Nebulizer with axially movable and lockable container and indicator

Abstract
A nebulizer includes a replaceable container with fluid to be nebulized. The container includes an inseparable indicator device. The container and the indicator device are axially moved during nebulization and tensioning of the nebulizer. The indicator device controls locking of the nebulizer against further use if a predetermined number of uses has been reached or exceeded.
Description
CROSS REFERENCE TO RELATED APPLICATIONS

This is a national phase application of International Application No. PCT/EP2015/000902, filed May 4, 2015, which claims priority to EP 15020044.2, filed Mar. 25, 2015 and EP 14001603.1, filed May 7, 2014.


BACKGROUND

The present invention relates to a nebulizer.


WO 2012/162305 A1 discloses a nebulizer. A container can be inserted into a housing of the nebulizer. The housing is closed by a lower housing part. By rotating the housing part the drive spring can be put under tension and fluid can be sucked into a compression chamber of the pressure generator. Simultaneously, the container is moved into the lower housing part in a stroke movement within the nebulizer and when tensioned for the first time the container may be pierced through its base by a piercing element in the lower housing part to allow venting of the container. After manual pressing a button, the drive spring is released and moves the delivery tube into the pressure chamber so that the fluid is put under pressure by the drive spring and is delivered or atomized through a nozzle into a mouthpiece as an aerosol, without the use of propellant gas. Thus, the container is moving axially forth and back during conveying of the fluid to be nebulized, and during pressure generation and nebulization.


The container may be connected inseparably with the housing part by a securing device forming a transportation lock for holding the container unmovable in a delivery state.


The nebulizer comprises an indicator device for counting and/or indicating a number of uses performed or still possible. The indicator device blocks further use in a locked state when a predetermined number of uses has been reached or exceeded with the current container. Then, the container can be replaced together with a housing part and the nebulizer can be used further with the new container. U.S. Pat. No. 7,823,584 B2 discloses a similar nebulizer, wherein a counter device can be integrated into a housing part that is exchangeable or replaceable together with the container, which is inseparable from the housing part.


WO 2007/104694 A1 discloses an inhaler for powdery substances with an indicator device which may comprise a worm gear for driving an indicator element.


SUMMARY

An object of the present invention is to provide a nebulizer allowing easy and/or secure operation and handling and/or a compact and/or reliable construction, preferably while allowing replacement of the container without replacement of any housing part of the nebulizer.


The above object is achieved by a nebulizer according to one or more embodiments disclosed herein.


The present invention relates to a nebulizer for nebulizing a fluid, preferably liquid medicament, from a preferably replaceable container containing the fluid, and relates to the container. Preferably, an indicator device is provided for counting and/or indicating the number of uses already performed or still possible with the container.


In particular, the indicator device or an associated blocking device can lock the container and/or nebulizer or can cause the blocking of the container and/or nebulizer against further use in a locked state when a predetermined number of uses has been reached or exceeded with the respective container.


According to the present invention, the indicator device is arranged at the container and moveable together with the container axially within the nebulizer during nebulization and/or tensioning of the nebulizer. The indicator device is adapted to control the locking device by means of a mechanical coupling or control device. In particular, the mechanical coupling or control device allows that the axially moveable indicator device can control the locking device which, in turn, is preferably arranged in a part of the nebulizer that is not axially moveable together with the container and indicator device during tensioning and/or nebulization. Thus, it is possible to directly combine and connect the container and the associated indicator device, in particular inseparably, wherein the locking device is arranged at the nebulizer and can be reused when the container and indicator device are replaced after use. In particular, the control device allows a mechanical control or coupling between the indicator device and the locking device. Consequently, an easy and/or secure operation and handling are possible because only the container and connected indicator device have to be replaced after use.


Preferably, the nebulizer comprises a housing part which can be detached from the nebulizer or opened for replacing the container.


According to one embodiment, the housing part may form the mechanical coupling or control device. This allows a simple and reliable construction.


According to another preferred embodiment, the control device is arranged in or connected with the housing part. This facilitates a simple construction or assembly of components.


Preferably, the indicator device contains a counter or indicator element that, directly or indirectly via a transmission, is indexed or preferably stepwise moved by interaction with a driving part upon or during actuation or charging/tensioning of the nebulizer or axial movement.


Preferably, when a predetermined number of uses has been reached or exceeded with the current container, the interaction of the counter or indication element or of an associated transmission with the driving part stops. Preferably simultaneously with the termination of the interaction or during the next tensioning of the nebulizer, the control device effects the actuation of the locking device.


Preferably, the housing part is not opened automatically by the interaction of the indicator device with the mechanical coupling or control device when initiating or entering the locked state. This minimizes the forces that occur and/or results in an easy handling, in particular tensioning, of the nebulizer when or before entering the locked state.


Preferably, the control device is not locked in the locked state or its actuated state as well, but can be reused. In this case, the housing part including the control device have not to be replaced, but only the container and indicator device have to be replaced when the nebulizer is to be reused.


Further, it is possible that the container with the indicator device on one hand and the housing part with the control device on the other hand are inseparably connected.


Preferably the nebulizer and/or container cannot be used anymore in the locked state when the indicator device has detected that a predetermined number of uses has been reached or exceeded, in particular with the respective container.


The indicator device may either directly or indirectly block or initiate or trigger locking of the nebulizer and/or container against further use. In particular, the indicator device may directly actuate the blocking device or indirectly initiate actuation of the locking device.


Preferably, the nebulizer is blocked (automatically) also against further use or tensioning if the nebulizer housing or housing part is at least partially open or opened or if, with other words, when the nebulizer or its housing is not (completely) closed.


It is also possible that the nebulizer is not immediately blocked against further use when the indicator device enters the locked state. Instead, the indicator device may initiate or cause or trigger in its locked state that the locking device is going to block the nebulizer against further use, e.g. during the next actuation or tensioning or the like. Thus, the locking device may enter its locking state later, e.g. after at least partial opening of the nebulizer and/or at least partial tensioning of the nebulizer or rotation of the housing part or inner part of the nebulizer or the like.


Therefore, the blocking of the nebulizer can be initiated or caused by the indicator device indirectly in the sense of later, e.g. during further handling, operation, actuation or the like. Thus, the indicator device blocks or initiates or causes blocking of the nebulizer and/or container against further use also preferably in the sense of the present invention.


Preferably, the blocking of the nebulizer against further use can be overcome by replacing the container, in particular including the indicator device, against one not yet used.


The indicator device is preferably inseparably connected with the container or with a container housing of the container, but separable from the nebulizer or its housing and from the housing part, so that the indicator device is replaceable together with the container. This allows reuse of the nebulizer and the housing part and preferably of the control device with another container including another indicator device. Thus the overall size of the components to be exchanged is kept small, so that the replacement packages are size reduced, so that transport of a large number of packages is facilitated.


Preferably, the indicator device is fixedly arranged at a bottom of the container and/or opposite to an outlet of the container. This allows a very compact construction. Further, the indicator device does not interfere with the fluidic connection of the container to the nebulizer or vice versa.


The indicator device comprises preferably a piercing element for opening and an aeration opening. In particular, this allows a very compact construction and/or supports secure operation.


Preferably, the indicator device comprises an indicator element and an actuation element for indexing the indicator element. In particular, the indicator element displays an indication of the number of uses already performed or still possible with the respective container.


Preferably, a linear movement of the actuation element causes a rotational movement of the indicator element.


Even more preferably, the actuation element is set in motion by a relative longitudinal movement between the container with the indicator device and the housing and/or housing part of the nebulizer.


The actuation element in the indicator device is preferably constructed to also block further use of the container in the locked state. In particular, this allows a very compact and simple construction and/or secure operation. Preferably, the number of necessary parts and components can be minimized.


The actuation element is preferably moveable back and forth between a first and second position for indexing the indicator element and is moveable—at least or only once—into a third position to block further use of the container in the locked state. In particular, this allows a very compact and simple construction and/or secure operation.


The actuation element is preferably moveable transversally to a longitudinal or dispensing direction of the container or nebulizer. In particular, this allows a very compact and simple construction and/or secure operation.


Preferably, the indicator device comprises a blocking part which blocks further use of the container and/or nebulizer in the locked state. Alternatively, the blocking part is preferably formed by or made integral with the actuation element. In particular, this allows a very compact and simple construction and/or secure operation.


The blocking part is preferably moveable transversally to a longitudinal or dispensing direction of the container or nebulizer. In particular, this allows a very compact and simple construction and/or secure operation. Preferably, the number of necessary parts and components can be minimized.


The blocking part preferably closes an insertion opening of the indicator housing in the locked state. In particular, in the unlocked state, the insertion opening is for receiving a driving part attached to the housing, the housing part or the control device of the nebulizer, so that upon a relative movement between the indicator housing and/or the container and the nebulizer housing, the driving part actuates the indicator device in particular such that a use of the nebulizer is counted and/or indicated in the indicator device. In particular, this allows a very compact and simple construction and/or secure operation. Preferably, the number of necessary parts and components can be minimized.


The blocking part preferably actuates the control device and, thus, a locking device or its locking element of the nebulizer in the locked state. Thus, further use, in particular further dispensing or nebulization of fluid can be prevented or blocked in the locked state.


The above aspects of the present invention and the further aspects described below can be realized independently from each other, and in any combination.





BRIEF DESCRIPTION OF THE DRAWING

Further advantages, features, characteristics and aspects of the present invention will become apparent from the claims and the following description of preferred embodiments with reference to the drawings. It shows:



FIG. 1 a schematic section of a known nebulizer in a non-tensioned state;



FIG. 2 a schematic section, rotated 90° compared with FIG. 1, of the known nebulizer in a tensioned state;



FIG. 3 a schematic section of a nebulizer with an inserted container in a non-tensioned state according to a preferred first embodiment of the present invention;



FIG. 4 a partial enlargement of the encircled part of FIG. 3;



FIG. 5 a perspective view of the section of the nebulizer according to FIG. 3;



FIG. 6 an enlargement of the encircled part of FIG. 5;



FIG. 7 a schematic exploded view of an indicator device according to a preferred embodiment of the present invention;



FIG. 8 an axial section of the indicator device in an actuated state;



FIG. 9 an axial section of the indicator device in a locked state;



FIG. 10 a perspective section of the indicator device in an actuated state;



FIG. 11 a perspective section of the indicator device in an released state;



FIG. 12 a partial enlargement of the nebulizer similar to FIG. 4, but in a partially tensioned state;



FIG. 13 a partial enlargement of the nebulizer similar to FIG. 4, but in a fully tensioned state;



FIG. 14 a partial section of the nebulizer similar to FIG. 4, but in an intermediate state during a dispensing stroke;



FIG. 15 a partial section of the nebulizer similar to FIG. 4, but with an indicator device of the container in a locked state;



FIG. 16 a schematic section of the nebulizer in the locked state after next tensioning with partially opened housing part and with locked locking device;



FIG. 17 a partial enlargement of the encircled part of FIG. 13;



FIG. 18 a schematic section of the nebulizer similar to FIG. 3 with unlocked locking device;



FIG. 19 a schematic section of the indicator device in the initial state according to a modified embodiment;



FIG. 20 a perspective section of the indicator device according to FIG. 19;



FIG. 21 a schematic section of the nebulizer in the non-tensioned state according to a further or second embodiment of the present invention;



FIG. 22 an enlargement of the indicator device and an associated control device in the non-tensioned state according to FIG. 21;



FIG. 23 a perspective view of the control device;



FIG. 24 a perspective, exploded view of the control device;



FIG. 25 a schematic section of the nebulizer according to FIG. 21, but in the tensioned state;



FIG. 26 a partial enlargement of the indicator device and the control device in the non-tensioned state according to FIG. 25;



FIG. 27 a schematic section of the nebulizer according to FIG. 21, but in the locked state;



FIG. 28 a partial enlargement of the encircled part of FIG. 27;



FIG. 29 an enlargement of the indicator device and control device with the indicator device in the locked state and the control device in a partly actuated state (before actuating the locking device); and



FIG. 30 an enlargement of the indicator device and control device in a locked state for blocking the nebulizer according to FIG. 27.





DETAILED DESCRIPTION

In the Figures, the same reference numerals are used for identical or similar parts, resulting preferably in corresponding or comparable properties and advantages, even if the associated description is not repeated.



FIGS. 1 and 2 show a known nebulizer 1 for atomizing a fluid 2, particularly a highly effective pharmaceutical composition, medicament or the like, diagrammatically shown in a non-tensioned state (FIG. 1) and in a tensioned state (FIG. 2). The nebulizer 1 is constructed in particular as a portable inhaler and preferably operates only mechanical and/or without propellant gas.


When the fluid 2, preferably a liquid, more particularly a pharmaceutical composition, is nebulized, an aerosol 14 (FIG. 1) is formed or dispensed, which can be breathed in or inhaled by a user. Usually the inhaling is done at least once a day, more particularly several times a day, preferably at set intervals, depending on the complaint or illness from which a patient is suffering.


The nebulizer 1 is provided with or comprises an insertable or replaceable container 3 containing the fluid 2. The container 3 thus forms a reservoir for the fluid 2, which is to be nebulized. Preferably, the container 3 contains multiple doses of fluid 2 or active substance in particular sufficient to provide up to 200 dosage units or doses, for example, i.e. to allow up to 200 sprays or applications. A typical container 3, as disclosed in WO 96/06011 A1, holds e.g. a volume of about 2 to 20 ml.


Further, the number of doses contained in the container 3 and/or the total volume of the fluid 2 contained in the container 3 can vary depending on the fluid 2 or respective medicament and/or depending on the container 3 and/or depending on the necessary medication or the like.


Preferably, the container 3 can be replaced or exchanged, wherein the total number of uses of the nebulizer 1 and thus the number of containers 3, which can be used with the same nebulizer 1, is preferably restricted, e.g. to a total number of four or five containers 3. WO 2012/162305 A1 discloses additionally such a restriction to the total numbers of containers 3 which can be used with the same nebulizer 1.


The container 3 is preferably substantially cylindrical or cartridge-shaped and once the nebulizer 1 has been opened the container 3 can be inserted therein preferably from below and changed if desired. It is preferably of rigid construction, the fluid 2 in particular being held in a collapsible bag 4 in the container 3. In particular, the container 3 comprises a venting opening or hole 23 which is opened before or during first use.


The nebulizer 1 comprises a delivery mechanism, preferably a pressure generator 5, for conveying and nebulizing the fluid 2, particularly in a preset and optionally in an adjustable dosage amount.


The nebulizer 1 or pressure generator 5 comprises preferably a holder 6 for releasably holding the container 3, a drive spring 7 associated to the holder 6, only partly shown, and/or a blocking element 8 preferably in form of or with a button for preferably manual actuation or depressing. The blocking element 8 can catch and block the holder 6 and can be manually operated to release the holder 6 allowing drive spring 7 to expand.


The nebulizer 1 or pressure generator 5 comprises preferably a conveying element, such as a conveying tube 9, a non-return valve 10, a pressure chamber 11 and/or an nozzle 12 for nebulizing the fluid 2 into a mouthpiece 13. The completely inserted container 3 is fixed or held in the nebulizer 1 via the holder 6 such that the conveying element fluidically connects the container 3 to the nebulizer 1 or pressure generator 5. Preferably, the conveying tube 9 penetrates into the container 3. The nebulizer 1 or holder 6 is preferably constructed so that the container 3 can be exchanged.


When the drive spring 7 is axially tensioned in the tensioning process, the holder 6 with the container 3 and the conveying tube 9 are moved downwards in the drawings and fluid 2 is sucked out of the container 3 into the pressure chamber 11 of the pressure generator 5 through the non-return valve 10. In this state, the holder 6 is caught by the blocking element 8 so that the drive spring 7 is kept compressed. Then, the nebulizer 1 is in the tensioned state.


During the subsequent relaxation in the nebulization process after actuation or pressing of the blocking element 8 the fluid 2 in the pressure chamber 11 is put under pressure as the conveying tube 9 with its now closed non-return valve 10 is moved back in the pressure chamber 11, here in the drawings upwards, by the relaxation or force of the drive spring 7 and now acts as a pressing ram or piston. This pressure forces the fluid 2 through the nozzle 12, whereupon it is nebulized into the aerosol 14, as shown in FIG. 1, and, thus, dispensed.


