Nozzles for nasal drug delivery

Information

  • Patent Grant
  • 11890412
  • Patent Number
    11,890,412
  • Date Filed
    Monday, February 1, 2021
    3 years ago
  • Date Issued
    Tuesday, February 6, 2024
    2 months ago
Abstract
A nozzle for use in delivering a mixture of aerosol propellant and drug formulation. The nozzle includes a drug product inlet configured to receive a mixture of aerosolized propellant and an intranasal dosage form. The inlet is disposed at the proximal end. A nozzle body is secured to the drug product inlet. Two or more channels are disposed within the body. Two or more orifice apertures are disposed at the distal end of the nozzle.
Description
BACKGROUND

Existing nasal drug delivery devices do a poor job of penetrating the nasal cavity to deposit drug onto the medial turbinates for systemic delivery. Such existing devices are also lacking in delivering drug to the upper nasal cavity for direct nose-to-brain delivery. Existing nasal drug delivery devices generate a wide plume which inadequately delivers a compound deep into the nasal cavity.


SUMMARY

In one embodiment, a nozzle is described and claimed including a drug product inlet configured to receive a mixture of aerosolized propellant and an intranasal dosage form, the inlet disposed at the proximal end, a nozzle body defining two or more channels, the channels having a proximal and distal end, the body defining a longitudinal axis, and, an orifice disposed at the distal end of each channel.


In an aspect, the channels are disposed parallel to the longitudinal axis.


In another aspect, the channels are disposed at an angle with respect to the longitudinal axis.


In an aspect, the nozzle includes from five to seven channels.


In an aspect, the channels are circular and tubular in shape.


In an aspect, the channels are conical in shape.


In an aspect, four circular orifice apertures configured in a square orientation are disposed at the distal end of the nozzle.


In an aspect, five circular orifice configured in a pentagonal orientation are disposed at the distal end of the nozzle.


In an aspect, six circular orifice configured in a hexagonal configuration are disposed at the distal end of the nozzle.


In an aspect, six circular orifice configured m a centered pentagonal configuration are disposed at the distal end of the nozzle.


In an aspect, four circular orifice configured linearly are disposed at the distal end of the nozzle.


In an aspect, four rectangular orifice configured radially are disposed at the distal end of the nozzle.


In an aspect, five star-shaped orifice configured in a pentagonal configuration are disposed at the distal end of the nozzle.


In an aspect, the channels are plastic or metal tubes, the body is a plastic or metal tube, and, voids are disposed between the channels and body.


In another embodiment, a nozzle for delivering a compound to an upper olfactory region of a user is disclosed including a nozzle body having a central axis, a plurality of channels housed within the nozzle body, the channels having a proximal end and a distal end, an inlet disposed at the proximal end of the channel, an outlet orifice disposed at the distal end of the channel, the outlet orifice arranged parallel to the central axis of the nozzle.


In an aspect, a line drawn thru a point on the outlet orifice is an equal distance to the central axis of the nozzle.


In an aspect, the outlet orifices are arranged so that a narrow plume exits the nozzle.


In an aspect, the angle of the plume is about 5 degrees, about 4 degrees, about 3 degrees, about 2 degrees, about 1 degree.


In yet another aspect, the angle of the plume is about 5 degrees.


In an aspect, the impact force delivered by the nozzle is decreased.


In an aspect, the delivery time for the compound is decreased.


In another embodiment, a nozzle for delivering a compound to an upper olfactory region of a user is disclosed including a nozzle body, a compound channel housed within the nozzle body, the compound channel having a proximal end and a distal end, the proximal end capable of receiving a compound, the distal end of the compound channel having an outlet orifice, and a propellant channel, the propellant channel having a proximal end and a distal end, the proximal end capable of receiving a propellant, the distal end of the propellant channel having an outlet orifice, the compound channel being centered within the propellant channel wherein the compound and the propellant are capable of being emitted from the from outlet orifice.


In an aspect, the nozzle includes at least a second compound channel, wherein the nozzle is capable of delivering more than one compound at a time.


In another aspect, the compound delivered by the nozzle is a liquid, a powder, a gas, or combinations thereof.


In another aspect, the nozzle further includes a check shut off valve wherein the check shut off valve prevents propellant from flowing through the compound chamber once the compound is released.





DESCRIPTION OF DRAWINGS


FIG. 1 shows cross-sectional side view and distal view of a nozzle embodiment.



FIG. 2 shows a cross-sectional side view of another nozzle embodiment.



FIG. 3 shows a cross-sectional side view of another nozzle embodiment.



FIG. 4 shows a cross-sectional side view of another nozzle embodiment.



FIG. 5 shows a cross-sectional side view of another nozzle embodiment.



FIG. 6 shows a cross-sectional distal view of another nozzle embodiment.



FIG. 7 shows a cross-sectional distal view of another nozzle embodiment.



FIG. 8 shows a cross-sectional distal view of another nozzle embodiment.



FIG. 9 shows a cross-sectional distal view of another nozzle embodiment.



FIG. 10 shows a cross-sectional distal view of another nozzle embodiment.



FIG. 11 shows a cross-sectional distal view of another nozzle embodiment.



FIG. 12 shows a cross-sectional distal view of another nozzle embodiment.



FIG. 13 shows a cross-sectional side view of another nozzle embodiment.



FIG. 14 shows a cross-sectional side view of another nozzle embodiment.



FIG. 15 is a graph of percent deposition versus vertical spray angle for various nozzle and outlet orifice embodiments set forth in the Examples and Figures herein. In this graph the zero angle is defined as the optimal angle from the naris to the olfactory region.



FIG. 16 is a graph of percent deposition versus horizontal spray angle for various nozzle and outlet orifice embodiments set forth in the Examples and Figures herein. In this graph the zero angle is defined as the optimal angle from the naris to the olfactory region.



FIG. 17 is a photograph of the side and distal end of nozzle 18.



FIG. 18 is a photograph of the side and distal end of nozzle 35B.



FIG. 19 is a photograph of the side and distal end of nozzle 31.



FIG. 20 is a photograph of the side and distal end of nozzle 33.



FIG. 21 is a photograph of the side and distal end of nozzle 17.



FIG. 22 shows nozzle number 3.



FIG. 23 shows nozzle number 4.



FIG. 24 shows nozzle number 7.



FIG. 25 shows nozzle number 8.



FIG. 26 shows nozzle number 9.



FIG. 27 shows nozzles A, B, and C of Example 11.



FIG. 28 shows nozzle D of Example 11.



FIG. 29 shows a spray deposition (Method 3) comparison of 4 nozzles, two single channel nozzles and two 5 channel nozzles. Nozzle performance was tested over an extended distance range. To minimize the blotter wicking artifact, dose size was reduced to 10 microliters.



FIG. 30 shows frame captured images from high speed video of powder dosing. Comparison of plume geometry for three powder nozzles.



FIG. 31 shows frame capture from high speed video of powder plumes for a zero bypass nozzle (simple tube) and a high bypass nozzle. These shots were carried out between two plastic plates with a spacing of 1.8 mm, dimensions comparable to that found in the nasal sinus. Two times during the development of the plume after actuation initiation are shown. The performances with two different propellants are also compared.





DETAILED DESCRIPTION

Described herein are nozzles that deliver a compound into the posterior regions of the nasal cavity. Current nasal delivery systems do not adequately deposit drug in posterior regions of the nasal cavity such as the respiratory epithelium and olfactory region. Described herein are nozzles that enhance drug deposition into these regions of the nasal cavity.


The nozzles disclosed herein consistently deposit at least a majority fraction of dose into the distal parts of the nasal cavity such as the respiratory epithelium and olfactory region. A drug product (also referred to as drug formulation, intranasal dosage form and other like terms used in the art) is propelled with a velocity via the nozzle into the nasal cavity.


The nozzle may be used to deliver a compound to the upper olfactory region of a mammal or other animal. For instance, the user may be a human or non-human primate. The nozzle may have adult or pediatric users. In some aspects, the nozzle may be used in veterinary medicine. In some aspects, the nozzle may be used to deliver a therapeutic or palliative care compound.


Like named structures in the various embodiments function in the similar or same manner, are structurally the same or similar, and may be used in for the same or similar purpose.


A nozzle is disclosed with a plurality of outlet orifices for delivery of a compound. The nozzle has a central longitudinal axis. The nozzle houses a plurality of channels. The channels have a proximal end at which the compound to be delivered enters the channel and a distal end at which the compound exits the channel via an outlet orifice. In certain embodiments, the channels run parallel to the central axis of the nozzle. In other embodiments, the channels run substantially parallel to the central axis of the nozzle in that a line drawn thru a point on the outlet orifice is of equal distance to the central axis of the nozzle.


