STETHOSCOPE CHESTPIECE WITH A SOUND CONVEYING INDEXING DETENT

Abstract: A stethoscope chestpiece has a body member (10), a tubular shaft (20), and an indexing detent (30). The body has a plurality of microphones (11, 12) each of which has a opening (14, 15) at its apex and a central recess (13). The tubular shaft is rotably secured (18, 19, 21) within the central recess and has an opening (23) in its wall that aligns selectively with one of the openings from the microphones. The sound conveying detent is mounted transversely within the shaft and aligned with the opening in the shaft wall. The indexing detent (30) has a hollow cylindrical element (31) and spring (32). The hollow cylindrical element has an open bottom (33) and a seat end (35) having an opening (34). The seat end is beveled and extends beyond the opening in the shaft wall to engage the body. When the seat end is aligned with a selected one of the openings from the microphones it seats to hold the opening from the microphone in alignment with the opening in the seat end to create a sound passageway into the tubular shaft.

Description: Field of the Invention The present invention relates to a multiple microphone stethoscope chestpiece having a novel and improved sound conveying detent for aligning a tubular shaft in a central recess of the body of the chestpiece with a selected one of the openings from the microphones to the central recess. Background of the Invention Two microphone stethoscope chestpiece constructions are well known and generally have a tubular stem or shaft secured in a body and rotatably alignable with a selected one of the microphones (e.g., a conventional bell microphone for low frequency heart sounds or a conventional diaphragm microphone for high frequency lung sounds). Typically the shaft has a spring loaded detent to hold the shaft in alignment with the selected microphone while blocking sound transmission into the stem from the microphone not in use. Manufacture of chestpieces with indexing detents is very expensive because of multiple machining steps to mate the various parts, complex assembly, and extensive testing to assure that no sound leaks into the stem from pathways other than the selected microphone. U.S. Patent No. 3,224,526 to Weber describes an indexing detent that has been used for many years with cardiology stethoscopes (having a relatively large stem). The indexing detent is comprised of a coil spring lying transversely of the stem and wholly within the stem and a stop. The assembly of the coil spring and stop aligns with two openings in the wall of the stem. The stop is preferably a ball bearing carefully machined to seat in an opening at the apex of the microphone not in use. Sound enters the stem from the microphone in use through a hole in the microphone at its apex that is aligned with the hole in the stem opposite the stop. When pressure is applied to the stem to rotate it, the ball bearing is biased against the spring inside the stem and rotates within the stem. When proper alignment is reached, the compression on the spring is released and the ball bearing is forced against the opening to the microphone not in use and prevents air leakage. While stethoscopes carefully manufactured according to this design work very well over a long period of time, the manufacturing cost is high. The ball bearing and the openings from each of the microphones must be carefully machined to mate and they must be individually tested for second leaks across the ball bearing-microphone seal. Additionally, any wear on the microphone opening or the ball bearing (e.g., from foreign matter) can create sound leaks. U.S. Patent No. 3,152,659 to Littman describes another indexing detent that has performed very well for many years in stethoscopes having smaller stems than cardiology stethoscopes. The body of the chestpieces has two diametrically opposed microphones and a central bore. Each microphone has an opening into the central bore. The openings are aligned across the bore. The bore is machined to have two grooves that are spaced normal to the openings. A U-spring is fit within the end of the stem. The U-spring has enlarged bight sections which resiliently engage the grooves in the bore. The position of the U-spring may be locked with respect to the stem by providing short slits along the end of the stem through which the enlarged bight sections of the U-spring extend. Manufacture of this chestpiece requires very close tolerances to assure that the grooves are normal to the openings from the microphones, that the slits in the stem are normal to the opening in the stem, that the U-spring mates with the grooves without allowing the stem to wobble and with appropriate resiliency to allow detent indexing. While stethoscopes made with this design perform very well, maintenance is required if the U-spring breaks. Eventually the grooves in the bore wear so that the U-spring does not securely hold the hole in the stem in alignment with the selected opening, requiring replacement of the entire chestpiece. U.S. Patent No. 3,316,998 (Krug) describes another indexing detent which is a rotatable joint provided for a stethoscope having a microphone body with a plurality of microphones. A first cylindrical recess is formed in the body and openings are provided, communicating with this recess, at the apexes of the cup of each microphone in a diametrically opposed around the recess. Into this cylindrical recess a tube is fitted, one end of the tube being attached to the sound tube of the stethoscope, the other end being fitted so as to provide for the indexable rotating joint. An opening is provided in the tube for alignment with the openings and the apexes of each of the microphone cups when the rotating tube is properly aligned. Openings are provided at the end of the rotating tube opposite that connected to the sound tube. Into these openings is placed a means of locking the rotating tube into predetermined positions. In the preferred embodiment, this means is a cylindrical rod of small diameter, the ends of which seat indentations in the microphone body at the periphery of the cylindrical recess adjacent the rotating tube. These indentations are formed in a shoulder provided at the intersection of the first cylindrical recess and a second cylindrical recess of larger diameter which is in coaxial alignment with the first cylindrical recess. The rotating tube is placed within the cylindrical recesses, slightly beyond the locking position. The locking means is inserted in the tube, and the tube is retracted to the locking position. A compression spring is inserted into a cap which can be press fitted into the second cylindrical recess of the microphone body opposite the end through which the rotatable tube is inserted. This cap, with the spring in place, is inserted into the second cylindrical recess so as to compress the spring against either the rotatable tube or the locking means. Preferably, the rotatable tube is sized so as to allow entry into the cap in a telescopic relation. Summary of the Invention The construction of the present invention overcomes the problem of sound leaks across the interface between a ball bearing and a hole in the microphone not in use and the expensive manufacture and maintenance costs of the U-spring construction. It is also suitable for use with chestpieces having more than two microphones (e.g., the chestpiece of U.S. Patent No. 3,124,211 has three microphones). The invention is a chestpiece having a body member, a tubular shaft and an indexing detent. The body member has a plurality of microphones and a cylindrical central recess. Each microphone has an opening at its apex into the central recess. The openings are placed with their centers in a common plane which is normal to the axis of the recess. The tubular shaft is rotatably secured within the central recess and has a single opening in its wall. The opening in the wall is adapted upon rotation to be aligned selectively with the opening in any one of the microphones. The indexing detent is mounted transversely within the shaft and aligned with the opening in the shaft wall. The indexing detent has a hollow cylindrical element and a spring. The hollow cylindrical element is open at both ends and has a length to allow sound to pass undampened therethrough and has one end which is beveled to form a seat end. The spring is positioned to resiliently urge the cylindrical element out of the tubular shaft. The seat end protrudes out of the opening in the wall of the tubular shaft and engages the body member. Upon rotation of the tubular shaft the seat end rotates into alignment with a selected one of the openings in the microphones and seats to hold the alignment of the microphone opening with the opening in the seat end to create an unrestricted passageway. Upon further rotation of the tubular shaft, the seat end rotates into alignment with another one of the openings from the microphone. Preferably the tubular shaft is secured against axial movement within the recess and the body has two microphones diametrically arranged about the central recess. In the preferred construction, the seat end is frustroconical and is beveled at an angle between 45° and 60° from a plane normal to the axis of the cylindrical element. The most preferred angle for the bevel of the seat end is 50°. Additionally, the hollow cylindrical element has sufficient height so that it rotates as a unit with the tubular shaft when torque is applied to the shaft and does not tilt in the opening from the shaft and bind. Brief Description of the Drawings Fig. 1 is a longitudinal sectional view of the chestpiece showing the indexing detent positioned for use for the bell shaped microphone; Fig. 2 is an enlarged sectional view taken along line 2-2 of Fig. 1; and Fig. 3 is a sectional view of the cylindrical hollow element. Detailed Description The preferred stethoscope chestpiece has a body 10, a tubular shaft 20, and an indexing detent 30. The body 10 is shown with two microphones, a conventional bell type microphone 11 and a conventional diaphragm type microphone 12. The two microphones are