IMPROVEMENTS RELATING TO INHALERS
20220218925 · 2022-07-14
Inventors
Cpc classification
A61M15/009
HUMAN NECESSITIES
A61M2205/13
HUMAN NECESSITIES
A61M2205/8212
HUMAN NECESSITIES
A61M2205/3592
HUMAN NECESSITIES
A61M2205/3553
HUMAN NECESSITIES
A61M2205/8262
HUMAN NECESSITIES
A61M2205/58
HUMAN NECESSITIES
A61M2205/52
HUMAN NECESSITIES
International classification
Abstract
The present invention discloses a method of determining the delivery of a dosage from an inhaler able to deliver an active pharmaceutical ingredient (API) as an inhalable aerosol to a user comprising at least the steps of (i) measuring user inhalation airflow during a use occasion of the inhaler to determine the portion of the inhalation above an airspeed threshold F1; (ii) measuring the volume of air inhaled by the user during the use occasion of the inhaler to determine the portion of inhalation occurring prior to a swept volume threshold V1; (iii) determining a first portion P1 of the dosage provided by the inhaler during the use occasion above the threshold F1 and provided prior to threshold V1.
Claims
1. A method of determining the delivery of a dosage from an inhaler able to deliver an active pharmaceutical ingredient (API) as an inhalable aerosol to a user comprising at least the steps of (i) measuring user inhalation airflow during a use occasion of the inhaler to determine the portion of the inhalation above an airspeed threshold; (ii) measuring the volume of air inhaled by the user during the use occasion of the inhaler to determine the portion of inhalation occurring prior to a swept volume threshold; (iii) determining a first portion of the dosage provided by the inhaler during the use occasion above the threshold and provided prior to threshold.
2. The method according to claim 1 further comprising the steps of (iv) determining a second portion of the first dosage such that the sum of P1 and P2 equals the first dosage; (v) determining delivery of the calculated portion of step (iv) during a further delivery of the API from the inhaler.
3. The method according to claim 2 wherein step (v) comprises determining to increase one or more subsequent dosages of the API from the inhaler to include the calculated portion of step (iv).
4. The method according to claim 2 wherein step (v) comprises determining to deliver a subsequent dosage of the API wholly or substantially equal to the calculated portion of step (iv).
5. The method according to claim 1, further comprising providing feedback of one or more of steps (i)-(v) to the user.
6. The method according to claim 1, further comprising communicating one or more of steps (i)-(v) to a remote source.
7. The method according to claim 1, further comprising the step of providing feedback to the user to indicate inhalation threshold achieved.
8. The method according to claim 1, further comprising the step of providing feedback to the user to indicate swept volume threshold achieved.
9. The method according to claim 1, further comprising the step of providing a user with advice on inhalation technique based on the values determined in steps (i)-(v).
10. An apparatus capable of determining the delivery of a dosage from an inhaler able to deliver an active pharmaceutical ingredient (API) as an inhalable aerosol to a user, the apparatus comprising: a battery, an airflow sensor able to measure user inhalation airflow during a use occasion of the inhaler to determine the portion of the inhalation above an airspeed threshold and to measure the volume of air inhaled by the user during the use occasion of the inhaler to determine the portion of inhalation occurring prior to a swept volume threshold; a delivery controlling means able to determine a first portion of the dosage provided by the inhaler during the use occasion above the threshold and provided prior to threshold; a feedback means able to feedback to the user or a remote source; a communication means; and an information storage means.
11. The apparatus according to claim 10 wherein the delivery controlling means is also able to determine a second portion of the first dosage such that the sum of the first portion and the second portion equals the first dosage, and to determine delivery of the second portion during a further delivery of the API from the inhaler.
12. The apparatus according to claim 11 wherein the delivery controlling means is able to determine increasing one or more subsequent dosages of the API from the inhaler to include the second portion.
13. The apparatus according to claim 11 wherein the delivery controlling means is able to determine delivering a subsequent dosage of the API wholly or substantially equal to the second portion.
14. The apparatus according to claim 10, further comprising a vapourisation means and a liquid formulation comprising the active pharmaceutical ingredient (API) in a reservoir.
15. The apparatus according to claim 10, wherein the delivery controlling means is able to release the API only when the airflow sensor measures user inhalation airflow above an airspeed threshold.
16. The apparatus according to claim 10, wherein the feedback means includes one or more of the group comprising: visual means, audible means, haptic means, wireless means and electronic means.
