WO2016178952A1 - Réduction de la douleur du perçage de la peau à l'aide de vibrations - Google Patents

Réduction de la douleur du perçage de la peau à l'aide de vibrations Download PDF

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Publication number
WO2016178952A1
WO2016178952A1 PCT/US2016/029971 US2016029971W WO2016178952A1 WO 2016178952 A1 WO2016178952 A1 WO 2016178952A1 US 2016029971 W US2016029971 W US 2016029971W WO 2016178952 A1 WO2016178952 A1 WO 2016178952A1
Authority
WO
WIPO (PCT)
Prior art keywords
arms
frame
tip
vibration
body part
Prior art date
Application number
PCT/US2016/029971
Other languages
English (en)
Inventor
Mark LORBERBAUM
Philip RALABATE
Paul Dicesare
Original Assignee
Bing Innovations, Llc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US14/803,535 external-priority patent/US9463287B1/en
Application filed by Bing Innovations, Llc filed Critical Bing Innovations, Llc
Priority to EP16789808.9A priority Critical patent/EP3288616B1/fr
Priority to ES16789808T priority patent/ES2789359T3/es
Priority to US15/571,211 priority patent/US10695508B2/en
Priority to CN201680038977.XA priority patent/CN107735131B/zh
Priority to DK16789808.9T priority patent/DK3288616T3/da
Priority to CA2984327A priority patent/CA2984327A1/fr
Publication of WO2016178952A1 publication Critical patent/WO2016178952A1/fr
Priority to HK18109329.3A priority patent/HK1249871A1/zh

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/42—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests having means for desensitising skin, for protruding skin to facilitate piercing, or for locating point where body is to be pierced
    • A61M5/422—Desensitising skin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/203—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser applying laser energy to the outside of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150015—Source of blood
    • A61B5/150022—Source of blood for capillary blood or interstitial fluid
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150053—Details for enhanced collection of blood or interstitial fluid at the sample site, e.g. by applying compression, heat, vibration, ultrasound, suction or vacuum to tissue; for reduction of pain or discomfort; Skin piercing elements, e.g. blades, needles, lancets or canulas, with adjustable piercing speed
    • A61B5/150106—Means for reducing pain or discomfort applied before puncturing; desensitising the skin at the location where body is to be pierced
    • A61B5/150137—Means for reducing pain or discomfort applied before puncturing; desensitising the skin at the location where body is to be pierced by vibration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00452—Skin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/15—Devices for taking samples of blood
    • A61B5/150007—Details
    • A61B5/150839—Aesthetic features, e.g. distraction means to prevent fears of child patients

