The present invention relates to a method for entraining in an airflow a medicament powder contained in a cavity. The present invention also relates to a medical dispenser, comprising a powder-containing cavity.
There are many devices for administering powdered medicaments to the lungs, which employ propellants, such as compressed gases, e.g. air, or liquefied gas propellants, to dispense and disperse the medicament. There are also a number of known breath actuated inhalation devices for administering powdered medicaments to the lungs, which have mouthpieces through which the medicament is inhaled. British Patent Specification Nos. 1 521 000, 1 520 062, 1 472 650 and 1 502 150 disclose more complex devices in which a complete capsule is inserted into the device thus ensuring no spillage of medicament prior to inhalation, and access to the medicament is gained by piercing the capsule or cutting it in half, inside the dispensing device. On inhalation the air flows into or through the capsule and the powder within is released into the air stream and flows towards the mouth.
U.S. Pat. No. 4,210,140 discloses a device in which access to the powdered medicament is gained by pulling the halves of the capsule apart so that the medicament is emptied to a suitable position for entrainment in the airflow caused by inhalation.
U.S. Pat. No. 6,655,381 relates to a pre-metered dose assembly for consistently supplying precise doses of medicament for a breath-actuated dry powder inhaler. The assembly includes a cap defining a dry powder delivery passageway for providing air to a dry powder supply port of a swirl chamber of a breath-actuated dry powder inhaler, and a magazine including a plurality of reservoirs for holding pre-metered doses of dry powder. One of the magazine and the cap is movable with respect to the other of the magazine and the cap for sequentially positioning the reservoirs within the delivery passageway of the cap. A breath-induced low pressure at an outlet port of the inhaler causes an air flow through the dry powder delivery passageway of the assembly and into the dry powder supply port that entrains dry powder from the reservoir positioned in the passageway for inhalation by a patient using the inhaler. The passageway is provided with a venturi in the passageway by the reservoir to create a flow through the reservoir and bring the powder there from.
In spite of the numerous prior art devices it would be desirable to provide a simple yet efficient administering of powdered medicaments into the alveolar region of the lungs. Indeed, it would be desirable to be enable the medicament powder to be efficiently deaggregated before being administered into the alveolar region of the lungs. In addition to the above mentioned methods of enabling deaggregation in the prior art, there exist various ways of enabling deaggregation by vibrating, shaking or providing alternative obstacles in the flow passage etc. It is common to strive for a deaggregation that makes a significant amount of the powder particles to be in accordance with a desired size and weight. This is often referred to as classifying of the powder particles. These prior art deaggregation devices may result in contamination of the downstream flow passage since medicament powder may accumulate in the downstream region of the device e.g. by certain alternative obstacles. It is of course desirable to reduce or avoid the risk of administering an inaccurate amount of medicament powder. Thus, a general reduction of powder retention within the device is desirable.
The above-mentioned object is achieved by providing a method and a dispenser as defined in the accompanied claims.
The present invention is based on the insight that the build-up of an eddy in a powder-containing cavity may contribute to entraining the powder into a by-passing airflow. The invention is also based on the insight that, the built-up eddy contributes to deaggregating the powder within the cavity. It has been found that such an eddy may be generated by the actual by-passing airflow. The invention is further based on the insight that the entrainment benefits from providing one or more eddies presenting a three-dimensional direction of rotation rather than a substantially two-dimensional direction of rotation. It has been found that such an eddy or eddies which jump back and forth in the cavity are obtainable by, upstream of the cavity, controlling the flow pattern of the airflow by-passing the cavity. In particular, it has been found that an airflow which by-passes the cavity opening and which has a flow pattern presenting relatively large vortices (compared to a flow pattern presenting relatively small or no vortices) generates an eddy in the cavity which results in a comparatively increased entrainment of powder from the cavity.
Although there is no semantic difference between the terms “vortex” and “eddy” or “vortices” and “eddies”, in this application, in order to avoid confusion, the terms “vortex” and “vortices” are used when describing the motion of the air outside the cavity, while the terms “eddy” and “eddies” are used when describing the motion of air inside the cavity.
