MEDICAL HOLDING DEVICE FOR HOLDING GENERAL MEDICAL, SURGICAL OR DIAGNOSTIC DEVICES OR INSTRUMENTS AND THEIR USE, IN PARTICULAR FOR DATA COLLECTION

Description

TECHNICAL AREA

[0001] The present invention relates to a medical device holding device for holding general medical, surgical, or diagnostic devices or instruments, in particular diagnostic devices or instruments for the oral / pharyngeal cavity from the following group: spatula, swab device, light source, camera; wherein the holding device has a contact area and at least one holding coupling connected to the contact area. Furthermore, the present invention relates to the use of one or two medical device holding devices, each for holding at least two diagnostic devices or instruments from the previously defined group. Finally, the present invention also relates to simplified documentation, in particular documentation of findings, with at least partially automated data acquisition. BACKGROUND OF THE INVENTION

[0002] In many situations, living beings need to protect themselves from germs (bacteria, viruses, parasites, and the like). This applies primarily to medical professionals and specialists, but also generally to everyone in everyday life, including animals. While various measures exist against bacteria and viruses, including continuous, regular disinfection, sufficiently effective measures cannot always be guaranteed everywhere. This is especially true when close personal contact is required for examinations of the throat / pharynx (e.g., in general practice, pediatrics, dermatology, or when ENT specialists are working). In such cases, an increased number of airborne germs (environmental and airborne contamination) is to be expected; disinfectants cannot be used without caution (due, among other things, to the risk of inhalation).Especially in diagnostic procedures based on an examination of the pharynx, current devices cannot rule out the possibility of two individuals coming into relatively close proximity. Conventional tongue depressor holders may make handling the depressor less risky, but probably do not offer sufficient safety.

[0003] The transmission of germs (viruses and the like) can occur in many different ways, including through contact. For example, high viral loads (or germ counts, particle quantities, aerosol concentrations) in the air (especially in exhaled aerosols), on textiles, or other surfaces can pose a significant transmission risk. Depending on the type of material and surface properties, the persistence of germs or viruses, especially at room temperature, can last for several days. For example, coronaviruses (SARS-CoV, MERS-CoV, SARS-CoV-2, COVID-19) can survive or persist, or remain infectious, on surfaces made of (precious) metal, glass, or plastic for well over five days, and possibly even up to ten days. Materials such as paper, plastic, wood, or glass appear to be similarly problematic; their persistence is likely in the range of at least three to five days.In other words, the devices or aids used for handling, for example, spatulas and swab devices, pose a high risk of infection and therefore must be cleaned or disinfected frequently and very carefully in many situations, or disposable products must be used.

[0004] Against this background, there is interest in innovative devices that can minimize the risk of viral infection, for example, compared to conventional tongue depressors. In particular, there is interest in handling or coming into contact only with devices on which germs persist for a very short time.

[0005] WO 2005 / 084 555 A1 describes a device according to the preamble of claim 1, for taking and smearing cells and also refers to applications which can be addressed in connection with the present invention.

[0006] The two other publications deal with devices and measures for examining, among other things, the pharynx: CN 112 315 505 A, WO 2013 / 012 256 A2. SUMMARY OF THE INVENTION

[0007] The objective is to provide a device that minimizes the risk of infection posed by germs or viruses to humans and animals, particularly in connection with the handling of medical devices. The objective also primarily involves simplifying the handling of medical devices for medical professionals when at least two living beings or humans are in close proximity, while minimizing the risk of viral infection, especially in connection with diagnoses in the oral / throat / pharyngeal region. Finally, the objective can also be defined as ensuring that the device provides the shortest possible persistence of germs / viruses.

[0008] This problem is solved by a device according to claim 1 and by a use according to the dependent use claim, as well as by the subject matter of the dependent claims. Advantageous embodiments of the invention are explained in the respective dependent claims. The features of the exemplary embodiments described below can be combined with one another unless explicitly stated otherwise.

[0009] A medical device holding device is provided for holding general medical, surgical or diagnostic equipment or instruments, in particular diagnostic equipment or instruments for the oral / pharyngeal cavity from the following group: spatula, swab device, light source, camera, or similar diagnostic aids; wherein the holding device comprises: a contact area for manual contact with the holding device by a user (especially a doctor); at least one holding coupling connected to the contact area for reversible coupling, in particular positive and / or force-fit coupling, of the respective device or instrument;

[0010] According to the invention, it is proposed that the contact area has a minimum longitudinal extent of 20 cm (when used as intended in the proximal-distal direction), wherein the at least one retaining coupling is arranged at a longitudinal end of the contact area (when used as intended at the distal end from the user's point of view), and wherein the contact area consists at least partially of copper or has copper as a surface material.

[0011] The invention is based on two concepts and combines them in a very simple, straightforward, and easy-to-use device that is also easy to manufacture: on the one hand, a minimum distance between individuals can be ensured in a simple and practical way during handling and approach; on the other hand, the surface of the device, or the entire device, can be disinfected, aseptically designed, or antivirally treated and made available, and is also easy to maintain and disinfect. It has also been shown that, from a device engineering perspective, the concept according to the invention enables at least partially automated mass production (series production with large quantities) in a comparatively simple and cost-effective manner.

[0012] The invention enables safe, sustainable and responsible handling among individuals, particularly thanks to low manufacturing / acquisition costs for the holding device, and especially thanks to simple operation and cautionary, instructive handling instructions, which increase the understanding, sensitivity and awareness of users regarding germ (or virus, bacteria) risks or other medical risks.

