• 专利附录
  • 专利说明
  • 权利要求
  • 类似技术
  • 同族专利
  • 引用文献
  • 法律状态
  • 优先权
    • 专利摘要:
    Open retinoscope can be attached to a smartphone. The invention is directed to a new open retinoscope comprising: a body (3) comprising a lighting source (31) oriented in the longitudinal direction and a first means (32) of longitudinally sliding coupling to a lens support (51) of volk; a support (5) for the lens (51) of volk coupled longitudinally sliding to the body (3), where the support (5) comprises a second means (52) of longitudinal sliding coupling complementary to the first means (32) of sliding longitudinal coupling of the body (3); and an adapter (2) for smartphone connectable to the body (3) transversely sliding. (Machine-translation by Google Translate, not legally binding)
    公开号:ES2578943A1
    申请号:ES201431963
    申请日:2014-12-30
    公开日:2016-08-02
    发明作者:Florencio GONZÁLEZ MÁRQUEZ；Francisco Javier HERNÁNDEZ MARTÍNEZ；Luis Gabriel LUQUE ROMERO；Luis CASTILLÓN TORRES；Jose Luis GARCÍA GARMENDIA；Gorka GÓMEZ CIRIZA；Cristina SUÁREZ MEJÍAS；Tomás GÓMEZ CÍA
    申请人:Hospital San Juan De Dios Del Aljarafe 75 0%；Servicio Andaluz De Salud 25 0%；HOSPITAL SAN JUAN DE DIOS DEL ALJARAFE；Servicio Andaluz de Salud；
    IPC主号:
    专利说明:

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    DESCRIPTION
    Open retinoscope can be attached to a smartphone.
    OBJECT OF THE INVENTION
    The present invention pertains to the field of medicine, and more particularly to the field of ophthalmology.
    The object of the present invention is a new open retinoscope for the exploration of the fundus of the eye comprising a universal adapter for smartphone.
    BACKGROUND OF THE INVENTION
    The mobile phones have been developed in recent years at a great speed to reach the so-called "smartphones". Today's smartphones not only have a calculation capacity similar to that which computers fear not so many years ago, but also have a large number of communication devices (WiFi, Bluetooth, infrared ...), lighting means, media for the capture of image and video, reproduction of music and video, etc.
    As a result of this spectacular improvement in the performance of smartphones, a wide range of new applications has arisen, among which the applications within the medical field stand out. Many of the new medical applications can take advantage of the high quality of the images obtained with the digital cameras of smartphones, to improve the health care provided to patients by their responsible physicians. They could even serve to facilitate health care to people located in isolated environments, or simply to avoid having to leave their home to receive medical attention. It would not be strange, in a short time, that the patients themselves can even acquire images or videos that show their status and send them to a medical or control center where specific protocols created for this purpose, are delivered by their responsible doctor, who can visualize them and decide if it is necessary to visit your query, or even perform the remote diagnosis. Another important use of smartphones is related to teaching in the field of health, as they allow images to be shared with students or colleagues of profession.
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    This technological potential is also reaching the field of ophthalmology, where the value of images has a special relevance and where smartphones, with their built-in photography and video cameras, are beginning to be used as exploratory tools.
    At present, the exploration of the fundus of the eye in most medical consultations is based on the use and management of conventional direct ophthalmoscope. However, the conventional direct ophthalmoscope presents a series of drawbacks that limit its use, such as the fact that the scanned visual field is too small to assess the peripheral retina. In addition, with this device it is not possible to obtain graphic images that can later be valued or shared.
    There are more sophisticated ophthalmoscopes in the market and with greater benefits, such as the PanOptic ophthalmoscope. The PanOptic ophthalmoscope allows you to see a larger field of retina and, using a specific iPhone adapter (iExaminer, manufactured by Wellch Allyn), you can get images and videos of the back of the eye. However, only a specific version of this Smartphone can be attached to PanOptic. In addition, it is a complex, expensive device and when used without pupillary dilatation, its visual field is not too large either.
    It is also known a specific adapter between smartphones and non-contact ophthalmological lenses (EyeGo adapter) that allows the coupling of a specific smartphone to a certain ophthalmological lens. However, these adapters require the light of the modulated smartphone in order to perform the eye scan. Moreover, any smartphone is not useful, since it is necessary that it has a certain light source for said exploration and that this be activated by means of a specific app. Therefore, this adapter does not serve as an independent scanning tool without the help of a specific smartphone that is specifically coupled to the adapter and with certain functions and features.
