Abstract:
An insertion head for medical or pharmaceutical uses including a housing with a side that can be positioned on tissue and a penetrating device with a tip, the penetrating device carried by the housing in a protected orientation in which the housing covers the tip and a penetrating orientation in which the tip protrudes, wherein the penetrating orientation is angled relative to the protected orientation.

Description:
CROSS-REFERENCE TO RELATED APPLICATION(S) 
     This application is a continuation of International Application No. PCT/CH2005/000459, filed on Aug. 4, 2005, which claims priority to German Application No. 10 2004 039 408.3, filed on Aug. 13, 2004, the contents of both of which are incorporated in their entirety herein by reference. 
    
    
     BACKGROUND 
     The present invention relates to devices for dispensing, delivery, infusing or administering substances, and to methods of making and using such devices. More particularly, it relates to an insertion head for medical or pharmaceutical applications or uses which may be positioned on organic tissue, e.g. human skin, and comprises a puncturing device which penetrates the tissue when or after the insertion head has been positioned on the tissue. The insertion head may, in particular, be a component of an infusion set for administration of a medicament. 
     Such an insertion head is known from DE 198 21 723 C1. The insertion head comprises a housing, a flexible cannula which projects or extends from an underside of the housing and a puncturing needle which serves for positioning the flexible cannula subcutaneously in the tissue of a patient. For inserting into the tissue, the puncturing needle projects through the cannula and the cannula closely surrounds the puncturing needle. To protect a user of the insertion head from puncturing injuries, a needle protector is releasably fastened to the housing, extending or projecting from the housing and enclosing the cannula and the puncturing needle. The puncturing needle projecting from the underside of the insertion head with the surrounding cannula and, in particular, also the needle protector considerably increase the volume of the insertion head and thereby also the packaging thereof. 
     SUMMARY 
     One object of the present invention is to reduce the packaging volume for an insertion head which comprises a puncturing device and a protective device for the puncturing device. 
     In one embodiment, the present invention relates to an insertion head for medical or pharmaceutical applications or uses which comprises a housing with an underside which may be positioned on organic tissue and a puncturing device. The puncturing device comprises a puncturing section with a tip for penetrating, piercing or pricking the tissue. In some embodiments, the puncturing section projects from the underside of the housing. In principle, however, it may instead project from a side of the housing, provided that it projects sufficiently far beyond the underside for penetrating the tissue. The puncturing section may project beyond or extend from the underside of the housing, directly from the underside, by a length adapted to subcutaneous applications or uses. For applications or uses inside the skin or in intramuscular tissue, the puncturing section may be correspondingly shorter or longer. The puncturing section is understood to be the longitudinal section of the puncturing device which, during application, projects or extends into the tissue. 
     In one embodiment, the present invention comprises an insertion head for medical or pharmaceutical uses comprising a housing with a side that can be positioned on tissue and a penetrating device with a tip, the penetrating device carried by the housing and moveable from a protected orientation in which the housing covers the tip to a penetrating orientation in which the tip protrudes, wherein the penetrating orientation is angled relative to the protected orientation. 
     An insertion head for medical or pharmaceutical applications or uses including a housing with a bottom side that can be positioned on organic tissue and a pricking device with a pricking section with a tip while being retained by the housing in a protected position in which the housing covers the tip as well as in pricking position in which the tip protrudes from the bottom side, wherein in the pricking position, the pricking section is in a tilted position relative to the protected position. 
     In some embodiments, the insertion head is a component of an infusion set for administering insulin, a pain killer or another medicament which may be administered by infusion. The insertion head may also be used for diagnostic purposes instead of for an administration of medicaments or, in principle, of a different product which can be administered. In such applications, the puncturing section may serve as a carrier for a sensor for measuring, for example, the concentration of glucose in a body fluid or a different physical and/or biochemical variable which is crucial or may be crucial for the state of health of a patient. The insertion head may, for diagnostic purposes, be formed as a perfusion device. In such an embodiment, a rinsing fluid flows through the puncturing section after insertion into the tissue, which rinsing fluid absorbs one or more specific constituents of the body fluid when flowing to analyze the rinsing fluid enriched with the relevant constituent or the plurality of constituents. 
