Speculum

• US 5,509,893 A
• Filed: 12/01/1993
• Issued: 04/23/1996
• Est. Priority Date: 06/06/1991
• Status: Expired due to Fees

• Current Assignee: Meditech International
• Original Assignee: Meditech International
• Inventors: Pracas, Victor M.
• Primary Examiner(s): Apley, Richard J.
• Assistant Examiner(s): Leubecker, John P.
• Application Number:
  US08/162,030
• Time in Patent Office: 874 Days
• Field of Search: 128/17, 128/18, 128/20, 128/3, 604/104, 604/105, 604/106, 604/107, 604/108, 604/109, 606/198, 600/184, 600/214, 600/222, 600/224
• US Class Current: 600/224
• CPC Class Codes: A61B 1/32 Devices for opening or enlarging the visual field, e.g. of a tube of the body dilators A61M29/00

Abstract

A speculum having a dilator for insertion into a body cavity of a patient and an opening mechanism for opening the dilator to dilate the body cavity. The dilator has at least two dilator blade members which are pivotal. The opening mechanism consists of a collar which is rotatable to contact and bear against the blade members. This causes the blade members to pivot and move apart, thereby opening the dilator. This results in the body cavity of the patient being dilated which allows for easy examination thereof.

Claims

1. A speculum comprising:

dilator means for insertion into a body cavity of a patient, said dilator means comprising at least two pivotal two blade members, each blade member being curved in a direction transverse to its length and having a rear terminating end which is provided with a substantially wedge shaped portion; and

opening means being movable for opening said dilator means to dilate said body cavity, wherein said opening means is provided with arcuate portions which contact and bear against the substantially wedge shaped portions of said blade members when said opening means is moved in a first direction to cause said blade members to pivot such that said dilator means opens to dilate said body cavity.

2. A speculum according to claim 1, wherein said blade members are pivotally supported on support means and retained in place by a surrounding collar, said support means defining an opening at the rear of said speculum.

3. A speculum according to claim 1, wherein each said blade member is provided with a rear proximal part which includes said rear terminating end and a distal part with a shank-like portion therebetween, said distal part and said shank-like portion being narrower than said rear proximal part.

4. A speculum according to claim 2, wherein locking means is provided to retain said opening means in a selected position such that said dilator means is retainable at a selected amount of opening.

5. A speculum according to claim 1, wherein said opening means is provided with a handle to enable a user to move said opening means.

6. A speculum according to claim 1, wherein stop means is provided to limit the travel of said opening means when moved to open said dilator means.

7. A speculum according to claim 1, wherein said opening means comprises a collar.

8. A speculum according to claim 1, wherein said arcuate portions curve inwardly from the direction of an outer side of said opening means toward an inner side of said opening means.

9. A speculum according to claim 1, wherein said arcuate portions are of substantially the same curvature such that said blade members are able to pivot the same amount.

10. A speculum according to claim 1, wherein at least one of said arcuate portions has a curvature different from the curvature(s) of the other said arcuate portions such that said blade member which is contacted by said at least one arcuate portion is able to pivot a different amount.

11. A speculum according to claim 2, wherein said surrounding collar is provided with a handle for a user to hold said speculum.

12. A speculum according to claim 2, wherein said support means and said surrounding collar are connected by connection means extending therebetween.

13. A speculum according to claim 2, wherein said support means is provided with fulcrum means comprising curves surfaces and said blade members are provided with recesses which are contoured to, and mate with, said curved surfaces of said fulcrum means such that said blade members are pivotal.

14. A speculum according to claim 2, wherein said opening means is provided on said support means.

15. A speculum according to claim 2, wherein said blade members are pivotally supported around the periphery of said support means and extend outwardly therefrom in adjacent manner when said dilator means is closed.

16. A speculum according to claim 2, wherein said support means comprises a short tubular member.

17. A speculum according to claim 3, wherein at least two of said blade members are provided with curved surface portions at their respective distal parts and at least one of said two blade members has a notch in the edge of said curved surface portion.

18. A speculum according to claim 3, wherein said blade members are substantially triangular and taper to respective narrow inwardly curved tips at their distal parts.