The outlet orifices are arranged in parallel alignment with the central axis of the nozzle. In one aspect, the outlet orifices are arranged where a line drawn through the orifice has an equal distance from a line drawn through the center of the nozzle. In yet another aspect, the arrangement of the outlet orifices of the nozzle provides a narrow plume. In yet a further aspect, the outlet orifices are arranged so that the initial path of the compound as it exits the nozzle is substantially parallel to the central axis of the nozzle. In yet another aspect, the outlet orifices are arranged in parallel alignment, in a line of equal distance from a center of the nozzle, in an arrangement that provides for the delivery of a narrow plume, in an arrangement that provides an initial path of the compound as it exits the nozzle substantially parallel to the central axis, or combinations thereof.


In an embodiment, the angle of the plume delivered from the nozzle is about 5 degrees, about 4 degrees, about 3 degrees, about 2 degrees, about 1 degree, inclusive of endpoints. In an embodiment, the angle of the plume delivered from the nozzle is about 5 degrees. In yet another embodiment, the angle of the plume is 5 degrees, is 4 degrees, is 3 degrees, is 2 degrees, or is 1 degree. In a further embodiment, the angle of the plume delivered from the nozzle is 5 degrees.


In embodiments of the nozzle, the impact force delivered by the nozzle having more than one outlet orifice is decreased.


In embodiments of the nozzle, the delivery time is decreased for delivery of a compound by a nozzle having more than one outlet orifice.


In another embodiment of the nozzle, the delivery time and the impact force is decreased by a nozzle having more than one outlet orifice.


In embodiments of the nozzle, the outlet orifices are arranged so that the propellant entrains the compound to be delivered. Without being bound by theory with regards to entrainment of the compound, the multiple streams exiting the nozzle created by the plurality of outlet orifices are better able to entrain air within the plume, thereby shielding the edges of the plume against friction induced turbulence at the edges of the plume.


As shown in FIG. 1, a drug product inlet 2 is configured to receive a mixture of gas propellant and a drug formulation. The drug formulation (prior to mixing with the gas propellant) may be in the form of a powder, dispersion, liquid or other suitable nasal delivery dosage form. A nozzle body 4 is secured to the drug product inlet 2. The mixture of gas propellant and drug formulation pass through circular, tube-shaped nozzle channels 6 before exiting the outlet orifices 8, 12 thus releasing the mixture. The circular, tube-shaped nozzle channels 6 aligned parallel to a longitudinal axis running through the center of the nozzle body 4. The distal surface 10 of the nozzle body 4 is shown in the distal view along with the outlet orifices 12.


In one embodiment, the drug product inlet may be optional. In another embodiment, the nozzle has an attachment mechanism to the source of the compound being distributed from the nozzle. The attachment mechanism may be a screw, snap or other suitable mechanism. In another embodiment, the drug product inlet and nozzle may be of uniform construction with the chamber, container or the like holding the compound being delivered. When the drug product inlet is optional, a proximal end of the nozzle functions as the drug product inlet.


The channels may be circular, oval, square, triangular, parallelograms, trapezoidal or combinations thereof.


In one embodiment, the nozzle shown in FIG. 1 is described in Example 6.


As shown in FIG. 2, a drug product inlet 14 is configured to receive a mixture of gas propellant and a drug formulation. A nozzle body 16 is secured to the drug product inlet 14. The mixture of gas propellant and drug formulation pass through circular, tube-shaped nozzle channels 18 before exiting the outlet orifices 20 thus releasing the mixture. The circular, tube-shaped nozzle channels 18 being tapered away from a longitudinal axis running through the center of the nozzle body 16.


As shown in FIG. 3, a drug product inlet 22 is configured to receive a mixture of gas propellant and a drug formulation. A nozzle body 24 is secured to the drug product inlet 22. The mixture of gas propellant and drug formulation pass through circular, tube-shaped nozzle channels 26 before exiting the outlet orifices 28. The circular, tube-shaped nozzle channels 26 being tapered toward a longitudinal axis running through the center of the nozzle body 24.


As shown in FIG. 4, a drug product inlet 30 is configured to receive a mixture of gas propellant and drug formulation. A nozzle body 32 is secured to the drug product inlet 30. The mixture of gas propellant and drug formulation pass through conically-shaped channels 34 before exiting the outlet orifices 36 thus releasing the mixture. The conically-shaped channels 34 are aligned to taper away from a longitudinal axis running through the center of the nozzle body 32. The outlet orifices 36 (at the distal end of the channels 34) being larger in diameter than the proximal end of the channels 34.


As shown in FIG. 5, a drug product inlet 38 is configured to receive a mixture of gas propellant and drug formulation. A nozzle body 40 is secured to the drug product inlet 38. The mixture of gas propellant and drug formulation pass through conically-shaped channels 42 before exiting the outlet orifices 44 thus releasing the mixture. An axis along the center of the conically-shaped channels 42 being parallel to a longitudinal axis running through the center of the nozzle body 40. The outlet orifices 44 (at the distal end of the channels 42) being smaller in diameter than the channels 42 at the proximal end of the channels 42.


Shown in FIG. 6 are five (5) circular outlet orifices 48 disposed at the distal end of a nozzle body 46 in a pentagonal orientation. Shown in FIG. 7 are six (6) circular outlet orifices 52 disposed at the distal end of a nozzle body 50 in a hexagonal orientation. Shown in FIG. 8 are six (6) circular outlet orifices 56 disposed at the distal end of a nozzle body 54 in a centered-pentagonal orientation. Shown in FIG. 9 are four (4) circular outlet orifices 60 disposed at the distal end of a nozzle body 58 in a linear orientation. Shown in FIG. 10 are four (4) rectangular outlet orifices 64 disposed at the distal end of a nozzle body 62 in a radial orientation. Shown in FIG. 11 are five (5) star-shaped outlet orifices 68 disposed at the distal end of a nozzle body 66 in a pentagonal orientation. As shown in FIGS. 6-11, the volume between outlet orifices 48, 52, 56, 60, 64, 68 is solid. In another embodiment, the volumes may be void, partially void or partially solid.


In one embodiment, the outlet orifices are square, circular, oval, trapezoidal, parallelograms, triangular, star shaped, or combinations thereof.


In one embodiment, the nozzle shown in FIG. 6 is described in Example 1.


In another embodiment, the nozzle shown in FIG. 9 is described in Example 3.


Shown in FIG. 12 are five (5) circular outlet orifices 74 disposed at the distal end of the nozzle body 70 in a pentagonal orientation. In this embodiment, the volume 72 between the channels is void (e.g., an air gap).


In one embodiment, the nozzle shown in FIG. 12 is described in Example 2.


As shown in FIG. 13, a drug product inlet 76 is configured to receive a mixture of gas propellant and a drug formulation. A nozzle body 78 is secured to the drug product inlet 76. The mixture of gas propellant and drug formulation pass through circular, tube-shaped nozzle channels 80 before exiting the outlet orifices 82 thus releasing the mixture. In this embodiment the outlet orifices channels 80 extend beyond the nozzle body 78 and terminate at the outlet orifices 82 which are biased with the biased edge oriented near to and parallel to a longitudinal axis running through the center of the nozzle body 78. Nozzle #35B, as shown in FIG. 18, has outlet orifice channels which extend beyond the nozzle body.


In one embodiment, the nozzle shown in FIG. 13 is described in Example 4.


As shown in FIG. 14, a drug product inlet 84 is configured to receive a mixture of gas propellant and a drug formulation. A nozzle body 88 is secured to the drug product inlet 84. The mixture of gas propellant and drug formulation pass through circular, tube-shaped nozzle channels 90 before exiting the outlet orifices 92 thus releasing the mixture. In this embodiment there is a rounded inlet guide 86 attached to the nozzle body 88 and pointed into the drug product inlet 84 which directs the drug product into the nozzle channels 90. There also exists an outlet directional guide which guides the drug product coming out of the outlet orifices 92 to help maintain a narrow drug product spray. The nozzle is nozzle 31 shown in FIG. 19.


In one embodiment, the nozzle shown in FIG. 19 is described in Example 5.


As shown in FIGS. 27 and 28, a bypass nozzle is shown and described. Nozzle C (Example 11) describes an annular gas bypass nozzle. Nozzle C includes a chamber for the compound to be delivered and a chamber for the propellant. In one aspect, the compound is a drug and the propellant is a gas. The drug may be in liquid or powder form. Nozzle C includes a channel to transport the drug. This drug channel is centered inside of another channel, the propellant channel, which serves to deliver the propellant. In one aspect, the drug channel transports a powder while the propellant channel delivers a gas. The dimensions of the drug channel with respect to the propellant channel affects the amount and velocity of gas emitted from the outlet of the nozzle. Both the powder transport channel and the gas channel can be altered to change the performance of the nozzle assembly, as discussed in Example 11.


