US242443A - Edward b - Google Patents

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US242443A
US242443A US242443DA US242443A US 242443 A US242443 A US 242443A US 242443D A US242443D A US 242443DA US 242443 A US242443 A US 242443A
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dilators
screw
edward
pieces
body
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material

Description

(No Model.) I

E. B. POOTE, Sr. Dilator for Cure pf Phimosis.

No. 242,443. Patented June 7, 1881'.

2;;2 67/ a"? 4/ H: 5 E @112 $1 TI WTHEEEEE Maw @M gw/w/w p Mu NITED STATES PATENT OFFICE.

EDWARD B..FOOTE, SR., OF NEW YORK, N. Y.

DILATOR FOR CURE OF PHIMOSIS.

SPECIFICATION forming part of Letters Patent No. 242,443, dated June '7, 1881.

Application filed February 2, 1581. (No model.)

To all whom it may concern Be it known that I, EDWARD B. FoorE, Sr., a citizen of the United States, residing in New York city, in the State of New York, have invented certain new and useful Improvements relating to Instruments for the Cure of Phimosis; and I do hereby declare that the following is a full and exact description thereof.

The principle on which my instruments act is gentle and gradual dilatation. I provide for continuing the gentle strain for many days, or weeks, if necessary, until the foreskin shall, by degrees, be enlarged, so as to allow the parts to serve in the ordinary natural manner, care being taken to avoid proceeding too rapidly, and to aid the operation by the use of vaseline or analogous soothing and relaxing ointment. The proceeding requires only the most ordinary medical skill.

The following is a description of what I consider the best means of carrying out the discovery.

The accompanying drawings form a part of this specification.

Figure l is a perspective view of the device with the dilators closed. Fig. 2 is an elevation showing the dilators open partially and a button on the inside. Fig. 3 is an end view of the button. Fig. 4 is a section of Fig. 3 on line :0 m. Fig. 5 is a section of Fig. 3 on line y y.

Similar letters of reference indicate correspondin g parts in all the figures.

A is a circular piece of metal, which I will designate as the body of the instrument.

B B, 850., are screws tapped into A and loosely confining a series of dilators of tapering form, extending parallel, or approximately parallel, to each other, as indicated. The outer surface of each dilator D is smoothly rounded, and near the free end is bent outward, as indicated at 1).

O is a large screw tapped through the center A and turned by a milled head, 0. The other end of G is received loosely in a movable disk, 3

E, and as the screw 0 is turned one way or the other it moves the disk E toor from the body A. Moving toward the body allows the dilators D to contract. Moving from the body compels the dilators to open gradually.

The screw 0 is hollow. Through it extends a rod, G, having a collar, G, near its inner end.

I provide approximately spool-shaped detachable pieces, M, of hard rubber, wood, or other suitable material, adapted to be held loosely on the inner end of G,within the dilators D, and to be thrust gently out into place by means of the rod G and its collar G.

In most cases of phimosis the contraction of the skin is only for a very short distance; but I make the spool-shaped pieces M of sufficient length to serve if the contraction extends a little distance.

To use the instrument the parts to be treated are profusely lubricated with an unctuous preparation for relaxing the tissues and preventing inflammation. The dilators are contracted and inserted, and the screw 0 turned to move the dilators apart. The smallest of the set of pieces M, having been previously set on the inner end of G, is now moved into position by sliding the rod G, and the screw 0 turned in the direction to allow the dilators to contract. They contract upon the piece M, but a little gentle motion allows them to slip off, leaving the piece M embraced by the skin, where it will remain,

serving as a permanent dilatant of that moderate size till after a few days the operation is repeated, inserting this time the next larger piece M, and so on until the parts are fully dilated and the patient is permanently cured.

The grooves min the larger pieces M allow the curved narrow ends of the dilators I) to sink within the body of M when the dilators areinsorted and withdrawn. These grooves may be important in the last portion of the treatment in obstinate cases; but I have not found them generally necessary. I have worked successfully without the bar G, simply introducing the proper piece M well back against the disk E and causing it to move outward into place by gravity after the skin was properly dilated. For ordinary cases this simpler mode of operation may be relied on as suflicient, and for such the screw 0 may be made solid.

Modifications may be made in many of the details. The number of the dilators D maybe increased or diminished. I prefer four. The outward bend, D, at the end of each is important, as otherwise the instrument isliable to slip.

Afree use of Vaseline or some other-unctuous preparation isexpedient to relax the tissues and preventthe membranes from becoming inflamed.

I have proved by experiment that the, prepuee or foreskin may, with suitable instruments, aided by unctnous preparations, such as "aseline, be dilated so as to overcome phimosis; and as my invention for this purpose I claim 1. The dilators 1), operating means 0 E, and exchangeable pieces M, combined and adapted for joint operation as herein specified.

2. The body A, loose screws or hinges B, operating-screw O, dilators D 1), disk E, and rod G,with its shoulder G, combined and arranged to serve relatively to each other and to the exchangeable pieces M, as and for the purposes herein set forth.

In testimony whereofI have hereunto set my hand at New York city, in the State of New York, this 31st day of January, 1881, in the presence of two subscribing witnesses.