[0013] It has been shown that, thanks to the copper material, the germ and viral load can be significantly reduced again after a short time, even if the device has been used in a highly viral environment. For example, the persistence of SARS-CoV or SARS-CoV-2 can be reduced to just a few hours (reduced bacterial and viral load). By using copper material at least in the entire contact area and optionally also in the area of ​​at least one retaining coupling, an antimicrobial effect can be ensured, which also protects the person handling the device (primarily medical professionals, especially doctors).

[0014] Furthermore, it has been shown that the copper material can enhance the beneficial effects, especially in a humid environment, meaning that a particularly good effect and thus safety for the individuals involved can be ensured at high aerosol concentrations or high humidity or high relative humidity on the copper surface.

[0015] The present invention offers advantages, particularly in the fields of primary care, general medicine, internal medicine, otolaryngology, angiology, dermatology, pediatrics, gynecology, urology, hygiene, and blood donation. Inspection, sampling, and application of medications (ointments, tinctures, and the like) can be combined. The focus is generally on body surfaces such as skin and mucous membranes. Applications include, for example, public health departments, emergency medical services, fire department biosecurity teams, sampling during hygiene inspections, and food safety inspections in the food service industry. Veterinarians, alternative practitioners, and dentists can also use the invention.

[0016] The spatulas, which can be used with increased safety thanks to the device according to the invention, can be of different types, e.g. made of wood, glass, paper / cardboard, plastic, metal.

[0017] According to one embodiment, the medical device holding device is at least partially tubular, in particular over at least 80-90% of its longitudinal extent. This also facilitates cleaning and multidimensional handling.

[0018] According to one embodiment, at least the contact area, and in particular the entire holding device, is formed from a tube, especially a copper tube (preferably a standard semi-finished product). This allows for a device with a simple design that can be customized by the user or by the physicians or nurses applying it, or expanded for even more specific uses. For example, the device can also be manufactured by third parties without requiring extensive specialized knowledge or equipment (minimal material / resource input), so that the device can be widely used, for example, in crisis situations.

[0019] According to one embodiment, at least one holding coupling is configured to hold a camera, wherein the camera includes a communication module for wireless data transmission, in particular a WLAN communication module, and especially a sensor-assisted on / off switch for automatically starting / stopping data acquisition and / or transmission. Wireless communication can simplify and streamline (image) data acquisition. The use of the holding device is further optimized if data acquisition can be at least partially automated. This also facilitates the assignment of information, and the scope of the information can be expanded.

[0020] According to one embodiment, at least the contact area, in particular the entire holding device including the at least one holding coupling, consists of solid copper, in particular unalloyed as pure copper, in particular with a copper content of over 99%, in particular at least 99.9%, or alloyed with at least 55%, preferably at least 60%, more preferably at least 65% or 70% copper. This provides, not least, two important advantages in combination: formability for defining the geometry of the respective holding coupling on the one hand, and good antimicrobial effect on the other.

[0021] It has been shown that the advantages achievable according to the invention can be particularly well ensured for many applications with an even higher copper content, in particular with a copper content of over 99%, in particular at least 99.9% (at this high content one can probably speak of pure copper).

[0022] According to one embodiment, both the contact area and the at least one retaining coupling are formed from a (in particular a single) copper tube, so that the (respective) retaining coupling integrally merges into the contact area in one piece.

[0023] According to one embodiment, the medical device holding device extends in one main direction and is minimally sized in the other two spatial directions, particularly to meet the size requirements of the at least one holding coupling. This also facilitates handling of the device.

[0024] According to one embodiment, the medical device holding device, apart from the at least one holding coupling, has a uniform cross-section or cross-sectional geometry, in particular a strictly cylindrical outer surface. This facilitates operation and can make manual gripping and holding particularly safe, especially when operating the device "blindly" or under time pressure or with visual limitations or obstacles in the practitioner's field of vision, i.e., during routine operation without any visual control or with only fleeting opportunities for inspection by the user.

[0025] According to an advantageous embodiment, the medical device holding device comprises a first holding coupling and a second holding coupling connected to the contact area, the holding couplings being arranged at opposite ends of the contact area, in particular with end-face accessibility in the manner of a plug-in coupling in a longitudinal orientation. This design can be implemented particularly advantageously using or based on copper tube semi-finished products.

[0026] According to one embodiment, the medical device holding device has at least two couplings, one for attaching and holding a spatula and the other for attaching and holding a swab collection device. This facilitates the procedure, particularly in connection with oral / pharyngeal or ear / nose / throat examinations, and the distance to the individual can remain comparatively large. The combination with a swab allows for sample collection for diagnostic purposes. Pathogens or germs are primarily collected via the holding device and then secondarily detected via the swab.

[0027] According to an advantageous embodiment, the medical device holding device has a first holding coupling with a first coupling geometry designed for the positive / force-locking reception of at least one spatula, in particular a slit-shaped geometry that tapers slightly in the longitudinal direction.

[0028] According to one embodiment, the medical device holding device has a second holding coupling with a second coupling geometry designed for the positive / force-locking reception of at least one swab device, in particular a circular, ring-shaped receiving geometry.

[0029] Such a coupling offers the advantage of simple and quick operation, and can also be easily adapted to the spatula type. The first and second holding couplings are preferably arranged at opposite free ends of the device.

