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US1401104A - Surgical instrument - Google Patents

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Publication number
US1401104A
US1401104A US36601120A US1401104A US 1401104 A US1401104 A US 1401104A US 36601120 A US36601120 A US 36601120A US 1401104 A US1401104 A US 1401104A
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Prior art keywords
casing
resistance
section
instrument
fig
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Expired - Lifetime
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Kruesheld Henry
Allen J Walter
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Kruesheld Henry
Allen J Walter
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, E.G. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/12Devices for heating or cooling internal body cavities
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/08Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • A61B18/082Probes or electrodes therefor

Description

H. KRUESHELD AND A. 1. WALTER.-

SURGICAL INSTRUMENT.

APPLICATION FILED MAR. I5. I92o.

IIIIIIIIIIIIII ge; L .1:11:51 @9 "ml Patented Dec. 20, '1921.

2 SHEETS-SHEET I.

`l--III df. J Walzr H. 'KRUESHELD AND A. J. WALTER.

SURGICAL INSTRUMENT.

APPLICATION FILED MAR. I5. I92 0l Patented Dec. 20, 1921.

Paritair ortica.

. SURGCAL INSTRUMENT.

Application lcd MarchV 15, 1920.

To. all wzom t may concern.' Y

Be it known that we, HENRY Knnnsnnnn and ALLEN J. .VALrnn, citizens ofthe United States, residing at Mansfield, in the county7 .of Richland and State of Chio, have inble to an increase of temperature of the infected person when suffering with a feverish condition, and persons, having typhoid or other fevers, who are infected with gonorrhoea, will be freed from the latter disease.

My invention has for its object to provide means by which a localized feverish condition may be set up in the infected organ, and consists in the provision of a heating element adapted to be inserted in the organ with means for regulating the rtemperature of the element, and to indicate the temperature at all times.

Another object of the invention is the provision ofA an improved construction of surgical instrument of the type setforth by which sounds of different diameters may be employed in connection with vthe heating element for the most eifectualoperation of the device. Y

Another object of the invention is the provision, in connection with an electric heater, of an improved construction of means for controlling the resistance in the circuit in the heating element, by which an exceedingly fine adjustment of the resistance may be effected.

The invention will be described in detail hereinafter and will be found illustrated in the accompanying drawings in which Figure 1 is a front view of our device, partly broken away, v

Fig. 2, a side view, partly broken away, and showing a fragment of a sound in position and partly in section,

y Fig. 3, a longitudinal sectional view of the resistance control casing,

Fig. 4, a plan view of the base section of the resistance control casing with the resistance control installed and a fragmentary longitudinal section of the heater,

Specification of Letters Patent.

Patented Dec. 20, 1921.

Serial No. 366,011.

Fig. 5, a plan view of the cover section of the resistance control casing,

F ig. 6, transverse sectional view of the resistance control and casing taken or. plane indicated by the line 6-6 of Fig. l, and

Fig. 7, transf-Ierse sectional view on a plane indicated by the line 7-7 of Fig. 1.

Referring to the drawings in which similar reference characters indicate corresponding parts throughout the several views, 1 '.idicates the base section of the resistance control casing of my improved apparatus and 2 the cover section thereof, said sections being made of insulating material such as rubber, fiber. or' the like, and held together in any suitable manner. as for instance by screws 3, as shown in Fig. 1.

Secured in base section 1 is a U-shaped frame 4;, by means of screws carrying a resistance coil 6,'and having a screw shaft 7 journaled therein and adapted to be rotated by a lrnurled wheel 8 secured to one end of said shaft. Wheel 8 is mounted in a recess 9 formed in the sections 1 and 2 of the resistance control casing and projects from the upper surface of Vcover section 2 to permit rotation thereof by the thumb or finger of the operator. The top surface of cover section 2 is formed with a transverse recess 10 surrounding the projecting edge of wheel 3 to provide for 'freedom of rotation of said wheel.

Mounted on screw shaft .7 is a nut 11 provided with a curved surface 12 that engages resistance coil 6, a laterally extending arm 13, and a vertically extending l.-shaped arm 14. Arm 14 extends into and is adapted to reciprocate in longitudinal slot 15 in cover section 2, while arm 13 is received in recess 15 in said section 2.

The lower end of sections 1 and 2 of the resistance control casing is provided with mating recesses forming an opening 17 for installing an electric cable 18 having one of the wires, forming one of the terminals of the circuit, connected with a conductor 19, secured to arm 13, at binding post 20, while the other wire is connected to one of the terminals 21 of a heater, hereinafter described, at binding post 22. The other terminal wire 23 of the heater is in circuit with resistance coil 6, the base section 1 being provided with recesses 24 and 25 toreceive said Wires l21 and 23 respectively.