19. A specular according to claim 3, wherein three said blade members are provided.

20. A speculum according to claim 4, wherein said locking means comprises a pawl means and ratchet means, said pawl means provided on a lug extending from said support means and said ratchet means is provided on said opening means such that said opening means is readily movable to open said dilator means but said lug means must be depressed to disengage said pawl means from said ratchet means to enable said dilator means to close.

21. A speculum according to claim 1, wherein said substantially wedge shaped portions are provided with angled base portions which are received in angled recess base portions of respective said arcuate portions to prevent said blade members from pivoting to open said dilator means.

22. A speculum according to claim 10, wherein four said blade members are provided comprising an upper blade member, a lower blade member and two side blade members and the said arcuate portions which contact said side blade members have a first curvature, the said arcuate portion which contacts said upper blade member has a second curvature and the said arcuate portion which contacts said lower blade member has a third curvature, said third curvature being greater than said second curvature and said second curvature being greater than said first curvature such that said lower blade member is able to pivot the greatest amount, followed by said upper blade member and said side blade members are able to pivot the least amount.

23. A speculum according to claim 10, wherein two said blade members are provided comprising an upper blade member and a lower blade member, and the said arcuate portion which contacts said upper blade member has a first curvature and the said arcuate portion which contacts said lower blade member has a second curvature and said second curvature is greater than said first curvature such that said lower blade member is able to pivot the greater amount.

24. A speculum according to claim 12, wherein said blade members are provided with tapered edges at the rear portions thereof and spaces are formed between respective said tapered edges of adjacent said blade members, and said connection means are provided in said spaces.

25. A speculum according to claim 14, wherein said support means is provided at one end with flange means and opening means is retained between said surrounding collar and said flange means.

26. A speculum according to claim 18, wherein one of said at least two blade members is longer than the other.

27. A speculum according to claim 17, wherein two further said blade members are provided with rounded edges at their respective distal parts and are shorter than said at least two blade members.

28. A speculum comprising:

dilator means for insertion into a body cavity of a patient, said dilator means comprising at least two blade members;

support means about which said blade members are disposed and on which said blade members are pivotally supported;

a collar surrounding at least a portion of each blade member, so that the blade members are pivotally retained between said support means and said collar, with a rear terminating end of each blade member extending beyond said collar and being provided with a substantially wedge shaped portion; and

opening means rotatably provided on said collar and including arcuate portions which contact and bear against the rear terminating end of respective blade members at said substantially wedge shaped portions when said opening means is rotated in a first direction to cause said blade members to pivot on said support means such that said dilator means opens and dilates said body cavity.

29. A speculum according to claim 28 wherein at least one of said arcuate portions has a curvature different from the curvature(s) of the other of said arcuate portions such that said blade member which is contacted by said at least one arcuate portion is able to pivot a different amount.

30. A speculum according to claim 28 further comprising locking means to retain said opening means in a selected position such that said dilator means is retainable at a selected amount of opening.

31. A speculum according to claim 30 wherein said locking means comprises a pawl means and ratchet means, said pawl means provided on a lug extending from said support means and said ratchet means is provided on said opening means such that said opening means is readily rotatable to open said dilator means but said lug means must be depressed to disengage said pawl means from said ratchet means to enable said dilator to close.

32. A speculum according to claim 28 wherein said substantially wedge shaped portions are provided with angled base portions which are received in angled recess base portions of respective arcuate portions to prevent said blade members from pivoting to open said dilator means.

33. A speculum according to claim 28 wherein said support means is provided with fulcrum means comprising curved surfaces and said blade members are provided with recesses which are contoured to, and mate with, said curved surfaces of said fulcrum means such that said blade members are pivotal.

34. A speculum according to claim 28, wherein four said blade members are provided comprising an upper blade member, a lower blade member and two side blade members and the said arcuate portions which contact said side blade members have a first curvature, the said arcuate portion which contacts said upper blade member has a second curvature and the said arcuate portion which contacts said lower blade member has a third curvature, said third curvature being greater than said second curvature and said second curvature being greater than said first curvature such that said lower blade member is able to pivot the greatest amount, followed by said upper blade member and said side blade members are able to pivot the least amount.