Patent Description:
Inhalers for drug delivery to a patient by inhalation are well-known. Such devices include metered-dose inhalers and dry powder inhalers.

Metered dose inhalers typically comprise a container containing a propellant and a liquid solution or suspension of a medicament. Metered dose inhalers further include a dispensing valve which, when actuated, causes the medicament to be forced out of the container by expansion of the propellant in the form of an aerosol.

Dry powder inhalers, on the other hand, typically contain a stock of the medicament in dry powder form, and are arranged to permit the subject to inhale discrete doses from the stock of powder medicament.

In some cases, it is desirable for the inhaler to deliver combinations of different medicaments to the subject. This can present a challenge in terms of how to store and deliver the medicaments. This is a particular challenge in the case of dry powder inhalers because it may be difficult to minimize or prevent unwanted reactions or interactions between the powder medicaments prior to delivery to the subject.

This problem may be addressed by storing the doses of the powder medicaments in respective blisters pockets defined in a strip or strips of a blister pack, and using a known inhaler design which enables release of the powder medicaments by piercing, rupturing or peeling a portion of a cover of the strip just before the dose is to be delivered to the patient for inhalation.

However, providing blister pockets containing more than one powder medicament type in this manner may reduce the compactness of the inhaler, which may discourage the subject from carrying the inhaler with them. Thus, the inhaler may not be available when it is required.

Moreover, there is a growing desire to incorporate use detection and wireless connectivity electronics in the inhaler, to assist with use and compliance monitoring. However, including blister pockets containing different medicaments within the inhaler may provide an obstacle for incorporating such features in the inhaler, because the compactness of the inhaler would be yet further reduced.

<CIT> discloses a dry powder inhaler configured to deliver a first powder medicament and a second powder medicament different from the first powder medicament. The dry powder inhaler comprises a blister pack and a medicament delivery assembly. The blister pack comprises a strip in which blister pockets are defined, said first and second powder medicaments being contained within the blister pockets, wherein a series of two blister pockets is defined in the strip, the series extending linearly along the length of the strip, and wherein the first and second powder medicaments are respectively contained in consecutive blister pockets of the series. The blister pack further comprises a peelable cover for covering the blister pockets, wherein the blister pockets are defined in a base layer, and wherein the peelable cover is releasably adhered to the base layer between the blister pockets. The medicament delivery assembly is configured to permit the subject to inhale the first and second powder medicaments simultaneously. <CIT> describes a device for delivering simultaneously two different drugs to a patient, which are on the same strip. <CIT> discloses an inhaler with a blister pack for simultaneously delivery of two different active substances from consecutive blister pockets.

According to the invention, there is provided a dry powder inhaler configured to deliver a first powder medicament and a second powder medicament different from the first powder medicament, the dry powder inhaler comprising: a blister pack; and a medicament delivery assembly, wherein the blister pack comprises: a strip in which blister pockets are defined, said first and second powder medicaments being contained within the blister pockets, wherein a series of blister pockets is defined in the strip, the series extending linearly along the length of the strip, wherein the first and second powder medicaments are respectively contained in consecutive blister pockets of the series, such that the blister pockets containing the first powder medicament alternate with the blister pockets containing the second powder medicament along the length of the strip, wherein the blister pack further comprises a peelable cover for covering the blister pockets, wherein the blister pockets are defined in a base layer, and wherein the peelable cover is releasably adhered to the base layer between the blister pockets, and wherein the medicament delivery assembly is configured to: access the blister pockets and permit a subject to inhale the first and second powder medicaments therefrom, wherein the medicament delivery assembly is configured to permit the subject to inhale the first and second powder medicaments simultaneously, the medicament delivery assembly being configured to access consecutive blister pockets for each inhalation using the inhaler, wherein the medicament delivery assembly comprises a peeling mechanism configured to peel the cover covering a pair of consecutive blister pockets thereby to expose the first and second powder medicaments for each inhalation using the inhaler, and wherein the medicament delivery assembly is configured to advance the blister strip by pulling or by pushing the blister strip.

By containing the first and second powder medicaments in alternating blister pockets of the same series, the width of the strip may be minimized in spite of the strip accommodating both the first and second powder medicaments. Such minimizing of the width of the strip may, in turn, enable the depth/thickness of the dry powder inhaler to be minimized, and/or additional space to be provided in the dry powder inhaler for accommodating, for example, use detection and wireless connectivity electronics for sending use detection data to an external device, such as a smartphone.

The medicament delivery assembly is nonetheless configured to access consecutive blister pockets, thereby permitting the subject to inhale both medicaments in a single inhalation. Thus, the dry powder inhaler can combine compactness with convenience of combined medicament administration.

The medicament delivery assembly comprises a peeling mechanism configured to peel the cover covering a pair of consecutive blister pockets thereby to expose the first and second powder medicaments for each inhalation using the inhaler. This may provide a convenient way of accessing the consecutive blister pockets which can also make for consistent and reliable simultaneous delivery of the first and second powder medicaments.

The dry powder inhaler may further comprise a mouthpiece. The medicament delivery assembly may comprise a manifold configured such that the first and second powder medicaments from the accessed consecutive blister pockets are drawn simultaneously therethrough and out of the mouthpiece when the subject inhales through the mouthpiece.

The manifold may comprise a first flow path along which the first powder medicament is carried towards the mouthpiece from one of the accessed consecutive blister pockets, and a second flow path along which the second powder medicament is carried towards the mouthpiece from the other of the accessed consecutive blister pockets. This may facilitate simultaneous inhalation of the first and second powder medicaments.

The first and second flow paths may, for example, meet with each other at a point upstream of the mouthpiece.

Such a manifold may not require any movement of the manifold, nor movement of any part of the manifold, relative to the consecutive blister pockets during the inhalation.

Also disclosed herein, but not forming an embodiment of the invention, is a dry powder inhaler configured to deliver a first powder medicament and a second powder medicament different from the first powder medicament, the dry powder inhaler comprising: a blister pack; and a medicament delivery assembly, wherein the blister pack comprises: a strip in which blister pockets are defined, said first and second powder medicaments being contained within the blister pockets, wherein a series of blister pockets is defined in the strip, the series extending linearly along the length of the strip, wherein each of the blister pockets is divided into a first pocket portion containing the first powder medicament, and a second pocket portion containing the second powder medicament, the first pocket portion adjoining the second pocket portion at a pinch point for restricting combining of the first and second powder medicaments with each other, wherein the blister pack further comprises a peelable cover for covering the blister pockets, wherein the blister pockets are defined in a base layer, and wherein the peelable cover is releasably adhered to the base layer between the blister pockets, and wherein the medicament delivery assembly is configured to: access the blister pockets and permit a subject to inhale the first and second powder medicaments therefrom, wherein the medicament delivery assembly is configured to permit the subject to inhale the first and second powder medicaments simultaneously, the medicament delivery assembly being configured to access the first and second pocket portions for each inhalation using the inhaler, wherein the medicament delivery assembly comprises a peeling mechanism configured to peel the cover covering the first and second pocket portions thereby to expose the first and second powder medicaments for each inhalation using the inhaler.

This inhaler provides an alternative solution to the same problem(s) addressed by the above-described invention. In particular, by containing the first and second powder medicaments in respective pocket portions of the same blister pocket, the compactness of the blister pack and thus the dry powder as a whole may be improved, e.g. to enable additional space to be provided in the dry powder inhaler for accommodating, for example, use detection and wireless connectivity electronics for sending use detection data to an external device, such as a smartphone.

The medicament delivery assembly is nonetheless configured to access both the first and second pocket portions, thereby permitting the subject to inhale both medicaments in a single inhalation. Thus, the dry powder inhaler can combine compactness with convenience of combined medicament administration.

The medicament delivery assembly comprises a peeling mechanism configured to peel the cover covering the first and second pocket portions thereby to expose the first and second powder medicaments for each inhalation using the inhaler. This may provide a convenient way of accessing the pocket portions which can also make for consistent and reliable simultaneous delivery of the first and second powder medicaments.

