One aspect of the present invention relates to a cover device for an instrument particularly, but not exclusively, a medical instrument such as a stethoscope. Another aspect of the invention relates to an apparatus for dispensing cover devices, especially medical instrument cover devices.
A person's body harbours various types of bacteria and other micro-organisms many of which are infectious. The use of a medical instrument, and in particular a stethoscope, on more than one patient can cause cross-contamination of patients. By way of example, this is a particular concern in cases where the instrument comes into contact with blood.
It is good practice to clean the instrument between patients but often cleaning is not thoroughly performed, or is not performed at all.
To address this problem, it is known to provide a protective cover for stethoscopes. For example, U.S. Pat. No. 5,365,023 (Lawton) discloses a stethoscope cover comprising an elastic membrane with a rolled rim. In use, the rim is stretched over the head of the stethoscope and the membrane is held in place by its elastic resilience. U.S. Pat. No. 5,813,992 (Henwood) discloses a bag-type stethoscope cover which, in use, encases the entire stethoscope head.
Both of these known covers are considered to be cumbersome to fit onto and to remove from the stethoscope head.
It would be desirable therefore to provide a cover for protecting the head of a medical instrument, particularly a stethoscope, which is relatively simple to fit and remove. It would also be desirable to provide an apparatus for dispensing same.
Accordingly, a first aspect of the invention provides an apparatus for dispensing a cover device, the cover device comprising a frame and a membrane, the cover device being actuatable from a first state, in which an outer portion of the membrane is seated on, or around, an outer surface of the frame such that the frame holds the membrane in a generally deployed state, and a second state in which the outer portion of the membrane is located generally inwardly of its seated position, the apparatus comprising: a magazine for storing at least one cover device in said first state, the magazine having a mouth through which the at least one cover device may be dispensed; and means for actuating the at least one stored cover device from the first state to the second state. The outer portion may be integrally formed with the membrane, in which case it may be said to comprise part of the membrane, or it may be fixed to the membrane. In either case it may be said that the outer portion is associated with the membrane.
In a preferred embodiment, said actuating means actuates the at least one stored cover device from the first state to the second state upon movement of said at least one stored cover device into the magazine. Hence, when the head of a stethoscope (or other instrument) is inserted into the mouth of the dispenser, thereby pushing the topmost cover device into the magazine in a direction generally away from the mouth, the cover device is actuated to the second state thereby causing it to grip the head of the stethoscope (or other instrument).
Advantageously, an actuating mechanism is provided in the apparatus and is arranged to urge the at least one cover device towards the mouth. Conveniently, the actuating mechanism comprises a platform mounted on a spring, the spring being biased to urge the platform towards the mouth.
Preferably, a retaining lip is provided around at least part of the mouth, the retaining lip extending inwardly of the mouth. The retaining lip is typically dimensioned to engage with, during use, the outer portion of the cover device nearest the mouth when in said first state, thereby retaining said cover device in the apparatus, and to allow said cover device to be removed from the apparatus when in the second state.
In a preferred embodiment, the actuating means comprises means for dislodging the outer portion of the membrane from its seat on the frame. The dislodging means is advantageously actuatable between a dislodging state and a deflected state. Preferably, the dislodging means is actuatable from said dislodging state to said deflected state by passage of a cover device moving towards said mouth. The dislodging means is preferably biased to adopt the dislodging state.
In a preferred embodiment, the dislodging means comprises at least one projection extending away from an interior surface of the magazine and being spaced-apart from the mouth. The at least one projection may extend obliquely from the interior surface of the magazine in a direction generally towards the mouth. Advantageously, at least a part of said projections are formed from a flexible, resilient material. The at least one projection may be carried by a ring, the ring being seated on a shoulder formed at the interior surface of the magazine.
In an alternative embodiment, the apparatus comprises a collar, the magazine being movable with respect to the collar in a first direction, and wherein the collar carries said actuating means, said actuating means actuating the at least one stored cover device from the first state to the second state upon movement of said magazine in said first direction. Preferably, resilient biasing means are provided between said collar and said magazine, the resilient biasing means being arranged to urge said magazine in a second direction, said second direction being generally opposite to said first direction. Preferably, said collar is located at least partially around the external periphery of the magazine.
A second aspect of the invention provides a cover device comprising a frame and a membrane, the cover device being actuatable from a first state, in which an outer portion of the membrane is seated on an outer surface of the frame such that the frame holds the membrane in a generally deployed state, and a second state in which the outer portion of the membrane is located generally inwardly of its seated position.
