Medicament inhalation device

Abstract: The device for the administration of inhalation medicament held in a capsule (C) comprises a chamber (18) adapted to receive a capsule (C) and provided with an air inlet and an air outlet, capsule piercing means (P) and a magazine (30,40) for holding a plurality of capsules (C). The magazine (30,40) is rotatably mounted about the air outlet and there are provided loading means (50) to convey a capsule (C) from the magazine (30,40) to the chamber (18).

Description: This invention relates to a medicament inhalation device, more particularly to such a device for the inhalation of medicaments held in capsules prior to administration. Medicament inhalation devices of this kind are already known. US-Patent 3991761 discloses a device of this type, which comprises two pivotally connected portions defining a chamber into which a capsule is placed horizontally after which its ends are pierced by two needles. Inhalation through a mouthpiece imparts a spinning motion to the capsule, thus ejecting the medicament which in subsequently inhaled. UK-Patent 2151491 discloses a device having two portions which are telescopically connected, and which define a chamber adapted to receive a capsule loosely in a vertical position. The capsule is pierced by a pair of blades, following which inhalation through the device results in vibration of the capsule and ejection of the medicament which is then inhaled. US-Patent US-A-4.116.195 discloses a device for the administration of inhalation medicament held in a capsule, comprising a cylindrical hollow body for receiving a sleeve. The body has a chamber for receiving a magazine provided with seats for containing a capsule. The body has a tangential air inlet in the form of slots, an air outlet in the form of a mouthpiece and capsule piercing means. The magazine is rotatably mounted in the body chamber and about the air outlet. The magazine has the function to convey a capsule to a position to be used, in which the capsule is pierced by the piercing means. This device is affected by some disadvantages, for example the number of capsules contained into the magazine is very limited, the manipulation necessary for operating the device is rather cumbersome, particularly for the elderly and the device must be disassembled and reassembled each time the magazine is empty in order to refil it with new capsules. The device disclosed in the documents mentioned above have the disadvantage that they must be disassembled and reassembled in order to insert a capsule for each administrazion of medicament. This is difficult for some patients, particularly the elderly who may have impaired hand movements due to arthritis and the like. In addition, a container of capsules must be carried by the patient throughout the day, and the volume occupied by an inhaler and a container of capsule is too large to be convenient. The present invention aims at providing a device for the administration of inhalation medicament held in a capsule which overcomes or substantially mitigates the disadvantages of prior art devices. More particularly, the inhalation device according to the present invention is of the type employing medicaments contained in capsules and comprising a tubular body having an air inlet and an air outlet and terminating at the lower portion thereof in a capsule receiving chamber, piercing means to penetrate the capsule and a magazine for holding the plurality of capsules rotatably mounted about the air outlet and is characterized in that: the magazine is separated from the tubular body and rotatably arranged thereon, the magazine has such a length as to permit a plurality of capsules arranged end to end to be filled therein, the magazine comprises a plurality of bores each adapted to receive said plurality of capsules arranged end to end, the capsule bores extend over the whole length of the magazine; the tubular body is provided with a radial slot communicating said capsule receiving chamber with the outside and having a receiving pocket for a capsule, said radial slot receiving a slider having a capsule seat adapted to hold a capsule which is movable between a filling position in which the seat communicates with a bore of the magazine and a loading position in which the seat forms part of the chamber, the piercing means are arranged in a fixed position in said tubular body so as to penetrate a capsule when said slider is moved in the loading position. According to a preferred feature of the present invention the rotating magazine is provided with ratchet means cooperating with corresponding ratchet means operated by the slider for rotating the magazine simultaneously with insertion movements of the slider. According to another preferred feature of the present invention the ratchet means of the rotating magazine comprise ratchet teeth formed in the lower portion of the rotating magazine. According to a further preferred feature of the present invention the ratchet means operated by the slider comprise an arm rotatably arranged below the rotating