U.S. patent number 3,698,387 [Application Number 04/864,348] was granted by the patent office on 1972-10-17 for otoscope construction.
This patent grant is currently assigned to Welch Allyn, Inc.. Invention is credited to William C. Moore, William S. Pilgrim.
United States Patent |
3,698,387 |
Moore , et al. |
October 17, 1972 |
OTOSCOPE CONSTRUCTION
Abstract
An otoscope constructed so that its head can be either open or
closed, the closed head being employed when it is desired to
introduce air into the ear canal. The otoscope has a generally
rectangular shape and a large proximal end opening which is
provided with a removable slide closure comprising a lens and lens
frame of gasket material. The otoscope head and speculum portions
are formed as a unitary member, and optical fibers are embedded
therein to conduct light to the distal end of the speculum from a
source removed therefrom.
Inventors: |
Moore; William C. (Skaneateles,
NY), Pilgrim; William S. (Port Byron, NY) |
Assignee: |
Welch Allyn, Inc. (Skaneateles
Falls, NY)
|
Family
ID: |
25343071 |
Appl.
No.: |
04/864,348 |
Filed: |
October 7, 1969 |
Current U.S.
Class: |
600/200;
385/115 |
Current CPC
Class: |
A61B
1/2275 (20130101) |
Current International
Class: |
A61B
1/227 (20060101); A61b 001/22 () |
Field of
Search: |
;128/9,6
;350/241,247,252 ;351/6 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Laudenslager; Lucie H.
Claims
We claim:
1. An otoscope having integrally molded head and speculum portions
with an unobstructed viewing passage therethrough, said head
portion having a substantially rectangular configuration in rear
elevation, the head portion being formed with a rectangular rear
opening extending substantially completely across the proximal end
of said head portion and in communication with the viewing passage
and guide ways adjacent a pair of opposite edges of the opening, a
removable closure for the opening adapted to be slidably received
in said ways, said closure comprising a lens and a rectangular
frame for the lens formed of an elastomer with a low coefficient of
friction, the elastomer frame operating as an airtight gasket
between the lens and otoscope head when the closure is in position
in the latter, and a bundle of light transmitting filaments
embedded in said head and speculum portions for conducting light to
the distal or front end of the otoscope from a source removed
therefrom.
Description
BACKGROUND OF THE INVENTION
This invention relates generally to medical diagnostic instruments,
and has particular reference to a novel otoscope construction with
improved means for using the instrument as a closed head or
pneumatic type otoscope.
In an ear examination, it is often desirable to introduce air into
the ear canal in order to observe the action of the tympanic
membrane under pressure. This is done through an otoscope and
requires an instrument with a closed head so that there is no air
loss. Since it is also necessary to have open head otoscopes, i.e.
with an open passage therethrough, for instrumentation or the like,
some otoscopes of the prior art have been provided with heads of
both types. This makes a complete instrument relatively expensive
and has the disadvantage of necessitating frequent changing from
one head to the other.
A more common type otoscope in use heretofore is one in which the
head is provided, at the proximal end of the viewing passage, with
a pivotally or hingedly connected closure which can be moved into
passage closing position for use as a closed head instrument and
swung completely clear of the passage for use as an open head
instrument. A problem with this type of otoscope is that it is
difficult to get a good seal between the closure and head when the
former is moved into closed position. Another disadvantage is that
instruments of this construction, insofar as applicants are aware,
are invariably shaped and dimensioned so that only monocular vision
is possible and there is usually insufficient space for both good
viewing and instrumentation.
SUMMARY OF THE INVENTION
The invention to be disclosed herein is an otoscope that is readily
convertible from an open to a closed head type, and vice versa, the
closed head condition being effected by a slide closure having a
novel construction that insures an airtight seal. Unlike
conventional instruments, the otoscope head has a generally
rectangular shape with a large proximal or rear end opening that
permits binocular vision as well as more space for both viewing and
instrumentation. The slide closure, which can be completely
detached from the instrument head, comprises a lens and a lens
frame formed of an elastomer whereby the elastomer frame operates
as an airtight gasket between the lens and otoscope head when the
closure is in position in the latter. The elastomer lens frame, in
addition to providing a truly effective seal, protects the lens
against breakage if the closure is dropped. Making the closure
completely detachable from the otoscope head is advantageous
because it permits use of a number of interchangeable closures with
different lenses. Another advantage of the otoscope of the
invention, as will appear more fully hereinafter, is that the head
and speculum portions are molded as a one-piece or unitary
construction which results in economies in production .
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view of an otoscope embodying the invention
and the upper part of a supporting battery handle;
FIG. 2 is a perspective view of a pneumatic attachment for the
otoscope;
FIG. 3 is an enlarged side elevation of the otoscope with the slide
closure in position therein;
FIG. 4 is a top plan view of the otoscope of FIG. 3;
FIGS. 5 and 6 are front and rear elevations, respectively, of the
otoscope of FIG. 3 without the slide closure;
FIG. 7 is a vertical section taken on line 7--7 of FIG. 4;
FIG. 8 is an enlarged rear elevation of the slide closure for the
otoscope;
FIG. 9 is a vertical section on line 9--9 of FIG. 8 with the lens
not in section;
FIG. 10 is a horizontal section on line 10--10 of FIG. 8 with the
lens not in section;
FIG. 11 is a rear elevation of the lens for the slide closure;
FIG. 12 is an end elevation of the lens; and
FIG. 13 is a top plan view of the lens.