     In some embodiments, the insertion head may form a combined device for the administration of a product and a diagnostic device. The puncturing section can be formed for the delivery of a product, which may be, in particular, a medicament or a rinsing fluid, or for the removal of a body fluid or only one or a plurality of specific constituents of a body fluid. In such embodiments the puncturing section forms at least one cross section of flow. The puncturing section may also serve for the delivery and removal of substances in combination. If the insertion head is formed as a measuring device, the puncturing section may also only serve for positioning of a sensor or a part of a sensor, i.e. purely as mechanical insertion device. In a development as a measuring device, it may also serve, in addition to the mechanical inserting, for the transmission of control signals to the sensor and/or of measuring signals from the sensor. In combined embodiments and uses it may possess at least one cross section of flow for the transport of substances, i.e. a flow line, and at least one signal line. In some embodiments, the signal line may be dispensed with if the sensor is designed for the wireless reception of control signals and/or the wireless dispatching of measuring signals. 
     In some embodiments, the puncturing device may also comprise two or more puncturing sections, which project separately. Thus, a first puncturing section may serve for the transportation of substances into the tissue and a further, second puncturing section may serve for the transportation of substances out of the tissue and/or for inserting a sensor or a part of a sensor. With a plurality of puncturing sections, which each comprise a flow section, various substances may be administered with the same insertion head. This may also be realized by means of a puncturing section which forms a plurality of separate cross-sections of flow. 
     In some embodiments, to protect the user from puncturing injuries, a protective device is provided, which covers at least the tip of the puncturing section or the entire puncturing section in a first state of the insertion head. In a second state, into which the insertion head may be brought for use, the tip of the puncturing section is exposed and may be inserted into the tissue. 
     According to some embodiments of the present invention, the housing itself forms the protective device, i.e. the insertion head is provided with an integrated protective device. The puncturing device may adopt at least two predetermined positions relative to the housing, namely a first position in a first state of the insertion head and a second position in a second state of the insertion head. In both positions, the puncturing device is held by the housing, i.e. in both positions it is sufficiently fixedly connected to the housing to form a unit with the housing with regard to handling. The first position of the puncturing device may be referred to hereinafter as the protected position and the second position as the puncturing position. 
     In some embodiments, in the protected position, the puncturing section adopts a tilted position relative to the puncturing position, so that the housing covers the tip of the puncturing section. 
     In some preferred embodiments, the puncturing device is permanently connected to the housing in a movable manner. The fact that the puncturing device is permanently connected to the housing means that at least for the movement from the protected position into the puncturing position and/or from the puncturing position into the protected position it is not released from the housing. In such embodiments, the puncturing device is permanently connected to the housing in the sense that it may not be released at all from the housing, at least not without the exertion of an outstanding force or by destruction. 
