The present application relates generally to a mouthpiece for collecting oral fluid.
Oral fluid is a term used to describe a mixture of different substances in the oral cavity of a living being such as a person or animal. Typically oral fluid will include saliva, oral mucosal transudate, mucus from the respiratory tract, and contaminants such as traces of food and drink.
Oral fluid testing is an important diagnostic technique and be used to test for a variety of infections, hormonal imbalances, drug consumption, and other altered health states.
Oral fluid testing has many advantages such as ease of collection, safety, and non-invasiveness, when compared to other forms of sample collection such as venepuncture.
A first example provides a mouthpiece, comprising: at least one inlet configured to allow oral fluid from oral fluid from a user's oral cavity to travel into the mouthpiece; and a reservoir comprising one or more chambers, the reservoir configured to store oral fluid received from the user's oral cavity through the at least one inlet, wherein the mouthpiece is configured to be contained substantially within the user's oral cavity during the collection of oral fluid.
A second example provides a method of manufacturing a mouthpiece, the method comprising: providing at least one inlet configured to collect oral fluid from a user's oral cavity; providing a reservoir comprising one or more chambers, the reservoir being internal to the mouthpiece and configured to store oral fluid collected by the at least one inlet; and configuring the mouthpiece to be contained substantially within the user's oral cavity during the collection of oral fluid.
For a more complete understanding of example embodiments of the present invention, reference is now made to the following descriptions taken in connection with the accompanying drawings in which:
Oral fluid collected from the mouth or oral cavity of a living being may be processed in place and/or processed in a laboratory to, for example, analyse to identify markers of endocrine, immunologic, inflammatory, infectious, and other types of conditions. Saliva can be analysed to determine levels of biomarkers such as steroid hormones. For example, the levels of cortisol in saliva are known to closely correlate with levels of physiological stress.
The analysis of saliva and other oral fluid is made complicated by the presence of contaminants, for example traces of food and drink that have remained in the mouth. These contaminants can invalidate or compromise measurements taken on saliva samples. Such contamination may be minimised by collecting saliva first thing in the morning, for example, before eating, or by collecting saliva during the day before mealtimes. For some living beings, the relative levels of biomarkers in oral fluid change during the course of a user's day, and even without the presence of food and drink contaminants the level of cortisol (for example) may be significantly different if measured overnight whilst a user is asleep, compared to during the day when the user is awake and active. As used herein, the term “user” refers to a living being that has the capability to use a mouthpiece or be fitted with a mouthpiece.
Some tests can be performed using a single drop of saliva, but clinical accuracy for some tests may require the collection of a larger volume of saliva. Saliva maybe collected by, for example, placing a cotton wool under the tongue, let it saturate with saliva and then remove. The saliva can be extracted from the cotton wool in the laboratory, for example, and tested using methods appropriate to the particular test. However, the extraction of saliva from cotton wool is not completely effective and may introduce errors into subsequent tests. For example, components for analysis may bind to the cotton wool so that the levels in the extracted saliva are artificially low (research indicates that this is true of cortisol, for example). Different media for absorbing oral fluid samples may be used with a reduced likelihood of adulteration of the sample, but are typically less comfortable for the user or have undesirable safety issues when placed in direct contact with the soft tissues inside the mouth. Cotton wool is a compromise as it can be placed safely and comfortably within the mouth.
The mouthpiece 100 may serve to protect the user's teeth from damage caused by grinding and/or clenching, for example due to bruxism, since in use it will lie between the teeth 151 of the upper jaw and those 152 of the lower jaw. Bruxism is a parafunctional activity relating to excessive teeth grinding or jaw clenching, for example during sleep. Sufferers of bruxism may wear a mouthguard or mouthpiece when sleeping in order to minimise tooth damage. Such mouthguards may be solidly moulded from soft plastics material and provide a protective barrier between the teeth of the upper and lower jaws.
