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WO2006054095A1 - Outil de diagnostic medical - Google Patents

Outil de diagnostic medical Download PDF

Info

Publication number
WO2006054095A1
WO2006054095A1 PCT/GB2005/004447 GB2005004447W WO2006054095A1 WO 2006054095 A1 WO2006054095 A1 WO 2006054095A1 GB 2005004447 W GB2005004447 W GB 2005004447W WO 2006054095 A1 WO2006054095 A1 WO 2006054095A1
Authority
WO
WIPO (PCT)
Prior art keywords
tool according
shaft
tool
frequency
light
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/GB2005/004447
Other languages
English (en)
Inventor
Tsong Yun Kwong
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
IMACULUM Ltd
Original Assignee
IMACULUM Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by IMACULUM Ltd filed Critical IMACULUM Ltd
Priority to AU2005305621A priority Critical patent/AU2005305621A1/en
Priority to EP05803767A priority patent/EP1827232A1/fr
Publication of WO2006054095A1 publication Critical patent/WO2006054095A1/fr
Priority to US11/804,260 priority patent/US20070250117A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4824—Touch or pain perception evaluation
    • A61B5/4827—Touch or pain perception evaluation assessing touch sensitivity, e.g. for evaluation of pain threshold
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0048—Detecting, measuring or recording by applying mechanical forces or stimuli
    • A61B5/0051—Detecting, measuring or recording by applying mechanical forces or stimuli by applying vibrations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0048—Detecting, measuring or recording by applying mechanical forces or stimuli
    • A61B5/0053—Detecting, measuring or recording by applying mechanical forces or stimuli by applying pressure, e.g. compression, indentation, palpation, grasping, gauging
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/1104—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb induced by stimuli or drugs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/40—Detecting, measuring or recording for evaluating the nervous system
    • A61B5/4029—Detecting, measuring or recording for evaluating the nervous system for evaluating the peripheral nervous systems
    • A61B5/4041—Evaluating nerves condition

