US1650959A - Surgical instrument - Google Patents

Surgical instrument Download PDF

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Publication number
US1650959A
US1650959A US10049526A US1650959A US 1650959 A US1650959 A US 1650959A US 10049526 A US10049526 A US 10049526A US 1650959 A US1650959 A US 1650959A
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guide
tube
mirror
instrument
surgical instrument
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Louis K Pitman
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Louis K Pitman
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/233Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the nose, i.e. nasoscopes, e.g. testing of patency of Eustachian tubes

Description

Nov. '29, 1927. 1,650,959

L. K. 'P lTMAN SURGICAL INSTRUMENT I Filed April 8. 1926 ATTORNEY Patented Nov. 29, 1927.

UNITED STATES LOUIS K. PITMAN, OF NEW YORK, N. Y.

SURGICAL INSTRUMENT.

Application filed April 8,

Heretofore, in treating affections of the. middle ear, it has been usual to puncture the ear drum in order to provide access to the middle ear.

It is the purpose of my invention to introduce and provide a means for treating the middle ear and Eustachian tube without puncturing the ear drum or any other membrane. As is well known, the Eustachian tube connects directly with the nasal part of the pharynx. It is therefore possible to reach the middle car by way of the nose and a catheter, bougie, filiform, etc. may beintroduced through the nose and manipulated to enterthe Eustachian tube and the middle ear.

It is an object of my invention to provide a simple instrument for facilitating and making certain treatments of this nature such as the catheterization of the middle ear, dilation treatment of the Eustachian tube,

etc.

Other and further objects of my invention Will become apparent from the following description, together with the drawings, of a preferred embodiment of my invention.

In the drawings:

Fig. 1 is a view in elevation of my instrument in condition for use.

Fig. 2 is a view in elevation of the guide taken at ninety degrees tothat of Fig. 1.

The instrument that I have found most adapted for the purposes above mentioned consists, essentially, of a naso-pharyngoscope 1 and a guide 2. The naso-pharyngoscope may be of a well known type and comprises a tube 1, a mirror 3, a lamp 4, a sight opening 5 and terminals 6 for the lamp.

The guide 2 consists of a bent tube 7 having an ingress portion 8, a straight portion 10 and an exit portion 9, the portions 8 and 9, being in planes parallel to each other.

Attached to portion 1O of the tube are means for mounting the guide on tube 1. In the preferred embodiment this consists of a cylinder 11 of a size adapted to fit over 1. It is obvious that this cylinder 11 may take the form of one or more rings. In any event the mounting must be such that the guide may be moved along and around the tube 1. The ingress portion 8 is extended in order to form a handle which may be grasped by the operator to turn or rotate 1926. Serial NO. 100,495. g

the cylinder 11 about the axis of the nasopharyngoscope 1. I

In operation the guide is placed on the tube 1 so that the egress portion 9 extends alongside the mirror. In this position it will easily enter the limited opening provided by the nostril of the patient. A flexible catheter of a well known type is passed through the guide so that the free end projects. The instrument is then inserted up the nostril; the guide is given a slight turn to increase the visibility of the catheter; and the catheter and guide are then manipulated under the illumination afforded by the lamp until the free end enters the Eustachian tube and reaches the middle ear. Medicaments may then be introduced by way of the catheter. In the same manner, a bougie, filiform or similar instrument may be introduced to the Eustachiantube or the middle ear.

The guide shown in the drawings is suitable of course only for the right nostril. Both middle ears, however may be reached from either nostril. Nevertheless, I have found it more convenient to provide one for each nostril as the manipulation is considerably simplified thereby. Of course, by omitting the curvature of the terminal portion 9, it is practicable to provide a single guide adaptable for both nostrils. The form I have shown is preferable as it takes full advantage of the mirror. It is obvious that a flap or other similar means may be added to guide the free end of the catheter, etc., if desired, I have found, however, that the simple form shown is sufiicient for all practical purposes.

I claim:

1. In combination a straight ex loring tube carrying illuminating means an a mirror, an instrument guide comprising a tube having an end bent towards the mirror, and a sleeve secured to the guide and adapted to fit over the exploring tube.

2. In combination an exploring tube carrying illuminating means and a mirror, an instrument guide comprising a tube having an end bent towards the mirror, and a sleeve secured to the guide and adapted to fit over the exploring tube.

3. In combination an exploring tube carrying illuminating means and a mirror, an

instrument guide comprising a tube having having a bent end, means for mounting the guide upon the exploring tube With the bent end alongside of the mirror in such manner as to permit rotating the guide about the exploring tube to position the bent end towards the mirror.

LOUIS K. PITMAN.