[0030] The respective retaining coupling can be designed in particular as an inwardly tapered or narrowing plug coupling with wedge effect.

[0031] According to an advantageous embodiment, the medical device holding device has a first holding coupling with a first coupling geometry designed for the positive / force-locking reception of at least one spatula, in particular a slit-shaped geometry that tapers slightly in the longitudinal direction, wherein the (inner) diameter of the copper tube is matched to the width of the spatula type to be held for at least a positive-locking coupling. This can ensure particularly fast and safe operation. For example, the holding coupling forms a slit-shaped receptacle with a width that is only 5-15% wider than the width of the spatula and that tapers inwards, i.e., becomes continuously narrower / smaller.

[0032] According to an advantageous embodiment, the medical device holding device has a second holding coupling with a second coupling geometry designed for the positive / force-locking reception of at least one smear device, in particular a circular, annularly defined receiving geometry, wherein the (inner) diameter of the copper tube is matched to the diameter of the smear device to be held or its coupling part or shaft for at least a positive-locking coupling. Optionally, the receiving geometry can taper inwards (decreasing diameter). In particular, the second holding coupling can be designed as a bushing for receiving a shaft of a smear device. Optionally, the holding device orA kit comprising the holding device may also include an insert, sleeve, or adapter which can optionally be positioned between the second holding coupling and the smear device for size adjustment.

[0033] It has been shown that, starting from a copper tube, a plug-in / retaining coupling for receiving a spatula and a swab device can be very simply designed at each free end of the copper tube. This makes the holding device according to the invention particularly well suited for diagnosing the throat / mouth area in a germ-laden environment from the greatest possible distance and using materials that damage germs / viruses.

[0034] The advantages of a tubular design for the holding couplings make it clear that the holding device is preferably made from a tube, particularly a copper tube. The wall thickness can be individually selected, especially such that the wall geometry (shape) can be easily adjusted by a person through cold forming, e.g., by hammering with conventional (rubber) mallets available in the home. Forming can also be achieved, for example, by bending. A further advantage of the tubular design is a good compromise between overall length and weight; that is, handling is not noticeably more difficult or impaired even at greater lengths, particularly thanks to a well-balanced center of gravity or an advantageous position of the device's center of gravity.

[0035] Although the contact area can also be provided by a strand of solid material, this is heavier, increases the consumption of the comparatively expensive copper material, and also has the disadvantage that the retaining couplings cannot be integrated so elegantly onto or into the free ends, especially not in one piece, not without chips or without milling or without additional fastening means.

[0036] According to an advantageous embodiment, the contact area has a circular cross-section and a cylindrical outer surface. This improves handling and cleanliness; cleaning / disinfection can be carried out, for example, by rotating the device around its longitudinal axis, and manual gripping can be performed from all sides in the same way.

[0037] According to one embodiment, the medical device's holding device is integrally formed in one piece from a pipe section, in particular from a copper pipe semi-finished product, wherein the at least one holding coupling and the contact area merge seamlessly without edges or steps and together form the holding device. This also facilitates the cleaning of the holding coupling(s). Optionally, a marking can provide a recommendation for a distance to be maintained relative to the coupling.

[0038] According to an advantageous embodiment, the contact area has a minimum longitudinal extent of 30 cm, providing a gripping surface for two adult male or female hands positioned longitudinally one behind the other. This further increases the variability / flexibility of handling, particularly with regard to a bidirectionally usable / coupleable device.

[0039] According to one embodiment, the medical device holding device has a diameter of 15 mm to 40 mm, particularly 20 mm to 30 mm, at least in the contact area. This range has also proven to be ergonomically advantageous.

[0040] According to one embodiment, the contact area is characterized or limited in the longitudinal direction by a length-specific marking or label and / or surface finish. This can make handling easier and safer in practice.

[0041] According to an advantageous embodiment, the contact area has a minimum longitudinal extent of 30 cm, 40 cm, or 50 cm. In practice, a length in the range of 30 to 40 cm has proven sufficient for many applications. This results in a good safety distance, which can be up to 1 m (arm length of the physician, length of the spatula, length of the holding couplings). Handling becomes more difficult with an absolute length of 50 cm or more, so a good compromise can be ensured with an absolute length of up to approximately 50 cm. Thanks to the relatively simple design of the device, its length can be easily scaled and it can also be provided in a length that is advantageous for each individual application, for example, exactly 42 cm.

[0042] The invention has previously been described by reference to only one contact area. The invention provides a concept that can be easily implemented, enabling the realization of a medical device even in crisis situations, with weak infrastructure, or in isolated living situations, particularly by the individual or user themselves. In one of the simplest embodiments, the device according to the invention can be manufactured from a copper tube, wherein the at least one holding coupling can be formed or shaped, for example, by so-called drawing (hammering) (in particular, pure forming, especially cold forming). The (inner) diameter of the copper tube is specifically adapted to the width or diameter of the instruments to be held, particularly the width of a spatula and / or the diameter of a swab device.Alternatively, the forming process can be carried out, at least partially, by hot forming.