The first pocket portion may be at a different position along the length of the strip from the second pocket portion.

Alternatively or additionally, the first pocket portion may contain a different volume of the first powder medicament from that of the second powder medicament contained by the second pocket portion.

The dry powder inhaler may further comprise a mouthpiece. The medicament delivery assembly may comprise a manifold configured such that the first and second powder medicaments from the accessed first and second pocket portions are drawn simultaneously therethrough and out of the mouthpiece when the subject inhales through the mouthpiece.

The manifold may comprise a first flow path along which the first powder medicament is carried towards the mouthpiece from one of the pocket portions, and a second flow path along which the second powder medicament is carried towards the mouthpiece from the other of the pocket portions. This may facilitate simultaneous inhalation of the first and second powder medicaments.

Such a manifold may not require any movement of the manifold, nor movement of any part of the manifold, relative to the first and second pocket portions during the inhalation.

Also disclosed herein, but not forming an embodiment of the invention, is a dry powder inhaler configured to deliver a first powder medicament and a second powder medicament different from the first powder medicament, the dry powder inhaler comprising: a blister pack; and a medicament delivery assembly, wherein the blister pack comprises: a strip in which a series and a further series of blister pockets are defined, wherein the series and further series are parallel with each other and extend along the length of the strip, the first powder medicament being contained in the blister pockets of the series, and the second powder medicament being contained in the blister pockets of the further series, wherein the strip is friable along a friable portion extending along at least part of the length of the strip between the series and the further series, wherein the strip is foldable along said friable portion, wherein the medicament delivery assembly is configured to: separate the series from the further series along the friable portion, wherein the medicament delivery assembly is configured to separate the series from the further series while the strip is folded along the friable portion; and access the blister pockets and permit a subject to inhale the first and second powder medicaments therefrom.

The friable portion may facilitate delivery of the respective powder medicaments within the dry powder inhaler. The blister pockets of the series may all protrude in the same direction as each other. Similarly, the blister pockets of the further series may all protrude in the same direction as each other. This may mean that, in the case of the folded strip, the blister pockets of the series protrude in a different, e.g. opposite, direction from the blister pockets of the further series.

The term "friable portion" is intended to mean that this portion of the strip is weaker, for example more easily broken or cut, than other areas of the strip. Accordingly, the strip may be preferentially divided along the friable portion. Dividing the strip along the friable portion may not itself cause opening of the blister pockets of the series and the further series.

The medicament delivery assembly may be configured to access at least one of said blister pockets of the series and at least one of said blister pockets of the further series for each inhalation using the inhaler. This may facilitate simultaneous inhalation of the first and second powder medicaments.

The medicament delivery assembly may, for example, be configured to separate the series from the further series prior to accessing the respective blister pockets of the series and the further series.

Also disclosed herein, but not forming an embodiment of the invention, is a dry powder inhaler configured to deliver a first powder medicament and a second powder medicament different from the first powder medicament, the dry powder inhaler comprising: a blister pack; and a medicament delivery assembly, wherein the blister pack comprises: a first base layer in which a series of blister pockets are defined, and a second base layer in which a further series of blister pockets are defined, the first powder medicament being contained in the blister pockets of the series, and the second powder medicament being contained in the blister pockets of the further series, wherein the blister pack further comprises a unitary cover for covering the blister pockets of the series and the further series, wherein the unitary cover comprises a first surface and a second surface facing away from the first surface, the blister pockets of the series are covered by the first surface of the unitary cover, and the blister pockets of the further series are covered by the second surface of the unitary cover, wherein the medicament delivery assembly is configured to: access the blister pockets and permit a subject to inhale the first and second powder medicaments therefrom.

The term "unitary cover" is intended to mean that all layers of the cover are permanently attached to each other, other than layers of adhesive present on the outermost surfaces. The term "unitary cover" accordingly excludes covers formed from two separate covers which are releasably joined to each other. A single unitary cover can assist to increase the compactness of the dry powder inhaler by (at least) decreasing the thickness of the strip relative to the scenario in which the series and further series of blister pockets of the first and second base layers are each covered by their own cover.

The blister pockets of the series may be aligned with the blister pockets of the further series, or the blister pockets of the series may be offset relative to the blister pockets of the further series. Both of these scenarios are possible due, at least in part, to the unitary cover.

In an example, the unitary cover is a peelable cover, and the first surface is releasably adhered to the first base layer between the blister pockets of the series, and the second surface is releasably adhered to the second base layer between the blister pockets of the further series, and wherein the medicament delivery assembly comprises a peeling mechanism configured to peel the first base layer and the second base layer from the unitary cover thereby to expose the first and second powder medicaments.

Peeling the unitary cover from both the first and second base layers can provide a convenient way of accessing the blister pockets. The peeling mechanism can, for example, be configured to peel the first base layer and the second base layer simultaneously from the unitary cover. Alternatively, the peeling mechanism can be configured to peel the first base layer from the unitary cover and then peel the second base layer from the unitary cover (or peel the second base layer from the unitary cover and then peel the first base layer from the unitary cover) sequentially.

In other examples, the blister pockets of the series and the further series can be accessed via a suitable rupturing, puncturing and/or tearing mechanism included in the medicament delivery assembly.

Also disclosed herein, but not itself forming an embodiment of the invention, is a blister pack for a dry powder inhaler configured to deliver a first powder medicament and a second powder medicament different from the first powder medicament, the blister pack comprising: a strip in which blister pockets are defined, the first and second powder medicaments being contained within the blister pockets, wherein a series of blister pockets is defined in the strip, the series extending linearly along the length of the strip, wherein the first and second powder medicaments are contained in blister pockets of the series; and/or each of the blister pockets is elongated such as to have a largest dimension parallel with the length of the strip.

By containing the first and second powder medicaments in blister pockets of the same series, the width of the strip may be minimized in spite of the strip accommodating both the first and second powder medicaments. The blister pockets of the series may all protrude in the same direction as each other. As an alternative solution, or in addition to containing the first and second powder medicaments in blister pockets of the same series, each of the blister pockets in the strip is elongated such as to have a largest dimension parallel with the length of the strip. This measure may also assist to minimize the width of the strip, whilst ensuring that sufficient volume is provided in the blister pockets to contain the requisite quantities of the first and second powder medicaments.

Such minimizing of the width of the strip may, in turn, enable the depth/thickness of the dry powder inhaler to be minimized, and/or additional space to be provided in the dry powder inhaler for accommodating, for example, use detection and wireless connectivity electronics for sending use detection data to an external device, such as a smartphone.

The first and second powder medicaments may be respectively contained in consecutive blister pockets of the series, such that the blister pockets containing the first powder medicament alternate with the blister pockets containing the second powder medicament along the length of the strip. This arrangement may facilitate simultaneous inhalation of the first and second powder medicaments using the dry powder inhaler, particularly in examples in which a medicament delivery assembly of the dry powder inhaler is configured to access a pair of the consecutive blister pockets by peeling a peelable cover to expose first and second dry powder medicaments contained in the pair of consecutive blister pockets.

In an example, for each pair, the pocket containing the first powder medicament and the pocket containing the second powder medicament overlap each other in the length direction. This may provide a particularly space efficient arrangement of the blister pockets in the strip.

The width of the blister pocket containing the first powder medicament may, for example, decrease in the direction of the length of the strip as the width of the blister pocket containing the second powder medicament increases. This may, for example, lead to an overall width of the blister pockets, defined by the sum of the widths of the blister pockets of the pair, being substantially constant in the region of overlap.

When, for example, a peelable cover covers the pair of blister pockets, a relatively constant peeling force may therefore be used in order to expose the first and second powder medicaments contained in the blister pockets of the pair. Thus, opening of the pair of blister pockets by a peeling mechanism included in a medicament delivery assembly of the dry powder inhaler may be facilitated.

