Abstract
The objective of this study was to optimize the performance of a high-efficiency pediatric inhaler, referred to as the pediatric air-jet DPI, using computational fluid dynamics (CFD) simulations with supporting experimental analysis of aerosol formation. The pediatric air-jet DPI forms an internal flow pathway consisting of an inlet jet of high-speed air, capsule chamber containing a powder formulation, and outlet orifice. Instead of simulating full breakup of the powder bed to an aerosol in this complex flow system, which is computationally expensive, flow-field-based dispersion parameters were sought that correlated with experimentally determined aerosolization metrics. For the pediatric air-jet DPI configuration that was considered, mass median aerodynamic diameter (MMAD) directly correlated with input turbulent kinetic energy normalized by actuation pressure and flow kinetic energy. Emitted dose (ED) correlated best with input flow rate multiplied by the ratio of capillary diameters. Based on these dispersion parameters, an automated CFD process was used over multiple iterations of over 100 designs to identify optimal inlet and outlet capillary diameters, which affected system performance in complex and unexpected ways. Experimental verification of the optimized designs indicated an MMAD < 1.6 μm and an ED > 90% of loaded dose. While extrathoracic depositional loss will be determined in future studies, at an operating flow rate of 15 L/min, it is expected that pediatric mouth-throat or even nose-throat aerosol deposition fractions will be below 10% and potentially less than 5% representing a significant improvement in the delivery efficiency of dry powder pharmaceutical aerosols to children.
Similar content being viewed by others
References
Coates MS, Fletcher DF, Chan H-K, Raper JA. Effect of design on the performance of a dry powder inhaler using computational fluid dynamics. Part 1: grid structure and mouthpiece length. J Pharm Sci. 2004;93(11):2863–76.
Coates MS, Fletcher DF, Chan H-K, Raper JA. The role of capusle on the performance of a dry powder inhaler using computational and experimental analyses. Pharm Res. 2005;22(6):923–32.
Coates MS, Chan H-K, Fletcher DF, Raper JA. Influence of air flow on the performance of a dry powder inhaler using computational and experimental analyses. Pharm Res. 2005;22(9):1445–53.
Coates MS, Chan H-K, Fletcher DF, Raper JA. Effect of design on the performance of a dry powder inhaler using computational fluid dynamics. Part 2: air inlet size. J Pharm Sci. 2006;95(6):1382–92.
Coates MS, Chan H-K, Fletcher DF, Chiou H. Influence of mouthpiece geometry on the aerosol delivery performance of a dry powder inhalation. Pharm Res. 2007;24(8):1450–6.
Shur J, Lee SL, Adams W, Lionberger R, Tibbatts J, Price R. Effect of device design on the in vitro performance and comparability for capsule-based dry powder inhalers. AAPS J. 2012;14(4):667–76.
Farkas D, Hindle M, Longest PW. Efficient nose-to-lung aerosol delivery with an inline DPI requiring low actuation air volume. Pharm Res. 2018;35(10):194.
Longest PW, Farkas D. Development of a new inhaler for high-efficiency dispersion of spray-dried powders using computational fluid dynamics (CFD) modeling. AAPS J. 2018;21:25. https://doi.org/10.1208/s12248-018-0281-y.
Longest PW, Farkas D, Bass K, Hindle M. Use of computational fluid dynamics (CFD) dispersion parameters in the development of a new DPI actuated with low air volumes. Pharm Res. 2019;36(8).
Chen X, Zhong W, Zhou X, Jin B, Sun B. CFD–DEM simulation of particle transport and deposition in pulmonary airway. Powder Technol. 2012;228:309–18.
Tong Z, Zhong W, Yu A, Chan H-K, Yang R. CFD–DEM investigation of the effect of agglomerate–agglomerate collision on dry powder aerosolisation. J Aerosol Sci. 2016;92:109–21.
Yang J, Wu C-Y, Adams M. Three-dimensional DEM–CFD analysis of air-flow-induced detachment of API particles from carrier particles in dry powder inhalers. Acta Pharm Sin B. 2014;4(1):52–9.
Ariane M, Sommerfeld M, Alexiadis A. Wall collision and drug-carrier detachment in dry powder inhalers: using DEM to devise a sub-scale model for CFD calculations. Powder Technol. 2018;334:65–75.
Wong W, Fletcher DF, Traini D, Chan HK, Young PM. The use of computational approaches in inhaler development. Adv Drug Deliv Rev. 2012;64(4):312–22.
Matsui H, Grubb BR, Tarran R, Randell SH, Gatzy JT, Davis CW, et al. Evidence for periciliary liquid layer depletion, not abnormal ion composition, in the pathogenesis of cystic fibrosis airways disease. Cell. 1998;95(7):1005–15.
Tarran R, Grubb BR, Parsons D, Picher M, Hirsh AJ, Davis CW, et al. The CF salt controversy: in vivo observations and therapeutic approaches. Mol Cell. 2001;8(1):149–58.
Stoltz DA, Meyerholz DK, Welsh MJ. Origins of cystic fibrosis lung disease. N Engl J Med. 2015;372(4):351–62.
Elborn JS. Cystic fibrosis. Lancet. 2016;388(10059):2519–31.
Smith AL. Inhaled antibiotic therapy: what drug? What dose? What regimen? What formulation? J Cyst Fibros. 2002;1(Suppl 2):189–93.
Ramsey BW, Pepe MS, Quan JM, Otto KL, Montgomery AB, Williams-Warren J, et al. Intermittent administration of inhaled tobramycin in patients with cystic fibrosis. N Engl J Med. 1999;340(1):23–30.