Upon actuation of nozzle C, both chambers are pressurized and gas is emitted from the end of the nozzle as a uniform and symmetrical hollow cylinder, while at the same time the dose is emitted into the center of the gas cylinder. Depending on the configuration of the two channels and the amount and type of gas used to drive the nozzle, the relative velocity of the gas and powder streams can be different, causing different effects on performance. In one embodiment, multiple dose transport channels are placed in the center of the gas transport tube so that this nozzle design would deliver doses of more than one drug at the same time with minimal mixing before the drugs are deposited on the target surface or tissue.


In one embodiment, the drug channel can transport a liquid, a powder, a gas, or combinations thereof.


In one embodiment, a bypass nozzle D is shown as in FIG. 28. Nozzle D shows a check shut off valve. The valve includes a ball of plastic slightly smaller than the diameter of the compound chamber behind the nozzle. Upon activation of the device, the ball rolls up behind the drug and seats on the back side of nozzle D, thereby effectively preventing gas flow through the drug channel once the drug is released.


A variety of compounds may be delivered by the nozzle. In one embodiment, a mixture of drug and gas propellant is delivered by the nozzle. In another embodiment, a mixture of liquid propellant and drug is delivered by the nozzle. In another embodiment, a liquid propellant is delivered by the nozzle. In yet another embodiment, a drug is delivered by the nozzle. In yet other embodiments, a combination of compounds is delivered by the nozzle.


The compound delivered by the nozzle may be a liquid, gas, solid, or combinations thereof. The compound may be a liquid or a powder. The compound may be a drug.


The nozzle may be used to deliver compounds to many environments. The nozzle may be used to deliver a compound intranasally. The nozzle may be used to deliver a compound orally, rectally, vaginally, topically, to the eye, or intranasally.


The nozzle may be used to deliver medicaments or other compounds not for therapeutic use. For example, the nozzle may be used to deliver a precise plume in manufacturing.


EXAMPLES

Set forth below are examples of nozzles and outlet orifices.


Example 1

In nozzle number 1, a five outlet nozzle was constructed of 30 gauge (G) stainless steel tubes, (approximately 0.0069 inch circular orifice and approximately 5 mm in length) mounted within a 20 G stainless steel tube. The 30 G tubes fit tightly and formed a symmetric pentagonal arrangement that would lie symmetrically on a circle. All non-orifice gaps between the individual 30 G tubes were filled. The distal end of the nozzle was finished with all tubes flush and of equal length. The openings were finished clean and square.


Example 2

Nozzle number 2 was constructed having 11 outlets composed of 5, 25 G stainless tubes (approximately 0.011 inch circular orifice and approximately 5 mm in length) mounted within an 18 G stainless steel tube for a tight fit. No voids between the 25 G and 15 G tubes were filled, so the nozzle configuration had 5 additional ports, approximately triangular in shape, the nozzle ports surrounding the 5 circular ports. In addition, a central void of roughly pentagonal shape exists at the very center which was capable of passing a dose. The distal end of the nozzle was finished with all tubes flush and of equal length. The openings were finished clean and square.


Nozzle number 3, as shown in FIG. 22, was constructed having 6 outlets composed of 3, 23 G stainless tubes assembled into a 15 G stainless steel tube. These fit tightly and no glue or filler was used. In addition to the three nozzle ports from the 23 G tubes, there were three additional approximately triangular shaped outlets from the nozzle. The distal end of the nozzle was finished with all tubes flush and of equal length. The openings were finished clean and square.


Nozzle number 10 has some of the same components used to assemble nozzle number 3. For nozzle number 10, each 23 G stainless tube has an approximately 30 degree bend in the last 2 mm of the tube at the distal end of the nozzle. These tubes were inserted into a 14 G stainless steel tube so that their orientation was all the same around the perimeter of the 14 G tube. These were held in place with a central brass rod. The distal end of the nozzle was finished with all tubes flush and of equal length. The openings were finished clean and square. Because of the 30 degree bend in the 23 G tubes, they are oval in dimensions and not round. All voids between elements were open.


Nozzle number 11 has some of the same components of nozzle number 9 (Example 3) with straight 23 G stainless steel tubes set into a 14 G stainless steel tube. No brass rod was used to hold the tubes in, with the 14 G tube being lightly crimped. The distal end of the nozzle was finished with all tubes flush and of equal length. The openings were finished clean and square. All voids between elements were open.


Nozzle number 13 has some of the same components as nozzle number 2. Similar to nozzle number 1 (Example 1), nozzle number 13 has all intervening open voids filled leaving 5 active nozzle ports in the same special relationship as those in nozzle number 2.


Example 3

Nozzle number 5 has four outlets of 30 G stainless steel tubes in a linear arrangement within a modified 16 G stainless steel tube. The 30 G tubes were set by light crimping of the 16 G tube and filler was applied to fill all voids between the 30 G and 16 G tubes. The distal end of the nozzle was finished with all tubes flush and of equal length. The openings were finished clean and square.


Example 4

Nozzle number 12 has five outlets consisting of 27 G stainless steel needle ends arranged with the pointed ends extending beyond the end of the nozzle housing (a 16 G stainless steel tube). All five 27 G needles were arranged so that the point was placed closest to the center of the assembly. The assembly of 5 needles was secured within the 16 G tube under tension from a centrally placed brass rod. The brass rod was tapered so that a tension fit held everything together. All voids other than the 5 outlet ports were filled with epoxy prior to final assembly. The resulting nozzle had a tapered distal end that extended approximately 2.66 mm from the end of the 16 G nozzle housing. All port surfaces were finished clean and square.


Nozzle 19 is a composite assembly of nozzle number 37 (Example 6) with 27 G stainless steel needles inserted into the port channels of a nozzle number 37 nozzle assembly. The needles extend from the plastic end of the distal end of the nozzle by approximately 5.5 mm. The needles are all arranged so that the tip side of each needle is oriented toward the center of the nozzle. They lie closest to the central axis of the nozzle.


Example 5

Nozzle number 14 has seven outlet ports arranged around a central aerodynamic extension, analogous to nozzle number 7 (Example 8 and FIG. 24). Nozzle number 14 was cast in plastic rather than assembled with stainless steel tubing. The central extension is 2.15 mm in diameter at the point that it joins the distal end of the nozzle and tapers in an aerodynamic fashion. The port channels are straight and parallel to the nozzle axis. The port channels are 5.5 mm long. The nozzle assembly includes a female luer lock.


Nozzle number 15 is similar to nozzle number 14 but with the body of the section of the assembly before the nozzle proper being shorter while still including a female luer lock. Nozzle number 15 is cast entirely in plastic as a unit.


Example 6

Nozzle number 16 has 4 outlet ports arranged approximately 0.7 mm apart and equidistant in a square pattern. Nozzle number 16 has a similar female luer lock design as for nozzle number 15 (Example 5). Port lumen lengths are approximately 5.3 mm in length, parallel to each other and on axis with the nozzle body. Cast entirely in plastic as a unit.


Nozzle number 37 is similar to nozzle number 16, except 5 outlet ports arranged equidistant to each other and as if placed on a circle or the apices of a pentagon. Port channel lengths are 5.3 mm and include the same luer lock as nozzle number 16. Cast entirely in plastic as a unit.


Nozzle number 38 has 4 outlet ports as in nozzle number 16. The port channels of nozzle number 38 traverse 10.3 mm and they possess a right handed twist (as viewed at the distal end) of approximately 180 degrees in that distance. The nozzle is longer than nozzle 16 and contains the same luer features and spatial details as nozzle 16. Cast entirely in plastic as a unit.


Example 7

Nozzle number 4, as shown in FIG. 23, was constructed having 7 outlets composed of 3, 25 G stainless tubes (approximately 21 mm in length) assembled into a 15 G stainless tube. The 15 G tube was lightly crimped on its perimeter to secure the 25 G tubes within the body. No adhesive was used and all voids remained open. The distal end of the nozzle was finished with all tubes flush and of equal length. The openings were finished clean and square.


Example 8

Nozzle number 7, as shown in FIG. 24, was constructed of 14, 30 G stainless steel tubes arranged within a 14 G stainless tube around a central steel aerodynamically sculpted pin. The 30 G tubes are 14 mm in length and are seated flush with the end of the 14 G nozzle housing. The central pin is approximately 1.12 mm in diameter. It protrudes from the distal end of the nozzle by 2.38 mm. No glue is used to set these elements within the 14 G tube. All perimeter voids participate in the movement of liquid and gas through the nozzle. Except for the extended central pin, the distal end of the nozzle was finished with all tubes flush and of equal length. The openings were finished clean and square.