diametrically arranged around a cylindrical central recess 13. The bell type microphone 11 has an opening 14 at its apex while the diaphragm type microphone 12 has an opening 15 at its apex. Also, shown are a retaining ring 16 and diaphragm 17 which are well known to those skilled in the art. The tubular shaft 20 is rotatably secured within the recess 13. The body 10 has a circular groove 18 along the inside wall of recess 13 and the tubular shaft has a corresponding circular groove 21 along its outer surface. Groove 18 and 21 contain lock ring 19 which secures the tubular shaft against axial movement. The tubular shaft 20 is shown aligned with opening 14 from the bell microphone 11. Rotation of the tubular shaft 20 through 180° would bring opening 22 into alignment with opening 15 in the diaphragm microphone 12. The indexing detent 30 has a hollow cylindrical element 31 and a spring 32. The hollow cylindrical element 31 has an open bottom 33 and an opening 34 in its seat end 35. The seat end 35 has a beveled contour at an angle ϑ from the plane 36 normal to the axis of the hollow cylindrical element 31. Preferably the angle ϑ is between 45° and 60°. Most preferably the angle ϑ is 50°. The hollow cylindrical element also has a height d which is long enough so that the hollow cylindrical element rotates as a unit with the tubular shaft when torque is applied to the shaft. Those skilled in the art will appreciate that too short a height d may allow the cylindrical element 31 to tilt relative to the opening in the shaft and bind. The length should also be short enough to leave a space between its open bottom 33 and the bottom of the bore 23 in the shaft when the seat end is seated against one of the openings in the microphone. This space allows sound traveling through the cylindrical element 31 to pass into the tubular shaft and into a tubular binaural (not shown) in the conventional manner. The spring 32 is shown as a conventional coil spring positioned partially within the hollow cylindrical element 31 and urging it against body 10. The spring may be formed in any convenient manner provided that sound communication exists between the open bottom of the hollow cylindrical element and the tubular shaft.

Claims: A stethoscope chestpiece comprising a body member (10), a tubular shaft (20) and an indexing detent means (30) wherein the body member (10) comprises a plurality of microphones (11 and 12), a cylindrical recess (13) interposed between the microphones, and an opening (14 and 15) from the apex of each microphone (11 and 12) communicating with the recess (13) with each such opening having its center in a common plane normal to the axis of the cylindrical recess; the tubular shaft (20) is rotatably secured within the cylindrical recess and has a single opening (22) through the wall of the shaft adapted on rotation of the shaft to be aligned selectively with the opening (14 or 15) in any one of the microphones; and the indexing detent means (30) is mounted transversely within the shaft (20); characterised in that the indexing detent means is aligned with the opening (22) through the wall of the shaft and is comprised of a hollow cylindrical element (31) and a spring (32), the hollow cylindrical element (31) having a seat end (35) and an opposite end, the seat end (35) being beveled and extending beyond the opening (22) through the wall of the shaft, the seat end (35) and the opposite end each having openings (34 and 33) and the cylindrical element (31) having a length to permit sound to pass undampened therethrough, and the spring being positioned to resiliently urge the seat end (35) against the body member (10) so that upon rotation of the tubular shaft (20) the seat end (35) rotates into alignment with a selected one of the openings (14 or 15) from the microphones (11 or 12) and seats to hold the opening (14 or 15) from the microphone in alignment with the opening (34) in the seat end (35) to create a passageway until further rotation of the tubular shaft (20) causes the seat end (35) to rotate to align with another one of the openings (14 or 15) from the microphones (11 or 12). The stethoscope chestpiece of claim 1 further comprising means (18, 19 and 21) to secure the tubular shaft (20) against axial movement within the recess (13). The stethoscope chestpiece of claim 1 wherein the body has two microphones (11 and 12), one being a bell type (11) and the other a diaphragm type (12). The stethoscope of claim 1 wherein the seat end (35) is a frustroconical section. The stethoscope of claim 4 wherein the angle of the frustroconical section is between 45°-60° from a plane defined by the circumference of the section. The stethoscope of claim 1 wherein the hollow cylindrical element (31) has a height sufficient to cause the cylindrical element (31) to rotate as a unit with the tubular shaft (20) when torque is applied to the tubular shaft (20).

Inventors: GRIMM, FORREST R. C/O MINNESOTA MINING AND
Applicants: MINNESOTA MINING AND MANUFACTURING COMPANY
Application year: 1988
Main classification: A61B7
IPC codes: A61B7