HANDHELD AESTHESIOMETER
20210259547 · 2021-08-26
Assignee
Inventors
- José BUISAN FERRER (BARCELONA, ES)
- Laurent David VALAT (BARCELONA, ES)
- Laura Nieto Cavia (Barcelona, ES)
Cpc classification
A61B5/4827
HUMAN NECESSITIES
International classification
Abstract
The invention relates to a handheld aesthesiometer, comprising a gas lung connected with intermediation from first valve means to a source of gas and comprising an expandable cavity intended to house a volume of gas in a loading phase of the aesthesiometer; an outlet nozzle connected to the gas lung with intermediation from second valve means and suitable for directing a puff of the volume of the gas housed in the gas lung in a firing phase of the aesthesiometer; and a mechanism to ensure in the aforementioned firing phase of the aesthesiometer the release of the puff of the volume of gas contained in the gas lung in the direction of the outlet nozzle by means of a controlled contraction of the expandable cavity of the gas lung in order to ensure a substantially constant outlet pressure.
Claims
1. A handheld aesthesiometer, comprising a gas lung, connected with intermediation from first valve means to a source of gas, comprising an expandable cavity intended to house a volume of the gas in a loading phase of the aesthesiometer; an outlet nozzle, connected to the gas lung with intermediation from second valve means, suitable for directing a puff of the volume of the gas housed in the gas lung in a firing phase of the aesthesiometer towards a target, for example a cornea of a patient; the aesthesiometer further comprising a mechanism to ensure, in the aforementioned firing phase of the aesthesiometer, the release of the puff of the volume of gas contained in the gas lung in the direction of the outlet nozzle by means of a controlled contraction of the expandable cavity of the gas lung in order to ensure a substantially constant outlet pressure.
2. The aesthesiometer according to claim 1, wherein said mechanism comprises elastic potential energy accumulation means, which accumulate potential energy from the effects of expansion of the expandable cavity during the loading phase of the aesthesiometer and which are able to release said potential energy in the firing phase of the aesthesiometer.
3. The aesthesiometer according to claim 2, wherein the elastic potential energy accumulation means comprise at least one constant-force spring which is stretched during the loading phase of the aesthesiometer and which all at once delivers a constant restoring force during the firing phase.
4. The aesthesiometer according to claim 2, wherein the expandable cavity has a movable wall and the mechanism comprises transmission means that mechanically link the movable wall and the elastic potential energy accumulation means, if it is the case made up of the at least one constant-force spring, which is stretched during the loading phase of the aesthesiometer and which all at once delivers a constant restoring force during the firing phase.
5. The aesthesiometer according to claim 4, wherein the transmission means comprise transmission by rack and pinion, the rack portion being joined to the movable wall of the expandable cavity and the pinion portion joined to the elastic energy accumulation means, all of this such that in the loading phase of the aesthesiometer, of the inlet of gas into the expandable cavity, the expansion of said expandable cavity is produced by moving the movable wall thereof, in turn moving the rack portion in a first direction that ensures the rotation of the pinion portion around a rotation shaft and in a direction that loads the elastic potential energy accumulation means; and in the firing phase of the aesthesiometer, upon connecting the expandable chamber to the outlet nozzle, the elastic energy accumulation means release the accumulated potential energy by applying a moment of force to the pinion portion which ensures the movement of the rack portion in a direction opposite from the first one and that produces the movement of the movable wall of the expandable cavity now in the direction of contraction thereof, expelling the puff of gas from the volume of gas accumulated therein during the loading phase.
6. The aesthesiometer according to claim 5, wherein the elastic potential energy accumulation means comprise at least one constant-force spring which is stretched during the loading phase of the aesthesiometer and which all at once delivers a constant restoring force during the firing phase; and wherein the mechanism comprises: a support body for a constant-force spring, provided with a reel on which said spring is rolled/unrolled and a straight guide to guide the movement of an actuation end of the spring by which it is joined to the pinion portion; and the joint between the aforementioned actuation end of the spring and the pinion portion, which determines the point of application of the restoring force that acts on this pinion portion in the firing phase of the aesthesiometer, is a joint that is movable in a guided manner in order to conserve the distance thereof with respect to the, fixed, rotation shaft of said pinion portion, thus ensuring that the restoring force applies a moment of force to the pinion portion with a substantially constant value.
