Abstract:
A mixing and discharging device ( 1 ) has a syringe-like container ( 10 ), in which a plunger can be moved. A press-out spindle ( 30 ) having an external thread ( 31 ) interacts with a counterpart ( 40 ) by means of a thread engagement. The counterpart comprises one or more thread segments, which can be deflected outward in order to release the thread engagement. A securing element ( 5 ) can be slid onto the counterpart ( 40 ) in a distal direction in order to prevent a release of the thread engagement. A mixing rod ( 61 ) extends through the plunger ( 20 ). An operating element ( 70 ) is connected to the proximal end of the mixing rod by means of a releasable form closure or force closure. A locking element ( 80 ) can be moved between a locking position and a release position. In the locking position, the locking clement prevents a release of the form closure or force closure. Insulating ribs ( 13 ) minimise the input of heat into the interior of the container due to touching.

Description:
TECHNICAL SCOPE 
       [0001]    The present invention relates to a device for discharging a product. In particular, the product can be a bone cement or bone substitute. The device is, however, suitable for other highly viscous, tough masses. 
       PRIOR ART 
       [0002]    Syringe-like containers are frequently used in order to discharge a flowable product to its destination. A piston is present in the container. In order to discharge the product out of the container, the piston is advanced in a distal direction. In the simplest case, the piston is connected to a piston rod which comprises a thumb-rest. In order to discharge the product, the user presses the thumb-rest with his thumb in the distal direction, whilst he holds the container between his index finger and middle finger. However, the discharged amount is not easily able to be controlled in this manner. A relatively large force, which sometimes cannot be applied by the user or can only be applied with difficulty, is additionally required in the case of highly viscous, tough products such as bone cement. 
         [0003]    Consequently, instead of providing a piston rod, it is known to provide a pressing-out spindle which is in threaded engagement with a counter piece that is fixed to the container. The piston is then advanced as a result of a helical movement of the pressing-out spindle. As a result, the product can be discharged in a very controlled manner and with little expenditure of force. 
         [0004]    However, it is laborious when starting up to pre-screw the pressing-out spindle to begin with until the actual discharging operation starts. It is consequently known to realize the counter piece such that it is able to be moved in a targeted manner into engagement and out of engagement with the pressing-out spindle. As a result, first of all it is possible to advance the pressing-out spindle simply axially without engaging with the counter piece until the force required for this increases significantly in order only then to produce a threaded engagement. 
         [0005]    These types of devices are known, for example, from U.S. Pat. No. 4,832,692 or WO 2004/060468. In the case of said devices, the threaded engagement is produced by an actuating lever being pivoted in relation to the container. In U.S. Pat. No. 7,530,970 the threaded engagement is produced as a result of actuating a laterally arranged push button. In the case of the devices of EP 0 565 045 A1 and WO 01/93787 A2, the threaded engagement is produced by an element being rotated relative to the container about the container axis. In the case of the device of U.S. Pat. No. 6,106,496 a frame is displaced relative to the container in order to produce the threaded engagement. 
         [0006]    A further device of the named type is provided by Summit Medical Ltd. under the designation “MiniMix™ Precision Delivery Syringe”. In the case of said product, the threaded engagement is produced by an element which is arranged on the container being displaced in the proximal direction, i.e. against the operating direction. 
         [0007]    However, the handling of the named devices is not always intuitive. Additionally, at least some of the named devices are constructed in a relatively complicated manner and are correspondingly expensive to produce and are prone to error. 
         [0008]    It is also known to produce bone cement by mixing a solid component (powdery in the majority of cases) with a liquid component directly in the syringe-like container. Combined mixing and discharging devices have become known for this purpose where a mixing element is arranged in the container. Such a mixing and discharging device is provided, for example, in WO 2012/174670. In the case of the device disclosed there, the mixing element is connected to a mixing rod which is guided right through the piston to the outside. On its proximal end, the mixing rod is connected to an actuating ring. In order to mix the product, the user takes hold of the actuating ring and with this moves the mixing rod relative to the container. In order then to discharge the product, the user removes the actuating element from the mixing rod and pushes a hollow threaded spindle onto the mixing rod. So that the actuating element is able to be removed from the mixing rod, the mixing rod comprises a predetermined breaking point at which a proximal region of the mixing rod including the actuating ring is able to be broken off. As an alternative to this, the actuating ring is connected to the mixing rod by means of a screw connection and can be unscrewed from the mixing rod. 