17. The apparatus according to claim 10 secured to an inhaler able to deliver an active pharmaceutical ingredient (API) as an inhalable aerosol to a user.
18. An inhaler able to deliver an active pharmaceutical ingredient (API) dosage as an inhalable aerosol to a user, the inhaler comprising a battery, a vapourisation means, a liquid formulation comprising the active pharmaceutical ingredient (API) in a reservoir, an airflow sensor, a delivery controlling means and an information storage means, wherein the airflow sensor is able to measure user inhalation airflow during a use occasion of the inhaler to determine the portion of the inhalation above an airspeed threshold and to determine the portion of the inhalation prior to a threshold swept volume, and the delivery controlling means is able to determine a first portion of the dosage provided by the inhaler during the use occasion above the threshold and prior to threshold.
19. The inhaler as claimed in claim 18 wherein the delivery controlling means is able to determine a second portion of the first dosage of the first dosage such that the sum of the first portion and the second portion equals the first dosage, and to determine the required delivery of the second portion during a further delivery of the API from the inhaler.
20. The inhaler as claimed in claim 18 wherein the delivery controller means is able to determine an increase in one or more subsequent dosages of the API from the inhaler to include the second portion.
21. The inhaler as claimed in claim 18 wherein the delivery controller means is able to determine delivery of a subsequent dosage of the API wholly or substantially equal to the second portion.
22. The inhaler according to claim 18, wherein the delivery controller means operates the vapourisation means when the airflow sensor measures user inhalation airflow above an airspeed threshold.
23. The inhaler according to claim 18, further comprising feedback means, optionally being one or more of visual means, audible means, haptic means, wireless means and electronic means.
24. (canceled)
Description
[0058] These and other features of the present invention, as well as the methods of operation and functions of the related elements, will become more apparent upon consideration of the following description and the appended claims with reference to the accompanying drawings, all of which form a part of this specification, wherein like reference numerals designate corresponding parts in various figures. It is to be expressly understood, however, that the drawings are for the purpose of illustration and description only and are not intended as a definition of the limits of the invention.
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[0069] The portion of the dose P1 administered within region 107 is considered successfully delivered to the user. The portion of the dose P2 administered outside region 107 is considered unsuccessfully delivered to the user.
[0070] Threshold inhalation rate F1 is defined as an airflow rate sufficient to entrain the inhalable aerosol produced by the device and carry the aerosol into the lung to be deposited within the alveoli where the active ingredients can be absorbed into the blood stream. Threshold inhalation rate F1 is greater than 0.01 litres per second as measured on a spirometer. Preferably a threshold inhalation rate F1 is greater than 0.05 litres per second. More preferably a threshold inhalation rate F1 is greater than 0.1 litres per second.
[0071] Swept volume V1 is defined as a volume of air equivalent to the upper respiratory tract of the user. This volume depends on the user anatomy being greater for those with larger thoracic cavity, e.g. adults typically have greater volume than children. V1 can be in the range 100 to 2000 ml, more preferable V1 is in the range 500 to 1500 ml, more preferably V1 is in the range 750 ml to 1250 ml.
[0072] By providing an aerosolization system that sufficiently characterised it is possible to accurately establish the amount of API administered by the apparatus during a use occasion. Of key importance to the accuracy of the estimation of API administration is: i) a known fixed concentration of API within the liquid formulation; ii) a known fixed heat of vapourisation of the liquid formulation; iii) a known thermal mass of the vapourisation means, iv) a known amount of energy supplied to the vapourisation means; v) a known resistance of the vapourisation means. To reduce the complexity of the calculation it is preferable to use a vapourisation means with a constant resistance over operational range of temperature, suitable materials with include NiChrom. To reduce the complexity of the calculation it is preferable to supply energy to the vapourisation means at a constant rate, pulse width modulation is a suitable means to achieve this.
[0073] The electrical energy entering the vapourisation means is converted to heat by the heat generative element. This heat has at least three outcomes: i) the temperature of the vapourisation means increases, ii) heat is lost to the surroundings iii) the liquid formulation is volatinised.
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[0075] A sufficiently characterised vapourisation means will have a repeatable lag period 103. The lag period and the energy required to get to a steady state system can both be established experimentally. The energy required to get to a steady state system can also be estimated from the thermal mass of the vapourisation means and liquid formulation contained therein. The energy required is a function of the specific heat capacities of the heated components of the vapourisation means including at least the heat generative means, a portion of the wicking material and a volume of liquid formulation and the temperature change. The temperature change of the vapourisation means during this lag period will be from ambient to the boiling point of the liquid formulation.
