1. Field of the Invention
The invention relates to a drug delivery device, and more particularly to a nebulizer mouthpiece for delivering drugs to a patient.
2. Background Description
Drugs and other substances can be administered to a patient through a variety of methods. For example, one method includes intravenous injection where the drug or substance is injected into a person's veins. Another method includes a sublingual delivery system where the drug or substance is placed under the user's tongue and is allowed to be absorbed through the mucus membranes of the mouth. Still another method of drug or substance delivery includes applying the drug or substance directly onto the recipients skin where it either treats a condition on the surface of the skin or is absorbed into the body.
One method of administering a drug or substance to a patient suffering from respiratory as well as other conditions includes inhaling air or a gas in which a drug or other substance is dissolved, mixed, entrained, suspended or otherwise incorporated into the air or gas. With this delivery method, the air or gas functions as a vehicle which carries the drug or substance into the user's lungs where is may be absorbed to treat a condition of the lungs or in some instances be transferred into the circulation system of the user to be distributed throughout the body.
It should be noted that although a drug is typically the material which is delivered in this way, virtually any chemical or substance either in a gaseous, liquid, or solid form may be delivered using this inhalation technique. Furthermore, the vehicle which is typically air may also be made up only of, or partially of, any kind of gas or mixture of gases where the gas or mixture of gases serves to not only transport the drug or substance into the users lungs, but may also interact with the users tissues as well as interact with the drug or substance being delivered. Such interaction may further enhance the chemical or medical activity of the drug or substance, as well as suppress or enhance certain responses of the tissue to the drug or substance to delivered.
The drug or substance to be delivered can be incorporated into the vehicle, which will be referred to as air hereinafter for simplicity, through a variety of methods. For example, the drug can take the form of a gas and be mixed into the air and remain suspended in the air, or dissolved in the air. Additionally, the delivered substance may exist initially in the form of a bulk liquid and be converted to small droplets or a mist which is mixed or entrained into the air for transport into the lungs. Furthermore, the delivered substance may be converted from a liquid into a vapor through heating, for example, for incorporation into the air. Also, the delivered substance may exist in solid form as particles which are mixed, entrained, or otherwise suspended in the air while the air is inhaled by the user.
Because the delivered substance may exist in a variety of forms all of which have different degrees of ease of incorporation into the air flowing into a user's lungs, an efficient means for incorporating the delivered substance into the air is needed. A typical way of incorporating the delivered substance into air is an aerosolization chamber, or nebulizer.
Additionally, the delivered substance can exist in a first form which is then mixed with a carrier substance such as mixing solid particles into a liquid and the resulting liquid-particle mixture is then converted into a mist and incorporated into the air.
Typically, a nebulizer uses the flow of air through a chamber to cause turbulence between the air and the substance at their interface in order to form a mixture of the substance and air, the delivered substance is then carried into the users lungs along a flow path from the mixing area to the user's mouth or nose.
Accordingly, mouthpiece is typically joined to the nebulizer which is then inserted into the patient's mouth during inhalation through the mouth. As such, as the user inhales, air is drawn through the mouthpiece and through the nebulizer which initiates the mixing of the delivered substance in the air.
Because some delivered substances may be difficult to incorporate into air, and other delivered substances must be delivered at dosage rates which require the air to carry a large amount of the delivered substance, it is important that the nebulizer and mouthpiece work to efficiently mix the delivered substance into the air. Furthermore, because some patients being treated using this inhalation technique are in a weakened or otherwise impaired condition and cannot inhale air with a force sufficient to power the mixing process in the nebulizer, efficient mixing is advantageous.
For the above stated reasons, a mouthpiece is needed which can be attached to a variety of nebulizers which makes efficient use of air passing through the mouthpiece and nebulizer to easily incorporate a delivered substance into the air flow. Furthermore, a mouthpiece which directs air into and out of a nebulizer in such a way as to efficiently mix a delivered substance into the inhaled air is needed. Also, a mouthpiece which aids in efficiently mixing a delivered substance into air and a nebulizer, and which will attach to a variety of nebulizer styles from various manufacturers is needed.
In a first aspect of the invention, the drug delivery system includes a top flow path, and a conduit with an end in communication with the top flow path and another end configured to communicate with a nebulizer. The system also includes a nebulizer in-flow path disposed within the conduit configured to communicate with a nebulizer, and a nebulizer out-flow path disposed within the conduit configured to communicate with a nebulizer and the top flow path, wherein the nebulizer out-flow path is separate from the nebulizer in-flow path.
