MIXING CHANNEL FOR AN INHALATION DEVICE AND INHALATION DEVICE
20210196904 · 2021-07-01
Inventors
- BERNHARD MUELLINGER (MUNICH, DE)
- MARTIN HUBER (FURSTENFELDBRUCK, DE)
- TOBIAS KOLB (NEURIED, DE)
- MONIKA HARTMANN (KAUFERING, DE)
Cpc classification
A61M15/009
HUMAN NECESSITIES
A61M11/003
HUMAN NECESSITIES
A61M11/02
HUMAN NECESSITIES
A61M15/06
HUMAN NECESSITIES
International classification
A61M11/00
HUMAN NECESSITIES
A61M11/02
HUMAN NECESSITIES
Abstract
The invention relates to a mixing channel for an inhalation device, and in particular to a mixing channel with improved injection and mixing properties for injecting and mixing a liquid drug into an air flow streaming in the mixing channel, thereby producing an aerosol to be inhaled by a patient. One aspect of the invention relates to a mixing channel for an inhalation device, comprising an inlet opening, an outlet opening, and an injection zone located between the inlet opening and the outlet opening, wherein the injection zone has a longitudinal center axis, wherein the injection zone comprises (a) a built-in nebulizer, or (b) a detachable nebulizer, or (c) a member adapted to receive a detachable nebulizer, wherein the effective cross sectional area of the mixing channel in a plane perpendicular to the longitudinal center axis is smaller in the injection zone than upstream of the injection zone.
Claims
1-15. (canceled)
16. An inhalation device comprising: a mixing channel having a longitudinal center axis, the mixing channel comprising: a first channel portion, comprising: an upstream end comprising an inlet opening, and a downstream end comprising a transition opening, a second channel portion, comprising: an upstream end comprising the transition opening, and a downstream end comprising an outlet opening, wherein the downstream end of the first channel portion comprises a wall that is orthogonal to the longitudinal center axis of the mixing channel, so that a step is formed between the first channel portion and the second channel portion; and a vibrating mesh nebulizer comprising a perforated membrane, wherein the vibrating mesh nebulizer protrudes into the first channel portion adjacent to the wall from a side of the mixing channel so that the perforated membrane is flush with the upstream end of the second channel portion on the side adjacent to the vibrating mesh nebulizer.
17. The inhalation device of claim 16, wherein the wall obstructs about 50% of a cross-sectional area of the first channel portion.
18. The inhalation device of claim 16, wherein the vibrating mesh nebulizer obstructs about 50% of a cross-sectional area of the first channel portion.
19. The inhalation device of claim 16, wherein there is a step-free transition between the first channel portion and the second channel portion on a side opposite the vibrating mesh nebulizer.
20. The inhalation device of claim 16, wherein the vibrating mesh nebulizer is positioned to emit an aerosol at, or near and towards the longitudinal center axis of the mixing channel at an angle of 90° or an angle from 45° to 135° with respect to the longitudinal center axis of the mixing channel.
21. The inhalation device of claim 16, wherein the vibrating mesh nebulizer further comprises: a main member that is connectable with a liquid drug reservoir; and a ring member made of piezoelectric material, wherein the main member comprises a tubular portion comprising an outer area exhibiting a ring-shaped widening onto which the ring member is attached such that the main member extends through the ring member.
22. The inhalation device of claim 16, wherein an opening angle of the second channel portion immediately downstream of the step is constant.
23. The inhalation device of claim 16, wherein the opening angle of the second channel portion immediately downstream of the step is not more than 8°.
24. The inhalation device of claim 16, wherein the inlet opening of the mixing channel is connectable with an inlet channel of the inhalation device.
25. The inhalation device of claim 16, wherein the vibrating mesh nebulizer protrudes into the first channel portion adjacent to the wall from the side of the mixing channel so that a cross-sectional area of the second channel portion immediately downstream of the nebulizer is smaller than a cross-sectional area of the first channel portion immediately upstream of the nebulizer.
