Multi Surface Acoustic Nebuliser
20210100963 · 2021-04-08
Inventors
Cpc classification
A61M11/007
HUMAN NECESSITIES
B05B17/0607
PERFORMING OPERATIONS; TRANSPORTING
A61M2205/0238
HUMAN NECESSITIES
B06B2201/20
PERFORMING OPERATIONS; TRANSPORTING
B06B1/06
PERFORMING OPERATIONS; TRANSPORTING
H10N30/8542
ELECTRICITY
International classification
A61M11/00
HUMAN NECESSITIES
B05B17/06
PERFORMING OPERATIONS; TRANSPORTING
B06B1/06
PERFORMING OPERATIONS; TRANSPORTING
Abstract
A nebuliser for nebulising liquid droplets includes a housing; at least one piezoelectric substrate accommodated within the housing and having a transducer surface upon which is located at least one electroacoustic transducer for generating acoustic wave energy within the substrate, and an opposing non-transducer surface; and a liquid supply system for supplying a liquid to at least one of the transducer and non-transducer surfaces. The liquid supply system includes a reservoir for accommodating the liquid, and at least one relatively rigid supply conduit in contact with the substrate for supplying the liquid from the reservoir to the substrate.
Claims
1. A nebuliser for nebulising liquid droplets, including: a housing; at least one piezoelectric substrate accommodated within the housing and having a transducer surface upon which is located at least one electroacoustic transducer for generating acoustic wave energy within the substrate, and an opposing non-transducer surface; and a liquid supply system for supplying a liquid to at least one of the transducer and non-transducer surfaces, the liquid supply system including a reservoir for accommodating the liquid, and at least one relatively rigid supply conduit in contact with the substrate for supplying the liquid from the reservoir to the substrate.
2. A nebuliser according to claim 1, therein the supply conduit is in the form of a nib or needle.
3. A nebuliser according to claim 1 or claim 2, wherein the supply conduit is formed from an acoustically reflecting material.
4. A nebuliser according to any one of the preceding claims, wherein the liquid is gravity fed from the reservoir through the supply conduit.
5. A nebuliser according to any one of claims 1 to 4, wherein the liquid is transferred from the reservoir through an active pumping system.
6. A nebuliser according to claim 5, wherein the active pumping system is a syringe or peristaltic pump.
7. A nebuliser according to any one of the preceding claims, wherein the liquid supply system further includes a flow regulator for providing a steady flow of liquid therefrom.
8. A nebuliser according to claim 7, wherein the flow regulator includes a liquid outlet passage through which liquid can pass, and an air inlet passage connected to the reservoir.
9. A nebuliser according to claim 8, further including an inner chamber connected to the flow regulator, the inner chamber having a peripheral opening within which is accommodated a peripheral tip of the supply conduit, wherein liquid can pass through capillary action between the peripheral opening and the peripheral tip of the supply conduit.
10. A nebuliser according to any one of the preceding claims, wherein the substrate is supported on a displaceable mount for controlling the contact of the substrate with the supply conduit.
11. A nebuliser according to claim 10, wherein the mount includes a pivot support at one end thereof and an opposing end supported on a resilient member.
12. A nebuliser according to claim 10, wherein the mount is supported on a cantilever.
13. A nebuliser according to any one of the preceding claims, further including a control means for controlling the size of the nebulised liquid droplets.
14. A nebuliser according to claim 13, wherein the control means includes at least one baffle located in a generally parallel and adjacent relationship to at least one of transducer surfaces.
15. A nebuliser according to claim 14, wherein the baffle is provided by a housing inner wall located in a parallel adjacent relationship from at least one said substrate surface.
16. A nebuliser according to any one of the preceding claims, wherein the housing further includes an inlet opening, and the reservoir includes a neck portion that can be accommodated within the inlet opening.
17. A nebuliser according to any one of the preceding claims, including at least two said substrates spaced apart and located in a parallel adjacent relationship.