Example 9

Nozzle number 8, as shown in FIG. 25, has similarities to nozzle number 7 described in Example 8 without the use of 30 G tubes on the periphery. Thin rectangular brass standoffs were used to center the central pin within the 14 G stainless steel tube. Eight standoffs were required to center and maintain the pin in a linear orientation with respect to the 14 G tube.


Example 10

Nozzle number 9, as shown in FIG. 26, is constructed of 14, 30 G stainless steel needle tips with similarities to the 30 G tubes of nozzle number 7. These tubes are mounted around the same type of central steel aerodynamically sculpted pin. Each tapered needle tip is mounted with the long side placed against the steel pin. The result is a 3 mm tapered extension at the distal end beyond the edge of the 14 G nozzle housing.


Example 11

Nozzles for the Delivery of a Dry Powdered Dose


The nozzles of this Example are shown in FIGS. 27 and 28.


Nozzle A. Single port nozzle. Several configurations of solid plastic drilled with a straight exit port of varying lengths were tested. A 4.45 mm diameter plastic nozzle with a single 1.07 mm internal diameter port of approximately 1 cm in length was tested. Also tested was a 4.45 mm in diameter nozzle with a single 0.67 mm internal diameter port of 8.75 mm in length. A third configuration was a nozzle of approximately 1 cm in length with a single nozzle port of 0.031 inch internal diameter. The powder is driven through the port tube by gas pressure.


Nozzle B. Multiple port nozzle. Drilled in PEEK plastic. 5 nozzle ports of internal diameter of 0.015 inch. Orifice diameters are 0.011 inches. The dose is driven through the multiple ports by gas pressure.


Nozzle C. Single port annular gas bypass nozzle. Two configurations were designed and tested. This nozzle design is a two compartment nozzle, one for the dose and one for gas. These nozzles feature a straight 0.031 in internal diameter port tube that transports the powder. This transport tube is centered inside of another tube that serves to deliver a stream of gas. The configurations tested have different gas tube diameters and therefore affect the amount and velocity of gas emitted from the end of the nozzle. Both the powder transport tube and the gas tubes can be altered to change the performance of the nozzle assembly. These test configurations were designed to be driven by a single source of compressed gas (e.g. hydrofluoroalkane), but each compartment of the nozzle could be independently driven. Upon actuation, both chambers are pressurized and gas is emitted from the end of the nozzle as a uniform and symmetrical hollow cylinder, while at the same time the dose is emitted into the center of the gas cylinder. Depending on the configuration of the two tubes and the amount and type of gas used to drive the nozzle, the relative velocity of the gas and powder streams can be different, causing different effects on performance.


The inner diameter of the dose tube is 0.031 in for all three nozzles. The zero bypass nozzle is the third configuration described in A above. Low bypass nozzle has a gas tube gap of 0.008 in. The high bypass nozzle has a gas tube gap of 0.016 in.


Nozzle D. A variant of nozzle C was made and tested, shown in FIG. 28. It is possible that excess propellant gas emitted from the dose tube after the dose chamber is emptied of powder can cause interference with the plume. In that event, a check shutoff valve was conceived and tested. The valve consisted of a ball of plastic slightly smaller than the diameter of the dose chamber behind the nozzle. Upon activation of the device, the ball rolls up behind the dose and then seats on the back side of the nozzle, thereby effectively preventing gas flow through the dose tube once the dose is gone.


Example 12

Analytical Methods Employed for Nozzle Testing


Plume Geometry


Plume angle was tested as a performance criterion. The testing of the nozzles included establishing the angle of the plume and/or the size of the deposition area at a fixed distance from the nozzle tip.


1) Photography. The pattern of expelled high pressure water from the nozzle was photographed and the angle described by the pattern on the printed photo was measured. This method proved to be accurate and reproducible. Additional methods would look at describing the plume angle of an aerosolized plume as would be generated during actual use. Photography data was used as comparison data for the nozzles described herein.


2) Blotter paper deposition. A method was developed that relied on the deposition of a stained (Fluorescein) aqueous dose emitted from a nozzle onto a blotter paper held at a distance of 4 cm. 4 cm was chosen as a distance relevant to the distance needed to traverse from a likely nozzle tip position in the human naris to the upper olfactory region of the human nasal sinus. This blotter paper deposition assay offered the advantage of creating a permanent record of the dose deposition. In addition, it would be capable of showing any asymmetry in plume geometry. Plume angles were calculated using the blotter paper deposition. A limitation of this method is that the dose staining can bleed beyond the region of deposition, thereby making the observed deposition spot to be larger than the actual deposition zone. This is especially true for larger dose volumes and for nozzles that concentrate the dose into the smallest zone. Another limitation is that the method describes the end result of the deposition and cannot describe how deposition occurs over the course of the event. This limitation yields less information about the nature of the plume as it starts, progresses and ends. It can say very little about how the plume is affected by its travels through the air from nozzle to target.


Two additional approaches designed to analyze plume geometry during the time course of dose delivery were applied.


3) High speed blotter recording, with dose deposition onto a rapidly spinning blotter paper target. This method is able to create a physical record of deposition over time. The blotter disk can be rotated fast enough so that dose spread is reduced and appears to yield accurate plume geometries displayed during the full shot. It appears to be able to discriminate between different nozzle designs and can catch asymmetries in plume geometry.


4) The second method is high speed videography (greater than 200 frames per second) enhanced with fluorescent dye and lighting. This method appears capable of discriminating the performance between different nozzle designs and can record defects in performance. This method has been adapted for studying nozzle performance under various situations, such as free air performance and within human nasal models.


5) An adaptation of method high speed videography. Modified lighting conditions were used to enhance the visualization of powder doses. In some cases lighting was adjusted so that only limited sections of the spray plume were visible. White light illumination is valuable for seeing the overall plume geometry for powder, however white light is easily scattered and is not able to report on the various dose densities within a plume and likely best highlights the surface of a powder plume. Using single wavelength light in the red spectrum is able to reduce light scatter and better penetrate a powder plume.


Dose Deposition


Previous methods are principally directed at understanding plume geometry generated by each nozzle. We used these methods to attain certain pre-determined performance parameters, such as symmetrical and narrow plumes, to predict actual performance in use. An in vitro method for assessing nozzle performance was to measure dose deposition efficiency in human nasal models. We have employed several methods for this, differing mostly in the manner in which we quantitate the amount of dose deposited in different areas of the human nasal sinus. Of the three methods developed, here we report data generated from two methods.


5) One method assessed deposition by dose weight and was able to report only dose weight deposited in our upper olfactory region of interest (ROI) and elsewhere.


6) Another method reports dose deposition through optical densitometry. This method is capable of reporting fractional deposition within our upper olfactory ROI as well as any number of other ROI that are user defined.


Impact Force


Another physical performance characteristic that affected nozzle design was the impact force generated by the developed plume from any nozzle. We developed a method that records impact force profiles (including maximal impact force) for the duration of a dose shot. Forces generated during dosing could be compared to other commercially available nasal spray devices.


Results:


Plume Geometry:


Many of the nozzles described herein have principle deposition zone dimensions of 3 mm or less when fired 4 cm from the target with relatively minor amounts of dose outside of 5 mm. This represents a plume angle of about 5 degrees or under. It should be noted that the dimensions of the upper olfactory region of the human nasal sinus is on the order of several mm eventually narrowing down to 1-2 mm.


An early deposition study (method 5) along with a study with method 3 allowed a direct comparison between some of the nozzles described in this application with a nozzle designed to generate a rotating plume and also to a single port device (urethral tip).









TABLE 1







% Olfactory Description-Method B














Deposition zone



5 degrees
5 degrees


Nozzle
Dimensions-
Direct
10 degrees
10 degrees
toward
away from


Name
Method #3
Aim
posterior
anterior
septum
septum





Rotational
25-30 mm
2.8
4.2
9.9
 1.23
2.4


Plume








Prototype








#18
  25 mm
19  
12.5 
20.9 
22  
16  


#2 
  13 mm
58.3 
30.2 
49.1 
45.6 
54.8 


#13
   8 mm
59.4 
45.7 
55.9 
63.2 
57.3 


#1 
*
66  
66  
67.4 
64.3 
65  


Urethral Tip
**
56.5 
28.7 
39.5 
35.8 
52.3 





* Not done concurrently with the other nozzles under the same conditions, however, later comparisons between #1 and #13 reveal that #1 has a smaller deposit footprint than #13.