7. The aesthesiometer according to claim 6, wherein at least one of the support body or the gas lung is mounted in the aesthesiometer with the ability to adopt different stable positions, each one offering a) or a different distance of the point of application of the restoring force with respect to the rotation shaft of the pinion portion at the beginning of the firing phase; b) or a different stretching magnitude of the spring at the beginning of the firing phase; or c) a different combination of both effects a) and b) for each position.
8. The aesthesiometer according to claim 1, wherein the first valve means enable at least two operating positions, a closing position in which they impede communication between the source of gas and the gas lung; and a loading position in which they enable communication between the source of pressurised gas and the gas lung, the aesthesiometer further comprising means for detecting the expansion measurement of the expandable cavity of the gas lung that are able to generate a governing signal of the first valve means so that these go from adopting the loading position to adopting the closing position when the aforementioned expandable cavity reaches the expansion measurement corresponding to the predetermined volume of gas associated with the firing of the aesthesiometer and ending the loading phase.
9. The aesthesiometer according to claim 8, wherein the means for detecting comprise an optical sensor.
10. The aesthesiometer according to claim 1, wherein the expandable cavity is selected from among a piston group; a bag or axial bellows.
11. The aesthesiometer according to claim 1, comprising a firing counter.
12. The aesthesiometer according to claim 8, comprising a firing counter that counts the number of times the means for detecting detect that the expandable cavity reaches the expansion measurement corresponding to the predetermined volume of gas sufficient for one puff or associated with a firing of the aesthesiometer.
13. The aesthesiometer according to claim 11, equipped with a visual and/or audible indicator indicating that the number of times fired has reached a predetermined value.
14. The aesthesiometer according to claim 1, wherein the mechanism is able to ensure in the firing phase of the aesthesiometer the release of the puff of the gas contained in the gas lung in the direction of the outlet nozzle in a time comprised between 0.3 s and 0.7 s, preferably between 0.4 and 0.6 s.
15. The aesthesiometer according to claim 1, wherein the mechanism ensures in the aforementioned firing phase of the aesthesiometer an outlet pressure, measured at 4 mm from the mouth of the outlet nozzle, according to a rectangular pulse of nominal value comprised between 0.0003 bar and 0.01 bar.
16. The aesthesiometer according to claim 1, wherein the source of gas is made up of a changeable cartridge of compressed medicinal gas.
17. The aesthesiometer according to claim 1, equipped with an actuator for the controlled expansion of the expandable cavity, that via the first valve means enable the suction of ambient gas, in the form of air.
18. The aesthesiometer according to claim 17, wherein the actuator for the controlled expansion of the expandable cavity moves a movable wall of said expandable cavity, said actuator being able to be manoeuvrable or motorised.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION OF THE INVENTION
[0050]
[0051] The diagram of
[0052] It is characteristic of the aesthesiometer 1 of the invention that the gas lung 4 comprises an expandable cavity 6 (see
[0053] 20
[0054] In the example, the source 2 of gas 3 is made up of a changeable cartridge 2a of compressed medicinal gas, specifically of air for clinical use of the type obtained by means of the compression of purified and filtered atmospheric air or of the oxygen and nitrogen mixture in proportions of 21% and 79% respectively, which are characterised in being free of particles, being bacteriologically apt, being free of oils and free of water. The storage volume of the cartridge can be comprised between 400-600 ml, and in order for the aesthesiometer to perform the function thereof, the pressure of the gas 3 can be approximately 5-7 bar. As explained below, other options, however, are contemplated to fill the expandable cavity 6 with gas.
[0055] The aesthesiometer 1 is equipped with a mechanism 7 that will ensure in the aforementioned firing phase of the aesthesiometer the release of the predetermined volume V2 of gas 3 to be expelled by means of controlled contraction of the expandable cavity 6 of the gas lung 4, specifically, controlled to ensure outlet pressure of the gas 3 in the outlet nozzle 12 that is substantially constant.
[0056] The expandable cavity 6 can be configured for example in the form of a piston, axial bellows or a bag. In the example of implementation of the invention, the expandable cavity 6 is the axial-bellows type and it has a movable wall 6a, linked to the mechanism 7. The expandable cavity 6 can be completely or partially housed in a rigid outer jacket or casing 6b, such as the one represented in
[0057]
[0058] In this variant, for the controlled contraction of the expandable cavity 6 the mechanism 7 comprises elastic potential energy accumulation means 8 able to accumulate potential energy when the expandable chamber expands in a loading phase of the aesthesiometer, using the pressure of the entering gas 3 to do so, and releasing said potential energy in a firing phase of the aesthesiometer, which is taken advantage of in order to contract the expandable cavity 6 and expel a predetermined volume V2 of gas 3 stored inside of it.