When the first and second powder medicaments are both contained in the blister pockets of the series, each of the blister pockets may be elongated such as to have a largest dimension parallel with the width of the strip. Containing the first and second powder medicaments in blister pockets of the same series may compensate for arranging the blister pockets such that their largest dimension is parallel with the width of the strip, in other words perpendicular to the length of the strip.

In another set of examples, each of the blister pockets of the strip is elongated such as to have a largest dimension parallel with the length of the strip. This may assist to minimize the width of the strip, whilst ensuring that sufficient volume is provided in the blister pockets to contain the requisite quantities of the first and second powder medicaments, as previously described.

Each of the blister pockets may, for example, be divided into a first pocket portion containing the first powder medicament, and a second pocket portion containing the second powder medicament. In this example, the first pocket portion adjoins the second pocket portion at a pinch point for restricting combining of the first and second powder medicaments with each other.

The first and second powder medicaments being contained in adjacent pocket portions of the same blister pocket may facilitate simultaneous delivery of the first and second powder medicaments therefrom during an inhalation using the dry powder inhaler.

The first pocket portion may be at a different position along the length of the strip from the second pocket portion. Alternatively or additionally, the first pocket portion may contain a different volume of the first powder medicament from that of the second powder medicament contained by the second pocket portion. In this way, the respective volumes of the pocket portions may be adjusted according to the dose strengths of the first and second powder medicaments which are to be delivered to the subject.

More generally, the strip may, for example, comprise <NUM> to <NUM>, such as <NUM> to <NUM>, e.g., <NUM> to <NUM>, doses of the first powder medicament. Thus, the strip may comprise <NUM> to <NUM>, such as <NUM> to <NUM>, e.g., <NUM> to <NUM>, blister pockets or first pocket portions containing the first powder medicament.

Similarly, the strip may, for instance, comprise <NUM> to <NUM>, such as <NUM> to <NUM>, e.g., <NUM> to <NUM>, doses of the second powder medicament. Thus, the strip may comprise <NUM> to <NUM>, such as <NUM> to <NUM>, e.g., <NUM> to <NUM>, blister pockets or second pocket portions containing the second powder medicament.

In a further set of examples, the strip comprises a further series of blister pockets, the further series extending linearly along the length of the strip. In such examples, each of the blister pockets of the series and the further series is elongated such as to have a largest dimension parallel with the length of the strip.

The largest dimension of the blister pockets being parallel with the length of the strip for both the series and the further series may assist to minimize the width of the strip in spite of the strip comprising a plurality of series of blister pockets.

The first powder medicament may be contained in the blister pockets of the series, and the second powder medicament may be contained in the blister pockets of the further series. This may, for example, facilitate manufacturing of the strip. For example, the first powder medicament may be dispensed into the blister pockets of the series defined in a first precursor strip, and the second powder medicament may be dispensed into the blister pockets of the further series defined in a second precursor strip, followed by joining of the first and second precursor strips together along their respective lengths to form the strip.

At least part of each of the blister pockets of the series may be aligned with a respective blister pocket of the further series. This may, for example, facilitate simultaneous inhalation of both the first and second powder medicaments using the dry powder inhaler.

As used herein the terms "series" and "further series" each refer to a single line or single row of blister pockets extending along the length of the strip. As such, the term "series", when used in the singular, e.g. "a series", is not intended to cover a matrix of blister pockets in which the blister pockets are arranged in a plurality of rows, with each row extending along the length of the strip. By which we mean that the term "a series" does not cover a plurality of columns of blister pockets, which columns are spaced from each other along the length of the strip, the centers of the blister pockets in each column being, for instance, aligned on a transverse line parallel with the width of the strip.

A medicament delivery assembly of a dry powder inhaler may, for instance, access one of the blister pockets of the series and, at the same time, an aligned blister pocket of the further series for each inhalation using the inhaler. Such accessing may, for example, be effected by peeling a peelable cover to expose the blister pocket of the series and the aligned blister pocket of the further series for each inhalation.

Also disclosed herein, but not forming an embodiment of the invention, is a blister pack for a dry powder inhaler configured to deliver a first powder medicament and a second powder medicament different from the first powder medicament, the blister pack comprising: a strip in which a series and a further series of blister pockets are defined, wherein the series and further series are parallel with each other and extend along the length of the strip, the first powder medicament being contained in the blister pockets of the series, and the second powder medicament being contained in the blister pockets of the further series, wherein the strip is friable along a friable portion extending along at least part of the length of the strip between the series and the further series.

The friable portion may facilitate delivery of the respective powder medicaments within the dry powder inhaler. A medicament delivery assembly included in the inhaler may, for example, separate the series and the further series, and, for each inhalation, access the blister pocket containing the first powder medicament from the series, and separately access the blister pocket containing the second powder medicament from the further series.

The blister pockets of the series may all protrude in the same direction as each other. Similarly, the blister pockets of the further series may all protrude in the same direction as each other.

The blister pack of this example may have any of the features, where applicable, of the blister pack according to any of the examples described above. For example, the blister pockets of the blister pack of this example may have the shape and/or orientation of the blister pockets described above in relation to any of the above-described examples. Similarly, features of the blister pack of this example, such as the friable portion, may, where applicable, be incorporated in examples of the blister pack of any of the above-described examples.

Manufacturing of the strip may, for example, comprise dispensing the first powder medicament into the blister pockets of the series defined in a first precursor strip, and the second powder medicament may be dispensed into the blister pockets of the further series defined in a second precursor strip, followed by joining of the first and second precursor strips together along their respective lengths. This has the advantage of minimizing contamination of the first powder medicament with the second powder medicament, and vice versa, during manufacturing of the blister pack.

The friable portion may be provided, for instance, by the manner in which the first and second precursor strips are joined together. Alternatively, the friable portion may be provided in a separate step before or after joining the first and second precursor strips together. The friable portion may, for example, comprise or consist of a perforation in the strip extending between the series and the further series along the length of the strip.

The strip may, for example, be foldable along the friable portion. This may assist to increase the compactness of the dry powder inhaler containing the blister pack, since the strip may be folded inside the dry powder inhaler prior to accessing of the blister pockets by the medicament delivery assembly included in the inhaler.

More generally, the blister pockets containing the first powder medicament may be joined to the blister pockets containing the second powder medicament. This may, for example, involve joining blocks or series of blister pockets to further blocks or further series of blister pockets. It is also conceivable that individual blister pockets define the units which are joined to each other in order to provide the strip.

Alternatively, the blister pockets containing the first powder medicament and the blister pockets containing the second powder medicament may be integrally formed in the strip.

The blister pack according to any of the above-described examples may further comprise a peelable cover for covering the blister pockets, wherein the blister pockets are defined in a base layer, and wherein the peelable cover is releasably adhered to the base layer between the blister pockets. Such a peelable cover-base layer arrangement may facilitate manufacturing of the blister pack, as well as providing a convenient way for the medicament delivery assembly of a dry powder inhaler to access the dry powder medicaments contained in the blister pockets.

Further disclosed is a dry powder inhaler comprising: the blister pack as defined above; and a medicament delivery assembly configured to access the blister pockets and permit a subject to inhale the first and second powder medicaments therefrom.

The medicament delivery assembly may be configured to permit the subject to inhale the first and second powder medicaments simultaneously. This may be particularly preferred when the first and second powder medicaments are for combined maintenance and rescue therapy.

The medicament delivery assembly may be configured to access consecutive blister pockets for each inhalation using the inhaler.

The medicament delivery assembly may comprise, when the blister pockets are covered by the peelable cover, a peeling mechanism configured to peel the cover thereby to expose the first and second powder medicaments for each inhalation using the inhaler.

In examples in which the blister pockets are elongated, the medicament delivery assembly may be configured such that at least one of the elongated blister pockets is accessed for each inhalation using the inhaler.

In examples in which the blister pockets are defined in the series and the further series, the medicament delivery assembly may be configured to access at least one of the blister pockets of the series and at least one of the blister pockets of the further series for each inhalation using the inhaler.