magazine and having a spring loaded pawl engaging the ratchet teeth, there being provided an antirotation means cooperating with the ratchet teeth and the arm and connected to the slider through a rod. Preferred embodiments of the device will now be described, by way of example, with reference to the accompanying drawings, in which: Fig. 1 is a side elevation view of the inhalation device body; Fig. 2 is a front elevation view of the body of Fig. 1; Fig. 3 is a cross sectional view taken along the line III-III of Fig.1; Fig. 4 is a bottom plan view of the body of Fig. 1; Fig. 5 is a top plan view of the lower closure disc of the device body of Fig. 1; Fig. 6 is a sectional view of the rotating magazine of the inhalation device, taken along the line VI-VI of Fig. 7; Fig. 7 is a sectional view of the rotating magazine taken along the line VII-VII of Fig. 6; Fig. 8 is an axial sectional view of the cylindrical cover of the rotating magazine of Fig. 6; Fig. 9 is a top plan view of the slider operating the rotating magazine of Fig. 6; Fig. 10 is a sectional view taken along the line X-X of Fig. 9; Fig. 11 is a top plan view of the mouthpiece to be applied on the inhalation device body; Fig. 12 is an axial sectional view taken through the assembled inhalation device with the slider in an extracted position ready to receive a medicament capsule; Fig. 13 is a sectional view taken along the line XIII-XIII of Fig. 12; Fig. 14 is a view looking on the line XIV-XIV of Fig. 12; Fig. 15 is a view similar to Fig. 12, but with slider in an inserted position; Fig. 16 is a sectional view taken along the line XVI-XVI of Fig. 15; Fig. 17 is a view looking on the line XVII-XVII of Fig. 15; Fig. 18 is a partial axial sectional view taken through another embodiment of the inhalation device according to the invention; and Fig. 19 is a sectional view taken along the line XIX-XIX of Fig. 18 Fig. 20 is a top plan view of another slider of the inhalation device in which the piercing means are provided in the slider; Fig. 21 is a sectional view taken along the line XXI-XXI of Fig. 20; Fig. 22 is a partial sectional view taken through the assembled inhalation device with the slider shown in Figs 20,21 in an extracted position; and Fig. 23 is a view similar to Fig. 22, but with the slider in an inserted position in which the piercing means are breaking a medicament capsule. Referring now to Fig. 1 to 3, there is shown the body, generally designated with 10, of the inhalation device according to the present invention. The body 10 comprises a tubular portion 11 having an inhalation passage 12. This tubular portion 11 terminates with a base portion 13 substantially cylindrical in shape, connected thereto through a portion 14 having a greater diameter so as to form a step 15. At the upper end of the tubular portion 11 a peripheral groove 27 is formed for receiving a stop ring. The base portion 13 has a pair of con cavities 16 intended to join the base portion to the front portion 17 which is substantially parallelepipedal in shape. The base portion 13 has a cylindrical chamber 18 which is coaxial with the inhalation passage 12 and communicates with the outside through a slot 19. In its lower portion the chamber 18 communicates with outside through a recess 20. The side walls of the slot 19 have a pair of facing concavities 21 forming a pocket for receiving a capsule containing the medicament. In the slot 19 also two holes 22 open, which are formed in the base portion 13 and accomodate the capsule piercing elements P, as will be described later. As can be seen from Figs. 4 and 5, recess 20 has a substantially square form and a disc 23 having a substantially square opening 24 is provided, which is to be fastened to the lower surface of the base portion 13, for example by means of screws inserted in the holes 25 of the disc 23 and in the threaded holes 26 of the base portion 13. In Figs. 6,7 and 8 there is illustrated the rotating magazine. As can be seen from Figs. 6 and 7 this magazine is formed of a rotating drum, generally designated with 30. It comprises a tubular body 31 having a central bore 34 and outer longitudinal grooves 33 extending over the whole length of the magazine and defined by equally spaced radial walls 32. Each of these longitudinal grooves 33 accomodates therein a stack of capsules C containing a medicament. The central bore 34 of the rotating drum 30 has a diameter substantially corresponding to the outer diameter of the tubular portion 11 and receives therein this tubular portion. The bore 34 has at the lower portion thereof an enlargement 35 accomodating the greater diameter lower portion 14 of the tubular portion 11 forming a step 36 on which the step 35 of the tubular portion 11 rests. In Fig. 8 there is shown a cylindrical cover having an inner diameter corresponding to the outer diameter of the walled portion of the rotating drum 30 to form the rotating magazine and this cylindrical cover is snugly fitted on the rotating drum so as to close the grooves 33 for the medicament capsules. This cylindrical