REALISTIC MOUTH THROAT MODELS IN THREE SIZES
Realistic mouth-throat models developed and validated by Virginia Commonwealth University can be used in place of the USP throat to provide clinically relevant in vitro testing and improved drug deposition prediction. 3D printed polymer and stainless steel models are available.
- Polymer mouth-throat models feature either a Next Generation Impactor (NGI) or Andersen Cascade Impactor (ACI) connection at the trachea (downstream).
- Stainless steel mouth-throat models connect directly to a PulmogardTM filter to enable determination of Total Lung Dose (TLD) or via an adaptor to NGI or ACI for Aerodynamic Particle Size Distribution (APSD) determination. This model separates into two anatomical regions - the 'mouth' and the 'throat'.
In both models, the inlet (upstream) accepts the same sized inhaler mouthpiece adaptor used in conjunction with the USP throat inlet. The downstream outlet of both models also connects with a Nephele Mixing Inlet (NMI). The combination of NMI and realistic mouth throat model plus a breath simulator facilitates inhaler testing with both a realistic mouth throat geometry and flow profiles through an inhaler that simulate inhalations (irrespective of the constant flow rate through the cascade impactor).
Models are available in three sizes, Small, Medium and Large. The Small and Large versions are scaled based on the reported mean and standard deviation of airway volumes and dimensions across the normal adult population, as reflected in the Medium model. This allows for testing that reflects the variability observed in in vivo testing across the population.
Polymer Mouth Throat Model Technical Details
Polymer mouth throat models are available in three sizes, Small, Medium and Large for use with either the NGI or ACI.
Models are robust and made from solvent-resistant polymer. They are lightly frosted inside to permit coating with artificial mucus, which is widely used in the realistic in vitro evaluation of inhaled products.
Purchasers assume responsibility for solvent compatibility (samples of polymer can be provided) since RDD does not warrant that they are appropriate for particular experimental applications.
Models
Polymer Mouth Throat Models |
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Small VCU Realistic Mouth Throat Model for NGI |
VTN-S |
Medium VCU Realistic Mouth Throat Model for NGI |
VTN-M |
Large VCU Realistic Mouth Throat Model for NGI |
VTN-L |
Small VCU Realistic Mouth Throat Model for ACI |
VTA-S |
Medium VCU Realistic Mouth Throat Model for ACI |
VTA-M |
Large VCU Realistic Mouth Throat Model for ACI |
VTA-L |
Stainless Steel Realistic Mouth Throat Model Technical Details
Stainless steel mouth-throat models are available in Small, Medium and Large versions.
The interior of the stainless steel models are dimensionally identical to their polymer counterparts but have several design enhancements that provide additional flexibility when designing in vitro studies to assess real-world inhaled product performance. The two-piece design of the stainless steel model allows separation of aerosol into ‘mouth’ and ‘throat’ regions to provide a more detailed picture of aerosol deposition of inhaled particles that do not progress into the cascade impactor. Separation into 'mouth' and 'throat' fractions also facilitates the validation of in silico models.
Using one of two patented downstream adaptors, stainless steel mouth-throat models can be used in conjunction with the Next Generation or Andersen Cascade Impactor, or the adaptor can be omitted to permit direct connection to a Pulmoguard™ filter (or equivalent with a 27.3 mm ID patient end connection). This allows for Aerodynamic Particle Size Distribution (APSD) and Total Lung Dose (TLD) to be evaluated using the same mouth-throat model, which reduces cost and potentially improves comparability across data sets.
The stainless-steel models are robust and resistant to a wider range of drug recovery solvents than the polymer models, and the interior surface is amenable to coating with artifical mucus.
Purchasers assume responsibility for solvent compatibility of all mouth-throat models since RDD does not warrant that they are appropriate for particular experimental applications.
