A Technical Feasibility of Aqueous Aerosol Generation Based on the Flashing Jet: Effects of Overheat Degree, Jetting Rate, Jetting Volume, and Liquid Type

Abstract A previously established flashing jet inhaler prototype (FJ prototype) can produce an aqueous aerosol but cannot steadily provide inhalable aerosol (2–5 μm). This study aims to optimize the atomization performance of the FJ prototype and generate inhalable aqueous aerosols. The effects of overheat degree, jetting rate, jetting volume, and liquid type on atomization performance were assessed by determining output aerosol's mass median aerodynamic diameter (MMAD) and aerodynamic particle size distribution. Drug distribution of active ingredients in different liquid types was also measured. A Pari nebulizer was used as a reference device. Our data suggested that MMAD is negatively correlated with the overheat degree and jetting rate, but has no significant relationship with the jetting volume. The effect of jetting rate is weaker than that of the overheat degree. When normal saline was used as the atomization liquid, output aerosol's MMAD at the FJ prototype and Pari nebulizer were 1.98 ± 0.18 and 2.50 ± 0.81 μm, respectively. The addition of a surfactant significantly decreases MMAD both in solution and in suspension, but the suspended particles had no effect on the residual level and atomization performance of the FJ prototype. When ventolin was used as the atomization liquid, the MMAD of the FJ prototype and Pari nebulizer was 2.1 ± 0.2 and 1.7 ± 0.2 μm, respectively, while the fine particle dosage (FPD) in percent of the nominal dose (%ND) was 50.4 ± 3.1 and 53.1 ± 7.2%, respectively. When pulmicort respules was used as the atomization liquid, the MMAD of the FJ prototype and Pari nebulizer was 2.5 ± 0.5 and 4.6 ± 0.2 μm respectively, while the FPD (%ND) was 30.1 ± 5.6 and 58.6 ± 5.1%, respectively. The FJ prototype not only delivers inhalable aqueous aerosol but also has a potential advantage in the atomization of suspension or poorly soluble drugs.


Introduction
Inhalation is an administration method in which aerosolized medications are inhaled into the respiratory tract and further reach the pulmonary system for topical or systemic applications. 1][4] An inhalation medication is atomized and delivered through an aerosol device.There are three main types of aerosol devices: pressurized metered dose inhaler, dry powder inhaler, and nebulizer, which include jet nebulizer, ultrasonic nebulizer, and vibration mesh nebulizer.3][14] An ideal inhaler generally provides better usability, lower spray velocity, longer spray duration, higher fine-particle fraction, and better drug utilization. 157][18][19] Additionally, drugs with poor solubility are unsuitable for Respimat soft mist inhaler.Therefore, a novel inhaler that can produce a soft mist with higher atomization volume and better support for poorly soluble drugs will be a good complement to current inhalers.
Flashing is an instantaneous boiling phenomenon that happens when the external pressure of a liquid drops below its saturated vapor pressure. 20Under such circumstances, the liquid is "overheated", and boiling happens.This process is quicker and more violent than normal ebullition.When flashing liquid flows through an orifice, a two-phase bubble flow is created.][22][23][24] When the flashing happens inside or before the orifice of an atomizer, a flash atomization happens. 20,25Spray ejected by the flash atomization has high controllability on droplet size and distribution pattern.Therefore, flash atomization is widely applied in several industrial applications such as coating, cooling, dehydration, desalination, aerospace, and pharmaceutical. 26When the flashing happens after the orifice, a flashing jet is generated. 27Aerosol characteristics of the flashing jet, such as the velocity, spray angle, and droplet size distribution, can be used to calculate the jetting rate and orifice diameter of the jet. 28,29Therefore, this flashing form receives considerable attention in heavy industries as a measurable feature to estimate the leakage rate of high-pressure vessels or circulation loops for risk assessment and hazard management.
1][32] Currently, multiple theoretical formulas can be used to predict droplet size changes under different parameter conditions. 20,33,34Theoretical droplet size d d can be calculated through Equation (1) 21 : Herein, the critical Weber number We crit was 12.5, which is recommended by a previous study. 27The liquid Reynolds number and the liquid Weber number are defined as Equation ( 2): Where d f is the initial diameter of the jet, ρ L is the density of the liquid, u f is the initial speed of the jet, μ L is the viscosity coefficient of the liquid, and σ L is the surface tension coefficient of the liquid.
However, limited experiments are available that establish a direct correlation between these definitions and practical usage.Therefore, a new correlation derived from experimental data is being employed.The droplet diameter can be calculated based on the orifice diameter using the following Equation (3) 21,35 : Where d O is the orifice diameter, d str is the droplet diameter at the start point when the flashing transition begins, and d end is the droplet diameter at the endpoint when the flashing transition finishes.The start and end temperatures of this flashing transition process can be calculated based on the criteria given in Equation ( 4): According to the current flashing theory, obtaining aqueous aerosol particles with diameters less than 10 μm is achievable for the flashing atomization but difficult for the flashing jet. 21,25,27,29,36,37Although flashing atomization is already used in spray dying applications to generate super-fine droplets (< 1 μm) for pharmaceutical dry powder production, 34 it is rarely used to generate inhalable droplets (2-5 μm) for drug inhalation application.This may be because the high-pressure differential (> 400 kPa), large expansion chamber volume, and high energy supply requirements limit the feasibility of miniaturizing a flashing atomizer into handheld size, 30 which is a basic usability requirement for inhalers.6][37] The possibility and methodology to generate inhalable aerosols remain unknown when the flashing jet is produced through an inhaler nozzle setting.
In the preliminary work of this study, a flashing jet inhaler prototype (FJ prototype) was established, which produced small droplets (< 10 μm) with a small orifice (0.4 mm) and lower liquid pressure (150 kPa) in a single spray (50 μL).The atomization mechanism of the FJ prototype dose relied on the propellant, and the atomization performance is not affected by the inhalation flow.Additionally, the spray speed was relatively slow, and the spray duration could be adjusted in the FJ prototype.The FJ prototype holds the potential for improving drug delivery efficiency and usability.However, a significant proportion of large droplets remained in the delivered aerosol, making it unsuitable for inhalation administration.Therefore, further optimization of atomization performance is necessary for the FJ prototype.
The study aims to investigate the feasibility of using the current flashing theory to optimize the atomization performance of the FJ prototype and generate inhalable aqueous aerosols, and the factors that influence the flashing jet appearance are studied, including the overheat degree, jetting rate, jetting volume, and liquid type.The mass median aerodynamic diameter (MMAD) and aerodynamic particle size distribution (APSD) of output aerosol are used to compare the effects of these factors on atomization performance.Moreover, drug distribution is measured to evaluate the drug delivery capacity when active ingredients are included in different liquid types.