The upper ends of sections 'l and2 of the resistance control casing areY provided with recesses 26 that are correspondingly threaded' toreceive the threaded end of a tubular casing 27. Casing 27 isV provided adjacent its lower end with anV L-shaped tube 28 communicating with the interior ot said casing and has mounted in its free Vend a clinical thermometer f 29, extended downwardly, and seated in' a recess 30 in cover section 2 that is parallel with slot l5 in said cover section.

Thermometer 29 is graduated as shown, and the :tace ofcover section 2 is also provided with graduations shown in Fig. l, and 3l indicates a double-ended pointer secured to L-shaped arm 14 to assist the operator in manipulating the apparatus.

rllubular casing 27 has one or more reduced portions 32 between the base vand the extended portion 33, the drawings showing but one of said portions 32, butV itwill be apparent that there may be two 0r more it desired, said reduced portions being provided to permit of the use of conventional sounds or" dierent diameters to conform to the dimensions of the orifice of the organ operated upon. Each of the reduced portions 32 and Vextended portion 33 is provided with diametrically arranged lugs or pins lthat are adapted to receive bayonet slots 35 in the ends of the sounds 36 for holding them in position on the heater' casing.

Mounted in extended )portion 33 of casing 27 is an electric heater 3f ot any well known type, no claim being made tothe construction of said element.V

ln Voperation the instrument Yis vinserted inthe orilice of Vthe organ to be treated, a soundV of proper diameter having been selected 'and the current isv turned on to set up an increase inthe temperature of the heating element 37. By observationrof the thermometer 29 and regulation of the re sistance by rotation of the lm urled wheel 8 use attachable to said portions, and said resistance being Vcommon to all of said sounds.

3. In a surgical instrument,V a casing, a

sound extending therefrom, a thermometer,V

a mounting means for the thermometer in communication with the sound, 4and said casing having a recess in which said thermometer is disposed.

t. In a surgical instrument, a casing, a frame within the casing, an electrical resistance means mounted by the frame, indicating means coperatingwith the resistance means having a movable part in circuit therewith, and means mounted by the frame to move said part.

`5. ln a surgical instrument, a casing in separable sections, a frame within the sections extending across the meeting faces thereof, a resistance coil mounted by the frame, a screw member mounted by the frame, a nut on the screw member in'circuit with the coil and one of the sections having an elongated slot into which the nut extends.

In testimony whereof we aix our signatures in presence of two witnesses.

HENRY KRUESHELD. ALLEN J. WALTER.

Witnesses:

D. D. PALMER, J. W. CRonnR.

US1401104A 1920-03-15 1920-03-15 Surgical instrument Expired - Lifetime US1401104A (en)

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Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3978312A (en) * 1974-10-17 1976-08-31 Concept, Inc. Variable temperature electric cautery assembly
US4606342A (en) * 1985-02-15 1986-08-19 National Patent Development Corporation Cautery device having a variable temperature cautery tip
US5163937A (en) * 1990-01-25 1992-11-17 Transtech Scientific, Inc. Waterproof body for cautery devices
US8292879B2 (en) 2009-04-17 2012-10-23 Domain Surgical, Inc. Method of treatment with adjustable ferromagnetic coated conductor thermal surgical tool
US8617151B2 (en) 2009-04-17 2013-12-31 Domain Surgical, Inc. System and method of controlling power delivery to a surgical instrument
US8858544B2 (en) 2011-05-16 2014-10-14 Domain Surgical, Inc. Surgical instrument guide
US8915909B2 (en) 2011-04-08 2014-12-23 Domain Surgical, Inc. Impedance matching circuit
US8932279B2 (en) 2011-04-08 2015-01-13 Domain Surgical, Inc. System and method for cooling of a heated surgical instrument and/or surgical site and treating tissue
US9078655B2 (en) 2009-04-17 2015-07-14 Domain Surgical, Inc. Heated balloon catheter
US9107666B2 (en) 2009-04-17 2015-08-18 Domain Surgical, Inc. Thermal resecting loop
US9131977B2 (en) 2009-04-17 2015-09-15 Domain Surgical, Inc. Layered ferromagnetic coated conductor thermal surgical tool
US9265556B2 (en) 2009-04-17 2016-02-23 Domain Surgical, Inc. Thermally adjustable surgical tool, balloon catheters and sculpting of biologic materials
US9526558B2 (en) 2011-09-13 2016-12-27 Domain Surgical, Inc. Sealing and/or cutting instrument