Definitions

  • This application is related to:
  • the disclosure relates to a system and method for vibrating a body part to reduce pain during piercing of the skin, and more particularly to applying vibration using a handheld tool with a vibrating tip.
  • Procedures for reducing pain when injecting a material into the body, removing a body fluid or body tissue, or otherwise piercing the skin include (a) placing a very cold material against the skin or flesh of the patient at the piercing site, (b) applying a topical treatment to the skin or flesh at the piercing site, which temporarily numbs the skin or flesh or (c) rapidly manually massaging the skin or tissue at the injection site while performing the injection.
  • FIG. 1 is an exploded drawing showing an embodiment of the apparatus of the present disclosure
  • FIG. 2 is an assembly view in section of a disposable tip mounted on the handle sleeve of an instrument of the disclosure
  • FIG. 3 depicts an alternative replaceable tip of the disclosure including a V-shaped distal end
  • FIG. 4 depicts the tip of FIG. 3 connected to a device of the disclosure, applied to a body part of a patient;
  • FIG. 5 depicts a front view of the tip of FIG. 3
  • FIG. 6 depicts a side view of the tip of FIG. 3;
  • FIG. 7 depicts a side view of the tip of FIG. 3, modified to have an alternative arm angle, and illustrating an alternative non-unitary tip having a separable distal end and base;
  • FIG. 8 depicts an alternative distal end forming a closed loop
  • FIG. 9 depicts an alternative distal end having arms which form a divided loop
  • FIG. 10 illustrates the distal end of FIG.8 used to apply vibration to a body part prior to and during a lancing procedure
  • FIG. 11 is a top perspective view of an alternative replaceable tip of the invention, dimensioned to engage a body part and a tool end;
  • FIG. 12 is an exploded view of the tip of FIG. 11 ;
  • FIG. 13 is a bottom perspective view of the tip of FIG. 11;
  • FIG. 14 is a side view of the tip of FIG. 11;
  • FIG. 15 is a top view of the tip of FIG. 11;
  • FIG. 16 is a front perspective view of the tip of FIG. 11 ;
  • FIG. 17 is a bottom view of the tip of FIG. 11 ;
  • FIG. 18 is a perspective view of the tip of FIG. 11 connected to a remainder of an instrument of the disclosure
  • FIG. 19 is a perspective view of the instrument of FIG. 18 being used to position a prior art lance device in relation to a finger of a patient for a therapeutic procedure in which the instrument reduces pain of the procedure;
  • FIG. 20 is a perspective view of a holder of the disclosure holding an instrument of the disclosure;
  • FIG. 21 is a side view of the holder of FIG. 20, which has not been engaged with a supporting surface;
  • FIG. 22 is a cross-sectional side view of the holder of FIG. 20 taken along line A-A of FIG.
  • FIG. 23 is a side view of the holder of FIG. 20, where the holder has been pressed against a surface to activate a suction cup of the holder, and to spring-load a resilient frame of the disclosure;
  • FIG. 24 is a cross-sectional view of the holder of FIG. 23, taken along line A-A of FIG. 20;
  • FIG. 25 is a side view of the holder of FIG. 20, with the suction cup engaged with a surface, and with the frame exerting a pulling force against the suction cup, while engaged with the surface;
  • FIG. 26 is a cross-sectional view of the holder of FIG. 25.
  • the terms “a” or “an”, as used herein, are defined as one, or more than one.
  • the term plurality, as used herein, is defined as two, or more than two.
  • the term another, as used herein, is defined as at least a second or more.
  • the terms “including” and “having,” as used herein, are defined as comprising (i.e., open language).
  • the term “coupled,” as used herein, is defined as "connected,” although not necessarily directly, and not necessarily mechanically.
  • the disclosure reduces pain to a patient being injected, for example with an anesthetic, serum, vitamins, vaccine, or other medically efficacious liquid.
  • the disclosure can be easily and inexpensively utilized during a medical, veterinary or dental procedure to almost completely or substantially eliminate the pain attendant an inj ection as it punctures the skin or flesh of the patient.
  • the disclosure overcomes the cumbersome, time consuming aspects of the prior art, including providing a more efficacious effect, more often reducing pain to an acceptable level.
  • the disclosure also reduces pain when a body fluid is withdrawn from a patient, for example using a lancet or hypodermic needle and syringe.
  • the disclosure reduces pain to a patient being injected, for example with an anesthetic, serum, vitamins, vaccine, or other medically efficacious liquid.
  • the disclosure can be easily and inexpensively utilized during a medical, veterinary or dental procedure to almost completely or substantially eliminate the pain attendant an injection as it punctures the skin or flesh of the patient.
  • the disclosure also reduces pain due to any disturbance of the skin our underlying tissues, for example the pain which accompanies puncture of the skin associated with removal of fluids from the body. Examples include while removing blood for a glucose test or other blood analysis; during a puncture associated with treatment of the skin, such as acne or blisters; and for other fluid withdrawals, for example during phlebotomy, paracentesis, aspiration, or synovial fluid withdrawal.
  • a vibrating end contacts at least two skin or tissue areas, or a circular skin or tissue area, immediately at an injection site or site of a painful contact, and do so while the painful act takes place. Pain can be caused by injection, for example of a liquid anesthesia, serum, vitamins, vaccine, or other medical or dental efficacious material, into the skin or tissue at the injection site.
  • a region of interest for a dentist can be the entire oral mucosa area and underlying bone, whereas the region of interest for a medical doctor can be the whole body and underlying bone.
  • the disclosure is applicable to both practitioners, for any area of the body.
