Abstract: Disclosed herein is a device for repeatably and accurately measuring the threshold sensitivity of the skin on a body part or surface such as the plantar surface of the foot. The machine uses a monofilament pressure test, where a monofilament is applied to the surface of the skin until it buckles at a corresponding force. The device may measure a broad range of pressures and responsive sensation in the patient using multiple applications of the monofilament. The patient indicates a positive or negative response, based on whether the patient sensed the monofilament pressure. The machine may include a foot clamping assembly, a support chassis, a linear motion translation assembly for locating the monofilament at a given position for testing, and a camera for taking images used to identify testing locations and report results. Methods of use and testing protocols are also described herein.

Abstract: A system (100) for assessing a subject at risk of a soft tissue abnormality such as deep vein thrombosis (DVT), comprises a motion sensor (108) which is adapted to be fixed, in use, to a muscle (106) of the subject. The motion sensor includes a transmitter (206) configured to transmit a signal (400) representing motion of the sensor. A receiver (118) is configured to receive the signal from the transmitter of the motion sensor. A signal processor (112) is coupled to the receiver and configured to analyse first and second data sets received via the receiver from the motion sensor. The first and second data sets represent respective first and second oscillatory mechanical responses of first and second muscles of the subject resulting from mechanical stimuli. The analysis comprises determining first and second parameter sets characterising the first and second oscillatory mechanical responses, and comparing the first parameter set with the second parameter set to assess a possible presence of DVT in the subject.

Abstract: A system for measuring muscle mass of a patient has a dual-energy radiation emission source. A radiation detector is configured to detect radiation emitted from the dual-energy radiation emission source passed through the patient. A processor has a memory with storing instructions, that when executed by the processor, perform a set of operations. The operations include receiving radiation detection data; generating a scan representation; identifying a primary fat target; determining an amount of fat in the primary fat target; comparing the amount of fat in the primary fat target to a reference; and based on the comparison, correcting an estimated amount of lean tissue to generate a corrected muscle mass value.

Abstract: A medical device assembly is disclosed. The medical device assembly includes a therapeusis delivery portion and an algometer portion. The therapeusis delivery portion includes a body having a proximal end and a distal end. The algometer portion includes a body having a proximal end and a distal end. The body of the therapeusis delivery portion defines a therapeusis-delivering passage and an algometer-receiving passage. The algometer-receiving passage may be sized to receive a portion of the algometer portion for connecting the algometer portion to the therapeusis delivery portion. A portion of medical device assembly is also disclosed. A method is also disclosed.

Abstract: A system for measuring muscle mass of a patient has a dual-energy radiation emission source. A radiation detector is configured to detect radiation emitted from the dual-energy radiation emission source passed through the patient. A processor has a memory with storing instructions, that when executed by the processor, perform a set of operations. The operations include receiving radiation detection data; generating a scan representation; identifying a primary fat target; determining an amount of fat in the primary fat target; comparing the amount of fat in the primary fat target to a reference; and based on the comparison, correcting an estimated amount of lean tissue to generate a corrected muscle mass value.

Abstract: An apparatus and method of using an optical coherence elastography (OCE) under acoustic radiation force (ARF) excitation includes the steps of inducing an excitation wave in a blood sample by use of an ultrasound beam from an ultrasonic transducer; measuring an elastic property of the blood sample by use of an optical coherence tomography (OCT) beam transverse to the ultrasound beam to dynamically measure the elastic property of the blood sample during coagulation and assessing the clot formation/dissolution kinetics and strength.

Abstract: A helmet testing apparatus including a movable member, a sensor coupled to the movable member and configured to acquire compliance data regarding a liner disposed within a shell of a helmet through engagement of the sensor with the liner, and a processing circuit configured to determine a rating for the helmet based on the compliance data and predetermined compliance parameters for the helmet.

Abstract: The present invention teaches a system for the automated palpation testing of a patient, including the use of a robotic device with a actuating element thereto. The system is useful for testing patients at risk of nerve degradation, such as diabetic sufferers. The system includes a controller for programming the robotic device to administer the test in a particular pattern, and a storage medium for storing the results of the test. The system allows a more accurate determination of the stage of nerve degradation, as well as being more standardized because of the inclusion of automation technology.