US1650959A 1926-04-08 1926-04-08 Surgical instrument Expired - Lifetime US1650959A (en)

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Cited By (44)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5505687A (en) * 1992-05-14 1996-04-09 The United States Of America As Represented By The Department Of Health And Human Services Device for measuring incident light in a body cavity
US5575751A (en) * 1992-05-14 1996-11-19 The United States Of America As Represented By The Department Of Health And Human Services Device for measuring incident light in a body cavity
US5800342A (en) * 1994-03-18 1998-09-01 Lee; Jai S. Method of endotracheal intubation
US20090125046A1 (en) * 2002-09-30 2009-05-14 Becker Bruce B Method for treating obstructed paranasal frontal sinuses
EP2068997A2 (en) * 2006-09-15 2009-06-17 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
EP2068693A2 (en) * 2006-09-15 2009-06-17 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US20090227900A1 (en) * 2008-03-10 2009-09-10 Isaac Kim Corewire design and construction for medical devices
US20100198247A1 (en) * 2004-04-21 2010-08-05 Acclarent, Inc. Devices, Systems and Methods for Treating Disorders of the Ear, Nose and Throat
US8080000B2 (en) 2004-04-21 2011-12-20 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US8114113B2 (en) 2005-09-23 2012-02-14 Acclarent, Inc. Multi-conduit balloon catheter
US8114062B2 (en) 2004-04-21 2012-02-14 Acclarent, Inc. Devices and methods for delivering therapeutic substances for the treatment of sinusitis and other disorders
US8118757B2 (en) 2007-04-30 2012-02-21 Acclarent, Inc. Methods and devices for ostium measurement
US8142422B2 (en) 2004-04-21 2012-03-27 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat
US8146400B2 (en) 2004-04-21 2012-04-03 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US8172828B2 (en) 2004-04-21 2012-05-08 Acclarent, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures
US8190389B2 (en) 2006-05-17 2012-05-29 Acclarent, Inc. Adapter for attaching electromagnetic image guidance components to a medical device
US8388642B2 (en) 2005-01-18 2013-03-05 Acclarent, Inc. Implantable devices and methods for treating sinusitis and other disorders
US8414473B2 (en) 2004-04-21 2013-04-09 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US8435290B2 (en) 2009-03-31 2013-05-07 Acclarent, Inc. System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx
US8439687B1 (en) 2006-12-29 2013-05-14 Acclarent, Inc. Apparatus and method for simulated insertion and positioning of guidewares and other interventional devices
US8485199B2 (en) 2007-05-08 2013-07-16 Acclarent, Inc. Methods and devices for protecting nasal turbinate during surgery
US8702626B1 (en) 2004-04-21 2014-04-22 Acclarent, Inc. Guidewires for performing image guided procedures
US8715169B2 (en) 2004-04-21 2014-05-06 Acclarent, Inc. Devices, systems and methods useable for treating sinusitis
US8740929B2 (en) 2001-02-06 2014-06-03 Acclarent, Inc. Spacing device for releasing active substances in the paranasal sinus
US8747389B2 (en) 2004-04-21 2014-06-10 Acclarent, Inc. Systems for treating disorders of the ear, nose and throat
US8764729B2 (en) 2004-04-21 2014-07-01 Acclarent, Inc. Frontal sinus spacer
US8864787B2 (en) 2004-04-21 2014-10-21 Acclarent, Inc. Ethmoidotomy system and implantable spacer devices having therapeutic substance delivery capability for treatment of paranasal sinusitis
US8894614B2 (en) 2004-04-21 2014-11-25 Acclarent, Inc. Devices, systems and methods useable for treating frontal sinusitis
US8932276B1 (en) 2004-04-21 2015-01-13 Acclarent, Inc. Shapeable guide catheters and related methods
US8951225B2 (en) 2005-06-10 2015-02-10 Acclarent, Inc. Catheters with non-removable guide members useable for treatment of sinusitis
US8979888B2 (en) 2008-07-30 2015-03-17 Acclarent, Inc. Paranasal ostium finder devices and methods
US9039680B2 (en) 2004-08-04 2015-05-26 Acclarent, Inc. Implantable devices and methods for delivering drugs and other substances to treat sinusitis and other disorders
US9072626B2 (en) 2009-03-31 2015-07-07 Acclarent, Inc. System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx
US9101384B2 (en) 2004-04-21 2015-08-11 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, Nose and/or throat
US9107574B2 (en) 2004-04-21 2015-08-18 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US9155492B2 (en) 2010-09-24 2015-10-13 Acclarent, Inc. Sinus illumination lightwire device
US20160081857A1 (en) * 2014-09-11 2016-03-24 Acclarent, Inc. Low Profile Eustachian Tube Dilation System
US9351750B2 (en) 2004-04-21 2016-05-31 Acclarent, Inc. Devices and methods for treating maxillary sinus disease
US9399121B2 (en) 2004-04-21 2016-07-26 Acclarent, Inc. Systems and methods for transnasal dilation of passageways in the ear, nose or throat
US9433437B2 (en) 2013-03-15 2016-09-06 Acclarent, Inc. Apparatus and method for treatment of ethmoid sinusitis
US9468362B2 (en) 2004-04-21 2016-10-18 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US9629684B2 (en) 2013-03-15 2017-04-25 Acclarent, Inc. Apparatus and method for treatment of ethmoid sinusitis
US9820688B2 (en) 2006-09-15 2017-11-21 Acclarent, Inc. Sinus illumination lightwire device
US10034682B2 (en) 2017-03-22 2018-07-31 Acclarent, Inc. Devices, systems and methods useable for treating frontal sinusitis

