US2300040A - Surgical speculum - Google Patents
Surgical speculum Download PDFInfo
- Publication number
- US2300040A US2300040A US338191A US33819140A US2300040A US 2300040 A US2300040 A US 2300040A US 338191 A US338191 A US 338191A US 33819140 A US33819140 A US 33819140A US 2300040 A US2300040 A US 2300040A
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- US
- United States
- Prior art keywords
- blade
- opening
- bar
- blades
- handle
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments 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
- A61B1/32—Devices for opening or enlarging the visual field, e.g. of a tube of the body
Definitions
- This invention relates to improvements in surgical speculums.
- Figure 1 is a topplan view of the speculum, a portion thereof being shown in section to better disclose the construction
- Figure 2 is a side elevation thereof
- Figure 3 is an end elevation of blade 6 with associated parts looking in the direction of arrows 3, Figure 2;
- Figure 4 is a section taken on line 4- 3, Figure 1.
- reference numeral 5 designates one of the retractor blades and reference numeral 6 represents the other retractor blade.
- the two blades are of concave-convex cross section as can be readily seen from Figures 1 and 2.
- Blade 5 has its upper end outwardly curved and provided with a flange I from which a handle 8 projects.
- One side of blade 5 has a lateral extension 9 that is provided with an opening [0, which, in the form illustrated, is T-shaped.
- the outer wall of the opening has a pawl I I that projects inwardly as shown in Figure 1.
- the opening l extends in a direction substantially parallel to handle 8 and is positioned to the outside of the corresponding edge of blade 5.
- Blade 6 is provided at its upper end with outwardly projecting flanges 1a, the upper of which terminates in an extension I4, from which a ratchet bar projects in the direction of the concave surface of the blade.
- the bar IS in the preferred embodiment is of T-shaped cross section and one of its flanges is provided with ratchet teeth l6 that are engaged position.
- the opening 10 extends through the upper surface of projection 9 and has its upper walls a and b tapered in the direction of the con cave side of the blade in the manner indicated in Figure 1 so that the bar l5 may be rocked about the edge ll! which designates the end of the bottom surface of the groove in the projection.
- any forces tending to move blades 5 and 6 toward each other also tends to move the ratchet arm counterclockwise about edge ll so as to bring the pawl ll into operative engagement with the teeth [6.
- the surgeon wants to adjust the position of the blades as, for example, when he wants to move them farther apart after they have been inserted in the orifice, he merely exerts a pressure on the part 18 and urges the bar towards the left, when viewed as in Figure 1. Any force tending to return the blade 6 is resisted by the pawl H.
- this instrument comprises two parts only, and that neither of these parts has any movable parts attached to them.
- the latching is effected by the teeth and the pawl which are both integral with their respective parts of the instrument.
- a surgical speculum for use in holding a body orifice in open position to permit examination and treatment of the Wall thereof comprising two blades of concave-convex cross section arranged with their concave surfaces in opposed relation, a handle extending outwardly from the convex surface of one of the blades near the outer end thereof, said blade having a projection extending laterally from one edge of the blade near the outer end thereof, said lateral projection having a noncircular opening whose axis extends substantially parallel with the handle, said opening being tapered in the direction of the concave side of the blade, the axis of the opening being positioned to one side of the handle, beyond the corresponding edge of the blade, the other blade having an integral bar positioned to one side of the center line thereof, substantially the same distance as the axis of the opening and extending in the direction of the concave surface, said bar having a transverse cross section of a size and shape to fit the smaller end of the opening the bar projecting through said opening in substantial parallel relation with the handle and at
- a surgical speculum for use in holding a body orifice in open position to permit examination and treatment of the wall thereof comprising two blades of concavo-convex cross section arranged with their concave surfaces in opposed relation, a handle extending outwardly from the convex surface of one of the blades near the outer end thereof, said blade having a projection eX- tending from said blade near the outer end thereof, said projection having a noncircular opening whose axis extends substantially parallel with the handle, said opening being tapered in the direction of the concave side of the blade, the axis of the opening being positioned to one side of the handle beyond the corresponding edge of the blade, 'the other blade having an integral bar positioned to one side of the center line thereof, substantially the same distance as the axis of the opening, and extending in the direction of the concave surface, said bar having a transverse cross section of a size and shape to fit the smaller end of the opening, the bar projecting through said opening in substantially parallel relation with the handle and at
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Biomedical Technology (AREA)
- Optics & Photonics (AREA)
- Pathology (AREA)
- Radiology & Medical Imaging (AREA)
- Biophysics (AREA)
- Engineering & Computer Science (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Description
Oct. 27, 1942. F, B T 2,300,040
SURGICAL SPECULUM Filed May '31, 1940 INVENTOR. fleA/vz A. 5577:: I
Patented Oct. 27, 1942 UNITED STATES PATENT OFFICE 2 Claims.