Generally, the nebulizer 1 operates with a spring pressure of 5 to 200 MPa, preferably 10 to 100 MPa on the fluid 2, and/or with a volume of fluid 2 delivered per stroke of 10 to 50 μl, preferably 10 to 20 μl, most preferably about 15 μl. The fluid 2 is converted into or nebulized as aerosol 14, the droplets of which have an aerodynamic diameter of up to 20 μm, preferably 3 to 10 μm. Preferably, the generated jet spray has an angle of 20° to 160°, preferably 80° to 100°. These values also apply to the nebulizer 1 according to the teaching of the present invention as particularly preferred values.


A user or patient (not shown) can inhale the aerosol 14, preferably while an air supply can be sucked into the mouthpiece 13 through at least one optional air supply opening 15.


The nebulizer 1 comprises preferably a housing 24 and/or (upper) housing part 16 and optionally a biasing or inner part 17 preferably which is rotatable relative thereto (FIG. 2) and/or has an upper part 17a and a lower part 17b (FIG. 1).


The nebulizer 1 or housing 24 comprises preferably a (lower) housing part 18. This part 18 is in particular manually operable, and/or releasable fixed, particularly fitted or held onto the inner part 17, preferably by means of a retaining element 19. Preferably, the housing parts 16 and 18 and/or other parts form the housing 24 of the nebulizer 1. In order to insert and/or replace the container 3, preferably the housing 24 can be opened and/or the housing part 18 can be detached from the nebulizer 1, inner part 17 or housing 24.


Generally and preferably, the container 3 can be inserted before the housing 24 is closed and/or before the housing part 18 is connected to the housing 24. The container 3 may be inserted, opened and/or fluidically connected to the delivery mechanism automatically or simultaneously when (completely) connecting the housing part 18 to the housing 24/nebulizer 1 and/or when (completely) closing the housing 24/nebulizer 1. Preferably, the container 3 is open or fluidically connected when tensioning the nebulizer 1 for the first time with the current container 3.


Preferably, the nebulizer 1 or drive spring 7 can be manually activated or tensioned or loaded or charged, in particular by actuation of a charging or grip member, here preferably by rotating housing part 18 or any other component.


The charging or grip member, preferably the housing part 18, can be actuated, here rotated relative to the upper housing part 16, carrying with it or driving the inner part 17. The inner part 17 acts on a gear or transmission to transform the rotation in an axial movement. As a result the drive spring 7 is tensioned in the axial direction by means of the gear or transmission (not shown) formed between the inner part 17, in particular its upper part 17a, and the holder 6 and acting on the holder 6. During tensioning the container 3 is moved axially downwards until the container 3 assumes an end position as shown in FIG. 2. In this activated or tensioned state the drive spring 7 is under tension and can be caught or held by the blocking element 8. During the nebulizing process the container 3 is moved back into its original position (non-tensioned position or state shown in FIG. 1) by (the force of) the drive spring 7. Thus the container 3 executes a lifting or stroke movement during the tensioning process and during the nebulizing process.


The housing part 18 preferably forms a cap-like lower housing part and/or fits around or over a lower free end portion of the container 3. As the drive spring 7 is tensioned the container 3 moves with its end portion (further) into the housing part 18 or towards the end face thereof, while an aeration means, such as an axially acting spring 20 arranged in the housing part 18, comes in contact with base 21 of the container 3 and pierces the container 3 or a base seal or foil 50 thereon with a piercing element 22 when the container 3 makes contact with it for the first time, to allow air in or aeration, preferably by opening or piercing venting hole 23. The venting hole 23 allows for pressure compensation inside the container 3 when fluid 2 is drawn from the container 3 during the actuation of the nebulizer 1.


The nebulizer 1 comprises preferably an indicator device 25, which counts in particular actuations of the nebulizer 1, preferably by detecting its tensioning or the rotation of the inner part 17 relative to the upper part 16 or housing 24. Preferably, the counter device 25 or an associated locking device 26 locks the nebulizer 1 against (further) actuation or use, e.g. blocks further rotation of the housing part 18/inner part 17 and, thus, tensioning of the nebulizer 1 or its drive spring 7 and/or blocks actuation of the blocking element 8, in a locked state when a certain number of actuations or operations or discharged doses has been reached or exceeded.


In the following and with reference to the further figures, a preferred embodiment of the nebulizer 1, container 3, indicator device 25 and/or locking device 26 is described and shown according to the invention, wherein primarily important aspects and differences will be described and the previous aspects, features and explanations apply preferably additionally or correspondingly even without repetition.



FIG. 3 shows the nebulizer 1 with the container 3 and indicator device 25 according to a first embodiment of the present invention in a schematic section (longitudinal section) in the non-tensioned state with completely closed nebulizer housing 24 and, thus, closed housing part 18, wherein the container 3 including the proposed indicator device 25 are inserted into or received within the nebulizer 1 and/or housing 24.



FIG. 4 shows an enlarged partial section of the encircled part of FIG. 3. FIG. 5 shows a perspective view of the section of the nebulizer 1 of FIG. 3. FIG. 6 shows a partial enlargement of the encircled part of FIG. 5.


The nebulizer 1 has preferably a longitudinal form or axis which corresponds to the axial direction and/or to the main dispensing direction and/or to stroke movement of the container 3 during tensioning and dispensing.


In the shown non-tensioned state, the nebulizer 1 or its mouthpiece 13 is preferably closed by a mouthpiece cover 27. The mouthpiece cover 27 is preferably pivotable to allow opening of the mouthpiece 13 for using the nebulizer 1.


Preferably, the indicator device 25 is directly and/or unreleasably secured or fixed to or connected with the container 3. In particular, the indicator device 25 is associated to a respective container 3. If the container 3 of the nebulizer 1 is replaced, the indicator device 25 is necessarily or positively replaced as well.


Preferably, the indicator device 25 is fixedly arranged at the bottom or container base 21 of the container 3 and/or opposite to an outlet or head 28 of the container 3.


In the present embodiment, the indicator device 25 is preferably directly connected to or abuts at an outer case or preferably rigid housing 29 of the container 3.


Preferably, the indicator device 25 and the container 3 are connected by form-fit and/or snap-fit.


In particular, the indicator device 25 circumvents and/or grips over a (lower or bottom) edge 30 and/or any other protrusion or the like of the container 3. In the present embodiment, the edge 30 is a little bit wider in diameter so that it protrudes radially over the essentially cylindrical outer form of the side wall of the container 3/container housing 29.


The diameter of the indicator device 25 is preferably at least essentially equal to or slightly greater than the diameter of the container 3 or its edge 30.


The edge 30 is preferably formed between the side wall and the bottom or base 21 of the container 3 or container housing 29. Preferably, the edge 30 is formed by flanging, bordering, bending or crimping or by any other suitable material-deforming process.


The indicator device 25 comprises a housing 31 and/or preferably has an at least essentially cylindrical form.


The indicator device 25 or its housing 31 is preferably attached to the container 3 or its base 21 or housing 29 with an at least essentially flat and/or axial side.


The indicator device 25 or its housing 31 comprises preferably a holding or gripping section 32 for connecting the indicator device 25 with the container 3. Preferably, the gripping section 32 circumvents the edge 30 and/or grips around or over the edge 30.


In the present embodiments, the gripping section 32 is preferably annular and/or grips over the edge 31 at positions distributed over the circumference of the edge 30 or container 3.


Preferably, the indicator device 25 and the container 3 are connected with each other by a snap-fit or click connection. Preferably, the container 3 and the indicator device 25 are connected with each other by axially snapping one part on the other.


Preferably, the gripping section 32 is sufficiently elastic in radial direction so that the container 3 can be entered axially with its edge 30. In the present embodiment, the gripping section 32 preferably comprises a respectively inclined insertion face to facilitate insertion of edge 30 into the annular gripping section 32 or between circumferentially distributed gripping sections 32.


It has to be noted that other constructional solutions are possible for connecting the container 3 or its housing 29 with the indicator device 25 or its housing 31 or vice versa. In particular, the two parts can be connected with each other additionally or alternatively by welding, brazing, gluing, screwing, clamping, hot-pressing, or the like.



FIG. 7 shows in a schematic, exploded view the indicator device 25 according to the preferred embodiment of the present invention.


The indicator or its housing 31 comprises preferably an upper part 33 and a lower part 34.


Preferably, the upper part 33 holds or forms the gripping section 32.


The indicator device 25 comprises preferably an indicator element 35 and an associated actuation element 36 and/or a transmission 40 or gear 41 for indexing the indicator element 35 or for causing the indexing of the indicator element 35.


The indicator device 25 is for counting and/or indicating a number of uses performed or still possible with the respective or associated container 3. Preferably, the indicator element 35 comprises markings 37, such as one or more symbols, numbers, coloured or shaded areas or the like, for at least roughly indicating the number of uses already performed with or still possible with the respective container 3. In the present embodiment, the indicator element 35 is preferably rotatable and/or comprises a circumferential wall or outer surface with the at least one marking 37.


The indicator housing 31 comprises preferably a window 31a, in particular in the circumferential wall through the relevant marking 37 is visible for a user or patient, preferably through the housing part 18 which is in particular transparent.


The actuation element 36 comprises preferably an actuation arm 38 which, intern comprises preferably a free or actuation end 39, for direct or indirect actuation or indexing of the indicator element 35. Indexing means that the indicator element 35 is moved forward in increments or steps.


Preferred is an indirect actuation or driving so that the actuation element 36 or its arm 38 actuates or drives the indicator element 35 via a transmission 40. In the present embodiment, the transmission 40 results in a reduction and/or is realized as a worm device.


The indicator device 25 or transmission 40 comprises preferably a gear 41 and/or a worm 42. Most preferably, the worm 42 is directly formed by the gear 41 so that the gear 41 forms a worm gear and preferably comprises radially protruding teeth 43 in which at least one convolution of the worm 42 is formed (compare the horizontal or axial sections of the mounted indicator device 25 shown in FIGS. 8 and 9).


The gear 41 comprises preferably an axle, in particular one or more axle sections 44 which may axially protrude on opposite sides as realized in the present embodiment.


The actuation element 36 causes a rotation of the gear 41 around an axis preferably perpendicular to the direction of movement of the actuation element 36, the axis preferably being arranged in a horizontal plane identical or parallel to the plane given by the movement of the actuation element 36.


The gear 41 is rotatably held preferably by the housing 31 or lower housing part 34, preferably by two bearing sections 45 of the lower part 34. Preferably, the bearing sections 45 comprises recesses for rotatably holding the axle sections 44. However, other constructional solutions are possible as well.


The housing 31 or lower part 34 bears preferably the indicator element 35 such that it can rotate. In the present embodiment, the lower part 34 comprises preferably two bearing portions 46 arranged on opposite radial sides and axially protruding for rotatably bearing the indicator element 35. The actuation element 35 and/or transmission 40 are preferably arranged at least essentially in between the bearing portions 46.


The indicator device 25 comprises preferably an actuation spring 47, in particular for biasing the actuation element 36 into a preferred direction and/or for driving the indicator element 35.



FIG. 8 shows in a horizontal or axial section the mounted indicator device 25 in an actuated state where the actuation element 36 has been moved or pushed sidewards, namely starting from the first position shown in FIGS. 3 to 6 towards the left into a second position which is shown in FIG. 8.



FIG. 9 shows in a similar section as FIG. 8 the indicator device 25 in a locked state where the actuation element 36 is in a locked, third position.


It can been seen from FIGS. 8 and 9 that protrusions 60 of the indicator element 35 (not shown in FIGS. 8 and 9) extend axially, wherein always at least one protrusion 60 is caught in the worm 42 so that a worm drive is formed between the gear 41 and the indicator element 35. Thus, any rotation of gear 41 is transformed in a reduced rotation of the indicator element 35. Further, a permanent engagement between the gear 41 and the indicator element 35, more precisely between at least one protrusion 60 and the worm 42, is ensured. However, other constructional solutions or couplings between the gear 41 and the indicator element 35 are possible.



FIG. 10 shows the mounted indicator device 25 in a perspective section in the initial, first position and state. FIG. 11 shows the indicator device 25 in a similar perspective section, but with released actuation element 36, i.e. just before the locked state is reached.


Preferably, the transmission 40 or gear 41 forms a worm (helical groove) 42 with at least one convolution, preferably a with about 1.5 or more convolutions, so that always at least one engaging element of the indicator element 35 or of any other transmission component, in particular the inwardly or axially projecting protrusion 60, engages in the worm 42. Thus, rotation of the gear 41 around its preferably transversal axis results in a rotation of the indicator element 35 around its preferably longitudinally oriented rotation axis. However, other constructional solutions are possible as well.


Preferably, the teeth 43 are relatively long and/or extend radially sufficiently so that the protrusions are securely guided within the convolutions of the worm 42, in between the teeth 43, and that the actuation portion 39 can still move in radial direction between the protrusion 60 engaging into the worm 42 and the gear 41 in order to actuate or rotate the gear 41 in the desired manner. For this purpose, the actuation portion 39 may engage into respectively deep cut outs between the teeth 43 in order to be able to move below the respective projection 60.


The indicator device 25 comprises preferably a piercing part 48 (compare FIGS. 3 to 6).


The piercing part 48 is arranged within the indicator device 25 or its housing 31.


The piercing part 48 is preferably axially moveable.


The piercing part 48 is preferably moveable such that it can protrude towards the container 3 and/or can open an aeration opening, preferably the venting hole 23, of the container 3, in particular by breaking or piercing a foil 50 covering the venting hole 23.


In the present embodiment, the piecing element 48 comprises preferably an opening end or tip 49 which can open or pierce the foil 50 covering the container base 21, in particular an indention 51 formed in the container 3 or its base 21. Preferably, the indention 51 comprises a break through which forms the venting hole 23. However, other constructional solutions are possible as well.



FIG. 12 shows in a partial enlargement similar to FIG. 4 a lower portion of the nebulizer 1 in an intermediate state after partial tensioning. The indicator device 25 is in an actuated state as shown in FIG. 8 (second position).


The nebulizer 1 or housing part 18 comprises preferably a driving part 52 for driving or actuating the indicator device 25 when using the nebulizer 1, in particular for actuating the indicator device 25 in response to any tensioning of the nebulizer 1 and/or any (axial or stroke-like) movement of the container 3.


Preferably, the driving part 52 is arranged or formed in the housing part 18, in particular on the axial end face or bottom 53 of the housing part 18.


Preferably, the driving part 52 is arranged centrally and/or extends axially.


Preferably, the driving part 52 is at least substantially cylindrical and/or pin-like or bolt-like.


Preferably, the driving part 52 is held by the housing part 18 and/or integrally formed by the housing part 18.


In the preferred embodiment, the movement of the container 3 and, thus, of the indicator device 25 during the tensioning (downward movement in the drawings) and/or during pressurization and dispensing (upward movement in the drawings) and/or one or both of the respective end positions in the non-tensioned state and tensioned state, respectively, can be used for actuating the indicator device 25, i.e. for counting.


Preferably, the relative movement of the container 3 and/or indicator device 25 within the nebulizer 1, and more preferred the movement during dispensing, is used for actuating or triggering the indicator device 25 and/or counting.


When tensioning the nebulizer 1 and/or moving the indicator device 25 downwards, the driving part 25 enters or engages through an insertion opening 54 of the indicator device 25 or its housing 31, in particular axially.


Preferably, the driving part 52 and the insertion opening 54 are arranged centrally and/or axially aligned.


In the present embodiment, the driving part 52 actuates the actuation element 36, i.e. moves the actuation element 36 from an initial first position shown in FIGS. 3 to 6, to an actuated second position shown in FIG. 9.


Preferably, the actuation spring 47 biases the actuation element 36 into the first position.


In the present embodiment, the actuation element 36 is moveable back and forth between the first and second positions for indexing the indicator element 35, in particular for incrementally rotating the gear 41 in one direction to respectively drive the indicator element 35. As any rotation of gear 41 is transformed in a reduced rotation of the indicator element 35, thus every movement of the actuation element 36 from the first to the second position or vice versa results in a movement of the indicator element 35.


In the present embodiment, the actuation element 36 is moveable transversally, preferably perpendicularly, to the longitudinal or dispensing direction of the container 3 or nebulizer 1 and/or to the stroke movement of the container 3 and/or indicator device 25.


