Diabetic peripheral neuropathy examination device

Abstract

The application relates to the field of medical devices and discloses a diabetic peripheral neuropathy examination device, which comprises a tuning fork part and a detection hammer part. The tuning fork part comprises a handle and two prongs arranged on the handle. The detection hammer comprises a hammer rod part and two hammer head blocks which are detachably connected with the hammer rod part. The two hammer head blocks are respectively arranged on the two prongs in a sliding mode. Locking members are arranged on the two hammer head blocks. The diabetic peripheral neuropathy examination device is convenient to carry.

Description

Technical Field

[0001] The present invention relates to the field of medical devices, and in particular to a device for detecting diabetic peripheral neuropathy. Background Art

[0002] Diabetes is a metabolic disease characterized by high blood sugar levels. Symptoms such as diabetic peripheral neuropathy often appear too late. Long-standing high blood sugar levels can lead to microvascular and macrovascular damage, as well as neuropathy. Approximately half of diabetic patients will develop distal symmetrical polyneuropathy, with symptoms including hyperalgesia, numbness in the extremities, and sensory loss. Painless neuropathy, in particular, is caused by the loss of protective sensations (pain, touch, and position sense). Small, imperceptible foot skin injuries often lead to the development and aggravation of foot ulcers, which can lead to uncontrollable amputation and disability. Failure to promptly diagnose and treat the condition can severely impact the patient's quality of life.

[0003] Current guidelines for screening diabetic peripheral neuropathy recommend screening for vibration sensation, pressure sensation, pinprick pain, and tendon reflexes, requiring a variety of tools, including tuning forks, 10g nylon filaments, pins, and percussion hammers. Existing examination methods require a variety of tools, many of which are neurological examination tools. These tools provide unclear indications of the diabetic neuropathy examination site. The large number of instruments makes them inconvenient to carry and can easily be missed or lost. They also require frequent replacements, which is cumbersome and has certain adverse effects on practical use. Therefore, a portable, functional, and integrated peripheral neuropathy examination tool is needed. Summary of the Invention

[0004] The present invention aims to provide a device for examining diabetic peripheral neuropathy, so as to provide a peripheral neuropathy examining tool which is easy to carry and has integrated functions.

[0005] To achieve the above-mentioned purpose, the present invention adopts the following technical solution: a diabetic peripheral neuropathy inspection device, comprising a tuning fork part and a detection hammer part, the tuning fork part comprising a fork handle and two fork arms arranged on the fork handle, the detection hammer comprising a hammer rod part and two hammer head blocks detachably connected to the hammer rod part, the two hammer head blocks are respectively slidably arranged on the two fork arms, and locking parts are provided on the hammer head blocks.

[0006] The beneficial effects of this solution are as follows: through the above-mentioned arrangement, on the one hand, the hammer head block in this technical solution is slidably arranged on the fork arm, and the hammer head block can be detachably connected to the hammer rod portion. When it is necessary to perform a tendon reflex test on the patient through a percussion hammer, the hammer head block and the hammer rod portion can be connected to form a percussion hammer, which is convenient for medical staff to perform percussion detection on the patient's Achilles tendon, and the tuning fork can be struck with the hammer rod portion to make the tuning fork vibrate; on the other hand, the hammer head block is slidably sleeved on the fork arm, and a locking piece is provided on the hammer head block, which can be used to adjust the position of the hammer head block on the fork arm. The frequency of a conventional tuning fork is fixed, and the disease course or degree of sensory failure of some patients being tested is not the same, and there are differences in their vibration perception of the tuning fork detection. Through the above-mentioned arrangement, medical staff can adjust the frequency of the tuning fork by adjusting the position of the hammer head block, so that the tuning fork can be suitable for patients with different disease courses, and the patient's perception of vibrations of different frequencies can be more accurately measured, which helps to establish a correspondence between the vibration frequency and the stage of diabetic neuropathy and improve the accuracy of diagnosis. At the same time, the hammer rod portion in the present technical solution can be connected to the two hammer head blocks. When in use, the locking piece can be unlocked and the hammer rod portion can be pushed to simultaneously drive the two hammer head blocks to slide along the fork arm, so that the sliding distance of the two hammer head blocks is the same, ensuring that the counterweight is at the same height when the tuning fork is struck later, ensuring that the same frequency resonance occurs between the two fork arms, and the two hammer head blocks are linked by the hammer rod portion to slide in the same direction and at equal distances, ensuring that the mass distribution of the two fork arms is symmetrical, thereby avoiding vibration mode distortion caused by unequal distances.