In examples in which the blister pockets are defined in the series and the further series, and the series and the further series are separated by the friable portion, the medicament delivery assembly may be configured to separate the series from the further series along the friable portion.

The medicament delivery assembly may, for example, be configured to separate the series from the further series of blister strips prior to accessing the respective blister pockets of the series and the further series. In a particular example in which the series and the further series are foldable along the friable portion, the medicament delivery assembly may be configured to separate the series from the further series while the strip is folded along the friable portion.

Embodiments of the invention are described in more detail and by way of non-limiting examples with reference to the accompanying drawings, wherein:.

Provided is a blister pack for a dry powder inhaler, which dry powder inhaler is configured to deliver a first powder medicament and a second powder medicament different from the first powder medicament. The first and second powder medicaments are contained within blister pockets defined in a strip. A series of blister pockets is defined in the strip, which series extends linearly along the length of the strip. The first and second powder medicaments are contained in blister pockets, e.g. respective blister pockets, of the series. Alternatively or additionally, each of the blister pockets is elongated such as to have a largest dimension parallel with the length of the strip. These measures, either individually or in combination, enable minimizing of the width of the strip in spite of the strip accommodating both the first and second powder medicaments. This, in turn, may enable the depth/thickness of the dry powder inhaler to be minimized, and/or additional space to be provided inside the dry powder inhaler for accommodating, for example, use detection and wireless connectivity electronics for sending use detection data to an external device, such as a smartphone.

Providing the first and second powder medicaments within the same blister strip may offer various advantages over, for example, solutions involving a plurality of separate strips, with the first powder medicament being contained in the blister pockets of one of the strips, and the second powder medicament being contained in the blister pockets of a separate strip. In such separate strip solutions, a single driving mechanism in the dry powder inhaler may advance the separate strips and access the respective blister pockets. Dose counting may thus, for example, rely on an inherent assumption that both blister pockets of the separate strips have been advanced and accessed upon each actuation. By providing the first and second powder medicaments within the blister pockets of the same strip, more reliable confirmation may be attained, via, for instance, a dose counter included in the dry powder inhaler, that both the first and second powder medicaments have been made available to the subject for each actuation.

Moreover, a strip having respective blister pockets for both the first and second powder medicaments may assist, for example, to reduce variability of blister pocket forming relative to the scenario in which the first and second powder medicaments are respectively contained blister pockets of separate strips.

First, second, and third powder medicaments which are all different from each other may, for example, be contained within the blister pockets of the same strip.

<FIG> shows a portion of a strip <NUM> of a blister pack according to a non-limiting example. The strip <NUM> comprises blister pockets 12A, 12B which contain a first powder medicament and a second powder medicament. The first powder medicament is different from the second powder medicament. The strip <NUM> may, for example, be used to provide a combination therapy to a subject.

In a non-limiting example, the first powder medicament is budesonide and the second powder medicament is formoterol (fumarate). In another example, the first powder medicament is beclomethasone (dipropionate), and the second powder medicament is formoterol (fumarate). In yet another example, the first powder medicament is fluticasone (propionate or furoate), and the second powder medicament is salmeterol (xinafoate).

In still another example, the first powder medicament is fluticasone (propionate or furoate) and the second powder medicament is albuterol (sulfate).

In further examples, the first powder medicament comprises fluticasone (furoate) and the second powder medicament comprises vilanterol (trifenatate); or the first powder medicament comprises umeclidinium (bromide) and the second powder medicament comprises vilanterol (trifenatate); or the first powder medicament comprises two selected from umeclidinium (bromide), fluticasone (furoate) and vilanterol (trifenatate), and the second powder medicament comprises the remaining medicament from umeclidinium (bromide), fluticasone (furoate) and vilanterol (trifenatate) not selected for the first powder medicament.

Parentheses indicate preferred salt or ester forms.

In such examples, the strip <NUM>, in combination with a dry powder inhaler which delivers the first and second powder medicaments stored in the respective blister pockets 12A, 12B of the strip <NUM>, may be used to provide maintenance and rescue therapy (MART).

More generally, the first and second powder medicaments may both be inhaled medicaments. For example, the first and second powder medicaments may both be inhaled medicaments suitable for treating a respiratory disease, such as asthma or chronic obstructive pulmonary disease.

The blister pockets 12A containing the first powder medicament are distinguished from the blister pockets 12B containing the second powder medicament in <FIG> by the hatching used for the latter but not the former. Separately storing the first powder medicament and the second powder medicament in this manner may minimize the risk of any unwanted reactions and/or interactions occurring between the first and second powder medicaments, or components of their respective dry powder formulations, prior to the subject inhaling the powder medicaments.

The blister pockets 12A, 12B may take the form of cavities or recesses formed in a base layer <NUM>. The strip <NUM> may, for example, be formed by a cold-forming or thermoforming process. In the thermoforming process a polymeric base layer <NUM> is softened at an elevated temperature and forced onto a negative mold having protrusions which define the shape of the cavities. In the cold-forming process, a laminate base layer <NUM> film, e.g. comprising an aluminum foil layer, is pressed into a mold by means of a stamp. Suitable methods of manufacturing strips <NUM> having blister pockets 12A, 12B defined therein are well-known per se, and will not be further discussed herein for the sake of brevity only.

<FIG> provides a side view of the strip <NUM> shown in <FIG>. As well as showing bulging of the blister pockets 12A, 12B relative to regions of the base layer lying between the blister pockets 12A, 12B, <FIG> shows a cover <NUM> which covers the blister pockets 12A, 12B. The cover <NUM> may be alternatively termed a "lid" because of its function of retaining the dry powder medicaments within the blister pockets 12A, 12B.

The cover <NUM> may be adhered to the regions of the base layer <NUM> lying between the blister pockets 12A, 12B. The cover <NUM> is a peelable cover <NUM> releasably adhered to the regions of the base layer <NUM> lying between the blister pockets 12A, 12B. The dry powder inhaler (not visible in <FIG>) in which the blister pack is incorporated is configured to peel the peelable cover <NUM> from the base layer <NUM>, as will be described in more detail herein below with reference to <FIG> and <FIG>.

In other examples not forming an embodiment of the invention, the cover <NUM> may not be peelable from the base layer <NUM>, but the dry powder inhaler may nevertheless be configured to access the blister pockets 12A, 12B, for example by rupturing, puncturing or tearing the blister pockets 12A, 12B.

The cover <NUM> may, for instance, hermetically seal the first and second powder medicaments in their respective blister pockets. In this way, air, and in particular the moisture present in the air, may be prevented by the cover <NUM> from accessing the interior of the blister pockets 12A, 12B. Degradation of the dry powder medicaments contained within the blister pockets 12A, 12B by ambient air may be correspondingly minimized or prevented.

The cover <NUM> may be formed of any suitable material, for example a metallic foil, such as aluminium foil. One or more layers, such as a paper layer, may be adhered to the foil to strengthen the cover <NUM>. The foil may be adhered to, e.g. releasably adhered to, the base layer <NUM> in any suitable manner, such as with a heat seal lacquer.

In the example shown in <FIG>, the first and second powder medicaments are contained in blister pockets 12A, 12B of a linear series <NUM> of blister pockets 12A, 12B. As shown in <FIG>, the blister pockets 12A, 12B of the series <NUM> may all protrude in the same direction as each other.

The first and second powder medicaments being contained in blister pockets 12A, 12B belonging to the same linear series <NUM> may assist to minimize the width of the strip <NUM>.

The blister pockets 12A containing the first powder medicament may, for instance, be integrally formed with the blister pockets 12B containing the second powder medicament in the strip <NUM>. In such an example, filling of the blister pockets 12A, 12B with the first and second powder medicaments may comprise using a first dispenser to dispense the first powder medicament into the blister pockets 12A of the strip <NUM>, and using a second dispenser to dispense the second powder medicament into the blister pockets 12B of the strip <NUM>.

The dispensers may, for example, each comprise a nozzle, e.g. having a diameter in the range <NUM> to <NUM>, for directing the respective powder medicament into the blister pockets 12A, 12B.

