The present invention relates to inhalation therapy devices in which a medicament to be nebulised is stored in an ampoule that can be inserted in the inhalation therapy device.
Aerosols for therapeutic purposes, some of which have to meet very high requirements, are generated with inhalation therapy devices. The requirements arise from the treatment to be performed with the inhalation therapy device. One of the requirements concerns dosing precision, i.e. the precision of the administered quantity of the medicament provided as an aerosol. Only if the dose of a medicament administered to the patient is precisely established can effective treatment with highly effective medicaments be carried out. One of the basic conditions influencing dosage precision is the quantity of fluid to be nebulised that is placed in the inhalation therapy device.
One approach for ensuring a predetermined fill quantity is to give the user of the inhalation therapy device an ampoule which contains a quantity of fluid precisely determined on production of the ampoule and which the user places in the device in preparation for the inhalation therapy session.
An inhalation therapy device with such an ampoule is described in WO 02/074374 A and in US 2003/0140921 A. After the ampoule has been opened by the user, it is inserted from above into an ampoule holder that is provided in the nebuliser device. After insertion of the ampoule, the fluid stored in the ampoule is supplied to the aerosol generator of the nebuliser.
The design of known ampoules is disadvantageous in various respects. Firstly, when the user opens the ampoule, the content of the ampoule can be contaminated. Secondly, fluid can be lost when the ampoule is inserted in the therapy device. Finally, it cannot be ensured with the certainty necessary for high dosage precision that all of the fluid filled in the ampoule will pass from the ampoule to the aerosol generator of the therapy device for nebulisation.
Against this background, the object to be solved by the invention is to provide an inhalation therapy device comprising an ampoule for storing a medicament to be nebulised, which does not have the described disadvantages and with which a higher dosage precision is achieved.
The object of the present invention is solved by an inhalation therapy device having the features of claim 1 and/or an ampoule having the features of claim 16. Advantageous embodiments arise from the sub-claims.
An inhalation therapy device according to the invention comprises a nebuliser device for nebulising a fluid supplied thereto and for generating an aerosol, an ampoule holder for retaining a fluid-containing ampoule and an opening means for opening said fluid-containing ampoule. According to the invention, the opening means and a first part of the ampoule holder are arranged so as to be displaceable in relation to one another such that upon displacement, the opening means opens an ampoule disposed in the ampoule holder and thus a fluid contained in said ampoule reaches the nebuliser device. It is thereby achieved that opening of the ampoule no longer has to be carried out by the user before inserting the ampoule in the inhalation therapy device. The user can rather insert the ampoule in the ampoule holder and open said ampoule using the opening means, which is part of the inhalation therapy device, by displacing the opening means in relation to the ampoule holder. Displacement can be achieved in various ways, however according to the invention, it usually take place only after insertion of the ampoule into the inhalation therapy device, more precisely into the ampoule holder of the inhalation therapy device.
At this point it should be stated that the term ampoule is to be understood as any type of container or reservoir in which a medicament can be stored. An ampoule can consist in particular of various materials, for example plastic, glass, metal or other suitable materials. In particular, an ampoule can also consist of different materials in sections. For example, a glass ampoule can be sealed with a plastic seal or different areas of the ampoule can be made of different plastics which are accordingly selected depending on their use at the corresponding ampoule areas.
According to an advantageous embodiment, the ampoule holder is disposed in a lid of the inhalation therapy device. This ensures that the user, on closing the inhalation therapy device, correctly places the ampoule, which is in the ampoule holder in the lid, in the inhalation therapy device and that the user also need only handle a minimum number of components, for example the inhalation therapy device with its lid.
According to a further advantageous embodiment, the opening means for opening the fluid-containing ampoule is formed as a needle. The ampoule, if appropriately formed, can be opened relatively easily in this manner without needing to provide complex mechanics. The ampoule can be punctured by the needle in an appropriately formed area and hence opened, for example in a thin-walled sealing area made of plastic.
According to a further advantageous embodiment, the inhalation therapy device is furthermore provided with a supply means for supplying a fluid to be nebulised to the nebuliser device, with the fluid reaching the nebuliser device through the supply means. In this way, the nebuliser device does not necessarily need to be provided immediately next to the opening means but can also be provided remote from the opening means, in particular if the alignment of the opening means and the alignment of the nebuliser device differ. The supply means then not only acts as a conduit but also allows the alignment of the opening means and that of the nebuliser device to be arbitrarily selected in order to adapt it to local conditions.