         [0009]    A disadvantage of a predetermined breaking point is that when the mixing rod is broken off there is a risk of injury. As a rule, the function of the predetermined breaking point is not self-explanatory, which is why training is often necessary. In addition, the predetermined breaking point weakens the mixing rod such that there is the risk of the mixing rod breaking unintentionally even during the mixing process. A disadvantage of a screw connection is that it is laborious and time-consuming to unscrew the actuating ring from the mixing rod. The time required to do this is usually not available in an operating room. In addition, there is the risk of the bone cement starting to harden during this time before it is discharged. 
       REPRESENTATION OF THE INVENTION 
       [0010]    In a first aspect, the present invention provides a discharging device where a pressing-out spindle with an external thread is first of all able to be displaced axially in relation to a counter piece with an internal thread before the threaded engagement is secured. In this case, the threaded engagement is to be secured in a particularly simple manner, and the operation of the discharging device when securing the threaded engagement is to be particularly intuitive. 
         [0011]    Such a discharging device is provided in claim  1 . Further embodiments are provided in the dependent claims. 
         [0012]    A device for discharging a product is therefore provided, said device comprises: 
         [0013]    a container which forms a reservoir for the product; 
         [0014]    a piston which delimits the reservoir in a proximal direction and which is displaceable in a distal direction relative to the container in order to discharge the product out of the reservoir; 
         [0015]    a pressing-out spindle in order to exert a pressing-out force on the piston in the distal direction, wherein the pressing-out spindle comprises an external thread; and 
         [0016]    a counter piece which is arranged on a proximal end region of the container or is formed integrally with the container and is fixed in relation to the container at least in the proximal direction and with reference to rotations, having an internal thread which is configured for the purpose of forming a threaded engagement with the external thread of the pressing-out spindle, 
         [0017]    wherein the counter piece comprises one or several threaded segments which are outwardly deflectable in a lateral direction in order to release the threaded engagement, and 
         [0018]    wherein the device comprises a securing element which is arranged on the pressing-out spindle and which is pushable onto the counter piece in the distal direction in order to prevent release of the threaded engagement by the securing element impeding the threaded segments from deflecting in a lateral manner. 
         [0019]    The discharging device according to the invention makes it possible to secure the threaded engagement between the pressing-out spindle and the counter piece in a very simple manner. As a result of the securing element being arranged on the pressing-out spindle, it is not disturbing the handling of the discharging device before the pressing-out spindle is inserted. The securing element being pushed onto the pressing-out element in the distal direction makes the handling of the device very simple and intuitive. The device is able to be manufactured in a very cost-efficient manner as a result of its simple construction. 
         [0020]    Directions are used in this document as follows: The distal direction or more generally the longitudinal direction is defined by the direction of movement of the piston when the product is being discharged. The proximal direction is opposite to the distal direction. A lateral direction is designated as a direction which runs transversely to the longitudinal direction. A lateral direction which runs at an angle of approximately 90° with respect to the longitudinal direction is also designated as a radial direction. 
         [0021]    In a preferred manner, each of the threaded segments is configured on an elastically deflectable spring arm which extends with its free end in the proximal direction. However, it is also conceivable, for example, for the threaded segments to be pre-loaded inwardly with a spring force by separate spring elements or the threaded segments to be provided so as to be laterally movable without any action of a spring force. 
         [0022]    In a preferred manner, the counter piece forms a linear latching connection with the pressing-out spindle prior to the pushing-on of the securing element such that the pressing-out spindle is insertable into the counter piece in the distal direction by distally directed threaded flanks of the external thread sliding over proximally directed threaded flanks of the internal thread. However, it is also conceivable for the threaded segments of the counter piece to only engage with the external thread of the pressing-out spindle when the securing element is pushed onto the counter piece, and for the pressing-out spindle to be able to be displaced freely beforehand in relation to the counter piece. 