Models
Stainless Steel Mouth Throat Models |
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Small VCU Realistic Mouth Throat Model |
VTF-S |
Medium VCU Realistic Mouth Throat Model |
VTF-M |
Large VCU Realistic Mouth Throat Model |
VTF-L |
Adaptors for use with Cascade Impactors |
|
Connector to NGI |
NGI-C |
Connector to ACI |
ACI-C |
Relevant Publications
The Mouth-Throat geometry was developed and described in:
- Pharmaceutical aerosol deposition in a stainless-steel version of the Virginia Commonwealth University mouth-throat models
Dalton CJ, Hall F, Momin M, Farkas DR, Longest P, Hindle M
Respiratory Drug Delivery 2024: 524-526
- In vitro tests for aerosol deposition. I: Scaling a physical model of the upper airways to predict drug deposition variation in normal humans
Delvadia RR, Longest PW, and Byron PR
Journal of Aerosol Medicine and Pulmonary Drug Delivery 2012, 25(1): 32-40
- In vitro prediction of regional drug deposition from dry powder inhalers
Delvadia RR, Byron PR, Longest PW, and Hindle M
Respiratory Drug Delivery 2010 (2010), Vol 3: 907-911
- Stepping into the trachea with realistic physical models: Uncertainties in regional drug deposition from powder inhalers
Byron PR, Delvadia RR, Longest PW, and Hindle M
Respiratory Drug Delivery 2010 (2010), Vol 1: 215-224
- Effects of oral airway geometry characteristics on the diffusional deposition of inhaled nanoparticles
Xi J, and Longest PW
ASME Journal of Biomechanical Engineering 2008, 130: 011008
- Transport and deposition of micro-aerosols in realistic and simplified models of the oral airway.
Xi J, and Longest PW
Annals of Biomedical Engineering 2007, 39: 572-591
Recent FDA Draft Product Specific Guidance recommend the use of mouth throat models:
FDA: Draft Guidance on Albuterol Sulfate August 2024
NEPHELE MIXING INLETS
Nephele Mixing Inlets allow for variable flow rate, such as that produced by a patient, when used with cascade impactors (NGI and ACI) to establish aerodynamic particle size distribution (APSD) of inhaled drug following inhaler actuation.
When aerosols from inhalers are sampled through realistic throat geometries such as the VCU Realistic Throat Models (above), and in combination with the Nephele Mixing Inlet, investigators can compare the APSD of aerosols that penetrate the throat (and thus enter the lung) under various flow conditions likely to be used by patients.
Technical Details
All Nephele Mixing Inlets are manufactured with hard-anodized aluminum housings and a stainless steel inner nozzle. While all components are intended to be solvent resistant, prolonged exposure to washing solutions and mobile phase should be avoided.
Nephele Mixing Inlets gently merge a particle-free sheath air stream with a second central air stream containing an aerosol, with virtually no turbulence and minimal aerosol losses. A Nephele Mixing Inlet mounted between the aerosol entry port (for example, a VCU Realistic Throat Model or USP throat) and the inlet to the cascade impactor allows the impactor to be operated at a constant flow rate (e.g., 60 LPM) while allowing a lower fixed or variable flow rate to draw aerosol from the inhaler device and throat model. A typical experimental set-up is shown below.
Experimental Set Up for Breath Profile Simulator – Nephele Mixing Inlet.
Adapted from Olsson et al, Respiratory Drug Delivery 2010, pp 225-234.
Mixing Inlet |
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Nephele II Mixing Inlet for Andersen Cascade Impactor |
NMI-II |
Nephele III Mixing Inlet for Next Generation Impactor |
NMI-III |
The Original Nephele Mixing Inlet is available by special order only and requires an adaptor to fit NGI.
Relevant Publications
The Nephele Mixing Inlet has been described in the following studies:
- Mouth-Throat Models for Realistic In Vitro Testing - A Proposal for Debate
Bo Olsson, Per Bäckman
Respiratory Drug Delivery 2014 (2014), Vol 1, pp 287-294
- Probing Dry Powder Inhaler Performance Robustness with an Inhalation Profile Simulator
Adrian Goodey, Buchilingam Bupathi, Henry Tat, Xiuhua Fang, Maya George, Ying Li
Respiratory Drug Delivery 2014 (2014), Vol 2, pp 485-488
- In Vitro Aerosol Performances of NEXThaler® Using Representative Inhalation Profiles from Asthmatic Patients
Devis Casaro, Gaetano Brambilla, Irene Pasquali, Viviana Sisti
Respiratory Drug Delivery 2014 (2014), Vol 2, pp 375-380
- Validation of a General In Vitro Approach for Prediction of Total Lung Deposition in Healthy Adults for Pharmaceutical Inhalation Products.
