US1913229A - Surgical apparatus - Google Patents

Surgical apparatus Download PDF

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Publication number
US1913229A
US1913229A US373719A US37371929A US1913229A US 1913229 A US1913229 A US 1913229A US 373719 A US373719 A US 373719A US 37371929 A US37371929 A US 37371929A US 1913229 A US1913229 A US 1913229A
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United States
Prior art keywords
instrument
passage
suction
tube
surgical apparatus
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Expired - Lifetime
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US373719A
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English (en)
Inventor
Bordier Marcel Armand Louis
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Individual
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Individual
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Publication date
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84—Drainage tubes; Aspiration tips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/0067—Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0074—Dynamic characteristics of the catheter tip, e.g. openable, closable, expandable or deformable
    • A61M25/0075—Valve means

Definitions

  • the present invention relates to surgical,
  • a One oflthe objects ofthe invention is to provide nieans for applying steady suctionto 1116 ,a spirat-ing devices;subhas arefn current use in medicaland surgical practise.
  • Another obj ect; isto provide a special form of aspirating device permitting the continm yous evacuation of pus or other liquids from j Afurther objectis to provide aspecial' form of catheteroperativeto evacuate liquids contained in a cavity, thecatheter having a movable suction orifice Whose position may be :15 indicated by reference points visible on the outside of the apparatus, p i Y Still further oh"ectsw11l appear n the r et the detai ed S lT PtiQ 110w is; be
  • FIGs. and 11 illustrate a variant of the suction producing ,apparatus shown in F gs plied to devicesjof represented in 8and9;
  • eachlligure including a v s ection taken .on l ine X YOf F g, 14 and an end View of the indicating extremity. of the instrrunent. 1. a l
  • the hereinabove described assembly is designed primarily to cushion and eliminate rapid changesin depression pro di iced by as This is .acconiphshedin offered by increasing lengthsof conduits 5, 6 i. e. the suction Will be more even at station D than at station A, and finallyi'(3) by the shown at stationjD),-and pressure gauges increasing'depths o fliquidpoured into flasks be seen that stations A to D offer a series of sources of suction of increasing constancy so that when alficrude operation not requiring regular suction isto be eifect-edfihe operating instrument maybeconnected directly to con- "jduit 10 at station A without even theinterlposition of a .cushioning flask 8, and When,
  • FIG. 1 Figs, 2 to 4:, s and 9 of the drawings, there isshoWn an 'aspirating instrument designed to be used "in CLOIIHQC- tion with the suction apparatus represented in F "l and comprisinga main suction tube 9 having two passages 23 and 24 formed therethrough,'-a handle :or finger-grip 17,-
  • a hollow flexible tube25 terminatingatits'operating end in a lateral orifice 26 and having a slightly smaller diameter than passage 24, a11 indicating fiag28 designedto indi- Cate the orientation of orifioe fld andthe depth of the latter relatively to a graduated scale 29,an intermediate connecting element 14, fitted with a finger-piece 16, and having a conical male element 32 formed at one end thereof adapted to coact with a correspondingly formed female portion 15 of tube 9, a female portion 34 delivering to a receiving flask 12, a branch 33 adapted to coact with a Y connection 25 receiving liquid from tube 25 and delivering to flask 27,-and a valve 35 adapted to divert the suction either into tube 9 via 32 or into tube 25 via 33.
  • FIG. 5 to 7 The manner in which this aspirating instrument operates will be better understood after the structure shown inFigs. 5 to 7 has been described.
  • the apparatus shown in these latter figures is composed of a body portion 9 traversed by a pair of passages 23, 24,- passage 24 having an elongated recess 31 formed therein adjacent the free extremity thereof.
  • a flexible rod 30 having a body portion whose diameter is slightly less than that of passage 24and a tip of substantially the same diameter as the latter is mounted in passage 24 and carrles an index flag 28 adapted to indicate theposition of the tip relatively to index 29 engraved in, or mounted on element 9..
  • This instrument is designed to evacuate pus and similar liquid continuously in contradistinction to the intermittently operating instruments now in current use, and functions in the following manner.
  • the body of the instrument is first introduced into the cavity to be emptied of liquid, the tip of rod 30 extending beyond the end ofelement 9 and serving as a sort of guide into the pocket or pockets ,(intrauterin or intraprostatic, for example) to be evacuated.
  • Receiving flask 12 having first been connected in the manner shownin Fig. 1, valves 13, 13 are opened and a depression is produced in passage 23, causing the liquids contained in the pocket or pockets to be aspirated into fiask 12.
  • the evacuating operation has to be interrupted from time to time and the instrument removed so as to permit air to enter the pocket being evacuated.
  • the present type of.instrument,'rod 30-be- .ing of lesser diameter than passage 24 air
  • the instrument illustrated in Figs. 2 to 4 is more especially designed for operating on anatomical structures of the type of Fallopian tubes and operates both continuously and intermittently.
  • Passage 24 is first fitted with a flexible rod of the type of element 30 shown in Fig. 6 i. e. of lesser diameter than said passage and shank 9 (connected to the receiving and control structures represented in Figs. 8 and 9) is introduced into the neck of the uterus.
  • Valve 35 is then manipulated to turn the suction into passage 23 so as to remove the undesirable uterine liquids. WVhen the tip of the instrument has been introduced into the uterus up to a point adjacent the entrance of the Fallopian tube to be operated on, rod 30 is withdrawn and replaced by a hollow tube 25.
  • Figs. 10 and 11 is a conveniently operated form of the device represented in Figs. 2 to 4.
  • tube 25 is arranged to penetrate into the center of shank '9 of the instrument and connects with arm 33 of a Y tube whose second arm 32 communicates with passage 23, receivers 12 and 27 being mounted on a unitary base 36, and the whole instrument taking the form of a gun having a suction chamber 34 (controlled by a valve 35 similar to the one shown in Fig. 9) adapted to be connected to suction tube 10.
  • a graduated catheter having a tubular body portion 38, a slottedportion 4O composed of four apertures having approximately the length of the posterior urethra, a bent tip 39, and a finger piece 16, is fitted with a tube 41 terminating in a laterally directed orifice 42 and carrying a graduated, square.
  • Tube 41 forms a sliding fit with tube 38.
  • Fig. 1 The instrument, in operation, is connected to'conduit 10 (Fig. 1) at 43, tube assembly 38, 39, 40, 41 is inserted into the urethra the requireddistance and orifice 42 is turned so as to work in one of slots 40, square, graduated shank-piece 41 and ears 44,46 indicating the relative positions of elements 40and 42 and the particular portion ofthe posterior urethra belng operated on.
  • Figs. 19 to 21 show the lnstrument with operating orifice 42 positioned in four different quadrants.
  • WVhat I claim is 1.
  • An instrument of the class described comprising a body portion having a pair of passages extending longitudinally therethrough, and a solid rod inserted in one of said passages and having a sufficiently small section to permit the passage of air through the space between the rod and the walls ofthe passage into which it is inserted.
  • a body member a second member telescoping within said bodymember adjustable to different angular positions therein, and adapted to extend beyond one end thereof or to be drawn whollywithin such end, and means spaced from said end for indicating the relative longitudinal and angular displacementof said members.
  • a body member having a longitudinal open- 1ng therethrough, a member slidably mounted in sald opening and adapted to extend beyond one end thereof or to be drawn wholly within such end, said opening and member being arranged to form a passage to permit access of air to said end, and cooperating means in said opening and member to close said passage when the member is drawn within the opening.
  • An instrument of the class described comprising a body portion having a pair of passages extending longitudinally therethrough, a hollow tube extending through one of saidpassage's and slidable therein, a pair of suction conduits positioned to be con nected to said hollowtube and to one of said passages, and valve means operative to divert the suction into either one of said suction conduits.
  • a body member a second member slidably I and rotatably mounted in said body member and adapted to extend beyond one end thereof or to be drawn wholly within such end, and means spacedfrom said end for indicat ing the relative longitudinal and angular displacements of said members, said second member being rotatable at all points of its sliding movement.
  • a body member a second member telescoping within said body member adjustable to different angular positions therein and adapted to extend beyond one end thereof or to be drawn whollywithin such end, means spaced from said end for indicating the relative longitudinal and angular displacement of said members, said members having a passage extending from said end to permit withdrawal of matter therefrom by suction and a second passage to permit access of air to said end during a suction operation.

