U.S. patent number 3,867,927 [Application Number 05/478,836] was granted by the patent office on 1975-02-25 for tongue blade sucker.
Invention is credited to Patrick F. Hergott.
United States Patent |
3,867,927 |
Hergott |
February 25, 1975 |
TONGUE BLADE SUCKER
Abstract
Apparatus for motivating cooperation of youthful patients in
oral examinations by intimately associating a reward with the
examination procedure and maintaining the reward in the patients
field of view throughout the examination. The reward, which may
comprise a confection enclosed in a sanitary, transparent,
removable wrapper, is mounted on one end of a tongue depressor. The
other end is covered by a removable adhesive water proof strip
which engages the patient's tongue during the examination, and is
subsequently removed to leave the blade as a substantially dry
handle for the confection. The blade is graduated along one edge to
give it additional permanent value to the patient and a humorous,
puzzle, or advertising message may be printed on the blade to be
uncovered when the adhesive strip is removed.
Inventors: |
Hergott; Patrick F. (Waseca,
MN) |
Family
ID: |
23901557 |
Appl.
No.: |
05/478,836 |
Filed: |
June 13, 1974 |
Current U.S.
Class: |
600/202; 426/134;
426/91; 600/203; 600/240 |
Current CPC
Class: |
A61B
13/00 (20130101); A61B 5/107 (20130101); A61B
1/24 (20130101) |
Current International
Class: |
A61B
5/107 (20060101); A61B 1/24 (20060101); A61B
13/00 (20060101); A61b 001/24 () |
Field of
Search: |
;128/15,16
;426/91,134 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Layton; Henry S.
Attorney, Agent or Firm: Merchant, Gould, Smith &
Edell
Claims
What is claimed is:
1. Apparatus for motivating the cooperation of youthful patients in
oral examinations comprising, in combination:
a blade having a first end for manipulating the patient's tongue
and a second end for simultaneously retaining the patient's
attention;
a waterproof protecting strip removably adhered to the face of the
first end of the blade to engage the patient's tongue and prevent
it from substantial contact with the blade;
and a reward element carried by the second end of the blade to
remain in the patient's field of vision during use of the appliance
in an oral examination.
2. Apparatus according to claim 1 in which the reward element is
comestible.
3. Apparatus according to claim 2 in which the reward element is
enclosed in a transparent wrapping to prevent contact therewith by
the examiner's hand during the examination.
4. Apparatus according to claim 1 in which the blade carries a
message beneath the protective strip to be revealed after the
examination.
5. Apparatus according to claim 1 in which the blade is impressed
with a characteristic making it of value to the patient after the
reward element has been removed.
6. Apparatus according to claim 5 in which said characteristic
comprises a set of graduations along one edge of the blade to
function as a ruler.
7. Apparatus according to claim 2 in which said second end is
formed as a narrow tip to receive a confection in lollipop
fashion.
8. Apparatus for motivating the cooperation of a youthful patient
in an oral examination comprising, in combination;
a blade having a first end for manipulating the patient's tongue, a
second end for simultaneously retaining the patient's attention,
and a set of graduations for giving the blade permanent value to
the patient as a ruler;
a waterproof opaque protection strip removably adhered to the face
of the first end of the blade in masking relation to a message on
the blade, to engage the patient's tongue during the examination
and prevent it from substantial direct contact with the blade;
a comestible reward element secured to the second end of the blade
to remain in the patient's field of view during use of the
apparatus in an oral examination;
and a transparent wrapper removably enclosing said reward element
to prevent contact thereof by the examiner's hand during the
examination.
Description
BACKGROUND OF THE INVENTION
This invention relates to the field of medical apparatus and
particularly to tongue depressors for use with youthful patients
during oral examinations.
It has become apparent that the recognized difficulty in obtaining
the cooperation of a child in an oral examination arises from the
child's aversion to the sensation of gagging. The gag reflex is
stimulated particularly during the important part of the
examination where the posterior portion of the tongue must be
depressed.
Cooperation of youthful patients in uncomfortable procedures has
often obtained by the proffer of a reward, but with younger
patients the prospect of a subsequent reward if often forgotten in
the present discomfort.
I am aware that it has been proposed to coat or insert a layer of
candy at the end of a tongue depressor, in the hope that the
pleasant taste will overcome or reduce the discomfort. While to
some extent this may be successful psychologically, it has serious
physiological disadvantages. The increased salivation resulting
from the presence of the candy is not only annoying by its mere
presence to fill the visual field, but may interfere with
contemplated medical procedures such as the taking of a throat
culture or the incision of a peritonsillar abscess. Moreover, if
the confection is colored it may stain the patient's tissues,
interfering with the examiner's interpretation of "redness" of the
throat and even masking a pathological lesions inside the mouth.