Bo Olsson, Lars Borgström, Hans Lundbäck, Mårten Svensson
Journal of Aerosol Medicine and Pulmonary Drug Delivery, 2013 Feb 19
- Comparing Aerosol Size Distributions that Penetrate Mouth-Throat Models Under Realistic Inhalation Conditions
Bo Olsson, Elna Berg, Mårten Svensson
Respiratory Drug Delivery 2010 (2010), Vol 1, pp 225-234
- Realistic In Vitro Assessment of Dry Powder Inhalers.
Zhili Li, Richard N Dalby.
Respiratory Drug Delivery VIII (2002), Vol 2, pp 687-690
- Aerodynamic Sizing With Simulated Inhalation Profiles: Total Dose Capture and Measurement
Nicholas C Miller, M J Maniaci, Sarvajna K Dwivedi, Gary H Ward.
Respiratory Drug Delivery VII (2000), Vol 1, pp 191-196
DOSAGE UNIT SAMPLING APPARATUS
Dosage Unit Sampling Apparatus (DUSA) for Metered Dose Inhalers (MDIs) and Dry Powder Inhalers (DPIs) are used in inhaler testing to determine the amount of drug emitted from an inhaler. DUSAs from RDD Online are compliant with USP Chapter <601> and EP Chapter <0671> specifications.
Technical Details
The standard collection tube and associated caps are manufactured from Dupont™ Delrin®, which is inert, resistant to most solvents, and contains no extractables. Rinsing caps are fitted with fluorinated ethylene propylene (FEP) encapsulated silicone O-ring seals to virtually eliminate leakage and extractables with the majority of drug recovery solvent systems. Caps are quick-seal, ¼ turn to full positive stop: easy to assemble/disassemble reproducibly, independent of the torque applied by the technician.
The compendial method for delivered dose determination from a DPI, requires a 4 kPa pressure drop across the device. The corresponding flow rate through the inhaler can be measured with the Collection Tube with Pressure Tap (NE-D002B). The DUSA for DPIs is capable of sampling at a variety of flow rates up to 100 LPM. Standard Collection Tubes without a pressure tap (NE-D002A) are available for subsequent dose collections, once the test flow rate has been established.
Starter Kits include:
- One collection tube (DPI Starter Kit also includes Collection Tube with Pressure Tap)
- One filter support assembly: accommodates filter and readily produces airtight seal, fitted with hose barb to connect to vacuum pump.
- One cap (with FEP encapsulated silicone seal) with hose barb to connect to a flow meter, which permits easy setting and confirmation of the target airflow rate prior to use of the DUSA.
- Two rinsing caps (with FEP encapsulated silicone seals)
- A starter pack of glass fiber filters (25-mm for MDI / 47-mm for DPI)
In practice, most companies usually find it convenient and more efficient to supplement the starter kit described above with additional collection tubes and rinsing caps. The same filter support assembly can be used respectively with multiple DUSAs to achieve faster sample preparation.
Dosage Uniformity Sampling Apparatus |
MDI
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DPI
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Starter Kit |
NE-M001
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NE-D001
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Collection Tube w/Two Rinsing Caps |
NE-M002
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NE-D002A
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DPI Collection Tube with Pressure Tap |
N/A
|
NE-D002B
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Two Rinsing Caps |
NE-M003
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NE-D003
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Filter Support Assembly |
NE-M004
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NE-D004
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Cap with Hose Barb |
NE-M005
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NE-D005
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Set of 10 FEP Encapsulated Silicone Seals |
NE-M006
|
NE-D006
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Pack of Glass Fiber Filters |
NE-M007
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NE-D007
|
COMPUTATIONAL AIRWAY MODELS
RDD provides computational airway models which can be used to test aerosol deposition, flow field characteristics, or for the construction of computational fluid dynamics (CFD) geometries.
- Characteristic adult geometries of the upper tracheobronchial airways (developed by the Respiratory and Aerosol Dynamics Research Group of Virginia Commonwealth University (School of Engineering, led by Dr. Worth Longest).
-
Characteristic pediatric geometries of the mouth-throat and nose-throat region (developed in the Pharmaceutical Physics Laboratory of Boehringer Ingelheim Pharma GmbH & Co. KG by the research team consisting of Deborah Bickmann, Andree Jung, and Dr. Herbert Wachtel).
Models are emailed to registrants as attachments in Solidworks (EASM or EPRT) file formats. EASM and EPRT files can be opened and viewed using the free Solidworks' eDrawings Viewer. The eDrawing Viewer can be used to evaluate model dimensions and save models in STL file format, for constructing meshes or rapid prototypes.