** Not done






As shown in Table 1, high speed blotter paper deposition analysis was carried out with each nozzle in this experiment with the exceptions of nozzle number 1 and the urethral tip. Later comparisons with nozzle number 1 revealed that nozzle number 1 is able to achieve the smallest deposition zone for any of the nozzles tested. The urethral tip is also able to achieve a deposition zone approaching that of nozzle number 13.


The deposition study presented in Table 1 shows the average from at least three nozzle firings for each nozzle and each aim angle. All conditions of firing were the same for all the nozzles and for each firing condition studied. A correlation can be made between the size of the dose deposition zone and the percent of dose deposited in the upper olfactory region of a human nasal model. The correlation persists regardless of the aim angle used for these shots. We conclude that the smaller the dose plume angle is, the higher the deposition in our ROI. Not expected from these results is that some of the nozzles appear to perform better regardless of the aim of the nozzle. In contrast, the urethral tip, which has a single nozzle port and generates a single plum stream, appears to be more sensitive to aim angle. While the urethral tip has good deposition (though by no means the best) when aimed directly at the target, its performance falls off dramatically at most other angles. We generally see with this data that multiport nozzles, which generate multiple stream plumes, perform better in off-angles compared to the single port nozzle.


The experimental results presented in the FIG. 29 demonstrate how parallel multistream plumes appear to be more resistant to plume degradation over greater distances. All nozzles can be seen to have narrow deposition zones. The single port nozzles #20 and #21 appear to degrade faster upon distance from the nozzle tip. This can especially be seen with nozzle #21. The smallest diameter single port nozzle has comparability to the multi-dose nozzles, but the constraint of this narrow port (I/5th the port area of the 0.0069 in 5 port nozzle) adversely affects the time of full dose delivery and/or the forces generated by the plume on potentially sensitive nasal membranes (see Table 2 below).


Two measured parameters, nasal model deposition and plume stability, point to a parallel multistream nozzle configuration being better able to maintain a narrow dose plume while traveling to the target. Our results demonstrate a narrow plume can deposit on the narrow recessed upper olfactory region of the human nasal sinus. Also, a multistream dose plume appears to better negotiate the intricacies of the complex human sinus. The off-angle performance advantage for a multistream dose plume compared to the urethral catheter (e.g., a single port 0.020 inch nozzle) demonstrates that clearly. Without being bound by theory, it may be that the ability of a multistream dose plume's ability to entrain air (essentially forming an air capsule) is capable of solving both of these challenges (nasal model deposition and plume stability). Such an air capsule may reduce peripheral turbulent degradation of the dose steam as well as buffer its interaction with the walls of the nasal sinus.


Table 2 addresses the property of shot duration for various narrow plume nozzles. Multi port nozzles have the advantage of initiating and completing dose delivery in relatively short times. In contrast, the best performing single port nozzle (with respect to deposition zone) required in excess of 50 milliseconds to complete a reduced volume dose. The single port nozzles would greatly limit the size of the dose that a device could deliver. A 50 μL dose would take in excess of 100 milliseconds and a 100 μL, dose nearly 2/10ths of a second. This is too long for a user actuated device. Even if increasing the single port aperture to 0.020 in, which could in theory bring the shot duration performance into line with the multiport nozzles, performance is lost, as shown in Tables 1 & FIG. 29. Alternatively, increased pressure might be able to reduce the shot time for nozzle #20, but the impact force from such a stream is more likely to be damaging to sensitive tissues.









TABLE 2







Spray Deposition-Method 3-High Speed Disk













Nozzle Description-







Number of Ports &
Spray Deposition
Fine Mist* Width
Spray dose
Spray duration


Nozzle Name
Port Diameter (inch)
zone width @ 4 cm
@ 4 cm
volume** in μL
Milliseconds















 #1
5 ports @ 0.0069
1.95 mm
10.26 mm 
30
28.4


#13
5 ports @ 0.0110
2.39 mm
8.19 mm
40
4.6


#22
5 ports @ 0.0060
2.18 mm
9.73 mm
40
19.1


#23
5 ports @ 0.0110
2.87 mm
11.15 mm 
40
3.1


#20

1 port @ 0.0070

1.36 mm
9.09
25
56.0





*Each spray deposition results in some small fraction of the dose that is deposited at some distance from the central cleanse deposition zone. This is measurable with this method and is likely less than 10% of the dose.


**The maximal dose load was 40 μL for this experiment. However, for those nozzles with restricted flow, less volume was required in order to measure the greatly extended duration of the spray.






Table 2 shows physical dimensions of spray plume and duration of spray for 4 parallel multiport nozzles and one single port nozzle.


Example 13

Powder Nozzles



FIG. 30 shows the effect that a bypass nozzle can make on a plume of powder as it is ejected out of a nozzle into free air. In most cases a simple tubular powder nozzle will display what is shown in FIG. 30. The front of the plume appears to form a bullet point shape. Video analysis shows that likely mechanism causing this is that the powder is ejected from the nozzle as a ballistic stream and the leading edge is immediately met by resistance from the air that it is moving into. This appears to be met by additional material fed into the back of this turbulent feature. In cases where the nozzle has clogged mid shot, the “bullet” plume essentially comes to a rest. The propagation of the plume through the ambient air requires additional force from the fresh material emanating from the nozzle.


In contrast, the bypass nozzles do not possess this feature. The powder appears to be buffered against impact with any stationary air in the firing path. Without being bound by theory, we believe that the propellant that exits the nozzle has displaced the stationary air, replacing it with a forward moving stream of gas. This forward stream of gas likely paves the way or carries the powder as if on a slipstream moving in the direction aimed. Additional studies have shown what appears to be more tightly collimated powder streams when fired from the bypass nozzles, as shown in FIG. 30.



FIG. 31 demonstrates again how the high bypass generated slipstream appears to negate the leading edge bullet point and turbulence that a simple zero bypass nozzle generates. In this case where the plumes are directed between two plates 1.8 mm apart also shows how the powder streams generated by the high bypass nozzle can remain collimated as compared to that caused by the zero bypass nozzles.


Example 14

Nozzle 18 was constructed of qty. five (5) metal tubes with an internal diameter of 0.01 inches and an external diameter of 0.02 inches contained within a 15 metal tube with an internal diameter of 0.054 inches and an external diameter of 0.070 inches. The metal tubes are frictionally secured. Air gaps are disposed between the needles. Nozzle 18 is illustrated in FIGS. 12 and 17.


Nozzle 35b included five (5) outlet orifices with a diameter of 0.008 inches which extend out from the housing body and terminate as sharp points. Nozzle 35b is illustrated in FIGS. 7, 13, and 18.


Nozzle 31 included qty. seven (7) outlet orifices with diameter of 0.015 inches. Nozzle 31 is illustrated in FIGS. 14 and 19.


Nozzle 33 included qty. five (5) outlet orifices each with a diameter of 0.015 inches. The outlet orifices on the distal end of Nozzle 33 are illustrated in FIGS. 6 and 20.


Nozzle 17 was constructed with five outlet orifices with a diameter of 0.006 inches. The outlet orifices on the distal end of Nozzle 17 are illustrated in FIGS. 6 and 21.


Set forth in Table 3 is data generated using various nozzles in accordance with the invention.














TABLE 3








Average deposition






% @ 0 deg






horizontal and
Outlet Orifice
Average Impact



Nozzle
vertical
Diameter (in)
Force (grams)





















29
  62%
0.054
4.00 ± 0.22



18
58.3
0.054
4.06 ± 0.86



35B
45.7%
0.0075
2.04 ± 0.59



31
33.9%
0.015
2.42 ± 0.37



33
41.6%
0.015
2.32 ± 0.57



17
66.0%
0.007
1.99 ± 0.08










Average deposition was done with the nozzle aimed at optimal orientation into a human nasal sinus model. Depositions were determined by dose weights deposited onto model surfaces with the average of a minimum of three experiments.


Spray plume diameter and Average impact force measurements were taken with nozzles positioned at 4 cm distant from recording device. Outlet orifice diameter is by direct measurement.

