CA2086415C

CA2086415C - Inhaler

Info

Publication number: CA2086415C
Application number: CA002086415A
Authority: CA
Inventors: Philip Wilson Braithwaite
Original assignee: Innovata Biomed Ltd
Current assignee: Innovata Biomed Ltd
Priority date: 1990-07-13
Filing date: 1991-07-11
Publication date: 1996-05-07
Anticipated expiration: 2011-07-11
Also published as: ZA915437B; NO982791D0; NO305467B1; NO982791L; GB9225559D0; NO930084L; NO304218B1; GB2265552B; DK0573128T3; JPH08505290A; EP0573128A2; JP2891541B2; WO1992000771A1; FI930105A0; GR3015854T3; AU657914B2; CA2086415A1; FI930105A; ATE120970T1; ES2072006T3

Abstract

A novel inhaler is provided for delivering a substance in a finely divided form. The inhaler includes a body defining a storage chamber for the substance to be deliv-ered, and further defining an inhalation passage through which air is drawn via a mouthpiece. A metering member is operable to transfer a volumetric dose of the substance from the storage chamber to the inhalation passage, the metering member having a metering surface which provides at least one dispensing cup, and which is movable between a first position in which at least one dispensing cup is presented to the storage chamber to receive a dose of the substance, and a second position in which a dose of the substance is presented to the inhalation passage in the dispensing cup which is upwardly open in use. Cup clearing means is provided for ensuring that at least one dispensing cup is free from the substance before being presented to the storage chamber. The cup clearing means includes means for moving at least one dispensing cup into a position from which, in normal use of the inhaler, any of the substance remaining in the dispensing cup would tend to fall, under the influence of gravity, out of the dispensing cup, after a dose of the substance has been presented in the dispens-ing cup to the inhalation passage, and before the dispens-ing cup is again presented to the storage chamber.

Description

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This invention relates to an inhaler, namely a device for use in delivering a dose of medicament or other sub-stance for inhaling into the lungs.
The most common form of inhaler propels the dose of medicament in pressurized gas from an aerosol. However, this form of inhaler is becoming less popular because of environmental and other considerations. The delivery of some drugs in a dry, finely divided form has been shown to have certain medical advantages over other forms of delivery.
Some known proposals for delivering medicament in a finely-divided form cannot be operated by one hand. It is considered that one-handed operation should be an important feature of such an inhaler.
EP 079478, EP 166294 and GB 2165159 all disclose dry powder inhalers which can be operated by one hand. In each of these proposals, the inhaler includes a medicament stor-age chamber and an inhalation passage through which air is drawn via a mouthpiece. A metering member, provided with a metering recess, transfers a dose of medicament from the storage chamber and deposits it in the inhalation chamber.
It is considered that the accuracy of such an arrangement can be very poor: on the one hand, by repeated indexing of the metering member it is possible to deposit two or more doses or medicament into the inhalation passage resulting in the administration of an overdose of medicament; on the other hand, since the medicament normally drops from the metering recess into the inhalation passage under gravity, ~' *

20~64 1 ~
particles of medicament can adhere to the interior of the metering recess so that an underdose is delivered.
U.S. Patent No. 2,587,215 also discloses dry powder inhalers with the same disadvantages as those mentioned above. However, this patent also discloses an embodiment in which the metering member presents the medicament in an upwardly-open dispensing cup to a mixing chamber where it is mixed with air before being sucked into an inhalation tube via a nozzle having a narrow opening. Air sucked into the inhaler passes into the inhalation tube, either directly or through the mixing chamber and nozzle.
Accordingly, not all the air passes over the dispensing cup. If medicament adheres to the surface of the dispens-ing cup but is not sucked therefrom, there will be an underdose of medicament delivered to the user. It is considered that, upon repeated use of the hollows to deliver doses to the inhalation passage, a continually increasing amount of the powder will adhere to the base of the hollow, resulting in progressively decreased dosage to the patient. The tendency for a build-up of adherent powder to occur is thought to be a source of inaccurate dosing in many of the inhalers previously proposed. The metering member is a rotary sliding device journalled on a cylindrical pivot member ext~n~;ng from the bottom of the body of the device. Such an arrangement is susceptible to jamming due to ingress of powder between the cylindrical contacting surfaces of the pivot member and the metering member.