    DESCRIPTION OF THE INVENTION
    The object of the present invention is a new open retinoscope designed for the exploration of the fundus of the eye that associates a light source with a Volk ophthalmological lens, allowing the physician to assess the retina of a patient more easily and with much greater visual field than with any current direct ophthalmoscope. The retinoscope
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    Open of the invention includes an adapter for smartphone that allows the coupling of a smartphone to collect the images obtained during the exploration. In addition, unlike other current devices, the smartphone adapter of the invention's retinoscope allows coupling any smartphone model of the market. This new retinoscope is portable, economical and easy to handle. In addition, because it has its own source of illumination, allows the exploration of the bottom of the eye autonomously, that is, without the need to attach a smartphone.
    The open retinoscope of the invention comprises a body, a lens holder from Volk, and a smartphone adapter. In the following, each of these elements is described in greater detail.
    a) Body
    The body is the central element of this device on which most other elements are fixed. The body essentially comprises a lighting source oriented in the longitudinal direction and a first longitudinally sliding coupling means to a Volk lens.
    The source of illumination, preferably an LED, is responsible for illuminating the patient's eye during the examination. Preferably, a mechanical system allows the vertical displacement of the lighting system according to the exploratory needs, with the purpose of focusing the light directly on the center of the Volk lens and, if necessary, adapting it to the needs of the connected smartphone. According to another preferred embodiment of the invention, the body further comprises a housing for power cells that provide power to the source of illumination. The body of the invention may also comprise an ignition switch of the illumination source.
    In terms of orientation, as mentioned above, the source of illumination is oriented in a longitudinal direction. In this context, it should be understood that the "longitudinal" direction is the direction from the position where the camera lens of a smartphone coupled to the adapter is located to the center of the Volk lens. In other words, it is the natural orientation direction of the open retinoscope when it is used to
    explore a patient's eye, either with or without a smartphone attached to it.
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    On the other hand, the coupling means for a Volk lens is configured to receive a Volk lens that is aligned with the camera of the smartphone coupled to the adapter in the longitudinal direction, being able to modify the distance between the camera of the smartphone and the lens of Volk, as will be seen below.
    In principle, the body can take any form as long as it can carry out the tasks described above. However, in a preferred embodiment of the invention, the body is formed by a longitudinal portion incorporating the first coupling means, and a transverse portion incorporating a fourth coupling means and the illumination source. Both portions are rigidly connected so as to form a single piece.
    b) Volk lens holder
    This support is longitudinally slidably coupled to the body to zoom in or out the Volk lens to the lens of the smartphone camera according to the needs of the exploratory procedure. For this, the support comprises a second slidable longitudinal coupling means complementary to the first sliding longitudinal coupling means of the body. The first and second coupling means may consist of tongue-and-groove rails.
    The support can be configured in different ways as long as it can be slidably coupled to the body as described above. For example, in a preferred embodiment of the invention it is a circular or partially circular support with elastic characteristics sufficient to trap the Volk lens therein.
    c) Smartphone adapter
    It is an adapter that can be connected to the body in a transversely sliding way, so that the smartphone can be fixed in the suitable transversal position with the purpose of being able to align the lens of its camera with the lens of Volk. In this context, it is understood that the "transverse" direction is a horizontal direction perpendicular to the longitudinal direction described above.
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    In a preferred embodiment of the invention, the adapter comprises on a first side an adjustable fixing means for smartphones and on a second opposite face a third sliding transverse coupling means complementary to the fourth sliding transverse coupling means of the body.
    Preferably, the adjustable fixing means for smartphones of the first face of the adapter comprises a fixed flange and a transversely adjustable flange so that it approaches and moves away from said fixed flange, thus trapping the smartphone between them.
    On the other hand, the third sliding transverse coupling means of the second face of the adapter can be configured as a pair of tongue-and-groove rails complementary to another pair of rails of the body constituting the fourth sliding transverse coupling means. In this way, the adapter can slide relative to the body to place the smartphone in the most appropriate position depending on the model.