[0007] This technical solution integrates tuning fork testing and tendon reflex testing functions, reducing the number of examination tools required. This solves the problem of the large variety of traditional tools, the easy omission of tools, and the inconvenience of carrying them, and improves the convenience and practicality of clinical examinations. The overall structure is compact, and the design meets the requirements of portability while taking into account the ease of operation during the examination. Medical staff can quickly switch between percussion hammer mode and tuning fork testing mode, which is simple and efficient, reducing the tedious steps and risk of misoperation during tool replacement.

[0008] Preferably, as an improvement, the hammer rod portion includes a hammer rod and a hammer block sleeved on the hammer rod, dovetail blocks are provided at both ends of the hammer block, and a dovetail groove matching the dovetail block is opened on the surface of the hammer head block opposite to the hammer block, and the vertical section of the dovetail groove is conical.

[0009] The beneficial effect is: through the above-mentioned arrangement, the hammer rod can be longitudinally slid out and placed during use, the operation process is simplified, and it is convenient for medical staff to quickly complete the assembly and disassembly of the tool during use, thereby improving the overall work efficiency. At the same time, a dovetail groove with a conical vertical cross-section is provided to prevent the hammer block and hammer rod from falling off the tuning fork due to vibration or improper operation during use, thereby ensuring safety and stability during use.

[0010] Preferably, as an improvement, a rotating block is provided on the hammer rod, and the rotating block rotates in cooperation with the hammer block. Two arc-shaped grooves are circumferentially provided on the outer wall of the rotating block. The distance from the bottom of one end of the arc groove to the center of the rotating block is smaller than the distance from the bottom of the other end of the arc groove to the center of the rotating block. The opposite surfaces of the two hammer head blocks are provided with embedded grooves, and sliding holes are provided at both ends of the hammer block. Sliding rods that can pass through the dovetail block and insert into the embedded groove are slidably provided in the sliding holes, and the ends of the sliding rods close to the rotating block are against the bottom surface of the arc groove.

[0011] The beneficial effect is as follows: through the above-mentioned arrangement, a sliding rod that can pass through the dovetail block and insert into the embedding groove is slidably provided in the sliding hole, and the arc groove is driven to rotate by rotating the hammer rod, and one end of the sliding rod close to the rotating block is abutted against the bottom surface of the arc groove. When the end of the sliding rod slides from one end of the arc groove to the other end, it can drive the sliding rod to extend or retract, on the one hand, realizing the longitudinal clamping limit of the rotating block and the hammer block, and at the same time, realizing the detachable connection between the hammer block and the hammer head block according to the position of the sliding rod, and the limit of the sliding rod cooperates with the limit of the dovetail groove, so that when the sliding rod is extended, the hammer head block can be firmly fixed on the hammer block to form a percussion hammer, so that the hammer block and the hammer head block form a firm connection, avoiding accidental falling off during use; at the same time, the detachable connection state between the hammer block and the hammer head block can be flexibly controlled according to the position of the sliding rod, which is convenient for medical staff to quickly switch between different detection modes (such as tendon reflex percussion and tuning fork vibration detection).

[0012] Preferably, as an improvement, a reset spring is further included, and the ends of the sliding holes are provided with stepped rings. The reset spring is sleeved on the sliding rod, and one end of the reset spring is fixed to the end of the sliding rod, and the other end is against the stepped ring.