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20 ~64 1 5 Another form of inhaler which is currently available includes a metering member including a number of tapered metering recesses which are open at top and bottom. In use, finely-divided medicament from a storage chamber is packed into the recesses whereupon the metering member is moved to a dispensing position in which air can be drawn through the recesses to draw out the medicament. This device is considered to have a number of major short-comings. Firstly, the metering recesses are prone to clogging. Secondly, a large amount of suction is required so that the device is unsuitable for many patients with breathing problems. Thirdly, two hands are required to operate the device.
The aim of the present invention may be viewed as being to provide a form of inhaler for one-handed operation which is capable of administering accurate doses and sub-stantially avoids the risk of multiple dosing. A further aim is to provide an inhaler which does not require a large amount of suction for effective operation.
The present invention, in one aspect thereof, provides an inhaler for delivering a substance in a finely divided form, comprising a body delivering a substance in a finely divided form, comprising: a body defining a storage chamber for the substance to be delivered, and further defining an inhalation passage through which air is drawn via a mouth-piece; a metering member operable to transfer a volumetric dose of the substance from the storage chamber to the inha-lation passage, the metering member having a metering sur-.
.

20864 ~ ~

face which is indented to provide one or more dispensing cups, and being movable between a first position in which at least one dispensing cup is presented to the storage chamber to receive a dose of the substance, and a second position in which a dose of the substance is presented to the inhalation passage in at least one dispensing cup which is upwardly open in use; and cup clearing means for ensur-ing that at least one dispensing cup is substantially free from the substance before being presented to the storage chamber, the cup clearing means comprising means for moving at least one dispensing cup into a position from which, in normal use of the inhaler, any of the substance remaining in that dispensing cup would tend to fall, under the influence of gravity, out of that dispensing cup, after a dose of the substance has been presented in that dispensing cup to the inhalation passage, and before that dispensing cup is again presented to the storage chamber.
Thus, in normal use of the inhaler, repeated indexing of the metering member will not deposit multiple doses of the substance into the inhalation passage. Furthermore, removal of the substance from the metering member by the inhaled air flow rather than under gravity can ensure that the dose is more thoroughly removed.
By one variant thereof, the cup clearing means may comprise an inhalation passage so formed that the dose of the substance presented to the inhalation passage is sub-jected to substantiall~ the entire airflow through the inhalation passage when air is drawn through the mouth-.~

2~64 ~ 5 piece. Accordingly, by this variant, whether air is drawninto the inhaler through a single opening or through several openings, the airflow through the device is such that all the air flows along a single duct at the point where the dispensing cup is presented to the airflow within this duct.
By another variant thereof, the cup clearing means may additionally include resilient wiping means for dislodging any residual substance from a dispensing cup after a dose of the substance has been presented therein to the inhala-tion passage and before that cup is again presented to the storage chamber. The provision of such dislodging means ensures that a dispensing cup is cleaned prior to refill-ing, and thereby prevents a build-up of adherent material with repeated refills.
Preferably, by a variation of such variant, the metering member is resiliently biased into contact with a seat and is moveable while in contact with the seat. More preferably, by yet another variation, the metering member is rotatable while in contact with the seat.
By yet another variant thereof, the metering member may comprise a frusto-conical side wall containing the dispensing cup or cups. By a variation of such variant, suc~ a side wall can include a plurality of spaced-apart dispensing cups. The use of the frusto-conical shape in the wall of the metering member containing the dispensing cups allows a good seal to be obtained between the metering member and a seat against which the frusto-conical wall ~' .,~