According to a further advantageous embodiment, the opening means comprises a conduit that extends at least partly in the longitudinal direction of the opening means, through which conduit the fluid passes from the ampoule to the nebuliser device or supply means. In particular if the opening means is formed as a needle, the fluid can, if an appropriately designed ampoule is punctured, pass, after puncturing, through the conduit formed as a channel inside the needle to the nebuliser device or supply means. The problem of sealing when opening the ampoule can be easily solved in this manner.
According to a further advantageous embodiment, the opening means and the first part of the ampoule holder are displaceable along a substantially straight, circular or helical path. By way of linear displacement, the seal between the ampoule and the opening means can be maintained throughout the opening process, if the ampoule is appropriately designed, so that none of the medicament in the ampoule can be lost. A substantially circular displacement is particularly advantageous in the case of an opening movement in the tangential direction or if part of a correspondingly designed ampoule is sheared off for opening. In the case of a substantially helical opening displacement, the substantially linear and substantially circular opening movements can be combined, which is particularly advantageous when closing the lid of the inhalation therapy device by means of a screw thread. In the case of a substantially straight displacement, the axial movement can be used for a bayonet closure, while in the case of a substantially circular movement the rotation movement following the axial movement can be used for a bayonet closure.
According to a further advantageous embodiment, the opening means has a cutter which is designed to cut, when displacement occurs, into a wall area of the ampoule intended for opening. A cutter allows a substantially predictable opening which can be produced in an accordingly precise manner so that a reliable seal can be achieved during the opening movement in this case as well. Furthermore, the opening movement can be carried out in a controlled manner such that given an appropriate design of the cutter and the ampoule, it can be prevented that parts of the ampoule become detached or chip off and accidentally reach the nebuliser device, or in the worst case the respiratory tract of the patient. The cutter can be provided substantially in the axial direction, perpendicular to the axial direction or at an angle to the axial direction, depending on what is necessary to open a correspondingly designed ampoule.
According to a further advantageous embodiment, the opening means is integrally connected with the supply means. An opening means that is integral or connected in one piece with the supply means allows technically simple production of the inhalation therapy device with few components and without joints that are susceptible to contamination.
According to a further advantageous embodiment, the inhalation therapy device comprises a sealing device for sealing the ampoule against the opening means. Such a seal of the ampoule against the inhalation therapy device can prevent a fluid or medicament present in the ampoule from being lost, which would inevitably lead to poorer dosage accuracy, and as a result of the fluid or medicament could uncontrollably reach the exterior.
According to a further advantageous embodiment, the opening means is formed to seal the opening of the ampoule against the opening means. In this way, the seal can be provided as closely as possible to the opening means. As few surfaces and areas of the inhalation therapy device as possible come into contact with the fluid in the ampoule so that only small quantities of the fluid are lost for treatment owing to adhesion to external surfaces. The sealing means can be realised by explicit sealing elements such as O-rings, sealing lips or the like, or also by a precise fit between the ampoule and opening means.
According to a further advantageous embodiment, the inhalation therapy device comprises a squeezing means which is designed to create a positive pressure in the ampoule to squeezedly hold the ampoule in a displaced position. It can be achieved in this manner that on opening the ampoule, a gas or air that is contained in the ampoule alongside the fluid can escape. If the ampoule is sealed against the inhalation therapy device in the squeezed state after the escape of air or gas, and if squeezing is then stopped, a negative pressure prevails in the ampoule, which acts on the fluid in the ampoule even if it has already reached the nebuliser device. Such a negative pressure in the fluid reservoir has a particularly beneficial effect on the nebulisation results since, as can be proven, droplet formation on the side of the membrane of a membrane nebuliser that faces away from the supply means can be reduced.