In an alternative non-limiting example, the blister pockets 12A containing the first powder medicament are joined to the blister pockets 12B containing the second powder medicament. In this example, the blister pockets 12A, 12B may be filled with the respective powder medicament and the filled blister pockets 12A, 12B may be subsequently joined to each other, thereby to afford the strip <NUM>. This may have the advantage of permitting the first and second powder medicaments to be kept separate from each other. In this way, the risk of contamination of the first powder medicament with the second powder medicament, and vice versa, may be minimized.

A cover portion may cover the blister pockets 12A following filling with the first powder medicament, and a further cover portion may cover the blister pockets 12B following filling with the second powder medicament. Once the blister pockets 12A, 12B are joined to each other, the cover portion and the further cover portion may define the cover <NUM>. In other examples, the blister pockets 12A, 12B may be joined to each other prior to a single cover <NUM> covering the joined blister pockets 12A, 12B.

In the example shown in <FIG>, the first and second powder medicaments are respectively contained in consecutive blister pockets 12A, 12B of the series <NUM>. This arrangement means that the blister pockets 12A containing the first powder medicament alternate with the blister pockets 12B containing the second powder medicament along the length of the strip <NUM>. This arrangement may facilitate simultaneous inhalation of the first and second powder medicaments using the dry powder inhaler, for example when the first and second powder medicaments are for MART.

The blister pocket 12A containing the first powder medicament may, for instance, be spaced sufficiently close to the consecutive, in other words adjacent, blister pocket 12B containing the second powder medicament such that the dry powder inhaler may access both of the consecutive blister pockets 12A, 12B, and enable the subject to inhaler the first powder medicament and the second powder medicament therefrom during the same inhalation using the inhaler.

The blister pockets 12A, 12B may have any suitable shape. Whilst the blister pockets 12A, 12B are oval shaped in the plan view provided in <FIG>, other shapes are conceivable. In the non-limiting example of <FIG>, the blister pockets 12A, 12B are triangular in the plan view.

As shown in <FIG>, the series <NUM> comprises pairs <NUM> of consecutive blister pockets 12A, 12B. For each pair <NUM>, the pocket 12A containing the first powder medicament and the pocket 12B containing the second powder medicament may overlap each other in the length direction. This may provide a particularly space efficient arrangement of the blister pockets 12A, 12B in the strip <NUM>.

A region of overlap <NUM> is defined where the consecutive blister pockets 12A, 12B of the pair <NUM> overlap each other. The width of the blister pocket 12A containing the first powder medicament may decrease in the length direction as the width of the blister pocket 12B containing the second powder medicament increases in the region of overlap <NUM>.

When, for example, the peelable cover <NUM> covers the blister pockets 12A, 12B, a relatively constant peeling force may be used in order to expose the first and second powder medicaments contained in the blister pockets 12A, 12B of each pair <NUM>. The peeling force is determined by the proportion of the width of the strip in which the base layer <NUM> is adhered to the cover <NUM>. This means that the decreasing width of the blister pocket 12A of the pair <NUM> is effectively compensated for by the increasing width of the blister pocket 12B of the pair <NUM>. Such a strip <NUM> may thus be particularly suitable for use in combination with a peeling mechanism in a dry powder inhaler, which peeling mechanism may exert a relatively constant peeling force during exposing of each pair <NUM> of blister pockets 12A, 12B.

An overall width of the blister pockets 12A, 12B of the pair <NUM>, as defined by the sum of the widths of the blister pockets 12A, 12B of the pair <NUM>, may be substantially constant in the region of overlap <NUM>. The area in which the peelable cover <NUM> is adhered to the base layer <NUM> may be correspondingly substantially constant in the region of overlap <NUM>, and the width of the strip <NUM> may also be constant along its length. The result may be further improvement the compatibility of the strip <NUM> with a peeling mechanism of a dry powder inhaler.

Whilst the overlapping pair <NUM> of blister pockets 12A, 12B are triangular in the plan view provided in <FIG>, this is not intended to be limiting. Other shapes, e.g. more elaborate shapes, may be employed which mean that the width of the blister pocket 12A containing the first powder medicament decreases in the length direction as the width of the blister pocket 12B containing the second powder medicament increases in the region of overlap <NUM>.

<FIG> shows a plan view of a strip <NUM> according to another example, not forming an embodiment of the invention. In this case the series <NUM> comprises a first series 11A of the blister pockets 12A containing the first powder medicament, and a second series 11B of the blister pockets 12B containing the second powder medicament. The first series 11A and the second series 11B are collinear with each other.

The strip <NUM> may be fabricated, for example, by joining a first precursor strip comprising the first series 11A with a second precursor strip comprising the second series 11B. This may have the advantage of permitting the first and second powder medicaments to be kept separate from each other as the blister pockets 12A, 12B of the respective precursor strips are being filled, thereby to minimize the risk of contamination of the first powder medicament with the second powder medicament, and vice versa.

In another non-limiting example, the first series 11A and the second series 11B are integrally formed in the strip <NUM>. In such an example, a first dispenser may be used to fill the blister pockets 12A of the first series 11A with the first powder medicament, and a second dispenser may be used to fill the blister pockets 12B of the second series 11B with the second powder medicament.

The strip <NUM> may, for example, comprise a friable portion, such as a perforation, between the first series 11A and the second series 11B. In such an example, a medicament delivery assembly of the dry powder inhaler in which the blister pack is included may be configured to break the friable portion, thereby to separate the first series 11A from the second series 11B prior to accessing the respective blister pockets 12A, 12B of the first series 11A and the second series 11B.

The friable portion may, for instance, be provided by the manner in which the precursor strip in which the first series 11A is defined is joined to the precursor strip in which the second series 11B is defined. Alternatively, the friable portion may be provided in a strip <NUM> in which the first series 11A and the second series 11B are integrally formed.

In the examples depicted in <FIG>, each of the blister pockets 12A, 12B is elongated such as to have a largest dimension parallel with the width of the strip <NUM>. This may assist to achieve a closer spacing between the respective centers of consecutive blister pockets 12A, 12B than, for example, the scenario in which the largest dimension of each of the blister pockets is parallel with the length of the strip <NUM>. In the case of the example shown in <FIG>, this closer spacing may, in turn, facilitate opening of both of a pair of the consecutive blister pockets 12A, 12B by a medicament delivery assembly included in a dry powder inhaler.

An alternative non-limiting example is shown in <FIG>. In this example, the blister pockets 12A containing the first powder medicament, and the blister pockets 12B containing the second powder medicament are arranged in the same series <NUM> as each other, similarly to the examples shown in <FIG>. But in the case of the strip <NUM> shown in <FIG>, each of the blister pockets 12A, 12B of the strip <NUM> is elongated such as to have a largest dimension <NUM> parallel with the length of the strip <NUM>. This largest dimension <NUM> is larger than both the maximum width <NUM> and the maximum depth <NUM> of each blister pocket 12A, 12B.

Arranging the blister pockets 12A, 12B such that their largest dimension lies parallel with the length of the strip <NUM> further assists to minimize the width of the strip <NUM>, whilst ensuring that sufficient volume is provided in the blister pockets 12A, 12B to contain the requisite quantities of the first and second powder medicaments.

<FIG> shows a side view of a strip <NUM> according to a further example not forming an embodiment of the invention. In this example, the width of the strip <NUM> is minimized by virtue of the first powder medicament and the second powder medicament being contained within blister pockets <NUM> of the same series <NUM>, as well as by each of the blister pockets <NUM> having their largest dimension <NUM> parallel with the length of the strip <NUM>. Moreover, each of the blister pockets <NUM> is divided into a first pocket portion 26A containing the first powder medicament, and a second pocket portion 26B containing the second powder medicament. In the example shown in <FIG>, the first pocket portion 26A is at a different position along the length of the strip <NUM> from the second pocket portion 26B.