18. A nebuliser according to claim 17, wherein the droplet size control means includes pre-setting the spacing between the substrates to control the thickness of the meniscus of the liquid supplied between the adjacent substrate surfaces, to thereby control the size of the nebulised droplets.
19. A nebuliser according to claim 17 or claim 18, wherein the droplet size control means includes pre-setting the spacing of the substrates from internal walls of the housing to control the thickness of the meniscus of the liquid supplied between the adjacent substrate surface and inner wall, to thereby control the size of the nebulised droplets.
20. A nebuliser according to any one of the preceding claims, wherein the piezoelectric substrate and electroacoustic transducer is also used to sense a liquid mass on the at least one substrate.
21. A nebuliser for nebulising liquid droplets, including: a housing; at least one piezoelectric substrate accommodated within the housing and having a transducer surface upon which is located at least one electroacoustic transducer for generating acoustic wave energy within the substrate, and an opposing non-transducer surface a compliant material in contact with at least a portion of the perimeter surface of the at least one piezoelectric substrate; and a liquid supply system for supplying a liquid to at least one of the transducer and non-transducer surfaces, the liquid supply system including a reservoir for accommodating the liquid, and at least one supply conduit for supplying the liquid from the reservoir to the substrate.
22. A nebuliser according to claim 21, wherein the compliant material is selected from is selected from the group consisting of adhesive tape, silicone rubber and thermal paste, or combinations thereof.
23. A nebuliser according to claim 21 or 22, wherein the compliant material is in contact with at least a portion of the perimeter of the distal end of substrate.
24. A nebuliser according to any one of claims 21 to 23, wherein the at least one supply conduit is a relatively rigid supply conduit in contact with the substrate.
25. A nebuliser according to any one of claims 21 to 23, wherein the at least one supply conduit is selected from the group consisting of a nib, a needle, a wick, a microchannel, or combinations thereof.
26. A nebuliser according to any one of the preceding claims, wherein at least of portion of the transducer surface, the non-transducer surface, or combinations thereof is patterned.
27. A nebuliser according to any one of the preceding claims, wherein the acoustic wave energy includes surface acoustic waves (SAW) propagated in the transducer surface of the at least one substrate.
28. A nebuliser according to any one of the preceding claims, wherein the acoustic wave energy includes surface reflected bulk waves (SRBW) reflected between the transducer and non-transducer surfaces of the at least one substrate.
29. A nebuliser according to any one of the preceding claims, wherein the acoustic wave energy includes a combination of surface acoustic waves (SAW) propagated in the transducer surface of the at least one substrate and surface reflected bulk waves (SRBW) reflected between the transducer and non-transducer surfaces of the at least one substrate.
30. A nebuliser according to claim 27 or 29, wherein the surface acoustic waves (SAW) include standing waves, traveling waves and combinations thereof.
31. A nebuliser according to claim 28 or 29, wherein the surface reflected bulk waves (SRBW) include standing waves, traveling waves and combinations thereof.
32. A nebuliser according to any one of the preceding claims, wherein the electroacoustic transducer is an interdigital transducer (IDT).
33. A nebuliser according to any one of the preceding claims, wherein the at least one piezoelectric substrate has a thickness at or around a wavelength of the SAW propagated in the transducer surface.
34. A nebuliser according to any one of the preceding claims, wherein the at least one piezoelectric substrate is formed of Lithium Niobate (LiNbO.sub.3).
35. A nebuliser according to any one of the preceding claims, wherein at least a portion of the non-transducer surface further includes a coating comprising at least one metal.
36. A nebuliser according to any one of the preceding claims, wherein at least a portion of the transducer surface further includes a coating at the distal end of the substrate comprising at least one metal.
37. A nebuliser according to claim 35 or claim 36 wherein the coating comprises, titanium, gold, aluminium, chromium or combinations thereof.
38. A nebuliser according to any one of the preceding claims, wherein the liquid is nebulised from the transducer surface, the non-transducer surface, or both the transducer surface and the non-transducer surface.