6 20~4 1 5 mates. Accordingly, either rigid or semi-rigid plastics materials can be used, and the appropriate shapes can be manufactured with relatively undemanding tolerances. Other shapes, e.g., spherical or cylindrical shapes, either demand much tighter tolerances in order to achieve the sort of seal required or resilient materials would have to be used or, possible, an additional resilient sealing ring would have to be incorporated. The good seal referred to above should be such that the integrity of the stored drug is maintained by, for instance, preventing any ingress of moisture and/or contaminating air into the storage chamber.
The frusto-conical shape also makes it possible to form the metering member in such manner that it occupies relatively little space, so that the inhalation passage can be shorter than in many prior inhalers, reducing the amount of suction required from the patient.
Preferably, by yet another variation thereof, the longitudinal axis of the frusto-conical wall lies, when the inhaler is held in its normal in-use position, between ver-tical and an angle of 60 to the vertical. More prefer-abl~, by a variation thereof, this axis lies at an angle of about 45 to the vertical.
By still another variant thereof, the body of the inhaler preferably comprises a seat having an annular con-tact surface making sliding contact with the frusto-conical wall containing the dispensing cup or cups in which the body comprises a seat having an annular contact surface making sliding contact with the frusto-conical wall of the .~ .

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metering member, the contact surface being correspondingly frusto-conical in shape so as to define a socket within which the metering member is journalled for rotation between its the first and the second positions. The inhaler then, by a variation thereof, preferably comprises means operable resiliently to bias the metering member into contact with the seat.
Preferably, by still another variant thereof, the inhaler includes a chamber for containing a moisture-absor-bent material, with which chamber a dispensing cup is move-able into register after a dose of the substance has been presented to the inhalation passage and before that cup is again presented to the storage chamber. In this way, the empty cup can be dried prior to filling to reduce adhesion of the surface in the cup. The filled dispensing cup may also move into register with the same or another chamber for moisture-absorbent material as it travels from the storage chamber to the inhalation passage. This could assist in preventing migration of moisture from the inhala-tion passage into the storage chamber.
By a still further variant thereof, the inhalerpreferably includes display means which is indexed in association with the metering member to display an item of information to the user. The display means may comprise counter means for counting the number of times which a dispensing cup has been presented to the inhalation pass-age, and/or the number of doses remaining to be so presented.

