Ophthalmoscope mounted face shield

Abstract

A visor is provided that is adapted to be mounted on a binocular indirect ophthalmoscope. The visor includes: a visor body shaped to conform with at least a portion of the binocular indirect ophthalmoscope; a visor attachment portion located between the visor body and one of a headband, instrument housing, or instrument housing strut of the binocular indirect ophthalmoscope when the visor is mounted on the binocular indirect ophthalmoscope. The visor is mountable on the binocular indirect ophthalmoscope such that the visor body is located in front of a substantial portion of a wearer of the binocular indirect ophthalmoscope. The visor is located on the binocular indirect ophthalmoscope such that the visor does not interfere with operation of the binocular indirect ophthalmoscope during operation of the binocular indirect ophthalmoscope.

Description

FIELD

This disclosure relates to the field of personal protective equipment. More particularly, this disclosure relates to a protective face shield for use in healthcare during patient examinations and procedures.

BACKGROUND

Face shields are a form of personal protective equipment (“PPE”) that may be used by healthcare workers for protection of the facial area and associated mucus membranes (such as the eyes, nose, and mouth) from body fluids during patient examinations and procedures. The facial area is one of the areas most commonly contaminated by body fluids during medical examinations and procedures. Face shields may protect from aerosolized pathogens and droplets or fluids containing pathogens.

Face shields may offer a number of advantages over other forms of PPE that provide face and eye protection, such as protective facemasks, goggles, and safety glasses. Face shields may cover a larger portion of the face than other forms of protective equipment. Further, face shields suffer from less fogging than goggles or safety glasses, especially when used in conjunction with face masks. Face shields may further provide better protection from liquids than fiber-based face masks.

Face shields may include a visor which is formed of a transparent element of the face shield that covers a face of a wearer of the face shield. Visors may be manufactured from various materials, including polycarbonate, propionate, acetate, polyvinyl chloride, and polyethylene terephthalate glycol. The Centers for Disease Control and prevention recommends that visors be of sufficient width to reach a front of a wearer's ear and of sufficient height to provide crown and chin protection for improved infection control purposes. The visor may be supported by a frame or suspension system to support the visor in front of the face. In some configurations, face shield visors are attached to a superior aspect of a face mask, as shown in FIG. 1. Other face shields may utilize eyeglass-type temple bars to support the visor, as shown in FIG. 2. In another configuration, a headband that partially or fully encircles a wearer's head may be used to support the visor, as shown in FIG. 3.

A binocular indirect ophthalmoscope is a medical instrument used by healthcare providers, such as optometrists and ophthalmologists, to examine and visualize a patient's eye, such as internal portions of the eye such as the retina or optic nerve. Referring to FIG. 4, the binocular ophthalmoscope may include an instrument, a headband to support the instrument, and an adjustable connecting mechanism/strut between an instrument housing and the headband. Components of the instrument may include a light source, an optical system including eyepieces, lenses, mirrors, prisms, a viewing or illumination front window, a number of levers, dials, and switches to adjust the instrument, and a housing containing and supporting components of the instrument.

To examine a patient's eyes or perform a procedure or surgery on a patient's eyes, a healthcare provider first dons the binocular indirect ophthalmoscope on their head using a headband to support the instrument in front of their eyes. The adjustable mechanism/strut between the instrument housing and the headband may be used to properly angle the instrument, as shown in FIG. 5. The light source is illuminated and the light is shown on the patient's eye using a hand-held condensing lens. The healthcare provider then views the patient's eye using the instrument's optical system. When using a binocular indirect ophthalmoscope, the healthcare provider must keep their face in close proximity to the patient to adequately examine the eye or perform a procedure or surgery on the eye. The healthcare provider's face, eyes, and mucus membranes are thereafter subject to aerosol or droplet contamination from a patient's mouth during an examination, procedure, or surgery.