  • a typical injection procedure may involve an injection of Lidocaine into a patient's gum or other tissue during a dental procedure.
  • the method of the disclosure consists in vibrating tissue of a human or animal in proximity to a preselected injection site on the human or animal body while simultaneously injecting by a needle or like instrument a liquid at the preselected injection site.
  • the vibration can be effective if transmitted to a circular or other shaped area of body tissue, which can include bone underlying skin at an injection site, and particularly on opposite sides of injection site.
  • an endpiece such as a vibrating tip of the instrument is prevented, to avoid cross-contamination between patients.
  • the tip is broken when removed.
  • electromagnetic communication is established between an electronic tag on a tip and an electronic circuit within the body of the instrument. In this manner, a use count and validation of the tip can be monitored, and activation of the instrument can be disabled if the tip should be replaced after a period of time, or a predetermined number of uses, which are indicative of potential reuse between patients.
  • the embodiment disclosed herein is a tool for relieving pain associated with an injection, or any other piercing of the skin.
  • the disclosure applies to other pain inducing procedures applied to any body tissue, such procedures including cauterizing, application of laser light, application of chemicals, or insertion of sutures, clips, or staples, or to pierce the skin to withdraw a sample of a body fluid.
  • the disclosure can be used to control the use of any tool tip, whether used in dentistry, general medicine, or within an industrial application, for example a grinding or boring machine tool tip, or other end effector.
  • instrument 10 for performing the functions of the present disclosure, as will be explained hereinafter.
  • instrument 10 is a handheld apparatus comprising a main frame, body or handle 12 in the shape of a tube having a battery cover 14 as an end closure that is threaded to screw onto the open end of handle 12 in a complementary fit.
  • Handle 12 is composed of hard plastic or other sufficiently rigid material, and partially receives a chassis 22, the uncovered portion being covered by the battery cover 14.
  • One or more rechargeable batteries are located in battery compartment 16 of chassis 22.
  • An induction coil 18 is mounted on the end of chassis 22 and positioned in the battery cover 14 to couple to a charge device in a
  • An external power source can be connected to instrument 10 by a wire, to charge an internal battery, to power the device in the absence of a battery, or to power the device while a battery is charging.
  • a motor 24 driving a cam 26 is housed in the handle 12.
  • Cam 26 includes a bore in the form of a ball socket whose axis is offset from the motor drive axis.
  • the vibration induced by the cam 26 and follower 100 is transmitted via a polycarbonate light rod 30 to polycarbonate tip frame 50 and will produce vibrations at the free ends of the two bifurcated legs 42 of tip frame 50.
  • polycarbonate can be replaced with any other material of sufficient rigidity and light transmitting ability.
  • alternative means of producing vibration can be provided, including for example reciprocating mechanisms, electromechanical actuators, and acoustic or other vibrating transducers, or other types, as known or hereinafter developed.
  • the light rod 30 pivots about a resilient mounting, enabled in an embodiment by a resilient O-ring, at the end of nozzle 34 which can hold the light rod 30 relative to nozzle 34 so that it can vibrate freely.
  • a PCB board 20 containing electrical and electronic circuitry 28 is mounted on the chassis 22. The battery is connected via the circuitry 28 to control the motor 24 in the manner described in one or more of the prior applications incorporated herein by reference.
  • vibration produced by the cam 26 is coupled to polycarbonate light rod 30 via a coupling fitting and cam follower.
  • the forward end of the handle 12 has an adapter 32 fixed to the chassis and the handle.
  • a nozzle 34 is fixed to the adapter 32.
  • the light rod 30 is received in the nozzle 34 and is resiliently coupled to it at its forward end.
  • the nozzle 34 receives an endpiece, in this embodiment a disposable tip 40 comprised of three components, namely, a forward vibratable tip 50 detachably and rigidly mounted on the end of light rod 30 to transmit vibrations, with tip 50 having, among various configurations, a bifurcation at its forward end; a tip sleeve 62 for detachably and rigidly mounted on nozzle 34; and an overmold 52 that holds tip 50 and sleeve 62 together and enables tip 50 to vibrate freely relative to sleeve 62.
  • An LED 36 is mounted to the PCB 20 as shown in FIG. 2, disposed to transmit light into light rod 30 during vibration of light rod 30.
  • instrument 10 including an electromechanical interlock to prevent excessive reuse of tip 40; the function of overmold 52 for transmitting vibration and connecting legs 42; a mechanical connection which cuts overmold 52 during removal of tip 42 to prevent reuse; a ball end 100 and cam 26 connection for generating vibration; pulsation of vibration with varying on/off times; various tip end 42 shapes and configuration; an instrument 10 charging stand and inductive charger; a toy adapter; a noise generator; applying pressure after piercing tissue; various angular dispositions of the tip ends 42; a light shone between tip ends 42; a music player incorporated into instrument 10; an RFID or near field tag associated with tip 40 in communication with an antenna and processor connected to the handle 12.
  • tip 40B which does not include overmold
  • frame tip or distal tip 50 includes two longitudinally extending arms 81 which form a V-shape. This shape enables any narrow body part, including for example a tendon, toe, thumb, muscle, ear, nose, cheek, tongue or other mouth part, brow, or finger 500, to be inserted between the arms 81 of the V until contacted on opposite sides of the body part.
  • a single size of distal tip 50 can accommodate a range of sizes and parts.