         [0023]    In order to ensure a latching connection which allows a movement only in one direction, the external thread can be configured as a buttress thread, having proximally directed threaded flanks which are steeper than the distally directed threaded flanks. In other words, the proximally directed threaded flanks enclose a larger angle with the longitudinal direction than the distally directed threaded flanks. The angle which the distally directed threaded flanks enclose with respect to the longitudinal direction in this case is preferably between 15° and 45°. The angle which the proximally directed threaded flanks enclose with respect to the longitudinal direction is accordingly in a preferred manner at least 60°, in particular in a preferred manner at least 80°, in a particularly preferred manner approximately 90°. The angle can exceed 90° when the thread forms undercuts. 
         [0024]    In order to facilitate handling, it is preferred that the securing element is fixable on the pressing-out spindle prior to being pushed onto the counter piece. The fixing can be effected, for example, as a result of a simple frictional connection or as a result of latching-in. When the pressing-out spindle comprises a handle on its proximal end, it is preferred that the securing element is fixable on the pressing-out spindle in the region of the handle. In a preferred manner, the securing element is guided on the pressing-out spindle. Preferably it cannot be removed from the pressing-out spindle whilst the pressing-out spindle is inserted into the counter piece. In a particularly simple embodiment, the securing element is sleeve-shaped and surrounds the pressing-out spindle. The securing element can widen toward its distal end in order to facilitate being pushed onto the counter piece. 
         [0025]    The device can be, in particular, a combined mixing and discharging device. For this purpose, the device can additionally comprise: 
         [0026]    a mixing element which is movable in the reservoir in order to intermix a product received therein, wherein the mixing element is movable preferably both in the longitudinal direction and in a rotating manner; 
         [0027]    a mixing rod which penetrates the piston, wherein the mixing rod comprises a distal end and a proximal end, and wherein the distal end of the mixing rod is connected to the mixing element, and wherein the pressing-out spindle is pushable onto the mixing rod from the proximal end. 
         [0028]    In a second aspect, the present invention provides a combined mixing and discharging device where a mixing rod is guided by a piston and an actuating element is arranged releasably on the proximal end of the mixing rod. In this case, the actuating element is able to be removed from the mixing rod in a particularly secure, simple and intuitive manner. 
         [0029]    For this purpose a device for mixing and discharging a product is provided, which device comprises: 
         [0030]    a container which forms a reservoir for the product; 
         [0031]    a piston which delimits the reservoir in a proximal direction and which is displaceable in a distal direction relative to the container in order to discharge the product out of the reservoir; 
         [0032]    a mixing element which is movable in the reservoir in order to intermix a product received therein; 
         [0033]    a mixing rod which penetrates the piston, wherein the mixing rod comprises a distal end and a proximal end, and wherein the distal end of the mixing rod is connected to the mixing element; and 
         [0034]    an actuating element which is connected to the proximal end of the mixing rod by means of a releasable positive-locking or frictional connection and is removable from the mixing rod as a result of releasing the positive-locking or frictional connection, as well as 
         [0035]    a locking element which is movable on the actuating element between a locking position and a release position, wherein the locking element prevents release of the positive-locking or frictional connection in the locking position, whilst in the release position it enables release of the positive-locking connection. 
         [0036]    In the locking position the locking element therefore secures a positive-locking or frictional connection between the mixing rod and the actuating element. The actuating element can be released from the mixing rod as a result of simply moving the locking element into the release position and releasing the positive-locking or frictional connection. This means it is no longer necessary to break off the mixing rod, with all the disadvantages linked thereto. Compared to a threaded connection, the handling is made a lot easier. 
         [0037]    In preferred embodiments, the actuating element comprises one or several connecting structures which form the releasable positive-locking or frictional connection with the mixing rod, wherein the connecting structures are outwardly deflectable in a lateral direction in relation to the mixing rod in order to release the positive-locking or frictional connection. In the locking position then, the locking element impedes the connecting structures from deflecting outward in a lateral manner. In particular, the connecting structures can include one or several elastic spring legs which are deflectable outwardly in a lateral manner and extend in the distal direction along the mixing rod. This makes possible a particularly simple and elegant connection between the mixing rod and the actuating element. 
         [0038]    In order to produce a positive-locking connection, it is possible to provide a latching lug which is directed inward in a lateral manner on at least one of the connecting structures. In this case, in a preferred manner the mixing rod comprises one or several lateral latching indentations, wherein in each case a positive-locking connection is formed by one latching lug and one latching indentation. As an alternative to this, however, it is also conceivable, for example, for only a frictional connection, which is secured by the locking element, to exist between the connecting structures and the proximal end of the mixing rod. 