This invention relates to improvements in surgical speculums.
In the examination of interior body cavities, it is necessary to employ an instrument for opening the same so as to permit inspection and to allow the surgeon to make such treatments as may be indicated and necessary. For this purpose speculums of various kinds have been invented and used.
It is the object of this invention to produce a simple and substantial surgical instrument of such construction that when it is in use, it will afford a large, clear opening and thereby allow the surgeon the freest access to the parts under investigation and treatment.
In order to describe this invention so that its construction and mode of operation can be clearly understood, reference will be had to the accompanying drawing in which the invention has been illustrated in its preferred form, and in which:
Figure 1 is a topplan view of the speculum, a portion thereof being shown in section to better disclose the construction;
Figure 2 is a side elevation thereof;
Figure 3 is an end elevation of blade 6 with associated parts looking in the direction of arrows 3, Figure 2; and
Figure 4: is a section taken on line 4- 3, Figure 1.
In the drawing reference numeral 5 designates one of the retractor blades and reference numeral 6 represents the other retractor blade. The two blades are of concave-convex cross section as can be readily seen from Figures 1 and 2. Blade 5 has its upper end outwardly curved and provided with a flange I from which a handle 8 projects. One side of blade 5 has a lateral extension 9 that is provided with an opening [0, which, in the form illustrated, is T-shaped. The outer wall of the opening has a pawl I I that projects inwardly as shown in Figure 1. The opening l extends in a direction substantially parallel to handle 8 and is positioned to the outside of the corresponding edge of blade 5. The positions of the two edges of the blades are indicated by dotted lines I2 and I3 which also serve to indicate the wall of an orifice that is being expanded by this instrument. Blade 6 is provided at its upper end with outwardly projecting flanges 1a, the upper of which terminates in an extension I4, from which a ratchet bar projects in the direction of the concave surface of the blade. The bar IS in the preferred embodiment is of T-shaped cross section and one of its flanges is provided with ratchet teeth l6 that are engaged position. The opening 10 extends through the upper surface of projection 9 and has its upper walls a and b tapered in the direction of the con cave side of the blade in the manner indicated in Figure 1 so that the bar l5 may be rocked about the edge ll! which designates the end of the bottom surface of the groove in the projection. By moving the end containing the finger grip l3 inwardly from the position shown in Figure 1, the teeth It will be moved out of engage ment with the pawl It so as to permit the bar to be longitudinally adjusted. Due to the fact that the bar I5 is positioned at one side of the blade 6, any forces tending to move blades 5 and 6 toward each other also tends to move the ratchet arm counterclockwise about edge ll so as to bring the pawl ll into operative engagement with the teeth [6. When the surgeon wants to adjust the position of the blades as, for example, when he wants to move them farther apart after they have been inserted in the orifice, he merely exerts a pressure on the part 18 and urges the bar towards the left, when viewed as in Figure 1. Any force tending to return the blade 6 is resisted by the pawl H. When the instrument is to be removed or the distance between the blades decreased, this can be accomplished by first moving the bar I5 a short distance towards the left and then moving it inwardly towards the handle, whereupon the latching engagement between the pawl and the teeth is released, thereby permitting blade 6 to move towards blade 5.
Particular attention is called to the fact that this instrument comprises two parts only, and that neither of these parts has any movable parts attached to them. The latching is effected by the teeth and the pawl which are both integral with their respective parts of the instrument.
Attention is directed to the showing in Figure 1 from which it is apparent that the bar [5 is positioned beyond the corresponding wall of the orifice and therefore there is no obstruction and the surgeon has free access to the opening under inspection.
It will also be noted that on the side opposite from bar 15 there is no obstruction whatever which permits free access to the part under inspection or treatment.
Since the interconnection and the ratchet latching means are to one side of the blades,
there results a cantilever action which serves to 1 hold the pawl and teeth in engagement and thus removes the necessity of a spring.
Having described the invention What is claimed by the pawl II when the parts are in operative as new is:
1. A surgical speculum for use in holding a body orifice in open position to permit examination and treatment of the Wall thereof, comprising two blades of concave-convex cross section arranged with their concave surfaces in opposed relation, a handle extending outwardly from the convex surface of one of the blades near the outer end thereof, said blade having a projection extending laterally from one edge of the blade near the outer end thereof, said lateral projection having a noncircular opening whose axis extends substantially parallel with the handle, said opening being tapered in the direction of the concave side of the blade, the axis of the opening being positioned to one side of the handle, beyond the corresponding edge of the blade, the other blade having an integral bar positioned to one side of the center line thereof, substantially the same distance as the axis of the opening and extending in the direction of the concave surface, said bar having a transverse cross section of a size and shape to fit the smaller end of the opening the bar projecting through said opening in substantial parallel relation with the handle and at a point above the latter, whereby it can be engaged and manipulated by the thumb of a hand holding the handle, and latching means comprising opposed interengaging latching teeth on the bar and on the inner surface of the opening for latching the blades in spaced relation in opposition to a force tending to move the blades: together, the bar being rockable in the opening to efiect a release of the latching means.