Abstract: A force transducer comprises a handle operably connected to a probe having an elongate tip. The force transducer includes a biasing element arranged with respect to the handle, in force transmitting communication with the probe, and a detector operable to detect a degree of force applied between the probe and the handle. The force transducer further includes an actuator operable to exert a force on the biasing element in dependence upon the degree of force detected by the detector so as to cause a predetermined force to be transmitted from the handle to the probe.

Abstract: Described herein are methods, systems, and devices for identifying agents and genetic pathways that modulate the effects of traumatic brain injury (TBI) in invertebrate model systems having a brain, e.g., Drosophila or C. elegans.

Abstract: A mouth guard comprises a base member configured to fit inside the mouth of a user, and at least one shock-sensing and indicating device coupled to the base member. In one exemplary embodiment, the shock-sensing and indicating device is a passive shock-sensing and indicating device that detects a shock substantially along a selected axis with respect to the base member. In another exemplary embodiment, the at least one shock-sensing and indicating device detects a shock substantially along a plurality of selected axes with respect to the base member, each selected axis being substantially orthogonal from another selected axis. The shock-sensing and indicating devices can be configured to detect different levels of shock. In one exemplary embodiment, the shock-sensing and indicating device comprises a multi-component chemical-reaction system, such as a chemi-luminescent reaction system.

Abstract: The information relating to physical and/or biomedical parameters of a person carrying out, in real conditions, an activity distinguished by high mechanical stresses is detected by sensors (10, 12, 16, 18, 20, 22, 30) which are mounted on, or form part of, a garment worn while carrying out said activity. During all the stages of said activity this information is converted into data in digital format which are stored in an electronic recording device (100) or “data logger”. Advantages: the stored data may be used by other persons also far from the location where the activity is being performed and/or at a later time.

Abstract: An apparatus and method are adapted for characterizing human tissue type. A plurality of inflatable bladders enable the application of kinetic energy to the human tissue. Collected data responsive to the applied kinetic energy differentiates between different tissue types and patient loading. The data can be routed via a network to a remote location.

Abstract: Methods, apparatus and systems for characterizing changes in at least one physical property of soft tissue. A series of acoustic pulses is generated and directed into the soft tissue such that at least one of the pulses is of sufficiently high intensity to induce physical displacement of the tissue. Waves reflected off the tissue, or a flexible member that moves with the tissue, are received and measured to estimate at least one characteristic of the physical displacement induced thereby. Repetition of the generating, receiving and estimating steps provides characterization of the at least one physical property over time. Methods, apparatus and systems for characterizing at least one physical property of blood, by generating a series of acoustic pulses and directing the series of pulses into the blood such that at least one of the pulses is of sufficiently high intensity to induce physical displacement of the blood.

Abstract: Models for simulating traumatic brain injury provide analogues for studying similar occurrences in humans. Such models may include inserting a subject into a sheath. While in the sheath, the subject may be placed on a pad beneath an impactor. The head of the subject may be impacted by the impactor, whereby the head of the subject moves into the pad. Methods may further include attaching a helmet to the head of the subject. An arm of an impact device may be connected to a handle of the helmet, such that the head of the subject is restrained relative to the impact device. While advancing the impactor, the arm may be disconnected from the handle, such that the head of the subject becomes unrestrained relative to the impact device and moves into the pad in response to the impacting.

Abstract: A shock patch is configured for use with a human being to detect various parameters related to the condition of the portion of the human being to which the shock patch is adhered. The patch may be attached to a head using an adhesive sticker. The patch includes sensors for detecting movement of the head, together with memory, processing, and other features to interpret the movement and provide information about the motion or other qualities of the head to which the patch is attached.

Abstract: A method, including measuring a force exerted by a probe on tissue of a patient and measuring a displacement of the probe while measuring the force. The method further includes detecting a tenting of the tissue responsively to a relation between the measured force and the measured displacement.

Abstract: An electronic monitoring device (100) is configured as a mouth guard (101). The mouth guard includes a biometric sensor (106) and a communication device (107). The communication module includes an antenna (406), a controller (404); and a switch (408) operative to change a radar cross section of the antenna by selectively altering a load impedance of the antenna. The controller backscatters received radio frequency signals (415) by modulating the received radio frequency signal by controlling the switch to encode output from the biometric sensor therein. In a method (800), a coach, trainer, or parent can monitor biometric activity of a user by receiving backscattered return signals having output of the biometric sensor encoded therein. Detection of location, other biometric information, and user identification is also possible.