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As has been mentioned above, the provision of a frusto-conical shaped metering member is particularly advantageous in allowing greater manufacturing tolerances tha]~ would be possible with other configurations. If the metering member has a flat metering surface, as is the case in the above-described embodiment of U.S. Patent No.
2,587,215, then it is necessary to provide a separate axle or spigot journalled on a part of the device. Such a separate axle is susceptible to jamming by the ingress of powder between the contacting surfaces associated with the axle.
Having regard to this, another aspect of the present invention provides an inhaler for delivering a substance in a finely divided form, comprising a body defining a storage chamber for the substance to be delivered, and further defining an inhalation passage through which air is inhaled in use; and a metering member operable to transfer a volu-metric dose of the substance from the storage chamber to the inhalation passage, the metering member having a meter-ing surface which is indented to provide at least one dis-pensing cup and being moveable between a first position in which at least one dispensing cup is presented to the stor-age chamber to receive a dose of the substance, and a second position in which a dose of the substance is pre-sented to the inhalation passage in at least one dispensingcup which is upwardly open in use, the body comprising a seat having an annular contact surface making sliding contact with the metering surface, the metering surface .t--' 8a 2~6~1 ~
comprising a frusto-conical wall, and the contact surface being correspondingly frusto-conical in shape so as to define a socket within which the metering member is jour-nalled for rotation between its first and second positions.
Preferably, by a variant thereof, biassing means are provided resiliently to bias the metering member into con-tact with the seat.
By yet another variant thereof, in such an inhaler, the metering member preferably comprises a frusto-conical wall containing the dispensing cup or cups, the longi-tudinal axis of the frusto-conical wall lying, when the inhaler is held in its normal in-use position, between vertical and an angle of 60 to the vertical.
By a still further variant thereof, this inhaler may additionally include cup clearing means for ensuring that eacl~ dispensing cup is substantially-free from the sub-stance before being presented to the storage chamber. By one variation thereof, the cup clearing means may comprise means for moving a dispensing cup into a position from which, in normal use of the inhaler, any of the substance remaining in the dispensing cup would tend to fall, under the influence of gravity, out of the cup, after a dose of the substance has been presented in the cup to the inhal-ation passage and before that cup is again presented to thestorage chamber. Alternatively or additionally, by varia-tiOllS thereof, the cup clearing means may comprise an inhalation passage so formed that the dose of the substance 8b 20864 1 S
presented to the inhalation passage is subjected to sub-stantially the entire airflow through the inhalation pass-age when air is drawn into the inhaler in use, or may com-prise resilient wiping means for dislodging any residualsubstance from each cup after a dose of the substance has been presented therein to the inhalation passage and before that cup is again presented to the storage compartment.
In the accompanying drawings, Figure 1 is a general perspective view of an inhaler of one embodiment of the invention;
Figure 2 is a side view of the inhaler in use;
Figure 3 is a longitudinal section through the inhaler;
Figure 4 is section IV-IV of Figure 3;
Figures 5 and 6 are exploded perspective views of the inhaler viewed from opposite ends;
Figures 7a and 7b are exploded perspective view of the counter mechanism of the inhaler, again viewed from oppo-site ends; and Figures 8a and 8b show the assembled counter mechanismviewed from opposite ends.
As shown in the external views of Figures 1 and 2, the inhaler comprises a housing 1 which is provided with an air intake 2. A tubular mouthpiece 3 projects from the housing.
Referring to Figures 3 to 6, the housing contains an internal body 4 which, on its side remote from the mouth-pie~e 3, contains a recess 5 that provides a seat for a 8c 208~
met,ering member 6 which is rotatable about its axis in the recess. The metering member 6 includes a portion having a frusto-conical metering surface 7 which includes a series of circumferentially-arranged cup-like metering depressions 8. The recess 5 provides a seat of corresponding frusto-conical shape, the angular tolerance and circumferential form of the metering surface and of the seat being care-fully monitored in manufacture to ensure a close sliding contact between the two mating faces.
The opposite side of the body 4 includes a storage chamber 10 for a drug in the form of a micronized powder, the chamber 10 being arranged to register with one of the depressions 8. A second outer chamber 11 surrounds the storage chamber 10 for containing a moisture absorbing material such as silica gel granules. The second chamber 11 is open to the depressions 8 on both sides of the depression which is currently in register with the storage chamber 10, but the silica gel is prevented from migrating ~0 into the depressions ~y a-shaped ~ 092/00771 _ 9 _ 2 0 8 ~ ~15 PCT/GB91/01147 :
f~lter membrane 12. The same side of the body 4 further con~ains an inhalation passage 15 and a waste chamber 16, both of which register with one of the depressions 8. The inhalation passage 15 has a smooth internal contour and registers with both the air inlet 2 and the mouthpiece 3.
The air inlet 2 contains a filter membrane 17 for removing any contaminating particles that may be drawn into the inlet.
The waste chamber 16 contains a brush, a piece of sponge rubber or other flexible wiping element 18 which projects into the corresponding depression 8 to make wiping contact with t1he walls of the depression.

Referring more particularly to the inhalation passage 15, it can be seen from Fig 3 that, when the inhaler is in use, the inhalal:ion passage 15 extends in a downwards direction from the air intake 2, at least to the position where the dispensing cup 8 is presented to the inhalation passage.
The width of the i nh~ 1 Ation passage 15 is relatively large at the air intake, relatively small in the region of the dispensing cup and relatively large again at the mouthpiece 3. The inhalation passage includes a first relatively more-inclined portion ext~n~;ng generally downwardly from the air intake 2 to the dispensing cup 8 and a second relatively less-in,clined portion extending from the dispensing cup 8 to the mouthpiece 3. Dispensing cup 8 is situated on the outside of the bend linking these two portions of the inhalation passage. Opposite the dispensing cup, the wall of the inhalation passage bulges across the inhalation passage towards a dispensing cup to create a restricted passageway in the region of the dispensing cup. In this region, the shape of the inhalation passage results in the air being both accelerated and directed towards the dispensing cup so that there is a highly efficient pick-up of material from the cup.
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WO92/00771 10 PCT/GB91/01~

2 ~ 1 5 The frusto-conical head of the me~ering member 6 is secured to a co-axial circular ratchet formation 20 followed by a drum 21. A spring washer 22 acts between an end face of the drum 21 and the housing 1 to urge the metering member 6 against its seat in the recess 5. An i ~eYi ng button 25 projects from the housing 1 adjacent to the inlet 2 and is secured to an integral in~Ying finger 26 for engagement with the ratchet formation 20. A spring finger 27, again integral with the button 25, projects transversely of the i~Yi ng finger 26 to engage the internal body 4 and thus urge the button to project from the housing 1.