39. A nebuliser according to any one of the preceding claims, wherein the liquid is nebulised to form droplets having a size range between 0.1 and 100 μm.
40. A nebuliser according to any one of the preceding claims, wherein the liquid is nebulised at a nebulisation rate of up to 10 ml/min.
41. A nebuliser according to any one of claims 10 to 12, wherein the mount includes a shelf upon which the substrate is mounted, the shelf including one or more gaps for preventing liquid creep along the substrate.
42. A nebuliser according to any one of the preceding claims, wherein the housing is in the form of a cartridge housing having an external electrical contact connected to the at least one electroacoustic transducer, and an integral liquid supply system.
43. A method of nebulising a liquid using a nebuliser according to any one of the preceding claims.
44. A method of nebulising a liquid according to claim 43, including nebulising liquid to form liquid droplets having a size range between 0.1 and 100 μm.
45. A method of nebulising a liquid according to claim 43, including nebulising liquid at a volumetric nebulisation rate of up to 10 ml/min.
46. A method of nebulising a liquid according to claim 43, including nebulising liquid to form liquid droplets having geometric standard deviation (GSD) of <10 μm.
47. A method of nebulising a liquid according to any one of claims 43 to 46, wherein the liquid includes functional or therapeutic agents therein such as pharmaceuticals, DNA, RNAi, peptides, proteins and cells, or, non-therapeutic agents such as perfume, cosmetics, pesticides, paints or antiseptics.
Description
BRIEF DESCRIPTION OF THE INVENTION
[0048] It will be convenient to further describe the invention with reference to the accompanying drawings which illustrate preferred embodiments of the nebuliser according to the present invention. Other embodiments are possible, and consequently, the particularity of the accompanying drawings is not to be understood as superseding the generality of the preceding description of the invention.
[0049] In the drawings:
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DETAILED DESCRIPTION OF THE INVENTION
[0066] Referring initially to
[0067] The nebuliser further includes a liquid reservoir 3 within which is accommodated the liquid 4 that is to be nebulised by the nebuliser. The reservoir 3 can be in the form of a bottle or vial having a threaded neck 3a that can be screwed into a threaded inlet opening 5 provided on a housing (not shown). The nebuliser is shown in its in use position in
[0068] To elaborate further, the supply pump, gravity feed or capillary action in the nib or needle 6 in the present invention simply acts to prime it. The liquid 4 is then pulled out by the acoustic wave onto the surfaces of the substrate 2, as illustrated in
[0069] The choice of material for the nib or needle 6 should preferably comprise an acoustically reflecting material. Acoustically-absorbing materials tend to absorb and hence dampen the acoustic energy on the substrate 2. Such materials may include metals, polymer or ceramic materials.
[0070] The housing furthermore includes at least one baffle 9, which can, for example, be formed by the wall of the housing, spaced from the transducer surface 2a and positioned in a generally parallel and adjacent relationship to the transducer surface 2a. Earlier nebuliser designs have used meshes to try to control and maintain uniformity in the size of the nebulised droplets. However, such meshes are prone to clogging. The baffle 9 however provides a simpler means of asserting control over the uniformity of the droplet sizes. Larger droplets 11 having a size in the 10 μm to 100 μm order are ejected off the substrate surface 2a with greater momentum than smaller droplets. Due to the angle (known as the Rayleigh angle) at which the acoustic wave energy couples into the liquid 4. This gives rise to the droplets being ejected as they are nebulised at the same angle. These larger droplets 11 then impact on the surface of the baffle 9 so that they are redirected back to the substrate surface 2a where they are re-fed into the existing liquid feed from the reservoir 3. The liquid that formerly was part of the returned droplets 11 are therefore subjected again to nebulisation. Smaller droplets 10 having a size in the order of around 1 μm, on the other hand, have significantly less momentum and hence do not reach the surface of the baffle 9. Rather, the small droplets 10 are entrained into the airflow out of the nebuliser. A similar droplet size control process also occurs between the non-transducer surface 2b and the corresponding baffle surface 9 adjacent to the non-transducer surface 2b.