  • distal tip 50 can be provided in a variety of sizes and shapes.
  • arms 81 can be disposed at various angles with respect to handle 12. This angle can be selected to enable handle 12 to be positioned at a comfortable distance from the body when arms 81 are applied to the body. The angle can further be selected to foster a comfortable posture of the practitioner or patient when holding handle 12 when positioning a particular body part within arms 81. In the example of FIG. 6, an angle of 60 degrees is illustrated, and the example of FIG. 7, an angle of 45 degrees is illustrated. It should be understood that this angle can be any angle, selected to facilitate positioning arms 81 in contact with a desired body part, in consideration of the relative position of the person holding handle 12, and in consideration of the manner in which arms 81 and other part of tip 40 should contact the body part to be desensitized to pain.
  • FIG. 7 further illustrates that tip 40B can be produced in separable components, although it should be understood that tip 40B can also be produced as a unitary part including base 44 and tip 50.
  • vibration can be initiated and continued as described herein.
  • this vibration can be at any of a range of frequencies, or along a range of frequencies, and a particular frequency or range of frequencies can be programmed or provided which best demonstrates efficacy to reducing pain associated with piercing or treating a particular body part, and/or a body part with particular characteristics, for example relating to skin thickness or sensitivity.
  • the vibration can be pulsed or discontinuous.
  • distal tip 50A is provided with a lateral arm 81A which forms a closed loop between arms 81.
  • an inserted body part such as finger 500 in FIG. 10
  • a loop can be used to retain the body part in contact with the vibration, which can be helpful for fearful or otherwise movement prone patients.
  • Lateral arm 81 A can also be provided with a gap 274, as shown in FIG. 9, which can enable arms 81 A to bend to accommodate larger body parts, or to more resiliently contact the body part on opposing sides.
  • instrument 10B is shown applied to a finger 500, which is about to be pierced by lance 510, in order to obtaining a blood sample for a therapeutic application, such as glucose monitoring.
  • finger 500 is inserted within distal tip 50A, although any other tip of the disclosure which can accommodate a finger can be used.
  • finger 500 is pressed into the narrow portion of the V shape to increase contact with distal tip 50A, to better convey vibration to the skin of finger 500.
  • Vibration is applied to the finger at intervals and frequencies described elsewhere herein and in the incorporated references, and the finger is lanced with reduced discomfort and pain, after which vibration can be terminated, and the finger 500 can be removed from distal tip 5 OA.
  • an instrument IOC include a distal tip 50C configured to cooperate with a skin piercing device.
  • Instrument IOC further includes a nozzle 34 and tip sleeve or base 44, which function in a manner as shown and described for any of the embodiments herein, including for example as described for instruments 10 and 10A.
  • a distal tip 50C includes a cup 212C including positive ribs 61 or any other form of coupling with nozzle 34 as described herein or as may otherwise be carried out to transmit vibration to distal tip 50C.
  • the distal tip 50C can be provided with tag 370 and antenna 302 and associated components as described with respect to instrument 10A.
  • Distal tip 50C is provided with a body contacting profile 270, which are shaped to receive a body part which is to be pierced or is otherwise to be subjected to a potentially painful procedure.
  • portions 270 are configured to be contacted by an end of a finger 500 of a hand, or a toe of a foot of a patient.
  • contacting profile 270 can be sized and shaped to be engaged by any body part.
  • Contacting profile 270 is shaped to guide the body part into vibration transmitting contact with tip 50C, and to reduce the likelihood of movement of the body part during the procedure by contacting the body part along differing areas thereof.
  • Arms 81 C extend past contacting profile 270 and cooperate therewith to support and guide the body part.
  • contacting profile 270 is provided in two parts, each associated with one of arms 81C, and each extends substantially transverse with respect to a plane defined by arms 81C, although profile 270 can project therefrom at any angle which bests
  • a shaped surface 276 forms a curve which corresponds to the shape of the end of human finger, whereupon arms 81 C support a fingertip pad portion of the finger. Shaped surface 276 further has angled surfaces which are mutually facing and which function to center the finger within tip 50C, whereupon a center of the fingertip pad is positioned to be exposed by space 220C, through which the procedure may be conducted.
  • the various surfaces of tip 50C can be formed directly upon a unitary molded part, or can be formed upon a surface of an overmold 52C. In the latter configuration, tip 50C forms an inner supporting frame which supports overmold 52C, and limits deformation and bending thereof.
  • Overmold 52C can be made of plastic, neoprene, silicone rubber, latex, or any other material which confers beneficial properties upon tip 50C, which can include any or all of
  • Overmold 52C can include an opening proximate lens 53C or other opening in cup 61 through which light may be transmitted. It should be understood, however, that tip 50C can be molded as a unitary part from similar materials providing the same beneficial properties.
  • arms 81C are separated from each other by a gap 274C, which promotes the conduction of vibration along the entirety of arms 81C, including contacting profile 270. Further, arms 81 C are resilient, and can be bent relatively apart to admit passage of, and thereby better grip, a portion of a body part, directing the vibration into the body part. Arms 81 C can be disposed at an angle relative to handle 12 as described elsewhere herein with respect to other tip arms.