Preferably, the actuation element 36 is moved from the more central first position radially outwards to the second position, in particular against the force of the associated, preferably helical actuation spring 47 biasing the actuation element 36 in opposite direction.


In the second position, the actuation element 36 has been moved with its actuation arm 38 or actuation portion 39 out of engagement with gear 41 as indicated in FIGS. 8 and 12.



FIG. 13 shows in a similar enlarged section as FIG. 12 the fully tensioned state.


In the (fully) tensioned state, the container 3, more precisely the aeration opening or venting hole 23, is opened at least when the nebulizer 1 is tensioned with a container 3 for the first time.


Preferably, the opening of the container 3 or venting hole 23 for aeration is realized by piercing or breaking, in particular of foil 50.


The opening or piercing can be effected directly by the driving part 52. Alternatively, the opening or piercing can be effected independently from the driving part 52, e.g. by means of the aeration spring 20 with the piercing element 22 similar to the embodiment shown in FIG. 2. Alternatively, as in the present embodiment, the opening or piercing can be achieved indirectly, preferably via the piercing part 48 which is preferably actuated by the driving part 52.


Preferably, the piercing part 48 is formed as separate part and/or provided by the indicator device 25 and/or arranged within the indicator device 25.


In the preferred embodiment, the piercing part 48 is held axially moveable by a support structure 55 of the indicator device 25, housing 31, upper part 32 and/or indicator element 35, as schematically indicated in FIGS. 10 and 11.


Preferably, the piercing part 48 and/or the support structure 55 are a one-piece-construction with a further part of the indicator devices 25, e.g. with the indicator element 35 or with the indicator housing 31, especially with the upper part 33 of the indicator housing 31. Preferably, the piercing part 48, support structure 55 and the further part of the indicator device 25 are made of plastic in an injection molding process.


Preferably, the support structure 55 comprises flexible arms or ribs for holding the piercing part 48 axially moveable.


Alternatively the piercing part 48 can be constructed as separate, axially moveable part, which is optionally spring biased in the longitudinal or axial direction away from the container 3, so that the piercing tip 49 is retracted from the container 3 in the non-tensioned state.


It has to be noted that the piercing part 48 or its tip 49 is preferably received within the indicator device 25 or its housing 31, but can protrude outwards in the actuated state.


The opening or piercing can be repeated each time the nebulizer 1 is tensioned, i.e. each time when the container 3 reaches its end position in the tensioned state.


The piercing part 48 may be biased into its retracted or initial position shown in FIGS. 3 to 6, in particular by a preferably integrally formed biasing arm, spring or the like, preferably by the support structure 55.


The piercing part 48 may comprise a compensation portion, such as a flexible arm 56, for compensating any tolerances in axial direction. Such tolerances can occur in particular due to variations during production, in particular variations of the length of the container 3 and/or other components, variations of the connections of the container 3 with the indicator device 25, variations of the length of the indicator device 25 or its housing 31, variations of the axial position of the container 3 within the holder 6, and the like. Thus, different distances between the free end of driving part 52 and the counter-face of the piercing part 48 can result. The construction is such that the driving part 52 and the piercing part 48 cooperate in any case such that the desired piercing is ensured.


The compensation portion allows axial compression—here by radial flexing of arms 56—when a predetermined axial force is exceeded in order to avoid any damage of the container 3 and/or any other component of the nebulizer 1. Thus, in the preferred embodiment the driving part 52 first moves the piercing part 48 towards the container base 21 into the piercing position and further axial movement of the driving part 52 is compensated by the compensation portion, preferably by the flexible arms 56 being spread radially outwards, giving way to the tip of the driving part 52 for entering a central recess in the piercing part 48 (on the side opposite to the piercing tip 49).


The piercing part 48 comprises preferably at least one axial channel, in particular one or more axially extending grooves 57 circumferentially distributed around the circumference of tip 49, in order to ensure unblocked aeration or venting even if the piercing part 48 stucks or stays in the foil 50 or piercing position.



FIG. 14 shows in a similar enlargement as FIGS. 4, 12 and 13 an intermediate state of the pressurization or dispensing process, i.e. when the container 3 has been moved partially upwards again. In this state, the driving part 52 has been withdrawn from the indicator device 25 or through the insertion opening 54 partially such that the actuation element 36 starts to return to its initial or first position due to the force of the actuation spring 47. Finally, after sufficient withdrawal of the driving part 52, the actuation element 36 returns into the first position shown in FIGS. 3 to 6 when the back movement is completed.


The back movement of the container 3 and/or of the actuation element 36 actuates preferably the indicator device 25 or gear 41 and/or is detected or counted. In particular, the actuation element 36 or its arm 38 or actuation portion 39 transmits the back movement or movement from the second to the first position to the transmission 40. In particular, this movement causes an incremental rotation of gear 41.


Thus, in the present embodiment, the movement of the container 3 and/or indicator device 25 within the nebulizer 1 during dispensing is preferably used for actuating or triggering the indicator device 25 and/or for counting.


In the present embodiment, the actuation arm 38 or its portion 39 abuts against one tooth 43 of gear 41 during the back movement and, thus, turns the gear 41 due to the back movement one step further, in the drawings in clockwise direction.


Preferably, the indicator device 25 comprises a ratchet 58 preventing any counter-rotation of the transmission 40 or gear 41. Into the present embodiment, the ratchet 58 is formed by a flexible arm extending from the housing 31, in particular lower housing part 34, and/or meshing with or engaging into the gear 41 or its teeth 43.


In the end position, i.e. in the non-tensioned state, the driving part 52 is preferably further or completely retracted from the indicator device 25, the indicator housing 31 and/or insertion opening 54 as shown in FIGS. 3 to 6.


The transmission 40 or gear 41 transforms the actuation, in particular the (backward) movement of the actuation element 36 or its arm 38/actuating portion 39, into an indexing of the indicator element 35. The transmission ratio or transmission function of the transmission 40 or gear 41 may be designed or constructed such that a reduction or non-linear driving or indexing is achieved. In the present embodiment, the transmission 40 or gear 41 forms preferably a worm drive for achieving a desired reduction.


The movement of the actuation element 36—in particular from the first position to the second position—results in that the actuation arm 38 or its actuation portion 39 are moved out of engagement with the gear 41, in particular can be pulled over the next tooth 43. Hereby, the arm 38 is flexed out. The subsequent movement in opposite direction, i.e. the back movement or movement from the second to the first position, results in that the actuation arm 38 or its actuation portion 39 contacts the next tooth 41 and can transmit the at least essential linear movement of the arm 38, more precisely the preferably linear movement of the actuation element 36, into a rotation of the gear 41, more precisely in an indexing of gear 41 by preferably one tooth 43.


Preferably, the teeth 43 are asymmetrical, i.e. comprise differently inclined shoulders on one side and the other side in order to facilitate and/or ensure the incremental actuation and movement in one rotational direction by the back and forth movement and engagement of the actuation arm 38.


Preferably, the actuation element 36 is linearly moveable and/or forms a sliding carriage.


Preferably, the actuation element 36 is supported and/or held moveably by the housing 31, in particular lower part 34 of the housing 31. However, other constructional solutions are possible as well.


The actuation spring 47 acts preferably between the housing 31 or lower part 34 on one hand and the actuation element 36 on the other hand.


In the present embodiment, the spring 47 is preferably already compressed and/or biased in the first position and/or biases the actuation element 36 such that it at least partially closes or blocks the insertion opening 54.


Preferably, the actuation element 36 comprises an inclined gliding surface 59 at its part protecting into or over the insertion opening 32 in the first position. This surface 59 is inclined such that the insertion of the driving part 52, i.e. its axial movement or abutment, is transformed into a transversal or radial movement of the actuation element 36. Alternatively or additionally, such a surface 59 can also be formed at the driving part 52 to achieve the desired transformation of the axial movement into a transversal or radial movement by means of an inclined plane.


Therefore, the actuation or rotation of the transmission 40 or gear 41 is preferably effected by the force of the actuation spring 47 or any other pressure or energy store or spring means. This results in the advantage that no additional force is necessary for driving the indicator device 25 or its indicator element 35. Consequently, the pressurization and dispensing process is not disturbed.


Further, the triggering of the counting or actuation of the transmission 40/gear 41 is effected preferably by the pressurization or dispensing process or movement, i.e. during the actual dispensing of fluid 2, i.e. usually during actual use or inhalation.


The actuation spring 47 biases the actuation element 36 preferably towards closing the insertion opening 54.


Usually, the movement of the actuation element 36 is restricted so that it does not completely close the insertion opening 54 before the locked state is reached. This limitation is realized in the present embodiment preferably via a control means or portion 62 against which a control part 63 abuts in particular to restrict the back movement of the actuation element 36 at the first position.


The abutment is shown in particular in FIG. 10. However, other constructional solutions are possible as well.


After the number of uses of the nebulizer 1 with the container 3 has reached or exceeded a predetermined number of uses as detected or registered by the indicator device 25, a locked state is entered and the nebulizer 1 will be locked against further use with the current container 3 and/or the container 3 will be locked against further use with the nebulizer 1.


In particular, the indicator device 25 comprises a blocking part 61 which blocks further use of the container 3 and/or closes or blocks the insertion opening 54 in the locked state as schematically shown in the schematically enlargement of FIG. 15 which shows a similar part as FIGS. 4 and 12 to 14. In this shown state, the container 3 has returned to its non-tensioned position and the driving part 52 has been retracted from the indicator device 25. During the last dispensing or pressurization process, the indicator device 25 has moved the indicator element 35 one step further and detected or registered that the predetermined number of uses has been reached or exceeded and, thus, that the locked state shall be entered.


In the present embodiment, the indicator element 35 comprises preferably a control portion 62 which releases the actuating element 36 for detection of the locked state which results in locking the nebulizer 1 or current container 3 against further use.


Preferably, the control portion 62 comprises a cut out or recess which allows or initiates movement of the blocking part 61 into a blocking position. Preferably, the blocking part 61 blocks or closes the insertion opening 54 in the blocking position, i.e. in the locked state. Preferably the control portion 62 is a wall or ridge on the inside of the rotatable indicator element 35.


Preferably, the blocking part 61 is integrated into the indicator device 25 or its housing 31.


The blocking part 61 is preferably moveable transversally or perpendicular to the longitudinal or dispensing direction of the container or nebulizer 1 and/or of the direction of stroke movement of the container 3.


Preferably, the blocking part 61 blocks the actuation or insertion movement of the driving part 52, in particular relative to the indicator device 25 and/or (sufficient) insertion of the driving part 52.


Preferably, the blocking part 61 is linearly moveable and/or formed by a sliding carriage. However, other constructional solutions are possible as well.


Preferably, the blocking part 61 is biased into its blocking position, in the present embodiment preferably by actuation spring 47 or any other suitable biasing means.


Preferably, the blocking part 61 closes or blocks the insertion opening 54 of the indicator device 25 after the last dose of fluid 2 has been dispensed and when the locked state has been entered or detected. This detection is preferably realized in that the blocking part 61 or any associated component, such as control part 63, can pass the control portion 62 in the locked state, most preferably by spring force, in particular by the force of actuation spring 47 or the like, as schematically shown in FIG. 11.


Preferably, the blocking part 61 is connected with or formed by the actuation element 36 or vice versa. Most preferably, the blocking part 61 forms a wall or side, preferably flat side, of the actuation element 36. However, other constructional solutions are possible as well.


In the present embodiment, the actuation element 36 can move in the locked state from the first position into the third position, i.e. preferably in the opposite direction than the movement into the second position.


In the present embodiment, the actuation element 36 can close the insertion opening 54 preferably completely in the third position (blocking position).


With other words, the blocking position of the blocking part 61 corresponds preferably to the third position of the actuation element 36. In the locked state or third position, the actuation element 36 has moved with the actuation arm 38 or its portion 39 further in the actuation direction so that the actuation portion 39 has passed the previous tooth 43 in the rotation direction of gear 41 as indicated in FIG. 15.


Preferably, the actuation element 36 is constructed to block further use of the container 3 in the locked state or third position (blocking position).


Preferably, the actuation element 36 is moveable back and forth between the first and second position for indexing the indicator element 35 and is moveable into a third position to block further use of the container 3 in the locked state.


In particular, the closed indicator device 25 or blocking part 61 results in particular in that the container 3 cannot move inside the closed housing of the nebulizer 1 in the stroke-like fashion as previously described and as required for normal or further use so that normal use is prevented.


In particular, the locking of the indicator device 25 or insertion opening 54 results in that the nebulizer 1 or housing part 18 is at least partially opened when the nebulizer 1 is tensioned once more or when it is partially tensioned. FIG. 16 shows this state (partially tensioned nebulizer 1 with partially opened housing part 18) in a schematic, longitudinal section of the nebulizer 1. During the tensioning process the container 3 is moving downwardly together with the indicator device 25. Starting from the non-tensioned state (upper position of the container 3), the indicator device 25 abuts soon with its blocking part 61/actuating element 36 against the member usually actuating the indicator device 25, here the driving part 52, so that a further usual downward movement is not possible.


In particular, the blocking part 61 restricts the axial moveability of the container 3 in the nebulizer 1 in the locked state, preferably by preventing the driving part 52 from insertion into the indicator device 25 or restricting its insertion in the locked state. Due to the force applied when tensioning the nebulizer 1 and due to the resulting axial force in the movement of the container 3, the housing part 18 will be moved outwards or relative to the nebulizer 1, inner part 17 or upper part 16 together with the container 3 and indicator device 25 during the further tensioning movement in axial direction in the locked state.


The above common downward movement of container 3, indicator device 25 and housing part 18 is possible due to a respectively constructed fastening of the housing part 18 at the nebulizer 1. In particular, the retaining force is selected or set such that it can be overcome by the downward movement of the container 3. In the present embodiment, the retaining element 19 engages with a retaining nose 64 in a respective retaining recess 65 in the housing part 18 or vice versa. Thus, substantially an undercut or indention can be realized. However, the abutting shoulders which extend at least essentially radially of the nose 64 on one hand and the recess 65 on the other hand are slightly inclined, preferably by about 1° to 5° to the radial plane such that the axial force of the tensioning process can overcome the retaining force provided by the engagement of the nose 64 into the recess 65 so that the retaining element 19 is flexed radially and the retaining engagement is overcome. Consequently, the housing part 18 is moved downwardly as well and, thus, is pushed at least partly from the nebulizer 1 or separated from the upper housing part 16 and/or pushed from the inner part 17.


This pushing or axial displacement of the housing part 18 or any other opening of the nebulizer 1 results preferably in that the nebulizer 1 is locked against further use by means of the locking device 26. Therefore, the indicator device 25 or its blocking part 61 effects indirectly via the opening of the nebulizer 1 the desired locking of the nebulizer 1 in the locked state. Preferably, the housing part 18 forms (part of) a mechanical connection or coupling for actuating or controlling the locking device 26. However, a (more) direct actuation of the locking, in particular of the locking device 26 is possible as well. For example, the indicator device 25 or its actuation element 36 or blocking part 61 can directly act on or actuate the locking device 26, in particular via a control device 75 which actuates independently from the housing part 18 the locking device 26 for entering the locked state or in the locked state and which is explained later with reference to a second embodiment shown in FIGS. 21 to 30.


Preferably, the locking device 26 blocks tensioning of the nebulizer 1 in the locked state.


Preferably, the locking device 26 comprises a moveable locking element 66 and an associated locking spring 67. The locking element 66 is preferably axially moveable between a locked position and an unlocked position. The locking element 66 is preferably biased into the locked position by the locking spring 67.


In the locked position, the locking element 66 is preferably in its lower axial position shown in FIG. 16. FIG. 17 shows an enlargement of the encircled area of FIG. 16.


In the locked position, the locking element 66 blocks rotation of the inner part 17 relative to the outer part 16 and, thus, blocks (further) tensioning of the nebulizer 1. This is preferably achieved in the present embodiment in that the locking element 66 moves or engages preferably axially into a respective pocket 68 formed in the upper part 16 such that said relative rotation is blocked. In particular, the locking element 66 engages with an engagement portion 69 into the respective recess or pocket 68 such that any further rotation and/or back rotation is prevented. However, other constructional solutions are possible as well.