Cited By (96)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5505687A (en) * 1992-05-14 1996-04-09 The United States Of America As Represented By The Department Of Health And Human Services Device for measuring incident light in a body cavity
US5575751A (en) * 1992-05-14 1996-11-19 The United States Of America As Represented By The Department Of Health And Human Services Device for measuring incident light in a body cavity
US5730700A (en) * 1992-05-14 1998-03-24 The United States Of America As Represented By The Department Of Health And Human Service Method for measuring incident light in a body cavity
US5800342A (en) * 1994-03-18 1998-09-01 Lee; Jai S. Method of endotracheal intubation
US5840013A (en) * 1994-03-18 1998-11-24 Lee; Jai S. Method of introducing a tubular member at a site in the body
US8740929B2 (en) 2001-02-06 2014-06-03 Acclarent, Inc. Spacing device for releasing active substances in the paranasal sinus
US20090125046A1 (en) * 2002-09-30 2009-05-14 Becker Bruce B Method for treating obstructed paranasal frontal sinuses
US8764786B2 (en) 2002-09-30 2014-07-01 Acclarent, Inc. Balloon catheters and methods for treating paranasal sinuses
US8317816B2 (en) 2002-09-30 2012-11-27 Acclarent, Inc. Balloon catheters and methods for treating paranasal sinuses
US9457175B2 (en) 2002-09-30 2016-10-04 Acclarent, Inc. Balloon catheters and methods for treating paranasal sinuses
US8100933B2 (en) 2002-09-30 2012-01-24 Acclarent, Inc. Method for treating obstructed paranasal frontal sinuses
US9055965B2 (en) 2004-04-21 2015-06-16 Acclarent, Inc. Devices, systems and methods useable for treating sinusitis
US20100198247A1 (en) * 2004-04-21 2010-08-05 Acclarent, Inc. Devices, Systems and Methods for Treating Disorders of the Ear, Nose and Throat
US8088101B2 (en) 2004-04-21 2012-01-03 Acclarent, Inc. Devices, systems and methods for treating disorders of the ear, nose and throat
US8090433B2 (en) 2004-04-21 2012-01-03 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US9554691B2 (en) 2004-04-21 2017-01-31 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US9468362B2 (en) 2004-04-21 2016-10-18 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US8114062B2 (en) 2004-04-21 2012-02-14 Acclarent, Inc. Devices and methods for delivering therapeutic substances for the treatment of sinusitis and other disorders
US9265407B2 (en) 2004-04-21 2016-02-23 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US8123722B2 (en) 2004-04-21 2012-02-28 Acclarent, Inc. Devices, systems and methods for treating disorders of the ear, nose and throat
US8142422B2 (en) 2004-04-21 2012-03-27 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat
US9610428B2 (en) 2004-04-21 2017-04-04 Acclarent, Inc. Devices, systems and methods useable for treating frontal sinusitis
US8172828B2 (en) 2004-04-21 2012-05-08 Acclarent, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures
US9399121B2 (en) 2004-04-21 2016-07-26 Acclarent, Inc. Systems and methods for transnasal dilation of passageways in the ear, nose or throat
US9370649B2 (en) 2004-04-21 2016-06-21 Acclarent, Inc. Devices, systems and methods useable for treating sinusitis
US9649477B2 (en) 2004-04-21 2017-05-16 Acclarent, Inc. Frontal sinus spacer
US9351750B2 (en) 2004-04-21 2016-05-31 Acclarent, Inc. Devices and methods for treating maxillary sinus disease
US8414473B2 (en) 2004-04-21 2013-04-09 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US8146400B2 (en) 2004-04-21 2012-04-03 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US9241834B2 (en) 2004-04-21 2016-01-26 Acclarent, Inc. Devices, systems and methods for treating disorders of the ear, nose and throat
US9220879B2 (en) 2004-04-21 2015-12-29 Acclarent, Inc. Devices, systems and methods useable for treating sinusitis
US9167961B2 (en) 2004-04-21 2015-10-27 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US8702626B1 (en) 2004-04-21 2014-04-22 Acclarent, Inc. Guidewires for performing image guided procedures
US8715169B2 (en) 2004-04-21 2014-05-06 Acclarent, Inc. Devices, systems and methods useable for treating sinusitis
US8721591B2 (en) 2004-04-21 2014-05-13 Acclarent, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures
US8425457B2 (en) 2004-04-21 2013-04-23 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitus and other disorder of the ears, nose and/or throat