FJ Prototype
The FJ prototype consists of an atomization block, temperature control module, pressure-volume control module, and liquid pool (►Fig.1A).The temperature control module contains a thermistor temperature sensor, a 25 W ceramic heater, and a temperature controller.The pressure-volume control module contains a metering pump, a pressure sensor, an actuation pusher, and a pressure chamber.Moreover, this module connects the liquid pool and the atomization block.The whole prototype is powered by a 50 W DC power.
The atomization process of the FJ prototype includes two steps: preparation and actuation.In the preparation stage, a certain amount of liquid is extracted from the liquid pool and pumped into the pressure chamber.Next, the chamber pressure is raised above the saturation pressure of the target overheating temperature.Additionally, the pressure chamber is heated to the overheating temperature.The chamber Pharmaceutical Fronts Vol. 5 No. 3/2023 © 2023.The Author(s).

Technical Feasibility of Aqueous Aerosol Generation Based on Flashing Jet Zheng et al. e177
pressure is adjusted by the position of the actuation pusher and maintained by a check valve outside the chamber.The heating and stabilization process is controlled by the temperature control loop between the ceramic heater and the temperature sensor.
During the actuation, the pusher is inserted into the chamber to further increase the liquid pressure.When the liquid pressure is higher than the orifice sealing threshold, the orifice opens releasing overheated liquids as a flashing jet (►Fig.1B).The jetting rate and duration are controlled by the insertion rate of the pusher.The orifice sealing threshold is controlled by the locking strength of the atomization block and the orifice diameter.

APSD and MMAD Measurement
The APSD of the delivered aerosol was measured by the APS based on the time of flight (TOF) analysis.The IIPR, which has a United States Pharmacopeia/European Pharmacopeia (USP/Ph Euro) inlet and an APS sampling probe, was integrated with the APS.
The background flow rate of the APS/IIPR system was set as 28.3 L/min, while the sampling flow rate of the APS probe was set as 0.062 L/min with a sampling pressure of 1.2 cm in the water manometer (approximately 117.68 Pa).As a result, 0.2% of the delivered aerosol that penetrated through the USP/Ph-Euro inlet was extracted as the initial sample.Filter makeup air was mixed with the initial sample twice before it enters the TOF spectrometer in APS, which leads to the total dilution rate of the delivered aerosol being 1:400.Aerosol Instrument Manager (version 7.3.0.0,TSI Inc., Minnesota, United States) was used for data calculation and display.The sampling mode of aerosol was settled as summing and the measured results of APSD were displayed as channel date.Stokes correction scatter mode was not applied.Dilution/efficiency file <00400to1.e21>was used as the data compensation algorithm.The measuring range of MMAD was 0.523 to 20 μm.

