrane being welded to the inner surface of the end wall along at least one welding seam including a first welding seam such that the membrane covers and seals the at least one vent opening.

Abstract: A bone graft loading system includes a loading funnel, syringe, cannula, plunger, and loading tool. The loading funnel includes an interior passageway to receive the cannula and a syringe docking portion. The syringe may be coupled to the syringe docking portion so that it extends along a longitudinal axis that is transverse to the longitudinal axes of the cannula and the loading funnel. A user may advance bone graft from the syringe to a holding area of the loading funnel. The user may then move the loading tool through the holding area and into the interior space of the cannula to load the cannula with bone graft. This process may be repeated until the cannula is fully loaded with bone graft. The cannula and the plunger inside the cannula may then be removed from the loading funnel and coupled to an injector assembly for use in surgery.

Abstract: A digital syringe is used with conventional polymer disposable syringe construction to be practical in the medical environment. Errors associated with the larger volumes of the syringes (which exacerbate minor errors in plunger position) and the flexibility and dimensional variations of the polymer plungers are accommodated by direct measurement of the syringe plunger position rather than indirect measurement of motor position and inference of syringe plunger position. This direct measurement eliminates mechanical tolerances (“stack up”) in the motor, gear train, and lead screw on plunger movement, an effect exacerbated by flexibility of the plunger and changes in syringe resistance and medicament viscosity, for example, with different medicaments or when the syringe is refrigerated. The digital syringe may be combined with the motor unit to provide additional versatility.

Abstract: Systems and methods for blood flow control are described herein. In some variations, a blood flow control system may comprise a blood flow control device. The blood flow control device may be placed within a body of a patient and may comprise an expandable member and a sensor. The sensor may be configured to measure at least one of a physiologic condition of the patient and a pressure associated with the expandable member. The blood flow control system may include at least one controller communicably coupled to the sensor to: receive data indicative of at least one of the physiologic condition of the patient and the pressure associated with the expandable member from the sensor, compare the received data with target data, identify at least one error based on the comparison, and in response to identifying the error, inhibit at least one function of the blood flow control system.

Abstract: A method, computer program product, and infusion pump assembly for determining a first rate-of-change force reading that corresponds to the delivery of a first dose of an infusible fluid via an infusion pump assembly. At least a second rate-of-change force reading is determined that corresponds to the delivery of at least a second dose of the infusible fluid via the infusion pump assembly. An average rate-of-change force reading is determined based, at least in part upon the first rate-of-change force reading and the at least a second rate-of-change force reading.

Abstract: Disclosed is an ambulatory infusion device, including a control unit and an electroacoustic transducer. The control unit is configured to operate the electroacoustic transducer as noise emitter or to operate the electroacoustic transducer as noise receiver and to determine from a received noise that is received by the electroacoustic transducer a state of the ambulatory infusion device.

Abstract: A syringe includes a body and a plunger movably disposed within the body. The syringe may be used with an injector including a drive member. The drive member preferably includes at least one pin adapted to form a retractable abutting connection with an interior of a plunger to enable the drive member to retract the plunger with the body of the syringe.

Abstract: A vapor delivery system and method is provided that is adapted for treating prostate tissue. The vapor delivery system includes a vapor delivery needle configured to deliver condensable vapor energy to tissue. In one method, the vapor delivery system is advanced transurethrally into the patient to access the prostate tissue. The vapor delivery system includes a generator unit and an inductive heating system to produce a high quality vapor for delivery to tissue. Methods of use are also provided.

Abstract: Embodiments of the current disclosure are directed toward systems, devices and methods for diabetes management. In particular, the present disclosure relates to devices and methods for dispensing insulin to a patient. A portable fluid infusion device, comprising a disposable part (DP) and a reusable part (RP) is disclosed. The DP comprises a first reservoir and a second reservoir, the second reservoir less than or equal to the first reservoir in length, while the RP comprises a first compartment configured to receive the first reservoir, a second compartment configured to receive the second reservoir and a gasket for sealing a junction between the second reservoir and the second compartment upon connection of the RP and the DP.