  • arms 81C and space 220C are sized and dimensioned to engage a tool which will be used to carry out a therapeutic procedure for a patent, including for example obtaining a blood sample, as shown in FIG. 19. More particularly, in the example of FIG. 19, arms 81 C are shaped to surround almost entirely, and positively position, a lancing device 512 which has a tapered round end 520 shape. Arms 81C thereby ensure that an area of skin which is to be pierced is optimally located with respect to arms 81 C to ensure that vibration extends around the area of skin to be pierced, thereby ideally impacting nerve sensations associated with the area to be pierced.
  • tip 50C can be configured to only engage a body part using a contacting profile 270, or only engage a tool end using shaped arms 81 C, or can be configured to do both, as illustrated.
  • arms 81 C can resiliently bend to admit passage of the mating tool end 520, and thereafter resiliently apply a force towards an original position of arms 81C to thereby grip the tool end 520 to help maintain its position with respect to the body part during use of the tool 512.
  • Tip 50C can also be formed with arms 81C connected as shown in the embodiment of FIG. 8, and may still resiliently grip and mate with an inserted tool end.
  • arms 81 C can be rigid, and either unconnected or connected, yet can form a mating relationship with one or more tool ends.
  • a leading gap 278 can be provided between a base of arms 81 C and space 220C. Leading gap 278 further provides a pathway for illumination to pass from lightpipe 30 to the working area proximate space 220C.
  • arms 81 C of tip 50C and a tool end is not limited to a lancing device, and can be created between tip 50C and any therapeutic tool currently known and hereinafter developed which can advantageously be positively located relative to a piercing or potentially painful site, and the application of vibration from an instrument 10 or 10A of the disclosure.
  • an alternative lance 510 end shape can be used, as well as a hypodermic syringe 522, or sutures 524, for example.
  • Therapeutic procedures can include injecting a liquid, for example when providing a drug or vaccine, or removing fluid, for example withdrawing blood or an infection, or for applying light, for example laser light, in the treatment of skin disease.
  • tip 50C or any tip of the disclosure can also be used within a cosmetic or non-therapeutic procedure, including for example use with a tattoo needle for creating a tattoo, or a laser for removal of a tattoo, or a laser for treating the skin for wrinkles or discoloration.
  • a mounting base 400 for an instrument 10D of the disclosure includes a device stand 410, a base extension 404, instrument holder 412, support legs 420, 422, and a suction cup 430.
  • Device holder can be sized and shaped to releasably and securely retain any instrument of the disclosure as described herein, or in the incorporated references.
  • instrument 10D further includes an ergonomically shaped handle 12B, which has a flattened profile which facilitates gripping with the hand for rotating instrument 10D to a desired optimum angle for contact of tip frame 50 with the treatment site.
  • Instrument holder 412 is shaped to slidingly and releaseably retain handle 12 (generally designating 12/12A/12B), and forms a tapered profile which mates with a tapered profile of handle 12, to enables insertion of instrument 10 (generally designating 10/l OA/l OB/lOC/l OD) to a desired predetermined extent, whereby a sufficient portion of handle 12 extends from holder 412 in order to enable handle 12 to be easily grasped and pulled to remove instrument 10.
  • handle 12 can be shaped to contact a surface of instrument 10 to prevent insertion beyond a desired predetermined extent.
  • holder 412 and handle 12 can be provided with mating detent portions, such as a protrusion 442 on one part, and a recess 444 on another, which engage when instrument 10 has been inserted sufficiently.
  • protrusion 442 is disposed on a resilient arm 446, integrally molded with holder 412.
  • Recess 444 is disposed within handle 12, although it should be understood that a recess can be provided within holder 412, and a protrusion can be provided upon handle 12. Further, a recess can be provided upon resilient arm 446, and a fixed protrusion can be provided upon handle 12.
  • protrusion 442 When instrument 10 is inserted, arm 446 bends to enable protrusion 442 to be displaced by handle 12. When protrusion 442 is aligned with recess 444, arm 446 pushes protrusion 442 into recess 444.
  • An alignment of protrusion 442 and recess 444 can be achieved by mating surfaces in an interior surface of holder 412, and corresponding mating exterior surfaces of instrument 10, which contact each other to mutually guide and orient instrument 10 as it is inserted into holder 412.
  • Holder 412 includes two opposed arms 414, 416 which can be formed with a resilient material, whereby arms 414/416 can bend to enable engagement and disengagement of the detent.
  • resilient arms 414/416 can be formed to define, when relaxed, an interior diameter which is smaller than a diameter of instrument 10 or handle 12, whereby a wedging force is achieved when instrument 10 has been inserted, which causes instrument 10 to be securely retained between arms 414/416 when sufficiently inserted.
  • Holder 412 can further be disposed at an angle with respect to a plane defined by a bottom of legs 420, 422, which are intended to rest upon a surface upon which base 400 is to be mounted. In this manner, gravity can be employed to retain instrument 10 within holder 412. In the embodiment shown, an angle of 15 degrees is formed, although any angle can be used, for example anywhere from 10 to 30 degrees, although any angle between zero and vertical, inclusive, can be used in accordance with the disclosure. In an embodiment, the angle can be selected by rotating holder 412 about a pivot (not shown) which connects holder 412 to base extension 404.
  • Base extension 404 increases a height of holder 412 above a surface to which device stand