cover is preferably made of a transparent plastic material. Of course, although it is preferred to have a magazine formed in two portions, namely the rotating drum 30 and the cover 40, it can be formed in one piece, namely the rotating drum 30 integrally formed with the cover 40. The device is completed by a slider, generally designated with 50 and illustrated in Figs 9 and 10. This slider has a rectangular base plate 51 having two opposite lugs 52 and an arcuated front plate 53 acting as a gripping element for the slider. On the base plate 51, on the center line of the slider 50, a guide wall 54 is provided and in the base plate 51 a hole 55 is formed which has a lower counterbore 56. This hole receives a filter element 57 forming the bottom of the capsule receiving chamber 18 when the slider 50 is in the inserted position. The guide wall 54 is provided with recesses 58 for receiving the piercing elements P of the capsule C. Preferably, the piercing elements P are in the form of blades. A mouthpiece 60 is provided (see Fig. 11) having a hole 61 which is coaxially arranged with respect to the inhalation passage 12 of the tubular portion 11. This hole 61 enlarges at the upper portion thereof with a flaring portion 62 so as to form an elliptical mouthpiece 63 for a patient inhaling the medicament from the device. The so far described device is assembled in the following manner. On the tubular portion 11 of the body 10 the rotating magazine is firstly inserted by fitting this tubular portion 11 in the bore 34 of the rotating drum 30 until the step 36 of this bore 34 is resting against the step 15 of the tubular portion 11. In so doing, the magazine is rotatably supported on the tubular portion 11. Then, in the groove 27 of the tubular portion 11 a stop ring 28 is applied, which holds the rotating drum 30 in assembled condition. Thereafter, on the rotating drum 30 the cylindrical cover 40 is forcedly fitted. In so doing, the longitudinal grooves 33 of the rotating drum 30 are closed by the cylindrical cover 40, thereby. defining the seats for receiving the medicament capsules C and forming the capsule magazine. Then, on the assembly including the tubular portion 11, the rotating drum 30 and the cylindrical cover 40 forming together the capsule magazine, the mouthpiece 60 is applied, as shown in Figs. 12 and 15. Thereafter, in the base portion 13 of the body 10 the slider 60 is inserted so that the base plate 51 thereof enters the recess 20 and the lugs 52 rest against the edges thereof, whereas the guide wall 54 penetrates the slot 19 of the base portion 13. Then, on the bottom of the base portion 13 the closure disc 23 is applied, which rotatably retains the base plate 51 of slider 50 in the recess 20. Thus, the device is assembled and is ready to be used when in the seats defined by the grooves 33 of the rotating magazine the capsules C containing the medicaments to be inhaled are introduced, as shown in Fig. 12 and 15. The operation of the above mentioned device is as follows. In the rest position, the slider 50 is inserted in the base portion 13 of the body 10, so that the filter element 57 placed in the hole 55 of the slider base plate 51 is in alignment with the inhalation passage 12 of the tubular portion 11 and with the cylindrical chamber 18 of the base portion 13. When an inhalation of the medicament is to be made, the slider 50 is extracted in the position shown in Fig. 12, wherein the capsule receiving pocket 21 of the slot 19 is in alignment with one seat 33, in this case the seat 33a, of the rotating magazine which contains, in this case, four capsules C, so that the lowermost capsule C1 falls down by gravity in the capsule receiving pocket 21 of the slot 19 and stops against the filter element 57. At this point, the slider is introduced in the chamber 18 of the base portion 13, so that the capsule C1 is conveyed by the slider guide wall 54 in the chamber 18 which is aligned with the inhalation passage 12 of the tubular portion 11. In so doing, the capsule C1 comes in contact with the fixed piercing elements P, in the form of blades, so that the capsule is broken in the upper and lower points and comes in this condition in the chamber 18, as shown in Fig. 15. In this position, the piercing elements P are in the respective recesses 58 provided in the slider guide wall 54. In the position shown in Fig. 15, the hole 61 of the mouthpiece 60 is aligned with the inhalation passage 12 of the tubular portion 11, the chamber 18 of the base portion 13, the filter element 57 and the opening 24 provided in the lower closure disc 23. Now, the patient can inhale the medicament released by the capsule C1 by applying the mouthpiece 60 against his mouth and by sucking through the inhalation passage 12. When another inhalation is to be made, the slider 50 is extracted so that the filter element 57 forming the bottom of the device is moved out of register from the chamber 18 and the broken capsule C1 lying in the latter can fall out the device through the opening 24 of the closure disc 23, while