Abstract: The present invention relates to a delivery device for delivering predetermined amounts of fluid, comprising a body (10), a container (16) filled with fluid to be delivered arranged inside said body, said container comprising an opening for expelling said fluid and a wall (18) movable inside said container (16), a threaded plunger rod (46) arranged movable inside said body (10) in the longitudinal direction and in contact with said movable wail (18), a manually operated push means (14, 60) movable in the longitudinal direction capable of, upon operation, move said plunger rod (46) towards said movable wall (18), thereby expelling fluid, and means for transforming a generally linear movement of said push means (14, 60) to a rotational movement of said plunger rod (46).

Abstract: An actuator includes a sliding body moveable along a guide between a rest position and a retracted position, a spring resting on a support body and acting to exert a bias force urging the sliding body to the rest position, and a SMA wire having opposite ends being mechanically and electrically connected to a respective one of two stationary contacts and forming a loop between the opposite ends which is connected to the sliding body, wherein the SMA wire is arranged to, when activated by electric energy supply, pull the sliding body away from the rest position to the retracted position, wherein the guide is fixed to a first end portion, the support body is fixed to an intermediate portion, and a contact holding body, in which the two contacts are incorporated, is fixed to a second end portion of a mounting bar.

Abstract: A support structure for a medicament container is disclosed that is arranged to accommodate an elongated plunger rod, where the support structure has at least one flexible element arranged to be moved in contact with, and to exert a force, on a distal end surface of the medicament container, wherein the at least one flexible element is provided with a contact member arranged to contact an outer surface of the plunger rod and to be moved out of contact with the plunger rod when moved in contact with the medicament container.

Abstract: A multi-use disposable set (MUDS) has at least one syringe having a proximal end and a distal end spaced apart from the proximal end along a longitudinal axis. The MUDS further has a plunger reciprocally movable within a syringe interior between the proximal end and the distal end. A manifold is in fluid communication with the distal end of the at least one syringe. At least one valve is in fluid communication with the syringe interior. The at least one valve is operable between a filling position for filling the syringe interior with fluid and a delivery position for delivering the fluid from the syringe interior. At least one connection port is in fluid communication with the manifold and the syringe interior when the at least one valve is in the delivery position. A multi-fluid delivery system having the medical connector and MUDS is also provided. Various features of the MUDS system are also described.

Abstract: A drug solution administration device includes a drug solution reservoir, a drive unit, a rotation detection unit, and a control unit. The control unit counts the number of rotations of the drive unit from when a rotation sensor value reaches a blockage start threshold value until the rotation sensor value reaches a blockage detection threshold value. Further, the control unit determines that a blockage of a flow path has occurred when the rotation sensor value reaches the blockage detection threshold value, and rotates the drive unit in a direction opposite to a direction in which the drug solution is administered based on the counted number of rotations.

Abstract: A pump module for an infusion pump includes a plunger-cylinder unit that can be coupled to the infusion pump in order to deliver fluid from a fluid feed line into a fluid drain line to a patient. The plunger-cylinder unit has a delivery chamber that is fluidically connected to the fluid feed line and the fluid drain line. The delivery chamber is delimited by the cylinder (14). The plunger can be moved linearly/back and forth in the axial direction. A plunger seal seals the plunger in relation to the cylinder. The section of the wall of the cylinder, over which the plunger seal passes during the back-and-forth motion of the plunger, is sealed in a sterile manner in relation to the surroundings.

Abstract: Improvements in an infusion unit are disclosed. The infusion unit is a portable pump that can be used with patient that have wrist access or decubital PICC/MID-LINES without the risk of line accidently getting pulled. The infusion unit is in the shape of a conveniently shell that has an appearance of an arm cast. There are no hoses that extend beyond the body of the infusion unit and any vein penetration is completely covered under the body of the infusion unit. The secure enclosed unit prevents unauthorized tampering and entry into the unit. The medication dosing can be remotely monitored, fusion resumed, changed by nursing and the patient. The infusion unit has a wireless connection to a network to adjust medication and monitor vital signs, namely heart rate, O2 level and blood pressure that can be monitored and recorded for review.

Abstract: An injection device for administering a dose of a liquid medicament includes an elongated housing having a dispensing end and being configured to accommodate a cartridge filled with the liquid medicament, a drive mechanism configured to operably engage with the cartridge for expelling of a dose of the medicament from the cartridge via the dispensing end, a protective cap releasably attachable to the housing to cover the dispensing end, a first electronic circuit attached to the protective cap and electrically connected to at least a first cap electrode arranged on the protective cap, and a second electronic circuit arranged inside the housing, coupled to the drive mechanism and electrically connected to at least a first housing electrode that is located on the housing.