A number of difficulties are created when attempting to use existing face shields with a binocular indirect ophthalmoscope. If the visor of the face shield is affixed to a face mask or if the visor of the face shield is supported by eyeglass-type temple bars, the superior aspect of the face shield will abut the connecting mechanism/strut, the headband, or the instrument housing of the binocular indirect ophthalmoscope, thereby preventing proper positioning of the binocular indirect ophthalmoscope and preventing proper positioning of the face shield or face mask. Further, if the visor of the face shield is supported by a headband, the headband of the face shield will interfere with the headband of the binocular indirect ophthalmoscope or vice versa. A further difficulty in using an existing face shield is that the housing of the binocular indirect ophthalmoscope precludes proper placement of the visor of headband-supported face shields. Another difficulty is that current face shield visors placed between the healthcare provider's face and the binocular indirect ophthalmoscope are often uncomfortably compressed against the healthcare provider's nose, mouth, and if used simultaneously, face mask. Yet another difficulty is that current face shield visors placed in front of or behind binocular indirect ophthalmoscopes often cause glare or light reflections which impair the user's ability to examine the eye. Finally, current face shields often suffer from fogging due to condensation from breathing, sweating, or ambient humidity.

What is needed, therefore, is a binocular indirect ophthalmoscope mounted face shield that overcomes the above and other difficulties associated with using traditional PPE with a binocular indirect ophthalmoscope.

SUMMARY

The above and other needs are met by a binocular indirect ophthalmoscope mounted face shield. In a first aspect, visor adapted to be mounted on a binocular indirect ophthalmoscope includes: a visor body, wherein a portion of the visor body is shaped to conform with at least a portion of the binocular indirect ophthalmoscope; a visor attachment portion, the visor attachment portion located between the visor body and one of a headband, instrument housing, or instrument housing strut of the binocular indirect ophthalmoscope when the visor is mounted on the binocular indirect ophthalmoscope. The visor is mountable on the binocular indirect ophthalmoscope such that the visor body is located in front of a substantial portion of a wearer of the binocular indirect ophthalmoscope. The visor is located on the binocular indirect ophthalmoscope such that the visor does not interfere with operation of the binocular indirect ophthalmoscope during operation of the binocular indirect ophthalmoscope.

In one embodiment, the visor is movably mounted on one of the headband, instrument housing, and strut of the binocular indirect ophthalmoscope; and the visor is movable between a raised position and a lowered position. In another embodiment, the visor is pivotally mountable on the headband binocular indirect ophthalmoscope. In yet another embodiment, the visor is pivotally mountable on the instrument housing of the binocular indirect ophthalmoscope. In one embodiment, when the visor is in the raised position the binocular indirect ophthalmoscope is mountable on a wall charger.

In another embodiment, the visor attachment portion includes one or more support members, wherein the one or more support members support the visor such that the visor is spaced-apart from the binocular indirect ophthalmoscope.

In yet another embodiment, the visor is mounted on the instrument housing of the binocular indirect ophthalmoscope and the visor attachment portion includes one or more of an adhesive or fasteners. In one embodiment, the visor is mounted on the headband of the binocular indirect ophthalmoscope and the visor attachment portion includes one or more of an adhesive or fasteners.

In another embodiment, the visor is mounted on the binocular indirect ophthalmoscope such that the body is located flush against an illumination window of the instrument housing. In yet another embodiment, the visor is mounted on the binocular indirect ophthalmoscope such that the body is located flush against an eyepiece of the instrument housing.

In one embodiment, the visor further includes a cutout located at the instrument housing such that the visor fits at least partially around the instrument housing of the binocular indirect ophthalmoscope.

In a second aspect, a visor adapted to be mounted on a binocular indirect ophthalmoscope includes: a visor body shaped to conform with at least a portion of the binocular indirect ophthalmoscope; a visor attachment portion located between the visor body and one of a headband, instrument housing, or instrument housing strut of the binocular indirect ophthalmoscope when the visor is mounted on the binocular indirect ophthalmoscope. The visor is movably mountable on the binocular indirect ophthalmoscope such that the visor body is located in front of a substantial portion of a wearer of the binocular indirect ophthalmoscope when the visor is in a lowered position. The visor is located substantially above the binocular indirect ophthalmoscope when the visor is in a raised position. The visor is located on the binocular indirect ophthalmoscope such that the visor does not interfere with operation of the binocular indirect ophthalmoscope during operation of the binocular indirect ophthalmoscope when the visor is in the raised and lowered positions.