     In some preferred embodiments of the present invention, the puncturing device is connected to the housing in such a manner that the puncturing section may be pivoted relative to the housing. Advantageously, the puncturing section may be pivoted into the housing so that at least the tip thereof or the entire puncturing section is set back behind the housing, in some embodiments behind or within the underside thereof, and as a result is covered by the housing. In principle, however, it is also conceivable as an alternative that the puncturing section has a flexural elasticity which is sufficiently high to bend the puncturing section with the tip thereof towards the housing, so that the tip projects into a receptacle of the housing and is releasably caught therewith in the housing, or otherwise is releasably held in this bending state counter to the restoring elasticity thereof. Such an embodiment is, in particular, conceivable when the puncturing section in the puncturing position encloses an acute angle with the underside of the housing. It is also conceivable that, for such a bending, the puncturing section is fastened to the housing a small distance behind the underside of the housing to thereby obtain a certain bending length already inside the housing. It is advantageous, on the other hand, if the puncturing section in the puncturing position projects directly from the underside in contact with the tissue surface during use, i.e. is clamped or connected to the underside in such a manner, fixedly or optionally axially movably and otherwise fixedly, that when penetrating a tissue, the flexible length of the insertion section is as short as possible. This applies, in particular, when the puncturing section, as in some preferred embodiments, comprises a thin needle. A puncturing section projecting directly from the underside is, in any case, preferred when the puncturing section does not have to be distorted for the protected position. In still a further alternative, the housing may form a displacement guide for the puncturing device, on which the puncturing device is guided in a translatory manner during its movement from the protected position into the puncturing position and/or from the puncturing position into the protected position. In some embodiments, the puncturing device is releasably fastened in a first connection to the housing in the protected position and also releasably fastened in a further, second connection in the puncturing position, wherein when the respective connection for the transfer into the respective other position is released, the puncturing device is separated from the housing and subsequently the new connection is established. In some embodiments, the two connections may, in particular, be a respective plug connection and/or catching connection. 
     In a preferred embodiment in which the puncturing section may be pivoted relative to the housing, the puncturing device and the housing form with one another an articulation with an axis of articulation pointing and/or extending transversely to the puncturing section. The puncturing device may be rotated about the axis of articulation relative to the housing. For the formation of such an articulation, the housing or the puncturing device may form a bearing or bushing and the other component may form the bearing pin. The bearing has to enclose the bearing pin over an angle of more than 180° when the puncturing device is to be fixedly held by the housing. 
     In principle, in some embodiments, it is sufficient for the puncturing device to be movable relative to the housing in only one direction and/or only so moved once, from the protected position into the puncturing position. However, in some embodiments, the puncturing device is optionally movable to and from between two positions, so that the puncturing device may be moved into the puncturing position for use and again into the protected position for disposal. In some embodiments, the connection between the puncturing device and the housing is, or comprises, a positive connection, which may form an articulation. The connection may alternatively, however, also be non-positive or even produced by material bond, for example when the puncturing section is bent into the protected position. 
     In some embodiments, the puncturing device is sufficiently fixedly held in at least two different positions. This means that, during puncturing, a user does not have to hold the puncturing section, but rather the housing or an insertion aid guiding the housing during puncturing, so that the puncturing section automatically penetrates the tissue when the housing is positioned on the tissue. The puncturing device is also held in the protected position, so that even at light vibrations it does not leave the protected position. In some preferred embodiments, the puncturing device catches with the housing in predetermined positions. The catching connection is releasable in the protected position. The catching connection may be releasable or unreleasable in the puncturing position. The catching connection may be formed by a connecting articulation itself, for example by the aforementioned bearing pin and bushing thereof having polygonal cross-sections adapted to one another. The catching elements may instead or additionally, however, also be provided outside the respective articulated connection. 
     In a preferred development of the present invention, the puncturing device is connected to the housing such that it is able to adopt two or more predetermined puncturing positions, each of the puncturing positions being predetermined as catching positions. Thus, the puncturing section may project in one of the puncturing positions perpendicularly beyond the underside of the housing, i.e. at a right angle, and in a further puncturing position may enclose an angle of less than 90°, preferably an angle of less than 45°, with the underside. The user may freely choose between the predetermined puncturing positions. If the different positions of the puncturing device or only the different puncturing positions are predetermined to be non-positive, so that the puncturing device is held non-positively on the housing in the relevant positions, the puncturing section may be moved relative to the underside of the housing into any angular position between 0 and 90°, in some embodiments, into any suitable angular position between 0 and 180°. 