  • tip frame 50 does not contact the surface when instrument 10 is in holder 412, and handle 12 is spaced from the surface to be easily grasped by a hand.
  • Legs 420, 422 extend from opposite sides of a lower portion 424 of base extension 404. While two legs are shown, any number of legs can be provided, such as 3, 4, or a large number. However, the legs are advantageously resilient, and can bend a substantial extent, as will be described in detail with respect to FIGS. 23-26. The formation of independent legs facilitates bending, however it should be understood that, in place of independent legs 420, 422, a cup-like structure could be provided, so long as the required resiliency and stability, as described below, are provided.
  • Suction cup 430 is connected at a closed end forming a peak 432 to legs 420, 422, or base extension 404.
  • an attachment button 434 is provided upon a post 450 at peak 432, sized to be inserted through a gap or aperture 436 in base extension 404, whereby suction cup 430 is releasably attached to mounting base 400.
  • Suction cup 430 can be connected by other means, such as adhesive, a removable fastener, crimp, or any other method.
  • suction cup 430 can swivel with respect to legs 420, 422, so that suction cup 430 can independently move to form an optimal angular engagement for maintaining a suction or vacuum engagement against a supporting surface.
  • suction cup 430 in a non-engaged state, extends beyond a furthest extent of legs 420, 422.
  • FIG. 22 illustrates this state in a cross-section taken along line A-A of FIG. 20.
  • FIG. 23 illustrates this state in a cross-section taken along line A-A of FIG. 20.
  • mounting base 400 may be released, whereupon legs 420, 422 resiliently apply a biasing force to push mounting base in a direction away from surface 540. If surface 540 is sufficiently smooth, and a sealing surface is formed between a peripheral contact surface 438 of suction cup 430, a vacuum is formed within interior 440 of suction cup 530 as button 434 in pulled in a direction away from surface 540. This is achieved as legs resiliently bend to push extension 404 and aperture 436 in a direction away from surface 540 (not shown in FIGS. 24-26).
  • a suction is formed pulling mounting base 400 in a direction towards surface 540, and legs 420, 422 continue to push against surface 540 in a direction away from surface 540, resulting in a stabilization of base 400 with respect to surface 540.
  • Mounting base 400 can be fabricated of any material, for example metal, wood, plastic, or composite material. Plastic is advantageous as it can be used in a clinical environment, and can be machine washed or wiped with disinfectant cleaners without being damaged. Further, plastic can be selected to be inherently resilient, thereby facilitating the formation of resilient arms 414, 416, resilient detent arm 446, and resilient legs 420, 422.
  • mounting base 400 in particular metal, including shape metal alloys, for example.
  • Non-limiting examples include thermoplastics such as Acrylic, ABS, Nylon, PLA, Polybenzimidazole, Polycarbonate, Poly ether sulfone, Polyetherether ketone, Polyetherimide, Polyethylene, Polyphenylene oxide, Polyphenylene sulfide, Polypropylene, Polystyrene, Polyvinyl chloride, and Teflon.
  • Suction cup 430 can be fabricated from any of the foregoing materials which are soft and pliable at room temperature, further including a thermoplastic elastomer, such as Styrenic block copolymers (TPE-s), Thermoplastic olefins (TPE-o), Elastomeric alloys (TPE-v or TPV), Thermoplastic polyurethanes (TPU), Thermoplastic copolyester, Thermoplastic polyamides, and other materials, such as natural or synthetic rubber, or silicone based materials, as understood within the art.
  • a thermoplastic elastomer such as Styrenic block copolymers (TPE-s), Thermoplastic olefins (TPE-o), Elastomeric alloys (TPE-v or TPV), Thermoplastic polyurethanes (TPU), Thermoplastic copolyester, Thermoplastic polyamides, and other materials, such as natural or synthetic rubber, or
  • Mounting base 400 can be fabricated using any known method which can produce parts as a unit, as shown, or in portions which can be assembled, for example by gluing, riveting, heat welding, snap fitting, or interference fitting, for example.
  • Parts can be produced by extrusion, grinding, molding, 3D printing, casting, or any other suitable method.
  • a finish can be formed during production, or a coating or painted finish can be applied after production.
  • the disclosure provides a mounting base system for table or wall mounting of an instrument of the disclosure.
  • the mounting base 400 includes elastomeric suction cup 430 mounted to a semi rigid mounting base 400.
  • the suction cup has a center post 450 that is connected to the center of the base 400, creating a two-part assembly which provides the suction cup 430 with the ability to flex laterally and to be flattened upon a mounting surface.
  • mounting base 400 together with suction cup 430 are pressed firmly downward against the surface 540 upon which base 400 is to be mounted, by the user (FIGS. 23-24).
  • the suction cup 430 flattens and displaces air beneath it, and the flexible legs 420, 422 on the semi-rigid base 400 flex as base 400 and suction cup 430 are moved downwards, suction cup 430 being moved downward via its connection at center post 450, button 434, and contact with peak 432 and an underside of base extension 404.
  • arms 420, 422 flex and act as a spring, both pressing downward against the table surface and pushing upward away from surface 540 against button 434.
  • This spring action results in an overall tightening of base 400 relative to mounting surface 540 to create a stable and secure attachment to mounting surface 540.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Hematology (AREA)
  • Dermatology (AREA)
  • Molecular Biology (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Electromagnetism (AREA)
  • Anesthesiology (AREA)
  • Otolaryngology (AREA)
  • Pain & Pain Management (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Vascular Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