Cited By (32)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3978312A (en) * 1974-10-17 1976-08-31 Concept, Inc. Variable temperature electric cautery assembly
US4606342A (en) * 1985-02-15 1986-08-19 National Patent Development Corporation Cautery device having a variable temperature cautery tip
US5163937A (en) * 1990-01-25 1992-11-17 Transtech Scientific, Inc. Waterproof body for cautery devices
US9265555B2 (en) 2009-04-17 2016-02-23 Domain Surgical, Inc. Multi-mode surgical tool
US8372066B2 (en) 2009-04-17 2013-02-12 Domain Surgical, Inc. Inductively heated multi-mode surgical tool
US8377052B2 (en) 2009-04-17 2013-02-19 Domain Surgical, Inc. Surgical tool with inductively heated regions
US8414569B2 (en) 2009-04-17 2013-04-09 Domain Surgical, Inc. Method of treatment with multi-mode surgical tool
US8419724B2 (en) 2009-04-17 2013-04-16 Domain Surgical, Inc. Adjustable ferromagnetic coated conductor thermal surgical tool
US8425503B2 (en) 2009-04-17 2013-04-23 Domain Surgical, Inc. Adjustable ferromagnetic coated conductor thermal surgical tool
US8430870B2 (en) 2009-04-17 2013-04-30 Domain Surgical, Inc. Inductively heated snare
US8491578B2 (en) 2009-04-17 2013-07-23 Domain Surgical, Inc. Inductively heated multi-mode bipolar surgical tool
US8506561B2 (en) 2009-04-17 2013-08-13 Domain Surgical, Inc. Catheter with inductively heated regions
US8523850B2 (en) 2009-04-17 2013-09-03 Domain Surgical, Inc. Method for heating a surgical implement
US8523851B2 (en) 2009-04-17 2013-09-03 Domain Surgical, Inc. Inductively heated multi-mode ultrasonic surgical tool
US8523852B2 (en) 2009-04-17 2013-09-03 Domain Surgical, Inc. Thermally adjustable surgical tool system
US8617151B2 (en) 2009-04-17 2013-12-31 Domain Surgical, Inc. System and method of controlling power delivery to a surgical instrument
US8292879B2 (en) 2009-04-17 2012-10-23 Domain Surgical, Inc. Method of treatment with adjustable ferromagnetic coated conductor thermal surgical tool
US9549774B2 (en) 2009-04-17 2017-01-24 Domain Surgical, Inc. System and method of controlling power delivery to a surgical instrument
US9320560B2 (en) 2009-04-17 2016-04-26 Domain Surgical, Inc. Method for treating tissue with a ferromagnetic thermal surgical tool
US9078655B2 (en) 2009-04-17 2015-07-14 Domain Surgical, Inc. Heated balloon catheter
US9107666B2 (en) 2009-04-17 2015-08-18 Domain Surgical, Inc. Thermal resecting loop
US9131977B2 (en) 2009-04-17 2015-09-15 Domain Surgical, Inc. Layered ferromagnetic coated conductor thermal surgical tool
US9265554B2 (en) 2009-04-17 2016-02-23 Domain Surgical, Inc. Thermally adjustable surgical system and method
US9220557B2 (en) 2009-04-17 2015-12-29 Domain Surgical, Inc. Thermal surgical tool
US9265553B2 (en) 2009-04-17 2016-02-23 Domain Surgical, Inc. Inductively heated multi-mode surgical tool
US9730749B2 (en) 2009-04-17 2017-08-15 Domain Surgical, Inc. Surgical scalpel with inductively heated regions
US9265556B2 (en) 2009-04-17 2016-02-23 Domain Surgical, Inc. Thermally adjustable surgical tool, balloon catheters and sculpting of biologic materials
US9149321B2 (en) 2011-04-08 2015-10-06 Domain Surgical, Inc. System and method for cooling of a heated surgical instrument and/or surgical site and treating tissue
US8932279B2 (en) 2011-04-08 2015-01-13 Domain Surgical, Inc. System and method for cooling of a heated surgical instrument and/or surgical site and treating tissue
US8915909B2 (en) 2011-04-08 2014-12-23 Domain Surgical, Inc. Impedance matching circuit
US8858544B2 (en) 2011-05-16 2014-10-14 Domain Surgical, Inc. Surgical instrument guide
US9526558B2 (en) 2011-09-13 2016-12-27 Domain Surgical, Inc. Sealing and/or cutting instrument

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