    Sometimes, it is desirable to support the retinoscope on the patient's face to avoid unwanted movements and changes in distance or orientation in relation to the lens of Volk. For this reason, the invention furthermore comprises a longitudinally projecting support element which can be coupled to the body in a longitudinally sliding manner. That is to say, the support element protrudes through the front area of the retinoscope of the invention a configurable distance. In order to be able to vary this distance, preferably the support element comprises a fifth sliding longitudinal complementary coupling means with a sixth sliding longitudinal coupling means of the body. Both coupling means can be configured as tongue and groove rails.
    Also sometimes it is convenient to use a magnifying glass between the lighting medium and the lens to enlarge the image obtained in order to better distinguish the details. Therefore, the retinoscope of the present invention preferably further comprises a magnifying lens holder slidable longitudinally engageable between the lens holder and the illumination means. For this purpose, the loupe support preferably comprises a seventh sliding longitudinal complementary coupling means with an eighth sliding longitudinal coupling means of the Volk lens holder.
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    Although, as described above, preferably the various coupling means employed in the invention can be implemented as complementary tongue-and-groove rails, it is necessary to mention that in each case each pair of coupling means could be implemented respectively as a rack and a toothed rod that It moves by means of a wheel, which allows a more precise movement of each element in question.
    The invention is also directed to separately protect each of the elements attachable to the open retinoscope that has been described in the preceding paragraphs.
    Therefore, another aspect of the invention is directed to a support element engageable to an open retinoscope as described above, wherein the support element comprises a fifth sliding longitudinal coupling means complementary to the sixth sliding longitudinal coupling means of the body of the open retinoscope
    Yet another aspect of the invention is directed to a loupe holder attachable to a retinoscope as described above, wherein the support comprises a seventh sliding longitudinal coupling means complementary to the eighth longitudinally sliding coupling means for Volk's lens of the open retinoscope.
    BRIEF DESCRIPTION OF THE FIGURES
    Figs. 1a and 1b show two perspective views of an example of an adapter according to the invention.
    Figs. 2a and 2b show two perspective views of a body example according to the invention.
    Fig. 3 shows a perspective view of an example of a Volk lens holder according to the invention.
    Fig. 4 shows a perspective view of an example of support element according to the invention.
    Figs. 5a and 5b show two perspective views of an open retinoscope according to the invention further comprising a support element.
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    Fig. 6 shows a perspective view of a lens holder according to the invention.
    Fig. 7 shows a perspective view of an open retinoscope according to the invention, further comprising a support element and a magnifying lens holder.
    PREFERRED EMBODIMENT OF THE INVENTION
    Figs. 1a and 1b show respective views of an adapter (2) for smartphone according to the invention. The adapter (2) is the part of the open retinoscope (1) that allows the fixation of a smartphone, and is formed by a flat plate having a first face (2a) and a second face (2b).
    On the first face (2a), which is seen in greater detail in Fig. 1a, is located a means (21, 22) of adjustable attachment for a smartphone formed by a fixed rim (22) and a flange (21) mobile that can be adjusted transversely to catch the Smartphone (not shown in the figures). The displacement of the movable rim (21) is achieved by means of a screw shown to the left of the figures.
    On the second face (2b), which is seen in greater detail in Fig. 1b, there is a third means (23) of sliding coupling in the transverse direction. As can be seen, this third coupling means (23) is configured as a pair of tongue and groove rails which, as will be seen below, are coupled to a fourth means (33) transverse coupling of the body (3).
    For greater clarity, Fig. 1a shows a line (L) corresponding to the longitudinal plane and in Fig. 1b a line (T) corresponding to the transverse plane has been represented.
    Figs. 2a and 2b show two perspective views of the body (3) according to the invention. The body (3) is essentially formed by a transverse portion (3a) coupled to a longitudinal portion (3b).
    The transverse portion (3a) has a parallelepiped shape oriented in a transverse direction in the proximal face (the one closest to the smartphone when using the open retinoscope)
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    (1)) is the fourth means (33) of transverse coupling. This fourth coupling means (33) is configured as a pair of tongue-and-groove rails complementary to the rails of the third coupling means (23) of the adapter (2). Thus, the adapter (2) can be coupled to the body (3) in a sliding manner to locate the position of the camera of the smartphone in the necessary position.
    The transverse portion (3a) also supports a small central vertical projection where the illumination source (31) is located, normally an LED. Also included is a system that allows to raise or lower the source (31) of lighting so that it faces the lens (51) of Volk that will be described later and also aligned with the lens of the smartphone camera. The transverse portion (3a) also has a switch (35) for turning the light source (31) on or off. In Fig. 2b it can be seen the corresponding wiring housed inside the parallelepiped volume of the transverse portion (3a), which in this example is open on its proximal face.