Preferably, the outer portion of the membrane comprises a peripheral ring. The peripheral ring, or other outer portion, may be integrally formed with the membrane, in which case it may be said to comprise part of the membrane, or it may be fixed to the membrane. In either case it may be said that the outer portion is associated with the membrane.
Preferably, the outer surface of the frame is concave in transverse cross-sectional profile to define a seat for the outer portion of the membrane.
Advantageously, at least the outer portion of the membrane is formed from elastic material.
In a preferred embodiment, in the first state, said outer portion is stretched by the frame such that the membrane is self-retaining on the frame. More preferably, in the second state, said outer portion is contracted with respect to the first state (under its inherent resilience since it is dislodged from its seat on the frame) and is located generally inwardly of the frame. This enables the membrane, and more particularly its outer portion, to grip the head of a stethoscope (or other instrument) and be self-retaining thereon.
A third aspect of the invention provides a dispensing system comprising said dispensing apparatus and one or more cover devices.
Further advantageous aspects of the invention will become apparent to those ordinarily skilled in the art upon review of the following description of a specific embodiment and with reference to the accompanying drawings.
Embodiments of each aspect of the invention are now described by way of example and with reference to the accompanying drawings in which like numerals are used to indicate like parts and in which:
The following description is made in the context of stethoscopes although it will be understood that the invention is not limited to use with stethoscopes and may alternatively be adapted for use with other medical or non-medical instruments.
Stethoscopes are well known and normally include a head comprising one or more acoustic transponders.
Referring now to
Each cover device 50 comprises a frame 52 for carrying a membrane 54. The membrane 54, or sheath, may be formed from any suitable material, especially rubber, e.g. silicone, or plastics, and is preferably flexible and resilient, or elastic. Moreover, the membrane material is advantageously selected so as to minimise acoustic attenuation while presenting a barrier to micro-organisms and other contaminants. For example, the membrane 54 may be formed from latex or silicone, or similar material, and may be approximately 0.1-0.2 mm in thickness.
The frame 52 may be formed from substantially rigid, or semi-rigid, material, such as plastics, paper, card or a paper or card based material. The frame 52 is a self-supporting structure which, when the cover device 50 is in a first state wherein the membrane is fitted to the frame 52 (as depicted in FIGS. 2 to 6), serves to hold the membrane 54 in a deployed, or at least a generally deployed, state. When the membrane 54 is formed from flexible resilient material, the relative dimensions of the frame 52 and membrane 54 are preferably such that membrane 54 is held substantially taut by the frame 52 in the deployed state and is typically stretched by the frame 52. It will be understood that the membrane 54 need not necessarily be held taut when fitted to the frame 52.
The frame 52 is shaped and dimensioned to fit the instrument to which it is intended to be fitted. In the illustrated embodiment, the frame 52 is shaped and dimensioned to fit the diaphragm transponder 12 of the stethoscope head 10, and more particularly to fit over the transponder 12 such that the exterior surface 15 of the diaphragm 14 is covered by the membrane 54. Hence, the frame 52 comprises a generally circular ring. It will be understood that the frame 52 may alternatively take other shapes and dimensions to suit the particular instrument to which it is intended to be fitted.
The membrane 54 is, in a preferred embodiment, self-retaining on the frame 52 by virtue of its inherent resilience. To help retain the membrane 54 on the frame 52, the membrane 54 is preferably provided with a peripheral ring 56 (which need not necessarily be circular) formed from elastic or resilient material (typically from the same material as the membrane 54). The peripheral ring 56 may be co-formed with the membrane 54 in any suitable manner and may, for example, be formed by rolling a peripheral portion of the membrane 54, or by injection moulding. In the illustrated embodiment, the peripheral ring 56 is generally circular in shape and has a diameter less than that of the frame 52 so that the membrane 54, and in particular the ring 56, must be stretched to be fitted on the frame 52. When fitted on the frame 52, the membrane 54 covers a mouth defined by one face of the frame 52 leaving an open mouth 58 at the other face of the frame 52. It is noted that the peripheral ring 56 is viewed herein as an integral part of, and in particular as an outer portion of, the membrane 54. However, the ring 56 and membrane 54 need not necessarily be formed from the same material.