Claims
  • 1. A method for delivering a compound to an upper olfactory region of a nasal cavity, the method comprising: responsive to a nozzle being actuated, the nozzle positioned for intranasal delivery of the compound to a subject, wherein actuating the nozzle pressurizes a proximal end of the nozzle, the nozzle including a drug product inlet at the proximal end of the nozzle and a nozzle body defining a plurality of channels along a longitudinal axis, wherein the channels are disposed parallel to the longitudinal axis and are symmetric about a circle around the longitudinal axis: transporting a propellant from a propellant chamber and the compound from a compound chamber through the drug product inlet, the drug product inlet configured to receive a mixture of the propellant and the compound;transporting the mixture from the drug product inlet and through each of the plurality of channels, each of the plurality of channels having a proximal end and a distal end, the proximal end of each of the plurality of channels configured to receive the mixture, the distal end of each of the plurality of channels having an outlet orifice exiting to the nasal cavity; andreleasing the mixture from the outlet orifices of each of the plurality of channels directly into the nasal cavity, wherein once exited, the mixture forms a plume having a width of 5 degrees or less to enable the plume to reach the upper olfactory region of a nasal cavity.
  • 2. The method of claim 1, wherein each of the plurality of channels is a circular, tube-shaped channel.
  • 3. The method of claim 1, wherein the plume has a deposition width of 2.18 millimeters or less at a distance of 4 centimeters relative to the outlet orifices.
  • 4. The method of claim 1, wherein the plume has a deposition width of 1.95 millimeters or less at a distance of 4 centimeters relative to the outlet orifices.
  • 5. The method of claim 1, wherein the plume has a deposition width of 1.36 millimeters or less at a distance of 4 centimeters relative to the outlet orifices.
  • 6. The method of claim 1, wherein the plume has a deposition width between 1.36 millimeters and 2.87 millimeters at a distance of 4 centimeters relative to the outlet orifices.
  • 7. The method of claim 1, wherein the compound is a liquid, a powder, a gas, or combinations thereof.
  • 8. The method of claim 1, wherein the nozzle comprises between four to eleven channels.
  • 9. The method of claim 1, wherein the nozzle and the compound chamber are of uniform construction.
  • 10. The method of claim 1, wherein the propellant is a liquid, a gas, or combinations thereof.
  • 11. The method of claim 1, wherein drug product inlet is contiguous with the proximal end of the nozzle.
  • 12. A method for delivering a compound to an upper olfactory region of a nasal cavity, the method comprising: responsive to a nozzle being actuated, the nozzle positioned for intranasal delivery of the compound to a subject, wherein actuating the nozzle pressurizes a proximal end of the nozzle, the nozzle including a nozzle body defining a plurality of channels and a longitudinal axis, wherein the channels are disposed parallel to the longitudinal axis and are symmetric about a circle around the longitudinal axis: transporting a mixture of a propellant and the compound through a drug product inlet of the nozzle, the drug product inlet disposed at the proximal end of the nozzle;transporting the mixture from the drug product inlet and through each of the plurality of channels, each of the plurality of channels having a proximal end and a distal end, the proximal end of each of the plurality of channels configured to receive the mixture, the distal end of each of the plurality of channels having an outlet orifice exiting to the nasal cavity; andreleasing the mixture from the outlet orifices of each of the plurality of channels directly into the nasal cavity, wherein the mixture exits the nozzle in a direction parallel to the longitudinal axis and forms a plume having a plume angle that does not exceed 5 degrees to enable the plume to reach the upper olfactory region of a nasal cavity.
  • 13. The method of claim 12, wherein each of the plurality of channels is a circular, tube-shaped channel.
  • 14. The method of claim 12, wherein the propellant is a liquid, a gas, or combinations thereof.
  • 15. The method of claim 12, wherein the plume has a deposition width between 1.36 millimeters and 2.87 millimeters at a distance of 4 centimeters relative to the outlet orifices.
  • 16. The method of claim 12, wherein the compound is a liquid, a powder, a gas, or combinations thereof.
  • 17. The method of claim 12, wherein the nozzle comprises between four to eleven channels.
  • 18. The method of claim 12, wherein drug product inlet is contiguous with the proximal end of the nozzle.
CROSS REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. patent application Ser. No. 15/890,266 filed Feb. 6, 2018, which is a continuation of U.S. patent application Ser. No. 14/075,126 filed Nov. 8, 2013, now U.S. Pat. No. 9,919,117, which is a continuation of an international patent application PCT/US12/37132, filed May 9, 2012, which claims priority from U.S. Provisional Application Ser. No. 61/484,048, filed May 9, 2011, each of which is hereby incorporated by reference herein in their entirety.

STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT

This invention was made with government support under SBIR grant W81XWH-I0-C-0238 awarded by the U.S. Army. The Government has certain rights in this application.