    The longitudinal portion (3b) also has a parallelepiped shape attached to the area of the lower edge of the transverse portion (3a) and oriented in the longitudinal direction. The longitudinal portion (3b) has a first means (32) of longitudinally sliding coupling on its upper face intended for coupling a lens (51) of Volk as described below. This first (32) coupling means consists of a pair of tongue-and-groove rails located on the upper lateral edges of the longitudinal portion (3b) extending in the longitudinal direction.
    The underside of the longitudinal portion (3b) also has a sixth (36) longitudinal coupling means configured as a pair of tongue and groove rails running along the lower lateral edges of the longitudinal portion (3b) extending in the longitudinal direction. This sixth (36) coupling means will serve, as will be described later, for the coupling of a support element (6) that will serve to support the open retinoscope (1) on the face of the patient.
    The longitudinal portion (3b) also comprises a housing (34) for the power cells of the lighting source (31). This housing (34) is located in the most proximal part of said longitudinal portion (3b) so that the piles are close to the transverse portion (3a) that houses the wiring and the illumination source (31) itself.
    Fig. 3 shows an example of a lens (51) of Volk suitable for coupling to the
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    longitudinal portion (3b) of the body (3) shown in the previous figures. The lens (51) of Volk is mounted vertically in a support (5) having a circular shape arranged perpendicular to a horizontal base having a second longitudinally sliding coupling means (52) configured as a pair of tongue-and-groove rails facing downwards. This second coupling means (52) is complementary to the first coupling means (32) of the longitudinal portion (3b) of the body (3), so that the support (5) can be coupled to the body (3) in a sliding manner to allow zooming in or out of the lens (51) of Volk.
    The Volk lens holder (5) of Fig. 3 also has an eighth coupling means (53) configured as a pair of tongue-and-groove rails facing upwards. This eighth coupling means (53) will serve to couple a support (7) for magnifying glass, as will be seen later.
    Fig. 4 shows an example of support element (6) according to the invention. This support element (6) is essentially formed by a padded end fixed to a base provided with a fifth longitudinal coupling means (61). This fifth longitudinal coupling means (61) is configured as a pair of tongue-and-groove rails complementary to the sixth coupling means (36) located on the lower face of the longitudinal portion (3b) of the body (3).
    Figs. 5a and 5b show respective perspective views showing an example of open retinoscope (1) according to the invention provided with support element (6). As can be seen, the lens support (5) of Volk can slide longitudinally thanks to the complementarity of the second coupling means (52) of the support (5) and the first coupling means (32) of the body (3). ). This allows the lens (51) of Volk to be moved closer and closer to the lens of the smartphone camera and to the lighting source (31) as necessary. The support element (6), in turn, can also slide longitudinally thanks to the complementarity of the fifth coupling means (61) of said element (6) and the sixth coupling means (36) of the underside of the portion (3b) longitudinal of the body. This allows the padded end of the support element (6) to be moved closer and farther apart to be supported on the patient's face as needed. For its part, the adapter (2) can slide transversely thanks to the complementarity of the third transverse coupling means (23) of the adapter (2) along the fourth coupling means (33) of the body (3).
    Finally, Fig. 6 shows a support (7) for a loupe intended to be coupled to the open retinoscope (1) of the invention. This support (7) has a seventh coupling means (71) configured as a pair of tongue-and-groove rails of small length that are complementary to the eighth coupling means (53) located on the upper face of the base of the support (5) of the lens (51) of Volk.
    Thus, as shown in Fig. 7, this lens holder (7) can be coupled to the base of the support (5) of the lens (51) of Volk in such a way that the lens is aligned with the lens (51) of Volk and with the lens of the camera of the smartphone, and can move 10 longitudinally to approach or move away from one or the other as needed.
    权利要求:
    Claims (14)
    [1]
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    1. Open retinoscope can be coupled to a smartphone, characterized by comprising:
    - a body (3) comprising a source (31) of illumination oriented in a longitudinal direction and a first means (32) of longitudinally sliding coupling to a lens support (51) of Volk;
    - a support (5) for the lens (51) of Volk coupled longitudinally sliding to the body (3), where the support (5) comprises a second means (52) of sliding longitudinal coupling complementary to the first means (32) sliding longitudinal coupling of the body (3); Y
    - an adapter (2) for smartphone connectable to the body (3) transversely sliding.