A tape 30 is wound into a roll 31 which is freely rotatable on a pin 32 projecting from the inside of the housing 1. The leading end of the tape 30 is secured to the drum 21, onto which it is wound from the roll 30 upon rotation of the metering member 6. The tape 30 is routed past a window 33 in the housing 1 through which a contiguous series of numbers or other information carried on the tape is displayed.
In use, the inhaler will normally be supplied as a sealed unit with the storage chamber 10 pre-filled with medicament or other substance in a dry, finely divided form. With the button 25 uppermost, the depression 8 which is in register with the storage chamber 10 will fill with a fixed volume of the medicament. With the inhaler held in one hand the mouthpiece 3 is inserted into the mouth as shown in Fig. 2 and the button 25 is depressed using the index finger so that the indexing element 26 causes the metering member 6 to rotate by one position, thus bringing the next, empty depression 8 into register with the storage chamber lO. At the same time a filled depression comes into register with the inhalation passage 15. Thus, when air is drawn through the inhalation passage 15 via the mouthpiece 3, the internal contours of the inhalation passage causes the air to impinge _~092/00771 1 1 PCT/GB91/01147 ~ 208~15 on the ma~erial still held in the depression 8, causing the powder to be mix into the air flow and, after passing through r the mouthpiece 3, enter the mouth and air passages of the user.

It should be noted that the powder in the depression 8 is subjec:ted to the entire airflow through the inh~l~tion passage 15, from the air intake 2 to the mouthpiece 3, which enables the user more readily to achieve a full dose, and also promotes substantially complete removal of the powder from the depression 8.

As the depressions travel around the axis of the metering member with successive indexing movements of the button 25, they l1ove past the wiping element 18 so that any residue of powder remaining in the depression is dislodged therefrom to fall into the waste chamber 16. Further travel of the depression causes it to move in register with the drying chamber ll so that the silica gel can absorb any moisture from the depression before it comes into register with the storage cham~er lO to be refilled with medicament. The filled depressions may also move in register with the drying chambe:r 12 to reduce the possibility of moisture migrating from t:he inhalation passage 15 to the storage chamber lO.
This may additionally ensure that the medicament remains dry, thereb~y ensuring that the vast majority of the medicament can be easily removed from the depression into the inhaled airflow.

It is important that the movement of a dose of powder to the dispensing position in the inhalation passage 15 is effected in such fashion as to maintain good sealing of the powder in the storage chamber lO, so that the integrity of the powder is preserved. This is facilitated by the provision of the frusto--conical shape of the metering surface 7 and of the WO92/00771 2 0 8 ~ 12 - PCT/GB91/01 ~

seat for it provided by the recess 5; such a shape makes it possible to achieve a good seal between the metering surface 7 and its seat with less demanding tolerances than are feasible when other Ch~p~c are used. Providing that the angular tolerance is maintained (which is relatively simple), other manufacturing tolerances are accommodated by the self-r^-l in~ arrangements of the metering surface 7 and the seat provided by the recess 5.

In normal use of the inhaler, repeated indexing of the metering member 6 will not deposit multiple doses of the substance into the i~hAlAtion passage. Instead, each dose will simply be carried round in the depression 8 until it is discarded into the waste chamber 16.
Each time the metering member is indexed, new information is carried into the window 33 by the tape 30. This information could simply be a number indicating how many doses have been used, or how many remain to be used, or both. The window could also display other information such as the time when the next dose should be taken.

Normally, the device will be disposed of once the inten~
number of doses has been used. It is, however, envisaged that the internal body 4 could contain a replaceable cartridge cont~;~;ng a fresh supply of medicament and possibly also fresh silica gel, new filters 12 and/or 17, and a fresh tape 31. This tape could be partially wound onto a replaceable drum 21 which engages the frusto-conical metering head 6.