[0076] To simplify the calculations an estimate of ambient can be made at 20° C. For more accurate calculations a measurement of the starting temperature of the vapourisation means can be made. Temperature measurement can be made directly for example using a thermocouple. Temperature measurement can be made indirectly for example by using a heat generative element whose resistance changes with temperature.
[0077] In an embodiment of the present invention, the delivery controlling means establishes the amount of API administered by a calculation using at least: the concentration of API within the liquid formulation, the heat of vapourisation of the liquid formulation and the amount of energy supplied to the vapourisation means.
[0078] In an alternate embodiment of the present invention, the delivery controlling means established the amount of API administered by a calculation using at least: the concentration of API within the liquid formulation and the length of time the vapourisation means is energised.
[0079] In an embodiment of the present invention, the delivery controlling means establishes the amount of API administered by a calculation using at least: the concentration of API within the liquid formulation, the heat of vapourisation of the liquid formulation and the amount of energy supplied to the vapourisation means less an adjustment for the lag period 103.
[0080] In an embodiment of the present invention a method of enhancing user compliance with a prescribed dosage regime is provided that comprises at least the steps of: providing a pre-determined dose of API for a first use occasion; calculating the amount of dose unsuccessfully delivered during the first use occasion; adjusting a least one subsequent dose.
[0081] In an embodiment of the present invention a method of enhancing user compliance with a prescribed dosage regime is provided that further comprises increasing a least one subsequent dose by up to the amount of dose unsuccessfully delivered during the first use occasion.
[0082] In an alternate embodiment of the present invention a method of enhancing user compliance with a prescribed dosage regime is provided that further comprises providing a subsequent dose of API equal to or less than the amount of unsuccessfully delivered dose from the first use occasion.
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[0088] The term aerosol shall be interpreted to include gas, vapour, droplets, condensates, particulates and combinations thereof. An inhalable aerosol shall mean an aerosol with an average particle size as measured by laser dispersion ranging from 0.1 to 10 μm, more preferably 0.1 to 1.5 μm.
[0089] Liquid formulation 20 shall be interpreted to include liquids, mixtures, solutions, suspensions, micelles, gels, foams, mousses and combinations thereof. Additionally, the liquid formulation can be contained within a matrix, absorbed within a matrix or adsorbed onto a matrix and combinations thereof. Suitable matrices include absorbent fabrics such as cotton or glass wool and solid adsorbents such as zeolites and other inorganic clays.
[0090] Battery 12 shall be interpreted as any means of storing an electrical charge including metal-acid accumulators, cells based on zinc, nickel or lithium wherein the electrolyte is liquid, solid or polymeric in nature. Alternatively, a capacitor can also be used as a means of storing electrical charge. Of particular relevance to the present invention are lithium-polymer rechargeable batteries such as those based on lithium iron phosphate and lithium manganese oxide.
[0091] A vaporisation means 21 shall be interpreted to be any means of converting the liquid formulation 20 into an aerosol. In a preferred embodiment, the vaporisation means 21 utilises a heat generative element to generate heat energy which converts the liquid formulation into a vapour. This vapour subsequently condenses to form droplets which are suitable for inhalation. The heat generative element converts electrical energy derived from the battery 12 into heat. Heat is produced as a result of the resistive nature of the heat generative element. The heat generative element can be composed of a resistive metal such as titanium and stainless steel or a metal alloy and combinations thereof. Preferably the heat generative element contains the alloy NiChrom which is desirable as it has a constant resistance at a range of temperatures. Alternatively, the heat generative element can be composed of a resistive ceramic such as those based on alumina or silicon nitride.
[0092] A vaporisation means 21 is further characterised by being in fluid connection with the liquid formulation 20 to provide a supply of liquid for vaporisation. The connection between the vaporisation means 21 and the liquid formulation 20 is by a wicking means such as a wick, capillary system or tube capable of transferring liquid. Of particular relevance to the present invention are materials that interact with the liquid formulation by capillary action. Such materials act both to transfer liquid to the heat generative means by forming a continuous liquid path and act as a barrier to prevent undesirable liquid leakage from the device due to their ability to retain liquid within their structure.