     In some embodiments, for the connection to the housing, the puncturing device comprises a connecting structure from which the puncturing section projects. In some preferred embodiments, in the puncturing position the connecting structure forms part of or the entire underside of the insertion head, and rests with the underside thereof or part of the underside thereof, from which the puncturing section projects, on a tissue when the puncturing section is completely inserted into the tissue. In principle, however, the underside of the connecting structure may also be set back a small distance behind the contact surface of the insertion head. 
     In some embodiments, the housing forms an integrated protective device in the form of a receptacle which is open toward one outer side of the housing, so that the puncturing section may be pivoted into this receptacle or at least be bent with the tip thereof into the receptacle. It is also conceivable, in principle, that the puncturing device, in a first state of the insertion head, is received in the receptacle or at least with the tip thereof is received in the receptacle, and is releasably fastened to the housing in the protected position. The penetrating structure, or the tip, may be releasably held in the protected position by a catching connection, and in the puncturing position can be connected again to the housing, preferably by a catching connection. In some embodiments, the receptacle is formed on the underside of the housing. It is further advantageous, particularly for a moveable or pivoting puncturing section, if the receptacle is not only open towards the respective outer side, e.g. the underside, but also to an articulated connection of the puncturing device. The receptacle may also be open toward the underside and towards another outer side, for example to allow pivoting movements about different pivoting axes. 
     In some embodiments, the puncturing section may, in particular, comprise a flexible element, for example in the form of a flexible cannula, and a stabilizing element, and it may be formed solely from these parts. The stabilizing element in such embodiments serves for stabilizing the flexible element during puncturing and may, after the insertion thereof into the tissue, be advantageously removed to cause as little irritation as possible in the tissue during use. In some preferred embodiments, the stabilizing element forms a puncturing edge of the puncturing section. 
     In some embodiments, a puncturing needle, e.g. a steel needle, which remains in the tissue during the application, may also form the puncturing section. In preferred subcutaneous applications, such a puncturing section should be as short as possible, in some preferred embodiments, at most 12 mm or at most 8 mm. The needle should, on the one hand, be as flexible as possible for remaining in the tissue, i.e. elastically flexible but, on the other hand, has to be sufficiently rigid that it is able to penetrate into and/or through the human skin. 
     In further preferred embodiments, the rigidity of the puncturing section is automatically reduced when the puncturing section is inserted into the tissue. Thus the puncturing section, for example, may be made from a material which, in the range of body temperature, for example when exceeding a temperature of 35 or 36° C., or thereunder, namely in the region of 32° to 34° C., is markedly more flexible than at lower temperatures. Thus, the puncturing section may be formed as described in PCT/EP 04/00310, PCT/EP 04/00309, DE 101 17 286 A or DE 10 2004 002 472, which are incorporated herein by reference. 
     In some embodiments, the puncturing section may be formed completely or at least partially from a polymer material which, upon contact with body fluid, becomes softer and, as a result, the puncturing section becomes more flexible. In some embodiments, the softening may be brought about by an absorption of water and thus on a loosening of secondary bonds of the polymer material associated therewith. In principle, the polymer material may, however, be also partially dissolved and the flexibility thereby increased. The use of a polymer material which can be softened by absorption, which in addition softens in the aforementioned temperature range due to the effect of the temperature, may also be advantageous. In such embodiments, an additional stabilizing element may be dispensed with and the puncturing section is nevertheless more flexible in the tissue than a conventional puncturing needle. 
     In some embodiments of the present invention, the insertion head may be a component of an infusion set and/or diagnostic set, which also comprises a supply line and/or discharge line for a transportation of a substance and/or a signal transmission, in addition to the insertion head. For such a supply line and/or discharge line, a housing in accordance with the present invention advantageously forms a supporting section which, in particular, may be formed as a support. If the supply line and/or discharge line is releasably connected to the housing or the puncturing device, as may be preferred, the supporting section of the housing advantageously supports a connector to which the supply line and/or discharge line is connected. It is advantageous if the supporting section forms a guide for the connector which in the positioned state of the insertion head is parallel to the tissue surface, so that the connector in the direction of the tissue surface along the guide can be connected slidingly, fluidically and/or with respect to signalling technique to the housing or directly to the puncturing device. Mechanically, the connector is connected to the housing. 