[0043] The aforementioned problem is also solved in particular by a medical device holding device designed for holding general medical, surgical or diagnostic devices or instruments, in particular diagnostic devices or instruments for the oral / pharyngeal cavity from the following group: spatula, swab device, light source, camera; wherein the holding device has: a contact area for manual contact with the holding device by a user; and at least one holding coupling connected to the contact area for reversible coupling, in particular positive and / or force-fit coupling, of the respective device or instrument; wherein the contact area has a minimum longitudinal extent of 20 cm, wherein the at least one holding coupling is arranged at a longitudinal end of the contact area, and wherein the contact area consists at least partially of copper or has copper as a surface material;wherein the medical device holding device is at least partially tubular, in particular at least over 80-90% of its longitudinal extent; wherein both the contact area and the at least one holding coupling are formed from a copper tube, such that the holding coupling is integrally formed in one piece with the contact area; wherein the medical device holding device has at least two holding couplings, one of which is designed for coupling and holding a spatula and the other for coupling and holding a swab device; wherein the holding device is integrally formed in one piece from a semi-finished copper tube;wherein the contact area has a minimum longitudinal extent of 30 cm and provides a gripping surface for two adult human hands, male or female, positioned longitudinally (x) one behind the other, wherein at least one holding coupling is configured to hold a camera, wherein the camera includes a communication module for wireless data transmission, and in particular the medical device holding device further comprising the camera with communication module. This allows numerous advantages described above to be realized. The medical device holding device as such is preferably provided without a camera, in particular to allow the type of camera to be selected specifically for each application;Alternatively, the medical device holding device can be provided together with the appropriately suitable camera, in particular with the camera coupled to the medical device holding device in a predefined longitudinal position.

[0044] The holding device described here can be advantageously manufactured by the following steps.

[0045] The manufacture of the device, in particular the first coupling geometry, can be carried out in particular based on four steps, starting from a copper tube semi-finished product: 1 / Narrowing or flattening in the area of ​​a free end of the tube at a longitudinal distance from the free end, e.g., at a longitudinal position of 3-5 cm, in particular by optionally stepwise compression; this can also form a buttress; 2 / further narrowing or flattening of the entire free end up to the previously defined longitudinal position, in particular to an at least approximately uniform thickness, e.g., in the range of 0.5 to 1 cm; this can also form a buttress; 3 / Insertion of a spatula or a dimensionally stable / more dimensionally stable spatula contour into the free end; 4 / further narrowing or flattening of the entire free end until the inner surface contacts the spatula or the spatula contour;

[0046] Regarding the second retaining coupling, a forming process is not necessarily required; optionally, the pipe itself can already provide the push-fit coupling of the appropriate size, particularly in combination with a diameter and / or shape adapter. However, at least the first two steps are also advantageous for forming the second retaining coupling, especially for creating a support for the adapter or a shaft for the smearing device.

[0047] It has been shown that these steps can be automated in a relatively simple way, and also require little technology, meaning they can be carried out even with limited expertise or skills, especially in an improvised manner when resources are insufficient in emergency situations.

[0048] In the manufacturing process for the medical device described here, as described above and below, the following steps can also be carried out starting from a copper tube semi-finished product: 1 / Narrowing or flattening in the area of ​​a free end of the tube at a longitudinal distance from the free end; 2 / further narrowing or flattening of the entire free end up to the previously defined longitudinal position; 3 / Inserting a spatula or a dimensionally stable / more dimensionally stable spatula contour into the free end; 4 / further narrowing or flattening of the entire free end until the inner surface of the casing contacts the spatula or the spatula contour. This allows the advantages described above to be realized.

[0049] The aforementioned task is also solved by a medical device holding kit comprising at least two medical device holding devices as described above, wherein one (or first) of the medical device holding devices has at least a first / second holding coupling with a positive / force-locking receptacle for a spatula and / or a swab device, and wherein the other (or second) of the medical device holding devices has at least a further (third) holding coupling with a positive / force-locking receptacle for a light source and / or a camera, in particular with the medical device holding kit further comprising a camera with a communication module. This provides even greater variability; in particular, the focus or field of view or the place of use (relative position to the individual) can be selected very variably.

[0050] Optionally, the kit can also include one or more adapters, sleeves, or similar intermediate pieces for size adjustment between the respective mounting coupling and the diagnostic device. This can expand the range of applications.

[0051] The aforementioned task is also solved by using a medical device holding a spatula and / or a swab device as described above, wherein the spatula and / or the swab device is each positively and / or non-positively coupled to a holding coupling and is thereby positioned at a longitudinal distance from a contact area defined by a longitudinal section of the holding device for manual contact with the holding device by a user, wherein the contact area has a minimum longitudinal extent of 20 cm, and wherein the contact area consists at least partially of copper or has copper as a surface material. This allows the advantages described above to be realized.

[0052] The aforementioned problem is also solved by using at least one medical device holding device described above, in particular at least two medical device holding devices described above, for holding a spatula and / or a swab device and further configured for holding a camera and optionally also a light source, wherein the spatula and / or the swab device is each coupled to a holding coupling in a form-fit and / or force-fit manner and is thereby arranged at a longitudinal distance from a contact area defined by a longitudinal section of the holding device for manual contact of the holding device by a user, wherein the camera (and optionally also the light source, which may also be integrated into the camera) is coupled in particular by means of a clamping or locking mechanism, wherein the (respective) contact area has a minimum longitudinal extent of 20 cm.and wherein the contact area is at least partially made of copper or has copper as a surface material, and wherein the camera has a communication module for wireless transmission of image data, wherein image data is captured by the camera and transmitted wirelessly by means of the communication module, in particular to at least one computer in a doctor's office or hospital, e.g. in telemedicine applications for data transmission at least approximately in real time. This allows the advantages described above to be realized.