Each of the blister pockets <NUM> may provide, for instance, a combined dose of the first and second powder medicaments contained therein. The first and second powder medicaments of the combined dose being contained in adjacent pocket portions 26A, 26B of the same blister pocket <NUM> may facilitate simultaneous delivery of the first and second powder medicaments by a dry powder inhaler.

As shown in <FIG>, the first pocket portion 26A adjoins the second pocket portion 26B at a pinch point <NUM>. The pinch point <NUM> may restricting combining of the first and second powder medicaments with each other. In the example shown in <FIG>, the pinch point <NUM> may be configured to minimize a gap <NUM> between the pinch point <NUM> and the cover <NUM>. Whilst the first and second powder medicaments may contact each other at the gap <NUM>, the packing of the adjacent pocket portions 26A, 26B, combined with a relatively narrow gap <NUM>, may restrict the degree to which the first and second powder medicaments mix with each other. In this manner, the risk of reactions and/or interactions of the first and second powder medicaments with each other may be minimized.

The first pocket portion 26A may, for instance, contain a different volume of the first powder medicament from that of the second powder medicament contained by the second pocket portion 26B. This is represented in <FIG> by the first pocket portion 26A being smaller in the side view than the second pocket portion 26B. In this way, the respective volumes of the pocket portions 26A, 26B may be adjusted according to the dose strengths of the first and second powder medicaments to be delivered to the subject. This may be particularly advantageous when the first and second powder medicaments are to be inhaled simultaneously using a dry powder inhaler.

<FIG> shows a plan view of an exemplary strip <NUM>, not forming an embodiment of the invention, comprising a series <NUM> of blister pockets 12A and a further series <NUM> of blister pockets 12B. Both the series <NUM> and the further series <NUM> extend linearly along the length of the strip <NUM>. As shown in <FIG>, each of the blister pockets 12A, 12B of the series <NUM> and the further series <NUM> is elongated such as to have a largest dimension 20A, 20B parallel with the length of the strip <NUM>.

The largest dimension 20A, 20B of the blister pockets 12A, 12B being parallel with the length of the strip for both the series <NUM> and the further series <NUM>, may assist to minimize the width of the strip <NUM>, in spite of the strip <NUM> comprising a plurality of series <NUM>, <NUM> which are spaced apart from each other across the width of the strip <NUM>.

In the example shown in <FIG>, each of the blister pockets 12A of the series <NUM> contains the first powder medicament, and each of the blister pockets 12B of the further series <NUM> contains the second powder medicament. This may, for example, facilitate manufacturing of the strip <NUM>, since the first powder medicament may, for instance, be dispensed into the blister pockets 12A of the series <NUM> defined in a first precursor strip, and the second powder medicament may be dispensed into the blister pockets 12B of the further series <NUM> defined in a second precursor strip, followed by joining of the first and second precursor strips together along their respective lengths to form the strip <NUM>.

In other examples, the blister pockets 12A and the blister pockets 12B may be integrally formed in the strip <NUM>, and a first dispenser may fill the blister pockets 12A with the first powder medicament, and a second dispenser may fill the blister pockets 12B with the second powder medicament.

As shown in <FIG>, at least part of each of the blister pockets 12A of the series <NUM> is aligned with a respective blister pocket 12B of the further series <NUM>. In this case, a medicament delivery assembly of a dry powder inhaler may access one of the blister pockets 12A of the series <NUM> and an aligned blister pocket 12B of the further series <NUM> for each inhalation using the inhaler. Such accessing may, for example, be effected by peeling a peelable cover <NUM> to expose the blister pocket 12A and the aligned blister pocket 12B for each inhalation.

Whilst the blister pockets 12A containing the first powder medicament are schematically shown in <FIG>, <FIG> (as well as in <FIG> described herein below) as having the same dimensions as the blister pockets 12B containing the second powder medicament, this is not intended to be limiting. The blister pockets 12A containing the first powder medicament may have a different volume from the volume of the blister pockets 12B containing the second powder medicament, for example when the first powder medicament is to be delivered at a different dose strength relative to the second powder medicament.

<FIG> shows the exterior of a dry powder inhaler <NUM> according to a non-limiting example. The inhaler <NUM> comprises a first housing part <NUM> and a second housing part <NUM>. The second housing part <NUM> is rotatably slidable relative to the first housing part <NUM>. Moreover, the second housing part <NUM> can be partially received within the first housing part <NUM> when the housing parts <NUM>, <NUM> are rotated relative to each other. Thus, the second housing part <NUM> can be slid partially into first housing part <NUM>, thereby exposing a mouthpiece (not visible in <FIG>) and a lever or button for actuating or triggering a medicament delivery assembly (not visible in <FIG>) included in the inhaler <NUM>. Subsequently to an inhalation using the inhaler <NUM> via the mouthpiece, the second housing part <NUM> can be returned to the position shown in <FIG> in which the mouthpiece and the lever/button are covered.

As shown in <FIG>, the first housing part <NUM> may comprise a grip portion <NUM> to assist the user to expose/cover the mouthpiece. The user may grasp the first housing part <NUM> and use a digit, such as a finger or thumb, placed in a digit receiving member <NUM>, to slide the second housing part <NUM> partially into the first housing part <NUM>, thereby to expose the mouthpiece and the lever/button.

The inhaler <NUM> may further comprise a window <NUM>, in this example delimited by the second housing part <NUM>. In this respect, the inhaler <NUM> may comprise a dose counter for counting the number of actuations/triggers made via the lever or button. The dose counter may be electronic and/or mechanical, and the number of doses already dosed and/or the number of doses remaining may be displayed by the dose counter. This number of doses may be visible through the window <NUM>.

In a non-limiting example, the strip <NUM> has numbers printed thereon corresponding to the number of doses. The printed numbers on the strip <NUM> may align with and be visible through the window <NUM>, thereby to indicate the number of doses of the strip <NUM> already dosed and/or the number of doses remaining in the strip <NUM>.

The exterior of the inhaler <NUM> may further comprise a region <NUM> on which, for example, a medicament label may be affixed. A user interface (not visible in the Figures), for example, comprising one or more light indicators, a touchscreen, and/or buttons for operating electronic circuitry, and so on, may be alternatively or additionally mounted in the region <NUM>. Such a user interface may be used, for instance, to control use detection and wireless connectivity electronics for sending use detection data to an external device, such as a smartphone.

<FIG> provides a view of the inhaler <NUM> with a portion of the second housing part <NUM> removed. <FIG> shows the pivot point <NUM> about which the first and second housing parts <NUM>, <NUM> are rotatable relative to each other, thereby to expose and cover the mouthpiece <NUM> and the lever <NUM> of the medicament delivery assembly <NUM>, as previously described.

<FIG> provides an interior view of the inhaler <NUM> when the inhaler <NUM> is not being actuated. The inhaler <NUM> comprises a blister pack, for example a blister pack comprising the strip <NUM> according to any of the above-described examples. The inhaler <NUM> further comprises a medicament delivery assembly <NUM> configured to access the blister pockets <NUM>, 12A, 12B and permit a subject to inhale the first and second powder medicaments therefrom.

In this non-limiting example, the strip <NUM> is incrementally unwound from a spool <NUM> with each successive actuation of the medicament delivery assembly <NUM>. Actuation of the medicament delivery assembly <NUM> is effected by the user displacing the lever <NUM> from its unactuated position shown in <FIG> to the actuated position shown in <FIG>.

The medicament delivery assembly <NUM> may, for example, also be configured to return the lever <NUM> to its unactuated position when the housing parts <NUM>, <NUM> are rotated relative to each other to (re-)cover the mouthpiece <NUM> and the lever <NUM>.

A gearing arrangement, which is only partially visible in <FIG>, translates movement of the lever <NUM> to rotation <NUM> of an indexing wheel <NUM>, and rotation <NUM> of a waste cover spool <NUM>. As shown in <FIG>, the rotation <NUM> of the indexing wheel <NUM> is in the opposite direction relative to the rotation <NUM> of the waste cover spool <NUM>. This causes the peelable cover <NUM> to be peeled from the base layer <NUM> at the peeling point <NUM>, thereby exposing the dry powder medicament(s) contained in the blister pockets <NUM>.