The locking device 26, in particular the locking element 66 and the locking spring 67, are preferably arranged and/or supported by the inner part 17 and/or extend between the inner part 17 and upper part 16. The nebulizer 1, inner part 17 or locking device 26 comprises preferably a cover 70 covering the locking device 26 at least on the periphery of the lower part 17b of the inner part 17 in order to prevent or at least complicate any undesired manipulation of the locking device 26 or locking element 66 by a user or patient.



FIG. 18 shows the nebulizer 1 in a similar schematic section as FIG. 16, however with the locking device 26 in the unlocked position, i.e. the locking element 66 in the upper position. The locking device 26 or locking element 66 is brought into this position or unlocked preferably only by closing the nebulizer 1, in particular by the housing part 18 in the completely attached or closed position. In the shown embodiment, the housing part 18 comprises a preferably finger-like and/or axially extending actuator 71 which extends into the locking device 66 and/or into the cover 70 and/or axially abuts and/or pushes the locking element 66 into its unlocking position (upper position), as shown in FIG. 18. Thus, only the completely closed nebulizer 1 or housing part 18 unlocks the locking device 26 and, thus, unlocks the nebulizer 1. The actuator 71 is preferably arranged within the housing part 18 so that any manipulation is not possible or at least complicated.


When the nebulizer 1 is in the locked state and, preferably when the nebulizer 1 or its housing part 18 has been opened partially by the last tensioning process, any further use of the nebulizer 1 with the container 3 and the indicator device 25 in its locked state is not possible. The locking device 26 locks preferably automatically. Preferably, the locking spring 67 biases the locking element 66 into the locking position, so that upon at least partial opening of the nebulizer 1 or (axial) displacement of its housing part 18, the locking device 26 or its locking element 66 can move and moves into the locking position.


Preferably, the locking element 66 is moveable (essentially or only) in axial direction.


After replacement of the current container 3 with its locked indicator device 25 (blocking part 61 in the blocking position) against a new container 3 including a new or reset indicator device 25, the nebulizer 1 or its housing part 18 can be closed completely again. Thus, the nebulizer 1 or its locking device 26 can be or is unlocked again. Preferably, the actuator 71 pushes the locking element 66 back into its unlocking position.


Thus, the locking device 26 is reset or unlocked again, preferably by (completely) closing the nebulizer 1, its housing 24 or housing part 18, and the nebulizer 1 can be used with the new container 3 as previously.


It has to be noted that the insertion opening 54, which is preferably arranged centrally and/or opens in axial direction and/or allows axial insertion of an actuator element, in particular the driving part 52 in the present embodiment, can also be formed as a recess, groove, indention or the like and/or can be arranged at any position or location at the indicator device 25 with any orientation.


Alternatively, the insertion opening 54 or its closing can also be omitted. Instead, the indicator device 25, actuation element 36 or blocking part 61 can more or less directly communicate with or actuate the locking device 26 or, for example, the retaining element 19 or blocking element 8 in order to cause a direct or indirect locking of the nebulizer 1 or container 3 against further use.



FIG. 19 shows in a schematic section the indicator device 25 according to a modified embodiment of the present invention. FIG. 20 shows a perspective view of the section according to FIG. 19.


In the following, only relevant differences are described so that the previous explanations and aspects apply in addition, in particular in the same or similar manner, without repetition.


In the modified embodiment, the actuation arm 38 and actuation portion 39 do not engage inbetween the worm drive, i.e. between the gear 41 and the engaging protrusions 60 of the driven part, here namely the indicator element 35, but engage with or actuate the gear 41 on another side or the side opposite the worm drive, here preferably in FIG. 19 from below and not from above. In particular, the actuation arm 38 extends more or less in a radial plane and/or more or less in a common plane with the actuation spring 47 and/or blocking part 61 or the sliding carriage part of the actuation element 36.


Preferably, the actuation arm 38 or portion 39 engages with the gear 41 on the side opposite the container 3 or gripping section 32.


In the modified embodiment, the indicator device 25 counts preferably when the nebulizer 1 is tensioned, i.e. during the tensioning process and not during the dispensing process as provided in the initial embodiment of the present invention.


In particular, the actuation element 36 or its arm 38 drives or rotates the transmission 40 or gear 41, when the driving part 52 is inserted into the indicator device 25, its housing 31 or its insertion opening 54 and/or when the actuation element 36 is moved from the first position to the second position and/or when the actuation element 36 is pushed transversally by the driving part 52. In the opposite direction, the actuation arm or its actuation portion 39 passes the next tooth 43 of the gear 41, i.e. does not drive the gear 41.


In the modified embodiment, the indicator device 25 or counting is not driven by the force of the actuation spring 47 or any other spring or energy store, but by the relative movement of the indicator device 25 within the nebulizer 1 or by the insertion of an actuator element, such as the driving part 52. However, other constructional solutions are possible as well.


In the modified embodiment, the blocking of the carriage/actuation element 36/locking part 61 to move into the third or locking position are released during the tensioning when a predetermined number of uses is reached or exceeded. Then, the carriage/actuation element 36/blocking part 61 abut against the driving part 52 because the counting occurs during the tensioning. When the nebulizer 1 is actuated or when the blocking element 8 is depressed, the nebulizer 1 is triggered and the (last) dose of fluid 2 is nebulized. During this nebulization, the driving part 52 is removed from the indicator device 25 or insertion opening 54 so that the carriage/actuation element 36/blocking part 61 are free to move into the third or locking position due to the force of the actuation spring 47 or any other spring means.


During the next tensioning, the nebulizer 1 or its housing 24 or housing part 18 will be partially opened when the driving part 52 abuts against the closed indicator device 25, in particular against the carriage/actuation element 36/blocking part 61 restricting or closing the insertion opening 54.


In the previous embodiment, the counting or actuating of the indicator device 25 takes place or occurs when dispensing fluid, i.e. when the driving part 52 is withdrawn from the insertion opening 54. There, the carriage/actuation element 36/blocking part 61 are released during the last use of the nebulizer 1 or dispensing, i.e. when moving from the second to the first position so that the carriage/actuation element 36/blocking part 61 can move further directly into the third or unlocking position. Thus, any later dispensing is not possible.


In both cases, i.e. in the previous embodiment and in the modified embodiment, the indicator device 25 blocks full axial or stroke-moveability of the container 3 within the nebulizer 1 in the locked state and/or causes at least partially opening of the nebulizer housing 24 and/or housing part 18 in the locked state, in particular when the nebulizer 1 is tensioned at least partially for the last time with the current container 3.


Further, the at least partial opening of the nebulizer 1 or its housing 24 or housing part 18 results in that the nebulizer 1 is blocked, in particular cannot be tensioned any further or used any further, with the current container 3.



FIGS. 19 and 20 show the indicator device 26 according to the present invention in the non-actuated or initial state and/or with the actuation element 36 in the first position. The control part 63, which extends preferably upwards and/or in axial direction, abuts against the preferably ring-like control portion 62 which is preferably formed by or at the indicator element 35. Preferably, the control portion 62 has a radial distance to the outer wall of the indicator element 35 so that the control part 63 can move inbetween and that the actuation element 36 is free to move between the first and second positions, while the abutment of the control part 63 against the control portion 62 prevents movement of the actuation element 36 from the first position further towards the third position and/or further to (complete) closing the insertion opening 54.


Preferably, the protrusions 60 are dent-like and/or are tapered towards its free ends.


Preferably, the protrusions 60 are formed on or connected with the control portion 62.


Generally, the insertion opening 54 is provided preferably with a conical surface or edge to facilitate insertion of the driving part 52 or the like.


Preferably, the support structure 55 forms or comprises one or more flexible arms for moveably holding the piercing part 48, preferably in the center of the indicator device 25 or its housing 31 or a respective opening of the housing 31, so that the piercing part 48 is usually held inside the indicator device 25 but can move and in particular protrude outwards and/or towards the container 3 for opening or piercing aeration. However, other constructional solutions are possible.


Generally, the indicator device 25 and the container 3 form an inseparable assembly or unit, which has to be replaced completely after use, in particular after reaching the locked state. However, it is also possible that the container 3 and indicator device 25 are supplied or offered as a kit which can be assembled by the use or patient.


Generally, the indicator device 25 cannot be reset after reaching the locked state so that it cannot be reused. However, it is also possible to modify the indicator device 25 such that it can be reset and reused. In this case, the indicator device 25 has to be separated from the present container 3 and connected with a new (unused) container 3. Most preferably, such a container change would automatically reset the indicator device 25.


Generally, the actuation element 36 or blocking part 61 is moveable preferably linearly, in particular like a sliding carriage. In particular, a sliding carriage is formed.


Preferably, the sliding carriage forms a base part of the actuation element 36 or blocking part 61.


Preferably, the sliding carriage, actuation element 36 or blocking part 61 is moveably held by sliding guides 72 on opposite sides, preferably on opposite sides of the insertion opening 54, as schematically shown in FIGS. 8 and 9. Preferably, the guides 72 are formed by respective rails or the like of the housing 31 or its lower part 34 which grip over respective edges or base portions 73 of the actuation element 36 or blocking part 61 to form the desired sliding guidance. However, other constructional solutions are possible as well.


Instead of the preferably linear or sled-like moveable actuation element 36 and/or blocking part 61, any other motion, in particular a radial and/or pivotal movement, is possible, in particular for partially or completely closing the insertion opening 54.


Alternatively, the actuation element 36 and/or blocking part 61 can move outwards from the indicator device 25 or its housing 31, preferably transversally and/or at one side of the indicator housing 31 for locking at least one engagement possibility and/or actuating any other component in the locked state or for locking the nebulizer 1 and/or container 3.


Alternatively or additionally, the actuation element 36 and/or blocking part 61 can engage into or abut against a section or contour of the housing part 18 and/or nebulizer housing 24 or the like in order to restrict or prevent operation or movement in the locked state in order to block further use of the nebulizer 1 and/or container 3 in the locked state.


The actuation element 36 and/or blocking part 61, in particular also when acting radially, are preferably biased by spring 47 or any other spring means. The spring or spring means can be formed integrally and/or by plastic parts or pieces. Alternatively, a spiral or clock spring or any other spring, such as helical spring 47 or the like, could be used for biasing the actuation element 36 and/or blocking part 61, preferably into the locked state.


It is also possible that the driving part 52 directly drives or actuates the gear 41. In this case, the driving part 52 is preferably elastically supported by the housing part 18, in particular via a spring means (not shown), in particular for compensating axial tolerances and/or allowing radial or transversal flexing of the driving part 52. Additionally or alternatively, the driving part 52 may be flexible in order to allow transversal flexing for engaging with the gear 41 only in one direction of relative axial movement to the gear 41 to rotate the gear 41 only in one rotational direction.


The indicator device 25 can comprise any other counting mechanism, in particular as described in WO 2009/037085 A1, page 4, line 19 to page 10, line 13, which is incorporated herein by reference. Such a counting mechanism can also trigger, release or actuate the actuation element 36 and/or blocking part 61. When using this counting mechanism, the rotatable indicator element 35 can also release or control the release of the carriage, actuation element 36 or blocking part 61 in the locked state to move into the third or locking position or close the insertion opening 54.


It is also possible that the carriage or blocking part 61 is independent from the counting. In particular, the driving part 52 may engage the hub of the counting mechanism shown in WO 2009/037085 A1 or the like and/or drive or actuate the indicator device 25 or counting without actuating the carriage or blocking part 61. In this case, the functions are separated. The carriage and/or blocking part 61 are preferably used only for restricting or closing the insertion opening 54 in the locked state, but not for actuating or driving the indicator device 25 of its counting mechanism or transmission 40 or indicator element 35 or the like.


The container 3 or indicator device 25 or insertion opening 54 may be provided with an optional protection 74, shown schematically only in FIG. 19, which covers in particular the insertion opening 54 before the first use.


Preferably, the protection 74 has to be removed before the container 3 and/or indicator device 25 can be inserted into the nebulizer 1 or housing part 18.


Preferably, the protection 74 extends transversally over the indicator device 25 or its housing 31 and/or over the container 3 and/or has a larger diameter than the indicator device 25 and/or container 3, in particular such that it does not fit into the nebulizer 1 or housing part 18.


Preferably, the protection 74 can be removed only irreversibly, i.e. cannot be re-connected after removal.


Preferably, the protection 74 covers or closes the insertion opening 54 and/or the indicator device 25.


Preferably, the protection 74 is connected to the indicator device 25 or container 3 by form-fit or force-fit and/or by a snap-fit or click-fit.


In the following, a further or second embodiment of the nebulizer 1 according to the present invention will be explained with reference to FIGS. 21 to 30, wherein primarily only new features and aspects are described and the previous explanations apply in particular additionally or correspondingly even if a respective repetition is omitted.


In the further embodiment, the nebulizer 1 comprises a control device 75 which acts between or couples the indicator device 25 and locking device 26 and which works independently from the housing part 18, in particular does not require or initiate an at least partial opening of the nebulizer 1 for or during actuating the locking device 26. With other words, the nebulizer 1 can be locked against further use with the (current) container 3 by means of the control device 75 without partial detachment or opening of the housing part 18. Thus, the housing of the nebulizer 1 is closed in the locked state and the inside is protected from the ingress of dirt or contamination in the locked state, too. In the further embodiment, the control device 75 or any part thereof can provide the function of the driving part 52 and/or drive or actuate the piercing part 48 as provided in the previous embodiment. Alternatively, the control device 75 could be provided in addition to the driving part 52. FIG. 21 shows the nebulizer 1 according to the further embodiment in a schematic section in the non-tensioned state. FIG. 22 shows a partial enlargement thereof, namely the indicator device 25 and control device 75. The control device 75 has preferably two different states, namely the initial or non-actuated state which is maintained during the normal use of the nebulizer 1, i.e. during the tensioning and nebulization and in the tensioned and non-tensioned state of the nebulizer 1. Further, the control device 75 can resume an actuated state when the locking device 26 is actuated or released or the locked state of the nebulizer 1 is to be entered.



FIG. 23 shows the control device 75 in a perspective view in the initial state. FIG. 24 shows the control device 75 in a perspective, exploded view.


Preferably, the control device 75 is located at or in the housing part 18. In particular, the housing part 18 is cup-like and the control device 75 is located at least partially within the housing part 18 and preferably at least partially at or near the bottom of housing part 18.


Preferably, the control device 75 comprises an actuation member 76 for cooperating or engaging with the indicator device 25 and/or with the locking device 26, in particular its locking element 66.


In the shown embodiment, the actuation member 76 comprises preferably a driving part 77, a holding part 78 and/or an actuation part 79. The actuation member 76 is held or mounted axially moveable in the housing part 18, in particular by means of respective guiding means such as ribs or noses 80 and/or recesses or notches 81 or the like. This movability results in reducing the force which occurs between the indicator device 25 in its locked state and the driving part 77 when by mechanical coupling the locking device 26 is actuated to enter the locked state. This also results in a robust construction for the driving of the indicator device 25.


Preferably, the driving part 77 is arranged in the center of the holding part 78 and/or aligned with the container 3 and/or central axis of the nebulizer 1. Preferably the driving part 77 is arranged coaxial to the container 3 and/or indicator device 25. The driving part 77 protrudes preferably in axial direction from the holding part 78 and/or towards the container 3 or indicator device 25. The driving part 77 is preferably tube- or sleeve-like.


The driving part 77 comprises preferably a central through-opening 82 and/or free end 83. Preferably, the holding part 78 is at least essentially plate-like and/or extends transversally to the axial or stroke direction.


Preferably, the holding part 78 is at least essentially plate-like and/or extends transversally to the axial or stroke direction.


Preferably, the actuation member 76 or holding part 78 comprises a cut-out 84, and/or one or more engagement portions 85, preferably located at the circumference and/or on opposite sides.


The actuation part 79 is preferably arm-like and/or extends preferably in axial direction or parallel to the central axis of the nebulizer 1 or the axis of movement of the container 3. Preferably, the actuation member 76 or actuation part 79 extends between the container 3 and the outer wall of the nebulizer 1 and/or between the preferably cup-shaped lower housing part 18 and the inner part 17 and/or—at least in the initial state—into the inner part 17.


Preferably, the control device 75, actuation member 76 or actuation part 79 can form an axial coupling extending from the lower bottom or free end of the indicator device 24 up towards the locking device 26 located in the inner part 17 and/or upper housing part 16 of the nebulizer 1.