Abstract: A pressure jacket for use with a fluid injector may have a pressure jacket body having a proximal end, a distal end, and a circumferential sidewall extending between the proximal end and the distal end along a pressure jacket longitudinal axis. The pressure jacket may further have at least one resiliently deflectable retaining member having a first segment attached to the pressure jacket body and a second segment protruding from the first segment toward the distal end of the pressure jacket body and deflectable relative to the first segment. The pressure jacket may further have at least one actuation member associated with the at least one resiliently deflectable retaining member. The at least one actuation member may interact with a housing of the fluid injector when the pressure jacket is connected to the housing to deflect the at least one resiliently deflectable retaining member upon rotation of the pressure jacket.

Abstract: Apparatus is provided including a therapeutic substance reservoir (24) configured to hold a therapeutic substance (22), and an electromechanical pumping assembly (26). The pumping assembly is shaped to define a pump chamber (28) having (a) a therapeutic substance inlet (30), and (b) a therapeutic substance outlet (32). The pumping assembly includes a plunger (34) disposed such that therapeutic substance in the pump chamber is in direct contact with the plunger, and control circuitry (36) configured to drive the plunger to (a) draw the therapeutic substance into the pump chamber during a first pumping phase, and (b) deliver the therapeutic substance from the pump chamber in a plurality of discrete motions of the plunger during a second pumping phase.

Abstract: A vaccination device can be used to vaccinate day-old chicks. To vaccinate the day-old chicks safely while ensuring vaccination efficacy, the vaccination device can include a vaccination needle configured to extend from the vaccination device at a vaccination delivery location and an action plate. The action plate can be coupled to the vaccination device such that the action plate is positioned next to the vaccination delivery location. The action plate can include an action button, wherein the action button is configured to receive a day-old chick presented to the action plate in a predetermined loading position, receive a press of the action button, and in response to pressing the action button, cause the vaccination needle to extend from the vaccination device at the vaccination delivery location to deliver a subcutaneous injection to the day-old chick.

Abstract: A medical device includes a housing, a power supply, a thermally conductive mounting clamp, a heat shield, and at least one fastener. The housing includes a handle. The power supply is disposed within the housing. The thermally conductive mounting clamp is attached to an outer surface of the housing. The heat shield is disposed within the housing adjacent to the power supply. The heat shield is disposed against at least one interior surface of the handle. The at least one fastener passes through at least one opening in the housing and is in thermally conductive contact with the thermally conductive mounting clamp. Heat generated by the power supply is configured to dissipate from the power supply, through the heat shield, through the at least one fastener, and into the thermally conductive mounting clamp.

Abstract: An autoinjector drug delivery device configured with a stall and endpoint detection algorithm is described that allows for variations in the fill of the drug, barrel, plunger, and other components. The stall or end point detection causes the autoinjector to stop an extrusion process.

Abstract: Surgical tools are provided herein that are configured to apply suction and irrigation at a surgical site during the course of a surgical procedure. A surgical tool can include a handle that has a suction flow path configured to provide suction therethrough and an irrigation flow path configured to provide irrigation therethrough. The suction flow path and the irrigation flow path can share a common path along at least partial lengths thereof. An elongate shaft can extend distally from the handle and can have an inner lumen that is in communication with the suction flow path and the irrigation flow path. The inner lumen can thus be configured to provide suction from the suction flow path to a surgical site to remove matter therefrom and to provide irrigation from the irrigation flow path to the surgical site to provide fluid thereto.

Abstract: An ambulatory pump and a battery compartment for use in an ambulatory pump. The ambulatory pump includes a pump, a controller coupled to the pump for controlling the pump to deliver fluid to a patient, and a battery compartment electrically coupled to the pump and the controller. The battery compartment defines a cavity for alternately receiving a battery pack and a plurality of household batteries. A flex guide is positioned within the cavity. The flex guide has a compressed state and a non-compressed state where a profile of the flex guide has a height that is greater than half the insertion depth of the household batteries in the non-compressed state and that is less than half the insertion depth in the compressed state.

