U.S. patent number 3,841,317 [Application Number 05/316,051] was granted by the patent office on 1974-10-15 for heat-insulating shield for speculum.
Invention is credited to George M. Awais.
United States Patent |
3,841,317 |
Awais |
October 15, 1974 |
HEAT-INSULATING SHIELD FOR SPECULUM
Abstract
An expansible heat-insulating shield extending between the
dilatory blades of a medical speculum to prevent the radiant
transfer of heat to sensitive exposed regions of the patient during
such operations as cauterization of the cervix. In one embodiment
the shield is formed of silicone rubber and bonded to the speculum
blades. In another embodiment the entire speculum is formed of
silicone rubber and the shield is formed integrally with the
speculum blades. In the preferred embodiment, the shield comprises
a removable sleeve formed of silicone rubber, open at both ends and
positionable around the blades of a wide variety of known types of
medical speculum instruments. The sleeve not only prevents the
radiant transfer of heat transversely between the blades but also
serves to insulate dilated vaginal regions from heat transferred
conductively through the speculum. A pair of pockets may be formed
in the sleeve to receive the tips of the speculum blades. The
pockets assist in positioning the sleeve on the blades and assist
in maintaining the sleeve in position on the blades. The region of
the sleeve which extend between the blades may be corrugated in
accordian-like fashion for expansion and contraction to minimize
resistance to relative blade movement.
Inventors: |
Awais; George M. (Cleveland
Heights, OH) |
Family
ID: |
23227262 |
Appl.
No.: |
05/316,051 |
Filed: |
December 18, 1972 |
Current U.S.
Class: |
600/203;
600/222 |
Current CPC
Class: |
A61B
1/00135 (20130101); A61B 1/00142 (20130101); A61B
1/32 (20130101); A61B 1/128 (20130101) |
Current International
Class: |
A61B
1/00 (20060101); A61B 1/32 (20060101); A61b
001/30 () |
Field of
Search: |
;128/17,18,20,16,303.15 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Laudenslager; Lucie H.
Attorney, Agent or Firm: Watts Hoffmann, Fisher & Heinke
Co.
Claims
What is claimed is:
1. In combination, a medical speculum for dialating the vagina of a
patient during such procedures as cauterization of the cervex,
comprising a pair of dilatory blades having overlying side edge
regions and being coupled together for relative movement between an
insertion position wherein the blades are positioned relatively
closely togther, and a dilation position wherein the blades are
relatively widely spaced one from another, and heat insulating
means including a heat insulating material extending across the
space between said overlying side edge regions of the dilatory
blades for minimizing the radiant transfer of heat to regions of
the patient which would otherwise be exposed between the
blades.
2. The combination of claim 1 wherein at least a portion of said
material is corrugated to minimize its resistance to relative blade
movement.
3. The combination of claim 1 wherein at least a portion of said
material is resiliently expansible and contractible.
4. The combination of claim 3 wherein said heat insulating material
comprises silicone rubber.
5. The combination of claim 1 wherein said material is in the form
of a sleeve positionable around the speculum blades.
6. The combination of claim 5 wherein such portions of said sleeve
as extend between said overlying side edge regions of said blades
are expansible, at least in part, to accommodate relative blade
movement.
7. The combination of claim 5 wherein such portions of said sleeve
as extend between said overlying side edge regions of said blades
are corrugated, at least in part, to accommodate relative blade
movement.
8. A heat-insulating means including a heat-insulating sleeve
positionable around both dilatory blades of a medical speculum for
minimizing the radiant transfer of heat to regions of the patient
exposed between the blades and to minimize the conductive transfer
of heat through the speculum to regions of the patient in contact
with the blades, said sleeve being expansible, at least in part, to
accommodate relative blade movement.
9. The heat-insulating sleeve of claim 8 wherein the portions of
the sleeve which extend between the dilatory blades are corrugated,
at least in part, to facilitate relative movement of the blades
with a minimum of resistance.
10. The heat-insulating sleeve of claim 8 additionally including
portions formed integrally therewith for receiving the tips of the
dilatory blades to facilitate positioning of the sleeve on the
speculum and to maintain the sleeve in place during relative blade
movement.
11. The heat-insulating sleeve of claim 8 wherein said sleeve is
formed of silicone rubber.
12. A medical speculum comprising a pair of elongated blades having
opposed longitudinal side regions and being movable toward and away
from each other, and an expansible heat insulating material
extending across the space between said opposed longitudinal side
regions of said blades.
13. The medical speculum of claim 12 wherein the outer surfaces of
said blades are also covered with a heat insulating material.
14. The medical speculum of claim 13 wherein said heat insulating
material extending between said blades and said heat insulating
material covering said blades comprises a single tubular sleeve
formed of heat insulating material.