another capsule, for example the capsule C2, can now fall down in the capsule receiving pocket 21 of the slot 19 until it is supported by the filter element 57 and then the insertion operation of the slider 50 is repeated. When the capsules C contained in a seat 33 of the rotating magazine are depleted it is sufficient to rotate the magazine until another seat 33 containing capsules C is in register with the capsule receiving pocket 21 of the base portion 13. In a second embodiment of the device according to the invention the piercing elements P are provided in the slider rather than in the base portion of the body. To this purpose, the slider is somewhat modified. This modified slider 50a is shown in Figs. 20 and 21 and the portions thereof similar to those of the slider 50 are given similar references. The guide wall 54 of the slider 50a is provided with a receptacle 54a. Two side walls 54b arranged on either side of the guide wall 54 take the function of guiding the slider in the base portion 13 of the device. The receptacle 54a communicates with the outside through a slot 53a provided in the arcuated front plate 53 and in this slot 53a a push button 51a is inserted which is provided with the piercing elements P. Push button 51a is retained in the receptacle 54a by a pair of lugs 51b abutting against the arcuated front plate 53 and is biased in the extracted position by a compression spring 5 arranged between the push button and the inner wall of the receptacle 54a. A pair of holes 54c provided in the guide wall 54 accomodate the piercing elements P. The operation of the device according to this embodiment is the same as above described for the first embodiment. The only difference is the following. In the rest position the slider 50a is inserted in tha base portion 13 of the inhaler body 10. When an inhalation of the medicament is to be made, the slider 50a is extracted in the position shown in Fig. 22 which corresponds to the position shown in Fig. 12 of the first embodiment. When the slider 50a is introduced in the chamber 18 of the base portion 13, the capsule C1 is conveyed by the slider guide wall 54 in the chamber 18. For breaking the capsule C1 it is necessary to push the push button 51a against the force of the compression spring 5 so that the piercing elements P are pushed through the holes 54c and in the chamber 18, thereby the capsule 61 therein is broken. This condition is shown in Fig. 23. In Figs. 18 and 19 a third embodiment of the invention is illustrated, which is more sophisticated because for the manual rotation of the rotating magazine 31 a rotating mechanism is substitute. The elements which are the same as those of the embodiment illustrated in Figs. 1 to 17, are given the same references. In this embodiment, the base portion 13 has been slightly modified so as to accomodate the rotating mechanism of the magazine. As a matter of fact, in the upper wall of the base portion 13 a circular recess 28 is formed for receiving the tubular body 31 of the rotating magazine. This tubular body 31 is provided at the lower portion thereof with ratchet teeth 37 (see Fig. 19). Below the ratchet teeth 37 an operating arm 38 is provided, which has a hole 39 and is rotatably arranged in the recess 28. The arm 38 carries at the upper portion thereof a pawl 41 inserted in a cap 42 and biased by a spring 43 towards the outside of the cap. This pawl 41 engages one of the ratchet teeth 37. On the lower surface the arm 38 has a post 44 which engages an eyelet 45 provided at the free end of a rod 46 which is integrally connected to the slider 50 and penetrates in the base portion 13 of the inhaler body 10 through a hole 49. The side wall of the recess 28 is provided with an inwardly biased elastic tongue 29, forming an antirotation stop element for the ratchet teeth 37. The slider 50, in this case, is slightly modified because, in addition to have the guide wall 54, it has also two guide strips 59 arranged on both sides of the slot 19 of the base portion 13, whereas the closure disc 23 has been substituted by a cover 47 having a center bore 48 in which the filter element 57 is inserted. The operation of the above described inhaler is as follows: Starting from the rest position shown in Fig. 15, for making an inhalation it is necessary to extract the slider 50 from the base portion 13 of the inhaler body 10. This extraction movement of the slider 50 causes the rod 46 to counterclockwise rotate the operating arm 38, while the ratchet teeth 37 (and therefore the rotating magazine) remain stationary because the stop tongue 29, being in engagement with a ratchet tooth, prevents a counterclockwise rotation of the rotating magazine. When the slider 50 is come in the position shown in Fig. 12, a capsule C1 can fall down in the capsule receiving pocket 21 of the slot 19 until it rests on the base plate 51 of slider 50. Then, the slider 50 is inserted until it is in the position shown in Fig. 15 wherein the capsule C1 has been moved in the chamber 18 of the base portion 13 and, during this movement, has