[0053] The camera, which can preferably be coupled reversibly to the device, is designed, for example, as an endoscope camera, in particular an endoscope camera with a wireless communication interface (communication module) for radio or the Internet.

[0054] The retaining coupling preferably features a form-fit / force-fit tapered cross-section, particularly such that it enables self-locking. This allows for compensation of deviations of the coupling object of several millimeters. Optionally, a tapered or flattened section can extend from a free end to the coupling point, enabling the camera or similar components to be attached from the free end to the coupling point, especially in cases of comparatively large positional tolerances or dimensional inaccuracies. This further simplifies manufacturing and use, particularly with regard to replacing the coupled component.

[0055] According to an advantageous embodiment, a kit comprising several holding devices and at least one adapter for size and / or shape adjustment between at least one of the holding couplings and the corresponding device to be held is provided. This expands the range of applications and increases variability and practicality. In particular, the required number of devices per physician, resident, or patient can be minimized, which is also advantageous, for example, in crisis situations or when resources are scarce.

[0056] The aforementioned problem is therefore also solved by a method for manufacturing a medical device holding device designed to hold general medical, surgical or diagnostic devices or instruments, in particular diagnostic devices or instruments for the oral / pharyngeal cavity from the following group: spatula, swab device, light source, camera, or similar diagnostic aids, namely a previously described medical device holding device, wherein the manufacturing method comprises at least the following steps: Forming, in particular hot forming, of a tube in the region of at least one free end of the tube, especially such that a constriction or flattening of the free end is formed; forming an abutment by further forming the at least one free end over a predefined longitudinal section, in particular to an at least approximately uniform thickness, e.g., in the range of 0.5 to 1 cm, and thereby shaping the abutment for an automatic locking mechanism of a spatula and / or swab device; forming a retaining coupling of the medical device for the reversible positive-locking / force-locking mounting of a camera, in particular by providing the tube with a tapered section for mounting the camera in a predefined longitudinal position. This allows the advantages described above to be realized, especially with regard to the simple, cost-effective provision of the device for a large number of applications or users.

[0057] It has been shown that hot forming is preferred in series production, whereby an optional self-locking holding mechanism (holding coupling) with a tapered section can also be implemented. Even with the implementation of such a holding coupling, the dead weight can be optimized in relation to the overall length.

[0058] The present invention can also be advantageously implemented by using a computer program product comprising commands which, when executed on a computer or mobile device, cause it to provide image data captured by a camera provided by means of a previously described medical device holding device. The computer program product is configured to capture, transmit, archive, or provide this image data using the camera and the communication module of the medical device holding device. This allows the advantages described above to be realized, particularly with regard to efficient and mobile data management and the use of the device by different people in different locations. BRIEF DESCRIPTION OF THE FIGURES

[0059] The invention is described in more detail in the following drawings, whereby reference numerals not explicitly described in a particular drawing are made to the other drawings. They show: Figure 1 a schematic top view of a medical device holding device according to an exemplary embodiment; Figure 2 a side view schematically represents a medical device holding device according to a further embodiment; Figure 3 a side view schematically represents a medical device holding device according to a further embodiment; Figure 4 a side view schematically represents a medical device holding kit with two medical device holding devices, each according to an exemplary embodiment; DETAILED DESCRIPTION OF THE FIGURES

[0060] The characters are initially described together. Specific features are then explained individually, referring to particular reference points in relation to each character.

[0061] A medical device holding device 10 has at least one first holding coupling 11 with a first coupling geometry 11a and optionally also a second holding coupling 12 with a second coupling geometry 12a. The first and second holding couplings are each arranged at a free end of the holding device 10. Optionally, a further (third) holding coupling 13 with a third coupling geometry 13a or coupling type (fastening means) can also be provided, wherein the third holding coupling 13 is not necessarily arranged at one of the free ends of the holding device 10, but can, for example, also be attached longitudinally at least approximately centrally in a contact area 15 of the holding device 10, in particular by means of a positive / force-locking coupling on the surface or outer surface 15a of the contact area. The intended contact area 15 can be marked or labeled.Marking 16 must be demarcated from an area defined by the retaining couplings, particularly in the sense of a recommended distance. For example, the distance between the respective free end of the pipe and marking 16 is approximately 4 cm.

[0062] The medical device holding device 10 is configured to hold at least one diagnostic device from the following group by means of the respective coupling: spatula 1, swab device 2, light source 3, camera 4 (in particular comprising a communication module). Preferably, the spatula 1 is held by means of the first holding coupling 11, the swab device 2 is held by means of the second holding coupling 12, and the light source 3 and / or camera 4 is held by means of the third holding coupling 13.

[0063] A medical device holding kit 20 comprises at least two medical device holding devices 10, which together provide the three holding couplings 11, 12, 13.

[0064] The medical device holding device 10 extends essentially in the longitudinal direction x, where the longitudinal direction corresponds to the proximal-distal direction when used as intended. The contact area 15 extends over a comparatively large longitudinal extent x15, for example, over 25 to 35 cm. In the transverse direction y, or width direction, the medical device holding device 10 is comparatively narrow, in particular designed with a uniform width / diameter, wherein preferably only one light source 3 and / or camera 4 and optionally also one or the third holding coupling 13 protrude from the surface 15a in the transverse direction y, wherein the first and second holding couplings 11, 12 are preferably located within the design / component-specific width of the base body or tube of the holding device 10 (i.e., do not extend beyond it).If necessary, the first retaining coupling 11 may be slightly wider than the width / diameter of the contact area 15, especially if the first retaining coupling 11 has been flattened by cold forming, in particular by drawing.

