U.S. patent number 3,830,226 [Application Number 05/370,223] was granted by the patent office on 1974-08-20 for variable output nerve locator.
This patent grant is currently assigned to Concept, Inc.. Invention is credited to Carl L. Foltz, David E. Staub.
United States Patent |
3,830,226 |
Staub , et al. |
August 20, 1974 |
VARIABLE OUTPUT NERVE LOCATOR
Abstract
An electrically powered nerve locator designed to be used on
animal or human bodies comprising an elongated, hollow casing
having a conventional direct current power source mounted therein
and electrically connected to current regulator means so as to vary
the energy output of the locator. A nerve probe is rotably mounted
within the casing in circuit with the power source and the current
regulator. A flexible conductor is disposed in electrical contact
with the current source and a grounding needle is attached to the
free end of the flexible conductor wherein the conductor is
disposed and dimensioned to allow the needle to cooperatively
engage a test aperture formed in the casing between the current
source and the current regulator.
Inventors: |
Staub; David E. (Clearwater,
FL), Foltz; Carl L. (Holiday, FL) |
Assignee: |
Concept, Inc. (Clearwater,
FL)
|
Family
ID: |
23458753 |
Appl.
No.: |
05/370,223 |
Filed: |
June 15, 1973 |
Current U.S.
Class: |
600/554;
128/908 |
Current CPC
Class: |
A61B
5/0531 (20130101); Y10S 128/908 (20130101); A61N
1/36034 (20170801) |
Current International
Class: |
A61B
5/053 (20060101); A61N 1/32 (20060101); A61N
1/08 (20060101); A61N 1/34 (20060101); A61f
005/00 () |
Field of
Search: |
;128/2.1R,2.1C,303.1,303.13,303.18,405,406,2.6R,419R
;324/51,53 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Cohen; Lee S.
Attorney, Agent or Firm: Stein and Orman
Claims
Now that the invention has been described, what is claimed is:
1. A nerve locator device, said device comprising: a casing, a
source of direct current disposed within said casing, current
limiting means mounted in said casing in electrical contact with
said source, a nerve probe needle rotably mounted in said casing in
electrical contact with said current limiting means, conductor
means electrically connected at one end with said source, a signal
means electrically connected in series with both said conductor
means and said source, a grounding needle means electrically
connected with said conductor means, and means formed in said
casing between said source and said current limiting means for
allowing electrical contact between said grounding needle means and
a point of contact between said source and said current limiting
means.
2. A device as in claim 1 wherein said nerve probe needle comprises
a current conducting probe rigidly mounted in an insulating
retainer, the base of said nerve probe needle being configured to
selectively engage said current limiting means whereby a
predetermined current is passed through said nerve probe
needle.
3. A device as in claim 2 wherein said base extends beyond the aft
end of said insulating retainer and is angularly oriented as much
as 90.degree. or greater to fit into a correspondingly configured
slot correspondingly formed in said insulating retainer aft
end.
4. A device as in claim 2 wherein said insulating retainer includes
an index mark formed thereon in corresponding relation to the point
of contact of said nerve probe needle with said current limiting
means.
5. A device as in claim 1 wherein said means comprises an aperture
formed in said casing in corresponding relation to the point of
contact between said source and said current limiting means, said
aperture being correspondingly configured as said grounding needle
means.
6. A device as in claim 1 wherein said current limiting means
comprises a housing having mounted therein a current regulator.
7. A device as in claim 5 wherein said housing comprises a
manifold, said manifold having an annular ridge formed about the
periphery of the end thereof in contact with said nerve probe
needle, said ridge having a plurality of notches formed therein,
said current regulator comprises a plurality of resistors, said
resistors being mounted in said manifold in corresponding relation
to said notches for individual contact with said nerve probe needle
whereby a predetermined current is passed through said nerve probe
needle.
8. A device as in claim 5 wherein said current regulator comprises
a potentiometer, said potentiometer being mounted in said housing
and configured for contact with said nerve probe needle at a
plurality of points, said contact at each of said points allowing a
predetermined current to pass through said nerve probe needle.
9. A device as in claim 1 wherein said signal means comprises a
test light bulb and a bulb retainer mounted in said casing
electrically connected in series with said conductor means and said
source.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
This invention relates to a portable, disposable, self-testing
nerve locator including elements designed to be used on animal or
human bodies such that its energy output may be varied.
2. Description of the Prior Art
Various types of nerve locators/stimulators, primarily designed for
medical uses, are well known in the art. These type devices have
been particularly popular in surgical procedures where
identification and monitoring of motor nerves is necessary; e.g.,
long thoracic and inner coastal nerves and chest surgery, hand and
joint surgery, traumatic surgery and head and neck surgery.
However, prior art devices have proved to be generally
unsatisfactory because of their large size, complexity, cost of
manufacturing and difficulty of operation. Furthermore, it is
desirable to be able to vary the amount of electrical energy output
of the nerve locator. While most body nerves will not respond to
less than 2 milliamperes of current, there are some nerves that
cannot tolerate this much and may even be impaired to some extent
by this great an output.