Abstract: Injection systems can include a reservoir, a plunger mounted within the reservoir, and a plunger shaft including engaging the plunger within the reservoir. A motor can be coupled to the plunger shaft and can be configured to cause the plunger and plunger shaft to move within the reservoir. Systems can include a first encoder and a second encoder and a controller array in communication with the first and second encoders. The controller array can receive outputs from the first and second encoders representative of the position of the motor. Outputs from one encoder can be used to confirm the accuracy of the output of the other encoder. The controller can compare the outputs from the encoders, and, if the difference in the outputs is greater than a predetermined amount, disable operation of the motor.

Abstract: A medical device with a volume sensor is provided for administering liquid drug therapy to a user. The medical device comprises a flexible reservoir for housing a supply of a liquid drug, a rigid structure with a chamber and a side hole in fluid communication with the flexible reservoir, a plunger mounted inside the chamber and configured to seal one side of the chamber, and a switch implemented to indicate the position of the plunger. When the inside end of the plunger passes the side hole, the switch is activated to transmit a signal indicating liquid volume in the flexible reservoir.

Abstract: A drug delivery system for injecting a medicament includes a housing, a container configured to receive a medicament including a stopper configured to move within the container and a closure, a needle in fluid communication with the container, a spacer configured to be engaged with the stopper, a first plunger, a first spring configured to bias the first plunger in an axial direction, second plunger disposed about the first plunger, a second spring configured to bias the second plunger in an axial direction. The first plunger is configured to move the spacer and the container relative to the housing via the first spring to establish fluid communication between the container and the patient needle, and the second plunger is configured to move the spacer and the stopper relative to the container via the second spring.

Abstract: Ratchet-based drive systems for more reliable and safer drug delivery are provided. The ratchet-based drive systems restrict angular movement and/or linear movement of components that cause a plunger to expel a liquid drug from a drug container. Movement of the components can be restricted to correspond to a predetermined or desired portion of the liquid drug. In the case that control of the drive system is lost or fails, the maximum amount of drug that could be delivered is limited to a known amount, thereby reducing the likelihood of an overdose.

Abstract: A method, computer program product, and infusion pump assembly for determining a first rate-of-change force reading that corresponds to the delivery of a first dose of an infusible fluid via an infusion pump assembly. At least a second rate-of-change force reading is determined that corresponds to the delivery of at least a second dose of the infusible fluid via the infusion pump assembly. An average rate-of-change force reading is determined based, at least in part upon the first rate-of-change force reading and the at least a second rate-of-change force reading.

Abstract: An apparatus for use in injectate delivery includes an actuator including a linkage, a force generating mechanism mechanically coupled to the linkage, and a controller coupled to the force generating mechanism. The force generating mechanism includes a passive force generator and an active force generator. In operation and on the basis of a control signal, the controller is configured to control the force generating mechanism to provide an input force to the linkage that is a combination of the first force provided by the passive force generator and a second force provided by the active force generator.

Abstract: The present invention relates to a delivery device for delivering predetermined amounts of fluid, comprising a body (10), a container (16) filled with fluid to be delivered arranged inside said body, said container comprising an opening for expelling said fluid and a wall (18) movable inside said container (16), a threaded plunger rod (46) arranged movable inside said body (10) in the longitudinal direction and in contact with said movable wall (18), a manually operated push means (14, 60) movable in the longitudinal direction capable of, upon operation, move said plunger rod (46) towards said movable wall (18), thereby expelling fluid, and means for transforming a generally linear movement of said push means (14, 60) to a rotational movement of said plunger rod (46).

Abstract: A pen-type drug injection device is disclosed which comprises a housing having a longitudinal axis, a threaded piston rod, a guide member for guiding the piston rod in a drug dispense operation, and a cartridge holder for receiving a cartridge, wherein the cartridge holder is detachable from the housing and wherein the guide member comprises an iris type aperture defined by a plurality of threaded pivotable segments. The drug delivery device is configured such that the aperture increases in diameter when the cartridge holder is being detached from the housing, such that the piston rod is free of the threaded engagement with the guide member and can be reset or pushed back to its initial position, and decreases in diameter when the cartridge holder is attached, such that the threads on segments reengage the piston rod.