US8747389B2 (en) 2004-04-21 2014-06-10 Acclarent, Inc. Systems for treating disorders of the ear, nose and throat
US9826999B2 (en) 2004-04-21 2017-11-28 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US8764726B2 (en) 2004-04-21 2014-07-01 Acclarent, Inc. Devices, systems and methods useable for treating sinusitis
US8764709B2 (en) 2004-04-21 2014-07-01 Acclarent, Inc. Devices, systems and methods for treating disorders of the ear, nose and throat
US8764729B2 (en) 2004-04-21 2014-07-01 Acclarent, Inc. Frontal sinus spacer
US8777926B2 (en) 2004-04-21 2014-07-15 Acclarent, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasel or paranasal structures
US8828041B2 (en) 2004-04-21 2014-09-09 Acclarent, Inc. Devices, systems and methods useable for treating sinusitis
US8852143B2 (en) 2004-04-21 2014-10-07 Acclarent, Inc. Devices, systems and methods for treating disorders of the ear, nose and throat
US8858586B2 (en) 2004-04-21 2014-10-14 Acclarent, Inc. Methods for enlarging ostia of paranasal sinuses
US8864787B2 (en) 2004-04-21 2014-10-21 Acclarent, Inc. Ethmoidotomy system and implantable spacer devices having therapeutic substance delivery capability for treatment of paranasal sinusitis
US8870893B2 (en) 2004-04-21 2014-10-28 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat
US8894614B2 (en) 2004-04-21 2014-11-25 Acclarent, Inc. Devices, systems and methods useable for treating frontal sinusitis
US8905922B2 (en) 2004-04-21 2014-12-09 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat
US8932276B1 (en) 2004-04-21 2015-01-13 Acclarent, Inc. Shapeable guide catheters and related methods
US8945088B2 (en) 2004-04-21 2015-02-03 Acclarent, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures
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US8961398B2 (en) 2004-04-21 2015-02-24 Acclarent, Inc. Methods and apparatus for treating disorders of the ear, nose and throat
US8961495B2 (en) 2004-04-21 2015-02-24 Acclarent, Inc. Devices, systems and methods for treating disorders of the ear, nose and throat
US9101384B2 (en) 2004-04-21 2015-08-11 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, Nose and/or throat
US9089258B2 (en) 2004-04-21 2015-07-28 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US8080000B2 (en) 2004-04-21 2011-12-20 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US9039657B2 (en) 2004-08-04 2015-05-26 Acclarent, Inc. Implantable devices and methods for delivering drugs and other substances to treat sinusitis and other disorders
US9039680B2 (en) 2004-08-04 2015-05-26 Acclarent, Inc. Implantable devices and methods for delivering drugs and other substances to treat sinusitis and other disorders
US9084876B2 (en) 2004-08-04 2015-07-21 Acclarent, Inc. Implantable devices and methods for delivering drugs and other substances to treat sinusitis and other disorders
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US8951225B2 (en) 2005-06-10 2015-02-10 Acclarent, Inc. Catheters with non-removable guide members useable for treatment of sinusitis
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US8439687B1 (en) 2006-12-29 2013-05-14 Acclarent, Inc. Apparatus and method for simulated insertion and positioning of guidewares and other interventional devices
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US8979888B2 (en) 2008-07-30 2015-03-17 Acclarent, Inc. Paranasal ostium finder devices and methods
US9750401B2 (en) 2008-07-30 2017-09-05 Acclarent, Inc. Paranasal ostium finder devices and methods
US9072626B2 (en) 2009-03-31 2015-07-07 Acclarent, Inc. System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx
US8435290B2 (en) 2009-03-31 2013-05-07 Acclarent, Inc. System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx
US9636258B2 (en) 2009-03-31 2017-05-02 Acclarent, Inc. System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx
US9155492B2 (en) 2010-09-24 2015-10-13 Acclarent, Inc. Sinus illumination lightwire device
US9629684B2 (en) 2013-03-15 2017-04-25 Acclarent, Inc. Apparatus and method for treatment of ethmoid sinusitis
US9433437B2 (en) 2013-03-15 2016-09-06 Acclarent, Inc. Apparatus and method for treatment of ethmoid sinusitis
US20160081857A1 (en) * 2014-09-11 2016-03-24 Acclarent, Inc. Low Profile Eustachian Tube Dilation System
US10034682B2 (en) 2017-03-22 2018-07-31 Acclarent, Inc. Devices, systems and methods useable for treating frontal sinusitis

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