Abstract: The apparatus (2) for early diagnosis of carpal tunnel syndrome, of the type comprising: receiving means which define a receiving zone (8) for receiving a patient's finger, means for measuring the cutaneous sensibility of a finger (10) disposed in said receiving means, comprising a device for determining a sensation threshold of the finger pulp and a device for measuring the innervation density of the finger pulp, each device comprising protruding portions (22) adapted to be brought into contact with the finger (10), is characterized in that the protruding portions (22) of the device for measuring the innervation density are identical with those of the device for determining the sensation threshold.

Abstract: The device performs reference point indentation without a reference probe. The indentation distance is measured relative to the instrument which remains substantially stationary during the impact process, which occurs on the order of one millisecond. In one embodiment, an impact motion with a peak force of order 28N creates an indentation in bone with a depth of approximately 150 ?m during which the instrument case moves less than 1 ?m. Thus the error in measuring indentation depth due to the motion of the case is less than 1%, making a reference probe unnecessary. Further, this “error” is consistent and can be corrected. In one embodiment, the device measures the fracture resistance of hard tissues by actually creating microscopic fractures in the hard tissues in a measured way. It creates these microscopic fractures by impacting the sample with a sharpened probe. The indentation distance in the sample is correlated with fracture resistance.

Abstract: An oscillation arm moves in a seesaw fashion about an oscillation axis which is supported by a support rod and which serves as a fulcrum. A rotation arm and a pressurizer are provided on one end of the oscillation arm. One end of the rotation arm is rotatably attached to the oscillation arm, and a load weight is placed on the other end of the rotation arm. By rotating the rotation arm, the magnitude of a force to be applied by the load weight to the pressurizer is adjusted. More specifically, by displacing the load weight to a predetermined position by rotation and then causing the load weight to stop at this position, a static load corresponding to the rotation angle can be applied to the pressurizer. Further, by causing the load weight to perform rotational motion, the magnitude of the force to be applied to the pressurizer is periodically varied, so that a load which varies periodically can be applied to hard tissue.

Abstract: A living body measurement apparatus according to the present invention functions both as a muscular tissue hardness tester for measuring hardness of muscular tissue of a living body and as an algesiometer for measuring a degree of sense of pain of the living body, and the apparatus includes: an contacting section which includes a first contact surface contacting the living body, and which applies pressure to the living body; an auxiliary section which includes a second contact surface contacting the living body, and which supports the second contact surface so that the second contact surface perform reciprocating movement between a coplanar position in which the second contact surface is disposed substantially coplanar with the first contact surface and a retracted position in which the second contact surface is retracted with respect to the first contact surface; and a locking mechanism which locks the auxiliary section in a state in which the second contact surface is disposed at the retracted position.

Abstract: An embodiment of the invention is a soft tissue impact assessment device. The device includes a skin that is shaped or moldable to a human-like form. A positional force or pressure sensor within the skin measures force or pressure and location of impact or contact with the skin and provides data regarding the force or pressure and location of impact or contact with the skin. In preferred embodiments, the skin includes a top layer made of a material and thickness that simulates the protection provided by particular human skin to underlying tissue. A pressure or force sensor sheet closely contacts the top layer in a manner that avoids any substantial movement between the top layer and the pressure or force sensor sheet during a range of anticipated force or pressure conditions to be experienced by the human surrogate during testing. A lining layer is suitable to be in close contact with a surface of a human like form.

Abstract: Techniques for testing integrity of various elements of implantable medical device systems are described. Some embodiments automatically test the integrity of one or more system elements in response to detecting an event. Examples of events in response to which an integrity test may be performed include the patient being within a target activity state, a symptomatic event experienced by a patient, an external impact on the patient that exceeds a damage threshold, or an indication that the patient is receiving inappropriate therapy. Some embodiments automatically test integrity in response to failure to autonomously detect an event, which may be indicated by input from a patient. An implantable lead carrying electrodes or a therapeutic substance delivery element, such as a catheter, are examples of system elements for which integrity may be tested in some embodiments.

Abstract: The present invention relates to a device comprising a shaft having at least a first portion and a second portion that can adopt a closed position in which the first and second portions are positioned adjacent each other and an open position in which the first and second portions are positioned distant from each other, one or both of the first and second portions housing or forming part of one or more of an ophthalmoscope, an otoscope, a tendon hammer, a tuning fork and a red hat pin. Also provided are improved otoscope heads and means to protect the functional heads of medical tools when not in use.