    [2]
    An open retinoscope (1) according to claim 1, wherein the adapter (2) for smartphone comprises on a first face (2a) a means (21, 22) for adjustable fixation for a smartphone and on a second face (2b) ) opposite a third means (23) of complementary sliding transversal coupling with a fourth means (33) of transversal sliding coupling of the body (3).
    [3]
    Open retinoscope (1) according to claim 2, wherein the adjustable fixing means (21, 22) of the adapter (2) for smartphone comprises a fixed flange (22) and a flange (21) transversely adjustable so that it approaches and moves away from said fixed flange (22).
    [4]
    Open retinoscope (1) according to any of claims 2-3, wherein the body (3) comprises a longitudinal portion (3b) incorporating the first coupling means (32) and a transverse portion (3a) incorporating the fourth means (33) of coupling and the source (31) of illumination.
    [5]
    An open retinoscope (1) according to any of the preceding claims, wherein the body (3) further comprises a housing (34) for feeding cells of the illumination source (31).
    [6]
    6. Open retinoscope (1) according to any of the preceding claims, wherein the body (3) further comprises a switch (35) of ignition of the source (31) of illumination.
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    [7]
    7. Open retinoscope (1) according to any of the preceding claims, wherein the source (31) of illumination is an LED.
    [8]
    8. Open retinoscope (1) according to any of the preceding claims, wherein the source (31) of lighting is adjustable in height.
    [9]
    An open retinoscope (1) according to any of the preceding claims, further comprising a protruding support element (6) engageable to the body (3) in a longitudinally sliding manner.
    [10]
    Open retinoscope (1) according to claim 9, wherein the support element (6) comprises a fifth means (61) of sliding longitudinal complementary coupling with a sixth means (36) sliding longitudinal coupling of the body (3).
    [11]
    An open retinoscope (1) according to any of the preceding claims, further comprising a support (7) for magnifying glass slidably engageable between the support (5) for Volk lens and the lighting means (31).
    [12]
    Open retinoscope (1) according to claim 11, wherein the support (7) for a magnifying glass comprises a seventh means (71) of sliding longitudinal complementary coupling with an eighth means (53) of sliding longitudinal coupling of the support (5) for lens (51) of Volk.
    [13]
    13. Support element (6) can be attached to an open retinoscope (1) according to any of
    claims 1-12, characterized in that it comprises a fifth means (61) of sliding longitudinal coupling complementary to a sixth means (36) of
    Sliding longitudinal coupling of the body of the retinoscope (1).
    [14]
    14. Support (7) for magnifying glass attachable to an open retinoscope (1) according to any of the
    claims 1-12, characterized in that it comprises a seventh means (71) of
    sliding longitudinal complementary coupling with an eighth half (53) of
    Longitudinal sliding coupling of support (5) for Volk lens. of the retinoscope (1).
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    同族专利:
    公开号 | 公开日
    ES2578943B1|2017-05-10|
    US10799114B2|2020-10-13|
    EP3241487A4|2018-12-05|
    WO2016107953A1|2016-07-07|
    US20180049637A1|2018-02-22|
    EP3241487A1|2017-11-08|
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    AU2014274060A1|2013-05-31|2015-12-17|The Board Of Trustees Of The Leland Stanford Junior University|Modular lens adapters for mobile anterior and posterior segment ophthalmoscopy|US11147441B2|2018-01-16|2021-10-19|Welch Allyn, Inc.|Physical assessment device|
    法律状态:
    2017-05-10| FG2A| Definitive protection|Ref document number: 2578943 Country of ref document: ES Kind code of ref document: B1 Effective date: 20170510 |
    优先权:
    申请号 | 申请日 | 专利标题
    ES201431963A|ES2578943B1|2014-12-30|2014-12-30|Open retinoscope attachable to a smartphone|ES201431963A| ES2578943B1|2014-12-30|2014-12-30|Open retinoscope attachable to a smartphone|
    PCT/ES2015/070959| WO2016107953A1|2014-12-30|2015-12-29|Open retinoscope couplable to a smartphone|
    EP15875290.7A| EP3241487A4|2014-12-30|2015-12-29|Open retinoscope couplable to a smartphone|
    US15/540,735| US10799114B2|2014-12-30|2015-12-29|Open retinoscope couplable to a smartphone|
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