         [0039]    In a particularly simple embodiment, the locking element forms a sleeve which, in the locking position, rests laterally on the connecting structures in order to prevent the connecting structures from deflecting laterally, and which, in the release position, enables the connecting structures to deflect laterally. 
         [0040]    In a preferred manner, the locking element is displaceable relative to the actuating element from the locking position into the release position by a movement in the proximal direction. This results in a particularly intuitive operation when the actuating element is to be removed as the actuating element together with the locking element is then also removed in the proximal direction. 
         [0041]    The actuating element can comprise a handle region which is configured for the purpose of being gripped by a hand of a user (for example in the form of a classic handle) and/or for receiving at least one finger of the hand (for example in the form of a ring). In particular, the handle region can comprise the form of a ring, the size of which is chosen such that it is suitable to receive at least one finger of the hand, in particular the index finger. The locking element is then preferably arranged distally from the handle region on the actuating element. The locking element can comprise a lateral flange region which is arranged such that it is possible for the user to pull the locking element on the flange region in the proximal direction toward the handle region of the actuating element by way of one or several fingers of the same hand without releasing the handle region. 
         [0042]    In order to prevent unintentional release of the actuating element, it is preferred when, in the locking position, the locking element is held on the actuating element as a result of a releasable frictional or positive-locking connection, wherein the releasable frictional or positive-locking connection is releasable by overcoming an increased minimum force which acts in the direction of the release position. 
         [0043]    In order to facilitate the discharging of the product once the actuating element has been removed, the device can additionally comprise: 
         [0044]    a pressing-out spindle in order to exert a pressing-out force on the piston in the distal direction, wherein the pressing-out spindle comprises an external thread and is pushable onto the mixing rod from the proximal end of the mixing rod once the actuating element has been removed from the mixing rod; and 
         [0045]    a counter piece which is arranged on a proximal end region of the container or is formed integrally with the container and is fixed in relation to the container at least in the proximal direction and with reference to rotations, having an internal thread which forms a threaded engagement with the external thread of the pressing-out spindle. 
         [0046]    In order to facilitate the subsequent pushing-on of a pressing-out element, it is preferred when the mixing rod does not widen at its proximal end. 
         [0047]    In a third aspect, the present invention provides a discharging device where the contents of the device are protected particularly well against heating up as a result of the hand heat of a user. 
         [0048]    For this purpose, a device for discharging a product is provided which comprises: a container which comprises a peripheral wall which delimits a reservoir for the product; 
         [0049]    a piston which delimits the reservoir in a proximal direction and which is displaceable in a distal direction relative to the container in order to discharge the product from the reservoir, wherein on the outside the container comprises insulating projections which protrude from the peripheral wall in order to reduce thermal contact with the interior of the container when a user takes hold of the container by the peripheral wall. 
         [0050]    The insulating projections can include in particular insulating ribs. In a preferred manner these extend along a longitudinal direction of the container. 
         [0051]    The first, second and third aspects of the invention can be realized independently of one another or in arbitrary combination with one another. 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         [0052]    Preferred embodiments of the invention are described below by way of the drawings which serve purely for explanation and are not to be interpreted in a restricting manner, in which drawings: 
           [0053]      FIG. 1  shows a perspective view of a mixing and discharging device according to a preferred exemplary embodiment of the present invention; 
           [0054]      FIG. 2  shows a side view of parts of the mixing and discharging device of  FIG. 1 ; 
           [0055]      FIG. 3  shows a central longitudinal section of the parts of  FIG. 2 ; 
           [0056]      FIGS. 4-7  show a central longitudinal section of parts of the mixing and discharging device of  FIG. 1  in different stages of use; 
           [0057]      FIG. 8  shows a central longitudinal section of a view of a detail of  FIG. 4 ; and 
           [0058]      FIG. 9  shows a central longitudinal section of a view of a detail of  FIG. 5 . 
       
    
    
     DESCRIPTION OF PREFERRED EMBODIMENTS 
       [0059]      FIG. 1  shows a preferred exemplary embodiment of a mixing and discharging device  1  according to the present invention.  FIGS. 2 and 3  show a side view and a central longitudinal section of parts of said mixing and discharging device. 