According to a further advantageous embodiment, the ampoule holder constitutes the squeezing means and the squeezing means is formed such that it squeezes the ampoule during opening. In this way, the positive pressure generated in the ampoule can escape on opening, which is particularly advantageous if the ampoule orifice is held in a upwards-pointing position during this procedure, so that on opening, no fluid but only the gas in the ampoule can escape. On later sealing and subsequent release of the ampoule from the squeezing means, a negative pressure can be generated in the ampoule, which has proved particularly advantageous for nebulisation in the past since particularly good nebulisation results were achieved when the fluid was under negative pressure. Alternatively, the squeezing means can also be provided on the opening means so that the squeezing means is not fixed in relation to the displaceable part of the ampoule holder but in relation to the opening means. Thus, squeezing and subsequent release from squeezing can be achieved when the ampoule is pushed into the squeezing means.
According to a further advantageous embodiment, the first part of the ampoule holder is designed so that it only engages with the ampoule upon displacement.
According to a further advantageous embodiment, the ampoule holder comprises a second part which is designed to hold the ampoule. In this way, the ampoule can be introduced into another part of the ampoule holder which, for example, is not displaceable, so that the user can handle the ampoule in respect of a second stationary part of the ampoule holder and this part of the holder cannot move when positioning the ampoule. In this way, inter alia irritation for the user can be avoided if, for example, a moveable part in the lid of the inhalation therapy device moves back on insertion of the ampoule. Furthermore, the user is thereby given perceptible feedback with regard to complete opening and readiness of the device for use.
According to a further advantageous embodiment, the first part of the ampoule holder and the second part of the ampoule holder are formed so as to be displaceable in relation to each other so that the first part of the ampoule holder acting on a first area of the ampoule and the second part of the ampoule holder acting on a second area of the ampoule are moved in relation to one another when the first area and second area of the ampoule are displaced such that a negative pressure or positive pressure develops in the ampoule. This can achieve that, after insertion in the ampoule holder, an ampoule can be moved such that a negative pressure or positive pressure develops in the ampoule without the ampoule having to be opened beforehand. Such a design of ampoule holder allows, for example, a negative pressure to be generated in the ampoule even in the overhead position, and the ampoule to be reliably opened and sealed such that no fluid or medicament can be lost.
An ampoule according to the invention is designed for use in an inhalation therapy device as described above, wherein the ampoule comprises a first area designed for opening by the opening means and a second area designed for holding by the ampoule holder. In this way, an ampoule is provided which can be used in the inhalation therapy device described above and which, because of its design, advantageously does not need to be opened directly by the user himself but can rather be opened by an opening means of the inhalation therapy device. This avoids the user having to handle the opening of the ampoule himself directly. This allows improved dosage precision and handling safety when using the ampoule in the inhalation therapy device.
According to an advantageous embodiment, the ampoule has a sealing surface which is formed to seal the ampoule against the opening means or supply means. This can avoid a fluid or medicament disposed in the ampoule accidentally escaping from the ampoule and no longer being available for inhalation therapy. The sealing surface can be realised by an explicit sealing element such as an O-ring or sealing lip or the like. These sealing elements can also be formed directly on the ampoule. Alternatively, a correspondingly designed wall area of the ampoule can serve as the sealing element due to its elasticity when, for example, punctured by a needle.
According to a further advantageous embodiment, the first area of the ampoule is arranged so as to be displaceable in relation to the second area of the ampoule. This allows the volume of the ampoule to be enlarged or reduced in order to generate a positive or negative pressure in the ampoule, which, for example, has a positive effect for further nebulisation on the nebulisation result.
According to a further advantageous embodiment, the first area of the ampoule and the second area of the ampoule are joined together by a resilient element or bellows. In this way, the first area of the ampoule and the second area of the ampoule are moveable in relation to one another without the ampoule having to be opened and a fluid or medicament being lost. Thus, the volume of the ampoule can be enlarged or reduced without having to open the sealed ampoule.
According to a further advantageous embodiment, the ampoule is designed such that the second part of the ampoule absorbs tensile forces upon engagement of the ampoule holder. In this way, it is possible to hold the first area of the ampoule in its position in relation to the second area of the ampoule after displacement with respect to one another in order to maintain a positive or negative pressure which was generated in the ampoule by the displacement. Furthermore, with an ampoule in which a negative pressure was generated, it is possible, given an appropriate design of the ampoule and the opening means, to maintain the negative pressure state even when the ampoule is in the opened state. Thus, nebulisation by the nebuliser device can take place when the fluid is supplied to the nebuliser device under a negative pressure, which, as already stated above, leads to particularly good nebulisation results from the nebuliser device.