DESCRIPTION OF THE PREFERRED EMBODIMENT
Having reference now to the drawings, the otoscope, generally
indicated by the reference number 15, is mounted on a battery
handle 16 of the type shown in U.S. Pat. No. 3,071,747, issued Jan.
1, 1963 to W. C. Moore, one of the applicants herein. The battery
handle is held by the physician in using the instrument, and
contains batteries (not shown), a switch button 17 and a rheostat
dial 18. The batteries supply power to a lamp 19, FIG. 7, mounted
in a metal sleeve 20 which forms the otoscope base.
The otoscope is essentially comprised of a head portion 21 and a
speculum portion 22 and preferably has a unitary or one-piece
molded plastic construction. The head portion 21 has a
substantially rectangular configuration in rear elevation, FIG. 6,
and its three-dimensional shape is that of a trapezoidal polyhedron
as best shown in FIGS. 3 and 4. The speculum portion 22 has a
substantially frusto-conical configuration although its wall
elements have a slightly concave curvature as indicated in FIGS. 3
and 4. The head portion includes a cylindrical lug 24, FIG. 7,
which is fixed as by epoxy cement to a tubular throat piece 25 and
the base sleeve 20.
The otoscope is formed with a viewing passage 26 which extends
continuously through its head and speculum portions. This passage
is encircled at the distal end 27 thereof by a pre-formed bundle 28
of clad light transmitting optical fibers, FIGS. 5 and 7, embedded
in the otoscope wall. Near the proximal end of the instrument, the
fiber bundle becomes cylindrical in shape and extends centrally
down through lug 24 terminating in an optically ground and polished
surface 29. The bundle end 29 is adapted to receive light from the
lamp 19, the light being emitted in a substantially annular pattern
at the distal end of the otoscope to illuminate the field of
view.
As indicated in FIG. 1, the otoscope speculum portion is provided
with a detachable hollow tip 30 which forms an extension of the
viewing passage 26 in order to protect the fiber ends at 27 and
space them from the area under examination. This tip is formed with
a rounded or bulbous distal end 30a to effect a good seal between
the tip and wall of the ear canal. The inside of the tip has a
small lug (not shown) which engages a slot 31 in the speculum
portion to releasably secure the parts together. The fiber bundle
arrangement and detachable passage extending tip are not considered
to be novel per se having been disclosed in U.S. Pat. No.
3,146,775, issued Sept. 1, 1964 to applicant Moore and another.
In accord with the invention, the otoscope is formed with a
relatively large, rectangular opening 32 at its proximal or rear
end, FIGS. 6 and 7, which opening communicates with the viewing
passage 26 through the instrument. This opening extends completely
across the proximal end of the instrument as best shown in FIGS. 1
and 3, and the upper and lower edges of the opening are undercut as
at 34 to provide guide ways for a slide closure generally indicated
by the reference number 35 and shown in FIGS. 1, 3 and 8-10.
The slide closure comprises a suitable lens 36, FIGS. 11-13, which
may be a magnifying lens, and a lens frame 37 made of a relatively
soft elastomer material. Frame 37 is formed with a continuous
interior channel 38 for receiving the peripheral edge of the lens,
and its upper and lower edges are outwardly flared as at 39 for
dovetailed engagement with the undercut edges 34. The closure can
thus be engaged with or disengaged from the otoscope by an endwise
or lateral sliding movement and to this end, an elastomer with a
low coefficient of friction is employed to facilitate the
sliding.
The elastomer frame 37, because of its elasticity and relative
softness, makes total contact with the portions of the otoscope
head it engages - even if there should be an irregularity or
roughness in the material of the head - and insures an airtight
seal between the closure and otoscope when the latter is to be used
as a closed head or pneumatic type instrument. The frame of
elastomer material thus actually operates as a gasket between the
relatively movable lens and otoscope while at the same time serving
as a protective support for the lens.
With the slide closure 35 in position in the otoscope, and with the
tip 30 in substantially airtight engagement with the walls of the
ear canal, air can be introduced into the latter by means of the
pneumatic attachment of FIG. 2. This comprises a compressible
inflation bulb 40 and a flexible connecting tube 41, the latter
having an end fitting 42 that is insertable in a hole 44 through
the wall of the otoscope head portion.
The relatively wide proximal end opening 32, FIG. 6, permits
binocular vision in examining the illuminated field adjacent the
distal end of the instrument, and this is true also when the slide
closure 35 is in position because the usable portion of its lens is
nearly as large as the usable portion of the opening, compare FIGS.
6 and 8. With the closure removed, the wide and relatively large
opening 32 permits another instrument to be introduced into the
passageway 26 without seriously obstructing the physician's vision.
In this connection, the closure can if desired be displaced
laterally just enough to permit the insertion of a slender
auxiliary instrument, the closure in this case continuing to occupy
most of the opening whereby the viewing is done through its lens.
With a completely removable closure as disclosed herein, it will,
of course, be apparent that an instrument can be provided with a
number of interchangeable frames having lenses or the like of
different characteristics. In addition, the instrument can be
provided with a telescope attachment, a photographic adapter or the
like.
From the foregoing description of the preferred embodiment of the
invention, it will be apparent that an otoscope construction has
been disclosed which provides substantial improvements over the
prior art, the construction being at the same time economical to
produce and efficient in operation.
* * * * *