The control device 75 comprises preferably a holding means or device 86 for holding the actuation member 76 or holding part 78 in an upper or initial position corresponding to the initial state of the control device 75. Preferably, the holding device 86 is formed by a metal, unitary and/or stamped part.


Preferably, the holding device 86 comprises at least one holding portion 87 here multiple or four holding portions 87, and/or a spring portion 88, preferably multiple spring portions 88, for holding the and/or biasing the actuation member 76 in the initial state.


Preferably, the holding portions 87 are arm-like and/or protrude upwards and/or axially from a central portion 89 of the holding device 86. Preferably, the holding portions 87 hold—in particular with its free ends—the actuation member 76 or grip over or its holding part 78 in the initial position and/or engage into the engagement portions 85 or the holding part 78. Preferably, the holding portions 87 limit the upward movement of the actuation member 76, i.e. form an axial stop.


One or more spring portions 88 bias the actuation member 76 axially, upwards and/or against the axial stop formed by the holding portions 87 and/or into the initial position.


In particular, the spring portions 88 abut against the down-face or from below against the actuation member 76 or holding part 78. Preferably, the spring portions 88 are biased upwards or in axial direction, in particular against the actuation member 76 or holding part 78. Preferably, the spring portions 88 are at least essentially S-shaped, preferably with large radii, and/or comprise curved free ends to smoothly glide over the surface against which the ends are biased or pressed.


The spring portions 88 are preferably arm-like and/or are held by the central base portion 89.


The holding device 86 comprises preferably a control portion 90 for securing the actuation member 76 or holding part 78 preferably in the upper or initial position and/or in a lower or locked position.


Preferably, the control portion 90 is arm-like and/or held by the central portion 89. Preferably the central portion 89 forms a flat base.


Preferably, the control portion 90 comprises a securement portion 91, here two securement portions 91, to secure the holding part 78 in the initial position by abutment from below or any other engagement as schematically shown in FIGS. 22, 23 and 26. The control portion 90 is preferably arm-like and/or held by the base portion 89. The control portion 90 extends preferably upwards and/or at least essentially axially.


Preferably, the control portion 90 comprises or forms a control surface 92 and/or a guiding surface 93. Here, the surfaces 92 and 93 are formed preferably by differently inclined parts of the control portion 90. The holding device 86 or central portion 89 is preferably fixed in the housing part 18 of the nebulizer 1, preferably in the axial end and/or adjacent to the bottom of the housing part 18. Preferably, the control device 75 or actuation member 76 comprises a control element 94 for controlling the holding device 86, in particular for release the holding or securing in the initial position so that the actuation member 76 can be moved or pushed axially, in particular from the initial position to the locked position.


In the shown embodiment, the control element 94 comprises preferably a central or shaft portion 95, an end 96 and/or a base 97, as shown in particular in FIG. 24. The control element 94 is axially moveable and preferably held by the actuation member 76 or holding part 78, in particular axially moveable received with its shaft portion 95 in the through-opening 82. The control element 94 is axially biased into an upper position preferably by an additional spring portion 98, in particular of the holding device 86. Preferably, the control element 94 protrudes with its end 96 axially towards the indicator device 25 and/or over the driving part 77 or its free end 83. Preferably, the additional spring portion 98 is arm-like and/or held by the central portion 89. As already mentioned, the holding device 86 is preferably made of metal as a stamped and bent part. This facilitates to provide biasing or upward forces as required, in particular with two significantly different forces for the spring portions 88 on one hand and the additional spring portion 98 on the other hand.


The base 97 extends preferably traversely and/or forms an axial stop against further axial (upward) movement so that the control element 94 is held in a defined axial position at the actuation member 76 and/or biased in its protruding position as shown in particular in FIGS. 21 to 23. Preferably, the end 96 protruding outwards or axially upwards over the driving part 77 is reduced in diameter so that the driving part 77 or its free end 83 can act on the actuation element 36 and/or actuate/drive the indicator device 25 similar to the driving part 52 previously described in detail. This is preferably achieved or supported by a respective inclination of surface 59. Further, the piercing part 48 of the indicator device 25 is actuated and/or pushed axially preferably only by axial abutment with the driving part 77 or its free end 83, but without axial abutment on the control element 94. This is preferably achieved or facilitated in that the piercing part 48 is hollow and/or the end 96 of the control element 94 can engage inbetween the flexible arms 56 of the piercing part 48.


In the shown embodiment, the locking device 26 or its locking element 66 is designed a little bit different than shown in FIGS. 16 to 18, but functions in the same manner.


In the initial state, the control device 75, in particular the actuation member 76 or its actuation part 79 acts or pushes on the locking device 26 or locking element 66 in particular such that it is held in its non-blocking or upper position as shown in FIGS. 21 and 25. FIG. 25 shows in a similar schematically section as FIG. 21 the nebulizer 1, but in the tensioned state. In this state, the actuation member 76 or driving part 77 engages or extends into the insertion opening 54 and/or indicator device 25 as previously described with respect to the first embodiment according to the present invention.


In the second embodiment, the control device 75 or its actuation member 76 or its driving part 77 acts or works preferably similar as the driving part 52, in particular to drive or actuate the indicator device 25 or its actuation element 46 and/or to initiate piercing of the container 3 and/or actuation of the piercing part 48. After a predetermined number of uses of the nebulizer 1 or current container 3 has been reached or exceeded, the indicator device 25 actuates the locking device 26 by means of the control device 75 or its actuation member 76. In particular, the control device 75 forms or allows a mechanical coupling between the indicator device 25, which is axially moveable during nebulization and tensioning together with the container 3, and the locking device 26, which is preferably arranged within or at a part of the nebulizer 1, here the upper housing part 16, which is not axially moveable during nebulization and/or tensioning.


In the locked state or for entering the locked state, the indicator device 25 or its actuation element 36 or its blocking part 61 closes the insertion opening 54. This happens in particular after or when the control device 75 or actuation member 76 or driving part 77 and/or control element 94 have been withdrawn from the indicator device 25 or its housing 31 and/or out from the insertion opening 54, in particular when the container 3 is in its upper axial position as shown in FIG. 21. During the next tensioning, the indicator device 25 acts on the control device 75 such that the control device 75 or its actuation member 76 preferably via driving part 77 is moved from the initial position into the locked position shown in FIG. 27. The control device 75 couples the indicator device 25 with the locking device 26 such that the indicator device 25 can actuate or initiate actuation of the locking device 26 or can initiate that the locking device 26 enters into the lock state.


In particular, the control device 75 transmits or transforms the axial movement of the indicator device 25, when the insertion opening 54 has been closed and/or the actuation element 36 has moved into its third or locked position, into an actuation or release of the locking device 26. In particular, at least part of the axial movement of the indicator device 25 (together with the container 3) drives or moves the actuation member 76 in axial direction as well.


In the present embodiment, the actuation member 76 or its actuation part 79 is axially moved away from the locking device 26 or out of the inner part 17 or out of engagement with locking element 66, when the actuation member 76 or actuation part 79 is moved from the initial position into its locked position.


Then, the locking device 26 or its locking element 66 moves—in particular due to the force of the locking spring 67 or the like—into the locked position and locks the nebulizer 1 against further use (with the current container 3). This situation is shown in FIG. 27 and in the partial enlargement of the encircled area of FIG. 27 which is shown in FIG. 28. This state is in particular basically similar to the state described with regard to FIGS. 16 and 17 so that these explanations apply preferably additionally or correspondingly.


In the locked state, the locking device 26 or its locking element 66 blocks any (further) rotation of the inner part 17 relative to the upper housing part 16 and, thus, any further tensioning of the nebulizer 1 or drive spring 7. Consequently, the nebulizer 1 could be used only one last time provided that the nebulizer 1 has reached its completed tensioned state, i.e. provided that the locking device 26 has not locked the tensioning before this state has been reached.



FIG. 29 shows in a schematic enlargement the indicator device 25 and the control device 75 in an intermediate position between the initial state and the actuated state. The indicator device 25 has assumed its locked state, i.e. the insertion opening 54 is closed. The indicator device 25 has moved already axially or downwards partially so that the control element 94 has already been actuated. In particular, the end 96 of the control element 94 or shaft portion 95 protrudes and abuts first against the indicator device 25 or its actuation element 36 or blocking part 61 when the indicator device 25 is moving downwards. Thus, the control element 94 is moved downwards or axially as well and, in particular, relative to the actuation member 76 or driving part 77 or holding device 86 or its control portion 90.


The control element 94 controls preferably the holding device 86 or its control portion 90.


Preferably, actuation or axial (downward) movement of the control element 94 initiates release or unblocking of holding device 86 or its control portion 90.


Preferably, the control element 94 acts with its base 97 on the control portion 90 or its control surface 92 such that downward movement of the control element 94 results in flexing of the control portion 90 radially and/or outwards.


Preferably, the control element 94 acts with its base 97 on the control portion 90 or its control surface 92 such that downward movement of the control element 94 results in flexing of the control portion 90 so that any axial downward movement of the actuation member 76 is not blocked anymore by the securement portion(s) 91. FIG. 29 shows the control element 94 in a partly actuated position, i.e. already pushed downwards, and the control portion 90 in the unblocking position, here flexed outwards and/or moved with its securement portion(s) 91 sidewards in alignment with the cut-out 84, so that the actuation member 76 or its holding part 78 is free to be moved axially and/or downwards by the (further) axial movement of the indicator device 25.


Preferably, the control element 94 is actuated to unblock the control device 75 or to enable the actuation member 76 to be moved from the initial position towards a position at the lower end of the housing part 18.


The actuation member 76 is moved from the initial position to a position at the lower end of the housing part 18 preferably by the indicator device 25, in particular its stroke-like movement. In particular, the indicator device 25 abuts with its actuation element 36 or blocking part 61 against the free end 83 of the driving part 77 and, thus, moves or pushes—here axially and/or downwards—the actuation member 76 into a state in which the locking device 26 is actuated. It has to be noted that the locking device 26 can be actuated by the actuation member 76 already before the actuation member 76 reaches a (lower) end or fully actuated position. This allows blocking of the nebulizer 1 already during the movement of the container 3 and indicator device 25 downwards before reaching the end position, i.e. before the nebulizer 1 reaches its (fully) tensioned state.



FIG. 30 shows in a schematic view similar to FIG. 29 the situation when the control device 75 or actuation member 76 has reached a position in which the locking device has been actuated in particularly by moving the actuation part 79 out of engagement with the locking device 26 or locking element 66.


Due to the downwards pushing by the indicator device 25, the actuation member 76 is moved towards the lower (closed) end of housing part 18. This downwards or axial movement of the actuation member 76 may be supported by the control portion 90 or its guiding surface 93. In particular, the control portion 90 flexes back or inwards from the actuation position, in particular shown in FIG. 29, when the actuation member 76 has reached the fully actuated position or the position at the lower end of housing part 18.


In the partly or fully actuated position, the actuation member 76 or its actuation part 79 is preferably withdrawn or axially moved away from the locking device 26 or its locking element 66 so that the locking device 26 locks directly or automatically, here due locking spring 67 which biases the locking part 66 into the locking position, or, when the next possibility due to rotation of the inner part 17 relative to the upper part 16 occurs, the nebulizer 1 against further use by blocking any further rotation of the inner part 17 relative to the upper part 16 and, thus, any further tensioning of the nebulizer 1.


As in the first embodiment, the locking device 26 or its locking element 66 can be released or unlocked again for reuse of the nebulizer 1 after replacement of the current container 3 with its indicator device 25 against the new container 3 with a new indicator device 25. The control device 75 is preferably automatically reset or the control device 75 is preferably automatically returned into the initial position upon replacement of the container 3.


Preferably, the control device 75 can be reused. In this case, the actuation member 76 can be returned into the initial or upper position.


Preferably, the control device 75 or its actuation member 76 returns into the initial or upper position when opening the nebulizer 1 or detaching the housing part 18 automatically, in particular due to the at least one spring portion 88. Other constructional solutions are possible as well.


Alternatively, in a third embodiment (not shown) the control device 75 is locked itself in the locked state as well, i.e. cannot be reused. In this case, the housing part 18 including the control device 75 have to be replaced as well as the container 3 and indicator device 25 when the nebulizer is to be reused with a new or replaced container.


In the third embodiment, the control device 75 or actuation member 76 is locked in the locked or actuated position against reuse or release. In particular, the actuation member 76 is blocked against returning into the initial position. Thus, it is not possible to unlock the locking device 26 or its locking element 66 for reuse of the nebulizer 1 by means of the already used or locked control device 75. Instead, an unused or new control device 75, in particular together with a new housing part 18, has to be used after replacement of the already used container 3 with its associated indicator device 25, if the nebulizer 1 is to be reused.


The optional locking of the actuation member 76 in the locked or actuated position is preferably achieved by the control portion 90 or guiding surface 93 or by flexible fingers (not shown) formed on the holding device 86. The fingers may flexing radially outwards by the downwards movement of the actuation member 76 and form an abutment regarding the return movement. For instance, the locking of the actuation member 76 may be achieved or realized by the control portion 90 or its holding surface 93 which holds the actuation member 76 in the locked position or by one or two blocking portions 99 (differently shaped than in FIG. 21-30, for instance without gliding curvatures) of the control portion 90 which block a (complete) axial return of the actuation member 76 into the initial position as shown in FIGS. 24 and 30. In particular, the control portion 90 may flex back or inwards from the actuation position, in particular shown in FIG. 29, when the actuation member 76 has reached the locked or actuated position.


In the third embodiment, the locking device 26 or its locking element 66 can be released or unlocked again for reuse of the nebulizer 1 after replacement of the current container 3 with its indicator device 25 against the new container 3 with a new indicator device 25 and after replacing the control device 75 against a new control device 75 in the initial state.


As already mentioned, individual features, aspects and/or principles of the embodiments described may also be combined with one another as desired and may be used particularly in the shown nebulizers 1 but also in similar or different nebulizers.


Features of the different embodiments can be combined or exchanged.


Unlike freestanding equipment or the like the proposed nebulizer 1 is preferably designed to be portable and in particular is a mobile hand operated device.


The proposed solution may, however, be used not only in the nebulizers 1 specifically described here but also in other nebulizers or inhalers, e.g. powder inhalers or so-called metered dose inhalers.


Preferably, the fluid 2 is a liquid, as already mentioned, especially an aqueous pharmaceutical formulation or an ethanolic pharmaceutical formulation. However, it may also be some other pharmaceutical formulation, a suspension or the like.


According to an alternative embodiment the fluid 2 may also comprise particles or powder. In this case, instead of the expulsion nozzle 12, some other kind of supply device may be provided, especially an expulsion opening (not shown) or a supply channel (not shown) for supplying the fluid to or powder or the like into the mouthpiece 13. The optional air supply opening 15 then serves to supply ambient air preferably in parallel so as to general or allow an airflow with a sufficient volume for breathing in or inhaling through the mouthpiece 13.


If necessary the fluid 2 may also be atomized by means of a propellant gas.


Preferred ingredients and/or formulations of the preferably medicinal fluid 2 are listed in particular in WO 2009/115200 A1, preferably on pages 25 to 40, or in EP 2 614 848 A1, paragraphs 0040 to 0087, which are incorporated herewith by reference. In particular, these may be aqueous or non-aqueous solutions, mixtures, formulations containing ethanol or free from any solvent, or the like.