Instrument appliquée à un tissu corporel d'une partie corporelle pour produire des vibrations afin de réduire ainsi la douleur d'injection ou d'autres stimulus produisant de la douleur. Le dispositif comprend un cadre, et une source de vibrations reliée au cadre. Une pointe amovible peut être reliée au cadre qui a une extrémité distale qui est reliée à la source de vibrations lorsque la pointe est reliée au cadre, pour faire ainsi vibrer l'extrémité distale lorsque la source de vibrations est activée. Au niveau de l'extrémité distale de la pointe se trouvent des bras mutuellement opposés qui délimitent une ouverture entre eux. Chaque bras forme une saillie qui s'étend selon un certain angle par rapport au bras. Les saillies sont façonnées pour s'adapter à la partie corporelle de telle sorte que les bras et les saillies sont taillés et dimensionnées afin de positionner, de retenir et de transmettre les vibrations à la partie corporelle dans une position à proximité de l'ouverture.
PCT/US2016/029971 2015-05-01 2016-04-29 Réduction de la douleur du perçage de la peau à l'aide de vibrations WO2016178952A1 (fr)

Priority Applications (7)

Application Number Priority Date Filing Date Title
EP16789808.9A EP3288616B1 (fr) 2015-05-01 2016-04-29 Réduction de la douleur du perçage de la peau à l'aide de vibrations
ES16789808T ES2789359T3 (es) 2015-05-01 2016-04-29 Reducción del dolor de la perforación de la piel mediante el uso de vibración
US15/571,211 US10695508B2 (en) 2015-05-01 2016-04-29 Reducing pain of skin piercing using vibration
CN201680038977.XA CN107735131B (zh) 2015-05-01 2016-04-29 使用振动减轻皮肤穿刺的疼痛
DK16789808.9T DK3288616T3 (da) 2015-05-01 2016-04-29 Smertereduktion ved hudgennemtrængning ved anvendelse af vibration
CA2984327A CA2984327A1 (fr) 2015-05-01 2016-04-29 Reduction de la douleur du percage de la peau a l'aide de vibrations
HK18109329.3A HK1249871A1 (zh) 2015-05-01 2018-07-19 使用振動減輕皮膚穿刺的疼痛