Definitions

  • the present invention relates to a diagnostics tool for use in clinical diagnosis, particularly but not exclusively, neurological diagnosis.
  • the present invention seeks to provide a solution to these disadvantages by providing a diagnostics tool which incorporates more than one of the aforesaid diagnostic devices.
  • medical diagnostics tool including a tendon reflex hammer comprising a percussive head adjacent an end of a shaft, the tool including a generating device adapted to generate at least one acoustic tone and/or vibration having a predetermined frequency.
  • the generating device is adapted to generate selectively a plurality of acoustic tones, each having a discrete predetermined frequency, and may also be adapted to generate a vibration of a predetermined frequency. Furthermore, the generating device may also be adapted to generate a plurality of vibrations each having a discrete predetermined frequency.
  • the frequency or frequencies may be one or more of 128 hertz, 256 hertz, 512 hertz and 1024 hertz.
  • the generating device comprises one or more piezo-electric devices, which in a preferred embodiment, is/are located in the shaft. A further function may also be provided to allow the frequency to decay at a certain predetermined rate.
  • the tool may include an on-off switch for each frequency and may further include an indicator light adapted to indicate that a frequency has been generated.
  • the colour of the indicator light may be variable, the colour being representative of the frequency being generated.
  • the tool means to generate a red light and/or a white light and the lights are preferably generated by a light-emitting diode.
  • the tool includes an electric battery adapted to energise the generating device, and the light or lights when present, the battery being located in the shaft, preferably adjacent the head end of the shaft.
  • the shaft is telescopic, having a plurality of shaft sections and preferably includes means to lock the shaft sections securely together in a selected extended position.
  • an electrical connection between the battery and electrical circuitry in the tool is made when the shaft is extended.
  • the shaft includes a receptacle.
  • the shaft may include a connection by which a further implement is detachably connectable to the shaft, the connection including an electrical connection to said battery.
  • the further implement may comprise a further light or an ophthalmoscope, peak flow meter, a stethoscope, blood pressure monitor, saturations monitor and/or a thermometer.
  • the percussive head has a planar arcuate striking edge, the striking edge being pivotal relative to the shaft so that the plane of the striking edge is selectively adjustable to lie parallel to the axis of the shaft or normal thereto.
  • the head may also include a reflex scraper.
  • FIG. 1A shows a front view of a diagnostics tool
  • Figure IB shows a side view of the tool
  • Figure 1C shows an end view of the tool.
  • a diagnostics tool for neurological examination and diagnosis which comprises a handle 1 having on one end a percussion head 2.
  • the handle 1 comprises a substantially hollow tubular shaft formed of two shaft sections 3, 4 telescopically movable one relative to the other.
  • the shaft section 4 has a knurled finish to provide a hand grip.
  • the two shaft sections 3, 4 are in the extended position.
  • locking means is provided to lock the shaft sections in the extended position.
  • the tubular shaft sections 3, 4 are formed of aluminium or stainless steel in this embodiment, or other materials such as a plastics materials may be utilised.
  • the percussion head 2 may be formed of a plastics material bonded to the end of the shaft section 3, but may also be formed of a metal such as aluminium or stainless-steel.
  • the head includes an arcuate striking surface or edge 5 which is pivotable relative to the main body 6 of the head about an axis 7 perpendicular to the axis 8 of the handle between a position, shown in outline as reference 5a, in which the plane of the striking edge 5 lies parallel to the axis 8 of the handle, or to a position, shown in outline as reference 5b, displaced by 90° in which the plane of the arcuate edge 5 lies at right angles to the axis 8 of the handle.
  • the percussion head 1 On its side remote from the striking edge 5, the percussion head 1 includes a pointed end which forms a reflex scraper 9.
  • the piezo electric device Located in the interior of the handle there is one or more piezo-electric devices powered by an electric battery (not shown) located in the handle adjacent the percussion head.
  • the piezo electric device is designed to emit an acoustic tone and/or vibration at either 128, 256, 512 or 1024hertz .
  • Each frequency has its own operating button, or on/off switch 10, 11, switch 10 initiating the generation of the 128 hertz frequency and switch 11 initiating the generation of the 256 hertz frequency.
  • the tool also includes a light emitting diode or diodes 12 to emit the appropriate colour light in response to operation of an appropriate one of two switches 13, 14, switch generating a red light and switch a white light. These lights are also powered from the aforesaid electrical battery.
  • a loop 15 through which a lanyard can be secured is located at the end of the shaft 4 remote from the percussion head 1.
  • the percussion head 1 itself incorporates a clip 16 by which the tool can be fastened on a belt or pocket.
  • the hollow shaft may incorporate a receptacle for locating small items such as neuro tips, hand disinfectant capsules and/or cotton wool.
  • a connection may be provided to which further implements such as an ophthalmoscope, peak flow meter, a stethoscope, blood pressure monitor, saturations monitor and/or a thermometer or a further light may be detachably fastened.
  • the connection preferably includes electrical connection to the battery to enable power to be provided to the implement automatically once the implement is fastened thereto.
  • the connection may be conventional screw thread or bayonet fastening. In this way, the one battery can power a number of tools, saving a considerable amount of weight compared to the known separate tools.
  • An alternative embodiment of the tool may include a two point discriminator.
  • this will be in form of an arm, one end of which is pivotally mounted on the handle with the other, free, end being movable from a closed position adjacent the handle to an open position away from the handle by said pivotal movement.
  • a point is located at the free end so that when the arm is opened, the point is spaced from a second point on the tool to enable the two point test to be carried out.
  • the degree of opening of the arm and hence the spacing may be variable to accommodate the requirements of the tester.
  • the second point may be the aforementioned reflex scraper.
  • the points may, alternatively, be formed by disposable neurotips adapted to be releasably securable to the respective parts of the tool.
  • the tool may be wireless enabled, such as with Bluetooth technology, to enable the user to access remotely held medical records, or to consult a specialist in another location.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Physiology (AREA)
  • Pain & Pain Management (AREA)
  • Chemical & Material Sciences (AREA)
  • Psychiatry (AREA)
  • Hospice & Palliative Care (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicinal Chemistry (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Percussive Tools And Related Accessories (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

La présente invention concerne un outil de diagnostic médical ayant un marteau de réflexe ostéotendineux comprenant une tête percutante (2) adjacente à une extrémité d'un arbre (1), l'outil comprenant également un dispositif de génération sous la forme d'un dispositif piézo-électrique adapté pour générer au moins une tonalité acoustique ayant une fréquence prédéterminée.
PCT/GB2005/004447 2004-11-19 2005-11-17 Outil de diagnostic medical Ceased WO2006054095A1 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
AU2005305621A AU2005305621A1 (en) 2004-11-19 2005-11-17 A medical diagnostics tool
EP05803767A EP1827232A1 (fr) 2004-11-19 2005-11-17 Outil de diagnostic medical
US11/804,260 US20070250117A1 (en) 2005-11-17 2007-05-17 Medical diagnostic tool

