U.S. patent number 3,867,925 [Application Number 05/115,995] was granted by the patent office on 1975-02-25 for expendable stethoscope.
This patent grant is currently assigned to Med General, Inc.. Invention is credited to Robert A. Ersek.
United States Patent |
3,867,925 |
Ersek |
February 25, 1975 |
EXPENDABLE STETHOSCOPE
Abstract
Stethoscope means for removable attachment to the skin surface
of the body of a patient comprising bell means including a
generally cup-shaped housing shell forming a chamber, and conduit
means communicating with the chamber for the transmission of
gaseous fluid compression waves therethrough. The chamber is in the
form of a generally cup-shaped housing shell with a closed bottom
wall, side walls extending from the bottom wall, and flanged
surface mounting means extending outwardly about the entire edge
surface of the side walls. Resilient pad means are secured
continuously about the top annular surface of the flange means and
circumscribe the chamber. A film of pressure-sensitive adhesive is
secured to the exposed surface of the resilient pad means, thus
enabling surface attachment of the bell means to the skin of the
body of a patient.
Inventors: |
Ersek; Robert A. (Minneapolis,
MN) |
Assignee: |
Med General, Inc. (Minneapolis,
MN)
|
Family
ID: |
22364626 |
Appl.
No.: |
05/115,995 |
Filed: |
February 17, 1971 |
Current U.S.
Class: |
600/528;
181/131 |
Current CPC
Class: |
A61B
7/02 (20130101) |
Current International
Class: |
A61B
7/02 (20060101); A61B 7/00 (20060101); A61b
005/02 () |
Field of
Search: |
;128/2.5A,2.5C,2.5G,2.5M,2.5R,2.5S,2K,2R ;179/1ST ;181/24 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Kamm; William E.
Claims
I claim:
1. Stethoscope bell means for removable attachment to the skin
surface of the body of a patient and comprising:
a. bell means including a substantially rigid, self-supporting
generally cup-shaped housing shell with a closed bottom wall, side
walls extending from said bottom wall, and flanged surface mounting
means extending outwardly about the entire edge surface of said
side walls, said bottom wall, side walls, and flange means forming
a generally closed chamber with an open top;
b. coupling conduit means communicating with said chamber through
one of said walls and having the outer periphery thereof in
generally fluid-tight attachment to said chamber, said coupling
conduit arranged for releasably securing an elongated sound
transmitting conduit for transmission of sound waves therethrough;
and
c. a film of pressure-sensitive adhesive secured to the exposed
surface of said flanged surface mounting means enabling surface
attachment of said stethoscope bell means to the skin of the body
of a patient and formation of a closed chamber.
2. The stethoscope bell means as defined in claim 1 being
particularly characterized in that resilient pad means are secured
continuously about the outer surface of said flange means forming a
layer over said flanged surface and circumscribing said
chamber.
3. The stethoscope bell means as defined in claim 2 being
particularly characterized in that said adhesive film is disposed
outwardly from and covers said resilient pad, and a protective
layer of film is provided to cover said pressure-sensitive adhesive
film.
4. The stethoscope bell means as defined in claim 2 being
particularly characterized in that said chamber is generally
hemi-elliptical in configuration, with the major axis of said
hemi-ellipse being disposed generally along the plane of said
flange means.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates generally to certain auscultatory
devices which generate an audible signal in response to
conventional heart tones, or other bodily sounds, these devices
normally being defined as "stethoscopes." More specifically, the
invention relates to a mass-produced inexpensive stethoscope
structure which is adapted to be removably attached to the skin
surface of the body of a patient, with the attachment remaining
during the period that frequent examination of the heart tones or
other bodily functions may be required.
2. Description of the Prior Art
In the past, stethoscope devices have been used to monitor,
examine, and otherwise evaluate those certain heart tones which are
generated by the heart of a patient undergoing such treatment. It
is sometimes necessary to monitor and evaluate heart tones on a
frequent basis. During such occasions, a stethoscope bell may be
attached to the chest of the patient, or an esophageal balloon may
be utilized. In either of these devices, a conduit or tubing
structure is secured to the outlet of the bell or balloon in order
to accommodate the external auditory channel of an attending
person. Such an arrangement allows for frequent monitoring of the
heart during the surgical procedure.
Electronic equipment is available for accommodating the monitoring
of the heart during such procedures. While this machinery is
normally reliable, it has been found that some types of this
equipment are disabled during or after the performing of
electrocautery operations, or during or after other electrical
disturbances which may occur in the immediate vicinity of the
electronic apparatus. Hence, it is normally desirable during
surgical procedures to have the heart tones monitored by mechanical
techniques. Additionally, other auscultatory sensors may be
attached to the skin surface of the body of a patient in order to
monitor blood pressure.
The disadvantages of the prior art devices include the indentations
or other trauma to the patient which may result whenever an
individual or equipment strikes the stethoscope bell so attached to
the patient. A further significant disadvantage is the possibility
for cross-contamination of patients who are in contact with such a
device.
It is also recognized in the art that the conventional use of
stethoscopes normally requires relocation on the patient's body in
order to determine the best area for auscultation. Thus,
consistency of transmission is normally difficult to achieve.
SUMMARY OF THE INVENTION
In accordance with the present invention, an improved stethoscope
bell is provided which has means for removable attachment to the
skin surface of the body of a patient. This structure includes a
bell means having a generally cup-shaped housing shell with a
closed bottom wall, side walls extending from the bottom wall, and
flanged surface mounting means extending outwardly about the entire
edge surface of the side walls. The bottom wall and side walls
cooperate to form a generally closed chamber with an open top. A
conduit is arranged in fluid communication contact with the
chamber, preferably through one of the side walls, the conduit
means having generally fluid-tight attachment to the chamber. In
addition, means are disposed on the conduit to receive an elongated
flexible conduit for transmission of gaseous fluid compression
waves therethrough. In addition, resilient pad means are secured
continuously about the top surface of the flange means and these
pad means circumscribe the chamber area. A film of
pressure-sensitive adhesive is secured to the exposed surface of
the pad means, thus enabling surface attachment of the stethoscope
bell means to the skin of the body of a patient.