According to a first aspect of the invention, there is provided a method for entraining in an airflow a medicament powder contained in a cavity having a cavity opening. The method comprises
providing an airflow to be passed outside the cavity along the cavity opening, the provided airflow initially having a first flow pattern,
changing, upstream of the cavity opening, said provided first flow pattern into a second flow pattern having larger vortices than the first flow pattern, and
passing, along the cavity opening, the airflow having said second flow pattern, thereby generating an eddy in the cavity which contributes to entraining the powder in said airflow.
An eddy may be created in the cavity with an airflow having no or relatively small vortices, such an airflow may be regarded as having, on average, a rather symmetrical velocity profile and flow pattern. An eddy created by such an airflow will have a mainly two-dimensional direction of rotation, i.e. the geometrical axis round which the eddy rotates will mainly be confined to one direction. Said geometrical axis will typically extend perpendicular to the direction of the by-passing airflow, but be confined to a plane parallel with the direction of the by-passing airflow.
However, by providing a by-passing airflow having relatively large vortices (the airflow may be regarded as having an asymmetrical velocity profile and flow pattern) the turbulent airflow will affect the generated eddy by moving it back and forth in the cavity. Thus, the eddy will become inclined at various angles when the extension of the geometrical axis of the eddy will change between several directions. This eddy will be likely to reach more portions of the cavity and thereby increase the amount of powder entrained in the by-passing airflow compared to the above described eddy which has a geometrical axis mainly extending in one direction.
According to at least one example embodiment of the invention, the change into said second flow pattern (having larger vortices than said first flow pattern) is accomplished by means of an obstacle arranged in the flow path upstream of the cavity. The airflow is caused to pass round the obstacle. The obstacle may be in the form of a solid object, such as having the form of a polyhedron formed by triangular, rectangular and/or other polygonal faces. Alternatively, the obstacle may have curved or rounded faces such as in the form of a cylinder. Other forms, such as U-shapes, V-shapes, etc. are also conceivable. Although the obstacle may be centred with respect to the main direction of flow, it may alternatively be located off-centre. The upstream location of the cavity may be both far away from or near the cavity, as long as the second flow pattern with the large vortices is able to be formed and maintained when passing over the cavity. Perpendicular to the main flow direction, the obstacle may, for instance, have a cross-sectional area which is about 5-25% of the cross-sectional area of the flow passage, suitably about 5-20%, such as about 5-15%.
Although the obstacle may be substantially unaffected by the passing airflow and thus remain stationary, it may be arranged and shaped as a compliant body or be made of a compliant material so that the airflow causes the obstacle to flutter, which in turn may create vibrations in the airflow.
The first initial flow pattern may comprise some small vortices and in such case it does not represent a real laminar flow. Nevertheless, the obstacle will cause an identifiable change of the flow pattern. There will be larger vortices downstream of the obstacle and the velocity profile will be more asymmetric than upstream of the obstacle. Thus, the obstacle may be regarded as a turbulence promoter and/or an asymmetry-creating (or symmetry-breaking) object in the flow passage. Furthermore, since an obstacle provided upstream of the cavity changes the behaviour of the eddy in the cavity (compared to the case when no obstacle is present), the obstacle may also be regarded as an eddy-controlling feature.
From above, it should now be clear that an airflow, having said second flow pattern and by-passing the cavity opening, will have a positive effect on the entrainment of powder from the cavity into the by-passing airflow. This is due to the wobbling eddy reaching into large parts of the cavity. However, for an airflow which is directed as a jet into the cavity, rather than directed in parallel with the rim defining the cavity opening, it would not make much difference whether said jet has said first flow pattern or said second flow pattern. This is because, contrary to the effect that a by-passing airflow has on the generated eddy in the cavity, in the case of a jet directed into the cavity, the jet itself would have the main emptying effect, and any turbulence would play just a small part of it.