BRIEF DESCRIPTION OF THE DRAWINGS

Further features, aspects, and advantages of the present disclosure will become better understood by reference to the following detailed description, appended claims, and accompanying figures, wherein elements are not to scale so as to more clearly show the details, wherein like reference numbers indicate like elements throughout the several views, and wherein:

FIG. 1 shows a front view of an existing face mask with a face shield;

FIG. 2 shows a perspective view of an existing face shield;

FIG. 3 shows a perspective side view of an existing face shield;

FIG. 4 shows a side view of a binocular indirect ophthalmoscope;

FIG. 5 shows a healthcare provider wearing a binocular indirect ophthalmoscope;

FIG. 6 shows a top perspective view of a visor mounted on a binocular indirect ophthalmoscope according to one embodiment of the present disclosure;

FIG. 7 shows a side view of a visor mounted on a binocular indirect ophthalmoscope according to one embodiment of the present disclosure;

FIG. 8 shows a side view of a visor mounted on a binocular indirect ophthalmoscope with the visor in a raised position according to one embodiment of the present disclosure; and

FIG. 9 shows a side view of a visor mounted on a binocular indirect ophthalmoscope during charging of the binocular indirect ophthalmoscope according to one embodiment of the present disclosure.

DETAILED DESCRIPTION

Various terms used herein are intended to have particular meanings. Some of these terms are defined below for the purpose of clarity. The definitions given below are meant to cover all forms of the words being defined (e.g., singular, plural, present tense, past tense). If the definition of any term below diverges from the commonly understood and/or dictionary definition of such term, the definitions below control.

FIG. 6 shows a basic embodiment of a visor 10 mounted on a binocular indirect ophthalmoscope 12. The visor 10 is mounted on the binocular indirect ophthalmoscope 12 such that the visor 10 substantially protects a face of a healthcare provider wearing the binocular indirect ophthalmoscope 12 and is mounted such that the visor 10 does not interfere with use of the binocular indirect ophthalmoscope 12, such as during examination of a patient or during a procedure.

The visor 10 may be bonded or otherwise permanently fixed to an instrument housing 14 of the binocular indirect ophthalmoscope 12. Alternatively, the visor 10 may be located on or form part of an extension of the instrument housing 14. In one embodiment the visor 10 may be located on the instrument housing 14 such that the visor 10 is located in front of the instrument housing 14. Alternatively, the visor 10 may be mounted on the instrument housing 14 such that the visor 10 is located behind the instrument housing 14 towards the face of a healthcare provider wearing the binocular indirect ophthalmoscope 12.

In one example, the visor 10 may be secured to the instrument housing 14 on opposing sides of an illumination window 15 of the instrument housing 14. The visor 10 may be secured, for example, with adhesive strips 16 located between the visor 10 and the instrument housing 14. The adhesive strips 16 or other fasteners used are preferably located on either side of the illumination window 15 such that the illumination window 15 of the binocular indirect ophthalmoscope 12 is not obstructed.

In another embodiment, the visor 10 is removably secured on the binocular indirect ophthalmoscope 12, such as on the instrument housing 14. For example, the visor may be removably secured on the instrument housing 14 using one or more of screws, clips, adhesives, hook and loop fasteners, buttons, snaps, pegs, or sleeves. The visor 10 may be removably secured either in front of the instrument housing 14 or behind the instrument housing 14 of the binocular indirect ophthalmoscope 10.

In one embodiment, the visor 10 is secured on the binocular indirect ophthalmoscope 12 on a headband 18 of the binocular indirect ophthalmoscope 12. The visor 10 may be permanently or removably secured to the headband 16. For example, the visor 10 may be removably secured on the headband 18 using one or more of screws, clips, adhesives, hook and loop fasteners, buttons, snaps, pegs, or sleeves. The visor 10 may be removably secured either in front of the instrument housing 14 or behind the instrument housing 14 of the binocular indirect ophthalmoscope 10.

In yet another embodiment, the visor 10 may be secured on the binocular indirect ophthalmoscope at a strut 20 or other mechanism connecting the instrument housing 14 to the headband 18. The visor 10 may be permanently bonded or mounted to the strut 20 between the instrument housing 14 and the headband 18 of the binocular indirect ophthalmoscope 12. Alternatively, the visor 10 may be removably mounted to the strut 20. For example, the visor 10 may be removably secured on the strut 20 using one or more of screws, clips, adhesives, hook and loop fasteners, buttons, snaps, pegs, or sleeves. The visor 10 may be removably secured either in front of the instrument housing 14 or behind the instrument housing 14 of the binocular indirect ophthalmoscope 10 when the visor 10 is mounted on the strut 20.