LIST OF REFERENCE NUMERALS




  • 1 nebulizer


  • 2 fluid


  • 3 container


  • 4 bag


  • 5 pressure generator


  • 6 holder


  • 7 drive spring


  • 8 blocking element


  • 9 conveying tube


  • 10 non-return valve


  • 11 pressure chamber


  • 12 nozzle


  • 13 mouthpiece


  • 14 aerosol


  • 15 air supply opening


  • 16 upper housing part


  • 17 inner part


  • 17
    a upper part of inner part


  • 17
    b lower part of inner part


  • 18 housing part (lower part)


  • 19 retaining element


  • 20 aeration spring


  • 21 container base


  • 22 piercing element


  • 23 venting hole


  • 24 nebulizer housing


  • 25 indicator device


  • 26 locking device


  • 27 mouthpiece cover


  • 28 head


  • 29 container housing


  • 30 container edge


  • 31 indicator housing


  • 31
    a window


  • 32 gripping section


  • 33 upper part


  • 34 lower part


  • 35 indicator element


  • 36 actuation element


  • 37 marking


  • 38 actuation arm


  • 39 actuation portion


  • 40 transmission


  • 41 gear


  • 42 worm


  • 43 tooth


  • 44 axle section


  • 45 bearing section


  • 46 bearing portion


  • 47 actuation spring


  • 48 piercing part


  • 49 piercing tip


  • 50 foil


  • 51 indention


  • 52 driving part


  • 53 bottom


  • 54 insertion opening


  • 55 support structure


  • 56 flexible arm


  • 57 groove


  • 58 ratchet


  • 59 surface


  • 60 protrusion


  • 61 blocking part


  • 62 control portion


  • 63 control part


  • 64 retaining nose


  • 65 retaining recess


  • 66 locking element


  • 67 locking spring


  • 68 pocket


  • 69 engagement portion


  • 70 cover


  • 71 actuator


  • 72 sliding guide


  • 73 base portion


  • 74 protection


  • 75 control device


  • 76 actuation member


  • 77 driving part


  • 78 holding part


  • 79 actuation part


  • 80 nose


  • 81 notch


  • 82 through-opening


  • 83 free end


  • 84 cut-out


  • 85 engagement portion


  • 86 holding device


  • 87 holding portion


  • 88 spring portion


  • 89 central portion


  • 90 control portion


  • 91 securement portion


  • 92 control surface


  • 93 guiding surface


  • 94 control element


  • 95 shaft portion


  • 96 end


  • 97 base


  • 98 additional spring portion


  • 99 blocking portion


Claims
  • 1. A nebulizer (1) for a fluid (2), the nebulizer (1) comprising: a replaceable or insertable container (3) containing the fluid (2), where the replaceable or insertable container (3) includes a base peripheral edge (30) at a first end and an outlet (28), through which the fluid (2) is dispensed, at an opposite second end, defining a central axis;an indicator device (25) for counting or indicating a number of uses performed or still possible with the container (3), where the indicator device (25) includes a first end coupled to the base peripheral edge (30) of the replaceable or insertable container (3), and an opposite second end directed away from the replaceable or insertable container (3);a locking device (26) adapted to block further use of the nebulizer (1) or container (3) in a locked state when a predetermined number of uses has been reached or exceeded with the current container (3); anda mechanical coupling or control device (75) so that the indicator device (25) can control the locking device (26), where the mechanical coupling or the control device (75) includes a driving part (52, 77) that is co-axially oriented with respect with the central axis, extends toward the opposite second end of the indicator device (25) from an end of the nebulizer that is opposite an end of the nebulizer through which the fluid (2) is dispensed, and is configured to engage the indicator device (25) each time a use of the nebulizer is performed; wherein:the container (3) is moveable in an axial direction within the nebulizer (1) during nebulization and during tensioning of the nebulizer (1), andthe indicator device (25) is moveable together with the container (3) axially along the central axis within the nebulizer (1) during nebulization and tensioning.
  • 2. The nebulizer according to claim 1, wherein the nebulizer (1) comprises a housing part (18) which can be detached or replaced or opened for inserting or replacing the container (3).
  • 3. The nebulizer according to claim 2, wherein the control device (75) is arranged in the housing part (18).
  • 4. The nebulizer according to claim 1, wherein the control device (75) comprises an axially moveable actuation member (76).
  • 5. The nebulizer according to claim 1, wherein the control device (75) is configured to be held in an initial position during nebulization or tensioning by a holding device (86).
  • 6. The nebulizer according to claim 1, wherein the control device (75) comprises a control element (94) which is configured to be actuated to release or allow the control device (75) to be moved from an initial position into an actuated position.
  • 7. The nebulizer according to claim 6, wherein the locking device (26) is configured to enter the locked state when the control device (75) is in the actuated position.
  • 8. The nebulizer according to claim 1, wherein the control device (75) is configured to automatically reset when replacing the container (3) and the indicator device (25).
  • 9. The nebulizer according to claim 1, wherein the control device (75) comprises a pin-like actuation part (79) configured to engage the locking device (26).
  • 10. The nebulizer according to claim 1, wherein the nebulizer (1) comprises a housing part (18) which forms the mechanical coupling.
  • 11. The nebulizer according to claim 1, wherein the indicator device (25) is configured to move in the axial direction relative to the control device (75) or vice versa.
  • 12. The nebulizer according to claim 1, wherein the control device (75) is configured to be driven or actuated by at least part of the axial movement of the indicator device (25) during nebulization or tensioning to actuate the locking device (26) or initiate blocking of the nebulizer (1) by means of the locking device (26) when the predetermined number of uses has been reached or exceeded with the current container (3).
  • 13. The nebulizer according to claim 1, wherein the driving part (52, 77) is configured to drive or actuate or index the indicator device (25).
  • 14. The nebulizer according to claim 13, wherein the driving part (52, 77) is configured to axially engage the indicator device (25).
  • 15. The nebulizer according to claim 14, wherein the driving part (52, 77) is configured to be blocked against axial engagement into the indicator device (25) when the predetermined number of uses has been reached or exceeded with the current container (3).
  • 16. The nebulizer according to claim 1, wherein the control device (75) includes an axially movable actuation member (76) that is laterally offset from the central axis, extends parallel to the central axis, and operates to engage the locking device (26) under predetermined circumstances.
Priority Claims (2)
Number Date Country Kind
14001603 May 2014 EP regional
15020044 Mar 2015 EP regional
PCT Information
Filing Document Filing Date Country Kind
PCT/EP2015/000902 5/4/2015 WO 00
Publishing Document Publishing Date Country Kind
WO2015/169430 11/12/2015 WO A
US Referenced Citations (515)
Number Name Date Kind
1828864 Hopkins Oct 1931 A
2015970 Schoene Oct 1935 A
2127401 Gillican Aug 1938 A
2161071 McGrath et al. Jun 1939 A
2321428 Schloz Jun 1943 A
2329311 Waters Sep 1943 A
2362103 Smith Nov 1944 A
2651303 Johnson et al. Sep 1953 A
2720969 Kendall Oct 1955 A
2793776 Lipari May 1957 A
2974880 Stewart et al. Mar 1961 A
3032823 Sherman et al. May 1962 A
3157179 Allen et al. Nov 1964 A
3172568 Modderno Mar 1965 A
3196587 Hayward et al. Jul 1965 A
3223289 Bouet Dec 1965 A
3299603 Shaw Jan 1967 A
3354883 Southerland Nov 1967 A
3440144 Anderson et al. Apr 1969 A
3457694 Tatibana Jul 1969 A
3491803 Galik Jan 1970 A
3502035 Fedit Mar 1970 A
3580249 Takaoka May 1971 A
3590557 Vogel Jul 1971 A
3632743 Geller et al. Jan 1972 A
3655096 Easter Apr 1972 A
3674060 Ruekberg Jul 1972 A
3675825 Morane Jul 1972 A
3802604 Morane et al. Apr 1974 A
3820698 Franz Jun 1974 A
3842836 Ogle Oct 1974 A
3858580 Ogle Jan 1975 A
3861851 Schiemann Jan 1975 A
3870147 Orth Mar 1975 A
3924741 Kachur et al. Dec 1975 A
3933279 Maier Jan 1976 A
3946732 Hurscham Mar 1976 A
3949751 Birch et al. Apr 1976 A
3951310 Steiman Apr 1976 A
3953995 Haswell et al. May 1976 A
3973603 Franz Aug 1976 A
4012472 Lindsey Mar 1977 A
4031892 Hurschman Jun 1977 A
4036439 Green Jul 1977 A
4048997 Raghavachari et al. Sep 1977 A
4067499 Cohen Jan 1978 A
4094317 Wasnich Jun 1978 A
4126559 Cooper Nov 1978 A
4153689 Hirai et al. May 1979 A
4174035 Wiegner Nov 1979 A
4177938 Brina Dec 1979 A
4178928 Tischlinger Dec 1979 A
4195730 Hunt Apr 1980 A
4245788 Wright Jan 1981 A
4275840 Staar Jun 1981 A
4315570 Silver et al. Feb 1982 A
4338765 Ohmori et al. Jul 1982 A
4377106 Workman et al. Mar 1983 A
4456016 Nowacki et al. Jun 1984 A
4467965 Skinner Aug 1984 A
4476116 Anik Oct 1984 A
4515586 Mendenhall et al. May 1985 A
4516967 Kopfer May 1985 A
4603794 DeFord et al. Aug 1986 A
4677975 Edgar et al. Jul 1987 A
4727985 McNeirney et al. Mar 1988 A
4749082 Gardiner et al. Jun 1988 A
4796614 Nowacki et al. Jan 1989 A
4805377 Carter Feb 1989 A
4813210 Masuda et al. Mar 1989 A
4821923 Skorka Apr 1989 A
4840017 Miller et al. Jun 1989 A
4863720 Burghart et al. Sep 1989 A
4868582 Dreinhoff Sep 1989 A
4885164 Thurow Dec 1989 A
4905450 Hansen et al. Mar 1990 A
4926613 Hansen May 1990 A
4951661 Sladek Aug 1990 A
4952310 McMahan et al. Aug 1990 A
4964540 Katz Oct 1990 A
RE33444 Lerner Nov 1990 E
4979941 Ogle, II Dec 1990 A
4982875 Pozzi et al. Jan 1991 A
5014492 Fiorini et al. May 1991 A
5025957 Ranalletta et al. Jun 1991 A
5059187 Sperry et al. Oct 1991 A
5060791 Zulauf Oct 1991 A
5067655 Farago et al. Nov 1991 A
5156918 Marks et al. Oct 1992 A
5174366 Nagakura et al. Dec 1992 A
5207217 Cocozza et al. May 1993 A
5230884 Evans et al. Jul 1993 A
5237797 Varlet Aug 1993 A
5246142 DiPalma et al. Sep 1993 A
5261565 Drobish et al. Nov 1993 A
5263842 Fealey Nov 1993 A
5271153 Reiboldt et al. Dec 1993 A
5282304 Reiboldt et al. Feb 1994 A
5282549 Scholz et al. Feb 1994 A
5284133 Bums et al. Feb 1994 A
5289948 Moss et al. Mar 1994 A
5339990 Wilder Aug 1994 A
5352196 Haber et al. Oct 1994 A
5361483 Rainville Nov 1994 A
5380281 Tomellini et al. Jan 1995 A
5385140 Smith Jan 1995 A
5394866 Ritson et al. Mar 1995 A
5408994 Wass et al. Apr 1995 A
5433343 Meshberg Jul 1995 A
5435282 Haber et al. Jul 1995 A
5435884 Simmons et al. Jul 1995 A
5451569 Wong et al. Sep 1995 A
5456522 Beach Oct 1995 A
5456533 Streiff et al. Oct 1995 A
5472143 Bartels et al. Dec 1995 A
5482030 Klein Jan 1996 A
5487378 Robertson et al. Jan 1996 A
5497944 Weston et al. Mar 1996 A
5499750 Manifold Mar 1996 A
5499751 Meyer Mar 1996 A
5503869 Van Oort Apr 1996 A
5509404 Lloyd et al. Apr 1996 A
5518147 Peterson et al. May 1996 A
5533994 Meyer Jul 1996 A
5541569 Jang Jul 1996 A
5544646 Lloyd et al. Aug 1996 A
5547094 Bartels et al. Aug 1996 A
5549101 Trofast Aug 1996 A
5569191 Meyer Oct 1996 A
5574006 Yanagawa Nov 1996 A
5579760 Kohler Dec 1996 A
5593069 Jinks Jan 1997 A
5599297 Chin et al. Feb 1997 A
5603943 Yanagawa Feb 1997 A
5614172 Geimer Mar 1997 A
5622162 Johansson et al. Apr 1997 A
5622163 Jewett et al. Apr 1997 A
5643868 Weiner et al. Jul 1997 A
5662098 Yoshida Sep 1997 A
5662271 Weston et al. Sep 1997 A
5676930 Jager et al. Oct 1997 A
5681468 Sawan Oct 1997 A
5685846 Michaels, Jr. Nov 1997 A
5697242 Halasz et al. Dec 1997 A
5709202 Lloyd et al. Jan 1998 A
5722598 Werding Mar 1998 A
5738087 King Apr 1998 A
5740967 Simmons et al. Apr 1998 A
5763396 Weiner et al. Jun 1998 A
5775321 Alband Jul 1998 A
5782345 Guasch et al. Jul 1998 A
5827262 Neftel et al. Oct 1998 A
5829435 Rubsamen et al. Nov 1998 A
5833088 Kladders et al. Nov 1998 A
5848588 Foley et al. Dec 1998 A
5868287 Kurokawa et al. Feb 1999 A
5881718 Mortensen et al. Mar 1999 A
5884620 Gonda et al. Mar 1999 A
5902298 Niedospial, Jr. et al. May 1999 A
5934272 Lloyd et al. Aug 1999 A
5935101 Kato et al. Aug 1999 A
5941244 Yamazaki et al. Aug 1999 A
5950016 Tanaka Sep 1999 A
5950403 Yamaguchi et al. Sep 1999 A
5951882 Simmons et al. Sep 1999 A
5964416 Jaeger et al. Oct 1999 A
5975370 Durliat Nov 1999 A
5997263 Van Lintel et al. Dec 1999 A
6041969 Parise Mar 2000 A