US Referenced Citations (199)
Number Name Date Kind
2933259 Raskin Apr 1960 A
3425414 Roche Feb 1969 A
3767125 Gehres et al. Oct 1973 A
3888253 Watt et al. Jun 1975 A
3906950 Cocozza Sep 1975 A
3908654 Lhoest et al. Sep 1975 A
3921637 Bennie et al. Nov 1975 A
3949939 Brown Apr 1976 A
3971377 Damani Jul 1976 A
3998226 Harris Dec 1976 A
4095596 Grayson Jun 1978 A
4187985 Goth Feb 1980 A
4227522 Carris Oct 1980 A
4338931 Cavazza Jul 1982 A
4353365 Hallworth et al. Oct 1982 A
4412573 Zdeb Nov 1983 A
4446990 Stevenson et al. May 1984 A
4620670 Hughes Nov 1986 A
4702415 Hughes Oct 1987 A
4896832 Howlett Jan 1990 A
4995385 Valentini et al. Feb 1991 A
5170942 Spink et al. Dec 1992 A
5224471 Marelli et al. Jul 1993 A
5307953 Regan May 1994 A
5331954 Rex et al. Jul 1994 A
5349947 Newhouse et al. Sep 1994 A
5382236 Otto et al. Jan 1995 A
5398850 Sancoff et al. Mar 1995 A
5435282 Haber et al. Jul 1995 A
5505193 Ballini et al. Apr 1996 A
5516006 Meshberg May 1996 A
5690256 Smith Nov 1997 A
5711488 Lund Jan 1998 A
5715811 Ohki et al. Feb 1998 A
5797390 McSoley Aug 1998 A
5814020 Gross Sep 1998 A
5819730 Stone et al. Oct 1998 A
5823183 Casper et al. Oct 1998 A
5875776 Vaghefi Mar 1999 A
5881719 Gottenauer et al. Mar 1999 A
5899387 Haruch May 1999 A
5901703 Ohki et al. May 1999 A
5906198 Flickinger May 1999 A
5910301 Farr et al. Jun 1999 A
5954696 Ryan Sep 1999 A
6062213 Fuisz et al. May 2000 A
6092522 Calvert et al. Jul 2000 A
6145703 Opperman Nov 2000 A
6158676 Hughes Dec 2000 A
6180603 Frey Jan 2001 B1
6186141 Pike et al. Feb 2001 B1
6189739 von Schuckmann Feb 2001 B1
6294153 Modi Sep 2001 B1
6302101 Py Oct 2001 B1
6313093 Frey Nov 2001 B1
6347789 Rock Feb 2002 B1
6367471 Genosar et al. Apr 2002 B1
6367473 Käfer Apr 2002 B1
6382465 Perth May 2002 B1
6410046 Lerner Jun 2002 B1
6418925 Genova et al. Jul 2002 B1
6491940 Levin Dec 2002 B1
6540983 Adjei et al. Apr 2003 B1
6569463 Patel et al. May 2003 B2
6585172 Arghyris Jul 2003 B2
6585957 Adjei et al. Jul 2003 B1
6585958 Keller et al. Jul 2003 B1
6595202 Calvo Jul 2003 B2
6622721 Vedrine et al. Sep 2003 B2
6644305 MacRae et al. Nov 2003 B2
6644309 Casper et al. Nov 2003 B2
6647980 Gizurarson Nov 2003 B1
6681767 Patton et al. Jan 2004 B1
6684879 Coffee et al. Feb 2004 B1
6701916 Mezzoli Mar 2004 B2
6715485 Djupesland Apr 2004 B1
6729334 Baran May 2004 B1
6734162 Van Antwerp et al. May 2004 B2
6810872 Ohki et al. Nov 2004 B1
6923988 Patel et al. Aug 2005 B2
6991785 Frey Jan 2006 B2
7033598 Lerner Apr 2006 B2
7051734 Casper et al. May 2006 B2
7063686 Mezzoli Jun 2006 B2
7163013 Harrison Jan 2007 B2
7182277 Vedrine et al. Feb 2007 B2
7200432 Lerner et al. Apr 2007 B2
7214209 Mazzoni May 2007 B2
7231919 Giroux Jun 2007 B2
7258119 Mazzoni Aug 2007 B2
7296566 Alchas Nov 2007 B2
7347201 Djupesland Mar 2008 B2
7377901 Djupesland et al. May 2008 B2
7476689 Santus et al. Jan 2009 B2
7481218 Djupesland Jan 2009 B2
7543581 Djupesland Jun 2009 B2
7655619 During et al. Feb 2010 B2
7740014 Djupesland Jun 2010 B2
7784460 Djupesland et al. Aug 2010 B2
7799337 Levin Sep 2010 B2
7819342 Spallek et al. Oct 2010 B2
7832394 Schechter et al. Nov 2010 B2
7841337 Djupesland Nov 2010 B2
7841338 Dunne et al. Nov 2010 B2
7854227 Djupesland Dec 2010 B2
7866316 Giroux Jan 2011 B2
7875001 Minotti Jan 2011 B2
7905229 Giroux et al. Mar 2011 B2
7934503 Djupesland et al. May 2011 B2
7975690 Djupesland Jul 2011 B2
7994197 Cook et al. Aug 2011 B2
8001963 Giroux Aug 2011 B2
8047202 Djupesland Nov 2011 B2
8119639 Cook et al. Feb 2012 B2
8122881 Giroux Feb 2012 B2
8146589 Djupesland Apr 2012 B2
8171929 Djupesland et al. May 2012 B2
8327844 Djupesland Dec 2012 B2
8408427 Wong Apr 2013 B2
8448637 Giroux May 2013 B2
8511303 Djupesland Aug 2013 B2
8517026 Amon Aug 2013 B2
8522778 Djupesland Sep 2013 B2
8550073 Djupesland Oct 2013 B2
8555877 Djupesland Oct 2013 B2
8555878 Djupesland Oct 2013 B2
8596278 Djupesland Dec 2013 B2
8733342 Giroux et al. May 2014 B2
8757146 Hoekman et al. Jun 2014 B2
8800555 Djupesland Aug 2014 B2
8839790 Beck Arnon Sep 2014 B2
8875794 Carlsen et al. Nov 2014 B2
8899229 Djupesland et al. Dec 2014 B2
8899230 Immel Dec 2014 B2
8910629 Djupesland et al. Dec 2014 B2
8925544 Flickinger Jan 2015 B2
8978647 Djupesland et al. Mar 2015 B2
8987199 Abdel Maksoud et al. Mar 2015 B2
9010325 Djupesland et al. Apr 2015 B2
9038630 Djupesland et al. May 2015 B2
9067034 Djupesland et al. Jun 2015 B2
9072857 Djupesland Jul 2015 B2
9101539 Nagata et al. Aug 2015 B2
9119932 Djupesland Sep 2015 B2
9180264 Young et al. Nov 2015 B2
9272104 Djupesland Mar 2016 B2
9446207 Jung Sep 2016 B2
20020017294 Py Feb 2002 A1
20020054856 Jones May 2002 A1
20020092520 Casper et al. Jul 2002 A1
20020132803 Dedhiya et al. Sep 2002 A1
20030017119 Rabinowitz et al. Jan 2003 A1
20030158527 Mezzoli Aug 2003 A1
20030217748 Giroux Nov 2003 A1
20040025866 Vedrine et al. Feb 2004 A1
20040068222 Brian Apr 2004 A1
20040094146 Schiewe et al. May 2004 A1
20040238574 Merk et al. Dec 2004 A1
20050023376 Anderson Feb 2005 A1
20050028812 Djupesland Feb 2005 A1
20050036985 Ensoli Feb 2005 A1
20050098172 Anderson May 2005 A1
20050142072 Birch et al. Jun 2005 A1
20050274378 Bonney et al. Dec 2005 A1
20060107957 Djupesland May 2006 A1
20060219813 Morrison Oct 2006 A1
20060240092 Breitenkamp et al. Oct 2006 A1
20060260608 Armstrong et al. Nov 2006 A1
20070056585 Davies et al. Mar 2007 A1
20070068514 Giroux Mar 2007 A1
20070074722 Giroux et al. Apr 2007 A1
20070119451 Wang et al. May 2007 A1
20070131224 Giroux Jun 2007 A1
20070172517 Sasson et al. Jul 2007 A1
20070202051 Schuschnig Aug 2007 A1
20070272763 Dunne et al. Nov 2007 A1
20080054099 Giroux et al. Mar 2008 A1
20080163874 Djupesland Jul 2008 A1
20080178871 Genova et al. Jul 2008 A1
20080230053 Kraft et al. Sep 2008 A1
20080289629 Djupesland et al. Nov 2008 A1
20080305077 Frey et al. Dec 2008 A1
20090320832 Djupestand Dec 2009 A1
20100074959 Hansom et al. Mar 2010 A1
20100218759 Anderson et al. Sep 2010 A1
20110023869 Djupesland Feb 2011 A1
20110045088 Tsutsui et al. Feb 2011 A1
20110048414 Hoekman et al. Mar 2011 A1
20110053859 Deadwyler et al. Mar 2011 A1
20120195959 Ishii Aug 2012 A1
20120222675 Dunne et al. Sep 2012 A1
20140083424 Haekman et al. Mar 2014 A1
20140170220 Cartt et al. Jun 2014 A1
20140343494 Hoekman et al. Nov 2014 A1
20150057287 Cook et al. Feb 2015 A1
20150216823 Chatterjee Aug 2015 A1
20150258178 Gong Sep 2015 A1
20160101245 Hoekman et al. Apr 2016 A1
20160228433 Haruta et al. Aug 2016 A1
Foreign Referenced Citations (34)
Number Date Country
1293580 May 2001 CN
1930054 Mar 2007 CN
101528358 Sep 2009 CN
101594895 Dec 2009 CN
101980738 Feb 2011 CN
19518580 Nov 1996 DE
102013100473 Jul 2014 DE
692273 Jan 1996 EP
1165044 Jan 2002 EP
806284 Dec 1958 GB
1517642 Jul 1978 GB
H0838607 Feb 1996 JP
H08280808 Oct 1996 JP
H08322934 Dec 1996 JP
H09135901 May 1997 JP
H09248342 Sep 1997 JP
2000217919 Aug 2000 JP
2005537834 Dec 2005 JP
2007535352 Dec 2007 JP
2010501227 Jan 2010 JP
2010501228 Jan 2010 JP
2011511674 Apr 2011 JP
WO 1986001731 Mar 1986 WO
WO 1996029044 Sep 1996 WO
WO 1999013930 Mar 1999 WO
WO 2000054887 Sep 2000 WO
WO 2001036033 May 2001 WO
WO 2002009707 Feb 2002 WO
WO 2007012853 Feb 2007 WO
WO 2008059385 May 2008 WO
WO 2009100383 Aug 2009 WO
WO 2012024595 Feb 2012 WO
WO 2012072542 Jun 2012 WO
WO 2012119153 Sep 2012 WO
Non-Patent Literature Citations (62)
Entry
Appasaheb, et al., “Review on Intranasal Drug Delilvery System”, Journal of Advanced Pharmacy Education and Research, vol. 3, Issue 4, Oct. 2013, 14 pages.
Banks, et al., “Brain Uptake of the Glucagon-Like Peptide-1 Antagonist Exendin(9-39) After Intranasal Administration”, J. Pharmacol. Exp. Ther., 2004, vol. 309 (2), pp. 469-475.
Baron, “Orally Inhaled Dihydroergotamine; Reviving and Improving a Classic”, Future Neurology, May 2011, 11 pages.
Constantino, et al., “Intranasal administration of acetylcholinesterase inhibitors”, BMC Neuroscience, Dec. 10, 2008, 3 pages.
The Australian Office Action dated Dec. 4, 2017 for Australian patent application No. 2012253569, a counterpart foreign application of U.S. Appl. No. 14/075,126, 5 pages.
The Japanese Reexamination Report mailed Aug. 29, 2017 for Japanese patent application No. 14-510444, a counterpart foreign application of U.S. Appl. No. 14/075,126, 6 pages.