In another aspect of the invention, the drug delivery system includes a nebulizer mouthpiece, having a user interface having a delivery port and a conduit connected to the user interface, wherein the user interface and the conduit are configured to define a flow path between an aerosolization area and the delivery port. The nebulizer mouthpiece also includes an intake flow path configured to communicate with an aerosolization area, and an exhaust flow path configured to communicate with an aerosolization area, wherein the exhaust flow path and the intake flow path are combined.
In yet another aspect, the invention includes a drug delivery mouthpiece having a hollow body with a top and bottom, and an intake port and a delivery port proximate the top of the hollow body. The invention also includes a nebulizer inlet and nebulizer outlet proximate the bottom of the hollow body, and a baffle at least partially disposed within the hollow body.
Referring now to the drawings,
The drug delivery port 16 defines both an outlet and an inlet into a top flow path. The top flow path at the drug delivery port 16 can be defined as an outflow path 26 upon inhalation and an inflow path 28 upon exhalation, both moving air through the same volume of drug delivery conduit 14 and through the drug delivery port 16 at different times depending upon whether the patient is inhaling or exhaling.
The hollow body 12 has a connection port 40 or opening at its lower end. Within the hollow body 12 is a baffle 42 which can either be planer, circular, tubular, etc. Together, the hollow body 12 and the baffle 42 define two air flow paths within the hollow body 12. For example, in
More specifically, the airflow path through the hollow body 12 may be subdivided into sections. Accordingly, upon inhalation, the air flow path through the interior of the baffle 42 may include an intake flow path 32, also referred to as a nebulizer inflow path. The air flow path 32 within the baffle 42 may also include an exhaust air flow path 24 which occupies the same volume within the baffle 42 upon exhalation. The baffle 42 and the hollow body 12 also define an air flow path therebetween which include a drug delivery flow path 22, also referred to as an outflow path. Also included in the same volume as this air flow path is an exhaust flow path 30.
The hollow body 12 has a top which includes a vent 21. The vent 21 may be configured to be selectively sealable. The vent 21 defines one or more air flow paths through the top of the hollow body 12 including an intake flow path 34 and an exhaust flow path 36. Where the baffle 42 is a conduit, the vent 21 may communicate with an end of that conduit. The hollow body 12 may also include a handle 44 configured to aid in grasping the breath enhanced mouthpiece 10.
In this embodiment of the breath enhanced mouthpiece 10, the drug delivery conduit 14 joins the hollow body 12 at an angle of less than 90 degrees as referenced to the top of the hollow body 12. It should be noted that the drug delivery conduit 14 may join the hollow body 12 at substantially any angle desired, and is preferably configured to be joined at an angle configured for ease of insertion into a user's mouth.
Thus the entire flow path upon inhalation includes flow paths of 22, 26, 32, and 34 of
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The breath enhanced mouthpiece 10 also defines a second air flow path also referred to as an exhaust air flow path 50 represented by the hollow, arrows. It should be noted the exhaust air flow path 50 may flow along the same volume of flow as the intake flow path 48, however, in the opposite direction thereto and at different times during use of the mouthpiece 10. Accordingly, the exhaust air flow path 50 flows along a path from the drug delivery port 16 down through the interior of the drug delivery conduit 14 and through the union inlet 46. The exhaust flow path 50 enters the hollow body 12 and flows through the hollow body 12 along the outside of the baffle 42 towards the bottom of the baffle 42. The exhaust flow 50 then enters the bottom of the baffle 42 and flows towards the top of the hollow body 12. Proximate the top of the baffle 42 and hollow body 12, the exhaust flow path 50 exits the hollow body 12 through a vent 21. As can be seen, the intake flow path 48 and the exhaust flow path 50 are substantially along the same path, but opposite of one another.
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The drug delivery conduit 104 includes a user interface 106 and an opening which defines a drug delivery port 108. Vent conduit 110 includes a selectively sealable vent 112 on an end. The hollow body 102 includes a connection port 116 at a lower end of the hollow body 102. Disposed within the hollow body 102 and protruding from the hollow body 102 through the drug connection port 116 is a baffle 114. Although
The breath enhanced mouthpiece 100 also includes multiple vents on an end of the vent conduit 110. The vent includes a selectively sealable inlet vent 112 and selectively sealable outlet vents 120. Also included on the end of the vent conduit 110 is a diaphragm retainer 122 which is configured to hold a diaphragm on the end of the vent conduit 110.