         [0060]    The mixing and discharging device  1  comprises a container  10  which forms a syringe body. With its peripheral wall  12 , the container  10  delimits a cylindrical reservoir  11  which defines a longitudinal direction by way of its cylinder axis. Insulating ribs  13  which extend parallel to the longitudinal direction are configured on the outside surface of the peripheral wall  12 . Said insulating ribs  13  serve for the purpose of reducing the transmission of body heat to the peripheral wall  12  when a user takes hold of the container  10  with his fingers. As a result, a product that is accommodated in the reservoir  11  is protected from excessive heating. Two oppositely situated lateral holding flanges  14  are formed in a proximal end region on the container  10  in order to hold the container  10  between the index finger and middle finger of one hand of the user. 
         [0061]    A piston  20  is arranged in the container  10  so as to be displaceable along the longitudinal direction, the piston  20  abutting in a sealing manner with a sealing element  21  on its circumference against the inside surface of the peripheral wall  12 . As a result, the piston  20  defines the reservoir  11  in a fluid-tight manner in a proximal direction P. 
         [0062]    At its distal end, the container  10  comprises a distal removal opening, the size of which is such that the cross section of the reservoir  11  is not tapered at the distal end. An external thread, onto which a closure  90  is screwed, is formed on the peripheral wall  12  of the container  10  in the region of the removal opening. The closure  90  comprises a discharging spout  91 , the cross section of which is smaller than the cross section of the reservoir  11 . The discharging spout  91  is initially closed by a screw-connected sealing plug  92 . 
         [0063]    A mixing element  60  is arranged in the reservoir  11  between the piston  20  and the closure  90 . The mixing element  60  is configured in a manner that is known per se. It can comprise several arms, for example, which extend radially outward proceeding from a central hub and are connected to short arcuate segments at their free ends. The mixing element  60  is connected to a mixing rod  61 . In the present example, the mixing element  60  is formed integrally with the mixing rod  61 ; obviously, however, it is also conceivable for the mixing element  60  and the mixing rod  61  to be separate parts which are connected together, for example, by a screw-type or latching connection. The piston  20  comprises a central longitudinal bore, and the mixing rod  61  extends right through said longitudinal bore. As a result, the mixing rod  61  penetrates the piston  60  in the axial direction. At its proximal end, the mixing rod  61  is connected in a positive-locking but releasable manner to a ring-shaped actuating element  70 . The manner in which the positive-locking connection is produced and released will be described in more detail below. A locking element  80  prevents the positive-locking connection between the mixing rod  61  and the actuating element  70  being unintentionally released. 
         [0064]    The mixing and discharging device  1  additionally includes a hollow pressing-out spindle  30  as a separate element which is provided with an external thread  31 . At its proximal end, the pressing-out spindle  30  is provided with a handle  32  which serves for the purpose of rotating the pressing-out spindle about its longitudinal axis. At its distal end, the pressing-out spindle  30  comprises a distal end region  33  which comprises an outside diameter that is smaller than that of the external thread  31 . 
         [0065]    A counter piece  40  for the pressing-out spindle  30  is arranged at the proximal end of the container  10 . In the present example, the counter piece  40  is formed integrally with the container  10 ; the counter piece  40  can also be manufactured as a separate piece and be connected subsequently to the container  10 . The counter piece  40  has the form of a threaded sleeve which is divided into segments by several axially extending incisions. Each of the segments forms an elastically outwardly deflectable spring arm  41 , on the proximal free end of which an inwardly pointing threaded segment  42  is formed. 
         [0066]    The mixing and discharging device  1  additionally comprises a securing sleeve  50  which is arranged on the pressing-out spindle  30  in the region of the handle  32 . The function of the securing sleeve  50  will be explained in more detail below. The securing sleeve  50  widens slightly in its distal end region  51 . The securing sleeve  50  is frictionally connected to the pressing-out spindle  30  on its proximal end and, as a result, is held on the pressing-out spindle  30  so as to be releasable. 
         [0067]    Initially, the mixing and discharging device  1  is situated in the state in  FIGS. 1-3 . Beforehand, two components of a product, which are subsequently to be mixed together, have been filled into the reservoir  11 . To this end, the user takes hold of the actuating element  70  and with this moves the mixing rod  61  in the axial direction and at the same time back and forth in the circumferential direction. As a result, the mixing element  60  is moved in a corresponding manner in the reservoir  11  and thus mixes the components. 