26. An inhalation device comprising: a mixing channel having a longitudinal center axis, the mixing channel comprising: a first channel portion, comprising: an upstream end comprising an inlet opening, and a downstream end comprising a transition opening, a second channel portion, comprising: an upstream end comprising the transition opening, and a downstream end comprising an outlet opening, wherein the downstream end of the first channel portion comprises a wall that is orthogonal to the longitudinal center axis of the mixing channel, so that a step is formed between the first channel portion and the second channel portion; and a vibrating mesh nebulizer comprising a perforated membrane, wherein the vibrating mesh nebulizer protrudes into the first channel portion adjacent to the wall from the side of the mixing channel so that a cross-sectional area of the second channel portion immediately downstream of the nebulizer is smaller than a cross-sectional area of the first channel portion immediately upstream of the nebulizer.
27. The inhalation device of claim 26, wherein the wall obstructs about 50% of the cross-sectional area of the first channel portion.
28. The inhalation device of claim 26, wherein the vibrating mesh nebulizer obstructs about 50% of the cross-sectional area of the first channel portion.
29. The inhalation device of claim 26, wherein there is a step-free transition between the first channel portion and the second channel portion on a side opposite the vibrating mesh nebulizer.
30. The inhalation device of claim 26, wherein the vibrating mesh nebulizer is positioned to emit an aerosol at, or near and towards the longitudinal center axis of the mixing channel at an angle of 90° or an angle from 45° to 135° with respect to the longitudinal center axis of the mixing channel.
31. The inhalation device of claim 26, wherein the vibrating mesh nebulizer further comprises: a main member that is connectable with a liquid drug reservoir; and a ring member made of piezoelectric material, wherein the main member comprises a tubular portion comprising an outer area exhibiting a ring-shaped widening onto which the ring member is attached such that the main member extends through the ring member.
32. The inhalation device of claim 26, wherein an opening angle of the second channel portion immediately downstream of the step is constant.
33. The inhalation device of claim 26, wherein the opening angle of the second channel portion immediately downstream of the step is not more than 8°.
34. The inhalation device of claim 26, wherein the inlet opening of the mixing channel is connectable with an inlet channel of the inhalation device.
Description
LIST OF FIGURES
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[0098] Embodiments of the invention are explained below with the help of
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[0100] The downstream opening of the first channel portion 2a is at the same time the upstream opening of the second channel portion 2b; in other words, it forms a transition opening 7 between the first and the second channel portion. Thus, the transition opening 7 between the first channel portion 2a and the second channel portion 2b forms a virtual section or plane distinguishing the first channel portion 2a from the second channel portion 2b. Because of said wall partially closing the downstream end of the first channel portion 2a, a step 18 is formed at the site of the transition between channel portions 2a and 2b. The second channel portion 2b is essentially formed as a truncated cone or tapered elliptical cylinder. Due to the step 18, the second channel portion 2b is not symmetrical or coaxial with respect to the longitudinal center axis A of the first channel portion 2a.
[0101] The second channel portion 2b is formed as follows (cf.
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EXAMPLE 1
[0116] Five prototype mixing channels (nos. 1 to 5) with different geometries were designed and prepared. The second channel portions were approx. 80 mm long and slightly tapered, i.e. shaped as truncated, roughly circular, cones. The prototypes differed with respect to the diameter of the inlet opening and the opening angle of the cone (which is twice the angle between the center axis of the second channel portion and any tangential plane on the inner surface of the second channel portion). In prototypes nos. 1 to 3, the opening angles increased from a smaller angle at the proximal (or upstream) end to a larger angle at the distal (or downstream) end of the second channel portion. The dimensions of the transition opening at the step between first and second mixing channel portion were selected according to the inlet diameter, in that the radius was not changed but the shape was altered from circular to semi-circular with rounded edges, as depicted in
TABLE-US-00001 TABLE 1 Mixing channel no. 1 2 3 4 5 Inlet diameter (mm) 10 9 8 9 9 Opening angle 5° to 6° 5° to 6° 5° to 6° 5° 6°
[0117] Two aerosol generators (A and B) as described in US 2010/0044460 A1 were used to aerosolise isotonic saline solution (0.9%) in pulses of 5 seconds of aerosolization time followed by pauses of 5 seconds. The experiments were conducted first without any mixing channel, and subsequently with each of the five mixing channels at a flow rate of 15 L/min. In each configuration, the aerosol droplet size distribution was determined using laser diffraction. The volume median diameters (VMD) and the geometric standard deviations (GSD) are given in table 2 for aerosol generator A and in table 3 for aerosol generator B.