The medicament delivery assembly <NUM> may further comprise a manifold (not visible in the Figures) which is configured such that the dry powder medicaments(s) from the exposed blister pockets <NUM> is or are drawn therethrough and out of the mouthpiece <NUM> when the subject inhales through the mouthpiece <NUM>.

As shown in <FIG>, the indexing wheel <NUM> comprises a plurality of recesses <NUM> around its circumference, which recesses <NUM> are each dimensioned and/or shaped to receive a blister pocket <NUM> of the strip <NUM>. Once the subject has inhaled the dry powder medicament(s) from the blister pocket(s) <NUM> exposed by actuation of the inhaler <NUM>, the spent blister pockets <NUM> are collected on the waste base layer spool <NUM>. Each actuation using the lever <NUM> may cause the gearing arrangement to cause the waste base layer spool <NUM> to rotate, in this case in the same direction <NUM> as the direction of rotation <NUM> of the indexing wheel <NUM>. In this manner, the waste base layer <NUM> is incrementally collected on the waste base layer spool <NUM> and, concurrently, the waste cover <NUM> is incrementally collected on the waste cover spool <NUM>.

The effective winding diameter of the waste cover spool <NUM> may become greater as more waste cover <NUM> is collected thereon. In order to assist uniform indexing of the strip <NUM> over its length, the waste cover spool <NUM> may have a collapsible design, in this example by having a plurality of radial arms which are arranged to collapse inwardly as more of the waste cover <NUM> is collected on the waste cover spool <NUM>. This may assist to maintain a substantially uniform winding diameter of the waste cover spool <NUM> as more waste cover <NUM> is collected thereon.

In alternative examples, the medicament delivery assembly <NUM> comprises a clutch for adjusting for an increase in the effective winding diameter of the waste cover spool <NUM> during use of the dry powder inhaler. Alternatively or additionally, the pitch or spacing of the blister pockets <NUM> may be varied along the length of the strip <NUM> in order to maintain uniform indexing of the strip <NUM> over its length.

In other examples, not forming an embodiment of the invention, the medicament delivery assembly <NUM> may not access each of the blister pockets <NUM> by peeling a peelable cover <NUM> from a base layer <NUM> in which the blister pockets <NUM> are defined. Rather, the medicament delivery assembly <NUM> may comprise a rupturing mechanism, a puncturing mechanism, or a tearing mechanism for accessing the blister pockets <NUM> by rupturing, puncturing, or tearing respectively.

The medicament delivery assembly <NUM> is configured to permit the subject to inhale the first and second powder medicaments simultaneously. The medicament delivery assembly <NUM> is configured such that each actuation of the inhaler <NUM>, for example by movement of the lever <NUM>, causes the peelable cover <NUM> to be peeled from the base layer <NUM>, thereby to expose a blister pocket 12A containing the first powder medicament, and a blister pocket 12B containing the second powder medicament. The manifold is arranged such that the subject can inhale the first and second powder medicaments from the thus exposed blister pockets 12A, 12B simultaneously.

The blister pocket 12A containing the first powder medicament and the blister pocket 12B containing the second powder medicament are consecutive blister pockets 12A, 12B of the same series <NUM>. The medicament delivery assembly <NUM> peels the peelable cover <NUM> covering the consecutive blister pockets 12A, 12B during each actuation. In this manner, the medicament delivery assembly <NUM> is configured to access consecutive blister pockets 12A, 12B of the exemplary strips <NUM> shown in <FIG>, <FIG>.

In the case that the strip <NUM> comprises the elongated blister pockets 12A, 12B whose largest dimension extends parallel with the length of the strip <NUM>, as in the examples shown in <FIG>, not forming an embodiment of the invention, the medicament delivery assembly <NUM> may be configured such that at least one of the elongated blister pockets 12A, 12B, <NUM> is accessed for each inhalation using the inhaler <NUM>.

For example, each actuation of the medicament delivery assembly <NUM>, e.g. via movement of the lever <NUM>, may cause the peelable cover <NUM> to be peeled back from the base layer <NUM> to a degree which causes one of the elongated blister pockets 12A, 12B, <NUM> to be exposed. The manifold may be arranged such that the subject can inhale the powder medicament(s) from the thus exposed blister pocket 12A, 12B, <NUM>.

In the case of the exemplary strip <NUM> depicted in <FIG>, not forming an embodiment of the invention, being incorporated in the dry powder inhaler <NUM>, the medicament delivery assembly <NUM> may be configured to access both of the adjoining first and second pocket portions 26A, 26B included in each blister pocket <NUM> for each inhalation using the inhaler <NUM>. The manifold may be arranged such that the subject can inhale the first and second powder medicaments from the thus exposed pocket portions 26A, 26B simultaneously.

This may be effected by, for example, each actuation of the medicament delivery assembly <NUM>, e.g. via movement of the lever <NUM>, causing the peelable cover <NUM> to be peeled back from the base layer <NUM> to a degree which exposes both the first and second pocket portions 26A, 26B of one blister pocket <NUM>.

In the case of the strip <NUM> comprising the series <NUM> and the further series <NUM> of blister pockets, as shown in <FIG>, not forming an embodiment of the invention, the medicament delivery assembly <NUM> may be configured to access one of the blister pockets 12A of the series <NUM> and one of the blister pockets 12B of the further series <NUM> for each inhalation using the inhaler <NUM>. The manifold may be arranged such that the subject can inhale the first and second powder medicaments from the thus exposed blister pockets 12A, 12B of the series <NUM> and the further series <NUM> simultaneously.

This may be, for instance, implemented by each actuation of the medicament delivery assembly <NUM>, e.g. via movement of the lever <NUM>, causing the peelable cover <NUM> to be peeled back from the base layer <NUM> to a degree which exposes both the first blister pocket 12A of the series <NUM> and the second blister pocket 12B of the further series <NUM>.

<FIG> shows a plan view of an exemplary strip <NUM>, not forming an embodiment of the invention, comprising a plurality of linear series <NUM>, <NUM> of blister pockets 12A, 12B. In this example, a first series <NUM> and a further series <NUM> are parallel with each other and extend along the length of the strip <NUM>. Similarly to the example shown in <FIG>, the first powder medicament is contained in the blister pockets 12A of the series <NUM>, and the second powder medicament is contained in the blister pockets 12B of the further series <NUM>. But the strip <NUM> shown in <FIG> further comprises a friable portion <NUM> extending along the length of the strip <NUM> between the series <NUM> and the further series <NUM>.

Manufacturing of the strip <NUM> may, for example, comprise dispensing the first powder medicament into the blister pockets 12A of the series <NUM> defined in a first precursor strip, and the second powder medicament may be dispensed into the blister pockets 12B of the further series <NUM> defined in a second precursor strip, followed by joining of the first and second precursor strips together along their respective lengths. The friable portion <NUM> may be provided, for instance, by the manner in which the first and second precursor strips are joined together. Alternatively, the friable portion <NUM> may be provided in a separate step before or after joining the first and second precursor strips together.

In other examples, the blister pockets 12A and the blister pockets 12B may be integrally formed in the strip <NUM>, and a first dispenser may fill the blister pockets 12A with the first powder medicament, and a second dispenser may fill the blister pockets 12B with the second powder medicament. The friable portion <NUM> may be provided in the strip <NUM> either before or after filling of the blister pockets 12A, 12B with the first and second powder medicaments.

More generally, the friable portion <NUM> may comprise, for example, a perforation extending along the length of the strip <NUM> between the series <NUM> and the further series <NUM>.