[0065] A communication module (especially radio, Bluetooth and / or internet WLAN communication), particularly when integrated into camera 4, enables a high degree of spatial flexibility and also saves time during data acquisition. This also facilitates documentation, especially the documentation of findings when (image) data is acquired, at least partially, automatically.

[0066] The camera system can be specifically designed for a particular application. Data transmission is preferably via wireless communication. An interface for the respective practice management software (computer program of a doctor's office, hospital, or similar institution) can be provided as an open programming interface, so that the method of data acquisition, transmission, and analysis can be individually adapted.

[0067] The data captured by the camera can be transferred to a practice / hospital management system via a (preferably open) programming interface and stored, for example, in a patient database, particularly to provide a data basis for later evaluation / diagnosis. The camera is intended solely to facilitate data acquisition and provision. Evaluation can / should be facilitated by the practicing healthcare professional based on the provided data. Thus, the present invention also relates to the concept of further reducing the risk for the practicing healthcare professional and the patients by enabling more efficient data acquisition (especially by minimizing the time required for information gathering). The camera, or rather...The communication module can be activated by the user via an on / off switch for the desired snapshots, particularly via an easily accessible switch on the camera itself when mounted on a bracket. The camera can also be switched on / off automatically, especially in response to a signal regarding the camera's horizontal orientation. That is, the camera or the bracket can include a tilt sensor configured to trigger or interrupt data acquisition when the orientation / tilt of the camera or bracket exceeds a certain threshold, for example, a tilt range of ±20° relative to the horizontal. Alternatively, the bracket can also incorporate an acceleration sensor, and the camera can be switched on / off in response to instantaneous acceleration values, e.g.,The camera is switched on / off only when the acceleration falls below a certain threshold, i.e., when the holding device is held relatively still by a person or is placed down and not in use. Thus, the invention also facilitates efficient / effective data / information acquisition with comparatively low requirements for the knowledge or number of personnel involved. For example, the data acquisition and creation of a database can be carried out by a single person, and this person does not necessarily have to be a practicing physician (the person performing the (data) acquisition or handling of the device does not necessarily have to be the treating physician). This offers advantages, particularly in crisis situations, with regard to resource and personnel utilization.Last but not least, tracking and centralized data management can also be facilitated and supported. By positioning the camera, preferably with a communication module, directly on the mounting device in a predefined orientation, outpatient use can be made largely independent of any medical facilities. Automated data acquisition, particularly via a WLAN interface, can further enhance this mobile aspect, so that the mounting device according to the invention offers advantages in many new situations and with regard to diverse applications.

[0068] The following describes particularly advantageous embodiments of the medical device holding device 10 or the medical device holding device kit 20.

[0069] In Fig. 1Figure 10 illustrates a one-piece medical device holding device formed by a copper tube, wherein the two end-end holding couplings 11, 12 are incorporated into the copper tube (base body), in particular by forming and / or by a bore, or optionally by providing a size adapter. The first coupling geometry 11a is designed as a rectangular cross-section with rounded short sides or a rounded end, and the second coupling geometry 12a is designed as a circular or cylindrical shape (dotted lines). A visible edge is also indicated on the first holding coupling 11 (dotted line), from which the geometry transitions from the tube geometry to the coupling geometry, in particular continuously by a bulge without edges or steps.

[0070] The respective spatula 1 can be easily inserted lengthwise x into the left free end of the tube / base body, which is designed as the first retaining coupling 11. The respective smear device 2, or its shaft, can be easily inserted lengthwise x into the right free end of the tube / base body, which is designed as the second retaining coupling 12. Optionally, an adapter, sleeve, or similar intermediate piece can be provided between the smear device and the retaining coupling for size adjustment (especially as part of a kit).

[0071] The entire holding device 10 is formed from a copper tube semi-finished product, on which at least the first holding coupling 11 is / was formed by forming (cold and / or hot forming).

[0072] Fig. 2This describes a holding device 10 with two holding couplings 11, 12 arranged at their respective free ends, wherein the width of the first, flattened holding coupling 11 can optionally be somewhat wider (particularly due to forming processes) than the diameter of the contact area 15, 15a. In this holding device 10, the first holding coupling 11 has a constriction 17, which was formed, for example, by (cold) forming in the tube or in the base body (here: corresponding to the one-piece base body of the contact area 15), in particular by forging / hammering or bending. Hot forming can also be implemented as a supplementary or alternative forming manufacturing process.

[0073] In addition to the first and second holding couplings 11, 12, this holding device 10 also includes an optional third holding coupling 13 for holding / coupling a light source 3 and / or camera 4, wherein the relative longitudinal position (x) of the third holding coupling 13 on the tube 15 is optionally freely selectable, e.g. by means of a force-locking / friction-locking clamping coupling.

[0074] In Fig. 3Another embodiment is illustrated, in which the first retaining coupling 11 is mirror-symmetrical and particularly suitable for frequent spatula changes. As already mentioned, the geometry 11a of the first retaining coupling 11 can be adapted to the type of spatula 1. For example, the first retaining coupling 11 has a width of 2 cm and a height of 0.6 cm. The geometry 11 can be formed in the tube, for example, by cold forming, in particular bending and / or drawing. Hot forming can also be implemented as a supplementary or alternative forming process. For example, the cross-sectional profile is elliptical or oval. For example, the second retaining coupling 12 has a diameter of 0.8 cm, with at least an approximately circular geometry. The depth / length of the respective retaining couplings 11 and 12 is, for example, 2 to 5 cm.