[0071]
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[0073] Furthermore, in view of the arrangements in
[0074] The same piezoelectric substrate 2, 12, 13 and IDT can also be triggered at a lower frequency corresponding to the fundamental thickness mode (BAW) of the substrate (around 3.5 MHz for a 500 μm thick substrate) to employ a sensing functionality. The rationale for using the thickness mode for sensing is because single crystals such as, but not limited to the 128 YX lithium niobate piezoelectric crystal used, naturally have a high-quality factor Q on the order of between 10.sup.4 to 10.sup.6. Therefore, such a platform can simultaneously perform both efficient nebulisation as well as efficient mass sensing with a limit of detection down to 10 ng. Both functions can be achieved with the same electrode patterns unlike other known devices that incorporate different electrode patterns for different microfluidic functions. Therefore, the nebuliser according to the present invention can add the functionality of sensing mass residual during nebulisation in order to determine, by subtraction from the total dose delivered, the actual dose that is administered to the user.
[0075] In the above embodiment in
[0076] A flow regulator 19 may also be used in conjunction with the above described gravity feed system, adjacent orifice, or active pumping system. It is also envisaged that a flow regulator 19 works in a similar fashion to a fountain pen. Such an arrangement is shown in
[0077] The electrical contact end of the substrate 2 is pressed and in direct contact with the mount 1 in order to dissipate localised heating that can damage the substrate 2. This pressing can be achieved by applying pressure through contact cantilevers 23 with broad electrical contacts 8 embedded in them, for example—broad electrical contacts 8 also mitigate damaging arcing between the electrical contacts 8 and the substrate 2 under the high voltages that occur during nebulisation. Pressure to the contact cantilever 23 bases can be applied via magnetic attraction effects, or by using a screw 24 to push down spring washers 25, for example. Alternatively, pressure may be applied through spring loaded electrical contacts. Furthermore, it is envisaged that a conductive material may be directly bonding to the IDTs as an alternative to electrical contacts. A heat sinking surface (not shown), which could be integrated into the mount 1, can also be utilised by the pressing of the nib or needle 6 onto the parallel substrate 2, which can then remain in contact with the heat sink and cool the substrate 2 during nebulisation. This heat sink may also feature geometry that retains a small amount of excess liquid in contact with the nebulisation end of the substrate 2 to further increase the robustness of the system while nebulisation is occurring. The mount 1 may also be made of a conductive material such as metal, which will allow the ready discharge of excess pyroelectrically induced charge. This reduces the chance of damaging arcing across the substrate 2, increasing the life of the substrate 2.
[0078] Referring now to
[0079] Referring now to
[0080] In another embodiment, the described nebuliser may further comprise a compliant absorbent material in contact with at least a portion of the perimeter surface of the substrate. For example, the perimeter surface of the substrate is highlighted as a hashed region 40 in
[0081] In an embodiment, the compliant absorbent material may be in contact with at least a portion of the perimeter of the distal end of the substrate. In an embodiment, the compliant absorbent material may be in contact with at least a portion of one or more sides of the surface of the perimeter of the substrate. In an embodiment, the compliant absorbent material may be in contact with a portion of one or more sides and a portion of the distal end of the substrate. In particular, placement around at least a portion of the perimeter surface allows acoustic radiation in the atomisation region of the substrate to be sufficient to achieve atomisation.