[0093] An airflow sensor 18 is any system capable of detecting the movement of air through the device and providing an electrical communication to the delivery controlling means 13. Airflow sensor 18 can be interpreted to mean a single sensor or multiple sensors. In an embodiment of the present invention one sensor is used to detect an air flow rate and a second sensor detect a higher air flow rate, the combination of both sensor outputs is then used to determine air flow within a desirable range. Additional air flow ranges can be determined by the appropriate use of different sensing levels with one or more sensors. A preferred embodiment utilises a single sensor with multiple sensing thresholds that can provide electrical communication corresponding to the different air flows. An airflow sensor can measure airflow using a rotating vane anemometer, a moving vane meter, a hot-wire detector, a Kármán vortex sensor, an electromechanical membrane sensor, MEMS technology or combinations thereof.
[0094] A preferred embodiment of the present invention utilises an airflow sensor 18 containing a capacitive microphone to detect air flow. The flow of air through a device alters air pressure and generates turbulence which deflects a charged diaphragm within a microphone causing a change in capacitance. The change in capacitance is detected electronically and used to generate a communications signal to the delivery controlling means.
[0095] An alternative preferred embodiment of the present invention utilises a MEMS pressure sensor as an airflow sensor 18. The action of the user inhaling through the apparatus causes a reduction in air pressure which is converted into an electrical signal by the MEMS sensor and the signal is passed to the delivery controlling means. Higher flow rates cause a greater reduction in air pressure, hence within a defined airflow pathway such MEMS sensor can be accurately calibrated to measure user inhalation air flow.
[0096] A user activated element 5, 8 is a means by which a user can interact with the device to bring a change from sleep mode to active mode. Preferably a user activated element is a means to alter an electrical circuit such which communicates with the delivery controlling means to activate the device. A user activated means may be a button, switch, lever, contacts, touch switch reliant upon capacitance, resistance or piezo or combination thereof. Preferably a user activated element is a depressible button 5. It is advantageous that the design of the user activated element prevents accidental activation or activation by a minor. Such accidental activation can be prevented by using mechanically complexity or more preferably by requiring a particular sequence of button presses such as five presses within two seconds to cause activation.
[0097] In an alternative preferred embodiment, a user activated element is a physical barrier which prevents use of the device unless moved. The action of moving the physical barrier from its resting position is preferably linked to the actuation of an electrical means which communicates with the delivery controlling means. The physical barrier can be separable from the device or be conjoined via a joining element. A separable user activated element can be a removable case, housing or sleeve. In an alternative embodiment, the physical barrier is mechanically complex which is useful to prevent unintended usage of the device by minors such as a cap 8 which can be child resistant.
[0098] A delivery controlling means 13 shall be interpreted as electronic circuitry which can respond to communication signals from the airflow sensor 18, activate the vaporisation means 21 and alter the state of the feedback mechanism 4, 7. A delivery controlling means can perform various calculations including but not limited to calculating P1 and P2. Additionally, a delivery controlling means can also respond to a communication signal from the user activated element 5, 8. Additionally, a delivery controlling means can also activate the airflow sensor 18. A delivery controlling means 13 typically utilises at least one microprocessor to process the communications, perform calculations, actuate elements and alter the feedback mechanism.
[0099] In an embodiment of the present invention the delivery controlling means 13 interacts with a removable liquid formulation reservoir 3 and thereby modifies at least one vaporisation parameter including temperature, time, duration and combinations thereof, the relevant parameters being stored within an information storage means 14a within the removable liquid formulation reservoir, in a library referenced by the delivery controlling means or combinations thereof.
[0100] A delivery controlling means 13 can be in communication with an information storage means 14, 14a. Preferably an information storage means is a solid-state memory. The information storage means can be part of the main apparatus body 14. The information storage means can be part of the liquid formulation reservoir 14a. Preferably both the main apparatus body and the liquid formulation reservoir contain information storage means.
[0101] Preferably the delivery controlling means can communicate externally to provide electronic feedback via a plug-in wired interface using a standard protocol such as USB. Preferably the delivery controlling means can communicate externally using a communication means 15 using means such as Bluetooth, WiFi, LoRA, radiowave, microwave, infra-red and combinations thereof to provide wireless feedback. Preferably external communications are two-way providing data to the external system and receiving data from the external system.
[0102] Data to be provided by the delivery controlling means to the external system includes use events and device information. A use event means any interaction between the user and the device relevant to the purpose of the invention and any resultant event caused by that action. A use event includes removal of a cap, insertion of a liquid formulation reservoir, actuation of a user activated element, inhalation, achievement of the suitable inhalation flow rate, achievement of the desired duration of inhalation, activation of the vaporisation means, status of feedback mechanism, successful delivery of API, unsuccessful delivery of API, amount of pre-determined dose successfully delivered P1; amount of pre-determined dose unsuccessfully delivered P2 and combinations thereof.