15. The speculum of claim 14 wherein said sleeve has portions
formed integrally therewith to receive the tips of the blades, and
the regions of said sleeve extending between the blades are
expansible, at least in part, to accommodate relative blade
movement.
16. The speculum of claim 15 wherein said regions are corrugated at
least in part to minimize the resistance posed by the sleeve to
relative blade movement.
17. The sleeve of claim 14 wherein the material from which the
sleeve is formed comprises silicone rubber.
18. A heat-insulating sleeve open at both ends and positionable
around the dilatory blades of a medical speculum to minimize heat
transfer to regions of a patient disposed around the speculum, said
sleeve including relatively inexpansible portions positionable
across the peripheral surfaces of the speculum blades and portions
which are relatively expansible, at least in part, positionable
between the speculum blades, whereby the expansive and contractive
movements of the sleeve during relative blade movement are
essentially confined to said portions positionable between the
speculum blades.
19. The heat-insulating sleeve of claim 18 additionally including
formations formed integrally with said relatively inexpansible
portions for receiving and insulating the tips of the speculum
blades.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates to surgical instruments and more
particularly to a vaginal speculum heat shield for shielding
regions of the patient from heat transfer during such operations as
cauterization of the cervix.
2. Prior Art
A variety of proposals have been made for vaginal specula in an
effort to provide an instrument which is simple to operate and
which provides minimal viewing obstruction. Such specula have
traditionally included a pair of dilatory blades positionable in
closely-spaced relationship for vaginal insertion and movable
relative to each other to effect vaginal dilation.
Where known specula have been intended for repeated use, they are
typically formed from stainless steel or other durable and
corrosion-resistant materials which will withstand repeated
sterilization. Where known specula have been intended for
throw-away, one-time use, they are typically formed from low-cost
plactic materials.
One problem commonly encountered with almost all types of vaginal
specula, regardless of the material from which they are formed, is
that during such operations as cauterization of the cervix, heat
can be radiated between the dilatory blades to sensitive exposed
regions of the patient. This unnecessary heat transfer is painful
to some patients.
Another problem which is more commonly encountered with metallic
specula than with plastic specula is that heat is conductively
transferred through the specula to the patient, causing pain.
SUMMARY OF THE INVENTION
The present invention overcomes the foregoing drawbacks of the
prior art and provides a novel and improved vaginal speculum heat
shield which prevents unnecessary patient exposure to heat
radiation and which insulates the dilatory blades of the speculm to
prevent heat conduction to the patient.
In accordance with the invention, expansible heat shield portions
are provided between the dilatory blades of a vaginal speculum to
prevent the transfer of radiant heat energy to sensitive exposed
regions of the patient. The heat shield is preferably formed of
silicone rubber in order to withstand high temperatures. In one
embodiment, the shield is permanently bonded to the blades of the
speculum. In another embodiment, the entire speculum is formed of
silicone rubber and the shield is formed integrally with the
speculum blades. In the preferred embodiment, the shield is formed
in the configuration of a sleeve, open at both ends for positioning
around the dilatory blades of the speculum. The sleeve preferably
comprises an inexpensive, thin-walled structure formed from
silicone rubber or the like which can be readily replaced at the
end of its useful life, which also can be sterilized with the
remainder of the speculum for repeated use, and which is usable
with speculi of many different types. The portions of the heat
shield which extend between the blades serve as radiation shields
while the portions of the sleeve which extend across the peripheral
blade surfaces serve to insulate the patient from the blades,
thereby preventing conductive heat transfer through the
speculum.
A pair of pockets are preferably formed interiorally of the sleeve
near one end thereof to receive the tips of the speculum blades.
The pockets serve several purposes including:
1. They assist in properly and quickly positioning the sleeve on
the speculum;
2. They assist in maintaining the sleeve in place; and,
3. They assure that the blade tips are fully insulated.
The heat shield portions extending between the blades are
preferably corrugated in accordian-like fashion so that the shield
offers a minimum of resistance to relative blade movement. By this
arrangement, the sleeve does not add appreciably to the force the
physician must exert in moving the blades apart during vaginal
dilation. Accordingly, the heat-insulating sleeve does mot mislead
the physician into thinking that he is exerting a greater than
actual force on the patient.
The corrugated sidewalls of the sleeve additionally serve to
restrict the expansion and contraction of the sleeve to the area of
the sidewalls, whereby the portions of the sleeve extending across
the peripheral blade surfaces are not caused to move relative to
the blades during vaginal dilation.
Accordingly, it is a general object of the present invention to
provide a novel and improved vaginal speculum heat shield for
shielding portions of a patient from unnecessary heat transfer
during such operations as cauterization of the cervix.