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The structure of the breath enhanced mouthpiece 100 is configured to define various air flow paths therein. For example, one of the flow paths includes a delivery flow path 130. The delivery flow path 130 may begin at the selectively sealable inlet vent 112 and pass between both walls 128 in the interior of the vent conduit 110. Proximate the union 118, the delivery flow path 130 turns and enters the baffle 114 and passes through the interior of the baffle 114 and out the baffle's lower end. At this point, the delivery flow path 130 may pass through an aerosolization or nebulizing area where drugs or other substances in the forms a gas, a vapor, or small particles or droplets may be entrained, mixed or otherwise incorporated into the air passing along the flow path 130. The delivery flow path 130 then proceeds along the exterior of the baffle 114 towards the union 118. The delivery flow path 130 enters the drug delivery conduit 104 proximate the union 118, and proceeds along the drug delivery conduit 104 to exit therefrom through the drug delivery port 108.
The breath enhanced mouthpiece 100 includes other flow paths through its interior. For example, an exhaust flow path 131 may include a path from the drug delivery port 108 and through the drug delivery port 104. Proximate the union 118, the exhaust flow path 131 passes into the vent conduit 110 and divides into two paths. Each path passes between a wall 128 and the interior wall of the vent conduit 110. The exhaust flow path 131 then exits the breath enhanced mouthpiece 100 through the selectively sealable output vents 120 past the diaphragm 119.
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The drug delivery conduit 204 includes a mouthpiece 206 and a port 208 at an end of the drug delivery conduit 204. Proximate to where the hollow body 202 and drug delivery conduit 204 join at the union 212, is an exhaust aperture 221 covered by a diaphragm 218. The exhaust aperture 221 is located near the top of the hollow body 202. On the exterior of the hollow body 202 near the exhaust aperture 221 is a protrusion 216, which may be used as a hook by which to support the breath enhanced mouthpiece 100 as well as aid a user in holding the breath enhanced mouthpiece 200 during inhalation.
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The diaphragm 218 is fixed over the exhaust aperture 221 and the intake aperture 220. It should be noted that in this particular embodiment, the intake aperture 220 is configured so that air may flow from outside the breath enhanced mouthpiece 200 and through the intake aperture 220 into the interior of the hollow body 202, and in particular, into the interior of the baffle 210. The exhaust aperture 221 is also configured so that air may flow from inside the hollow body 202 and through the exhaust aperture 221 to the exterior of the breath enhanced mouthpiece 200.
The breath enhanced mouthpiece 200 also includes a drug delivery conduit 204 with a user interface 206. A protrusion 216 for storage or to facilitate mouthpiece use is attached to the hollow body 202 near the exhaust aperture 221.
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The drug delivery conduit 248 has a mouthpiece 236 at one end and an inflow vent 250 at the opposite end. The mouthpiece 236 may also be referred to as a user interface. At the mouthpiece 236 is a drug delivery port 238 which is an opening which leads into the interior of the drug delivery conduit 248. On the top of the drug delivery conduit 248 is an exhaust vent structure 244. The inflow vent 250 includes a guard 252 configured to prevent objects such as, for example, a user's fingers from obstructing the inflow vent 250 during use. Proximate the guard 252 is attached a handle 246.
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The exhaust flow path 264 enters the breath enhanced mouthpiece 300 at the drug delivery port 236. The exhaust flow path 264 travels along a portion of the drug delivery conduit 248 to exit out the top of the breath enhanced mouthpiece 300 through the outlets 256 of the exhaust structure 244.
The breath enhanced mouthpiece 10 is used to illustrate operation of the various embodiments of the invention. Referring back to
When a user puts the user interface or mouthpiece 18 into his mouth and inhales, air is drawn in through the intake 34 at the top of the hollow bodied 12 and travels down the baffle 42 shaped like a conduit and out its lower end. After exiting the baffle 42, the air flow enters the aerosolization chamber or nebulizer area where it is mixed with the drug or material to be delivered. The air now entrained with the drug or material to be delivered, passes out of the aerosolization area then travels back up the hollow body 12 along the exterior of the baffle 42. The air and drug or material combination then passes through the union inlet 46 and enters the drug delivery conduit 14. The air and drug or material then travel towards the drug delivery port 16. The air and drug or material then exit the breath enhanced mouthpiece 10 at the drug delivery port 16 and enters the user's mouth to find its way into the user's respiratory system.
The other embodiments work in a similar manner, with some of the embodiments relying on a diaphragm in combination with a vent or vents to direct air along certain flow paths. For example, the inlet vent 112 shown in
Note that although the above example illustrates vent operation by air pressure created during inhalation and exhalation, the vents may also be actuated directly by the user, such as through opening and closing the vents with his fingers. Additionally, the vents may be operated by any vent operation mechanism well know in the art, including, for example, electronic actuation, spring actuation, etc.
It should be noted that embodiments of the invention are of dimensions scaled to facilitate use by a variety of patients of different sizes and physical conditions. Thus, embodiments are typically sized to be easily grasped, easily inserted into, and easily held in a patient's mouth.