         [0068]    In order to discharge the finished product, the user first of all removes the actuating element  70 , as is shown in  FIG. 4 . To this end, the user inserts his thumb into the ring-shaped actuating element  70  and pulls the locking element  80  with the index finger and middle finger in the proximal direction P. As a result, the connection between the mixing rod  61  and the actuating element  70  is released, as will be explained in more detail below in conjunction with  FIG. 8 . 
         [0069]    The user then pushes the pressing-out spindle  30  in the distal direction D onto the mixing rod  61 . In this case, the distal end region  33  of the pressing-out spindle  30  first of all passes into the region of the counter piece  40 . On account of its reduced diameter, the distal end region  33  can be easily pushed between the threaded segments  42  until the external thread  31  of the pressing-out spindle  30  contacts the threaded segments  42 . The distally directed threaded flanks of the external thread  31  now slide over the proximally directed threaded flanks of the threaded segments  42  and as a result deflect the threaded segments  42  radially outward. Accordingly, the spring arms  41  spring elastically outward. As soon as the threaded segments  42  engage with the external thread  31 , the spring arms  41  spring back inward again. In all, a linear latching connection between the pressing-out spindle  30  and the counter piece  40  is formed in this manner. 
         [0070]    The user then advances the pressing-out spindle  30  axially in the distal direction D until the pressing-out spindle  30  abuts against the proximal end of the piston  20  with its distal end region  33 . This state is shown in  FIG. 5 . From this moment, a significantly increased counter force acts against the pressing-out spindle  30  advancing any further in a linear manner. The linear latching connection between the counter piece  40  and the pressing-out spindle  30  prevents the pressing-out spindle  30  from being able to be pulled back. 
         [0071]    In order to secure the threaded connection between the pressing-out spindle  30  and the counter piece  40 , the user now pushes the securing sleeve  50  on the pressing-out spindle  30  forward in the distal direction D until the securing sleeve  50  laterally encompasses the counter piece  40 . This is shown in  FIG. 6 . In this case, the widened distal end region of the securing sleeve  50  facilitates the pushing of the securing sleeve  50  onto the counter piece  40 . The securing sleeve  50  then rests laterally on the spring arms  41  and, as a result, prevents the spring arms  41  being able to continue to be deflected outward. 
         [0072]    In order to press the product out of the reservoir  11 , the user first of all removes the sealing plug  92 . The user then rotates the threaded spindle  30  in the clockwise direction by the handle  32  and thus screws the threaded spindle  30  into the container  10  in the distal direction D. As a result, the piston  20  is advanced in the distal direction D and presses the product right through the discharging spout  91  out of the reservoir  11 . The state at the end of the discharging operation is shown in  FIG. 7 . 
         [0073]    The connection between the piston rod  61  and the actuating element  70  is now explained in more detail by way of  FIG. 8 . The fastening element  70  comprises an actuating region in the form of a ring  76  and a fastening region  71  which extends in the distal direction D from the ring  76 . The fastening region  71  comprises two radially opposite connecting structures in the form of spring legs  72  which, proceeding from the ring  76 , extend in the distal direction D parallel to the longitudinal axis. Each of the two springs legs comprises a latching lug  74  on the inside. The spring legs  72  together delimit a gap  73  into which the proximal free end of the mixing rod  61  is insertable. 
         [0074]    The mixing rod  61  comprises at its proximal free end two oppositely situated latching indentations  62  which are complementary to the latching lugs  74  of the fastening region  71 . When the free end of the mixing rod  61  is pushed into the gap  73 , the spring legs  72  spring outward until the latching lugs  74  engage in the latching indentations  62  and thus produce a positive-locking connection between the mixing rod  61  and the actuating element  70 . In this case, the positive-locking connection acts both in the axial direction and the circumferential direction, i.e. the actuating element  70  is fixed on the mixing rod  61  both with reference to axial movements and with reference to rotations about the longitudinal axis. 