Abstract: A dispenser with a transfer assembly is arranged to efficiently transfer a stored liquid from a reservoir in a body of the dispenser to an applicator. The transfer assembly includes an adapter, applicator base, piston and a bias member. The adapter is in contact with the body and has a central member with orifices to fluidly couple the applicator base to the reservoir. The applicator base is supported by and extends beyond the adapter. The applicator base forms a cavity for housing the piston and the bias member. A tubular member of the applicator base supports an applicator. The piston includes a passage that conveys the stored liquid from the cavity to the applicator. The bias member keeps the head of the piston against a surface of the central member. When stored liquid is under a pressure that exceeds a bias force, displacement of the piston, opens a seal.

Abstract: A multi-use disposable set (MUDS) has at least one syringe having a proximal end and a distal end spaced apart from the proximal end along a longitudinal axis. The MUDS further has a plunger reciprocally movable within a syringe interior between the proximal end and the distal end. A manifold is in fluid communication with the distal end of the at least one syringe. At least one valve is in fluid communication with the syringe interior. The at least one valve is operable between a filling position for filling the syringe interior with fluid and a delivery position for delivering the fluid from the syringe interior. At least one connection port is in fluid communication with the manifold and the syringe interior when the at least one valve is in the delivery position. A multi-fluid delivery system having the medical convector and MUDS is also provided. Various features of the MUDS system are also described.

Abstract: A syringe holding structure includes an adapter case (40) for holding a small-diameter syringe, and a syringe holding member having a flange-receiving groove (77) for holing flange portion (46) of the case(40). The syringe holding structure further includes locking mechanism for fixing the flange portion (46) in the groove (77) when the flange portion is inserted into flange-receiving groove and then it is rotated by 90 degrees about its axis.

Abstract: A method, computer program product, and infusion pump assembly for determining a first rate-of-change force reading that corresponds to the delivery of a first dose of an infusible fluid via an infusion pump assembly. At least a second rate-of-change force reading is determined that corresponds to the delivery of at least a second dose of the infusible fluid via the infusion pump assembly. An average rate-of-change force reading is determined based, at least in part upon the first rate-of-change force reading and the at least a second rate-of-change force reading.

Abstract: A delivery system having a telescoping spring is used to drive a plunger. The telescoping spring includes a nested inner spring that uses the unused volume on the inside of an outer spring. The telescoping spring has a staged release of each spring. The inner spring is connected to a non-anchored end of the outer spring, and rides within a container located within an inner dimension of the outer spring. The spring constant K of each spring can be the same or different. The delivery system can be fully mechanical or implemented as a smart delivery system under electronic control.

Abstract: A delivery system having a telescoping spring is used to drive a plunger. The telescoping spring includes a nested inner spring that uses the unused volume on the inside of an outer spring. The telescoping spring has a staged release of each spring. The inner spring is connected to a non-anchored end of the outer spring, and rides within a container located within an inner dimension of the outer spring. The spring constant K of each spring can be the same or different. The delivery system can be fully mechanical or implemented as a smart delivery system under electronic control.

Abstract: Ambulatory infusion pumps, durable assemblies, and disposable assemblies, including energy sources, reservoirs, baseplates, and related components therefor, as well as component combinations and related methods.

Abstract: A detector to measure composition of a flow of gas from a respiratory circuit. The detector includes a housing and a removable flow path element. The removable flow path element includes an inlet, a sampling chamber, a pump section including a membrane and an actuator interface, and an outlet. A flow path element dock is formed by the housing with the flow path element dock to removably engage the removable flow path element. A radiation source within the housing emits radiation into a sampling chamber of the removable flow path element while the removable flow path element is docked in the flow path element dock. A sensor is housed within the housing. A pump actuator and controller are within the housing to drive the pump to maintain the flow rate of the flow of breathable gas through an enclosed flow path.

Abstract: The present invention relates to a delivery device for delivering predetermined amounts of fluid, comprising a body (10), a container (16) filled with fluid to be delivered arranged inside said body, said container comprising an opening for expelling said fluid and a wall (18) movable inside said container (16), a threaded plunger rod (46) arranged movable inside said body (10) in the longitudinal direction and in contact with said movable wall (18), a manually operated push means (14, 60) movable in the longitudinal direction capable of, upon operation, move said plunger rod (46) towards said movable wall (18), thereby expelling fluid, and means for transforming a generally linear movement of said push means (14, 60) to a rotational movement of said plunger rod (46).