In use, the stethoscope bell means is attached to the skin surface
of the body of a patient at the desired location. Normally, a
tubing element will be secured to the bell chamber, and the head
piece of the stethoscope is thereafter attached to the conduit or
tubing. If desired, adaptor means can be secured to the free end of
the tubing in order to facilitate attachment and removal of the
head piece of the stethoscope. When the need for the structure has
ceased, the bell means may be readily removed from the skin of the
patient, without discomfort.
Therefore, it is a primary object of the present invention to
provide an improved stethoscope bell means which may be removably
attached to the skin surface of the body of a patient, the bell
means including a cup-shaped housing forming a chamber, with flange
elements extending outwardly from the edges of the chamber, and
with resilient pad means being secured continuously about the
surface of the flanges for facilitating attachment to the body of
the patient.
It is yet a further object of the present invention to provide an
improved stethoscope bell means for removable attachment to the
skin surface of the body of a patient wherein a film of
pressure-sensitive adhesive may be secured to the exposed surface
of the resilient pad in order to facilitate attachment of the bell
means to the patient's skin.
Other and further objects of the present invention will become
apparent to those skilled in the art upon a study of the following
specification, appended claims, and accompanying drawing.
BRIEF DESCRIPTION OF THE DRAWING
FIG. 1 is a perspective view of the improved stethoscope bell means
of the present invention, along with a conduit and a head piece,
the conduit being utilized to transmit sound generated in the
stethoscope bell means to the ear pieces of the headset; and
FIG. 2 is a vertical sectional view taken along the line and in the
direction of the arrows 2--2 of FIG. 1 and showing the internal
detail of the stethoscope bell means of the present invention.
DESCRIPTION OF THE PREFERRED EMBODIMENT
In accordance with the preferred modification of the present
invention, and with particular reference to FIG. 1 of the drawing,
the structure as illustrated includes a stethoscope bell means 10,
a conduit means 20, and a stethoscope head piece 50. As is apparent
from FIG. 1, the conduit 20 is utilized to transmit gaseous fluid
compression waves from the chamber 10 to the ear pieces 52--52 of
the head piece 50.
With continued attention being directed to FIG. 1, and with
attention also being directed to FIG. 2, it will be seen that the
stethoscope bell means includes a chamber generally designated 16,
the chamber being formed within the confines of the bell means 10,
the bell means 10 comprising, as shown, a closed bottom wall with
side walls extending from the bottom wall. Also, flanges 12 extend
outwardly from the edge surfaces of the side walls, thus completing
the enclosure and defining the chamber 16. Resilient pad means 13
are secured continuously about the top surface of the flange means
and form to circumscribe the chamber. A film of pressure-sensitive
adhesive 14 is secured to the exposed surface of the resilient pad
means 13, the adhesive enabling surface attachment of the
stethoscope bell means to the skin of the body of a patient. If
desired, a stripable film 15 may be utilized to enclose or cover
the pressure-sensitive adhesive film 14 in order to preserve the
integrity of the adhesive film 14, and also to protect it from
contamination.
In order to provide communication between the chamber 16 and the
conduit 20, a coupling conduit means 11 is arranged in fluid
communicating relationship with the chamber 16, such as is
illustrated in FIG. 1. This communication is fluid-tight to the
chamber, and the coupling conduit 11 is arranged to receive conduit
20 thereover. As is apparent from the drawing, any fluid
compression waves present in chamber 16 will be transmitted through
conduit 20 into head piece 50 and ultimately to ear pieces 52--52.
At the free end of the conduit 20, an adaptor 30 is shown having a
tip portion 31 for mating with an optional ear piece 40. Ear piece
40 is provided with a moldable canal coupling 41 which may be
inserted into the external auditory canal of the listener, with
fitting portion 42 being arranged to be received within opening 31
formed in adaptor 30. As an alternate, the standard stethoscope ear
piece may be utilized, such as is shown at 50, this structure
having a pair of ear pieces 52--52 for accommodating the auditory
canal of the listener. Adaptor portion 51 is arranged to be
received within the opening 31 formed in adaptor 30.
In actual use, protective film 15 is stripped from the
pressure-sensitive adhesive film 14, and the unit is placed on the
body of the patient. This location is, of course, determined by the
nature of the situation. Once in place, conduit 20 is attached to
the member 11, and the appropriate ear piece attached. It will be
observed that the bell means includes a chamber having a high
surface-to-volume ratio. In this connection, the structure presents
a relatively low-profile to form this large surface-to-volume
ratio. The structure may be fabricated from any conventional rigid
material, it being understood that the rigidity must be sufficient
so as to prevent dissipation of any sounds generated in or on the
body of the patient. In this connection, therefore, it will be
appreciated that the skin surface of the patient will function as a
diaphragm to transmit sounds to the bell means, with these sounds
thereafter being transmitted through conduit 20 into the ear piece
worn by the listener. For most purposes, it has been found that
molded nylon, polypropylene, or polyethylene terephthalate having
wall thicknesses in the range of about 5 mils are useful. If
desired, films of this material may be formed in order to provide
the appropriately shaped stethoscope bell housing. Coupling 11 may
be joined to the chamber by any suitable welding techniques.
* * * * *