6053368 Geimer Apr 2000 A
6062430 Fuchs May 2000 A
6098618 Jennings et al. Aug 2000 A
6110247 Birmingham et al. Aug 2000 A
6116233 Denyer et al. Sep 2000 A
6119853 Garrill et al. Sep 2000 A
6120492 Finch et al. Sep 2000 A
6123068 Lloyd et al. Sep 2000 A
6131566 Ashurst et al. Oct 2000 A
6145703 Opperman Nov 2000 A
6149054 Cirrillo et al. Nov 2000 A
6152296 Shih Nov 2000 A
6164494 Marelli Dec 2000 A
6171972 Mehregany et al. Jan 2001 B1
6176442 Eicher et al. Jan 2001 B1
6179118 Garrill et al. Jan 2001 B1
6186409 Srinath et al. Feb 2001 B1
6199766 Fox et al. Mar 2001 B1
6223933 Hochrainer et al. May 2001 B1
6224568 Morimoto et al. May 2001 B1
6237589 Denyer et al. May 2001 B1
6259654 de la Huerga Jul 2001 B1
6267154 Felicelli et al. Jul 2001 B1
6279786 de Pous et al. Aug 2001 B1
6302101 Py Oct 2001 B1
6315173 Di Giovanni et al. Nov 2001 B1
6319943 Joshi et al. Nov 2001 B1
6341718 Schilthuizen et al. Jan 2002 B1
6349856 Chastel Feb 2002 B1
6352152 Anderson et al. Mar 2002 B1
6352181 Eberhard et al. Mar 2002 B1
6363932 Forchione et al. Apr 2002 B1
6375048 van der Meer et al. Apr 2002 B1
6392962 Wyatt May 2002 B1
6395331 Yan et al. May 2002 B1
6401710 Scheuch et al. Jun 2002 B1
6401987 Oechsel et al. Jun 2002 B1
6402055 Jaeger et al. Jun 2002 B1
6405872 Ruther et al. Jun 2002 B1
6412659 Kneer Jul 2002 B1
6419167 Fuchs Jul 2002 B1
6423298 McNamara et al. Jul 2002 B2
6427682 Klimowicz et al. Aug 2002 B1
6457658 Srinath et al. Oct 2002 B2
6464108 Corba Oct 2002 B2
6481435 Hochrainer et al. Nov 2002 B2
6491897 Freund et al. Dec 2002 B1
6503362 Bartels et al. Jan 2003 B1
6510847 Helgesson Jan 2003 B1
6513519 Gallem Feb 2003 B2
6543448 Smith et al. Apr 2003 B1
6548647 Dietz et al. Apr 2003 B2
6550477 Casper et al. Apr 2003 B1
6565743 Poirier et al. May 2003 B1
6578741 Ritsche et al. Jun 2003 B2
6581596 Truitt et al. Jun 2003 B1
6584976 Japuntich et al. Jul 2003 B2
6606990 Stapleton et al. Aug 2003 B2
6620438 Pairet et al. Sep 2003 B2
6626309 Jansen et al. Sep 2003 B1
6640805 Castro et al. Nov 2003 B2
6641782 Mauchan et al. Nov 2003 B1
6669176 Rock Dec 2003 B2
6679254 Rand et al. Jan 2004 B1
6685691 Freund et al. Feb 2004 B1
6698421 Attolini Mar 2004 B2
6706726 Meissner et al. Mar 2004 B2
6708846 Fuchs et al. Mar 2004 B1
6725858 Loescher Apr 2004 B2
6729328 Goldemann May 2004 B2
6732731 Tseng May 2004 B1
6745763 Webb Jun 2004 B2
6779520 Genova et al. Aug 2004 B2
6789702 O'Connor et al. Sep 2004 B2
6792945 Davies et al. Sep 2004 B2
6823862 McNaughton Nov 2004 B2
6825441 Katooka et al. Nov 2004 B2
6846413 Kadel et al. Jan 2005 B1
6866039 Wright et al. Mar 2005 B1
6889690 Crowder et al. May 2005 B2
6890517 Drechsel et al. May 2005 B2
6907876 Clark Jun 2005 B1
6915901 Feinberg et al. Jul 2005 B2
6929004 Bonney et al. Aug 2005 B1
6932962 Backstrom et al. Aug 2005 B1
6942127 Raats Sep 2005 B2
6964759 Lewis et al. Nov 2005 B2
6977042 Kadel et al. Dec 2005 B2
6978916 Smith Dec 2005 B2
6986346 Hochrainer et al. Jan 2006 B2
6988496 Eicher et al. Jan 2006 B1
6994083 Foley et al. Feb 2006 B2
7040311 Hochrainer et al. May 2006 B2
7066408 Sugimoto et al. Jun 2006 B2
7090093 Hochrainer et al. Aug 2006 B2
7131441 Keller et al. Nov 2006 B1
7191918 Ouyang Mar 2007 B2
7258716 Shekarriz et al. Aug 2007 B2
7314187 Hochrainer et al. Jan 2008 B2
7331340 Barney Feb 2008 B2
7341208 Peters et al. Mar 2008 B2
7380575 Stricklin Jun 2008 B2
7417051 Banholzer et al. Aug 2008 B2
7448342 Von Schuckmann Nov 2008 B2
7451876 Bossi et al. Nov 2008 B2
7470422 Freund et al. Dec 2008 B2
7500444 Bonney Mar 2009 B2
7556037 Klein Jul 2009 B2
7559597 Mori Jul 2009 B2
7571722 Wuttke et al. Aug 2009 B2
7579358 Boeck et al. Aug 2009 B2
7611694 Schmidt Nov 2009 B2
7611709 Bassarab et al. Nov 2009 B2
7621266 Kladders et al. Nov 2009 B2
7645383 Kadel et al. Jan 2010 B2
7652030 Moesgaard et al. Jan 2010 B2
7665461 Zierenberg et al. Feb 2010 B2
7681811 Geser et al. Mar 2010 B2
7686014 Boehm et al. Mar 2010 B2
7717299 Greiner-Perth May 2010 B2
7723306 Bassarab et al. May 2010 B2
7743945 Lu et al. Jun 2010 B2
7779838 Hetzer et al. Aug 2010 B2
7802568 Eicher et al. Sep 2010 B2
7819342 Spallek et al. Oct 2010 B2
7823584 Geser et al. Nov 2010 B2
7837235 Geser et al. Nov 2010 B2
7849851 Zierenberg et al. Dec 2010 B2
7896264 Eicher et al. Mar 2011 B2
7980243 Hochrainer Jul 2011 B2
7994188 Disse Aug 2011 B2
8062626 Freund et al. Nov 2011 B2
8132565 Von Schuckmann Mar 2012 B2
8167171 Moretti May 2012 B2
8387614 Geser Mar 2013 B2
8474447 Von Schuckmann Jul 2013 B2
8479725 Hausmann et al. Jul 2013 B2
8495901 Hahn et al. Jul 2013 B2
8528545 Hodson Sep 2013 B2
8616196 Hodson Dec 2013 B2
8650840 Holakovsky et al. Feb 2014 B2
8651338 Leak et al. Feb 2014 B2
8656910 Boeck et al. Feb 2014 B2
8733341 Boeck et al. May 2014 B2
8734392 Stadelhofer May 2014 B2
8950393 Holakovsky et al. Feb 2015 B2
8960188 Bach et al. Feb 2015 B2
9027854 Moser et al. May 2015 B2
9192734 Hausmann et al. Nov 2015 B2
9238031 Schmelzer et al. Jan 2016 B2
9327088 Anderson May 2016 B2
9724482 Bach Aug 2017 B2
9968748 Morton May 2018 B2
20010008632 Freund et al. Jul 2001 A1
20010028308 De La Huerga Oct 2001 A1
20010032643 Hochrainer et al. Oct 2001 A1
20010035182 Rubin et al. Nov 2001 A1
20020000225 Schuler Jan 2002 A1
20020007155 Freund et al. Jan 2002 A1
20020046751 MacRae et al. Apr 2002 A1
20020060255 Benoist May 2002 A1
20020074429 Hettrich et al. Jun 2002 A1
20020079285 Jansen et al. Jun 2002 A1
20020092523 Connelly et al. Jul 2002 A1
20020111363 Drechsel et al. Aug 2002 A1
20020129812 Litherland et al. Sep 2002 A1
20020137764 Drechsel et al. Sep 2002 A1
20020176788 Moutafis et al. Nov 2002 A1
20020195102 Rand Dec 2002 A1
20030039915 Holt et al. Feb 2003 A1
20030064032 Lamche et al. Apr 2003 A1
20030066524 Hochrainer et al. Apr 2003 A1
20030085254 Katooka et al. May 2003 A1
20030098023 Drachmann et al. May 2003 A1
20030100867 Fuchs May 2003 A1
20030106827 Cheu et al. Jun 2003 A1
20030145849 Drinan et al. Aug 2003 A1
20030178020 Scarrott Sep 2003 A1
20030181478 Drechsel et al. Sep 2003 A1
20030187387 Wirt et al. Oct 2003 A1
20030191151 Chaudry et al. Oct 2003 A1
20030194379 Brugger et al. Oct 2003 A1
20030209238 Peters et al. Nov 2003 A1
20030226907 Geser et al. Dec 2003 A1
20040004138 Hettrich et al. Jan 2004 A1
20040010239 Hochrainer et al. Jan 2004 A1
20040015126 Zierenberg et al. Jan 2004 A1
20040019073 Drechsel et al. Jan 2004 A1
20040055907 Marco Mar 2004 A1
20040060476 Sirejacob Apr 2004 A1
20040069799 Gee et al. Apr 2004 A1
20040092428 Chen et al. May 2004 A1
20040094147 Schyra et al. May 2004 A1
20040134494 Papania et al. Jul 2004 A1
20040134824 Chan et al. Jul 2004 A1
20040139700 Powell et al. Jul 2004 A1
20040143235 Freund et al. Jul 2004 A1
20040166065 Schmidt Aug 2004 A1
20040182867 Hochrainer et al. Sep 2004 A1
20040184994 DeStefano et al. Sep 2004 A1
20040194524 Jentzsch Oct 2004 A1
20040231667 Horton et al. Nov 2004 A1
20050028815 Deaton et al. Feb 2005 A1
20050028816 Fishman et al. Feb 2005 A1
20050056276 Schuler Mar 2005 A1
20050061314 Davies et al. Mar 2005 A1
20050081846 Barney Apr 2005 A1
20050087191 Morton Apr 2005 A1
20050089478 Govind et al. Apr 2005 A1
20050098172 Anderson May 2005 A1
20050126469 Lu Jun 2005 A1
20050131357 Denton et al. Jun 2005 A1
20050158394 Staniforth et al. Jul 2005 A1
20050159441 Hochrainer et al. Jul 2005 A1
20050183718 Wuttke et al. Aug 2005 A1
20050191246 Bechtold-Peters et al. Sep 2005 A1
20050194472 Geser et al. Sep 2005 A1
20050209558 Marx Sep 2005 A1
20050239778 Konetzki et al. Oct 2005 A1
20050247305 Zierenberg Nov 2005 A1
20050250704 Bassarab et al. Nov 2005 A1
20050250705 Bassarab et al. Nov 2005 A1
20050255119 Bassarab et al. Nov 2005 A1
20050263618 Spallek et al. Dec 2005 A1
20050268909 Bonney et al. Dec 2005 A1
20050268915 Wassenaar et al. Dec 2005 A1
20050269359 Raats Dec 2005 A1
20060002863 Schmelzer et al. Jan 2006 A1
20060016449 Eicher Jan 2006 A1
20060035874 Lulla et al. Feb 2006 A1
20060037612 Herder et al. Feb 2006 A1
20060067952 Chen Mar 2006 A1
20060086828 Bougamont et al. Apr 2006 A1
20060096594 Bonney May 2006 A1
20060150971 Lee et al. Jul 2006 A1
20060196500 Hochrainer et al. Sep 2006 A1
20060225734 Sagaser et al. Oct 2006 A1
20060239930 Lamche et al. Oct 2006 A1
20060279588 Yearworth et al. Dec 2006 A1
20060282045 Wilkinson et al. Dec 2006 A1
20060285987 Jaeger et al. Dec 2006 A1
20060289002 Hetzer et al. Dec 2006 A1
20060293293 Muller et al. Dec 2006 A1
20070062518 Geser et al. Mar 2007 A1
20070062519 Wuttke et al. Mar 2007 A1
20070062979 Dunne Mar 2007 A1
20070084462 Allen Apr 2007 A1
20070090205 Kunze et al. Apr 2007 A1
20070090576 Geser et al. Apr 2007 A1
20070107720 Boeck et al. May 2007 A1
20070119449 Boehm et al. May 2007 A1
20070137643 Bonney et al. Jun 2007 A1
20070163574 Rohrschneider et al. Jul 2007 A1
20070183982 Berkel et al. Aug 2007 A1
20070210121 Stadelhofer et al. Sep 2007 A1
20070221211 Sagalovich Sep 2007 A1
20070272763 Dunne et al. Nov 2007 A1
20070298116 Bechtold-Peters et al. Dec 2007 A1
20080017192 Southby et al. Jan 2008 A1
20080029085 Lawrence et al. Feb 2008 A1
20080083408 Hodson et al. Apr 2008 A1
20080092885 von Schuckmann Apr 2008 A1
20080135576 Bacon Jun 2008 A1
20080173669 Pocock et al. Jul 2008 A1
20080197045 Metzger et al. Aug 2008 A1
20080249459 Godfrey et al. Oct 2008 A1
20080265198 Warby Oct 2008 A1
20080283553 Cox et al. Nov 2008 A1
20080308580 Gaydos et al. Dec 2008 A1
20090032427 Cheu et al. Feb 2009 A1
20090056710 Von Schuckmann Mar 2009 A1
20090060764 Mitzlaff et al. Mar 2009 A1
20090075990 Schmidt Mar 2009 A1
20090114215 Boeck et al. May 2009 A1
20090120962 Malorni May 2009 A1
20090151723 Lang Jun 2009 A1
20090166379 Wright et al. Jul 2009 A1
20090170839 Schmidt Jul 2009 A1
20090178673 Bonney Jul 2009 A1
20090185983 Freund et al. Jul 2009 A1
20090197841 Kreher et al. Aug 2009 A1
20090202447 Kreher et al. Aug 2009 A1
20090221626 Schmidt Sep 2009 A1
20090235924 Holakovsky et al. Sep 2009 A1
20090272664 Marshall et al. Nov 2009 A1
20090293870 Brunnberg et al. Dec 2009 A1
20090306065 Schmidt Dec 2009 A1
20090308772 Abrams Dec 2009 A1
20090314287 Spallek et al. Dec 2009 A1
20090317337 Schmidt Dec 2009 A1
20100018524 Jinks et al. Jan 2010 A1
20100018997 Faneca Llesera Jan 2010 A1
20100044393 Moretti Feb 2010 A1
20100056559 Schmelzer et al. Mar 2010 A1
20100084531 Schuchman Apr 2010 A1
20100144784 Schmelzer et al. Jun 2010 A1
20100168710 Braithwaite Jul 2010 A1
20100229857 Von Schuckmann Sep 2010 A1
20100237102 Margheritis Sep 2010 A1
20100242557 Spreitzer et al. Sep 2010 A1
20100242954 Hahn et al. Sep 2010 A1
20110005517 Boeck et al. Jan 2011 A1
20110011393 Geser et al. Jan 2011 A1
20110017210 Sugianto Jan 2011 A1
20110041842 Bradshaw et al. Feb 2011 A1
20110158566 Timperi Jun 2011 A1
20110168175 Dunne et al. Jul 2011 A1
20110239594 Nottingham et al. Oct 2011 A1
20110268668 Lamche et al. Nov 2011 A1
20110277753 Dunne et al. Nov 2011 A1
20110290239 Bach et al. Dec 2011 A1
20110290242 Bach et al. Dec 2011 A1
20110290243 Bach et al. Dec 2011 A1
20120006322 Anderson Jan 2012 A1
20120080448 Carrico Silvio Apr 2012 A1
20120090603 Dunne et al. Apr 2012 A1
20120132199 Kiesewetter May 2012 A1
20120138049 Wachtel Jun 2012 A1
20120138713 Schuy et al. Jun 2012 A1
20120260913 Bach et al. Oct 2012 A1
20120325204 Holakovsky et al. Dec 2012 A1
20130012908 Yeung Jan 2013 A1
20130056888 Holakovsky et al. Mar 2013 A1
20130125880 Holakovsky et al. May 2013 A1
20130125881 Holakovsky et al. May 2013 A1
20130126389 Holakovsky et al. May 2013 A1
20130206136 Herrmann et al. Aug 2013 A1
20130269687 Besseler et al. Oct 2013 A1
20140008384 Helmlinger Jan 2014 A1
20140053833 Cline Feb 2014 A1
20140121234 Kreher et al. May 2014 A1
20140144946 Kohnle May 2014 A1
20140190472 Holakovsky et al. Jul 2014 A1
20140228397 Schmelzer et al. Aug 2014 A1
20140331994 Holakovsky et al. Nov 2014 A1
20150040890 Besseler et al. Feb 2015 A1
20150040893 Besseler et al. Feb 2015 A1
20150040901 Parkes Feb 2015 A1
20150041558 Besseler et al. Feb 2015 A1
20150114387 Bach et al. Apr 2015 A1
20150122247 Besseler et al. May 2015 A1
20150258021 Kreher et al. Sep 2015 A1
20150306087 Schmelzer et al. Oct 2015 A1
20150320947 Eicher et al. Nov 2015 A1
20150320948 Eicher et al. Nov 2015 A1
20160095992 Wachtel Apr 2016 A1
Foreign Referenced Citations (332)
Number Date Country
2005201364 Jul 2006 AU
1094549 Jan 1981 CA
2233981 Apr 1997 CA
2237853 Jun 1997 CA
2251828 Oct 1997 CA
2275392 Jul 1998 CA
2297174 Feb 1999 CA
2343123 Apr 2000 CA
2434872 Aug 2002 CA
2497680 Mar 2004 CA
2513167 Oct 2004 CA
2557020 Sep 2005 CA