been broken by the piercing elements P. Here again the piercing elements P are preferably in the form of blades. With this insertion movement the rod 46 of the slider is moved in the base portion 13 until the post 44 of the operating arm 38 strikes against the leading edge of the eyelet 45. As the insertion movement of the slider 50 is continuing, the operating arm 38 is rotated in clockwise direction by an angle β which is equal to the pitch of the ratchet teeth and the pawl 41 rotates the ratchet teeth (and therefore the magazine 30) by the same angle β so as to bring the next seat 33 of the rotating magazine in alignment with the capsule receiving pocket 21 of the slot 19 of the base portion 13. In this manner, for the next inhalation a capsule contained in the next seat 33 is at disposal. Each inhalation, the magazine rotates through the angle β until all the capsules C contained in the series of seats 33 have been ejected. Here again the piercing elements P can be arranged in the slider 50a rather than be arranged in the base portion 13 of the inhaler body 10, as shown in Figs. 20 to 23 and the breaking operation of the capsule C1 is performed by pushing the push button 51a so as to cause the piercing elements P fastened thereto to penetrate the capsule and break it. As can be seen from the foregoing, the advantages of the inhaler according to the invention are the following: a) Possibility of making an inhalation by a simple movement of extraction and insertion of the slider without needing the inhaler to be opened for introducing therein a capsule and then to be closed and the capsule piercing means to be acted upon in a separate operation; b) Possibility of making subsequent inhalations without needing a capsule to be introduced each time in the inhaler; c) Possibility of rotating the magazine in order to put the capsule seats in alignment with the capsule receiving pocket in the base portion of inhaler simultaneously with the insertion operation of the slider; d) Possibility of ejecting the broken capsule after the inhalation operation. In addition to these great advantages, the inhaler according to the invention lends itself very well to be used as a package for containing the medicament capsules and because of the very low production costs, particularly of the first embodiment, to be put in commerce as such by the same pharmaceutical companies which produce the medicaments to be inhaled and, once all the capsules contained therein have been used, the inhaler can be disposed of.

Claims: Inhalation device of the type employing medicaments contained in capsules (C) and comprising a tubular body (10) having an air inlet and an air outlet and terminating at the lower portion thereof in a capsule receiving chamber (18), piercing means (P) to penetrate the capsule (C) and a magazine (30,40) for holding the plurality of capsules (C) rotatably mounted about the air outlet, characterized in that: the magazine (30,40) is separated from the tubular body (10) and rotatably arranged thereon, the magazine (30,40) has such a length as to permit a plurality of capsules (C) arranged end to end to be filled therein, the magazine (30,40) comprises a plurality of bores (33) each adapted to receive said plurality of capsules (C) arranged end to end, the capsule bores (33) extend over the whole length of the magazine (30,40); the tubular body (10) is provided with a radial slot (19) communicating said capsule receiving chamber (18) with the outside and having a receiving seat (21) for a capsule (C), said radial slot (19) receiving a slider (50) having a capsule seat (55,57) adapted to hold a capsule (C) which is moveable between a filling position in which the seat (55,57) communicates with a bore (33) of the magazine (30,40) and a loading position in which the seat (55,57) forms part of the chamber (18), the piercing means (P) are arranged in a fixed position in said tubular body (10) so as to penetrate a capsule when said slider (50,50a) is moved in the loading position. Device according to claim 1, characterized in that said rotating magazine (40) is provided with ratchet means (37) cooperating with corresponding ratchet means (41,42,43) operated by the slider (50) for rotating the magazine (40) simultaneously with insertion movements of the slider (50). Device according to claim 2, characterized in that said ratchet means (37) of the rotating magazine (40) comprise ratchet teeth formed in the lower portion of the rotating magazine. Device according to claim 2, characterized in that said ratchet means (41,42,43) operated by the slider (50) comprise an arm (38) rotatably arranged below the rotating magazine (40) and having a spring loaded pawl (41) engaging said ratchet teeth (37), there being provided an antirotation means (29) cooperating with the ratchet teeth (37) and said arm (38) being connected to the slider (50) through a rod (46).

Inventors: RAMELLA LUCA, RAMELLA, LUCA
Applicants: SOMOVA SPA, SOMOVA S.P.A.
Application year: 1990
Main classification: A61M15
IPC codes: A61M15, A61J7, A61M13