According to at least one example embodiment, the velocity of the airflow and the size and shape of the obstacle are configured to generate von Kármán vortices downstream of the obstacle. The von Kármán vortices have been found to generate a fluctuating eddy which affects a large area within the cavity, thereby enabling more powder to be entrained from the cavity than when a substantially two-dimensional eddy-movement is present in the cavity. The friction of the obstacle causes the airflow to slow down, thereby increasing the pressure. The von Kármán vortices are formed in the wake created downstream of the obstacle at Reynolds (Re) number greater than 47, Re=Vd/v, where V=steady velocity of the flow upstream of the obstacle; d=diameter of the obstacle (or some other suitable measure of width of non-circular bodies); and v=the kinematic viscosity of the airflow. A further discussion of von Kármán vortices may be found in Marcel Lesieur, Turbulence in Fluids—Stochastic and Numerical modelling. (1990). Kluwer Academic Publishers, Dordrecht, The Netherlands.
According to at least one example embodiment of the invention, the method comprises directing the airflow having said second flow pattern such that its main flow direction is substantially parallel with the plane coinciding with a rim defining the cavity opening. Thus, although the airflow may in alternative embodiments by-pass, the cavity at an angle to the cavity rim plane, e.g. depending on the configuration of the rim, a parallel flow has been found to provide suitable entrainment of the powder within the cavity. This is what creates a shear driven cavity flow. More in detail, the airflow may be given the desired parallel direction by suitable design of flow passage-defining wall portions, such that the flow passage directs the airflow in said parallel manner. Suitably, the sides of the cavity pass perpendicularly into the flat surface region.
According to at least one example embodiment, the method comprises directing the airflow having said first flow pattern at an inclination relative to the plane coinciding with the rim defining the cavity opening, and performing said change into said second flow pattern before the airflow is directed substantially in parallel with said plane. In other words, there may be provided a slope or a bevelled surface which is provided upstream of and angled relative to the plane of the rim. In the case when said change is effected by means of said obstacle, the obstacle may suitably be provided at that slope or bevelled surface, as it may facilitate the assembly process of a dispenser in which the method is performed. In particular, in production, when the powder is introduced into the cavity of the dispenser, the obstacle may be less in the way, e.g. if a scrape is used to provide the powder into the cavity. Of course, it is also conceivable to provide the obstacle at the flat surface region which may coincide with the plane of the rim.
According to at least one example embodiment the angle of said inclination is about 30°-60° relative to the plane coinciding with the rim defining the cavity opening.
The method according to the first aspect of the invention may suitably be implemented in a medical dispenser, e.g. an inhaler, a nebulizer, a respirator or other medical device in which a powder is to be entrained in an airflow.
Thus, according to a second aspect of the invention, a medical dispenser is provided. The medical dispenser comprises
a powder-containing cavity,
a flow passage comprising a flat surface region located both upstream and downstream of the cavity,
said flat surface region comprising an opening into said cavity, the opening being defined by a rim, wherein the flat surface region lies in the plane coinciding with the rim or in a plane parallel with the plane coinciding with the rim, and
an obstacle provided in the flow passage upstream of the cavity causing an airflow to pass round the obstacle.
According to at least one example embodiment, said obstacle projects from a flow passage-defining wall portion.
As previously discussed, the obstacle may suitably be provided on a slope or bevelled portion. This is reflected in at least one example embodiment, according to which said flow passage-defining wall portion is provided upstream of and passing into said flat surface region and is inclined with respect to said flat surface region.
The medical dispenser may be a single dose dispenser or a multidose dispenser. Thus, according to at least one example embodiment, said powder-containing cavity is one of a plurality of powder-containing cavities having individual flow passages, and wherein said obstacle is one of a plurality of obstacles, each obstacle being associated with a respective flow passage. An alternative would be to use a single obstacle which is movable to be aligned with the flow passage and cavity from which the next dose is to be dispensed.
According to at least one example embodiment, said flow passage-defining wall portion is inclined with respect to said flat surface region at an angle of about 30°-60°.