EDWARD 1?. FOOTE, SEN.

Witnesses:

' E. G. MUGRAVE,

LOUIS COHEN.

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Cited By (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2689568A (en) * 1952-08-14 1954-09-21 Charlie E Wakefield Dilator
US3409013A (en) * 1965-08-23 1968-11-05 Berry Henry Instrument for inserting artificial heart valves
US3486505A (en) * 1967-05-22 1969-12-30 Gordon M Morrison Orthopedic surgical instrument
US3628535A (en) * 1969-11-12 1971-12-21 Nibot Corp Surgical instrument for implanting a prosthetic heart valve or the like
US6354995B1 (en) * 1998-04-24 2002-03-12 Moshe Hoftman Rotational lateral expander device
US6607549B2 (en) * 2000-12-12 2003-08-19 Pro David Inc. Oral rehabilitation device
US20060178693A1 (en) * 2002-10-25 2006-08-10 Hamada James S Minimal access lumbar diskectomy instrumentation and method
US20070198025A1 (en) * 2000-08-30 2007-08-23 Trieu Hai H Method and apparatus for delivering an intervertebral disc implant
US20080183211A1 (en) * 2007-01-11 2008-07-31 Lanx, Llc Spinous process implants and associated methods
DE102009034495A1 (en) * 2009-07-22 2011-01-27 Christian Bich Widening and expansion apparatus for treatment of phimosis, has two shanks connected with one another over joint, where spreading of shanks takes place by fixing or lockable adjusting mechanism
US9055981B2 (en) 2004-10-25 2015-06-16 Lanx, Inc. Spinal implants and methods
US9095301B2 (en) 2002-10-25 2015-08-04 K2M, Inc. Minimal incision maximal access MIS spine instrumentation and method
US9492197B2 (en) 2009-10-13 2016-11-15 Materna Medical, Inc. Methods and apparatus for preventing vaginal lacerations during childbirth
US9724136B2 (en) 2007-01-11 2017-08-08 Zimmer Biomet Spine, Inc. Spinous process implants and associated methods
US9743960B2 (en) 2007-01-11 2017-08-29 Zimmer Biomet Spine, Inc. Interspinous implants and methods

Cited By (21)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2689568A (en) * 1952-08-14 1954-09-21 Charlie E Wakefield Dilator
US3409013A (en) * 1965-08-23 1968-11-05 Berry Henry Instrument for inserting artificial heart valves
US3486505A (en) * 1967-05-22 1969-12-30 Gordon M Morrison Orthopedic surgical instrument
US3628535A (en) * 1969-11-12 1971-12-21 Nibot Corp Surgical instrument for implanting a prosthetic heart valve or the like
US6354995B1 (en) * 1998-04-24 2002-03-12 Moshe Hoftman Rotational lateral expander device
US7857818B2 (en) * 2000-08-30 2010-12-28 Warsaw Orthopedic, Inc. Method and apparatus for delivering an intervertebral disc implant
US20070198025A1 (en) * 2000-08-30 2007-08-23 Trieu Hai H Method and apparatus for delivering an intervertebral disc implant
US20110040342A1 (en) * 2000-08-30 2011-02-17 Trieu Hai H Method and apparatus for delivering an intervertebral disc implant
US6607549B2 (en) * 2000-12-12 2003-08-19 Pro David Inc. Oral rehabilitation device
US9095301B2 (en) 2002-10-25 2015-08-04 K2M, Inc. Minimal incision maximal access MIS spine instrumentation and method
US20060178693A1 (en) * 2002-10-25 2006-08-10 Hamada James S Minimal access lumbar diskectomy instrumentation and method
US7887482B2 (en) * 2002-10-25 2011-02-15 K2M, Inc. Minimal access lumbar diskectomy instrumentation and method
US9055981B2 (en) 2004-10-25 2015-06-16 Lanx, Inc. Spinal implants and methods
US9770271B2 (en) 2005-10-25 2017-09-26 Zimmer Biomet Spine, Inc. Spinal implants and methods
US9861400B2 (en) 2007-01-11 2018-01-09 Zimmer Biomet Spine, Inc. Spinous process implants and associated methods
US8241330B2 (en) 2007-01-11 2012-08-14 Lanx, Inc. Spinous process implants and associated methods
US20080183211A1 (en) * 2007-01-11 2008-07-31 Lanx, Llc Spinous process implants and associated methods
US9724136B2 (en) 2007-01-11 2017-08-08 Zimmer Biomet Spine, Inc. Spinous process implants and associated methods
US9743960B2 (en) 2007-01-11 2017-08-29 Zimmer Biomet Spine, Inc. Interspinous implants and methods
DE102009034495A1 (en) * 2009-07-22 2011-01-27 Christian Bich Widening and expansion apparatus for treatment of phimosis, has two shanks connected with one another over joint, where spreading of shanks takes place by fixing or lockable adjusting mechanism
US9492197B2 (en) 2009-10-13 2016-11-15 Materna Medical, Inc. Methods and apparatus for preventing vaginal lacerations during childbirth

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