The present invention will now be described by means of advantageous embodiments and with reference to the following figures. The invention is not, however, restricted to the specific embodiments shown in the figures.
In the embodiment shown herein, the fluid 8 is provided in an ampoule 100 which, according to the invention, is closed before insertion into the inhalation therapy device. The ampoule 100 is inserted into an ampoule holder 3 which retains the fluid-containing ampoule 100. The inhalation therapy device 1 furthermore comprises an opening means 4 which serves to open the fluid-containing ampoule 100. The ampoule holder 3 advantageously comprises a first part 31 arranged so as to be displaceable in relation to the opening means 4 such that an ampoule 100 disposed in the ampoule holder can be moved in the direction of the opening means. The opening means is configured such that it opens the ampoule 100 when the one part 31 of the ampoule holder 3 is displaced.
The ampoule holder 3 with its one moveable part 31 is advantageously disposed in a lid 5 of the inhalation therapy device in order to retain therein the ampoule 100 with the fluid 8 disposed therein. According to the invention, the patient or user inserts the ampoule 100 into the ampoule holder 3 in the still sealed state when the lid 5 is removed from the inhalation therapy device 1. The one part 31 of the ampoule holder 3 is then in a first position in which it advantageously holds the ampoule 100 such that it is still positioned at a distance from the opening means 4 when the lid 5 is placed on the inhalation therapy device. The one part 31 of the ampoule holder 3 is designed such that it moves the ampoule 100 in the direction of the opening means 4 when the lid 5 is closed by means of a pushing, turning or screwing movement, thereby causing the ampoule 100 to be opened by the opening means 4.
The opening means 4 advantageously comprises a cutter 42 for this purpose, which cuts into a wall area 130 of the ampoule 100 when the ampoule 100 is moved by the part 31 of the ampoule holder 3. The lid 5 of the inhalation therapy device is advantageously guided during these movements by a suitable device such that the ampoule 100 is advantageously no longer able to tilt in relation to the opening means 4. Once the ampoule 100 has been moved in the direction of the opening means 4 by the one part 31 of the ampoule holder 3, the cutter 42 cuts into a wall area 130 of the ampoule 100 when further displacement takes place such that the ampoule is opened at this moment. The cutter 42 of the opening means 4 is advantageously designed and arranged such that it does not completely separate the wall area 130 of the ampoule 100, but at least part of the wall area 130 of the ampoule 100 remains as a connection to the ampoule 100 so that this wall area 130 does not unintentionally reach the area of the inhalation therapy device 1.
The cutter 42 is advantageously disposed on an edge of the opening means 4 in such a manner that in one plane, the cutter 42 is disposed perpendicular to the axial direction or angled thereto. The cutter 42 can be smooth, corrugated or serrated in order to better open or cut into the wall area 130 of the ampoule.
The opening means 4 is advantageously configured as a needle which can pierce the provided areas of an appropriately designed ampoule 100 such that a fluid 8 disposed in the ampoule 100 can reach the nebuliser device.
The inhalation therapy device is advantageously provided with a supply means 6, via which a fluid 8 disposed in the ampoule 100 can reach the nebuliser device 2 from said ampoule 100 so that it can be nebulised thereby.
Although
The opening means 4 advantageously comprises a conduit 41 that extends at least partly in a longitudinal direction and via which the fluid 8 from the ampoule 100 can reach the nebuliser device 2 or the supply means 6. It can be achieved in this manner that the fluid can reach the nebuliser device 2 via the conduit 41 extending in the interior of the opening means 4 without loss due to leakage. However, it is alternatively also conceivable to design the opening means 4 such that it does not have an explicit conduit 41 extending in its interior, but rather such that the fluid can reach the nebuliser device 2 along other areas exposed by the opening means 4, for example grooves or slots which can be provided on the outside of the opening means 4.
The ampoule 100 shown in
According to a further embodiment shown in
According to the embodiment shown in
For engagement of the first part 31 of the ampoule holder 3, the first area 110 of the ampoule 100 is advantageously formed as a collar 160 as shown in
In the embodiment shown in
According to the embodiment shown in
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