According to at least one example embodiment, the medical dispenser is in the form of an inhaler comprising a mouthpiece or nasal adapter through which medicament powder contained in said cavity is inhalable.
According to at least one example embodiment, the medical dispenser comprises a cavity structure holder for a cavity structure having a plurality of cavities containing respective doses of powder. The cavity structure holder forms part of at least one of the wall portions of the flow passage. The shape of the flow passage allows for a simple design which in turn allows for use of less elements leading to facilitated manufacturing process. Suitably, said plurality of cavities are integrally formed in said cavity structure.
According to at least one example embodiment, the medical dispenser comprises a seal component, which is releasably covering said cavity opening in a pre-inhaling condition. Suitably, the seal component of the cavity opening is releasable upon breath actuation.
It should be understood that the second aspect of the invention encompasses any embodiments or any features described in connection with the first aspect of the invention, as long as those embodiments or features are compatible with the medical dispenser of the second aspect.
The medical dispenser, when provided in the form of an inhaler, may contain various drugs and/or bioactive agents to be inhaled.
The bioactive agent may be selected from any therapeutic or diagnostic agent. For example it may be from the group of antiallergics, bronchodilators, bronchoconstrictors, pulmonary lung surfactants, analgesics, antibiotics, leukotriene inhibitors or antagonists, anticholinergics, mast cell inhibitors, antihistamines, antiinflammatories, antineoplastics, anesthetics, anti-tuberculars, imaging agents, cardiovascular agents, enzymes, steroids, genetic material, viral vectors, antisense agents, proteins, peptides and combinations thereof.
Examples of specific drugs which can be incorporated in the medical dispenser according to the invention include mometasone, ipratropium bromide, tiotropium and salts thereof, salmeterol, fluticasone propionate, beclomethasone dipropionate, reproterol, clenbuterol, rofleponide and salts, nedocromil, sodium chromoglycate, flunisolide, budesonide, formoterol fumarate dihydrate, Symbicort™ (budesonide and formoterol), terbutaline, terbutaline sulphate, salbutamol base and sulphate, fenoterol, 3-[2-(4-Hydroxy-2-oxo-3H-1,3-benzothiazol-7-yl)ethylamino]-N-[2-[2-(4-methylphenyl)ethoxy]ethyl]propanesulphonamide, hydrochloride. All of the above compounds can be in free base form or as pharmaceutically acceptable salts as known in the art.
Combinations of drugs may also be employed, for example formoterol/budesonide; formoterol/fluticasone; formoterol/mometasone; salmeterol/fluticasone; formoterol/tiotropium salts; zafirlukast/formoterol, zafirlukast/budesonide; montelukast/formoterol; montelukast/budesonide; loratadine/montelukast and loratadine/zafirlukast.
Further combinations include tiotropium and fluticasone, tiotropium and budesonide, tiotropium and mometasone, mometasone and salmeterol, formoterol and rofleponide, salmeterol and budesonide, salmeterol and rofleponide, and tiotropium and rofleponide.
a-5d schematically illustrate, by means of a schematic perspective view in cross section, an inhalation sequence.
a is a schematic illustration of an eddy generated in a cavity in an inhaler.
b is a schematic illustration of an eddy generated in a cavity in an inhaler, wherein an obstacle is provided upstream of the cavity.
a illustrates a velocity profile in a flow passage region at a cavity in an inhaler.
b illustrates a velocity profile in a flow passage region at a cavity in an inhaler, wherein an obstacle is provided upstream of the cavity.
a is a schematic cross sectional view of a flow passage region in which a slope changes into a flat surface region in a plane coinciding with the rim defining the cavity opening.