Dosage Measurement
The USP throat, 4.7 μm single-stage impactor, and outlet filter in the APS/IIPR system were used to measure the drug dosage of the delivered aerosol.After atomization, the atomization block of the FJ prototype, connecter, USP throat, and impact plates were washed by the mobile phase.Thereinto, the lotion of the atomization block was considered as the device residual dosage sample, the lotions of connecter and USP throat were merged as throat residual dosage sample, and the lotions of impact plates were merged as the large particle dosage (LPD) sample.The glass microfiber filter, which was loaded on the outlet holder in IIPR, was soaked and ultrasonicated for 30 minutes in the mobile phase.Subsequent filtration after 0.22 μm filtration was used as fine particle dosage (FPD) samples.All samples were measured by the HPLC.

Chromatographic Conditions
For salbutamol sulfate, a Kromasil C18 (4.6 mm Â 250 mm, 5 μm) column was used with the mobile phase

Statistical Analysis
Data were managed and analyzed with the SPSSAU data analytics platform.Data were expressed in the form: mean AE standard deviation.One-way ANOVA (analysis of variance) was employed to evaluate data dependency.A statistically significant difference was set as the p-value is less than 0.05.

Reference Output
The APS/IIPR system was used to measure the APSD and MMAD of output aerosol.However, the potential shrinking caused by the sampling flow results in deviations from the original droplet diameter. 38,39Droplet sizes determined by the APS/IIPR system alone are not suitable to evaluate  the atomization performance.Among the numerous jet nebulizers, the Pari nebulizer is widely recognized for its atomization performance.The Pari nebulizer was used as a reference device because it produces aqueous aerosol, similar to the output of the FJ prototype.The MMAD and APSD of aerosol output at 60 seconds of the Pari nebulizer were used to assess the atomization performance of the FJ prototype.
Normal saline (NS) was nebulized by the Pari nebulizer with a 2 mL initial filling volume.The MMAD of its aerosol output in 60 seconds was 2.50 AE 0.81 μm (n ¼ 6).The APSD is shown in ►Fig. 2.

Overheat Degree
The overheat degree 4T is the difference between the liquid temperature (T L ) and the liquid boiling point (T boiling ) corresponding to the current ambient temperature, according to Equation ( 5 No data were obtained at the 10°C overheat degree because the flashing was not strong enough to break the jet into an aerosol.Moreover, two FJ prototype devices were used in the test, while the second one was repeatedly tested three times on other days to validate the repeatability and reproducibility. Measured MMAD decreased with increased overheat degree.Significant differences were found between the 40 and 50°C overheat degrees in all test groups (►Fig.3B).APSDs at different overheat degrees are shown in ►Fig.3C.

Jetting Rate
The jetting rate influences the initial velocity of the flashing jet.The interaction of air and jet directly causes the disturbance in Technical Feasibility of Aqueous Aerosol Generation Based on Flashing Jet Zheng et al. e180 the air-liquid interface, which weakens the constraint effect of surface tension.Therefore, a higher jetting rate may improve the atomization performance in the same flashing strength.
NS was used as the atomization liquid, the jetting volume was 40 μL, and jetting rates of 15, 20, and 25 μL/s were evaluated.Besides, the effect of jetting rate in different overheat degrees was assessed by determining MMAD and APSD of the FJ prototype at 20, 30, 40, and 50°C.
Our data showed that at low overheat degrees (20 and 30°C ), the aerosol MMAD tends to decrease with the increase of jetting rate, but the difference is not significant.At high overheat degrees (40 and 50°C), the aerosol MMAD decreased significantly between the injection rate of 15 and 20 μL/s, but did not decrease further when the jetting rate increased to 25 μL/s (►Fig.4A).APSDs for different jetting rates at 20 and 50°C overheat degrees are shown in ►Fig.5A.Technical Feasibility of Aqueous Aerosol Generation Based on Flashing Jet Zheng et al. e181