A modified counting arrangement is shown in Figs 7 and 8.
The housing 1 contains a circular internal recess 36 which receives an outer ring 37 and an inner disc 38 which are arranged co-axially with the metering member 6. The disc 38 ~WO92/00771 13 2 0 8 6 4 1 S PCT/GB91/01147 carries the units 0 to 9 at 36~ intervals whereas the ring 37 is marked in multiples of tens at regular angular intervals. The tens and units are disposed so that they can both be displayed through a window 39 in the housing l. The 5 disc :38 is co~cted to, or driven by, the metering member 6 and carries an integral spring arm 40 which carries a pin 4l to act as a cam follower. Whenever the disc 38 completes one rotation, the arm 39 engages a cam 44 secured to the interior of th~ housing l, which causes the cam follower 41 to engage in on~ of a series of notches 45 around the outer periphery of the ring 37. This, in turn, indexes the ring by one angular position on each rotation of the disc 38. The number displayed in the window 40 can thus be incremented from, say, l to 200 to count the number of doses used.
Instead of a ring surrounding the disc 38, a second transparent disc could be disposed h~h; n~ the disc 38 so that the units are visible through the second disc, which again carries multiples of tens.

Claims

THE EMBODIMENTS OF THE INVENTION IN WHICH AN EXCLUSIVE
PROPERTY OR PRIVILEGE IS CLAIMED ARE DEFINED AS
FOLLOWS:

1. An inhaler for delivering a substance in a finely divided form, comprising: a body defining a storage chamber for said substance to be delivered, and further defining an inhalation passage through which air is drawn via a mouth-piece; a metering member operable to transfer a volumetric dose of said substance from said storage chamber to said inhalation passage, said metering member having a metering surface which is indented to provide at least one dispens-ing cup, and being movable between a first position in which at least one dispensing cup is presented to the storage chamber to receive a dose of the substance, and a second position in which a dose of the substance is pre-sented to said inhalation passage in said at least one dispensing cup which is upwardly open in use; and cup clearing means for ensuring that at least one said dispens-ing cup is substantially free from said substance before being presented to said storage chamber, said cup clearing means comprising means for moving said at least one dispensing cup into a position from which, in normal use of the inhaler, any of said substance remaining in said at least one dispensing cup would tend to fall, under the influence of gravity, out of said at least one dispensing cup, after a dose of said substance has been presented in said at least one dispensing cup to said inhalation passage, and before said at least one dispensing cup is again presented to said storage chamber.

2. An inhaler according to claim 1, in which said cup clearing means comprises an inhalation passage so formed that said dose of said substance presented to said inhalation passage is subjected to substantially the entire airflow through said inhalation passage when air is drawn through said mouthpiece.

3. An inhaler according to claim 1, in which said cup clearing means comprises resilient wiping means for dislodging any residual substance from said at least one dispensing cup after a dose of said substance has been presented therein to said inhalation passage and before said at least one dispensing cup is again presented to said storage chamber.

4. An inhaler according to claim 1, claim 2 or claim 3, in which said metering member is resiliently biased into contact with a seat, and is movable while in contact with said seat.

5. An inhaler according to claim 1, claim 2 or claim 3, in which said metering member is resiliently biased into contact with a seat, and is movable while in contact with said seat, and further in which said metering member is rotatable while in contact with said seat.

6. An inhaler according to claim 1, claim 2 or claim 3, in which said metering member is resiliently biased into contact with a seat, and is movable while in contact with said seat, and further in which said metering member com-prises a frusto-conical wall containing said dispensing cup or cups.

7. An inhaler according to claim 1, claim 2 or claim 3, in which said metering member is resiliently biased into contact with a seat, and is movable while in contact with said seat, further in which said metering member is rotat-able while in contact with said seat, and still further in which said metering member comprises a frusto-conical wall containing said dispensing cup or cups.

8. An inhaler according to claim 1, claim 2 or claim 3, in which said metering member is resiliently biased into contact with a seat, and is movable while in contact with said seat, further in which said metering member comprises a frusto-conical wall containing said dispensing cup or cups, and still further in which the longitudinal axis of said frusto-conical wall lies, when said inhaler is held in its normal in-use position, between vertical and an angle of 60° to the vertical.

9. An inhaler according to claim 1, claim 2 or claim 3, in which said metering member is resiliently biased into contact with a seat, and is movable while in contact with said seat, further in which said metering member is rotat-able while in contact with said seat, still further in which said metering member comprises a frusto-conical wall containing said dispensing cup or cups, and yet still fur-ther in which the longitudinal axis of said frusto-conical wall lies, when said inhaler is held in its normal in-use position, between vertical and an angle of 60° to the ver-tical.