b shows a cross section along line b-b in
c shows a cross section along line c-c in
a-10c to 17a-17c illustrate various examples of obstacles in the flow passage region which may be used in example embodiments of the invention. The views correspond to those shown in
The inventive idea of changing, upstream of the cavity opening, a first flow pattern into a second flow pattern having larger vortices than the first flow pattern, will be discussed in connection with
Part of the flow passage 4 propagates along a flat surface region 7. The flat surface region 7, which forms the bottom of the flow passage 4 when the inhaler is in its intended use condition, comprises a cavity opening 20 into said powder-containing cavity 5. The passing of an airflow in the main flow direction (F) along said flat surface region 7 and outside said cavity 5 generates an eddy in the cavity 5 and the generated eddy contributes to deaggregation of the powder 2 in said cavity 5. The powder particles are brought against the sides within the cavity 5 when the shear driven cavity eddy is generated. When the powder particles hit the sides of the cavity 5 they become deaggregated and thus appropriate for administration. Furthermore, the generated eddy contributes to the emptying of the powder 2 from said cavity 5.
More in particular the cavity 5 and cavity opening 20 each have a length 10 in the main flow direction (F) of the flow passage 4 which is in the range of 65% to 135% of the cavity depth 22. More suitable, the cavity 5 and cavity opening 20 each have a length 10 in the main flow direction (F) of the flow passage which is in the range of 85% to 115% of the cavity depth 22 and more preferably in the range of 95% to 105% of the cavity depth 22 of said cavity 5. More in detail one cavity side, when taken in a cross section of the cavity as seen from above when the device is in the normal use condition and the opening of the cavity is facing upwards, has a width 8 in the propagating direction of the flow passage 4 which is in the range of 35% to 135% of the length 10 of the cavity 5, preferably in the range of 45% to 115% of the length 10 of the cavity 5, and more preferably in the range of 50% to 100% of the length 10 of the cavity 5.
Suitably, the distance from the top of the cavity 5 to the top of the powder particle bed in an initial condition is 1 mm or more than 1 mm. This distance is referred to as the headspace 11 of the cavity. The cavity 5 is provided with a headspace 11 between powder top and the cavity rim 6; the headspace 11 is at least 1 mm. A headspace ranging in between 1-3 mm would be suitably but depends also on the total cavity depth. Possibly, the headspace may vary in between 10 to 80% of the cavity depth provided that the shape of the cavity is adapted for deaggregation as described above. It is also found that the mass flow rate of the device 1 is fairly insensitive to the depth 22 of the cavity, at least following an initial induction period of approximately 5-10 ms. The extent of the headspace 11 is suitably between 10 and 35% of the cavity depth 22 and the cavity depth 22, from rim 6 to bottom of a brick-shaped cavity 5, is between 4 and 10 mm.
Consequently, a suitable cross sectional shape of the cavity 5, as seen from the side, is a quadratic shape. The inner corners of the cavity are essentially sharp. The edges 16, 17 of the cavity 5 that propagates transverse to the air stream direction and are present in the bottom of the cavity 5 may have a slightly curved shape (not shown in
Continuing with reference to
a-5d schematically illustrate, by means of a schematic perspective view in cross section, a inhalation sequence. The illustrated design of the device provides for use of a phenomenon denoted as shear driven cavity principle during deaggregation of the powder 2 in the cavity 5 and emptying operation of the powder 2 there from. Suitably, the flow passage 4 is arranged to follow a generally horizontal line from upstream to downstream of the cavity. The flow passage 4 is arranged to guide the airflow passing the opening 20 of the cavity 5 on the outside of the cavity opening 20 thereof.
In
The shear driven cavity is a model for flow in a cavity 5 where the upper boundary moves in a desired flow direction (F), and thus causes a rotation of gas/air in the cavity 5. The flow occurs at a Reynolds number which is likely higher than 4000 so the upper boundary flow may be assumed to be turbulent in general cases. The patterns during this process are quite complex. The opposing side surfaces of the flow passage 4 are arranged with a broadening propagation in relation to one another in the flow direction. To mention an example, a device comprising a disc in accordance with the illustration in
Rectangular cavities 5 are attractive provided they have an appropriate depth. For these cavities, the emptying time and the wall deposition factor is predicted to increase as the depth increases. The deaggregation potential is predicted to decrease as the depth increases beyond 5 mm, but a local maximum is found for depths near 4 mm.