[0013] The beneficial effect is that the return spring can drive the slide bar back to the initial position after the operation is completed, so that the end of the slide bar is against the arc groove, ensuring that it is in a predetermined state during each operation, which is convenient for the next operation and quick switching of working modes.

[0014] Preferably, as an improvement, a polyester end cap is fixed to the top of the hammer rod, and a metal end cap is fixed to the bottom of the hammer rod.

[0015] The beneficial effects are: using a tester including a metal end and a polyester end to test the patient's perception of temperature, metal has good thermal conductivity and can quickly transmit cold temperature changes to the patient's skin, which is suitable for testing the patient's sensitivity to cold stimulation; the polyester material has poor thermal conductivity and can provide a temperature stimulation effect different from the metal end, which is convenient for comparing the difference in patient temperature sensation. In this technical solution, the hot and cold end covers are arranged at the two sections of the hammer rod, which is convenient for access at any time and integrated in function.

[0016] Preferably, as an improvement, vertical grooves are provided on the opposite surfaces of the two fork arms, and the locking parts include a knob and a screw fixed to the knob, the screw passes through one side of the hammer head block and is inserted into the groove, and the screw is threadedly connected to the hammer head block.

[0017] The beneficial effects are: the vertical slide grooves on the back of the two fork arms provide a guide channel for the positioning and sliding adjustment of the hammer head block, ensuring that the movement trajectory is smooth and stable during the adjustment process. The screw passes through one side of the hammer head block and is connected with the thread on the hammer head block, so that the hammer head block can be locked and fixed in a preset position to prevent loosening or displacement during use, ensuring stability during use.

[0018] Preferably, as an improvement, the end of the fork handle is threadedly connected to an end cap, a receiving groove is opened in the center of the end of the fork handle, and a pin is fixed on the inner side of the end cap, and the pin can be inserted into the receiving groove.

[0019] The beneficial effects are: the pin tests the patient's perception of the tingling effect. The pin can be directly inserted into the receiving slot, which is simple and convenient to operate, making it convenient for medical staff to quickly replace or adjust the test components during clinical testing, thereby improving work efficiency; reducing the risk of dispersion and loss, meeting the requirements of portable testing tools for lightness and ease of operation, and at the same time improving the integration of the functions of this device.

[0020] Preferably, as an improvement, an annular groove is provided on the upper portion of the hammer rod.

[0021] The beneficial effect is that it is convenient for fingers to hold the annular groove to drive the hammer rod to rotate.

[0022] Preferably, as an improvement, it further comprises a card plate, a card slot is provided on the fork arm, the card plate can be snapped into the card slot, and a 10g nylon thread is fixed on the lower surface of the card plate.

[0023] The beneficial effect is: by setting the pressure perception level of the 10g nylon thread, the pressure perception of the patient can be tested after the card plate is removed during use. BRIEF DESCRIPTION OF THE DRAWINGS

[0024] Figure 1 This is a perspective view of Example 1 of the present invention;

[0025] Figure 2 It is a front view of embodiment 1 of the present invention;

[0026] Figure 3 is a cross-sectional view of a rotating block according to embodiment 1 of the present invention;

[0027] Figure 4 This is a perspective view of Example 2 of the present invention;

[0028] Figure 5 This is a front view of embodiment 2 of the present invention. DETAILED DESCRIPTION

[0029] The following is further described in detail through specific implementation methods:

[0030] The figure marks in the drawings of the specification include: fork handle 1, fork arm 2, hammer head block 3, hammer block 4, hammer rod 5, dovetail block 6, rotating block 7, arc groove 8, sliding hole 9, sliding rod 10, step ring 11, return spring 12, polyester end cover 13, metal end cover 14, slide groove 15, screw 16, knob 17, end cover 18, pin 19, clamping plate 20, 10g nylon wire 21, annular groove 22.