10. An inhaler according to claim 1, claim 2 or claim 3, in which said metering member is resiliently biased into contact with a seat, and is movable while in contact with said seat, further in which said metering member comprises a frusto-conical wall containing said dispensing cup or cups, and still further in which said body comprises a seat having an annular contact surface making sliding contact with the frusto-conical wall of said metering member, said contact surface being correspondingly frusto-conical in shape so as to define a socket within which said metering member is journalled for rotation between its said first and said second positions.

11. An inhaler according to claim 1, claim 2 or claim 3, in which said metering member is resiliently biased into contact with a seat, and is movable while in contact with said seat, further in which said metering member is rotat-able while in contact with said seat, still further in which said metering member comprises a frusto-conical wall containing said dispensing cup or cups, and yet still fur-ther in which said body comprises a seat having an annular contact surface making sliding contact with the frusto-conical wall of said metering member, said contact surface being correspondingly frusto-conical in shape so as to define a socket within which said metering member is journalled for rotation between its said first and said second positions.

12. An inhaler according to claim 1, claim 2 or claim 3, in which said metering member is resiliently biased into contact with a seat, and is movable while in contact with said seat, further in which said metering member comprises a frusto-conical wall containing said dispensing cup or cups, still further in which the longitudinal axis of said frusto-conical wall lies, when said inhaler is held in its normal in-use position, between vertical and an angle of 60° to the vertical, and yet still further in which said body comprises a seat having an annular contact surface making sliding contact with the frusto-conical wall of said metering member, said contact surface being correspondingly frusto-conical in shape so as to define a socket within which said metering member is journalled for rotation between its said first and said second positions.

13. An inhaler according to claim 1, claim 2 or claim 3, in which said metering member is resiliently biased into contact with a seat, and is movable while in contact with said seat, further in which said metering member is rotat-able while in contact with said seat, still further in which said metering member comprises a frusto-conical wall containing said dispensing cup or cups, still further in which the longitudinal axis of said frusto-conical wall lies, when said inhaler is held in its normal in-use posi-tion, between vertical and an angle of 60° to the vertical, and yet still further in which said body comprises a seat having an annular contact surface making sliding contact with the frusto-conical wall of said metering member, said contact surface being correspondingly frusto-conical in shape so as to define a socket within which said metering member is journalled for rotation between its said first and said second positions.

14. An inhaler according to claim 1, claim 2 or claim 3, in which said metering member is resiliently biased into contact with a seat, and is movable while in contact with said seat, further in which said metering member comprises a frusto-conical wall containing said dispensing cup or cups, still further in which said body comprises a seat having an annular contact surface making sliding contact with the frusto-conical wall of said metering member, said contact surface being correspondingly frusto-conical in shape so as to define a socket within which said metering member is journalled for rotation between its said first and said second positions, and yet still further which includes biassing means operable resiliently to bias said metering member into contact with said seat.

15. An inhaler according to claim 1, claim 2 or claim 3, in which said metering member is resiliently biased into contact with a seat, and is movable while in contact with said seat, further in which said metering member is rotat-able while in contact with said seat, still further in which said metering member comprises a frusto-conical wall containing said dispensing cup or cups, still further in which said body comprises a seat having an annular contact surface making sliding contact with the frusto-conical wall of said metering member, said contact surface being corres-pondingly frusto-conical in shape so as to define a socket within which said metering member is journalled for rota-tion between its said first and said second positions, and yet still further which includes biassing means operable resiliently to bias said metering member into contact with said seat.

16. An inhaler according to claim 1, 2 or 3, in which said metering member is resiliently biased into contact with a seat, and is movable while in contact with said seat, further in which said metering member comprises a frusto-conical wall containing said dispensing cup or cups, still further in which the longitudinal axis of said frusto-conical wall lies, when said inhaler is held in its normal in-use position, between vertical and an angle of 60° to the vertical, still further in which said body com-prises a seat having an annular contact surface making sliding contact with the frusto-conical wall of said metering member, said contact surface being correspondingly frusto-conical in shape so as to define a socket within which said metering member is journalled for rotation between its said first and said second positions, and yet still further which includes biassing means operable resiliently to bias said metering member into contact with said seat.