Abstract: Systems and methods are provided for registering a sensor assembly, implemented on a base apparatus, to a desired location associated with a head of a user. A position of a reference point on the base apparatus is determined relative to an external anatomical landmark of the user. A position of the external anatomical landmark is determined relative to the desired location. The position and orientation of the sensor assembly is determined relative to the desired location according to the determined position and orientation of the sensor assembly relative to the reference point, the determined position of the reference point relative to the external anatomical landmark, and the position of the external anatomical landmark relative to the desired location.

Abstract: A muscle hardness meter according to the present invention, which measures the hardness of muscle tissue of a living organism, includes: an auxiliary part which touches a periphery of a section of the living organism to be measure so as to apply pressure to the periphery; a touching part which touches the section to be measured so as to apply pressure to the section to be measured; a first pressure sensor which measures pressures that the touching part and the auxiliary part sustain, respectively, from the section to be measured and the periphery, and outputs a first measurement result; a second pressure sensor which measures a pressure that the touching part sustains from the section to be measure, and outputs a second measurement result; a notification part which notifies the second measurement result; and a control part which determines whether or not the first measurement result teaches a reference pressure value input in advance and notifies the second measurement result to the notification part at a tim

Abstract: A method and system for monitoring impaction of a femoral component of a hip prosthesis into a femur in which impaction data generated during the impaction of the femoral component into the femur is received from at least one measurement transducer attached to the femoral component and is normalized by a data acquisition and analysis device. An impaction monitoring metric is calculated based on the normalized impaction data, and femoral component fit and stability data is then generated and output to a user interface based on the impaction monitoring metric.

Abstract: A method including measuring time periods in which a reflex point of a subject is struck and a reflex response is observed. A method including determining a resting metabolic rate of a subject by applying the Kail-Waters equation. An apparatus including a striking instrument capable of delivering a kinetic energy to a reflex point of a subject; and a measurement instrument capable of being coupled to a subject and measuring a reflex response. A machine-readable storage medium containing executable program instructions which when executed cause a digital processing system to perform a method including determining time periods in which a reflex point is struck and a reflex response is observed. A machine-readable storage medium containing executable program instructions which when executed cause a digital processing system to perform a method including determining a resting metabolic rate of a subject by applying the Kail-Waters equation.

Abstract: A method is provided for measuring a spasticity of a muscle, comprising indenting a tapper at a particular distance into the skin, tapping a tendon associated with a muscle, and measuring the force response within a response time window. If a spastic response is detected at a particular position of the tapper according to some predefined criteria associated with the force measure, then either the position or a preload force is recorded at the first position to produce a spastic response. This determination can be used for various medical diagnoses. Furthermore, passive muscle properties can be determined by calculating a muscle stiffness value based on a line slope at at least one of the first and second indentation positions based on the maximum tapping force value at the respective indentation position.

Abstract: A self-locating mounting apparatus for holding objects such as sensors at specific positions on a subject's head includes a central mount constituted by a plurality of inextensible elements adapted to fit over the top of a subject's head. In addition, the mounting apparatus includes an adjustable circumferential band adapted to circle the subject's head and connect the central mount to inextensible side elements via sliding joints. A plurality of biasing elements provide a force for biasing sensor mounting units on the mounting apparatus against a subject's head, allowing for long-term sensing while minimizing interference forces on the mounting units. Advantageously, the mounting apparatus holds sensors within approximately 5 mm of their desired measurement positions over a range of subject head sizes.

Abstract: An improved neurological testing apparatus 10 for examining a person's neurological system has a body housing 12, one or more separate specific taste testing substances 20, one or more separate specific smell testing substances 30, one or more vision charts 40, 42 and a light source 50. The body housing 12 includes a front surface 12A, a rear surface 12B, an upper end 14, a bottom end 16 and an interior chamber 18 for holding a battery 100. The separate specific taste testing substances 20 are attached to the front or rear surfaces. The separate specific smell testing substances 30 are attached to either the front or rear surface. The vision charts 40, 42 lie on one of the front or rear surfaces opposite the smell or taste testing substances 20, 30.

Abstract: The present invention relates to a hand sensory assessment device capable of point localization, two-point discrimination, vibration, and texture discrimination for assessing and training patients. The device possesses multiples of pins serving as contacting points that are capable of treating multiples points on a patients hand.