In use the mouthpiece 100 is enclosed entirely or at least substantially within the oral cavity of the user during the collection of oral fluid. For example, a majority of the mouthpiece 100 may be positioned within the oral cavity of the user with a small potion extending between the user's lips in order to assist in removing the mouthpiece 100 hygienically, or to enable the mouthpiece to be secured to the user's clothing to prevent it being lost should the user unintentionally remove it whilst he sleeps. However, despite a small extension of such a mouthpiece 100 outside the user's oral cavity when in use, the functional parts of the mouthpiece 100 used to collect and store a sample of oral fluid would all be contained entirely within it. This is in contrast to saliva extraction systems that have a mouthpart that is inserted into the oral cavity of a user with a storage system external to the user's oral cavity that is connected to the internal mouthpart by a conduit for saliva to flow to the external storage system—the majority of such a system remains outside the user's body during oral fluid collection and cannot be said to be contained substantially within the user's oral cavity.
The mouthpiece 100 comprises at least one reservoir 101 or 101a that in turn comprises at least one chamber 102 or 102a. The mouthpiece 100 illustrated comprises two reservoirs 101 and 101a, one on each side of the user's oral cavity. Each of these reservoirs 101 and 101a is shown as comprising a single chamber 102 or 102a and each has its own inlet 103 or 103a. In some examples, mouthpiece 100 may also include outlet 104 and/or 104a. Each outlet 104 or 104a may have a one way valve 105 or 105a. The two reservoirs may or may not be interconnected. In some examples, the two reservoirs are not interconnected, and the inlets and outlets are therefore specific to a single reservoir.
The mouthpiece of
The operation of just the left side of
The chamber 102 of the reservoir 101 is configured to store oral fluid (e.g. saliva) that is collected by inlet 103 of the mouthpiece. In some examples, the inlet 103 extends between the outer surface of the mouthpiece 100 and the chamber 102 so as to provide for fluid travel between the user's oral cavity 153 and the chamber 102. For example, oral fluid may travel to the chamber 102 by capillary action and/or by the movement of the user, such as movement of the user's mouth or inside the oral cavity. The inlet 103 is positioned such that when the mouthpiece 100 use it extends to a position within the user's oral cavity that has been determined to be suitable for oral fluid collection. In the example of
In other examples (not shown), one or both of the inlet 103 and 103a may be positioned to collect saliva from different ducts and/or different locations in the oral cavity 153. In an example where an inlet 103 or 103a is not extends near salivary duct 154 or 154a, the portion of the mouthpiece 100 extended toward salivary duct 154 or 154a is not needed. For example, the inlet 103 may instead connect the chamber 102 to a different location of the mouthpiece 100 where it will be proximate one or more other glands, such as a submandibular salivary duct, in order to collect saliva from one or more of the other glands (e.g., submandibular salivary glands near a location 160 near the exterior of the mouthpiece 100).
In
The chamber 102 may be deformable and a biting action on the mouthpiece 100 may cause it to be compressed. The compression of the chamber 102 may cause at least a portion of its contents to be purged from the chamber through its outlet 104, from where the contents is emptied into the user's oral cavity 153 (e.g., away from salivary gland 156). The outlet 104 may be provided with a one way valve that allows material such as oral fluid or air to pass through the outlet 104 in a direction towards the exterior of the mouthpiece 100 but prevents such material from entering the chamber through the outlet 104.
When the user bites down on the chamber 102 (and in doing so purges the reservoir 102) then subsequently releases his bite, the chamber 102 is permitted to return to its original un-compressed shape causing the pressure to reduce within the chamber 102 and oral fluid to be drawn into the chamber 102 through the inlet 103. Thus, natural biting/chewing motions of the user (e.g. during an episode of bruxism) can be used to pump oral fluid such as saliva into the chamber 102. Continued biting/chewing of the mouthpiece 100 (e.g. over the course of a night) will serve to continuously replace the oral fluid contained within the chamber 102, ensuring that the sample is fresh when the mouthpiece 100 is eventually removed (e.g. in the morning).
In some examples the inlet 103 may be also provided with a one way valve (not shown) that permits oral fluid to flow from the oral cavity 153 towards the chamber 102 but not from the chamber 102 towards the oral cavity 153. For example, the one way valve in the inlet 103 may normally be in an open position unobstructing movement of fluid or air until chamber 102 is compressed, which causes fluid or air in inlet 103 to travel in the reverse direction away from chamber 102. The movement fluid or air starts traveling in the reverse direction causes the one way valve in inlet 103 to be closed. Doing so will prevent old oral fluid samples contained within the chamber from being purged from the reservoir into the inlet 103 and into the vicinity of the inlet 103 in the oral cavity 153. Therefore, when the user ceases to bite down on the mouthpiece 100 the oral fluid that is drawn into the inlet 103 will be fresh oral fluid and not the previously purged contents of the reservoir 102. In other examples where the inlet 103 does not comprise a one way valve, the outlet 104 may have a diameter that is greater than the inlet 103 so that compression of the reservoir 102 will cause its contents to be purged predominantly via the outlet 104 with only a small amount leaving the reservoir 102 via the inlet 103.