TABLE-US-00002 TABLE 2 Mixing channel no. None 1 2 3 4 5 VMD (pulsed mode) 5.3 5.0 5.2 4.9 5.0 5.1 GSD (pulsed mode) 6.4 1.6 1.6 1.6 1.6 1.6
TABLE-US-00003 TABLE 3 Mixing channel no. None 1 2 3 4 5 VMD (pulsed mode) 5.5 4.7 4.8 4.7 4.7 4.7 GSD (pulsed mode) 3.6 1.6 1.6 1.6 1.6 1.6
[0118] In result, a remarkable and—especially in its magnitude completely unexpected—effect of all tested mixing channels was observed in that the geometric standard deviation, i.e. the polydispersity of the aerosol droplets, was dramatically reduced from 6.4 or 3.6 to 1.6, indicating that these aerosol generators, which emit substantially heterogeneous aerosols without any mixing channel can, by means of the mixing channel of the invention, be configured to deliver substantially homogeneous aerosols.
EXAMPLE 2
[0119] Using the same five prototype mixing channels as in example 1 and aerosol generator A, and an additional mixing channel (no. 6, with an inlet diameter of 10 mm and a constant opening angle of 6°), the deposition of the aerosolised isotonic saline solution (0.9%) within the mixing channels at a flow rate of 15 L/min was evaluated. An exactly measured quantity of isotonic saline solution (i.e., NaCl.sub.total) was filled into the reservoir of the aerosol generator and aerosolised while a breathing pump (ASL 5000 by IngMar Medical) simulated 20 breathing manoeuvres. Subsequently, the reservoir and the mixing channel were rinsed with distilled water and their sodium chloride content measured conductometrically. Deposition within the mixing channel (NaCl.sub.deposited) was calculated in percent based on the emitted dose (NaCl.sub.emitted=NaCl.sub.total−NaCl.sub.left in reservoir). The results are given in Table 4.
TABLE-US-00004 TABLE 4 Mixing channel no. 1 2 3 4 5 6 Inlet diameter (mm) 10 9 8 9 9 10 Opening angle 5° to 6° 5° to 6° 5° to 6° 5° 6° 6° Deposition 9.7 16.7 27.2 19.2 10.9 10.3 (% of emitted dose)
[0120] In all cases, an acceptable low degree of deposition in the mixing channel was observed. This is remarkable as the nebulizer itself had not been especially adapted to, or optimised for, the inhalation device or the mixing channel, which is normally required.
[0121] A particularly low aerosol deposition in the device was found for an inlet diameter of 9 or 10 mm and an opening angle of 6°, or from 5° to 6°.
[0122] These experiments demonstrate the effectiveness of the mixing channels in deflecting the vast majority of the aerosol droplets emitted by the nebulizer, such that they can be delivered through the mouthpiece to the user. A relatively small fraction of droplets—probably those having the relatively largest diameter—impacted within the device. Their removal may contribute to the reduction of the geometric standard deviation of the aerosol droplet diameter, as observed in Example 1.
[0123] In addition, computational flow simulations of the prototype mixing channels indicated that the length of the second mixing channel portion of approx. 80 mm is efficient in slowing down the velocity of the aerosol droplets to a value very similar to the velocity upstream of the injection zone and thus suitable for inhalation into the deeper lung areas without impaction in the mouth and/or throat region.
[0124] The computational flow simulations of the prototype mixing channels further indicated that these effects may be achieved by means of the step in the mixing channel (i.e. an abrupt decrease of the effective cross sectional area), e.g. through an abrupt increase in air velocity caused by the step, without interfering with a laminar flow.
[0125] While the invention has been illustrated and described in detail in the drawings and foregoing description, such illustration and description are to be considered illustrative or exemplary and not restrictive. It will be understood that changes and modifications may be made by those of ordinary skill within the scope of the following claims. In particular, the present invention covers further embodiments with any combination of features from different embodiments described above and below.
[0126] Furthermore, in the claims the word “comprising” does not exclude other elements or steps, and the indefinite article “a” or “an” does not exclude a plurality. A single unit may fulfil the functions of several features recited in the claims. The terms “essentially”, “about”, “approximately” and the like in connection with an attribute or a value particularly also define exactly the attribute or exactly the value, respectively. Any reference signs in the claims should not be construed as limiting the scope.