Abstract: A mouth guard comprises a base member configured to fit inside the mouth of a user, and at least one shock-sensing and indicating device coupled to the base member. In one exemplary embodiment, the shock-sensing and indicating device is a passive shock-sensing and indicating device that detects a shock substantially along a selected axis with respect to the base member. In another exemplary embodiment, the at least one shock-sensing and indicating device detects a shock substantially along a plurality of selected axes with respect to the base member, each selected axis being substantially orthogonal from another selected axis. The shock-sensing and indicating devices can be configured to detect different levels of shock. In one exemplary embodiment, the shock-sensing and indicating device comprises a multi-component chemical-reaction system, such as a chemi-luminescent reaction system.

Abstract: A method of preventing nerve damage positional injury during surgery includes providing a nerve damage positional injury pressure monitoring system including a site sensor with a transducer in the form of a transducer element and a ring extending outward from the transducer element, and a monitor connected to the site sensor; adhering the ring of the site sensor to the patient so that the transducer element forms a protective barrier in front of the area of the patient prone to nerve damage positional injury during surgery; using the system to continuously monitor pressure on the protective barrier formed by the transducer element in front of the area of the patient prone to nerve damage positional injury during surgery with the site sensor and monitor; and causing an alarm to be actuated to alert medical personnel of a pressure condition when monitored pressure is greater than a predetermined threshold.

Abstract: A compact diagnostic neurological tool comprising a two-point discriminator; a brush; and a sharp-dull instrument; wherein the two-point discriminator, the brush, and the sharp-dull instrument are all housed within a case; wherein the two-point discriminator, the brush, and the sharp-dull instrument are all retractable; wherein the two-point discriminator comprises two tines, and wherein the distance between the tines can be increased by extending the two-point discriminator and decreased by retracting the two-point discriminator. The case is preferably rectangular in shape and roughly five inches long, one and one-quarter inches wide, and one-half inch thick.

Abstract: A method and system for monitoring impaction of a femoral component of a hip prosthesis into a femur in which impaction data generated during the impaction of the femoral component into the femur is received from at least one measurement transducer attached to the femoral component and is normalized by a data acquisition and analysis device. An impaction monitoring metric is calculated based on the normalized impaction data, and femoral component fit and stability data is then generated and output to a user interface based on the impaction monitoring metric.

Abstract: A method including measuring time periods in which a reflex point of a subject is struck and a reflex response is observed. A method including determining a resting metabolic rate of a subject by applying the Kail-Waters equation. An apparatus including a striking instrument capable of delivering a kinetic energy to a reflex point of a subject; and a measurement instrument capable of being coupled to a subject and measuring a reflex response. A machine-readable storage medium containing executable program instructions which when executed cause a digital processing system to perform a method including determining time periods in which a reflex point is struck and a reflex response is observed. A machine-readable storage medium containing executable program instructions which when executed cause a digital processing system to perform a method including determining a resting metabolic rate of a subject by applying the Kail-Waters equation.

Abstract: Apparatus and methods for rotation test stimulus and analysis methods overcome many of the limitations of traditional clinical tests of peripheral vestibular function. An embodiment includes a rotational stimuli applied to the rotational motion for testing that includes two separate components, a bias component and a probe component. The bias component for rotational motion is designed to temporarily turn off vestibular responses in one ear while the responsiveness in the opposite ear is simultaneously evaluated using the probe component of the stimulus. Responses from application of these stimuli are analyzed by isolating and separating the bias response from the probe response. The bias and probe component responses are parameterized by applying curve fits of mathematical functions to the isolated bias and probe component responses. These parameters characterize the patient's vestibular function.

Abstract: A method including measuring time periods in which a reflex point of a subject is struck and a reflex response is observed. A method including determining a resting metabolic rate of a subject by applying the Kail-Waters equation. An apparatus including a striking instrument capable of delivering a kinetic energy to a reflex point of a subject; and a measurement instrument capable of being coupled to a subject and measuring a reflex response. A machine-readable storage medium containing executable program instructions which when executed cause a digital processing system to perform a method including determining time periods in which a reflex point is struck and a reflex response is observed. A machine-readable storage medium containing executable program instructions which when executed cause a digital processing system to perform a method including determining a resting metabolic rate of a subject by applying the Kail-Waters equation.