[0031] Example 1

[0032] Example 1 is basically as Figure 1-Figure 3 As shown, Figure 1 and Figure 2The diabetic peripheral neuropathy inspection device shown in the figure comprises a tuning fork part and a detection hammer part, the tuning fork part comprises a fork handle 1 and two fork arms 2 arranged on the fork handle 1, the detection hammer comprises a hammer rod part, two hammer head blocks 3 detachably connected to the hammer rod part, the two hammer head blocks 3 are respectively slidably arranged on the two fork arms 2, and the hammer head blocks 3 are each provided with a locking piece; through the above arrangement, on the one hand, in the present technical solution, the hammer head block 3 is slidably arranged on the fork arm 2, and the hammer head block 3 can be detachably connected to the hammer rod part, when it is necessary to perform a tendon reflex test on the patient through a percussion hammer, the hammer head block 3 and the hammer rod part can be connected to form a percussion hammer, which is convenient for medical staff to perform percussion testing on the patient's Achilles tendon, and the hammer rod part can be used to strike the tuning fork to make the tone Fork vibration; on the other hand, the hammer head block 3 is slidably mounted on the fork arm 2, and a locking piece is provided on the hammer head block 3, which can be used to adjust the position of the hammer head block 3 on the fork arm 2 through the locking piece and the sliding hammer head block 3. The frequency of the conventional tuning fork is fixed, and the course of disease or degree of sensory failure of some patients being tested are not the same, and there are differences in the vibration perception of the tuning fork detection. Through the above arrangement, medical staff can adjust the frequency of the tuning fork by adjusting the position of the hammer head block 3, so that the tuning fork can be suitable for patients with different courses of disease, and the patient's perception of vibrations of different frequencies can be measured more accurately, which helps to establish a correspondence between the vibration frequency and the stage of diabetic neuropathy and improve the accuracy of diagnosis. At the same time, the hammer rod portion in the present technical solution can be connected to the two hammer head blocks 3. When in use, the locking piece can be unlocked and the hammer rod portion can be pushed to simultaneously drive the two hammer head blocks 3 to slide along the fork arm 2, so that the sliding distance of the two hammer head blocks 3 is the same, ensuring that the counterweight is at the same height when the tuning fork is struck later, ensuring that the same frequency resonance occurs between the two fork arms 2, and the two hammer head blocks 3 are linked by the hammer rod portion to slide in the same direction and at equal distances, ensuring that the mass distribution of the two fork arms 2 is symmetrical, avoiding vibration mode distortion caused by unequal distances. The surfaces opposite to each other of the two fork arms 2 are both provided with vertical slide grooves 15, and the locking parts include a knob 17 and a screw 16 fixed to the knob 17. The screw 16 passes through one side of the hammer head block 3 and is inserted into the slide groove 15. The screw 16 is threadedly connected to the hammer head block 3. The vertical slide grooves 15 on the back of the two fork arms 2 provide a guide channel for the positioning and sliding adjustment of the hammer head block 3, ensuring that the movement trajectory is smooth and stable during the adjustment process. The screw 16 passes through one side of the hammer head block 3 and is threadedly connected to the thread on the hammer head block 3, so that the hammer head block 3 can be locked and fixed in a preset position to prevent loosening or displacement during use, thereby ensuring stability during use.