Jetting Volume
The jetting volume and jetting rate determine the spray duration of one actuation.Moreover, larger volumes may lead to different pressure distributions in the pressure chamber, which may further influence the atomization performance of the FJ prototype.
For NS as the atomization liquid, an overheat degree of 40°C, a jetting rate of 20 μL/s, and jetting volumes of 40, 50, 60, 80, 90, and 100 μL were used as test conditions.The MMAD and APSD of the FJ prototype were measured to evaluate the effect of jetting volume.
The MMAD slightly decreased with increased jetting volume at the test condition, but no significant difference was found (►Fig.4B).APSDs for different jetting volumes at 40°C overheat degree and 20 μL/s jetting rate are shown in ►Fig.5B.

Atomization Liquid
The flashing behavior could be determined by the overheat degree, specific heat capacity, and vaporization latent heat of the liquid during jetting.Thereinto, the specific heat capacity and vaporization latent heat are influenced by the active ingredient and excipients in prescription.
NS, SAL, VEN, BUD, and PUL were used as the atomization liquid.Test conditions were set as follows: overheat degree, 40°C; jetting rate, 25 μL/s, and jetting volume: 50 μL.The atomization liquid was evaluated by determining the drug distribution and MMAD of the FJ prototype.Furthermore, VEN and PUL, atomized with a Part nebulizer, were used as reference groups.As shown in ►Fig.4C, the MMAD of VEN and PUL at the FJ prototype was lower than those of SAL and BUD.The MMAD of VEN at the FJ prototype was significantly higher than that of the Pari nebulizer, while the MAMD of PUL at the FJ prototype was significantly lower than that of the Pari nebulizer.When the atomization liquid was NS, there is no significant difference between the FJ prototype and Pari nebulizer.Dosage measurement results of drug distribution are listed in ►Table 1, while the APSD of different liquids is shown in ►Fig.5C below.
The normal dosage (ND) was calculated using the jetting volume and liquid concentration according to Equation ( 6): The ND at the FJ prototype was 250 μg for the SAL and VEN and 25 μg for the BUD and PUL, while at the Pari nebulizer was 800 and 80 μg for the VEN and PUL, respectively.Device (%ND) is the residual dosage proportion of the atomization block at the FJ prototype and the upper part of the nebulizer cup at the Pari nebulizer respectively.Throat (%ND) is the residual dosage proportion of connector and USP throat.LPD (%ND) and FPD (% ND) are the LPD proportion and FPD proportion, respectively.Delivered dosage (DD) is the sum of measured dosage, while DD (%ND) is the recovery rate of atomized dosage.

Effect of Overheat Degree
The degree of overheat determines the boiling strength of the flashing jet, and a higher overheat degree leads to better atomization performance. 27This factor has been extensively studied by various researchers, leading to the development of several empirical formulas that describe the relationship between the overheat degree and the mean droplet diameter of the output aerosol. 27,29,37lthough the prediction results of particle size distribution are different in these formulas, it is recognized that there are three stages of size change trends as the overheat degree increases: mechanical breakup, transition, and fully flashing (►Fig. 6). 25,35,36In the fully flashing stage, a fully flashed point is reached, beyond which there exists a cut-off value for the overheat degree.At this point, the reduction rate of particle size decelerates, and eventually, a constant value is achieved.
In this study, output aerosols of the FJ prototype at 20 to 40°C overheat degree belong to the transition stage, while the 50°C output belongs to the fully flashing stage (►Fig.3A).As the overheat degree increased, the proportion of large droplets in the APSD rapidly decreased and almost disappeared at the fully flashing stage (►Fig.3C).The disappearance of large droplets is the main cause of the MMAD reduction in the transition stage.At low overheat degrees, a normal distribution of fine droplet sizes is observed.Following the increment of overheat degree, the proportion of the fine droplets is increased because large droplets are further broken into small droplets.The median of the fine droplet size is also decreased in this process.When the large droplets are gone, this shift becomes the dominant factor in MMAD change, which corresponds to the slow decline stage between the fully flashed and cut-off points (interval between point B and C).Droplet shrinkage caused by evaporation is the main cause of the change. 30Due to the liquid's latent heat of vaporization approximately three orders of magnitude higher than the specific heat capacity, the residual heat after flashing breakup causes a minor change in droplet diameter.
The limitation of the evaporation rate is a possible cause of the cut-off value of MMAD (interval after point C).The humidity of the surrounding air of the aerosol in this stage is probably saturated due to the evaporation that happens in the flashing and large droplet breakup process.Hence, the evaporation rate is constrained to a minimum value.No evaporation would happen until additional saturated moisture content provided by the air convection is larger than the evaporation rate of the flashing process.