The outlet 104 may be positioned towards the top of the chamber 102 according to an expected orientation of the mouthpiece 100 in use (e.g. when the mouthpiece 100 is correctly positioned within the user's oral cavity and the user is lying down). When the mouthpiece 100 is first placed in the user's oral cavity the chamber may contain air and placing the outlet towards the top of the chamber causes the air to be effectively purged through the outlet 104 during compression of the chamber.
Mouthpiece 100 can be designed to be worn in a time period as sort as a few seconds, one minute, a few minutes, etc. Once a suitable sample of oral fluid has been collected in the reservoirs 102 and 102a, the user may remove the mouthpiece 100 from his oral cavity. Alternatively, the mouthpiece 100 can be designed to be left in the user's oral cavity until such time as it is convenient to remove—for example when the mouthpiece 100 is used overnight it may be removed by the user on waking
The samples collected by the mouthpiece 100 may be used for chromatographic testing. Chromatography is the separation of a mixture by passing it in solution or suspension or as a vapour (in gas chromatography) through a medium in which the components move at different rates. Some chromatography media permit molecules of interest to bind to their surface in order to concentrate it and so increase the accuracy and ease of measurement. Different surfaces have different chemical properties which change which molecules bind and different analytical tests depend on this selective binding to the surface.
A reservoir in the mouthpiece 100 may include one or more chambers that each contain one or more binding media for selectively binding molecules that are of interest for use in chromatographic testing that depends on this selective binding.
Analysis of the oral fluid collected by the mouthpiece 100 may then take place. The user may, for example, deliver the mouthpiece 100 to a laboratory or other suitable remote location for testing of the collected oral fluid. It is not necessary for the user to drain the oral fluid out of the mouthpiece 100 (e.g. by squeezing it to deform its chambers 102 and 102a and purge the reservoir), although he may do so and decant the oral fluid to another vessel. Instead, he may provide the entire mouthpiece for analysis. The user may be provided with a case for the mouthpiece 100 that is designed to the analysis of the sample, for example by cooling the mouthpiece 100 in order to maintain the integrity of the oral fluid sample, or containing a preservative solution that can be pumped into the mouthpiece. Alternatively the case may include a sample extraction system for removing the sample from the mouthpiece 100, for example by pumping. The case may include suitable sensors for analysing the sample, for example by detecting the presence of biomarkers in the oral fluid when it is removed from the reservoirs of the mouthpiece. Although described here in the context of a case for the mouthpiece, such a system may not be provided in the form factor of a case, and may take any suitable form.
The example shown in
In some examples a single reservoir may comprise a plurality of chambers.
As used herein, the term circuitry refers to (a) hardware-only circuit implementations (such as implementations with hardware components of analog and/or digital electronic circuits); and (b) a combination of circuits and software (such as firmware, drivers, applications, etc.). A circuitry may include a combination of one or more processors of any combination of types, and/or one or more memories of any combination of types. The processors, memories, and/or software, if any is present, work together to cause a circuitry to perform various functions.
A circuitry may include one or more sensors of any combination of types (e.g., accelerometers, thermometers, gyroscopes, force sensors, sensors for detecting specific chemical(s), etc.), one or more actuators, one or more transmitters, receivers, and/or transceivers, one or more antennas, one or more batteries, etc. A circuitry may store information to be retrieved and/or transmit the information wirelessly. The information may include any data collected associated with a user or a user's oral cavity(e.g., about oral fluid) and/or the analysis of such data. This definition of circuitry applies to all uses of this term herein, including in any claims.
When the mouthpiece 400 of
In practice, the chambers 402 and 406 making up the reservoir 401 may be dimensioned and/or positioned within the mouthpiece such that the second chamber 406 does not impede the compression of the deformable first chamber 401.