[0033] The hammer rod portion in this embodiment includes a hammer rod 5 and a hammer block 4 sleeved on the hammer rod 5, dovetail blocks 6 are provided at both ends of the hammer block 4, and a dovetail groove that matches the dovetail block 6 is opened on the surface of the hammer head block 3 opposite to the hammer block 4. The vertical section of the dovetail groove is conical, and the hammer rod 5 can be longitudinally slid out and placed when in use, which simplifies the operation process and facilitates medical personnel to quickly complete the assembly and disassembly of the tool during use, thereby improving the overall work efficiency. At the same time, a dovetail groove with a conical vertical section is provided to prevent the hammer block 4 and the hammer rod 5 from falling off from the tuning fork due to vibration or improper operation during use; the middle part of the hammer rod 5 is a rotating block 7, such as Figure 3 As shown, the rotating block 7 and the hammer block 4 rotate in coordination, and two arc grooves 8 are provided in the circumferential direction of the outer wall of the rotating block 7. The distance from the bottom of one end of the arc groove 8 to the center of the rotating block 7 is smaller than the distance from the bottom of the other end of the arc groove 8 to the center of the rotating block 7. The surfaces opposite to each other of the two hammer head blocks 3 are provided with embedded grooves, and sliding holes 9 are provided at both ends of the hammer block 4. Slide rods 10 that can pass through the dovetail block 6 and insert into the embedded groove are slidably provided in the sliding holes 9. The ends of the slide rods 10 close to the rotating block 7 are all against the bottom surface of the arc groove 8. The slide holes 9 are all slidably provided with slide rods 10 that can pass through the dovetail block 6 and insert into the embedded groove. The arc groove 8 is driven to rotate by rotating the hammer rod 5. The ends of the slide rods 10 close to the rotating block 7 are all against the bottom surface of the arc groove 8. When the end of the slide rod 10 moves from the arc groove When one end of the slot 8 slides to the other end, it can drive the slide bar 10 to extend or retract, realizing the longitudinal clamping limit of the rotating block 7 and the hammer block 4, and at the same time realizing the detachable connection between the hammer block 4 and the hammer head block 3 according to the position of the slide bar 10. The limit of the slide bar 10 cooperates with the limit of the dovetail groove, so that when the slide bar 10 is extended, the hammer head block 3 can be firmly fixed on the hammer block 4 to form a percussion hammer, so that the hammer block 4 and the hammer head block 3 form a firm connection to avoid accidental falling off during use; at the same time, the detachable connection state between the hammer block 4 and the hammer head block 3 can be flexibly controlled according to the position of the slide bar 10, which is convenient for medical staff to quickly switch between different detection modes (such as tendon reflex percussion and tuning fork vibration detection).

[0034] It also includes a return spring 12, and a stepped ring 11 is provided at the end of the sliding hole 9. The return spring 12 is sleeved on the sliding rod 10. One end of the return spring 12 is fixed to the end of the sliding rod 10 close to the hammer rod 5, and the other end is against the stepped ring 11. The return spring 12 can drive the sliding rod 10 back to the initial position after the operation is completed, so that the end of the sliding rod 10 is against the arc groove 8, ensuring that it is in a predetermined state during each operation, which is convenient for the next operation and quick switching of working modes.

[0035] In this embodiment, a polyester end cap 13 is fixed to the top of the hammer rod 5, and a metal end cap 14 is fixed to the bottom of the hammer rod 5. Metal has good thermal conductivity and can quickly transmit cold temperature changes to the patient's skin, which is suitable for testing the patient's sensitivity to cold stimulation; the thermal conductivity of polyester material is poor, and it can provide a temperature stimulation effect different from that of the metal end, which is convenient for comparing the difference in the patient's temperature sensation. In this technical solution, the hot and cold end caps 18 are arranged at two ends of the hammer rod 5 for easy access at any time; the end of the fork handle 1 is threadedly connected to the end cap 18, and the center of the end of the fork handle 1 is provided with a receiving groove, and a pin 19 is fixed on the inside of the end cap 18, and the pin 19 can be inserted into the receiving groove, and also includes a card plate 2 The fork arm 2 has a slot into which the card plate 20 can be snapped. A 10g 10g nylon thread 21 is fixed to the lower surface of the card plate 20. A pin 19 is used to test the patient's perception of stinging pain. The pin 19 can be directly inserted into the receiving slot, making operation simple and convenient, allowing medical staff to quickly replace or adjust test components during clinical testing, thereby improving work efficiency. This reduces the risk of dispersion and loss, meeting the requirements of portable testing tools for portability and ease of operation. By setting the pressure perception level of the 10g 10g nylon thread 21, the card plate 20 can be removed during use to perform a pressure perception test on the patient, thereby improving the functional integration of the device. The upper portion of the hammer rod 5 also has multiple annular grooves 22 arranged in a circumferential array, making it easy for fingers to grasp the annular grooves 22 and drive the hammer rod 5 to rotate.