Use of these geometries (or similar versions) in publications should cite the relevant studies and that the model was downloaded from this website.
Adult Upper Tracheobronchial (TB) Models
ADULT UPPER TRACHEOBRONICHIAL (TB) MODELS were developed by the Respiratory and Aerosol Dynamics Research Group of Virginia Commonwealth University (School of Engineering, led by Dr. Worth Longest).
- Medium: Original TB geometry based on the measurements of Yeh and Schum (1980) applied to "physiologically realistic bifurcation units" (Heistracher and Hofmann 1995) and scaled to a FRC of 3.5 L (ICRP 1994).
- Small: Small geometry based on the medium configuration and scaled by a length factor of 0.748.
- Large: Large geometry based on the medium configuration and scaled by a length factor of 1.165.
Relevant Publications
- Physiologically realistic models of bronchial airway bifurcations.
Heistracher T and Hofmann W
Journal of Aerosol Science 1995, 26(3): 497-509.
- Human Respiratory Tract Model for Radiological Protection
ICRP
Elsevier Science Ltd., New York 1994.
- Models of human lung airways and their application to inhaled particle deposition.
Yeh HC and Schum GM
Bull. Math. Biology 1980, 42: 461–480.
The medium TB geometry was developed and described in:
- Characterization of respiratory drug delivery with enhanced condensational growth (ECG) using an individual path model of the entire tracheobronchial airways.
Tian G, Longest PW, Su G, and Hindle M
Annals of Biomedical Engineering 2011, 39(3): 1136-1153.
- Development of a stochastic individual path (SIP) model for predicting the tracheobronchial deposition of pharmaceutical aerosols: Effects of transient inhalation and sampling the airways.
Tian G, Longest, PW, Su G, Walenga RL, and Hindle M
Journal of Aerosol Science 2011, 42: 781-799.
The small TB model was designed to mate with small MT, medium TB with medium MT and large TB with large MT. In addition one medium model was adjusted to represent the presence of cartilaginous rings in the trachea. The small, medium and large TB geometries were described and used in:
- In vitro tests for aerosol deposition. I: Scaling a physical model of the upper airways to predict drug deposition variation in normal humans.
Delvadia RR, Longest PW, and Byron PR
Journal of Aerosol Medicine and Pulmonary Drug Delivery 2012, 25(1): 32-40.
Pediatric Airway Models
PEDIATRIC AIRWAY MODELS of the pediatric mouth-throat region (oral cavity, pharynx and larynx) and nose-throat region (nasal cavity, pharynx, larynx) that represent this airway region during oral or nasal inhalation from an inhaler were developed in the Pharmaceutical Physics Laboratory of Boehringer Ingelheim Pharma GmbH & Co. KG by the research team consisting of Deborah Bickmann, Andree Jung, and Dr. Herbert Wachtel.
Realistic (5 years): Volume of ~39.8 cm3
Idealized (5 yrs): Volume of ~50.3 cm3.
This value excludes the volume of the mouthpiece holder). The idealized model resembles a re-dimensioned version of the Alberta Throat (Warren Finlay). The idealized MT geometry interfaces an inhaler-dependent mouthpiece adapter. The respective adapters are filled with 2-component silicone resin; in this way they mate the mouthpieces of the inhalers so that there is a zero inhaler insertion depth and zero inhaler angle with respect to the horizontal plane of the mouth of the MT.
Realistic Nose-Throat (5 yrs): Volume of ~22.3 cm3
Relevant Publications
- In vitro performance of the Novolizer (DPI) using mouth-throat models of 4-5-year-old children.
Below A
3rd EuPFI Conference, Sept. 2011, Strasbourg.
- Can Pediatric Throat Models and Air Flow Profiles improve our Dose Finding Strategy?
Wachtel H, Bickmann D, Breitkreutz J, Langguth P
Respiratory Drug Delivery 2010: 195-204.
- Novel approaches in pulmonary administration.
Bickmann D
2nd EuPFI Conference, Sept. 2010, Berlin.
- Examining Inhaler Performance Using a Child's Throat Model.
Bickmann D, Wachtel H, Kröger R, Langguth P
Respiratory Drug Delivery 2008, Vol 2, pp 565-570.
Model Request Form
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