Abstract: A compact diagnostic neurological tool comprising a two-point discriminator; a brush; and a sharp-dull instrument; wherein the two-point discriminator, the brush, and the sharp-dull instrument are all housed within a case; wherein the two-point discriminator, the brush, and the sharp-dull instrument are all retractable; wherein the two-point discriminator comprises two tines, and wherein the distance between the tines can be increased by extending the two-point discriminator and decreased by retracting the two-point discriminator. The case is preferably rectangular in shape and roughly five inches long, one and one-quarter inches wide, and one-half inch thick.

Abstract: A method of preventing nerve damage positional injury during surgery includes providing a nerve damage positional injury pressure monitoring system including a site sensor with a transducer in the form of a transducer element and a ring extending outward from the transducer element, and a monitor connected to the site sensor; adhering the ring of the site sensor to the patient so that the transducer element forms a protective barrier in front of the area of the patient prone to nerve damage positional injury during surgery; using the system to continuously monitor pressure on the protective barrier formed by the transducer element in front of the area of the patient prone to nerve damage positional injury during surgery with the site sensor and monitor; and causing an alarm to be actuated to alert medical personnel of a pressure condition when monitored pressure is greater than a predetermined threshold.

Abstract: An apparatus for auscultation and percussion of a human or animal body has a stethoscope with a diaphragm on one side of a head thereof, and a percussion mechanism positioned in the head for selectively producing a percussion against the body such that a sound from the percussion mechanism is passed through a tube connected to the head. The percussion mechanism includes a cylinder positioned within the head, a piston slidably positioned within the cylinder, and an activator lever connected to the piston for moving the piston between a first position adjacent to an impact element and a second position away from the impact element.

Abstract: An irregular defect of a dental implant is examined. The dental implant is excited first to obtain vibration responses. The vibration responses is received by accelerometer or sensor to be processed into a resonance frequency diagram. Through the diagram and the position of the accelerometer or sensor, stability of the whole structure and the defect position are diagnosed for evaluation. The present invention can be also applied to implants other than the dental implant.

Abstract: A pain measurement system is capable of accurately and reliably measuring the magnitude of temporary pain in a patient while reducing burdens on the patient during pain measurement. The pain measurement system has a system assembly including a controller that controls an electric stimulus signal output unit to apply a pulse current which increases with time through an electrode. The value of the pulse current is recognized as a minimum sensed current value when a first signal is received. The electric stimulus signal output unit is then controlled to apply, through the electrode, a pulse current having a current value which increases from a predetermined initial value stepwise by nX (where X represents the minimum sensed current value and n represents a positive rational number). The current value of the pulse current is recognized as a pain-commensurate current value when a second signal is received.

Abstract: A method and system for monitoring impaction of a femoral component of a hip prosthesis into a femur in which impaction data generated during the impaction of the femoral component into the femur is received from at least one measurement transducer attached to the femoral component and is normalized by a data acquisition and analysis device. An impaction monitoring metric is calculated based on the normalized impaction data, and femoral component fit and stability data is then generated and output to a user interface based on the impaction monitoring metric.

Abstract: An implantable pedometer for measuring the amount of joint use is disclosed. The implantable pedometer includes a sensor adapted for detecting indicators of joint usage. A counter is configured for storing count data corresponding to the number of indicators detected by the sensor and a telemetry circuit is configured for transmitting the count data outside of the body.

Abstract: A method of preventing eye-related positional injuries during spinal surgery includes providing an orbital area pressure monitoring system including a site sensor with transducer, and a monitor connected to the site sensor; using the orbital area pressure monitoring system to continuously monitor pressure on an orbital area of the patient with the site sensor and monitor; and causing an alarm to be actuated to alert medical personnel of a pressure condition when monitored pressure is greater than a predetermined threshold.

Abstract: A plexor having a handle and a head attached to a front section, and having tapping elements seated on both sides on a receiving body. One tapping element terminates in a line-shaped tapping section, and the other tapping element terminates in a point-like tapping section. An orientation of the line-shaped tapping section can be rotated into different angular positions around an axis extending in the longitudinal direction of the head and can be fixed in place in the desired rotated position.

Abstract: A mechanical tapper clips onto the end of a stethoscope. The device is operated by pressing a small plunger with the index finger of the hand holding the end of the stethoscope onto the patient's body to aid the percussion portion of a physical exam.