2. A surgical speculum for use in holding a body orifice in open position to permit examination and treatment of the wall thereof, comprising two blades of concavo-convex cross section arranged with their concave surfaces in opposed relation, a handle extending outwardly from the convex surface of one of the blades near the outer end thereof, said blade having a projection eX- tending from said blade near the outer end thereof, said projection having a noncircular opening whose axis extends substantially parallel with the handle, said opening being tapered in the direction of the concave side of the blade, the axis of the opening being positioned to one side of the handle beyond the corresponding edge of the blade, 'the other blade having an integral bar positioned to one side of the center line thereof, substantially the same distance as the axis of the opening, and extending in the direction of the concave surface, said bar having a transverse cross section of a size and shape to fit the smaller end of the opening, the bar projecting through said opening in substantially parallel relation with the handle and at a point above the latter, whereby r it can be engaged and manipulated by the thumb of a hand holding the handle, and latching means comprising opposed interengaging latching teeth on the bar and on the inner surface of the opening for latching the blades in spaced relation in opposition to a force tending to move the blades together, the bar being rockable in the opening to efiect a release of the latching means.
FRANK A. BETTS.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US338191A US2300040A (en) | 1940-05-31 | 1940-05-31 | Surgical speculum |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US338191A US2300040A (en) | 1940-05-31 | 1940-05-31 | Surgical speculum |
Publications (1)
Publication Number | Publication Date |
---|---|
US2300040A true US2300040A (en) | 1942-10-27 |
Family
ID=23323792
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US338191A Expired - Lifetime US2300040A (en) | 1940-05-31 | 1940-05-31 | Surgical speculum |
Country Status (1)
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US (1) | US2300040A (en) |
Cited By (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3110305A (en) * | 1962-04-30 | 1963-11-12 | Henry A Sygnator | Inspection tool |
US3565061A (en) * | 1969-04-30 | 1971-02-23 | Verne J Reynolds | Free sliding bivalve vaginal speculum |
US4202324A (en) * | 1978-03-30 | 1980-05-13 | Alison W Evans | Equine vaginal speculum |
US20060142642A1 (en) * | 2004-12-29 | 2006-06-29 | Lins Robert E | Minimally-invasive portal system for performing lumbar decompression, instrumented fusion/stabilization, and the like |
US20060200139A1 (en) * | 1988-06-13 | 2006-09-07 | Sdgi Holdings, Inc. | Tissue dilator and method for performing a spinal procedure |
US20070118023A1 (en) * | 2002-04-05 | 2007-05-24 | Smith Maurice M | Devices and methods for percutaneous tissue retraction and surgery |
US20090156902A1 (en) * | 2002-06-26 | 2009-06-18 | Jonathan Dewey | Instruments and methods for minimally invasive tissue retraction and surgery |
US20090203967A1 (en) * | 2002-06-26 | 2009-08-13 | Branch Charles L | Instruments and methods for minimally invasive tissue retraction and surgery |
US7867238B2 (en) | 2001-03-01 | 2011-01-11 | Warsaw Orthopedic, Inc. | Method for using dynamic lordotic guard |
US7955360B2 (en) | 2001-03-01 | 2011-06-07 | Warsaw Orthopedic, Inc. | Method for using dynamic lordotic guard with movable extensions for creating an implantation space posteriorly in the lumbar spine |
US8734447B1 (en) | 1988-06-13 | 2014-05-27 | Warsaw Orthopedic, Inc. | Apparatus and method of inserting spinal implants |
US9622732B2 (en) | 2004-10-08 | 2017-04-18 | Nuvasive, Inc. | Surgical access system and related methods |
-
1940
- 1940-05-31 US US338191A patent/US2300040A/en not_active Expired - Lifetime
Cited By (30)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3110305A (en) * | 1962-04-30 | 1963-11-12 | Henry A Sygnator | Inspection tool |