2653183 Dec 2007 CA
2653422 Dec 2007 CA
2863504 Jul 2013 CA
1125426 Jun 1996 CN
1662930 Aug 2005 CN
1780655 May 2006 CN
1849174 Oct 2006 CN
1950122 Apr 2007 CN
1997417 Jul 2007 CN
101141993 Mar 2008 CN
101247897 Aug 2008 CN
101594900 Dec 2009 CN
102665806 Sep 2012 CN
102686260 Sep 2012 CN
103582505 Feb 2014 CN
1653651 Jul 1971 DE
2754100 Jun 1978 DE
1117078 Nov 1992 DE
19625027 Jan 1997 DE
19615422 Nov 1997 DE
19653969 Jun 1998 DE
19902844 Nov 1999 DE
10007591 Nov 2000 DE
10104367 Aug 2002 DE
10300983 Jul 2004 DE
102004031673 Jan 2006 DE
202006017793 Jan 2007 DE
0110200625871 Dec 2007 DE
83175 Jul 1957 DK
140801 Nov 1979 DK
0018609 Nov 1980 EP
0289332 Nov 1988 EP
0289336 Nov 1988 EP
0354507 Feb 1990 EP
0364235 Apr 1990 EP
0372777 Jun 1990 EP
0386800 Sep 1990 EP
0412524 Feb 1991 EP
0505123 Sep 1992 EP
0520571 Dec 1992 EP
0622311 Nov 1994 EP
0642992 Mar 1995 EP
0679443 Nov 1995 EP
0684047 Nov 1995 EP
0735048 Oct 1996 EP
0778221 Jun 1997 EP
0845253 Jun 1998 EP
0845265 Jun 1998 EP
0860210 Aug 1998 EP
0916428 May 1999 EP
0965355 Dec 1999 EP
0970751 Jan 2000 EP
1003478 May 2000 EP
1017469 Jul 2000 EP
1025923 Aug 2000 EP
1068906 Jan 2001 EP
1075875 Feb 2001 EP
1092447 Apr 2001 EP
1157689 Nov 2001 EP
1211628 Jun 2002 EP
1245244 Oct 2002 EP
1312418 May 2003 EP
1375385 Jan 2004 EP
1386630 Feb 2004 EP
1521609 Apr 2005 EP
1535643 Jun 2005 EP
1595564 Nov 2005 EP
1595822 Nov 2005 EP
1726324 Nov 2006 EP
1736193 Dec 2006 EP
1795221 Jun 2007 EP
1813548 Aug 2007 EP
2135632 Dec 2009 EP
2614848 Jul 2013 EP
2262348 Nov 2006 ES
2505688 Nov 1982 FR
2604363 Apr 1988 FR
2673608 Sep 1992 FR
2756502 Jun 1998 FR
1524431 Sep 1978 GB
2101020 Jan 1983 GB
2279273 Jan 1995 GB
2291135 Jan 1996 GB
2332372 Jun 1999 GB
2333129 Jul 1999 GB
2347870 Sep 2000 GB
2355252 Apr 2001 GB
2398253 Aug 2004 GB
0700839.4 Jul 2008 GB
S5684246 Jul 1981 JP
H01288265 Nov 1989 JP
H0228121 Jan 1990 JP
H057246 Feb 1993 JP
H0553470 Mar 1993 JP
H06312019 Nov 1994 JP
H07118164 May 1995 JP
H07118166 May 1995 JP
07323086 Dec 1995 JP
H108277226 Oct 1996 JP
H1092442 Jan 1997 JP
H10977073 Mar 1997 JP
H109315953 Dec 1997 JP
2001518428 Oct 2001 JP
2001346878 Dec 2001 JP
2002504411 Feb 2002 JP
2003504280 Feb 2003 JP
2003511212 Mar 2003 JP
2003299717 Oct 2003 JP
2004502502 Jan 2004 JP
2004097617 Apr 2004 JP
2005511210 Apr 2005 JP
2005144459 Jun 2005 JP
2005530259 Oct 2005 JP
2005305370 Nov 2005 JP
2007512856 May 2007 JP
2007517529 Jul 2007 JP
2007245144 Sep 2007 JP
2007534379 Nov 2007 JP
2008119489 May 2008 JP
2008541808 Nov 2008 JP
2009505703 Feb 2009 JP
2010011884 Jan 2010 JP
2010526620 Aug 2010 JP
2010540371 Dec 2010 JP
198100674 Mar 1981 WO
198200785 Mar 1982 WO
198300288 Feb 1983 WO
198303054 Sep 1983 WO
198605419 Sep 1986 WO
198706137 Oct 1987 WO
198803419 May 1988 WO
198900889 Feb 1989 WO
198900947 Feb 1989 WO
198902279 Mar 1989 WO
198903672 May 1989 WO
198903673 May 1989 WO
198905139 Jun 1989 WO
199009780 Sep 1990 WO
199009781 Sep 1990 WO
1991014468 Oct 1991 WO
199206704 Apr 1992 WO
199217231 Oct 1992 WO
199221332 Dec 1992 WO
199222286 Dec 1992 WO
1993013737 Jul 1993 WO
199325321 Dec 1993 WO
1993024164 Dec 1993 WO
1994007607 Apr 1994 WO
199417822 Aug 1994 WO
199425371 Nov 1994 WO
199427653 Dec 1994 WO
199503034 Feb 1995 WO
1995032015 Nov 1995 WO
199600050 Jan 1996 WO
9606011 Feb 1996 WO
1996006011 Feb 1996 WO
199606581 Mar 1996 WO
199623522 Aug 1996 WO
9639337 Dec 1996 WO
199701329 Jan 1997 WO
199706813 Feb 1997 WO
199706842 Feb 1997 WO
199712683 Apr 1997 WO
1997012687 Apr 1997 WO
199720590 Jun 1997 WO
199723208 Jul 1997 WO
199727804 Aug 1997 WO
199735562 Oct 1997 WO
199741833 Nov 1997 WO
1998012511 Mar 1998 WO
199827959 Jul 1998 WO
199831346 Jul 1998 WO
199839043 Sep 1998 WO
1999001227 Jan 1999 WO
1999007340 Feb 1999 WO
1999011563 Mar 1999 WO
1999016530 Apr 1999 WO
1999043571 Sep 1999 WO
199962495 Dec 1999 WO
199965464 Dec 1999 WO
200001612 Jan 2000 WO
200023037 Apr 2000 WO
2000023065 Apr 2000 WO
200027543 May 2000 WO
200037336 Jun 2000 WO
2000033965 Jun 2000 WO
00049988 Aug 2000 WO
200064779 Nov 2000 WO
0103851 Jan 2001 WO
200113885 Mar 2001 WO
200128489 Apr 2001 WO
2001064182 Sep 2001 WO
200187392 Nov 2001 WO
2001085097 Nov 2001 WO
200197888 Dec 2001 WO
200198175 Dec 2001 WO
200198176 Dec 2001 WO
200204054 Jan 2002 WO
200205879 Jan 2002 WO
200217988 Mar 2002 WO
200232899 Apr 2002 WO
2002034411 May 2002 WO
2002070141 Sep 2002 WO
2002089887 Nov 2002 WO
2003002045 Jan 2003 WO
2003014832 Feb 2003 WO
2003020253 Mar 2003 WO
2003022332 Mar 2003 WO
2003035030 May 2003 WO
2003037159 May 2003 WO
2003037259 May 2003 WO
2003049786 Jun 2003 WO
2003050031 Jun 2003 WO
2003053350 Jul 2003 WO
2003057593 Jul 2003 WO
2003059547 Jul 2003 WO
2003068299 Aug 2003 WO
2003087097 Oct 2003 WO
2003097139 Nov 2003 WO
2004019985 Mar 2004 WO
2004022052 Mar 2004 WO
2004022132 Mar 2004 WO
2004022244 Mar 2004 WO
2004024157 Mar 2004 WO
200433954 Apr 2004 WO
2004062813 Jul 2004 WO
2004078236 Sep 2004 WO
2004089551 Oct 2004 WO
2004091704 Oct 2004 WO
2004098689 Nov 2004 WO
2005000476 Jan 2005 WO
2005004844 Jan 2005 WO
200514175 Feb 2005 WO
2005020953 Mar 2005 WO
2005030211 Apr 2005 WO
2005055976 Jun 2005 WO
2005077445 Aug 2005 WO
2005079997 Sep 2005 WO
2005080001 Sep 2005 WO
2005080002 Sep 2005 WO
2005087299 Sep 2005 WO
2005107837 Nov 2005 WO
2005109948 Nov 2005 WO
2005112892 Dec 2005 WO
2005112996 Dec 2005 WO
2005113007 Dec 2005 WO
2006011638 Feb 2006 WO
2006018392 Feb 2006 WO
2006027595 Mar 2006 WO
2006037636 Apr 2006 WO
2006037948 Apr 2006 WO
2006042297 Apr 2006 WO
2006045813 May 2006 WO
2006110080 Oct 2006 WO
2006125577 Nov 2006 WO
2006126014 Nov 2006 WO
2007011475 Jan 2007 WO
2007022898 Mar 2007 WO
2007045475 Apr 2007 WO
2007049239 May 2007 WO
2007060104 May 2007 WO
2007060105 May 2007 WO
2007060106 May 2007 WO
2007060107 May 2007 WO
2007060108 May 2007 WO
2007062721 Jun 2007 WO
2007090822 Aug 2007 WO
2007101557 Sep 2007 WO
2007104694 Sep 2007 WO
2007128381 Nov 2007 WO
2007134965 Nov 2007 WO
2007134966 Nov 2007 WO
2007134967 Nov 2007 WO
2007134968 Nov 2007 WO
2007141201 Dec 2007 WO
2007141203 Dec 2007 WO
2008023017 Feb 2008 WO
2008047035 Apr 2008 WO
2008077623 Jul 2008 WO
2008124666 Oct 2008 WO
2008138936 Nov 2008 WO
2008146025 Dec 2008 WO
2009037085 Mar 2009 WO
2009047021 Apr 2009 WO
2009047173 Apr 2009 WO
2009090245 Jul 2009 WO
2009103510 Aug 2009 WO
2009115200 Sep 2009 WO
2010005946 Jan 2010 WO
2010006870 Jan 2010 WO
2010094305 Aug 2010 WO
2010094413 Aug 2010 WO
2010112358 Oct 2010 WO
2010133294 Nov 2010 WO
2011006711 Jan 2011 WO
2011064160 Jun 2011 WO
2011064163 Jun 2011 WO
2011064164 Jun 2011 WO
2011131779 Oct 2011 WO
2011154295 Dec 2011 WO
2011160932 Dec 2011 WO
2012130757 Oct 2012 WO
2012159914 Nov 2012 WO
2012160047 Nov 2012 WO
2012160052 Nov 2012 WO
2012161685 Nov 2012 WO
2012162305 Nov 2012 WO
2013110601 Aug 2013 WO
WO-2013110609 Aug 2013 WO
2013152861 Oct 2013 WO
2013152894 Oct 2013 WO
2015018901 Feb 2015 WO
2015018903 Feb 2015 WO
2015018904 Feb 2015 WO
2015169430 Nov 2015 WO
2015169431 Nov 2015 WO
2015169732 Nov 2015 WO
2015169759 Nov 2015 WO
2015149921 Dec 2015 WO
199901520 Dec 1999 ZA
Non-Patent Literature Citations (48)
Entry
International Search Report for corresponding PCT Application No. PCT/EP2015/000902, 4 pages, dated Aug. 13, 2015.
European Search Report for corresponding EP Application No. 15020223. 19 pages, dated Feb. 19, 2016.
“Activate”. Collins English Dictionary, London: Collins, 2000, 2 pages. [Retrieved at http://search.credoreference.com/content/entry/hcengdict/activate/0 on Jun. 12, 2014].
“Lung Cancer”. Merck Manual Home Edition, pp. 1-7. [Accessed at www.merck.com/mmhe/print/sec04/ch057/ch057a.html, on Jul. 28, 2010].
Abstract in English for DE19902844, 1999.
Abstract in English for DE4117078, 1992.
Abstract in English for EP0354507, 1990.
Abstract in English for FR2756502, 1998.
Abstract in English for JPS5684246, 1979.
Abstract in English of DE10007591, 2000.
Abstract in English of DE202006017793, 2007.
Abstract in English of FR2604363, Sep. 30, 1986.
Abstract in English of JPH0553470, 1993.
Abstract in English of JPH057246, 1993.
Abstract in English of JPH07118164, 1995.
Abstract in English of JPH07118166, 1995.
Abstract in English of JPH08277226,1996.
Abstract in English of JPH092442, 1997.
Abstract in English of JPH09315953, 1997.
Abstract in English of JPH0977073, 1997.
Abstract in English of WO199706813, 1997.
Abstract in English of WO199839043, 1998.
Abstract in English of WO2002070141, 2002.
Ackermann et al.; Quantitative Online Detection of Low-Concentrated Drugs via a SERS Microfluidic System; ChemPhysChem; 2007; vol. 8; No. 18; pp. 2665-2670.
Beasley R et al: “Preservatives in Nebulizer solutions: Risks without Benefit” Pharmacotherapy, Boston, US, Bd. 18, Nr. 1, Jan. 1998, pp. 130-139.
Bocci et al., “Pulmonary catabolism of interferons: alveolar absorption of 125I-labeled human interferon alpha is accompanied by partial loss of biological activity”. Antiviral Research, vol. 4, 1984, pp. 211-220.
Chen, F-K et al., “A study of forming pressure in the tube-hydroforming process”. Journal of Materials Processing Technology, 192-193, 2007, p. 404-409.
China Suppliers, Shanghai Lite Chemical Technology Co., Ltd. Product details on polyvinylpyrrolidones. Obtained Wine by the USPTO examiner on Apr. 24, 2011.
Cras et al., “Comparison of chemical cleaning methods of glass in preparation for silanization”. Biosensors & Bioelectronics, vol. 14, 1999, pp. 683-688.
Diamond et al., “Substance P Fails to Mimic Vagally Mediated Nonadrenergic Bronchodilation”. Peptides, vol. 3, 1982, pp. 27-29.
Elwenspoek et al., “Silicon Micromachining”, Chapter 3, Mechanical Microsensors, Springer-Verlag Berlin Heidelberg, 2001, 4 pages.
English Language Abstract of EP1068906, 2001.
Fuchs et al., “Neopterin, biochemistry and clinical use as a marker for cellular immune reactions”. International Archives of Allergy and Immunology, vol. 101, No. 1, 1993, pp. 1-6, Abstract 1p.
Han et al.; Surface activation of thin silicon oxides by wet cleaning and silanization; Thin Solid Films; 2006; vol. 510; No. 1-2; pp. 175-180.
Henkel et al.; Chip modules for generation and manipulation of fluid segments for micro serial flow processes; Chemical Engineering Journal; 2004; vol. 101; pp. 439-445.
Hoffmann et al., “Mixed self-assembled monolayers (SAMs) consisting of methoxy-tri(ethylene glycol)-terminated and alkyl-terminated dimethylchlorosilanes control the non-specific adsorption of proteins at oxidic surfaces”. Journal of Colloid and Interface Science, vol. 295, 2006, pp. 427-435.
Husseini et al., “Alkyl Monolayers on Silica Surfaces Prepared Using Neat, Heated Dimethylmonochlorosilanes with Low Vapor Pressures”. Langmuir, vol. 19, 2003, pp. 5169-5171.
Ip et al., “Stability of Recombinant Consensus Interferon to Air-Jet and Ultrasonic Nebulization”. Journal of Pharmaceutical Sciences, vol. 84, No. 10, Oct 1995, pp. 1210-1214.
Jendle et al., “Intrapulmonary administration of insulin to healthy volunteers”. Journal of Internal Medicine, vol. 240, 1996, pp. 93-98.
JP2005144459—English language abstract only.
Kutchoukov et al., “Fabrication of nanofluidic devices using glass-to-glass anodic bonding” Sensors and Actuators A, vol. 114, 2004, pp. 521-527.
Lougheed et al., “Insulin Aggregation in Artificial Delivery Systems”. Diabetologia, vol. 19, 1980, pp. 1-9.
Mandal et al., “Cytophobic surface modification of microfluidic arrays for in situ parallel peptide synthesis and cell adhesion assays”. Biotechnology Progress, vol. 23, No. 4, 2007, pp. 972-978 (Author Manuscript Available in PMC, Sep. 21, 2009, 19 pages).
Niven et al., “Some Factors Associated with the Ultrasonic Nebulization of Proteins”. Pharmaceutical Research, vol. 12, No. 1, 1995, pp. 53-59.
Remington Pharmacy, Editor Alfonso R. Gennaro. 19th ed., Spanish Secondary Edition: Panamericana, Spain, 1995, Sciarra, J.J., “Aerosols”, pp. 2560-2582. The English translation is from the 1995 English Primary Edition, Sciarra, J.J., Chapter 95, R97-1185.
Trasch et al., “Performance data of refloquant Glucose in the Evaluation of Reflotron”. Clinical Chemistry, vol. 30, 1984, p. 969 (abstract only).
Wall et al., “High levels of exopeptidase activity are present in rat and anine bronchoalveolar lavage fluid”. International Journal of Pharmaceutics, vol. 97, Issue 1-3, pp. 171-181, 1993, Abstract pp. 1-2.
Wang et al.; Self-Assembled Silane Monolayers: Fabrication with Nanoscale Uniformity; Langmuir; 2005; vol. 21; No. 5; pp. 1848-1857.
Related Publications (1)
Number Date Country
20170072147 A1 Mar 2017 US