The increased dimension of the blade due to the presence of the
confection also increases the likelihood of stimulating the gag
reflex.
Further disadvantages in using a tongue depressor with a confection
coated blade are found in the tendency of a patient to "bite down"
as he would with candy in his mouth, in the tendency of the blade
to become slippery when wet with saliva and hence less securely
manipulated by the examiner, and in the possibility that a portion
of the confection may break off to be swallowed or possibly choked
on by the patient. Psycologically the disadvantages are also
present that the patient is given the reward before the need for
cooperation is over, and that the reward is also out of the
patient's field of vision and hence relatively not perceptable to
sight-minded patients. It is almost obligatory to give the patient
the blade with the remaining confection on it for consumption after
the oral examination is finished - a very unwise procedure if he is
to remain in the examination room for further examination.
SUMMARY OF THE INVENTION
The present invention overcomes the disadvantages of the prior art
by providing a structure in which a reward element forms an
integral part of the examination procedure, remains at all times in
the field of vision of the patient, does not stimulate increased
salivation or otherwise interfere with the work of the examiner,
and may safely be given to the patient as soon as the oral
examination is over. This is accomplished by securing the
confection or other reward element to the end of the blade which is
not inserted in the patient's mouth, and applying a removable
waterproof strip to the blade surface where it is to touch the
tongue. The confection remains wrapped in a transparent enclosure
during the examination so that the examiner's hand does not touch
it, and the adhesive strip is removed after the examination to
leave the blade substantially dry as a handle for the confection.
One edge of the blade may be graduated to act as a ruler, giving it
continued value for somewhat more mature patients, and the blade
may carry a humorous, puzzle, or advertising message which is
revealed when the adhesive strip is removed.
It is accordingly a principal object of the invention to provide a
new and useful pediatric appliance.
Another object of the invention is to provide an improved means for
motivating the cooperation of youthful patients in oral
examinations.
Another object of the invention is to provide a new and improved
tongue depressor.
A more specific object of the invention is to provide such a
depressor which carries a reward element at the end not to be
inserted in the patient's mouth, to remain in his field of vision
during the examination.
A further object of the invention is to provide such a depressor
with a removable strip for preventing substantial direct contact
between the blade and the patient's tissues.
Various other objects, advantages, and features of novelty which
characterize my invention are pointed out with particularity in the
claims annexed hereto and forming a part hereof. However, for a
better understanding of the invention, its advantages, and objects
attained by its use, reference should be had to the drawing which
forms a further part hereof, and to the accompanying descriptive
matter, in which there is illustrated and described a preferred
embodiment of the invention.
BRIEF DESCRIPTION OF THE DRAWING
In the drawing FIG. 1 is a perspective view of an appliance
according to the invention; and
FIG. 2 shows the appliance being prepared, after an oral
examination, to be given to the patient.
DESCRIPTION OF THE PREFERRED EMBODIMENT
In the drawing my appliance is shown to comprise a blade 10,
ordinarily of thin wood, having a first end 11 intended for use in
depressing the patient's tongue, and a second end 12 intended to
remain in the patient's field of vision during the examination and
to carry a reward element 13. For purposes of illustration the
reward element is shown to comprise a confection 14 carried on a
narrow extension 15 of the blade and sealed within a transparent
enclosure 16. One surface of end 11 is covered by a removable,
waterproof, adhesive strip 17 to provide a surface with which the
examiner depresses the patient's tongue: a portion of strip 17 is
folded back on itself at 18 to facilitate removal of the strip. One
edge of the blade is marked with linear graduations 19 so that the
blade may be used as a ruler. A humorous, puzzle, or advertising
message 20 may be impressed on the blade so as to be initially
covered by strip 17.
Operation
In use the examiner shows the reward element to the patient and
promises it will be his after the examination is over. He then
proceeds with the examination, applying the surface covered by
strip 17 so that only the strip contacts the patient's tongue. In
his normal handling of the appliance, the reward element remains in
the patient's field of vision to continually reinforce the
motivation for the patient to cooperate with the examiner. When the
examination is completed the examiner grips strip 17 at tab 18 and
peels it off the blade, after which the latter may safely be given
to the patient. If further examination is contemplated, the patient
is simply instructed not to open the confection until he leaves
examination room.
Numerous objects and advantages of my invention have been set forth
in the foregoing description, together with details of the
structure and function of the invention, and the novel features
thereof are pointed out in the appended claims. The disclosure,
however, is illustrative only, and changes may be made in detail,
especially in matters of shape, size, and arrangement of parts,
within the principle of the invention, to the full extent indicated
by the broad general meaning of the terms in which the appended
claims are expressed.
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