The visor 10 may be mounted on the binocular indirect ophthalmoscope 12 using one or more clips or other mechanisms of securing the visor 10 to one of the instrument housing 14, headband 18, or strut 20. For example, a clip or other mechanism for connecting the visor 10 to the binocular indirect ophthalmoscope 12 may be used to secure the visor 10 in front of a face of a wearer of the binocular indirect ophthalmoscope 12. In one embodiment, the visor 10 may be formed in a shape that is adaptable to a plurality of types of the binocular indirect ophthalmoscope 12, such as using one or more clips or other attachment mechanisms.

The visor 10 may be mounted on the binocular indirect ophthalmoscope 12 such that the visor 10 is flush with the illumination window 15 of the binocular indirect ophthalmoscope 12. Alternatively, the visor 10 may be mounted on the binocular indirect ophthalmoscope 12 such that the visor 10 is flush with eyepieces 22 of the binocular indirect ophthalmoscope 12. In another alternative, the visor 10 may be spaced apart from the illumination window 15 or the eyepieces 22 of the binocular indirect ophthalmoscope 12 such that a gap exists between the visor 10 and one of the illumination window 15 and the eyepieces 22 and the visor 10.

The visor 10 may be formed having a visor body 24. The visor body 24 may be substantially flat. Alternatively, the visor body 24 may be curved such that a shape of the visor 10 conforms around a shape of a head of a healthcare provider wearing the visor 10 and the binocular indirect ophthalmoscope 12. The visor body 24 may be placed in front of the illumination window 15 or behind the eyepieces 22. Alternatively, a cutout or hole may be formed through the visor body 24 at the illumination window 15 or the eyepieces 22 such that the visor body 24 is not located within a field of view of the binocular indirect ophthalmoscope 12.

The visor body 24 may be contoured or otherwise shaped to conform to a shape of the binocular indirect ophthalmoscope 12. For example, the visor body 24 may be contoured to conform to a shape of one or more of the instrument housing 14, the headband 18, or the strut 20 of the binocular indirect ophthalmoscope 12. The visor body 24 may be secured on the binocular indirect ophthalmoscope 12 at one or more switches or dials 26 of the binocular indirect ophthalmoscope 12. In one embodiment, the visor 10 is secured on the binocular indirect ophthalmoscope 12 such that the visor 10 angles away from a face of a wearer of the binocular indirect ophthalmoscope 12 to create additional space for the healthcare provider to breathe.

The visor 10 may be fixed in position relative to the binocular indirect ophthalmoscope 12. Alternatively, the visor 10 may be secured on the binocular indirect ophthalmoscope 12 such that the visor 10 may pivot between a raised position (FIG. 8) and a lowered position (FIG. 7). In the raised position, the visor 10 is located such that the visor body 24 is not over a face of the healthcare provider. In the lowered position, the visor body 24 is located proximate to the face of the healthcare provider to substantially protect the face of the healthcare provider. The visor 10 may be secured on the binocular indirect ophthalmoscope 12 at a pivot, such as with one or more axles, ball and socket joints, hinges, or other suitable components for allowing the visor 10 to pivot with respect to the binocular indirect ophthalmoscope 12. In one embodiment, the visor 10 is pivotally mounted on the binocular indirect ophthalmoscope 12 with one or more support members 28 such that the visor 10 is spaced-apart from the binocular indirect ophthalmoscope 12. The one or more support members 28 may be pivotally mounted on the binocular indirect ophthalmoscope 12 to allow the visor 10 to pivot between the raised and lowered positions. When the visor 10 is in the raised position, the visor 10 is oriented relative to the binocular indirect ophthalmoscope 12 such that the binocular indirect ophthalmoscope 12 may be placed on a charger 30 or hanging from a wall, as shown in FIG. 9.