Other objects and a fuller understanding of the invention may be
had by referring to the following description and claims taken in
conjunction with the accompanying drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view of a medical speculum with a
heat-shielding sleeve positioned around the dilatory blades of the
speculum in accordance with the present invention;
FIG. 2 is a cross-sectional view as seen from the plane indicated
by the line 2--2 in FIG. 1;
FIG. 3 is a top plan view of the heat-insulating sleeve prior to
positioning on the dilatory blades of the speculum; and,
FIG. 4 is a cross-sectional view as seen from the plane indicated
by the line 4--4 in FIG. 3.
DESCRIPTION OF THE PREFERRED EMBODIMENT
Referring to FIG. 1 a vaginal speculum of the Weisman-Graves type
is shown generally at 10. The speculum 10 includes a pair of
dilatory blades 11, 12 having overlying side edge regions and which
are pivotally and slidably coupled together for movement toward and
away from each other.
A handle 13 is formed integrally with the blade 11. A blade
positioning slide 14 is mounted on the handle 13 by a threaded bolt
15 which extends through a slot 16 formed in the slide 14. A
knurled nut 17 is threaded onto the bolt 15 and serves to lock the
handle 13 and the slide 14 together. When the nut 17 is loosened,
the slide 14 can be translated along the handle 13 between extreme
positions defined by the ends of the slot 16.
A depending adjusting arm 20 is formed integrally with the blade
12. A rivet 21 extends through aligned apertures in the slide 14
and the arm 20 to pivotally mount the blade 12. An adjusting screw
22 connects at one end region with the slide 14. The opposte end
region of the screw 22 is threaded and extends through an aperture
formed in the arm 20. A knurled nut 23 is threaded onto the
adjusting screw 22 and serves to retain the blade 12 at a selected
pivoted position relative to the blade 11.
The construction of the speculum 10 as thus far described is old in
the surgical art. Where such specula are intended for repeated use,
they are commonly made of stainless steel or other comparable
corrosion-resistant metals which will withstand repeated
sterilization. Where such specula are intended for one-time use,
they are commonly constructed of plastic and have somewhat simpler
mechanical configurations. Most such specula, whether formed of
plastic or metal, and whether intended for repeated or one-time
use, typically include a pair of dilatory blades such as the blades
11, 12 which are movable between a closely-spaced position for
vaginal insertion, and relatively widely-spaced dilatory
positions.
In accordance with one aspect of the present invention, an
expansible heat-shielding sleeve 30 is provided which is
positionable around the blades 11, 12. The sleeve 30 is intended
for use during such operations as cauterization of the cervix
wherein heat is emitted from instruments inserted between the
blades 11, 12 into the vagina. The sleeve 30 serves the dual
purpose of (1) shielding regions of the patient which are exposed
between the blades 11, 12 from heat radiation; and (2) insulating
regions of the patient which are in contact with the blades 11, 12
from conductive heat transfer through the blades 11, 12.
The sleeve 30 is preferably formed of a heat resistant material
such as silicone rubber. In one embodiment, the sleeve is bonded to
the blades of the speculum for repeated sterilization and use. In
the preferred embodiment, the sleeve is removably positionable
around the blades of a speculum and is, accordingly, usable with a
wide variety of modern medical speculum devices.
A pair of pockets 31, 32 can be formed integrally with the sleeve
to receive the tips of the blades 11, 12. The pockets 31, 32 not
only assist in positioning the sleeve onto the blades, but also
serve to maintain the sleeve in position as the blades are moved
relative to each other. Regions of the sleeve extending between the
pockets 31, 32 can be formed in accordion-like fashion, as
indicated by the numerals 33, 34, to accommodate relative movement
of the blades 11, 12. In the alternative, the regions 33, 34 can
simply be made thin enough to stretch easily during relative
movement of the blades.
The corrugated accordion-like sleeve regions 33, 34 have the
advantage that they are readily expansible as the blades 11, 12
move relatively away from each other and therefore exert a minimim
of resistance to relative blade movement.
As will be apparent, where a plastic speculum or a metallic
speculum with plastic coated blades is used, substantially the same
heat-shielding effect can be achieved by providing heat shield
portions which extend only between the dilatory blades. As will be
appreciated, the plastic or plastic coated blades themselves serve
as heat insulators and ordinarily do not require additional
insulation to prevent conductive heat transfer to sensitive regions
of the patient. Accordingly, the shield portions can be formed
integrally with the blades or secured thereto by suitable adhesives
or mechanical connections.
Although the invention has been described in its preferred form
with a certain degree of particularity, it is understood that the
present disclosure of the preferred form has been made only by way
of example and that numerous changes in the details of construction
and the combination and arrangement of parts may be restored to
without departing from the spirit and the scope of the invention as
hereinafter claimed.
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