[0082] It has further been found that coating at least a portion of the non-transducer side of the substrate may alter wave reflections and the standing wave ratio (SWR). In one embodiment, the coating may comprise one or more metals. In an embodiment, the coating is formed from titanium, gold, aluminium, chromium and combinations thereof. The inventors have surprisingly found coating at least a portion of the non-transducer surface of the substrate with one or more metals may reduce overheating. Additionally, the inventors have surprisingly found that coating at least a portion of the non-transducer surface of the substrate provides a degree of control and/or the ability to tune the standing wave and traveling wave components in SAW, SRBW and combinations thereof. It has surprisingly been found that solid coatings or partial coatings effect the travelling and standing wave components present on and in the substrate. A representative example is shown in
[0083] In addition to coatings applied to the non-transducer surface, the inventors have surprisingly found coating at least a portion of the transducer surface of the substrate with one or more metals may reduce overheating. In particular, the inventors have found that where at least a portion of the transducer surface further includes a coating at the distal end of the substrate, chip failure due to overheating or pyroelectric failure is reduced or eliminated providing a more efficient and robust system. In one embodiment, the coating on the transducer surface may comprise one or more metals. In an embodiment, the coating is formed from biocompatible metals, including titanium, gold, and combinations thereof. Representative examples are shown in
[0084] In another embodiment, the described nebuliser may further comprise patterning of conductive material on a portion of the substrate surface. As used herein, the terms “patterning” and “patterned” and variations thereof, refers to techniques such as photolithography, which transfer a geometric pattern on to a given substrate. Such techniques are typically used for patterning in the chip industry. Generally, a coating, especially a metal coating as described, is applied and the surface subsequently patterned by lithography or other means. In an embodiment the transducer substrate surface is patterned. In another embodiment, the non-transducer substrate surface is patterned. It has surprisingly been found that the addition of patterning (in areas other than functional areas of the transducer surface of the substrate) may aid in dissipating or reducing localised superheating and/or pyroelectrically induced charge. It is further understood that the non-transducer surface of the substrate may alternatively or additionally may be patterned.
[0085] In addition, it has been found that adjustments in the standing wave ratio may also be achieved by positioning multiple sets of IDTs such that the resultant waves interact. By way of example, it is envisaged that patterning of IDTs may disrupt destructive acoustic waves and reduce unwanted overheating for example, which in turn increases the reliability of the resultant chip. Furthermore, in an embodiment, the substrate may be patterned or coated in such a way to provide discrete regions wherein either standing or traveling waves are promoted. It is envisaged that such an arrangement provides further tunability in a range of output parameters of the nebulized liquids.
[0086] While embodiments utilising a needle or a nib have been described, still other embodiments are envisaged wherein the at least one supply conduit may include a wick or a microchannel. The choice of a specific supply conduit may be dependent, in part, on how the conduit operates in combination with other features of the nebuliser system.
[0087]
[0088] The presented circuit is a miniaturised handheld circuit running at high frequency (10 MHz). The main reason for overcoming the miniaturisation bottleneck, where alternative Radio Frequency (RF) circuits are bulky, is due to the simplicity of the circuit. Unlike common RF circuits where most critical components commonly and intuitively rely on digital data and programming to track the target frequency and trigger various ad-on components such as sensor driver, powering buttons, etc., this circuit utilises a robust, stable, fixed, single frequency regardless the loading nature on the circuit. In addition, the circuit is capable of sensing user breathing patterns to drive the nebuliser and/or run by a triggering button, it maintains only an analogue data transfer and actuation for the entire circuit.
[0089] The circuit, although small and compact, provides dual triggering methods by either, 1—continuously pressing or toggling a button or 2—‘smart’ triggering via user inhalation, where the triggering time is predetermined, thus accommodating a user inhaling for too long. Therefore, this allows for a precise administration time and therefore known dosage.
[0090] The above-mentioned counter-intuitive circuit design approach, utilising analogue data transfer working in RF domain, has allowed the circuit to be driven via a small 11.1V (3 cell) Lithium-polymer battery.