     In some embodiments, in addition to a flexible element, the puncturing device comprises a stabilizing element, for example a puncturing needle, a handle part of the stabilizing element may be received in the supporting section when the puncturing device adopts its protected position. In such embodiments, the handle part of the stabilizing element and the connector use the same supporting section of the housing. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         FIG. 1  depicts one embodiment of an insertion head in accordance with the present invention with a puncturing device in a puncturing position before the inserting into organic tissue, 
         FIG. 2  shows the insertion head with the puncturing device in a protected position, 
         FIG. 3  shows the insertion head with the puncturing device shown in the protected position, 
         FIG. 4  shows the insertion head with the puncturing device in the puncturing position and a connected fluid supply line, 
         FIG. 5  depicts another embodiment of an insertion head in accordance with the present invention in longitudinal section, and 
         FIG. 6  is another view of the insertion head of the embodiment of  FIG. 5 . 
     
    
    
     DETAILED DESCRIPTION 
       FIG. 1  shows, in longitudinal section, an embodiment of an insertion head in accordance with the present invention. The insertion head comprises a housing  1  and a puncturing device or structure which is shown partially in a puncturing position relative to the housing  1 . The puncturing device comprises a connecting structure or connector  6  which is permanently connected in a movable manner to the housing  1 . The puncturing device further comprises a flexible penetrating element  7  which, in this embodiment, is formed as a cannula with an inner cross section of flow through which, when the insertion head  1  is used as an infusion head of an infusion set, a fluid infusate, for example insulin, flows. The penetrating element  7  is so flexible that, without an additional stabilization, it is not able to penetrate through the skin of a patient and is not able to penetrate into the skin. For the inserting of the penetrating element  7 , a sufficiently rigid stabilizing element  14  in the form of a puncturing needle projects through the connecting structure  6  and the penetrating element  7  projecting therefrom, so that the stabilizing element  14  projects with a free tip beyond the free end of the flexible penetrating element  7 . The flexible penetrating element  7  closely surrounds the peripheral outer surface of the stabilizing element  14  with a light tension. 
     The penetrating element  7  and the stabilizing element  14  form a puncturing section of the puncturing device which, in the puncturing position shown in  FIG. 1 , projects or extends at right angles beyond an underside  2  of the housing  1 . For use, the insertion head  1  can be moved with the underside  2  generally facing the skin, wherein the stabilizing element  14  pierces the skin and the puncturing section penetrates into and through the skin until the underside  2  contacts the skin surface. The underside  2  may be formed as an adhesive surface which is covered with a pull-off film, which is pulled-off for use to expose the adhesive surface. As soon as the underside  2  contacts the skin surface, an adhesive connection is therefore automatically produced. 
     The stabilizing element  14  is provided with a handle part  15 . The handle part  15  has the shape of one half of a ring. The stabilizing element  14  projects from a central area from the inner side of the handle part  15  and beyond the ring ends of the handle part  15 . In the two outer end regions of the handle part  15  a connecting element  16  projects radially inwardly from the inner side thereof. The connecting element  16  serve for the fastening of the handle part  15  and, thus, jointly of the stabilizing element  14 , to the connecting structure  6 . The two connecting elements  16  of the handle part  15  each form a hook-shaped catching element, which releasably catches with a corresponding counter element in a recess of the connecting structure  6 . The catching engagement of the two connecting elements  16  can be released by the two ring ends of the handle part  15  being pressed towards one another, counter to the restoring elasticity thereof, and the handle part is then moved away from the connecting structure  6 . In this case, the stabilizing element  14  is pulled out of the flexible penetrating element  7  so that after the removal of the stabilizing element  14  only the penetrating element  7  still remains in the tissue. 