Effect of Jetting Rate and Volume
When the jetting rate increases, the influence on the flashing jet embodies in the increased jet speed and changes in pressure gradient within the orifice.A higher jet speed strengthens the air disturbance on the liquid jet, which produces smaller droplets after jet rupture. 40This explains the shift of APSD at 50°C (►Fig.5A).However, the turbulence rupture of liquid jet requires an extra jetting distance for distribution development. 41In the flashing jet atomization process, flashing happens before the air disturbance is strong enough to influence the droplet production.In a low overheat degree, the shift of APSD is also observed, but large droplets caused by low flashing strength raised the MMAD (►Fig.5A).Hence the effect of jetting rate on MMAD is weaker than the overheat degree.
The jetting rate is controlled by the advance rate of the pusher in the FJ prototype.Therefore, the change in jetting volume has limited impact on the jetting rate and atomization performance (►Fig.5B).When the jetting rate is fixed, the jetting volume determines the spray duration of the FJ prototype.
A longer spray duration can lower the requirement on patient cooperation skill and improve the drug utilization for inhalers. 1However, the prolonged duration can also reduce the inhalation administration effect because the aerosol delivered before or after the inspiration will be wasted.The duration of deep inspiration for healthy population is approximately 5 to 15 seconds, while a normal inspiration is approximately 1 to 2 seconds.][44] An ideal spray duration should be able to complete the drug delivery within one inspiration.In consideration of the deviation caused by user skills, the spray duration of 1.5 to 2.5 seconds may be suitable for one deep inspiration to balance the benefit between the patient cooperation difficulty and delivery dosage loss.
When a high atomization volume is required, the spray duration can be controlled within the 1.5 to 2.5 seconds and limited the impact on atomization performance by adjusting the jetting rate at the FJ prototype.Consequently, there is a potential advantage at the FJ prototype on poorly soluble drug atomization, in which a high solvent volume is required to deliver adequate drug dosage.

Effect of Liquid Type
The MMAD of SAL is larger than that of NS at the FJ prototype.This change is directly related to the increment in large droplet (> 5 μm) proportion in SAL (►Figs. 2 and 5C).The APSD change is probably caused by the rise of boiling point, which correspondingly decreased the overheat degree while the overheat temperature was not changed.The solution boiling point is related to its molality, and therefore, different overheat temperatures are required to obtain the same overheat degree in different liquid prescriptions.
A lower proportion of large droplets in the APSD of VEN is observed in the FJ prototype (►Fig.5C) compared with SAL.This observation is attributed to the decrease in surface tension in VEN, which is caused by the presence of benzalkonium chloride in VEN prescription.][47] Due to the presence of suspension, it is difficult to tell whether the fine particles of APSD was measured from aerosol droplets or powder particles when the BUD and PUL were used.At the current stage, it is certain that the absence of large particles in ►Fig.5C is also a result of a lower surface tension, which can be attributed to the inclusion of polysorbate 80 in the prescription of the PUL.Additionally, the significant difference in MMAD between BUD and PUL at the FJ prototype can likely be attributed to the use of micronized budesonide as the active ingredient in the PUL.
As a reference group, the APSD of VEN at the Pari nebulizer showed a normal distribution.9][50] This bias is consistent with existing studies comparing the measured results between APS, next-generation impactor (NGI), and Andersen cascade impactor (ACI). 39t is worth noting that the MMAD at the FJ prototype is smaller than the Pari nebulizer when PUL is used.A possible explanation of this difference is the potential promoting effect of suspended particles on flashing and droplet size reduction caused by evaporation.Another possible reason is that the atomization performance of the FJ prototype is less sensitive to the change of liquid viscosity.When stabilizing excipients in the PUL significantly affect the aerosol output at the Pari nebulizer, minimal changes are observed in the FJ prototype.
Device residual levels at the FJ prototype were higher than the Pari nebulizer.Adherence droplets around the orifice were observed in the beginning and ending stage of jetting at the FJ prototype.In the flashing process, these adherence droplets rapidly evaporated, leading to residual drug accumulation around the orifice.However, no significant difference of device residual level was found among the four atomization liquids at the FJ prototype (►Table 1), which indicates that liquid characteristics may have minimal impact on the device residual level.
The orifice structure is considered as a potential critical feature that may affect the device residual.On the one hand, the diameter, depth, and shape of the orifice determine the jet characteristic, 51 which further affect the adherence activity around the orifice.On the other hand, the outer surface shape around the orifice influences the evaporation and accumulation activity around the orifice.An improved orifice design may further decrease the device residual level of the FJ prototype.It is necessary to study the effects of orifice structures on atomization performance in future studies.