In an example, the strip <NUM> is foldable along the friable portion <NUM>. <FIG> shows a side view of the strip <NUM> when the strip <NUM> is folded along its length along the friable portion <NUM>. By folding the strip <NUM> in this manner, the base layer <NUM> may be effectively divided by the friable portion <NUM> into a first base layer portion 14A comprising the blister pockets 12A of the series <NUM>, and a second base layer portion 14B comprising the blister pockets 12B of the further series <NUM>. <FIG> schematically depicts the strip <NUM> in a coiled and folded state. The strip <NUM> may be in such a coiled and folded state when, for example, the strip <NUM> is on the spool <NUM> included in a medicament delivery assembly <NUM> of a dry powder inhaler <NUM>.

The medicament delivery assembly <NUM> may be configured to separate the series <NUM> from the further series <NUM> along the friable portion <NUM>. For example, the medicament delivery assembly <NUM> may be configured to separate the series <NUM> from the further series <NUM> prior to accessing the respective blister pockets 12A, 12B of the series <NUM> and the further series <NUM>.

<FIG> schematically depicts an exemplary medicament delivery assembly <NUM> operating to access the blister strips 12A, 12B of the strip <NUM> shown in <FIG>. In this example, not forming an embodiment of the invention, the folded strip <NUM> is coiled around the spool <NUM>. During actuation of the medicament delivery assembly <NUM>, e.g. by moving the lever <NUM>, the gearing assembly may cause rotation of the first wheel 127A and the second wheel 127B. The direction of rotation 126A of the first wheel 127A may be opposite to the direction of rotation 126B of the second wheel 127B, such that the series <NUM> and the further series <NUM> are pulled apart by breaking the friable portion <NUM> at point <NUM>.

Moreover during the actuation, a first waste cover spool 129A may rotate in a direction 128A which is different from the direction 126A of rotation of the first wheel 127A, thereby to peel a first cover portion 16A from the first base layer portion 14A at point 130A.

Similarly, a second waste cover spool 129B may rotate in a direction 128B which is different from the direction 126B of rotation of the second wheel 127B, thereby to peel a second cover portion 16B from the second base layer portion 14B at point 130B.

Thus, one blister pocket 12A from the series <NUM> and one blister pocket 12B from the further series <NUM> may be exposed per actuation of the medicament delivery assembly.

As schematically shown in <FIG>, the medicament delivery assembly <NUM> further comprises a manifold <NUM> which provides fluid communication between the exposed blister pockets 12A, 12B with the mouthpiece <NUM>. The first powder medicament may thus be drawn towards the mouthpiece <NUM> opening, as represented by the arrow 140A, at the same time as the second powder medicament is drawn towards the mouthpiece <NUM>, as represented by the arrow 140B.

Alternative suitable designs of the medicament delivery assembly <NUM> which enable separation of the series <NUM> and the further series <NUM> along the friable portion <NUM> are conceivable, such as a medicament delivery assembly <NUM> comprising a suitable cutting member (not visible in the Figures) for cutting the friable portion along the length of the strip <NUM>. Moreover, it is reiterated that the medicament delivery assembly <NUM> may be configured to access the blister pockets 12A, 12B in other ways, such as via a rupturing mechanism, a puncturing mechanism, or a tearing mechanism, as previously described.

<FIG> shows a side view of a strip <NUM> according to another example, not forming an embodiment of the invention. In this case, the blister pack comprises a first base layer 14C in which a series <NUM> of blister pockets 12A are defined, and a second base layer 14D in which a further series <NUM> of blister pockets 12B are defined, the first powder medicament being contained in the blister pockets 12A of the series <NUM>, and the second powder medicament being contained in the blister pockets 12B of the further series <NUM>.

In this example, the blister pack further comprises a unitary cover <NUM>, in other words a common lid, for covering the blister pockets of the series <NUM> and the further series <NUM>.

A single unitary cover <NUM> can assist to increase the compactness of the dry powder inhaler by (at least) decreasing the thickness of the strip <NUM> relative to the scenario in which the series <NUM> and further series <NUM> of blister pockets of the first and second base layers 14C, 14D are each covered by their own cover.

The unitary cover <NUM> comprises a first surface and a second surface facing away from the first surface, with the blister pockets 12A of the series <NUM> being covered by the first surface of the unitary cover <NUM>, and the blister pockets 12B of the further series <NUM> being covered by the second surface of the unitary cover <NUM>.

Other than the first and second surfaces covering the blister pockets 12A, 12B of the series and the further series <NUM>, <NUM>, the description of the cover <NUM> provided in relation to the examples described above is applicable to this example.

The medicament delivery assembly included in the dry powder inhaler may be configured to access the blister pockets 12A, 12B of the first and second series <NUM>, <NUM> and permit a subject to inhale the first and second powder medicaments therefrom.

The blister pockets 12A of the series <NUM> may be aligned with the blister pockets 12B of the further series <NUM>, as shown in <FIG>. Alternatively, the blister pockets 12A of the series <NUM> may be offset relative to the blister pockets 12B of the further series <NUM>. Both of these scenarios are possible due, at least in part, to the unitary cover <NUM>.

In a example, the unitary cover <NUM> is a peelable cover, and the first surface is releasably adhered to the first base layer 14C between the blister pockets 12A of the series <NUM>, and the second surface is releasably adhered to the second base layer 14D between the blister pockets 12B of the further series <NUM>.

In such an example, the medicament delivery assembly can comprise a peeling mechanism configured to peel the first base layer 14C and the second base layer 14D from the unitary cover <NUM> thereby to expose the first and second powder medicaments.

Peeling the unitary cover <NUM> from both the first and second base layers 14C, 14D can provide a convenient way of accessing the blister pockets 12A, 12B. The peeling mechanism can, for example, be configured to peel the first base layer 14C and the second base layer 14D from the unitary cover <NUM> at the same time.

Alternatively, the peeling mechanism can, for example, be configured to peel the first base layer 14C from the unitary cover <NUM> and then, subsequently, peel the second base layer 14D from the unitary cover <NUM> (or vice versa).

In other examples, the blister pockets of the series <NUM> and the further series <NUM> can be accessed via a suitable rupturing, puncturing and/or tearing mechanism included in the medicament delivery assembly.

Claim 1:
A dry powder inhaler (<NUM>) configured to deliver a first powder medicament and a second powder medicament different from the first powder medicament, the dry powder inhaler comprising:
a blister pack (<NUM>); and
a medicament delivery assembly (<NUM>),
wherein the blister pack (<NUM>) comprises:
a strip in which blister pockets (12A, 12B) are defined, said first and second powder medicaments being contained within the blister pockets (12A, 12B), wherein a series (<NUM>) of blister pockets (12A, 12B) is defined in the strip, the series (<NUM>) extending linearly along the length of the strip,
wherein the first and second powder medicaments are respectively contained in consecutive blister pockets (12A, 12B) of the series (<NUM>), such that the blister pockets (12A) containing the first powder medicament alternate with the blister pockets (12B) containing the second powder medicament along the length of the strip,
wherein the blister pack (<NUM>) further comprises a peelable cover (<NUM>) for covering the blister pockets (12A, 12B), wherein the blister pockets (12A, 12B) are defined in a base layer (<NUM>), and wherein the peelable cover (<NUM>) is releasably adhered to the base layer (<NUM>) between the blister pockets (12A, 12B), and
wherein the medicament delivery assembly (<NUM>) is configured to:
access the blister pockets (12A, 12B) and permit a subject to inhale the first and second powder medicaments therefrom,
wherein the medicament delivery assembly (<NUM>) is configured to permit the subject to inhale the first and second powder medicaments simultaneously, the medicament delivery assembly (<NUM>) being configured to access consecutive blister pockets (12A, 12B) for each inhalation using the inhaler (<NUM>),
wherein the medicament delivery assembly (<NUM>) comprises a peeling mechanism configured to peel the cover (<NUM>) covering a pair of consecutive blister pockets (12A, 12B) thereby to expose the first and second powder medicaments for each inhalation using the inhaler (<NUM>), and
wherein the medicament delivery assembly (<NUM>) is configured to advance the blister strip (<NUM>) by pulling or by pushing the blister strip (<NUM>).