The outer periphery, or outer side, of the frame 52 is shaped to define a seat 60 for the peripheral ring 56 of the membrane 54. To this end, the outer side 62 of the frame 52 is advantageously shaped in a manner which corresponds with the profile of the peripheral ring 56. In the preferred embodiment, the peripheral ring 56 is of substantially circular cross-section and the outer side 62 of the frame 52 is correspondingly, or at least compatibly, curved. Hence, the profile, in transverse cross-section, of the outer side 62 of the frame 52 is concave. Advantageously, the outer side 62 of the frame 52 is shaped to define a first peripheral lip 64 which runs around the periphery of the frame 52 and which, conveniently, is located at or adjacent the face of the frame 52 which defines the open mouth 58. The outer side 62 is preferably shaped to define a second peripheral lip 66 which runs around the periphery of the frame 52 and which is, conveniently, located at or adjacent the opposite face of the frame 52. The second lip 66 is advantageously larger than the first lip 64, i.e. it protrudes farther from the outer side 62 than does the first lip 64. In an unfitted state (i.e. when the cover device 50 is not fitted to a stethoscope), the peripheral ring 56 is seated in the seat 60 as shown in FIGS. 2 to 6. In this state, the membrane 54 is carried by, or fitted to, the frame 52 and is held in the deployed state. In a preferred embodiment, a portion of the membrane 54 is wrapped around the peripheral ring 56 when the ring 56 is seated on the frame 52 (for example as shown in
In an alternative embodiment, the frame and the membrane may be co-formed, or integrally formed, with one another as opposed to being separate as shown in FIGS. 1 to 8. Conveniently, this may be achieved by co-forming the frame and the membrane from the same material, for example rubber or plastics. In such embodiments, a reinforcing member, e.g. wire or ring (not shown), of any suitable material, e.g. metal, may be provided inside or around the frame to give strength and support to the frame so that the frame may hold the membrane in a deployed state. Alternatively still, the frame and the membrane may be bonded, or otherwise fixed, to one another.
Referring now in particular to
The dispenser 20 also includes dislodging means conveniently in the form of one or more projections 32. In the illustrated embodiment, the dispenser 20 comprises three projections 32 (only two visible) spaced-apart around the periphery of the dispenser 20. As may best be viewed in
In the drawings, the projections 32 are shown in a dislodging, or rest, state in which the respective free end 34 of each projection 32 lies beneath the topmost cover device 50′(i.e. beyond the topmost cover device 50′ with respect to the mouth 24) and overlaps with the cover device 50′ in a lateral or transverse direction. In this state, movement of the topmost cover device 50′ in a direction generally into the magazine 22 causes the peripheral ring 56 to engage with the free ends 34 of the projections 32. The projections 32 are pivotable, or otherwise movable, with respect to the magazine 22 so that they may be pushed out of the rest state towards the walls of the magazine 22. To this end, the projections 32 are conveniently formed at least partially from a flexible plastics material. The projections 32 may be co-formed with a carrier ring 36 which is seated on a shoulder 38 formed in the interior wall of the magazine 22. The carrier ring 36 and projections 32 may be formed from, for example, plastics. Alternatively, the projections 32 may be integrally formed with the magazine 22. The projections 32 are preferably resiliently biased to adopt the rest state. This may be achieved by, for example, inherent resilience of the material, e.g. plastics, used to form at least part (and conveniently the whole) of the projections 32, or alternatively by other resilient biasing means (not shown) such as a spring.
When stored in the magazine 22, the cover devices 50 are stacked one on top of the other in a substantially coaxial manner. Each cover device 50 is disposed in a respective plane which is substantially parallel with the plane of the mouth 24 of the dispenser 20. Conveniently, at least the interior walls of the magazine 22 are shaped substantially to match the shape of the frames 52 when carrying a respective membrane 54. In the illustrated embodiment, the magazine 22 is substantially cylindrical in shape.
The dispenser 20 further comprises an actuating mechanism for pushing the cover devices 50 towards the mouth 24 of the dispenser 20. The actuating mechanism comprises a platform 28 located within the magazine 22 and movable within the magazine in a direction generally towards and away from the mouth 24. The actuating mechanism also includes means for moving the platform towards the mouth 24. The moving means preferably comprises resilient biasing means, for example a spring 30, biased to urge the platform 28 towards the mouth 24. In the illustrated embodiment, the platform 23 is mounted on, or rests on, a compression spring 30. The illustrated actuating mechanism 28, 30 is therefore piston-like in form although it will be understood that it may take a variety of alternative forms.
In use, a stack of one or more cover devices 50 rests on the platform 28 and is urged towards the mouth 24 of the dispenser 20 under the action of the spring 30. The topmost cover device 50′ in the stack, i.e. the cover device 50 nearest to the mouth 24, is prevented from exiting the dispenser 20 via the mouth 24 by engagement with the lip 26. In particular (and as may best be seen from
The operation of the dispenser 20 is now described with reference in particular to FIGS. 3 to 8. For reasons of clarity, the entire stack of cover devices 50 is not shown in FIGS. 3 to 8.