17. An inhaler according to claim 1, claim 2 or claim 3, in which said metering member is resiliently biased into contact with a seat, and is movable while in contact with said seat, further in which said metering member is rotat-able while in contact with said seat, still further in which said metering member comprises a frusto-conical wall containing said dispensing cup or cups, still further in which the longitudinal axis of said frusto-conical wall lies, when said inhaler is held in its normal in-use posi-tion, between vertical and an angle of 60° to the vertical, still further in which said body comprises a seat having an annular contact surface making sliding contact with the frusto-conical wall of said metering member, said contact surface being correspondingly frusto-conical in shape so as to define a socket within which said metering member is journalled for rotation between its said first and said second positions, and yet still further includes biassing means operable resiliently to bias said metering member into contact with said seat.

18. An inhaler according to claim 1, claim 2 or claim 3 and having a chamber for containing moisture-absorbent material, with which chamber said at least one dispensing cup is moveable into register after said dose of said sub-stance has been presented to said inhalation passage, and before said at least one dispensing is again presented to said storage chamber.

19. An inhaler according to claim 1, claim 2 or claim 3, having a chamber for containing moisture-absorbent material, with which chamber said at least one dispensing cup is moveable into register after being presented to said storage chamber, and before said dose of said substance therein has been presented to said inhalation chamber.

20. An inhaler according to claim 1, claim 2 or claim 3 including display means which is indexed in association with said metering member to display an item of information to a user.

21. An inhaler for delivering a substance in a finely divided form, comprising: a body defining a storage chamber for said substance to be delivered, and further defining an inhalation passage through which air is inhaled in use; and a metering member operable to transfer a volumetric dose of said substance from said storage chamber to said inhalation passage, said metering member having a metering surface which is indented to provide at least one dispensing cup and being moveable between a first position in which said at least one dispensing cup is presented to said storage chamber to receive a dose of said substance, and a second position in which a dose of said substance is presented to said inhalation passage in said at least one dispensing cup which is upwardly open in use, said body comprising a seat having an annular contact surface making sliding contact with said metering surface, said metering surface compris-ing a frusto-conical wall, and said contact surface being correspondingly frusto-conical in shape so as to define a socket within which said metering member is journalled for rotation between its said first and said second positions.

22. An inhaler according to claim 21, comprising biassing means operable resiliently to bias said metering member into contact with said seat.

23. An inhaler according to claim 22 in which the longitudinal axis of said frusto-conical wall within which said metering surface comprises lies, when said inhaler is held in its normal in-use position, between vertical and an angle of 60° to the vertical.

24. An inhaler according to claim 21, claim 22 or claim 23, additionally comprising cup clearing means for ensuring that said at least one dispensing cup is substan-tially free from said substance before being presented to the storage chamber.

25. An inhaler according to claim 21, claim 22 or claim 23, additionally comprising cup clearing means for ensuring that said at least one dispensing cup is substantially free from said substance before being presented to the storage chamber, and further in which said cup clearing means comprises means for moving said at least one dispensing cup into a position from which, in normal use of said inhaler, any of said substance remaining in said at least one dispensing cup would tend to fall, under the influence of gravity, out of said at least one dispensing cup, after a said dose of said substance has been presented therein to said inhalation passage and before said at least one dispensing cup is again presented to said storage chamber.

26. An inhaler according to claim 21, claim 22 or claim 23, additionally comprising cup clearing means for ensuring that said at least one dispensing cup is substantially free from said substance before being presented to the storage chamber, and further in which said cup clearing means comprises an inhalation passage so formed that said dose of said substance presented to said inhalation passage is subjected to substantially the entire airflow through said inhalation passage when air is drawn into said inhaler in use.

27. An inhaler according to claim 21, claim 22 or claim 23, additionally comprising cup clearing means for ensuring that said at least one dispensing cup is substantially free from said substance before being presented to the storage chamber, further in which said cup clearing means comprises resilient wiping means for dislodging any residual substance from said at least one dispensing cup after a dose of said substance has been presented therein to said inhalation passage and before said at least one dispensing cup is again presented to said storage compartment.