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
GB0425542A GB2420284A (en) 2004-11-19 2004-11-19 A multi function medical diagnostics tool including a tendon reflex hammer
GB0425542.8 2004-11-19

Publications (1)

Publication Number Publication Date
WO2006054095A1 true WO2006054095A1 (fr) 2006-05-26

Family

ID=33548574

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/GB2005/004447 Ceased WO2006054095A1 (fr) 2004-11-19 2005-11-17 Outil de diagnostic medical

Country Status (4)

Country Link
EP (1) EP1827232A1 (fr)
AU (1) AU2005305621A1 (fr)
GB (1) GB2420284A (fr)
WO (1) WO2006054095A1 (fr)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104586367A (zh) * 2015-01-29 2015-05-06 朱海英 一种神经内科感觉检查器

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2485633A2 (fr) * 2009-10-07 2012-08-15 Medivention Ltd Dispositif médical amélioré
CL2010000872A1 (es) * 2010-08-17 2011-01-14 Perlwitz Gerardo Andres Rivas Martillo medico para reflejos que incorpora sensores y transmision de datos.
RU2482795C1 (ru) * 2012-04-16 2013-05-27 Фанур Амирович Исмагилов Устройство для обследования неврологического статуса у новорожденных и у детей первых месяцев жизни
CN103845085A (zh) * 2012-12-07 2014-06-11 无锡市凯顺医疗器械制造有限公司 一种诊锤
CN106725622A (zh) * 2016-11-25 2017-05-31 成都迅德科技有限公司 一种叩诊锤

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2330882A (en) * 1942-07-31 1943-10-05 Alan W Gray Reflex hammer
US3185146A (en) * 1962-08-14 1965-05-25 Leopoldi Norbert Neurologist's hammer
US3515125A (en) * 1967-06-09 1970-06-02 Asa P Ruskin Neurological diagnostic tool
GB1572896A (en) * 1976-03-08 1980-08-06 Reeves Saunders R Diagnostic tendon hammer
EP0269048A1 (fr) * 1986-11-21 1988-06-01 Hartmut Gerding Stéthoscope
US5931793A (en) * 1996-06-05 1999-08-03 Laudadio; Charles Method of detecting neuropathy by vibration
US6406436B1 (en) * 2000-04-12 2002-06-18 Noah I. Schiffman Physical examination instrument
WO2004019770A2 (fr) * 2002-09-02 2004-03-11 Eric Bec Instrument mEdical regroupant au moins un otoscope et une lampe

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB214154A (fr) *
FR563469A (fr) * 1923-03-10 1923-12-06 Marteau à réflexes pour l'examen des réflexes tendineux, cutanés et photomoteurs
US2532093A (en) * 1948-11-13 1950-11-28 Samuel G Golub Neurological hammer with brush and needle hidden in handle

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2330882A (en) * 1942-07-31 1943-10-05 Alan W Gray Reflex hammer
US3185146A (en) * 1962-08-14 1965-05-25 Leopoldi Norbert Neurologist's hammer
US3515125A (en) * 1967-06-09 1970-06-02 Asa P Ruskin Neurological diagnostic tool
GB1572896A (en) * 1976-03-08 1980-08-06 Reeves Saunders R Diagnostic tendon hammer
EP0269048A1 (fr) * 1986-11-21 1988-06-01 Hartmut Gerding Stéthoscope
US5931793A (en) * 1996-06-05 1999-08-03 Laudadio; Charles Method of detecting neuropathy by vibration
US6406436B1 (en) * 2000-04-12 2002-06-18 Noah I. Schiffman Physical examination instrument
WO2004019770A2 (fr) * 2002-09-02 2004-03-11 Eric Bec Instrument mEdical regroupant au moins un otoscope et une lampe

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104586367A (zh) * 2015-01-29 2015-05-06 朱海英 一种神经内科感觉检查器

Also Published As

Publication number Publication date
EP1827232A1 (fr) 2007-09-05
AU2005305621A1 (en) 2006-05-26
GB0425542D0 (en) 2004-12-22
GB2420284A (en) 2006-05-24

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