     The connecting structure  6  forms a hollow space which is open on one side, from which the penetrating element  7  projects, and further comprises a passageway  11  for the stabilizing element  14  opposite the open side and a second passageway  12  for the connection of an infusate supply line. In the hollow space a sealing element  8  is arranged which seals the two passageways  11  and  12 . The flexible penetrating element  7  projects from a holder  9 , which closes the hollow space of the connecting structure  6 , apart from the cross section of flow of the penetrating element  7 , on the open side thereof and is held there positively and non-positively on the connecting structure  6 . At the same time, the holder  9  also holds the connecting element  8  within the hollow space of the connecting structure  6  so that, by pressing against the two passageways  11  and  12 , it sealingly closes same. The sealing element  8  forms, together with the holder  9  in the hollow space, a chamber  10  through which, during an infusion, the infusate flows into the flexible penetrating element  7 . The sealing element  8  is formed such that it may be pierced by the stabilizing element  14 , and/or so that both in the pierced state and after the stabilizing element  14  is removed, seals the passageways  11  and  12 . 
     The housing  1  comprises three sections. In a central section of the three sections, the housing  1  holds the connecting structure  6 . To the one side of the central section, the housing  1  forms or defines a receptacle  3  in the form of a hollow space which opens toward the underside  2  of the housing  1  and toward the connecting structure  6 . The connecting structure  6  is held by the housing  1  in such a manner that it is set back a small distance behind the underside  2 . To the other side of the central section, the housing  1  forms a supporting section  4  in the form of a plate-shaped or disc-shaped flat part. 
       FIG. 2  shows the insertion head in the same sectional view as  FIG. 1 , wherein the puncturing device adopts or has been moved to a protected position, in which its entire puncturing section is received in the receptacle  3 . The transfer from the puncturing position into the protected position takes place by a rotary movement of the connecting structure  6  about a rotational axis pointing or extending transversely to the puncturing section. 
     By the rotational movement of the connecting structure  6  the puncturing section may be pivoted into the hollow space  3 . The handle part  15 , which beyond the connecting structure  6  lies opposite the puncturing section  7 , is used by the user not only as a handle for pulling out of the stabilizing element  14  but also as a pivoting handle. In the protected position of the puncturing device, the handle part  15  rests on the upper side of the supporting section  4 , which thus forms a support for the handle part  15 . 
     The insertion head is delivered to a point of use with the puncturing device located in its protected position.  FIG. 2  thus shows the insertion head in the delivery state. In this state, the height of the insertion head is low, measured to the underside  2 . The volume of the sterile packaging of the insertion head can be accordingly small. Generally, the length and width of an insertion head in accordance with the present invention can correspond to the corresponding dimensions of conventional insertion heads thus reducing the need for special handling or packaging. The minimum height is predetermined by the connecting structure  6 , which is provided with the connections  11  and  12  for the stabilizing element  14  and an infusate supply line, with a connecting device for the connection to the housing  1  and with a connecting device for the handle part  15 . The supporting section  4  and the handle part  15  pivoted thereon, together have approximately the height of the housing section provided with the receptacle  3 . 
       FIG. 3  shows the insertion head with the puncturing device located in the protected position or orientation thereof. While the housing section forming the hollow space  3  is shown again in longitudinal section of  FIGS. 1 and 2 ,  FIG. 3  shows the connecting structure  6  in a perspective view. The connecting structure  6  forms, on two sides opposing one another, one pivot pin  5 . The two pivot pins  5  project transversely to the puncturing section. The housing  1  forms for each of the pivot pins  5  one articulated bushing. The connecting structure  6  and the housing  1 , therefore, form in each case one articulated element of a simple swivel joint with a single axis of articulation, about which the connecting structure  6  rotatably, and the puncturing section thereby pivotably is connected to the housing  1 . The connecting structure  6  may, therefore, also be denoted as a rotary head. The connection with the housing  1  is further designed such that the connecting structure  6  forms, both in the protected position and puncturing positions, a catching connection with the housing  1 . 