[0059] This variant enables the gas to be driven without using motors or actuators that need a source of electrical current to do so, and at the same time they simplify the aesthesiometer and contribute to maintaining the manufacturing costs of this instrument at an acceptable level for the market.
[0060] In the example, the elastic potential energy accumulation means 8 are made up of a constant-force spring 18, which is deformed during the loading phase of the aesthesiometer and which instantly delivers a constant restoring force F (see
[0061] The constant-force springs are a known and special variant of extension springs. In the example, this spring 18 is made up of a strongly rolled band of pre-hardened steel or stainless steel. Other possible materials are carbon steel or Inconel®.
[0062] In the example, the expandable cavity 6 has a movable wall 6a and the mechanism 7 comprises transmission means 9 that mechanically link this movable wall 6a and the constant-force spring 18.
[0063] These transmission means 9 comprise transmission by rack and pinion, the rack portion 10 being joined to the movable wall 6a of the expandable cavity 6 and the pinion portion 11 joined to the spring 18, specifically to an end actuation terminal 18a thereof.
[0064] The mechanism 7 has a support body 15 for the constant-force spring 18, provided with a reel 15b on which said spring is rolled/unrolled and a straight guide 15a to guide the movement of the aforementioned actuation end 18a of the spring by which it is joined to the pinion portion 11 of the transmission means 9.
[0065] The pinion portion 11 has, in the example, the form of a cantilever that can be rotated around a rotation shaft 11a, or fulcrum, fastened to the frame of the aesthesiometer 1. On one side of this rotation shaft 11a the cantilever is equipped with teeth for engaging with the rack portion 10 of the transmission means 9; and on the other side of the rotation shaft 11a the cantilever is joined to the actuation end 18a of the spring 8. Then, the linear movement of this actuation end 18a along the straight guide 15a in one direction or the other will apply a moment of force to the cantilever that will force it to rotate around the rotation shaft thereof 11a, and vice versa.
[0066] The invention provides a variant of the aesthesiometer 1 with high accuracy, which is chosen to ensure that the force applied on the movable wall 6a in the direction of contraction of the expandable cavity 6, driven by the restoring force of the spring 18, is substantially constant during the entire path of the actuation end 18a of the spring 18 during a firing manoeuvre.
[0067] With this goal, as shown in
[0068] The operating principle of the aesthesiometer 1 is described below in reference to
[0078] An aesthesiometer is a device that is used to evaluate perceptive sensitivity. In order for the aesthesiometer 1 to be able to deploy all the functions thereof, it is essential that it be prepared to fire puffs of air at different pressures.
[0079] In the mechanism 7 of the aesthesiometer 1 of the example, the value of the moment of force is M (see
M=F*p
will be able to vary if the distance p is modified. Taking advantage of this principle, according to another aspect of the aesthesiometer 1 of the invention, it is envisaged that at least one of the support body 15 or the gas lung 4 is mounted in the aesthesiometer with the ability to adopt different stable positions, each one offering a different distance p at the start of a firing phase C.
[0080] In the aesthesiometer 1 of the example, the first alternative is chosen, meaning that the support 15 is mounted in the aesthesiometer, being able to adopt different positions with respect to the gas lung 4, more specifically with respect to the expandable cavity 6. This characteristic is the one shown in
[0081] In the form represented, the support 15 and with it the constant-force spring 18 are mounted and guided in the aesthesiometer 1, the relative position thereof being able to be changed with respect to the expandable cavity 6 by means of actuation 23 here in the form of a wheel that meshes with corresponding teeth 22 that are provided in the support 15. The wheel can be actuated by digital pressure, meaning manually, by a user, and the aesthesiometer 1 can be provided with elastic means for fitting with the wheel or with the support 15 in order to equip these with different stable positions, each one of these will correspond to a firing of a puff of gas 3 at a different outlet pressure.
[0082] There are several parameters that can be adjusted in order to obtain puffs of air with pressures of interest. Different tests were performed, altering, for example, the volume of gas 3 introduced into the expandable cavity 6 in a loading phase A and/or the initial angular position of the pinion portion 11 of the mechanism 7 and/or the distance p and/or the volume of gas 3 initially present in the expandable cavity 6 and/or the distance p (finally choosing to equip the aesthesiometer with up to 5 different positions for the support 15 with respect to the expandable cavity 6) and/or the characteristics of the constant-force spring 18, among other parameters that enable an adjustment in the response of the aesthesiometer 1, and they have enabled an optimal design of a handheld aesthesiometer 1 with the features shown in Tables 1 and 2 below.