[0075] The production of the geometry of the first retaining coupling 11 can take place in several successive forming steps, depending on the desired design of the coupling.

[0076] The in the Fig. 2 and Fig. 3 The indicated geometric variations of the holding coupling can be selected according to the specific application, particularly with regard to the preferred manufacturing process or the object to be held.

[0077] In Fig. 4A kit 20 comprising two holding devices 10 is shown, wherein the first holding device 10 ensures the holding / coupling of the spatula 1 and the swab device 2 by means of the first and second holding couplings 11, 12, and wherein the second holding device 10 provides the light source 3 and / or camera 4. This redundancy of the holding devices 10 has the particular advantage that the light source 3 and / or camera 4 can be freely positioned and aligned in space independently of the spatula or the swab device 2. Depending on the user's skill level, this can facilitate handling for one or at least two users. Optionally, the third coupling 13 can also be provided on the first holding device 10, optionally redundantly, to allow for a free decision as to whether, in the respective application, all three couplings 11, 12, 13 and the corresponding devices should be provided by means of only one tube 15.This can ensure maximum application variability.

[0078] The contact area 15, intended for manual contact by a user / doctor, is in Fig. 3 Each illustrated as hatching. If also in the Fig. 3 If one or two holding couplings are to be provided at the free ends of the lower holding device 10 shown (especially for greater variability / flexibility), a minimum distance to the free ends is recommended, preferably indicated by a marking or the like. Reference symbol list

[0079] 1. Spatula 2. Smear device 3. Light source 4. Camera, in particular comprising a communication module 10. Medical device holding device 11. First holding coupling 11a. First coupling geometry 12. Second holding coupling 12a. Second coupling geometry 13. Further (third) holding coupling 13a. Third coupling geometry 15. Contact area 15a. Surface or circumferential area of ​​the contact area 16. Identification or marking 17. Constriction 20 Medical Device Holding Kit xLongitudinal direction or proximal-distal direction (when used as intended) x15Longitudinal extent of contact area yTransverse direction or width direction

Claims

1. Medical holding device (10) for holding general medical, surgical or diagnostic devices or instruments, in particular diagnostic devices or instruments for the oral / pharyngeal cavity from the following group: spatula (1), swab device (2), light source (3), camera (4); wherein the holding device (10) comprises: - a contact area (15) for manual contact with the holding device (10) by a user; - at least one holding coupling (11, 12, 13) connected to the contact area (15) for reversibly coupling, in particular for form- and / or force-fitting coupling, the respective device or instrument, wherein the contact area (15) has a minimum longitudinal extent (x15) of 20 cm, wherein the at least one holding coupling (11, 12) is arranged at a longitudinal end of the contact area (15); characterised in that the contact area (15) consists at least partly of copper or comprises copper as a surface material.

2. Medical holding device (10) according to claim 1, wherein the medical holding device (10) is tubular at least in sections, in particular over at least 80-90% of its longitudinal extent; or wherein the contact area (15) has a circular cross-section and comprises a cylindrical outer surface (15a); or wherein at least the contact area (15), in particular the entire holding device, is formed from a tube, in particular from a copper tube; or wherein the medical holding device (10) is formed integrally in one piece from a tubular section, in particular from a semi-finished copper tube, wherein the at least one holding coupling (11, 12) and the contact area (15) merge seamlessly into one another without edges or steps and together form the holding device (10).

3. Medical holding device (10) according to one of the preceding claims, wherein the at least one holding coupling (11, 12) is configured to hold a / the camera (4), wherein the camera comprises a communication module for the wireless transmission of data, in particular a Wi-Fi communication module, in particular comprising, together with the camera, a sensor-assisted automatic on / off function for the automatic start / stop of data acquisition and / or transmission.

4. Medical holding device (10) according to any one of the preceding claims, wherein at least the contact area (15), in particular the entire holding device including the at least one holding coupling (11, 12), is made of solid copper, in particular unalloyed pure copper, in particular with a copper content of over 99%, in particular at least 99.9% copper, or alloyed with at least 55%, preferably at least 60%, more preferably at least 65% or 70% copper; or wherein both the contact area (15) and the at least one holding coupling (11, 12) are formed from a copper tube, such that the holding coupling (11, 12) merges integrally into the contact area in a single piece.

5. Medical holding device (10) according to any one of the preceding claims, wherein the medical holding device (10) comprises a first holding coupling (11) connected to the contact area (15) and a second holding coupling (12) connected to the contact area, wherein the holding couplings (11, 12) are arranged at opposite ends of the contact area (15), in particular each being accessible from the front in the manner of a plug-in coupling in a longitudinal orientation; or wherein the medical holding device (10) comprises at least two holding couplings (11, 12), one of which is configured to couple and retain a / the spatula (1) and the other to couple and retain a / the swab device (2).

6. Medical holding device (10) according to any one of the preceding claims, wherein the medical holding device (10) comprises a first holding coupling (11) with a first coupling geometry formed for the form- and / or force-fitting reception of at least one spatula (1), in particular a slit-shaped geometry tapering slightly in the longitudinal direction; or wherein the medical holding device (10) comprises a second holding coupling (12) with a second coupling geometry designed for the form- and / or force-fitting reception of at least one swab device (2), in particular a circular, ring-shaped receptacle geometry.

