This application is a national phase application under 35 U.S.C. §371 of PCT International Application No. PCT/SE2005/000994, filed Jun. 23, 2005, which claims priority to Swedish Application Serial No. 0401773-7, filed Jul. 2, 2004.
The present invention relates to an inhalation device for delivery of a medicament by inhalation according to the preamble of claim 1. It further relates to a canister and a counter assembly according to the preamble of claim 15 adapted to be positioned in an inhalation device and to a method for assembling said canister and said counter according to the preamble of claim 8.
Inhalers are commonly used for delivery of a wide range of medicaments. The inhaler holds a canister of medicament, the canister being actuated by compression to deliver a dose of medicament through a mouthpiece to a user.
Canisters for holding a suspension or solution of a pharmaceutical substance in a propellant under pressure are well known. One such known canister to be used in an inhalation device comprises a can coupled with a valve. The valve consists of a body comprising a chamber, a valve stem (which extends from a head of the body) and a metering chamber, selectively communicable by the valve stem to the atmosphere via an L-shaped conduit within the valve body. The valve stem is axially displaceable between a first, extended position in which the metering chamber, and hence the canister, is closed to the atmosphere (since the L-shaped conduit is disposed wholly outside the metering chamber), and a second, depressed position, in which the metering chamber is in open communication with the outlet provided by the L-shaped conduit in the valve stem and through which a metered dose of propellant containing pharmaceutical substance is delivered. The valve stem is inserted into a stem body component, which is part of the mouthpiece and housing of the device. The patient applies a compressive force between the base of the canister, held in an inverted position in the housing, and the stem body which forces the valve stem into the canister. When the valve stem has been depressed sufficiently to open the metering channel, the inhaler will discharge a single dose. This is known as the firing point. This technology is well known and described in many parts of the prior art. For example in Respiratory Drug delivery, Ed Peter Byron, CRC press, 1991, and in Lung Biology in Health and Disease, Vol 94, Inhalation Aerosols, A J Hickey, Publisher Marcel Decker, 1996 and in Pharmaceutical Preformulation and Formulation, Ed Mark Gibson, Chapter 10, Inhalation Dosage Forms, IHS Health Group, 2001.
It is important for the patient to be able to ascertain the level of medicament remaining in the canister. This requirement is met by the use of a dose counter accessory either attached to or part of the inhaler device. It is obvious that this counter must be accurate in that over-counting results in medicament being left in the inhaler unnecessarily resulting in more repeat prescribing with their resultant costs and inconvenience to patient. It also means that in an emergency situation the patient may not use the inhaler in the belief that it is empty when it is not. Conversely, undercounting could result in the inhaler being empty of medicament before the patient has a replacement, which could be dangerous for the patient and reduce patient compliance. Regulatory guidelines require the over and undercounting errors to be minimised.
An inhaler traditionally contains from 120 to 200 doses (shots) so any counter must be reliable, accurate and easy to read. There are many examples of dose counters in the prior art, some located near the valve region of the canister and some attached to the base of the canister which due to the fact that the canister is in an inverted position in the inhaler mouthpiece means that the counter is on the top of the assembled inhaler and can be easily viewed.
In U.S. Pat. No. 6,446,627 a dose counter attached to the base of the actuator is described. The counter measures the displacement of the top of the canister relative to the valve stem. The counter is not attached to the canister and therefore a problem is that the user can swap canisters between actuators and that would cause the indicator of the counter to display the incorrect number of doses remaining in the canister. Furthermore a problem with the inhalation device according to U.S. Pat. No. 6,446,627 is that the actuator and counter assembly are difficult to clean and are vulnerable to damage with water and cleaning products.
In U.S. Pat. No. 4,817,822 a counter attached to the base of the canister, i.e. on the top of the inhalation device, is disclosed. One embodiment of this inhalation device measures the displacement of the canister base relative to the actuator body. A problem with the counter disclosed in U.S. Pat. No. 4,817,822 is miscounting since the counter relies on the displacement of the canister and the canister length due to manufacturing variables is a length with a variable tolerance. A large tolerance of the canister length has the potential to cause miscounting.
In U.S. Pat. No. 6,082,358 a counter attached to the base of the canister is disclosed where the counter counts when a certain force is reached. The counter is attached to the canister but does not require alignment with the actuator body since it relies on the force of the spring in the counter mechanism being less than the force of the spring in the metering valve, such that the counting occurs before firing. A problem with such a counter is that the force of the counting spring and the metering valve need to be accurately controlled, and may vary with use.
However positioning the counter on the base of the canister would be preferred since the visibility of the counter would be good and furthermore the counter could be securely fixed to the canister.
In this text we will refer to a fire point, which is the amount of compression of the canister that is necessary for delivering a dose of medicament and a count point, which is the amount of compression of the canister that is necessary for affecting the counter to count one dose.