       FIG. 4  shows the insertion head with an attached infusate supply line  19 . The supply line  19  can be formed by a flexible catheter. The stabilizing element  14  is released from the connecting structure  6  and can, for example, be placed in the packaging of the insertion head. 
     The infusate supply line  19  is fixedly connected to a connector  18  which provides the connection of the infusate supply line  19  to the connecting structure  6  and thereby to the flexible penetrating element  7 . The handle part  15  forms two connecting elements  16  for the mechanical fastening to the housing  1  of which one is shown in the longitudinal section of  FIG. 4 . Alternatively, the positive connection of the handle part  15 , assuming appropriate modifications, could be formed with the connecting structure  6 . The longitudinal section plane shown in  FIG. 4  forms a plane of symmetry of the insertion head including the connector  18 . The two connecting elements  16  are flexurally elastic and at their ends in each case are provided with one catching element in the form of a hook. The connector  18  further comprises an underside which is shaped to correspond to the upper side of the supporting section  4 , so that the connector can be slidably pushed over the upper side of the supporting section  4  toward the connecting structure  6  until the connection to the puncturing device and a catching connection with the housing  1  are established. For the fluidic connection, the connector  18  forms a connecting needle  20  which, at least substantially parallel to the underside of the connector  18 , protrudes therefrom in the pushing forward direction thereof. Upon pushing the connector  18  to the connecting structure  6 , the needle penetrates the sealing element  8  thereof, so that the connecting needle  20  projects with its tip into the chamber  10 . The connecting needle  20  is hollow and the connector  18  forms a cross-section of a line which connects the infusate supply line  19  to the connecting needle  20 . In this manner, after the connection, a fluid-tight connection is established from the infusate supply line  19  up to the free end of the penetrating element  7 . 
     An embodiment of a sequence or method of use of an insertion head in accordance with the present invention is as follows: 
     The insertion head reaches the user packaged in a sterile manner in the delivery state shown in  FIG. 2 . The user opens the packaging and removes the insertion head. Due to the integrated protective device formed by the housing  1  in the form of the receptacle  3  and the puncturing device located in the protected position thereof, the user is protected from puncturing injuries and the puncturing section is protected from damage. 
     In a next step, the pull-off film is removed from the underside  2  of the housing  1 , so that the adhesive surface of the underside  2  is exposed. The user holds the housing  1  with one hand and grips the handle part  15  with the other hand. The handle part  15  may then be pivoted about the rotational axis formed by the swivel joint and, as a result, pivots the puncturing device into the puncturing position shown in  FIG. 1 , in which the puncturing section projects beyond the underside  2  of the housing. In this state, the user presses the insertion head against the skin, so that the puncturing section penetrates into and through the skin, until the insertion head contacts the skin surface with the underside  2  thereof and thereby adheres to the skin surface by adhesive forces. The free end of the flexible penetrating element  7  is automatically positioned in the tissue, e.g. subcutaneously, by puncturing. The stabilizing element  14  can now be removed by the user pressing together the two ring ends of the handle part  15 , bringing the connecting elements  16  thereof out of engagement with the connecting structure  6 , and pulling out the handle part  15  with the stabilizing element  14  fastened thereto of the connecting structure  6  and of the penetrating element  7 . The sealing element  8  ensures that the cross section of flow of the penetrating element  7  is sealed in a sterile manner from the surroundings even after the pulling out. 
     The insertion head is now ready for the connection of the infusate supply line  19  ( FIG. 4 ). For the connection, the connector  18 , resting on the supporting section  4  of the housing  1 , is pushed forward, with the connecting needle  20  ahead, onto the connecting structure  6 . During this pushing movement, the connecting needle  20  penetrates through the passageway  12  and the sealing element  8  into the chamber  10 . At the same time, the connecting elements  21  of the connector  18  come into catching engagement with the housing  1  so that, firstly, the fluidic connection and, secondly, the mechanical connection of the infusate supply line  19  to and with the flexible penetrating element  7  is established, as shown in  FIG. 4 . 