[0103] Device information includes identifiers and version numbers of device hardware, firmware, software; identifiers for removable liquid formulation reservoir; amount of battery capacity and liquid formulation used and remaining, fault codes, system status, system time and combinations thereof.
[0104] Data to be received by the delivery controlling means from the external system includes prescription information, prescribed dosage regimes, software updates, firmware updates, fault diagnosis, fault resetting, system resetting, information regarding the liquid formulation and the liquid formulation reservoir, parameters for vaporisation and combinations thereof.
[0105] In an embodiment of the present invention the delivery controlling means receives instructions from an external system and thereby modifies at least one vaporisation parameter including temperature, time, duration, delay and combinations thereof.
[0106] A communication means can communicate the amount of API successfully delivered during a use occasion to an external system. A communication means can communicate the amount of API unsuccessfully delivered during a use occasion to an external system.
[0107] A feedback mechanism is any means for the device to communicate with the user to confirm or indicate device status including visual, auditory, haptic means and combinations thereof. A feedback mechanism has at least two states that the delivery controlling means switches between. More preferably a feedback mechanism has multiple states that can be activated by the delivery controlling means. Preferably the feedback means comprises at least two of visual means, audible means and haptic means.
[0108] A feedback means can provide feedback to the patient to indicate suitable inhalation rate achieved and suitable inhalation duration achieved using a feedback mechanism. A feedback means can provide feedback on the amount of API successfully delivered during a use occasion. A feedback means can provide feedback on the residual amount of API unsuccessfully delivered during a use occasion.
[0109] An embodiment of the present invention comprises an apparatus and method for enhancing user compliance with a prescribed dosage regime comprises at least a battery, a vapourisation means, a liquid formulation reservoir, an airflow sensor, a delivery controlling means, an information storage means, a feedback means and a communication means.
[0110] A preferred embodiment of the present invention uses at least one light emitting diode 4 (LED) to provide visual feedback. The multiple states for visual feedback include turning on, turning off, change in intensity, change in colour of the at least one LED and combinations thereof. In a preferred embodiment, more than one LED is used to provide visual feedback. An alternative embodiment uses at least one liquid crystal display 7 (LCD) to provide visual feedback, more preferably an array of LCD such as a seven segment LCD which can be used to display alpha numeric characters. Alternate display technologies such as those found in consumer electronic apparatus can also be used to provide visual feedback.
[0111] An alternate preferred embodiment of the present invention uses at least one speaker 17 to produce audible feedback. The multiple states for audible feedback include turning on, turning off, change in intensity, change in pitch of sound emitted, verbal messages, and combinations thereof.
[0112] An alternate preferred embodiment of the present invention uses at least one vibration motor 16 to produce haptic feedback. The multiple state for haptic feedback include turning on, turning off, change in intensity, change in pitch of vibrations emitted and combinations thereof.
[0113] More preferably the feedback mechanism uses visual feedback and at least one other feedback means such as audible or haptic or both. This is useful for visually impaired users.
[0114] The term active pharmaceutical ingredient (API) shall be interpreted as any chemical which has a pharmacological or sensorial effect. The terms drug and medicament are hereby included within this definition of API.
[0115] Optionally the API may comprise tobacco, extracts of tobacco (by water or organic solvent), nicotine, taurine, clove and combinations thereof.
[0116] Optionally the API may comprise: cetirizine, pseudoephedrine, ibuprofen, naproxen, omeprazole, doxylamine, diphenhydramine, melatonin, or meclizine and combinations thereof.
[0117] Optionally the API may comprise: albuterol, levalbuterol, pirbuterol, salmeterol, formoterol, atropine sulfate, ipratropium bromide, fluticasone, budesonide, mometasone, montelukast, zafirlukast, theophylline or combinations thereof.
[0118] Optionally the API may comprise: a polyphenol, a green tea catechin, caffeine, a phenol, a glycoside, a labdane diterpenoid, yohimbine, a proanthocyanidin, terpene glycoside, an omega fatty acid, echinacoside, an alkaloid, isovaleric acid, a terpene, gamma-aminobutyric acid, a senna glycoside, cinnamaldehyde, Vitamin D or combinations thereof.