         [0075]    Said positive-locking connection is secured by the sleeve-like locking element  80 .  FIGS. 1-3  show the locking element  80  situated in a locking position in which it prevents the spring legs  72  from deflecting in a lateral manner. As a result, the locking element  80  prevents the positive-locking connection between the mixing rod  61  and the actuating element  70  being released. In the locking position, the locking element is fixed in a frictional locking manner on the actuating element  70  by means of a radially outwardly protruding holding bead  75 . In  FIG. 8 , the locking element  80 , in contrast, is situated in a release position in which it makes it possible for the spring legs  72  with the latching lugs  74  to deflect in a lateral manner and consequently for the positive-locking connection to be released, by the actuating element  70  being removed from the mixing rod  61  in the proximal direction P. In order to be able to move the locking element  80  into the release position in a simple and intuitive manner, the locking element  80  comprises oppositely situated flange regions  81  which are configured for the purpose of being pulled in the proximal direction by means of the index and middle fingers of one hand, the index finger of which is situated in the ring  76 . On account of the holding bead  75 , a certain minimum resistance has first of all to be overcome before the locking element  80  can be moved into the release position. 
         [0076]      FIG. 9  shows an enlarged view of the connection between the pressing-out spindle  30  and the counter piece  40 . As has already been explained above, the counter piece  40  forms a sleeve which is subdivided by axial incisions into several sleeve segments which act as spring arms  41 . On its free end, each of the spring arms  41  comprises a threaded segment  42 . The threaded segment comprises a steep distal flank  43 , which forms an angle of 90° to the longitudinal direction, as well as a flat proximal flank  44 , which forms an angle of approximately 30° to the longitudinal direction. The flanks of the external thread  31  on the outside circumference of the pressing-out spindle  30  are configured in a complementary manner hereto. The distally directed flanks  34  are configured correspondingly flatter than the proximally directed flanks  35 . In this way, the pressing-out spindle  30  can be advanced axially in the distal direction in relation to the counter piece  40 . In this case, the external thread  31  and the threaded segments  42  form a linear latching connection where the flat distally directed flanks  34  of the external thread  31  slide over the flat proximally directed flanks  44  of the threaded segments  42 , whilst the steep proximally directed flanks  35  of the external thread  31  together with the steep distally directed flanks  43  of the threaded segments  42  prevent the pressing-out spindle  30  from being pulled back. 
         [0077]    Diverse modifications are obviously possible without departing from the scope of the present invention. In particular, the combination shown here of pressing-out spindle  30 , counter piece  40  and securing sleeve  50  can also be used in the case of a discharging device without a mixing element  60  and mixing rod  61 . Conversely, the manner in which the actuating element  70  is held on the mixing rod  61  by means of a locking element  80  can be used independently of a certain pressing-out element. The individual elements can also be designed differently to how they are shown here as an example. Thus, for example, the pressing-out spindle  30  can comprise a differently designed handle and can be formed differently at its distal end. Instead of a single-start thread, a double-start or multiple-start thread is also conceivable. The counter piece  40  can also be designed differently. Thus, the counter piece does not forcibly have to be sleeve-shaped, and not all the segments of the counter piece need to form spring arms. The securing sleeve  50  can comprise a form other than that shown here as long as it is suitable to impede parts of the counter piece  40  from deflecting outward. The container  10  does not forcibly need to comprise insulating ribs. If insulation is desired, other types of insulating structures can also be present on the container wall  12 . Insulating projections can also be advantageous in the case of other types of syringe-like containers. The container can also be designed differently on its distal end to as shown here and in particular can be provided with a different type of closure. 
       LIST OF REFERENCES 
       [0000]    
       
           1  Mixing and discharging device 
           10  Container 
           11  Reservoir 
           12  Peripheral wall 
           13  Insulating rib 
           14  Holding flange 
           20  Piston 
           21  Sealing element 
           30  Pressing-out spindle 
           31  External thread 
           32  Handle 
           33  Distal end region 
           34  Distally directed flank 
           35  Proximally directed flank 
           40  Counter piece 
           41  Spring arm 
           42  Threaded segment 
           43  Distally directed flank 
           44  Proximally directed flank 
           50  Securing sleeve 
           51  Distal end region 
           60  Mixing element 
           61  Mixing rod 
           62  Latching indentation 
           70  Actuating element 
           71  Fastening region 
           72  Spring leg 
           73  Gap 
           74  Latching lug 
           75  Holding bead 
           76  Ring 
           80  Locking element 
           81  Flange region 
           90  Closure 
           91  Discharging spout 
           92  Sealing plug