7. Medical holding device (10) according to any one of the preceding claims, wherein the medical holding device (10) comprises a first holding coupling (11) with a first coupling geometry designed for the form- and / or force-fitting reception of at least one spatula (1), in particular a slit-shaped geometry tapering slightly in the longitudinal direction, wherein the (inner) diameter of the copper tube is matched to the width of the spatula type to be held to ensure at least a form-fit coupling; or wherein the medical holding device (10) comprises a second holding coupling (12) with a second coupling geometry designed for the form- and / or force-fitting reception of at least one swab device (2), in particular a circular, ring-shaped receptacle geometry, wherein the (inner) diameter of the copper tube is adapted to the diameter of the swab device (2) to be held, or its coupling part or shaft, for at least a form-fit coupling.

8. Medical holding device (10) according to one of the preceding claims, wherein the contact area (15) has a minimum longitudinal extent of 30 cm and provides a holding grip surface for two adult human male or female hands placed one behind the other in the longitudinal direction (x).

9. Medical holding device (10) according to any one of the preceding claims, wherein the contact area (15) is characterised by a length-specific labelling or marking (16) and / or surface texture and / or the contact area is thereby delimited in the longitudinal direction (x); or wherein the contact area (15) has a minimum longitudinal extent (x) of 30 cm, 40 cm or 50 cm.

10. Medical holding device (10) according to claim 1, wherein the medical holding device (10) is tubular at least in sections, in particular over at least 80-90% of its longitudinal extent; wherein both the contact area (15) and the at least one holding coupling (11, 12) are formed from a copper tube, such that the holding coupling (11, 12) merges integrally into the contact area; wherein the medical holding device (10) comprises at least two holding couplings (11, 12), one of which is configured to couple and hold a / the spatula (1) and the other to couple and hold a / the swab device (2); wherein the holding device (10) is formed integrally from a semi-finished copper tube; wherein the contact area (15) has a minimum longitudinal extent of 30 cm and provides a gripping surface for two adult human male or female hands placed one behind the other in the longitudinal direction (x); wherein the at least one holding coupling (11, 12) is configured to hold a / the camera (4), wherein the camera comprises a communication module for the wireless transmission of data, in particular with the medical holding device (10) further including the camera with communication module.

11. Medical holding device kit (20) comprising at least two medical holding devices (10), each according to one of the preceding claims, wherein one of the medical holding devices (10) comprises at least a first / second holding coupling (11, 12) with a form- and / or force-fitting receptacle for a / the spatula (1) and / or a / the swab device (2), and wherein the other of the medical holding devices (10) comprises at least one further holding coupling (13) with a form- and / or force-fitting receptacle for a / the light source (3) and / or a / the camera (4), in particular with the medical holding device kit further comprising a / the camera with communication module.

12. Use of a medical holding device (10) according to any one of claims 1 to 10 for holding a spatula (1) and / or a swab device (2), wherein the spatula and / or the swab device is coupled to a holding coupling (11, 12) by form- and / or force-fitting, and is thereby arranged at a longitudinal distance (x) from a contact area (x15) defined by a longitudinal section of the holding device for manual contact with the holding device by a user.

13. Use of at least one medical holding device (10) according to claim 3, or according to any one of claims 4 to 9, insofar as dependent on claim 3, or according to claim 10, wherein the spatula and / or the swab device is respectively coupled by form- and / or force-fitting to a holding coupling (11, 12) and is thereby arranged at a longitudinal distance (x) from a contact area (x15) defined by a longitudinal section of the holding device for manual contact with the holding device (10) by a user, wherein the camera (4) is coupled in particular by means of a clamping or locking mechanism, and wherein the camera (4) comprises a communication module for the wireless transmission of image data, wherein image data is captured by means of the camera and transmitted wirelessly by means of the communication module, in particular to at least one computer in a doctor's surgery or a hospital.

14. Method for manufacturing a medical holding device (10) configured to hold general medical, surgical or diagnostic devices or instruments, in particular diagnostic devices or instruments for the oral / pharyngeal cavity from the following group: spatulas, swab devices, light sources, cameras, or similar diagnostic aids, namely a medical holding device according to any one of claims 1 to 10, wherein the manufacturing method comprises at least the following steps: - forming, in particular hot forming, of a tube in the region of at least one free end of the tube, in particular such that a constriction or flattening of the free end is formed; - forming an abutment by further forming the at least one free end over a predefined longitudinal section, in particular to an at least approximately uniform thickness, e.g. in the range of 0.5 to 1 cm, and thereby configuring the abutment for self-locking of the spatula and / or swab device; - forming a holding coupling of the medical holding device (10) for the reversible form- and / or force-fit mounting of a camera, in particular by providing the tube with a taper for mounting the camera in a predefined longitudinal position.

15. Method according to the preceding claim, wherein, starting from a semi-finished copper tube, the following steps are carried out: 1 / constricting or flattening in the region of a free end of the tube at a longitudinal distance from the free end; 2 / further constricting or flattening the entire free end up to the previously defined longitudinal position; 3 / inserting into the free end a spatula or a spatula contour which is dimensionally stable or even more dimensionally stable; 4 / further constricting or flattening the entire free end until the inner surface comes into contact with the spatula or the spatula contour.