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US201562155769P 2015-05-01 2015-05-01
US62/155,769 2015-05-01
US14/803,535 2015-07-20
US14/803,535 US9463287B1 (en) 2004-09-20 2015-07-20 Controlling usage of replaceable tool ends
US201562208860P 2015-08-24 2015-08-24
US62/208,860 2015-08-24

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Cited By (5)

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Publication number Priority date Publication date Assignee Title
WO2019148073A1 (fr) 2018-01-26 2019-08-01 Bing Innovations, L.L.C. Réduction de la douleur au niveau d'un site de traitement médical
US10610142B1 (en) 2019-03-20 2020-04-07 Paulus Holdings Limited Vibrating tourniquet and methods of collecting blood using same
US10695508B2 (en) 2015-05-01 2020-06-30 Bing Innovations, Llc Reducing pain of skin piercing using vibration
WO2020188357A1 (fr) * 2019-03-20 2020-09-24 Paulus Holdings Limited Garrot vibrant et procédés de collecte de sang l'utilisant
WO2021230810A1 (fr) * 2020-05-15 2021-11-18 National Skin Centre (Singapore) Pte Ltd Dispositif, kit et méthode pour générer un stimulus vibratoire

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US2574945A (en) * 1950-04-08 1951-11-13 Aciform Corp Massage vibrator
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WO2006034324A2 (fr) * 2004-09-20 2006-03-30 Goldberg Steven G Dispositif et procede permettant de reduire la douleur durant les operations de percement de la peau
WO2013036507A1 (fr) * 2011-09-06 2013-03-14 Bing Innovations, Llc Système et méthode de réduction de la douleur durant une perforation de la peau et pointe cassable pour ceux-ci

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2574945A (en) * 1950-04-08 1951-11-13 Aciform Corp Massage vibrator
SU728859A1 (ru) * 1977-12-05 1980-04-25 Vasilev Nikolaj N Насадка к устройству дл вибрационного массажа
WO2006034324A2 (fr) * 2004-09-20 2006-03-30 Goldberg Steven G Dispositif et procede permettant de reduire la douleur durant les operations de percement de la peau
WO2013036507A1 (fr) * 2011-09-06 2013-03-14 Bing Innovations, Llc Système et méthode de réduction de la douleur durant une perforation de la peau et pointe cassable pour ceux-ci

Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10695508B2 (en) 2015-05-01 2020-06-30 Bing Innovations, Llc Reducing pain of skin piercing using vibration
WO2019148073A1 (fr) 2018-01-26 2019-08-01 Bing Innovations, L.L.C. Réduction de la douleur au niveau d'un site de traitement médical
US12102347B2 (en) 2018-01-26 2024-10-01 Bing Innovations, L.L.C. Holder for mounting a handheld tool to a surface
US10610142B1 (en) 2019-03-20 2020-04-07 Paulus Holdings Limited Vibrating tourniquet and methods of collecting blood using same
WO2020188357A1 (fr) * 2019-03-20 2020-09-24 Paulus Holdings Limited Garrot vibrant et procédés de collecte de sang l'utilisant
US10888258B2 (en) 2019-03-20 2021-01-12 Paulus Holdings Limited Vibrating tourniquet and methods of collecting blood using same
KR20220009938A (ko) * 2019-03-20 2022-01-25 파울루스 홀딩스 리미티드 진동 지혈대 및 이를 사용한 혈액 수집 방법
JP2022526872A (ja) * 2019-03-20 2022-05-26 パウルス ホールディングス リミテッド 振動駆血帯およびそれを用いて血液を採取する方法
JP7278472B2 (ja) 2019-03-20 2023-05-19 パウルス ホールディングス リミテッド 振動駆血帯およびそれを用いて血液を採取する方法
KR102670431B1 (ko) 2019-03-20 2024-05-28 파울루스 홀딩스 리미티드 진동 지혈대 및 이를 사용한 혈액 수집 방법
US12089934B2 (en) 2019-03-20 2024-09-17 Paulus Holdings Limited Vibrating tourniquet and methods of collecting blood using same
WO2021230810A1 (fr) * 2020-05-15 2021-11-18 National Skin Centre (Singapore) Pte Ltd Dispositif, kit et méthode pour générer un stimulus vibratoire

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