Research Limitations
The NGI or ACI was not used in this study for measuring the MMAD and FPD, because the NS was used throughout the study, which is not suitable for the impactor-based measurement of MMAD.The APS/IIPR system was used because it can measure droplet size without relying on HPLC, thus allowing for the measurement of NS aerosol.
It is important to note that the APS/IIPR is not widely accepted as a device for measuring MMAD, and the measured MMAD serves as a reference value.Considering the Pari nebulizer was used as the reference device, it is reasonable to conclude that the atomization performance of the FJ prototype is comparable to the Pari nebulizer, when the design of FJ prototype and the liquid prescription are further refined, the NGI or ACI would be better options for the MMAD measurement.
The Pari nebulizer was used as a reference device due to several factors.First, the Pari nebulizer produces an output of aqueous aerosol, which is similar to the output of the FJ prototype.Additionally, the Pari nebulizer allows for easy interchangeability of atomization liquids, making it a convenient choice for comparison.However, it is worth noting that the nebulizer operates as a continuous atomization device, which is different from the FJ prototype.In future studies, a more suitable option for comparison would be the soft mist inhaler Respimat.This is because it also delivers fine aqueous aerosol, and it shares similarities with the FJ prototype.Furthermore, the low delivery dosage limitation of Respimat aligns with one of its main drawbacks, whereas the FJ prototype potentially offers an advantage in high delivery doses.
The images of output aerosol at different temperatures (►Fig.3A) were taken under normal laboratory conditions, the photographic environment was not fully controlled.When capturing images of aqueous aerosol, slight changes in camera settings and lightning conditions may significantly influence the image quality.Ideally the high-speed cameras in a controlled darkroom environment with a controlled near-end artificial light source should be used for image capture.The images presented in ►Fig.3A can only be used for observing the phenomena rather than precise quantitative analysis.

Conclusion
In summary, the atomization performance of the FJ prototype is influenced by the overheat degree, jetting rate, and jetting liquid type, while the changes of jetting volume have a limited impact on aerosol output.The increase in overheat degree led to a decrease in MMAD, attributed to the enhanced flashing strength.Similarly, an increase in jetting rate resulted in a decrease in MMAD due to the increased air disturbance.The variation in atomization performance with different liquid types may be attributed to changes in boiling behavior.
For atomization liquids such as NS, VEN, and BUD, the FJ prototype can provide comparable output aerosol with the Pari nebulizer.This suggests the feasibility of generating aqueous aerosol for inhalation administration using the flashing jet method.Furthermore, the FJ prototype shows potential for delivering high solvent volumes or high-concentration suspensions in a single spray.Additionally, the flashing jet technique holds promise for atomizing suspensions or poor soluble drugs.

Fig. 1
Fig. 1 Diagrammatic view of the FJ prototype.(A) Prototype composition; (B) actuation process; (C) partial photo of atomization block; (D) top view of the atomization block under different conditions.FJ, flashing jet inhaler.
): A higher overheat degree leads to a more drastic flashing process, whereas it also leads to lower liquid surface tension and viscosity.With increasing overheat degrees, three stages may exist: (1) jetting stage, where no flashing happens or the flashing is not strong enough to break the jet; (2) rupturing stage, where flashing is strong enough to break the jet into aerosol; (3) full flashing stage, where flashing disintegrates the jet violently near the nozzle.Multiples overheat degrees of 10, 20, 30, and 50°C were used as flashing conditions to evaluate the output changes of the FJ prototype.NS was jetted by the FJ prototype in a jetting volume of 40 μL, a jetting rate of 20 μL/s, a jetting pressure of 150 kPa, and a jetting duration of 2 seconds.Atomization output at different temperatures is shown in ►Fig.3A.

Fig. 5 (
Fig. 5 (A) APSD of normal saline at different jetting rates; (B) APSD of normal saline at different jetting volumes; (C) APSD of different atomization liquids at FJ prototype and Pari nebulizer.APSD, aerodynamic particle size distribution; FJ, flashing jet inhaler.
a Significant difference compared with SAL solution at FJ prototype.