[0036] This technical solution integrates tuning fork testing and tendon reflex testing functions, reducing the number of examination tools required. This solves the problem of the large variety of traditional tools, the easy omission of tools, and the inconvenience of carrying them, and improves the convenience and practicality of clinical examinations. The overall structure is compact, and the design meets the requirements of portability while taking into account the ease of operation during the examination. Medical staff can quickly switch between percussion hammer mode and tuning fork testing mode, which is simple and efficient, reducing the tedious steps and risk of misoperation during tool replacement.

[0037] Example 2

[0038] Example 2 is basically the same Figure 4 and Figure 5 As shown, the difference between Example 2 and Example 1 is that the metal end cap 14 and the polyester end cap 13 are respectively arranged at the ends of the two fork arms 2. Through the above arrangement, the temperature sensing test can be performed while the tuning fork vibrates, and the temperature change is transmitted by vibration, which helps to further judge the patient's disease course; at the same time, the lower part of the hammer rod 5 is divided into two sections, and the two sections can be threadedly connected, and a pin 19 is set at one end for easy access at any time.

[0039] The above is only an embodiment of the present invention, and the common knowledge such as the specific technical solutions and / or characteristics in the solution are not described in detail here. It should be pointed out that for those skilled in the art, without departing from the technical solution of the present invention, several variations and improvements can be made, which should also be regarded as the scope of protection of the present invention, and these will not affect the effect of the implementation of the present invention and the practicality of the patent. The scope of protection required by this application shall be based on the content of its claims, and the specific implementation methods and other records in the description can be used to interpret the content of the claims.

Claims

1. A device for detecting diabetic peripheral neuropathy, characterized in that: The cam is provided with a plurality of locking members, each of which is provided with a plurality of locking members, each of which is provided with a plurality of locking members, and the plurality of locking members are connected to the cam by a plurality of locking members.

2. The diabetic peripheral neuropathy inspection device according to claim 1, characterized in that: It also includes a reset spring, the ends of the sliding holes are each provided with a stepped ring, the reset spring is sleeved on the sliding rod, one end of the reset spring is fixed to the end of the sliding rod, and the other end is against the stepped ring.

3. The diabetic peripheral neuropathy inspection device according to claim 2, characterized in that: A polyester end cap is fixed to the top of the hammer rod, and a metal end cap is fixed to the bottom of the hammer rod.

4. The diabetic peripheral neuropathy inspection device according to claim 3, characterized in that: The surfaces opposite to each other of the two fork arms are both provided with vertical sliding grooves. The locking parts include a knob and a screw fixed with the knob. The screw passes through one side of the hammer block and is inserted into the sliding groove. The screw is threadedly connected with the hammer block.

5. The diabetic peripheral neuropathy inspection device according to claim 4, characterized in that: The end of the fork handle is threadedly connected with an end cover, the center of the end of the fork handle is provided with an accommodating groove, the inner side of the end cover is fixed with a pin, and the pin can be inserted into the accommodating groove.

6. The diabetic peripheral neuropathy inspection device according to claim 5, characterized in that: An annular groove is provided on the upper part of the hammer rod.

7. The diabetic peripheral neuropathy inspection device according to claim 6, characterized in that: It also includes a card plate, a fork arm is provided with a card slot, the card plate can be snapped into the card slot, and a 10g nylon thread is fixed on the lower surface of the card plate.

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