Alternatively, or additionally, the location of the second chamber 406 within the mouthpiece 400 may be chosen such that it does not impede the compression of the first chamber 402. As an alternative configuration to
Compression valve 507 may be configured such that it is closed when it is not compressed (e.g. by the user's biting action) but opens when compressed. An example of such a valve 507 is shown in
When the user bites down on a mouthpiece containing reservoir 501, the compression valve 507 opens and the pressure difference between chambers 506 and 502 draws contents of chamber 502 into chamber 506. This in turn draws oral fluid through the inlet 503 and into chamber 502 where it is collected.
It is to be understood that the examples provided here are merely illustrative, and that in practice any suitable configuration of single or multiple reservoirs comprising single or multiple deformable, semi-rigid, and/or rigid chambers may be employed with any suitable configuration of parallel and/or series chambers.
One advantage of a series arrangement of chambers such as that illustrated in
An example of a use case where a sequence of chambers connected in series may be beneficial is that of protein chromatographic testing. In protein chromatography different chromatography media with different protein absorbent properties are often used in sequence in order to bind different molecular targets on different surfaces. For example, to prepare changed samples for affinity chromatography followed by ion exchange chromatography. A sequence of chambers connected in series may therefore contain a medium for binding that is suitable for affinity chromatography followed by a medium for binding that is suitable for ion exchange chromatography.
Parallel collection of samples in a mouthpiece may be achieved by using multiple reservoirs each having their own inlets and (if appropriate) outlets. However, multiple chambers may be connected to shared inlets and/or (if appropriate) outlets within a single reservoir.
Parallel arrangements of reservoirs and/or chambers within reservoirs may be useful for performing different changes (e.g. selective binding) on substantially similar samples of oral fluid, or simultaneously performing the same change more than once for greater reliability of the results. In other examples, parallel collection of samples may be useful in order to provide multiple similar samples for greater reliability of testing, for example by providing redundancy in the event that one of the chambers is contaminated or simply to obtain an overall greater volume of similar oral fluid for testing.
It is to be understood that each side of a mouthpiece may comprise different numbers, types and configurations of reservoirs. It may be that one or more reservoirs is located on one side of a mouthpiece but not on the other side. In cases where the sides of the mouthpiece are not similarly arranged, dummy chambers may be included in the mouthpiece to provide a consistent feel across the sides of the mouthpiece and/or to ensure that the mouthpiece deforms appropriately when compressed by a biting action.
If the reservoir 701 of
The mouthpiece described in
For example, instead of or in addition to a medium or material, one or more chambers described with respect to
A mouthpiece may be made to sense, detect, collect, or analyse one or more of, but is not limited to, the following: snoring, grinding of teeth, movements of a user, impact force (e.g., to the user's head), movements inside of a user's oral cavity, sleep stages, sleep apnea, urea in saliva, other chemicals and/or substances in saliva, etc.
Although the steps 820-840 are shown in
Although moulding a uniform material such as a plastics material into an appropriate shape is one technique that might be used to manufacture the mouthpiece, other approaches may also be possible. For example, the mouthpiece may be formed from a single block of material through a milling process. Alternatively, the mouthpiece may be 3D printed using a suitable 3D printing material. Two or more suitable processes such as moulding, milling, and printing may combined in order to manufacture the mouthpiece; for example, rigid and/or semi-rigid chambers may be formed by 3D printing using a first material and the surrounding mouthpiece may then be added by moulding a second material around the printed chambers, the second material being more deformable than the first.
More generally, parts the mouthpiece may be formed around components that have been previously manufactured/assembled; for example, the reservoirs inlets and outlets (if present) may be pre-formed and a suitable material then moulded around these components in order to manufacture the mouthpiece. In this way a standard layout of internal parts may be used to manufacture mouthpieces for different users, with the final moulding being customised to each user's oral cavity—for example using a cast of the interior of the user's oral cavity.
Although various aspects of the invention are set out in the independent claims, other aspects of the invention comprise other combinations of features from the described example embodiments and/or the dependent claims with the features of the independent claims, and not solely the combinations explicitly set out in the claims.
It is also noted herein that while the above describes example embodiments of the invention, these descriptions should not be viewed in a limiting sense. Rather, there are several variations and modifications which may be made without departing from the scope of the present invention as defined in the appended claims. Furthermore, although particular combinations of features have been described in the context of specific examples, it should be understood that any of the described features may be present in any combination that falls within the scope of the claims.
Number | Date | Country | Kind |
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16207439.7 | Dec 2016 | EP | regional |