[0119] Optionally the API may comprise organic material from a Cannabis genus plant, an extract from a Cannabis genus plant, a cannabinoid or combinations thereof. The API may comprise tetrahydrocannabinol (THC), carmabigerolic acid, cannabigerol, tetrahydrocannabinolic acid, cannabichromene, cannabicyclol, cannabivarin, cannabichromevarin, cannabigerovarin, cannabigerol monomethyl ether, delta-8-tetrahydrocannabinol, delta-9-tetrahydrocannabinol, tetrahydrocannabivarin, cannabinolic acid, cannabinol, cannabidiolic acid, cannabidivaric acid, cannabidiol (CBD), cannabichromenic acid, cannabichromene, cannabicyclolic acid or combinations thereof.
[0120] In a preferred embodiment the API is CBD. In an alternative embodiment the API is THC. In an alternative embodiment the API is a combination of THC and CBD.
[0121] In a preferred embodiment of the present invention the outer body of the device 9 is made of acrylonitrile butadiene styrene plastic; the airflow sensor 18 is a Pressure sensor by ST Micro; the battery 12 is a lithium polymer cell 3.7 v 840 mAh by YOK; the feedback mechanism 4 is an array of four LEDs and a vibration motor 16; the liquid formulation 20 is a 1 millilitre solution of 200 mg per millilitre CBD in a 80:20 mix of propylene glycol and glycerine; the vaporisation means 21 comprises a heat generative element composed of Nichrome wire of resistance 2 ohm, wrapped helically around a central glass fibre wick separated from the liquid formulation 20 by a pad of cotton wicking material; the body of the liquid formulation reservoir is made of polyethylene terephthalate; the user activated element 5 is a push-to-make depressible button; the delivery controlling means 13, communication means 15 and information storage means 14 are an integrated unit based on a Nordic Semiconductor Bluetooth SOC and an Atmel 8 bit AVR Microcontroller, with the circuit completed using appropriate components and coded appropriately by those skilled in the art.
[0122] In this preferred embodiment, the desirable inhalation threshold F1 is set at 0.025 litres per second and the desirable swept volume V1 is set at 250 ml.
[0123] Following the flow diagram depicted in
[0124] The delivery controlling means 13 calculates the total amount of energy required E1 to deliver the first dose of API D1. This utilises a stored value for the initial energy (I) related to the lag period 103 and the actual energy required (E) during the steady state 104 calculated from the specific heat of vapourisation of the liquid formulation 20, the concentration of API within said formulation and the dose D1 of API required.
[0125] Upon sensing user inhalation airflow greater than desired threshold F1 the vapourising means 21 is energised and an inhalable aerosol is produced from the liquid formulation 20. Provided the inhalation airflow remains greater than F1, the delivery controlling means continues to supply energy to the vapourisation means until the total amount of energy supplied is equal to the total energy E1 calculated.
[0126] Should the airflow fall below F1 the supply of energy is discontinued. After the supply of energy is finished, the airflow sensor 18 continues to measure user inhalation airflow until it ceases.
[0127] The delivery controlling means sums the energy supplied E2 to the vapourisation means during the period when inhalation flow rate >F1 and swept volume >V1.
[0128] If E2=E1 then all API is recorded as successfully delivered and P1 equals 100%. If E2<E1, the delivery controlling unit establishes the difference between E1 and E2 and calculates the portion of API unsuccessfully delivered P2.
[0129] As required, the delivery controlling means notifies the user of an unsuccessful portion of API administered P2 and the need for an additional dose using the feedback mechanism 4.
[0130] The unsuccessful portion P2 of the first dose calculated is then used as the subsequent dose D2 and the process repeated.
[0131] In this preferred embodiment, the delivery controlling means 13 captures data relating to the date, time and characteristics of each use event, device and liquid formulation reservoir identities, stores it using the information storage means 14 makes the data available via the communication means 15 to an external system via Bluetooth once a connection becomes available. In this embodiment the delivery controlling means also stores use event data on the information storage means 14a within the liquid formulation reservoir 3.
[0132] Although the invention has been described in detail for the purpose of illustration based on what is considered to be the most practical and preferred embodiment, it is to be understood that such detail is solely for that purpose and that the invention is not limited to the disclosed embodiments, but, on the contrary, it is intended to cover modifications and equivalent arrangements that are within the scope of the appended claims. For example, it is to be understood that the present invention contemplates that, to the extent possible, one or more features of any embodiment can be combined with one or more features of any other embodiment.