Schematic Face Contrast Cards for Pediatric Visual Assessment

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Solution Overview

Problem

Current pediatric contrast sensitivity tests are limited by examiner bias, time-consuming, and lack reliability, especially in young children with visual and multiple impairments, as they often require complex equipment and specialized personnel, and existing tests may not accurately measure contrast sensitivity function or be sensitive to various visual disorders.

Innovation Solution

The development of the Double Happy Contrast Sensitivity Test (DH CS test) using a schematic smiling face stimulus that is symmetrical and can be defined in terms of spatial frequency, allowing for a two-alternative forced-choice procedure that reduces examiner bias and is easier to administer, with a card design that maintains objectivity and provides a clear distinction between right and left orientations.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Ease of operation

If the HH face stimulus is used in a centered image configuration, then the test can be administered with simple equipment, but the examiner becomes aware of the stimulus location which introduces examiner bias

Engineering Contradiction:
Improveease of administrationVSAvoidobjectivity of measurement
Core Design Contradiction:
Ease of operationVSReliability

Solution Approach 1:

The stimulus is deliberately made asymmetrical and placed in a non-centered position on the card. This ensures the examiner cannot predict or know the stimulus location in advance, eliminating examiner bias while maintaining simple administration procedures.

Inventive Principle:
Principle #4Asymmetry

2Illumination intensity

If the HH stimulus extends to the edge of the card, then the stimulus is easily visible, but the examiner's fingers may cover a portion of the stimulus

Engineering Contradiction:
Improvevisibility of stimulusVSAvoidexaminer comfort
Core Design Contradiction:
Illumination intensityVSEase of operation

Solution Approach 1:

The stimulus is positioned in a specific non-centered location on the card rather than extending to all edges. This localized positioning ensures the stimulus remains fully visible while preventing the examiner's fingers from covering it during administration.

Inventive Principle:
Principle #3Local quality

3Reliability

If VEP is used to measure contrast sensitivity, then objective measurement is achieved, but complex equipment and specialized personnel are required

Engineering Contradiction:
Improveobjectivity of measurementVSAvoidequipment complexity
Core Design Contradiction:
ReliabilityVSDevice complexity

Solution Approach 1:

The patent replaces complex physiological measurement systems (VEP) with a simple behavioral testing approach using visual contrast cards. This substitution maintains objective measurement while eliminating the need for complex equipment and specialized personnel.

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

4Measurement precision

If sine-wave gratings are used to measure CSF, then contrast sensitivity can be assessed, but the test becomes time-consuming and requires two people

Engineering Contradiction:
Improvecontrast sensitivity measurementVSAvoidtest duration
Core Design Contradiction:
Measurement precisionVSLoss of time

Solution Approach 1:

The patent uses simple, disposable visual contrast cards with schematic face stimuli instead of complex, time-consuming sine-wave grating equipment. This approach maintains measurement precision while significantly reducing test time and personnel requirements.

Inventive Principle:
Principle #27Cheap short-living objects (Disposable)

Data Source

PatentUS11559199B2Visual contrast sensitivity cards for pediatric subjects
Publication Date: 2023.01.24 NEW ENGLAND COLLEGE OF OPTOMETRY
  • US11559199B2 patent drawing
  • US11559199B2 patent drawing
  • US11559199B2 patent drawing

AI summary

A visual stimulus for a set of contrast cards is provided which comprises a hollow outer circle, opposing and identical first and second arc segment within the outer circle which are symmetrical about the vertical diameter of the outer circle, a first filled-in circle and a second filled-in circle being identical in diameter to the first filled-in circle, each residing on opposite ends of the horizontal diameter of the outer circle and each being equidistant from the center of the outer circle, a filled-in center element having a rotational center on the center of the outer circle, the center element being symmetrical about both the horizontal and vertical diameter of the outer circle.