Farkas D, Hindle M, Bass K, Longest PW. Development of an inline dry powder inhaler for oral or trans-nasal aerosol administration to children. Journal of Aerosol Medicine and Pulmonary Drug Delivery. 2019;In review.
Below A, Bickmann D, Breitkreutz J. Assessing the performance of two dry powder inhalers in preschool children using an idealized pediatric upper airway model. Int J Pharm. 2013;444(1–2):169–74.
Lindert S, Below A, Breitkreutz J. Performance of dry powder inhalers with single dosed capsules in preschool children and adults using improved upper airway models. Pharmaceutics. 2014;6:36–51.
Laube BL, Sharpless G, Shermer C, Sullivan V, Powell K. Deposition of dry powder generated by solovent in Sophia anatomical infant nose-throat (SAINT) model. Aerosol Sci Technol. 2012;46:514–20.
Janssens HM, de Jongste JC, Fokkens WJ, Robben SG, Wouters K, Tiddens HA. The Sophia anatomical infant nose-throat (Saint) model: a valuable tool to study aerosol deposition in infants. J Aerosol Med. 2001;14(4):433–41.
Son Y-J, Longest PW, Hindle M. Aerosolization characteristics of dry powder inhaler formulations for the excipient enhanced growth (EEG) application: effect of spray drying process conditions on aerosol performance. Int J Pharm. 2013;443:137–45.
Son Y-J, Longest PW, Tian G, Hindle M. Evaluation and modification of commercial dry powder inhalers for the aerosolization of submicrometer excipient enhanced growth (EEG) formulation. Eur J Pharm Sci. 2013;49:390–9.
ICRP. Human respiratory tract model for radiological protection. New York: Elsevier Science Ltd; 1994.
Behara SRB, Longest PW, Farkas DR, Hindle M. Development of high efficiency ventilation bag actuated dry powder inhalers. Int J Pharm. 2014;465:52–62.
Bass K, Longest PW. Recommendations for simulating microparticle deposition at conditions similar to the upper airways with two-equation turbulence models. J Aerosol Sci. 2018;119:31–50. https://doi.org/10.1016/j.jaerosci.2018.02.007.
Longest PW, Holbrook LT. In silico models of aerosol delivery to the respiratory tract - development and applications. Adv Drug Deliv Rev. 2012;64:296–311.
Longest PW, Vinchurkar S. Effects of mesh style and grid convergence on particle deposition in bifurcating airway models with comparisons to experimental data. Med Eng Phys. 2007;29(3):350–66.
Longest PW, Son Y-J, Holbrook LT, Hindle M. Aerodynamic factors responsible for the deaggregation of carrier-free drug powders to form micrometer and submicrometer aerosols. Pharm Res. 2013;30:1608–27.
Longest PW, Vinchurkar S. Validating CFD predictions of respiratory aerosol deposition: effects of upstream transition and turbulence. J Biomech. 2007;40(2):305–16.
Wilcox DC. Turbulence modeling for CFD. 2nd ed. California: DCW Industries, Inc; 1998.
Longest PW, Hindle M, Das Choudhuri S, Byron PR. Numerical simulations of capillary aerosol generation: CFD model development and comparisons with experimental data. Aerosol Sci Technol. 2007;41(10):952–73.
Longest PW, Vinchurkar S, Martonen TB. Transport and deposition of respiratory aerosols in models of childhood asthma. J Aerosol Sci. 2006;37:1234–57.
White FM. Viscous fluid flow. 2nd ed. New York: McGraw-Hill; 1991. xxi, 614 p. p
Bhattacharjee S, Grosshandler W, editors. The formation of a wall jet near a high temperature wall under microgravity environment. ASME 1988 National Heat Transfer Conference, Volume 1; 1988.
Golshahi L, Noga ML, Thompson RB, Finlay WH. In vitro deposition measurement of inhaled micrometer-sized particle in extrathoracic airways of children and adolescents during nose breathing. J Aerosol Sci. 2011;42:474–88.
Javaheri E, Golshahi L, Finlay W. An idealized geometry that mimics average infant nasal airway deposition. J Aerosol Sci. 2013;55:137–48.
Storey-Bishoff J, Noga M, Finlay WH. Deposition of micrometer-sized aerosol particles in infant nasal airway replicas. Aerosol Sci. 2008;39:1055–65.
Tavernini S, Church TK, Lewis DA, Noga M, Martin AR, Finlay WH. Deposition of micrometer-sized aerosol particles in neonatal nasal airway replicas. Aerosol Sci Technol. 2018;52(4):407–19.
Acknowledgements
Spray dried powder from the VCU Department of Pharmaceutics (Hindle Lab) generated by Serena Bonasera and experimental lab access are gratefully acknowledged. The authors also wish to thank Dr. Hindle for helpful insights and guidance in support of this work.
Funding
This study is supported by the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health under Award Number R01HD087339 and by the National Heart, Lung and Blood Institute of the National Institutes of Health under Award Number R01HL139673. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
Virginia Commonwealth University is currently pursuing patent protection of excipient enhanced growth aerosol delivery, DPI aerosol generation devices, and patient interfaces, which if licensed, may provide a future financial interest to the authors.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Bass, K., Farkas, D. & Longest, W. Optimizing Aerosolization Using Computational Fluid Dynamics in a Pediatric Air-Jet Dry Powder Inhaler. AAPS PharmSciTech 20, 329 (2019). https://doi.org/10.1208/s12249-019-1535-4
Received:
Accepted:
Published:
DOI: https://doi.org/10.1208/s12249-019-1535-4