US3565061A (en) * | 1969-04-30 | 1971-02-23 | Verne J Reynolds | Free sliding bivalve vaginal speculum |
US4202324A (en) * | 1978-03-30 | 1980-05-13 | Alison W Evans | Equine vaginal speculum |
US8734447B1 (en) | 1988-06-13 | 2014-05-27 | Warsaw Orthopedic, Inc. | Apparatus and method of inserting spinal implants |
US20060200139A1 (en) * | 1988-06-13 | 2006-09-07 | Sdgi Holdings, Inc. | Tissue dilator and method for performing a spinal procedure |
US8353909B2 (en) | 1988-06-13 | 2013-01-15 | Warsaw Orthopedic, Inc. | Surgical instrument for distracting a spinal disc space |
US7914530B2 (en) | 1988-06-13 | 2011-03-29 | Warsaw Orthopedic, Inc. | Tissue dilator and method for performing a spinal procedure |
US8764755B2 (en) | 2001-03-01 | 2014-07-01 | Warsaw Orthopedic, Inc. | Method for using a guard for creating a socket posteriorly in the lumbar spine |
US8372079B2 (en) | 2001-03-01 | 2013-02-12 | Warsaw Orthopedic, Inc. | Dynamic guard and method for use thereof |
US7867238B2 (en) | 2001-03-01 | 2011-01-11 | Warsaw Orthopedic, Inc. | Method for using dynamic lordotic guard |
US7909832B2 (en) | 2001-03-01 | 2011-03-22 | Warsaw Orthopedic, Inc. | Retractor for percutaneous surgery in a patient and method for use thereof |
US7998143B2 (en) | 2001-03-01 | 2011-08-16 | Warsaw Orthopedic, Inc. | Dynamic guard |
US7955360B2 (en) | 2001-03-01 | 2011-06-07 | Warsaw Orthopedic, Inc. | Method for using dynamic lordotic guard with movable extensions for creating an implantation space posteriorly in the lumbar spine |
US9211198B2 (en) | 2001-03-01 | 2015-12-15 | Warsaw Orthopedic, Inc. | Method for using a guard for creating a socket posteriorly in the lumbar spine |
US9597202B2 (en) | 2001-03-01 | 2017-03-21 | Warsaw Orthopedic, Inc. | Method for using a guard for creating a socket posteriorly in the spine |
US7981030B2 (en) | 2002-04-05 | 2011-07-19 | Warsaw Orthopedic, Inc. | Devices and methods for percutaneous tissue retraction and surgery |
USRE46134E1 (en) | 2002-04-05 | 2016-09-06 | Warsaw Othopedic, Inc. | Devices and methods for percutaneous tissue retraction and surgery |
USRE46148E1 (en) | 2002-04-05 | 2016-09-20 | Warsaw Orthopedic, Inc. | Devices and methods for percutaneous tissue retraction and surgery |
US7988624B2 (en) | 2002-04-05 | 2011-08-02 | Warsaw Orthopedic, Inc. | Devices and methods for percutaneous tissue retraction and surgery |
US20070118023A1 (en) * | 2002-04-05 | 2007-05-24 | Smith Maurice M | Devices and methods for percutaneous tissue retraction and surgery |
US20070270655A1 (en) * | 2002-04-05 | 2007-11-22 | Smith Maurice M | Devices and methods for percutaneous tissue retraction and surgery |
US20090156902A1 (en) * | 2002-06-26 | 2009-06-18 | Jonathan Dewey | Instruments and methods for minimally invasive tissue retraction and surgery |
US20090203967A1 (en) * | 2002-06-26 | 2009-08-13 | Branch Charles L | Instruments and methods for minimally invasive tissue retraction and surgery |
US7976463B2 (en) | 2002-06-26 | 2011-07-12 | Warsaw Orthopedic, Inc. | Instruments and methods for minimally invasive tissue retraction and surgery |
US7981029B2 (en) | 2002-06-26 | 2011-07-19 | Warsaw Orthopedic, Inc. | Instruments and methods for minimally invasive tissue retraction and surgery |
US9622732B2 (en) | 2004-10-08 | 2017-04-18 | Nuvasive, Inc. | Surgical access system and related methods |
US11723644B2 (en) | 2004-10-08 | 2023-08-15 | Nuvasive, Inc. | Surgical access system and related methods |
US8568305B2 (en) * | 2004-12-29 | 2013-10-29 | Us Spine, Inc. | Minimally-invasive portal system for performing lumbar decompression, instrumented fusion/stabilization, and the like |
US9265491B2 (en) * | 2004-12-29 | 2016-02-23 | U.S. Spine, Inc. | Minimally-invasive portal methods for performing lumbar decompression, instrumented fusion/stabilization, and the like |
US20060142642A1 (en) * | 2004-12-29 | 2006-06-29 | Lins Robert E | Minimally-invasive portal system for performing lumbar decompression, instrumented fusion/stabilization, and the like |
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