In operation, a healthcare provider may don the binocular indirect ophthalmoscope 12 having the visor 10 secured thereon on the healthcare provider's head, using the headband 18 to support the instrument housing 14 and instruments contained therein in front of the wearer's eyes. The healthcare provider may adjust a position of the instrument housing 14 to a suitable location in front of the wearer's face, as shown in FIG. 7. A light source is illuminated and shines light on an eye of a patient using a handheld condensing lens. The healthcare provider then views the patient's eye using the binocular indirect ophthalmoscope while performing an examination, procedure, or surgery. The visor 10 protects a face and head of the wearer of the binocular indirect ophthalmoscope while providing a clear view through the visor 10. The visor 10 may be rotated or otherwise moved to the raised position (FIG. 8) while the visor 10 is not in use or not needed, or while the binocular indirect ophthalmoscope 12 is resting on the charger 30 (FIG. 9).

By securing the visor 10 to the binocular indirect ophthalmoscope 12 according to embodiments described herein, various problems are solved. First, the visor 10 may be properly positioned relative to the strut 20, the instrument housing 14, the headband 18, or other components of the binocular indirect ophthalmoscope 12 without interfering with those components, thereby allowing proper positioning of both the visor 10 and components of the binocular indirect ophthalmoscope 12. Second, by securing the visor 10 on the binocular indirect ophthalmoscope 12, a separate headband for the visor 10 or other means of supporting the visor 10 on the healthcare provider's head is eliminated such that no interference exists between a support of the visor 10 and the binocular indirect ophthalmoscope 12. Third, the visor 10 may be placed in an appropriate position over the face of the healthcare provider without causing any deflection of the visor 10 from the instrument housing 14 or other components of the binocular indirect ophthalmoscope 12. Fourth, embodiments of the visor 10 described herein will not cause the visor 10 to be pressed uncomfortably against a nose, mouth, or face of the wearer, and will not prevent the use of a facemask being worn by the healthcare provider. Fifth, any glare or light reflections from the visor may be reduced or eliminated by providing a controlled distance and angle between the visor and binocular indirect ophthalmoscope 12 illumination or illumination window 15. Sixth, by locating the visor 10 on the binocular indirect ophthalmoscope 12 as disclosed herein, adequate space for air flow between the wearer's face and the visor 10 is provided to reduce or eliminate fogging due to condensation from breathing, sweating, or ambient humidity. Seventh, by allowing the visor 10 to move between raised and lowered positions relative to the binocular indirect ophthalmoscope 12, the healthcare provider may move the visor 10 out of a field of view of the healthcare provider when the visor 10 is not needed. Eighth, allowing the visor 10 to pivot between raised and lowered positions further allows the binocular indirect ophthalmoscope 12 to be used with a wall-mounted charger or holder without the visor 10 contacting the wall or otherwise obstructing the binocular indirect ophthalmoscope 12 from being located on the wall-mounted charger or holder.

The foregoing description of preferred embodiments of the present disclosure has been presented for purposes of illustration and description. The described preferred embodiments are not intended to be exhaustive or to limit the scope of the disclosure to the precise form(s) disclosed. Obvious modifications or variations are possible in light of the above teachings. The embodiments are chosen and described in an effort to provide the best illustrations of the principles of the disclosure and its practical application, and to thereby enable one of ordinary skill in the art to utilize the concepts revealed in the disclosure in various embodiments and with various modifications as are suited to the particular use contemplated. All such modifications and variations are within the scope of the disclosure as determined by the appended claims when interpreted in accordance with the breadth to which they are fairly, legally, and equitably entitled.

Claims

1. A visor adapted to be mounted on a binocular indirect ophthalmoscope, the visor comprising: a visor body;a visor attachment portion, the visor attachment portion located between the visor body and one of a headband, instrument housing, or instrument housing strut of the binocular indirect ophthalmoscope when the visor is mounted on the binocular indirect ophthalmoscope;wherein the visor is movably mountable on the binocular indirect ophthalmoscope such that the visor body is located in front of a substantial portion of a wearer of the binocular indirect ophthalmoscope when the visor is in a lowered position;wherein the visor is located substantially above the binocular indirect ophthalmoscope when the visor is in a raised position;wherein when the visor is mounted on the binocular indirect ophthalmoscope the body is located flush against an illumination window of the instrument housing; andwherein the visor is located on the binocular indirect ophthalmoscope such that the visor does not interfere with operation of the binocular indirect ophthalmoscope during operation of the binocular indirect ophthalmoscope when the visor is in the raised and lowered positions.