     If the pull-off film has a cut-out in the region of the receptacle  3 , the pull-off film can also only be removed after pivoting away the puncturing section  7 ,  14 . 
     After use, the connector  18  is released from the housing  1 . The insertion head is released from the skin surface and the flexible penetrating element  7  is pulled out of the tissue. 
       FIGS. 5 and 6  show another embodiment of an insertion head in accordance with the present invention with a puncturing device located in the protected position in longitudinal section. The insertion head comprises a one-piece puncturing section  13 , which during the use, e.g. the administration of a product, remains in the tissue. The stabilizing element  14  of the embodiment described with reference to  FIGS. 1-4  is dispensed with. The puncturing section  13  may be formed as a conventional puncturing needle, e.g. a piercing cannula, for example as steel needle. Such a puncturing section  13  should be as flexible as possible to cause as little irritation as possible in the tissue. However, it has to have a minimum amount of flexural strength to be able to penetrate into and through the skin further into the tissue. In one development, the puncturing section  13  which remains in the tissue, which also may form a cutting element for penetrating into the tissue, at least partially consists of a material which, as a result of contact with tissue, becomes more flexible. Suitable materials include, but are not limited to polymers which bind at least one component of body fluid which the puncturing section  13  contacts in the tissue. 
     In some embodiments, the bindable component is water. As a result of the binding, the respective material becomes softer, but maintains its integrity to such an extent that the cross section of flow formed by the puncturing section  13  remains continuously open for the transportation of the product. 
     The insertion head of the exemplary embodiment of  FIGS. 5 and 6  comprises a handle  15   a  which is modified relative to the embodiment described with reference to  FIGS. 1-4 . The slope of handle  15   a  corresponds to the handle  15  of the first embodiment, but is no longer connected to a stabilizing element, but formed only as a handle part  15   a . The handle  15   a  serves for the transfer of the puncturing device into the puncturing position, and as the case may be, also for the return from the puncturing position into the protected position. The handle  15   a  may further be used, as is the case with the handle  15  of the first embodiment, as the handle for the entire insertion head, to position the head on a tissue, e.g. human skin. The handle  15   a  may further also serve as a handle when releasing the insertion head from the tissue. During use, the handle  15   a  is released from the remainder of the insertion head. For release from the tissue surface the handle  15   a  can again be caught to the connecting structure  6  and can be used as a handling aid for the release. The handle  15   a  may also be used as an additional part for releasing the insertion head. 
     The insertion head of the embodiment shown in  FIGS. 5 and 6  generally corresponds to the embodiment of  FIGS. 1-4 , but for the sake of completeness it should be appreciated that the connecting structure  6  naturally does not have to have a passageway for the stabilizing element  14 , due to the omission of the stabilizing element  14 . The passageway  11  is accordingly dispensed with, but could in principle, with corresponding sealing, remain in the connecting structure  6 . 
     The fluid chamber  10  could, in the second embodiment, be converted into a simple cross section of flow which continuously lengthens the puncturing section  13  up to the passageway  12  and in which a sealing disc is provided to seal the passageway or the connection  12 , respectively, from the surroundings. 
     Embodiments of the present invention, including preferred embodiments, have been presented for the purpose of illustration and description. They are not intended to be exhaustive or to limit the invention to the precise forms and steps disclosed. Obvious modifications or variations are possible in light of the above teachings. The embodiments were chosen and described to provide the best illustration of the principles of the invention and the practical application thereof, and to enable one of ordinary skill in the art to utilize the invention in various embodiments and with various modifications as are suited to the particular use contemplated. All such modifications and variations are within the scope of the invention as determined by the appended claims when interpreted in accordance with the breadth they are fairly, legally, and equitably entitled.