An object of the invention is to provide an inhalation device with a dose counter counting the delivered doses of medicament in a secure and reliable way.
A further object of the invention is to provide an inhalation device where a counter is securely fixed to the canister.
This is achieved in an inhalation device according to claim 1 and in a canister and counter assembly according to claim 15. It is further achieved by a method for assembling the counter and the canister according to claim 8.
Hereby the counter is securely fixed to the canister and the length tolerance of the canister and counter is limited by the controlled fixing of the counter to the base of the canister. Hereby it is possible to provide the counter on the base of the canister (i.e. the top of the inhalation device) and keep the count point close to the fire point and avoid miscounting.
a shows schematically a diagram of the relation between displacement of the canister and the fire and count points in an inhalation device not using the assembly process according to the invention.
b shows schematically the same as
a shows schematically a cross section of one embodiment of the counter and deformable ribs provided on the inside of the counter base before assembly to the canister.
b shows schematically the deformable ribs of
In
According to the invention the counter is provided onto the base of the canister 5. The counter 15 is attached to the canister 5 in an assembling process and it can be attached to the canister 5 at any one of numerous points along the base part of the canister, i.e. the part of the canister opposite from the valve stem, from the outermost edge of the counter to its inside base giving ranges of variation of positions and varying lengths of canister tolerances. I.e. the counter can be attached anywhere on the base of the canister. The contact areas between the counter and the canister, i.e. the inside of the counter 18 and/or the outside surfaces of the base of the canister 20 (see
Hereby an inhalation device 1 is achieved having a counter securely fixed to the canister and the canister and counter together having a predefined length within a predefined tolerance interval. This is preferred since this allows the control of the distance the canister needs to be depressed before a dose of medicament is delivered and thus also how much the canister needs to be depressed before the counter counts a dose.
a shows schematically how the fire point 21 (dose delivering) and the count point 22 are related to the compression of the canister in an inhaler device where the counter is attached to the base of the canister but the method according to the invention for assembling the counter and canister to achieve a small length tolerance is not used. Hereby the length tolerance of the canister and counter is large. This large length tolerance results in a range of possible counting points 24. This is illustrated in
b shows schematically the same as
The counter should be a displacement counter, i.e. a counter that is affected by the displacement of the canister and counts one count each time the canister is pressed down for delivering a dose. As described in the related art chapter there are different examples of such counters available today. One example of a counter that could be positioned onto the base of the canister according to the invention comprises a mechanism to convert longitudinal compression of the canister to a rotational, horizontal movement of an indicating mechanism of the counter. One example of such a counter is described in WO 01/37909. Displacement counters with other kinds of indicating mechanisms are also possible.
To ensure that the counter is fixedly attached to the canister and that the counter can be attached in a range of different positions to the canister one or more of the contact surfaces between the counter and canister (18, 20
The roughened surface, more precisely, is in one embodiment positioned on the outer wall of the canister at the base end and circumvents the canister, ie it is all the way around the canister side at the widest point of the canister length, see
The friction between said canister and said counter could also be further increased by means of adhesive. Furthermore the inner surface of the counter could be co-moulded with a high friction coefficient material.
Another possible way of attaching the counter to the base of the canister fixedly to a predefined position is to melt the plastic into a close fit to the canister. An example of this is to use ultra sonic welding or other heating process.
a shows schematically a cross section of one embodiment of a counter 15 according to the invention before assembly to the canister 5. In this embodiment deformable means 52 in the form of ribs are provided around the inside of the counter base.
b shows schematically the deformable ribs of
The deformable ribs 52 are provided for improving the possibility to control the position of the counter on the base of the canister in a range of different positions. When the counter is pressed onto the base of the canister during the assembly process the deformable ribs are deformed (can be seen in
The deformable means could be shaped differently and also be positioned in other positions along the inside of the counter than what is shown in
The deformable means could for example be of a rubber material or a polymer material. They could also be co-moulded from two or more materials.
Another method for preventing movement of the counter and canister when assembled is to use a quick setting polymer to deform and fill the space between the counter and canister during the assembly process.
All these different described methods provide a possibility to attach the counter in a range of different positions on the canister and can be used alone or in any combination.
In summary, correct depth alignment of the canister into the counter is achieved by controlling the distance the canister travels into the counter during the assembly process and thereby controlling the overall length tolerances. This is vital to the correct firing and count ratios of the device, encompassing the strict requirements of the regulatory bodies for under and over counting of said counting devices when used in conjunction with a metered dose inhaler system.
Number | Date | Country | Kind |
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0401773 | Jul 2004 | SE | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/SE2005/000994 | 6/23/2005 | WO | 00 | 12/28/2006 |
Publishing Document | Publishing Date | Country | Kind |
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WO2006/004496 | 1/12/2006 | WO | A |
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