Simple Counter Mechanism In An Asthma Inhaler

October 5, 2025 by Maya Posch 10 Comments

The counter wheel and white worm gear inside the counter. (Credit: Anthony Francis-Jones, YouTube)

Recently [Anthony Francis-Jones] decided to take a closer look at the inhaler that his son got prescribed for some mild breathing issues, specifically to teardown the mechanical counter on it. Commonly used with COPD conditions as well as asthma, these inhalers are designed to provide the person using it with an exact dose of medication that helps to relax the muscles of the airways. Considering the somewhat crucial nature of this in the case of extreme forms of COPD, the mechanical counter that existed on older versions of these inhalers is very helpful to know how many doses you have left.

Disassembling the inhaler is very easy, with the counter section easily extracted and further disassembled. The mechanism is both ingenious and simple, featuring the counter wheel that’s driven by a worm gear, itself engaged by a ratcheting mechanism that’s progressed every time the cylinder with the medication is pushed down against a metal spring.

After the counter wheel hits the 0 mark, a plastic tab prevents it from spinning any further, so that you know for certain that the medication has run out. In the video [Anthony] speculates that the newer, counter-less inhalers that they got with the latest prescription can perhaps be harvested for their medication cylinder to refill the old inhaler, followed by resetting the mechanical counter. Of course, this should absolutely not be taken as medical advice.

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Wearable Sensor Trained To Count Coughs

November 15, 2022 by Bryan Cockfield 5 Comments

There are plenty of problems that are easy for humans to solve, but are almost impossibly difficult for computers. Even though it seems that with modern computing power being what it is we should be able to solve a lot of these problems, things like identifying objects in images remains fairly difficult. Similarly, identifying specific sounds within audio samples remains problematic, and as [Eivind] found, is holding up a lot of medical research to boot. To solve one specific problem he created a system for counting coughs of medical patients.

This was built with the idea of helping people with chronic obstructive pulmonary disease (COPD). Most of the existing methods for studying the disease and treating patients with it involves manually counting the number of coughs on an audio recording. While there are some software solutions to this problem to save some time, this device seeks to identify coughs in real time as they happen. It does this by training a model using tinyML to identify coughs and reject cough-like sounds. Everything runs on an Arduino Nano with BLE for communication.

While the only data the model has been trained on are sounds from [Eivind], the existing prototypes do seem to show promise. With more sound data this could be a powerful tool for patients with this disease. And, even though this uses machine learning on a small platform, we have seen before that Arudinos are plenty capable of being effective machine learning solutions with the right tools on board.