[0091]
[0092] For sensing, the optically flat single crystal substrate allows for bulk (eg. Lamb) wave resonances that have large quality factors Q in the order of 10.sup.4 to 10.sup.6. Therefore, very small mass loadings on the surface of the substrate can produce detectable frequency shifts so as to allow mass sensing of samples down to 10 ng sensitivity. This is shown in the graph of
[0093] SAW nebulisers have found application in a variety of fields, including in the administration of active agents. Inhaled medication is the most common form of therapy for asthma, chronic obstructive pulmonary disease (COPD) and for other respiratory conditions, such as obstructive bronchitis, emphysema, and cystic fibrosis. For example, corticosteroids, bronchodilators and β2 agonists are typically administered by inhalation for treatment of asthma, COPD and other respiratory conditions. It is envisaged that the described nebulizer may be used in conjunction with a range of possible active agents. Suitable active agents include, but are not limited to, corticosteroids (such as Fluticasone, Budesonide, Mometasone, Beclomethasone, and Ciclesonide), bronchodilators (such as Salmeterol or Albuterol, Formoterol, Vilanterol, Levalbuterol and Ipratropium). By way of example, Albuterol, also referred to as salbutamol or Ventolin, is a β2 agonist and short-term bronchodilator that opens up the medium and large airways in the lungs. Ipratropium, also referred to as Ipratropium bromide, is a muscarinic antagonist (a type of anticholinergic) which opens up the medium and large airways in the lungs. Budesonide, also referred to as BUD, is a type of corticosteroid used for the long-term management of asthma and chronic obstructive pulmonary disease (COPD). In an embodiment, the described nebulizer is adapted for delivery of Albuterol. In an embodiment, the described nebulizer is adapted for delivery of Ipratropium. In an embodiment, the described nebulizer is adapted for delivery of Budesonide.
[0094] The described nebulizer advantageously provides reliable, efficient and accurate delivery of active agents. The resultant nebulised liquids may be characterized by one or more parameters. It is appreciated that each active agent has differing physicochemical properties. Furthermore, it is appreciated that various parameters of the described nebuliser may be optimised for delivery of a given active agent, including droplet size (microns), geometric standard deviation (GSD), volumetric atomization rate, stabilization period (i.e. time to use), fraction of API administered, trajectory losses, and fine particle fraction.
[0095] In an aspect, the described nebuliser provides control of the droplet size of nebulised liquids. In particular, the droplet size of nebulised liquids may be optimised for a given active agent. In an embodiment, the described nebuliser provides nebulised liquids wherein the droplet size is in the range of from 0.1 and 100 μm, preferably in the range of from 0.1 to 10 μm, preferably in the range of from 0.5 to 7.5 μm, more preferably in the range of from 1 to 5 μm, even more preferably in the range of from 2 to 4 μm. In an embodiment, the described nebuliser provides nebulised liquids wherein the droplet size is <10 μm, preferably <8 μm, preferably <6 μm, preferably <5 μm, preferably <3 μm.
[0096] In an aspect, the described nebuliser provides control of geometric standard deviation (GSD) of the droplets of nebulised liquids. In particular, the GSD of nebulised liquids may be optimised for a given active agent. In an embodiment, the described nebuliser provides nebulised liquids wherein the GSD is <10 μm, preferably <8 μm, preferably <6 μm, preferably <5 μm, preferably <3 μm, preferably <2.5 μm, preferably <2.1 μm.
[0097] In an aspect, the described nebuliser provides control of the stabilization period (i.e. time to use). Advantageously, the described nebuliser provides reduced stabilization periods (i.e. time to use). Short or reduced stabilization periods provide reduced lagtime to use, increased efficiency, reduction in sample loss or fluid loss, and improved accuracy with dosing and administration of active agents. In particular, the stabilization period may be optimised for a given active agent. In an embodiment, the described nebuliser provides a stabilization period of <1 sec, preferably <0.5 sec, preferably <0.25 sec, preferably <0.1 sec, preferably <0.05 sec, preferably <0.03 sec, preferably <0.02 sec, preferably <0.01 sec.