Landscapes

  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • External Artificial Organs (AREA)
US373719A 1928-07-05 1929-06-26 Surgical apparatus Expired - Lifetime US1913229A (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
BE1913229X 1928-07-05

Publications (1)

Publication Number Publication Date
US1913229A true US1913229A (en) 1933-06-06

Family

ID=3895347

Family Applications (1)

Application Number Title Priority Date Filing Date
US373719A Expired - Lifetime US1913229A (en) 1928-07-05 1929-06-26 Surgical apparatus

Country Status (4)

Country Link
US (1) US1913229A (xx)
BE (1) BE352621A (xx)
DE (1) DE549464C (xx)
FR (1) FR678193A (xx)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3329147A (en) * 1964-11-27 1967-07-04 Barron James Apparatus for bladder irrigation and medication
US4586923A (en) * 1984-06-25 1986-05-06 Cordis Corporation Curving tip catheter
US4649915A (en) * 1984-11-01 1987-03-17 Heyden Eugene L Placement marking system for endotracheal tubes
US4690138A (en) * 1984-11-01 1987-09-01 Heyden Eugene L Marking system for tube placement

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE740826C (de) * 1942-06-12 1943-10-29 Adolf Maier Dr Ing Dr Med Selbsttaetiger Druckregler fuer die Saugdrainage
DE1112252B (de) * 1954-06-11 1961-08-03 Kuehn Hans Georg Dr Absauggeraet fuer Fluessigkeitsansammlungen in Koerperhoehlen

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3329147A (en) * 1964-11-27 1967-07-04 Barron James Apparatus for bladder irrigation and medication
US4586923A (en) * 1984-06-25 1986-05-06 Cordis Corporation Curving tip catheter
US4649915A (en) * 1984-11-01 1987-03-17 Heyden Eugene L Placement marking system for endotracheal tubes
US4690138A (en) * 1984-11-01 1987-09-01 Heyden Eugene L Marking system for tube placement

Also Published As

Publication number Publication date
FR678193A (fr) 1930-03-19
BE352621A (xx)
DE549464C (de) 1932-04-28

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