As the user continues to push the stethoscope head 10 into the dispenser 20, the diaphragm 14 engages with the membrane 24 causing the topmost cover device 50′ to be pushed into the dispenser 20 against the bias of the spring 30 (the entire stack of cover devices 50 is pushed downwardly (i.e. into the magazine 22 in a direction away from the mouth 24) as viewed in
The cover device 50′ is thus fitted to the stethoscope head 10. The user may then withdraw the stethoscope head 10 (with fitted cover 50) from the dispenser 20. The lip 26 does not interfere with the withdrawal of the head 10 since the overall diameter of the cover device 50 in the second, or fitted, state is less than it is in the first, or unfitted, state. The fitted cover device 50 is self-retaining on the stethoscope head 10 under the resilience of the membrane 54, and in particular the peripheral ring 56. It is noted that the membrane 54 need not necessarily be formed from resilient or elastic material even when the peripheral ring is formed from resilient or elastic material.
A fitted cover device 50 may easily be removed by pulling on the peripheral ring 56. Advantageously, one or more perforations (not shown) and/or one or more tabs (not shown) may be formed in the membrane 54 and peripheral ring 56 to facilitate removal.
Once the topmost cover device 50′ has been dispensed, the next cover device 50 is pushed, under the action of the spring 30, into the topmost position. As the next cover device 50 moves into the topmost position, it engages with the projections 32. The flexibility of the projections 32 and their oblique disposition allows them to be pushed towards the walls of the magazine 22, i.e. deflected, by the passing cover device 50. Once the cover device 50 has reached the topmost position, the projections 32 adopt the rest state under their own resilience. The projections 32 may therefore be said to serve as latch means that do not prevent movement of the cover devices 50 in a direction generally towards the mouth 24 but which engages with the topmost cover device 50′ when moved away from the mouth 24.
FIGS. 9 to 12 illustrate an alternative embodiment of a dispensing device, generally indicated as 120. The apparatus 120 is generally similar to the apparatus 20 and so like numerals are used to indicate like parts and similar descriptions apply, as will be apparent to a skilled person. The apparatus 120 may be used with the cover devices 50 described hereinbefore.
Referring now to FIGS. 9 to 12, the apparatus 120 comprises a collar portion 180 that fits around the magazine 122, preferably around the exterior of the magazine 122. In the preferred embodiment, the collar portion 180 extends around the entire periphery of the magazine 122 although, in alternative embodiments, not illustrated, one or more separate collar portions may be provided which extend only partially around the magazine 122. The collar portion 180 is advantageously located adjacent the mouth 124 of the magazine 122.
The collar portion 180 carries one or more projections 132 for dislodging the ring 56 of a cover device 50 from its seat 60. In the preferred embodiment where the collar 180 is located externally of the magazine 122, one or more apertures 182 are formed in the wall 184 of the magazine 122 so that at least the end portion 134 of the, or each, projection 132 may be located internally of the magazine 122, as may best be seen from FIGS. 10 to 12.
The collar 180 and the magazine 122 are moveable with respect to one another in a direction generally parallel with the longitudinal axis of the magazine, as illustrated by arrow A in
During use, the apparatus 120 is installed in a support or carrier device (not shown) that may take the form of, for example, a ring or a sheath, such that the collar 180 is seated on the support device. A user (not shown) places a stethoscope head (or other article) against the topmost cover device 50′ as previously described. As the user pushes against the cover device 50′, the magazine 122, including the cover devices 50 contained therein, are moved in said longitudinal direction such that the mouth 124 and topmost cover device 50′ move towards the projections 132 (as indicated by arrow B in
The apparatus 120 may be easier to use than the apparatus 20 in cases where the magazine 122 holds a relatively large number of cover devices 50 since, in order to dispense the topmost cover device 50′, the user only has to overcome the bias of the resilient biasing means between the collar 180 and the magazine 122.
It will be appreciated from the foregoing that the invention provides means for quickly and easily dispensing covers for stethoscopes or other medical or non-medical instruments.
The embodiments described above relate to the diaphragm transponder 12 of a conventional stethoscope. In an alternative embodiment, not illustrated, the cover device and dispenser are arranged to be compatible with the bell transponder 16. In such an embodiment, it is advantageous for the membrane to comprise an aperture which, when fitted, is substantially in register with the open mouth, or aperture 17, of the bell transponder 16. Moreover, it will be understood that the invention is not limited to use with stethoscopes. Alternative embodiments of the invention may relate to the covering of the whole or part of other medical instruments or non-medical instruments.
The invention is not limited to the embodiments described herein which may be modified or varied without departing from the scope of the invention.
Number | Date | Country | Kind |
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0322478.9 | Sep 2003 | GB | national |
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/EP04/10838 | 9/24/2004 | WO | 3/24/2006 |