[0098] In an aspect, the described nebuliser provides control of the volumetric atomization rate of nebulised liquids. In particular, the volumetric atomization rate of nebulised liquids may be optimised for a given active agent. In an embodiment, the described nebuliser provides nebulised liquids wherein the volumetric atomization rate is in the range of from 0.1 to 10 mL/min, preferably in the range of from 0.15 to 7.5 mL/min, preferably in the range of from 0.2 to 5 mL/min. In an embodiment, the described nebuliser provides nebulised liquids wherein the volumetric atomization rate is >0.1 mL/min, preferably >0.25 mL/min, preferably >0.3 mL/min, preferably >0.35 mL/min, preferably >0.4 mL/min, preferably >0.45 mL/min, preferably >0.5 mL/min, preferably >0.55 mL/min, preferably >0.6 mL/min, preferably >0.65 mL/min, preferably >0.7 mL/min, preferably >0.75 mL/min.
[0099] In an aspect, the described nebuliser provides control of the fraction of API administered in nebulised liquids. In particular, the fraction of API administered may depend on the physicochemical properties of a given active, but may be optimised for a given active agent with the described system. In an embodiment, the described nebuliser provides nebulised liquids wherein the fraction of API administered is >60%, preferably >65%, preferably >70%, preferably >75%, preferably >80%, preferably >85%, preferably >90%, preferably >95%, preferably >97%, preferably >98%, preferably >99%.
[0100] In an aspect, the described nebuliser provides control of the trajectory losses in nebulised liquids. In particular, the trajectory losses may be optimised for a given active agent. In an embodiment, the described nebuliser provides nebulised liquids wherein the trajectory loss is <20%, preferably <15%, preferably <10%, preferably <9%, preferably <8%, preferably <7%, preferably <6%, preferably <5%.
[0101] In an aspect, the described nebuliser provides control of the fine particle fraction of nebulised liquids. Fine particle fraction is generally understood as a measure of mass depositing in the lung during inhalation of nearly isotonic nebulized aerosols. The amount of aerosol inhaled in different fine particle definitions is compared to the amount of aerosol depositing in the lung and alveolar regions for nearly isotonic nebulized aerosols. It is accepted that droplet stages 1-7 have 65% drug in a form that accumulates or targets deep lung tissue. The fine particle fraction may depend on the physicochemical properties of a given active, but may be optimised for a given active agent with the described system. In an embodiment, the described nebuliser provides a fine particle fraction of >20% in droplet stages 1-7, preferably >30%, preferably >35%, preferably >40%, preferably >45%, preferably >50%, preferably >55%, preferably >60%, preferably >65%, preferably >70%, preferably >75%.
[0102] In addition to the active agents described, the described nebuliser may be adapted to nebulise fluids or samples comprising delicate molecules and particles (e.g. DNA, RNAi, peptides, proteins and cells) without denaturing them while maintaining high nebulisation throughout (typically above 1 ml per minute). Prior art nebulisers are to date limited to between 0.1 to 0.4 ml/min thereby necessitating long inhalation times, typically from tens of minutes to an hour. This has therefore limited the practical uptake of conventional nebulisers. The higher nebulisation rates that can be achieved by the nebuliser of the present invention can significantly shorten the administration time.
[0103] Nebulisers in accordance with the invention have been subject to human clinical trials to determine efficiency of delivery of active agents to the lungs by inhalation using Technetium-99m DTPA aerosol ([.sup.99mTc]DTPA aerosol). Initial results indicate the described nebulizer systems provide effective delivery of nebulized active agent to the target tissue.
TABLE-US-00001 TABLE 1 Unadjusted clinical results from initial human clinical trials with [.sup.99mTc]DTPA aerosol Volunteer Volunteer Volunteer Volunteer 1 2 3 4 Right lung dose (MBq) 8.25 27.1 21.9 26.6 Left lung dose (MBq) 7.15 25.2 22.2 23.3 Total lung dose(MBq) 15.4 52.3 44.1 49.9
[0104] Modifications and variations as would be deemed obvious to the person skilled in the art are included within the ambit of the present invention as claimed in the appended claims.