One such prior art device, U.S. Pat. No. 3,664,329, discloses a
nerve locator/stimulator quite similar to the present invention.
However, the disclosure of that device does not show means for
varying its energy output.
U.S. Pat. No. 3,128,759 discloses a tooth vitality determining
device having a variable output. Examination of this disclosure
reveals, however, that the device is not self-contained or
disposable, nor does it disclose the specific structural elements
comprising the present invention.
Accordingly, it can be seen that there is a great need for a
portable, disposable, self-testing nerve locator device which
includes means for easily varying the energy output thereof.
SUMMARY OF THE INVENTION
This invention relates to a nerve locator device which includes
means whereby the energy output thereof may be easily varied. More
specifically, the device comprises a casing, a source of direct
current disposed within the casing and current limiting means
mounted in the casing in electrical contact with the source. A
nerve probe needle is rotatably mounted at one end of the casing in
electrical contact with the current limiting means and a flexible
insulated conductor is mounted at the other end of the casing in
electrical contact with the power source. Signal means in
electrical series with the conductor and the source may be mounted
within the casing. A grounding needle is in electrical contact with
the other end of the conductor. Testing means may be formed in the
casing between the source and the current limiting means.
The casing comprises a rigid tube preferably formed of polyvinyl
material or a similar substance capable of being sufficiently
durable to withstand relatively abusive treatment. The casing
further includes inwardly extending annular retaining flanges on
each end thereof to provide a container for other elements of the
invention.
A nerve probe needle comprising a blunt electrical or current
conducting probe is rigidly mounted in the probe needle retainer.
The base of the nerve probe needle extends through the probe needle
retainer and is bent across the base of the retainer into a slot
formed thereon. The probe needle is formed from an insulating
material and is rotably mounted within the casing. The base of the
probe needle abuts the current limiting means.
The current limiting means is mounted within the casing by engaging
a slot formed on the side of the current limiting means with a
depression formed in the side of the casing, whereby the current
limiting means is locked against rotary motion. The current
limiting means comprises a housing having mounted therein a current
regulator. The end of the current limiting means contacting the
base of the nerve probe needle is constructed so that rotary motion
of the needle results in selective engagement of the current
regulator, whereby a predetermined current may be passed through
the needle. The inner end of the current limiting means has
electrical contact with a conductive disc, which in turn has
electrical contact with a terminal of the direct current
source.
The other terminal of the direct current source is in contact with
the terminal of the test light bulb. The bulb retainer has an axial
opening through which the insulated conductor is threaded, one end
of which is in electrical contact with the metal casing of the bulb
base, while its other end is connected to the ground needle.
The testing means comprises an aperture formed in the casing in
corresponding relation to a point of contact between the source of
direct current and the current limiting means. The aperture is
configured to allow the grounding needle to pass therethrough. To
test the device for operativeness the ground needle is inserted in
the test aperture formed in the casing. The grounding needle
contacts a spring interposed between the direct current source and
the current limiting means, thereby bypassing the current limiting
means. Thus, the full current output of the source is utilized to
energize and light the test light bulb as a signal that the battery
is in working order.
In normal use, the operator first determines the required current
output needed for a particular application. The operator then sets
the device to deliver this preselected current output by rotating
the probe needle retainer. The current output selected is indicated
by means of aligning an index mark formed on the exterior of the
nerve probe retainer with a scale printed around the exterior of
the casing. Having thus selected the desired output, the operator
next inserts the ground needle into living subcutaneous tissue. The
operator next inserts the probe needle into an incision to locate
and/or stimulate a nerve controlling a motor muscle. Where the
probe needle is touched to exposed nerve tissues, contraction of
the normally innervated muscle will occur. Having previously
determined by test that the battery is working properly, the
current limiting means of proper value to deliver the desired
output through the tissue being probed will be activated. It will
be noted that the test bulb will not light because of reduced
current output.
It will thus be seen that by virtue of the invention, a single
device can be set to selectively deliver a variety of current
outputs. The device can be presterilized as a whole for one time
use and may then be disposed of. The structure is simple,
economical to manufacture, easy to use and is self-testing to
insure sufficient current flowing through the device to stimulate
normal nerve tissue.
The invention accordingly comprises the features of construction,
combination of elements and arrangement of parts which will be
exemplified in the construction hereinafter set forth, and the
scope of the invention will be indicated in the claims.
BRIEF DESCRIPTION OF THE DRAWINGS
For a fuller understanding of the nature and objects of the
invention, reference should be had to the following detailed
description taken in connection with the accompanying drawings in
which:
FIG. 1 illustrates the device in the manner of testing.
FIG. 2 is a schematic representation of the series circuit utilized
in the device.
FIG. 3 is a sectional view through the casing showing the various
structural elements of the present invention in elevation.
FIG. 4 is a longitudinal sectional view taken along line 4--4 of
FIG. 3 showing the nerve probe needle mounted in the insulating
retainer.
FIG. 5 is an elevational view of the end of the current limiting
means which contacts the nerve probe needle.