An inspection of the flow behavior suggests that deaggregation is promoted by devices for which α>0 because the cavity 5 affects the air stream in such a way that the powder 2 particles that are about to escape from the cavity are more likely to re-enter the cavity. The particles that fail to escape from the cavity 5 instead impact on the downstream wall of the cavity 5, which causes deaggregation. Since particles are less likely to escape the cavity for devices with α>0, the emptying time is longer.
For illustrative and explanatory purposes,
In connection with
a is a schematic illustration of an eddy generated in a cavity in an inhaler. The powder is entrained in the same manner as illustrated in
b is a schematic illustration of an eddy generated in a cavity 5 in an inhaler, wherein an obstacle 40 is provided upstream of the cavity 5. This figure illustrates that an obstacle 40 will affect the airflow in the flow passage 4. Before reaching the obstacle 40, i.e. upstream of the obstacle 40, the airflow has a first flow pattern, which substantially corresponds to the flow pattern in the case illustrated in
It should be understood that
In the following, a comparison will be made between the velocity profile in a flow passage region at a cavity 105, with and without an obstacle 140 being present upstream of the cavity 105.
b illustrates a velocity profile in a flow passage region at a cavity 105 in an inhaler, wherein an obstacle 140 is provided upstream of the cavity 105. The velocity profile in this case is more asymmetric compared to the velocity profile shown in
As mentioned under the summary of the invention, by providing a by-passing airflow having relatively large vortices the turbulent airflow will affect the eddy generated in the cavity by moving it back and forth in the cavity. Thus, the eddy will become inclined at various angles when the extension of the geometrical axis of the eddy will change between several directions. This eddy will be likely to reach more portions of the cavity and thereby increase the amount of powder entrained in the by-passing airflow compared to the eddy described in connection with
In the following the retention of powder in the cavity 105 will be discussed for flow passages 104 provided with different obstacles (
Starting with
a-10c to 17a-17c illustrate various examples of obstacles in the flow passage region which may be used in example embodiments of the invention. The views correspond to those shown in
In
a-11c show an obstacle 240 which is similar to the one shown in
a-12c show an obstacle 340 which has similar dimensions to the one shown in
a-13c show an obstacle 440 which has similar dimensions to the one shown in
a-14c show an obstacle 540 which is symmetrically about the central geometrical axis of the flow passage and which projects from the roof portion 150. The obstacle 540 is shaped as a right-angled bracket with legs projecting at 90° relative each other and meeting each other at the upstream end of the obstacle. The width (w) of each leg is about 0.5 mm and the longest extension (l) of the obstacle 540 across the flow path is about 1.3 mm. The height (h) of the obstacle is 0.6 mm. At the longest extension (l) of the obstacle 540, the flow passage has a width of about 3.39 mm and a height from roof portion 150 to slope 130 of about 1.57 mm. Thus, perpendicular to the main flow direction the cross-sectional area of the obstacle 540 is about 14.7% ((1.3*0.6)/(3.39*1.57)) of the cross-sectional area of the flow passage 104. The distance between cavity 105 and obstacle 540 is about 2 mm. The cavity retention was 7%.
a-15c show an obstacle 640 in the form of a cylinder which projects from the roof portion 150. The height (h) of the cylinder is 0.6 mm and the diameter (d) is 1.3 mm. Thus, as for the angled obstacle 540 in
a-16c show a two-part obstacle 740 which is substantially a combination of the obstacle 140 shown in
a-17c show a two-part obstacle 840 which is substantially a combination of the obstacle 140 shown in
It is realised that the features of the above presented embodiments is not a complete description of all aspects of the invention and further combinations of features from different embodiments are conceivable within the claimed scope of protection. Hence, it is possible to combine various features with different embodiments within the claimed scope for enabling further aspects of the invention. Furthermore, the various features in the drawings have primarily been illustrated for explanatory purposes, and are thus not necessarily drawn to scale.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/SE2008/051490 | 12/18/2008 | WO | 00 | 12/7/2010 |
Number | Date | Country | |
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61015383 | Dec 2007 | US |