TABLE-US-00001 TABLE 1 Parameters of the aesthesiometer for each one of the 5 different air puff options. (*) values measured at a distance of 4 mm from the outlet nozzle of the aesthesiometer. Gas Pressure pressure Q Mass outlet in the in the Puff (ml/ flow speed target (*) Force cavity Position duration min) (kg/s) (m/s) (bar) (mN) (bar) 5 0.5 410 9.00E−06 40 0.0086 0.26 0.0196 4 0.5 315 6.88E−06 31 0.0050 0.158 0.01214 3 0.5 254 5.54E−06 25 0.0032 0.106 0.00829 2 0.5 180 3.92E−06 18 0.0015 0.056 0.00458 1 0.5 102 2.21E−06 10 0.00046 0.019 0.00178
TABLE-US-00002 TABLE 2 Parameters of the aesthesiometer for each one of the 5 different air puff options. Puff duration Volume of the Movement of the wall Position (s) puff (mm.sup.3) of the cavity (mm) 5 0.5 3.4 5.6 4 0.5 2.7 4.6 3 0.5 2 3.5 2 0.5 1.5 2.5 1 0.5 0.84 1.4
[0083] In addition to the versatility that the aesthesiometer 1 offers, capable of firing several puffs of air with different magnitudes, the circumstance arises that these puffs follow a rectangular profile, with a substantially constant nominal value, improving this aspect as well with respect to other aesthesiometers documented in the state of the art.
[0084]
[0085] In contrast to these profiles,
[0086] In the variant of the aesthesiometer 1 of the invention wherein the gas 2 source is in the form of a changeable cartridge, said cartridge can be housed in the portion configured as a handle while the main components, marked with a dotted line in the diagram of
[0087] The recharging of the cartridge of pressurised gas 3 can be as simple as the conventional manoeuvre of replacing a battery in any electronic device. However, the invention provides the aesthesiometer with a firing counter with the goal of estimating when the cartridge will be close to running out and being able to perform preventative maintenance of the aesthesiometer.
[0088] Taking advantage of the fact that the aesthesiometer can be equipped with the detection means 19, in one variant of the invention the firing counter counts the number of times that these detection means 19 detect that the expandable cavity 6 reaches the predetermined volume of gas 3 associated with firing the aesthesiometer once. In other words, the counter counts the number of times that a loading phase A has been completed, thereby making it possible to estimate the volume of gas 3 that has been extracted from the cartridge.
[0089] Knowing the gas 3 capacity that the cartridge has, it does not have a greater problem of equipping the aesthesiometer with a visual and/or audio indicator 21 indicating that the number fired has reached a predetermined value, warning that the cartridge exchange should be performed.
[0090] The diagrams of
[0091] In these variants, instead of using a cartridge 2a as a source 2 of gas 3, the aesthesiometer is equipped with an actuator for the controlled expansion 25 of the expandable cavity 6 that via the first valve means 5 enable the suction of ambient gas, in the form of air.
[0092] The actuator for the controlled expansion 25 of the expandable cavity 6 moves a movable wall 6a of said expandable cavity 6, said actuator being able to be manoeuvrable, that is to say, manually actuated, as illustrated by
[0093] The operating principle of the aesthesiometer is the same as that described previously, with the difference that, from the waiting situation B, of wanting to fire in the loading phase, the valve means 5 are actuated so that they enable communication between the source 2 of gas and the gas lung 4, the source 2 of gas, however, now being the ambient air. In the loading phase of the aesthesiometer, the inlet of gas into the expandable cavity 6 is produced by suction, caused by the movement of the movable wall 6 of the expandable cavity by means of the actuator for the controlled expansion 25 of the expandable cavity 6 referred to previously, in the direction indicated by the arrows in
[0094] Like in the version of the aesthesiometer equipped with a cartridge 2a of pressurised gas 3, the movement of the movable wall 6a, by means of the transmission means 9, stretches and loads the elastic potential energy accumulation means 8.
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[0096] 5
[0097] This version of
[0098] The guided movement referred to previously is implemented, in these examples, by means of a guide and pin set, specifically by means of a pin in the form of a straight rod 27, joined to the frame or base plate 26 oriented normally to the core of the springs 18, 18′, inserted with adjustment into a hole that is provided to the support body 15 such that said body can slide along the rod.