Ding, et al., “Olfactory Mucosa: Composition, Enzymatic Localization, and Metabolism”, Handbook of Olfaction and Gustation, 2nd Ed (Doty RL, Ed), 2003, pp. 51-73.
EP Ofice Action for 14727320.5, dated Nov. 9, 2016, 6 pages.
EP Search Report for 09707800.0 dated Jul. 1, 2015, 12 pages.
EP Search Report for 11818832.5 dated Sep. 24, 2014, 6 pages.
Guo, et al., “Evaluation of Impaction Force of Nasal Sprays and Metered-Dose Inhalers Using the Texture Analyser”, J. Pharm. Sci., 2009, vol. 98 (8), pp. 2799-2806.
Hanson, et al., “Intranasal delivery of growth differentiation factor 5 to the central nervous system”, Drug Delivery, 19(3):149-54, Feb. 2012, 7 pages.
Henry, et al., “A Pharmacokinetic Study of Midazolam in Dogs: Nasal Drop vs. Atomizer Administration”, Pediatr. Dent, 1998, vol. 20 (5), pp. 321-326.
Hoekman, J.D., “The Impact of Enhanced Olfactory Deposition and Retention on Direct Nose-to-Brain Drug Delivery”, UMI Dissertation Publishing, Apr. 11, 2011, 181 pages.
International Search Report for PCT/US/2009/033468 dated Dec. 2, 2009, 5 pages.
Kumar, et al., “Nasal Drug Delivery: A Potential Route for Brain Targeting” The Pharma Innovation Journal, vol. 2, No. 1, Mar. 2013. 9 pages.
Letrent, et al., “Effects of a Potent and Specific p. Glycoprotein Inhibitor on the Blood-Brain Barrier Distribution and Antinociceptive Effect of Morphine in the Rat”, Drug Metab. Dispos., 1991, vol. 27 (7), pp. 827-834.
Liu, et al., “Creation of a Standardized Geometry of the Human Nasal Cavity”, J. Appl. Physiol., 2009, vol. 106 (3), pp. 784-795.
Mathison, et al., “Nasal Route for Direct Delivery of Solutes to the Central Nervous System: Fact or Fiction?”, J. Drug Target, 1998, vol. 5 (6), pp. 415-441.
Morrison, et al., “Morphology of the Human Olfactory Epithelium”, J. Comp. Neurol., 1990, vol. 297 (1), pp. 1-13.
National Intellectual Property Administration, Chinese Office Action, Chinese Patent Application No. 201710572447.X, dated Sep. 29, 2019, 23 pages.
Office Action for Canadian Patent Application No. CA 2,835,208, dated Feb. 26, 2018, 4 Pages.
Ozsoy, et al., “Nasal Delivery of High Molecular Weight Drugs”, Molecules Journal, Sep. 23, 2009, 26 pages.
Pardridge, “Targeting Neurotherapeutic Agents through the Blood-Brain Barrier”, Arch. Neurol., 2002, vol. 59 (1), pp. 35-40.
Pardridge, “The Blood-Brain Barrier and Neurotherapeutics”, NeuroRx., 2005, vol. 2 (1), pp. 1-2.
Pardridge, “The Blood-Brain Barrier: Bottleneck in Brain Drug Development”, NeuroRx., 2005, vol. 2 (1), pp. 3-14.
Parvathi, “Intranasal Drug Delivery to Brain: An Overview,” published in the International Journal of Research in Pharmacy and Chemistry 2012, 2(3), 7 pages.
PCT Application PCT/US2011/048435, filed on Aug. 19, 2011, Hoekman et al., Circumferential Aerosol Device for Delivering Drugs To Olfactory Epithelium and Brain, 191 pages.
Petroianu, et al., “New K-Oximes (K-27 and K-48) in Comparison with Obidoxime (LuH-6), HI-6, Trimedoxime (TMB-4), and Pralidoxime (2-PAM): Survival in Rats Exposed IP to the Organophosphate Paraoxon”, Toxicol. Mech. Methods, 2007, vol. 17 (7), pp. 401-408.
Renner, et al., “Intranasal delivery of growth differentiation factor 5 to the central nervous system,” Drug Delivery, Feb. 2012, 7 pages.
Sakane, et al., “Transport of Cephalexin to the Cerebrospinal Fluid Directly from the Nasal Cavity”, J. Pharm. Pharmacol., 1991, vol. 43 (6), pp. 449-451.
Spraying Systems, “Technical Reference” Jun. 25, 2006, p. A5.
Stevens, et al., “Systemic and Direct Nose-to-Brain Transport Pharmacokinetic Model for Remoxipride after Intravenous and Intranasal Administration”, in “Drug Metabolism and Disposition”, The American Society for Pharmacology and Experimental Therapeutics, vol. 39, No. 12, 8 pages.
Talegaonkar, et al., “Intranasal delivery: an approach to bypass the blook brain barrier”, Indian J Pharmacol, Jun. 2004, vol. 36, Issue 3, 8 pages.
The Australian Office Action dated Jan. 23, 2017 for Australian patent application No. 2012253569, a counterpart foreign application of U.S. Appl. No. 14/075,126, 3 pages.
The European Office Action dated Aug. 16, 2017 for European patent application No. 12781605.6, a counterpart foreign application of U.S. Appl. No. 14/075,126, 5 pages.
The Extended EP Search Report dated Nov. 28, 2014 for European patent application No. 12781605.6, 10 pages.
The Japanese Reexamination Report dated Aug. 29, 2017 for Japanese patent application No. 2014-51044.4, a counterpart foreign application of U.S. Appl. No. 14/075,126, 6 pages.
The PCT Search Report and Written Opinion dated Aug. 14, 2014 for PCT application No. PCT/US14/35711, 13 pages.
The PCT Search Report and Written Opinion dated Jul. 26, 2012 for PCT application No. PCT/US12/37132, 9 pages.
The PCT Search Report and Written Opinion dated Mar. 27, 2012 for PCT application No. PCT/US11/48435, 14 pages.
Thiermann, et al., “Pharmacokinetics of Obidoxime in Patients Poisoned with Organophosphorus Compounds” Toxicol. Lett., 2010, vol. 197 (3), pp. 236-242.
Translated Chinese Office Action dated Jan. 18, 2017 for Chinese Patent Application No. 21280029975.6, a counterpart foreign application of U.S. Appl. No. 14/075,126, 6 pages.
Translated Chinese Office Action dated May 24, 2016 for Chinese patent application No. 21280029975.6, a counterpart foreign application of U.S. Appl. No. 14/075,126, 38 pages.
Translated Chinese Office Action dated Sep. 9, 2015 for Chinese patent application No. 201280029975.6, a counterpart foreign application of U.S. Appl. No. 14/075,126, 39 pages.
Translated Japanese Office Action dated Apr. 5, 2016 for Japanese Patent Application No. 2014-510444, a counterpart foreign application of U.S. Appl. No. 14/075,126, 25 pages.
Translated Japanese Office Action dated Mar. 28, 2017 for Japanese patent application No. 2014-510444, a counterpart foreign application of U.S. Appl. No. 14/075,126, 7 pages.
Translated Russian Office Action dated Apr. 26, 2016 for Russian Patent Application No. 2013154420, a counterpart foreign application of U.S. Appl. No. 14/075,126, 6 pages.
Translated Russian Office Action dated Aug. 18, 2016 for Russian patent application No. 2013154420, a counterpart foreign application of U.S. Appl. No. 14/075,126, 6 pages.
United States Office Action, U.S. Appl. No. 14/075,126, dated Jan. 14, 2016, 35 pages.
United States Office Action, U.S. Appl. No. 14/075,126, dated Oct. 18, 2016, 25 pages.
United States Office Action, U.S. Appl. No. 15/844,474, dated Dec. 19, 2019, 68 pages.
Westin et al., “Direct Nose to Brain Transfer of Morphine After Nasal Administration to Rats”, Pharmaceutical Research, vol. 23, No. 3, Mar. 2006, 8 pgs.
Westin, “Olfactory Tranfser of Analgesic Drugs After Nasal Administration”, Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Pharmacy 55, May 11, 2007, 66 pages.
Yamada, et al., “Nose-to-brain delivery of TS-002, prostaglandin D2 analogue”, Journal of Drug Targeting, Jan. 2007, 9 pages.
Yiman, et al., “Effects of lipid association on lomustine (CCNU) administered intracerebrally to syngeneic 36B-10 rat brain tumors”, Cancer Letters 244(2), Dec. 2006, 9 pages.
Ying, “The nose may help the brain: intranasal drug delivery for treating neurological diseases” Future Medecine, 3(1), Jan. 2008, 4 pages.
Zhang et al., “Preparation of Nimodipine-Loaded Microemulsion for Intranasal Delivery and Evaluation on the Targeting Efficiency to the Brain”, Int. J. Pharm., 2004, vol. 275 (1-2), pp. 85-96.
Zhang, et al., “The brain targeting efficiency following nasally applied MPEG-PLA nanoparticles in rats”, Journal of Drug Targeting, Jun. 2006, 11 pages.
United States Office Action, U.S. Appl. No. 15/890,266, dated Sep. 2, 2020, nine pages.
United States Office Action, U.S. Appl. No. 15/890,266, dated Jun. 22, 2020, 16 pages.
United States Office Action, U.S. Appl. No. 15/890,266, dated Jan. 8, 2020, 19 pages.
Related Publications (1)
Number Date Country
20210322689 A1 Oct 2021 US
Provisional Applications (1)
Number Date Country
61484048 May 2011 US
Continuations (3)
Number Date Country
Parent 15890266 Feb 2018 US
Child 17164371 US
Parent 14075126 Nov 2013 US
Child 15890266 US
Parent PCT/US2012/037132 May 2012 US
Child 14075126 US