FIG. 6 is a sectional view taken along line 6--6 of FIG. 5 showing
details of the current limiting means.
Similar reference characters refer to similar parts throughout the
several views of the drawings.
DETAILED DESCRIPTION
This invention relates to a variable output nerve probe device
generally indicated as 10 in FIGS. 1 and 3. The device comprises an
elongated, hollow casing 12 having inturned annular flanges 28 and
30 formed on the ends thereof, and further includes a nerve probe
needle generally indicated as 14 rotably mounted in one end of
casing 12. Current limiting means 16 is mounted within casing 12 in
electrical series with nerve probe needle 14 and direct current
source 18. Flexible insulated conductor 22 is electrically attached
to current source 18 at the other end of casing 12. Grounding
needle 24 is electrically connected to the free end of conductor
22. Signal means generally indicated as 20 may be mounted in
electrical series with conductor 22 and source 18. Testing means 26
may be formed in casing 12 between source 18 and current limiting
means 16.
As best illustrated in FIG. 4, nerve probe needle 14 comprises a
blunt current conducting probe 32 rigidly mounted in insulating
retainer 34. Base 36 of current conducting probe 32 extends beyond
the aft end 38 of insulating retainer 34 and is angularly oriented
as much as 90 degrees or greater to retainer 34 to fit into
correspondingly configured slot 40 correspondingly positioned on
retainer 34. A longitudinally extending index mark 42 is formed on
the exterior of insulating retainer 34 in corresponding relation to
slot 40. Nerve probe needle 14 is rotably mounted in casing 12 and
is held in position by engaging annular lip 44 of insulating
retainer 34 with inturned annular flange 28. Base 36 of current
conducting probe 32 is in electrical contact with current limiting
means 16.
As best seen in FIG. 5, current limiting means 16 comprises a
housing generally indicated as 46 having mounted therein a current
regulator generally indicated as 48. Housing 46 comprises a
manifold 50 having formed about the periphery of the end thereof in
contact with blunt current conducting probe 32 an annular ridge 52
having formed therein a plurality of notches 54. Current regulator
48 comprises a plurality of resistors 56 mounted in manifold 50 in
corresponding relation to notches 54 for individual contact with
blunt current conducting probe 32, whereby a predetermined current
is passed through nerve probe needle 14. Current limiting means 16
is mounted in casing 12 by engaging longitudinal grooves 58 formed
along the periphery of manifold 50 with depression 60 formed in
casing 12, whereby current limiting means 16 is locked against
rotary motion. The inner end of current limiting means 16 has
electrical contact with disc 62. Current limiting means 16 and disc
62 are maintained in position by the outward biasing force of
conductive spring 64, as best seen in FIG. 3. The inner end of
conductive spring 64 is in electrical contact with direct current
source 18.
The other terminal 66 of direct current source 18 is in electrical
contact with signal means 20. Signal means 20 comprises test light
bulb 68 and bulb retainer 70 mounted in casing 12 in series with
direct current source 18 and flexible insulated conductor 22.
Signal means 20 is mounted in casing 12 by engaging annular
shoulder 72 of bulb retainer 70 with inturned annular flange 30,
and is maintained in position by the outward biasing force of
conductive spring 64. Terminal 66 of direct current source 18 is in
contact with terminal 74 of test light bulb 68. Bulb retainer 70
has an axial opening 76 through which flexible insulated conductor
22 is threaded, one end of which is in electrical contact with
terminal 74, while its other end is connected to ground needle
24.
Ground needle 24 is rigidly mounted in a hand gripping tube 78
having a longitudinal bore through which ground needle 24 and
flexible insulating conductor 22 are connected.
Thus, it will be seen that in testing the device for operativeness,
as illustrated in FIG. 1, where ground needle 24 is inserted
through test means 26 to contact conductive spring 64, current
limiting means 16 is bypassed, and the full current output of
direct current source 18 is utilized to energize and light test
light bulb 68 as a signal that the battery is in working order.
In normal use, the operator sets the desired output of the device
by rotating insulating retainer 34 to the desired position, as
indicated by index mark 42. Ground needle 24 is implanted into
living subcutaneous tissue and blunt current conducting probe 32 in
inserted in an incision to locate and stimulate a nerve controlling
motor muscle. Where the nerve probe needle is touched to exposed
nerve tissue, the electical circuit is completed and contraction of
normally innervated muscle will occur. Having previously determined
by test that the device is in working order, the preselected
resistor 56 to deliver the desired output through the tissue being
probed will be activated. It will be noted that test light bulb 68
will not light because of reduced current output of the device.
It will thus be seen that the objects made apparent from the
preceding description are efficiently attained, and since certain
changes may be made in the above construction without departing
from the scope of the invention, it is intended that all matter
contained in the above description or shown in the accompanying
drawings shall be interpreted as illustrative and not in a limiting
sense.
It is also to be understood that the following claims are intended
to cover all of the generic and specific features herein described,
and all statements of the scope of the invention which, as a matter
of language, might be said to fall therebetween.
* * * * *