US2646047A

US2646047A - Circumcision instrument

Info

Publication number: US2646047A
Application number: US272381A
Authority: US
Inventors: Bronstein Harry
Original assignee: Individual
Current assignee: Individual
Priority date: 1952-02-19
Filing date: 1952-02-19
Publication date: 1953-07-21
Anticipated expiration: 1970-07-21

Description

July 21, 1953 H. BRONSTEIN 6,0

CIRCUMCIS ION INSTRUMENT Filed Feb. 19, 1952 2 Sheets-Sheet l HARRY BRON-S TE IN 24 x f BY I T MW ATTORNEY I I i A: INVENTOR.

y 21, 1953 H. BRONSTEIN 2,646,047

CIRCUMCISION INSTRUMENT I Filed Feb. 19, 1952 2 Sheets-Sheet 2.

ATTORNEY Patented July 2 ,1953

rst? UNITED STATES PATENT OFFICE Harry Bronstein, Brooklyn, N. Y.

Application February 19, 1952, Serial No. 272,381

This invention relates to a circumcision instrument and a method of circumcision which method will conform to the ritualistic requirements of Hebraic Law.

Ritualistic circumcision is of ancient origin and for centuries was performed by manually separating the foreskin from the glans penis, cutting off the foreskin above the corona of the penis, and removing the blood which necessarily would flow from the wound. At one time, due to the advance of medical science, it was proposed to employ the clamping technique for ritualistic circumcision but a reading of the ritualistic requirements disclosed that such circumcision would be improper.

A study of the appropriate religious requirements discloses that the ritual provides that blood must flow during the removal of the foreskin from the penis and that therefore, since the conventional clampin technique produces haemostasis, such circumcision cannot be approved. However it is also true that circumcision performed with the aid of a haemostatic clamp prevents the relatively infrequent hemmorhages that sometimes occur in the child after circumcision.

Briefly stated my method comprises separating the foreskin from the glans penis, inserting the foreskin into a recess provided within a clamp,

with or without lubrication f the foreskin, applying pressure to the foreskin sufiicient to hold it firmly to the clamp without cutting off the blood supply, and thence increasing the pressure to provide complete haemostasis. The pressure is generally applied for a period of from one to ten minutes and after that time is released.

It is also preferable, in order to allow the foreskin to slide easily into the recess, to make adorsal slit in the foreskin prior to its inserting into the recess, at a point'midway between the tip of the penis and the corona.

The invention also includes the necessary circumcision clamp which is required to carry out the above mentioned method, which clamp is'of novel construction.

The invention will be further described by reference to the accompanying drawings which are made a part of this specification.

Fig. 1 is a front View of the novel circumcision clamp used to carry out this invention.

Fig. 2 is a top View of the novel circumcision clamp used to carry out this invention.

Fig. 3 is a sectional view of the said clamp taken on lines 3-3 of Fig. 2.

Fig. 4 is a sectional view of the said clamp taken on lines 4-4 of Fig. 3.

Fig. dis a sectional view of the clamping mem- 1 Claim. (01. 128346) r 2 ber of the clamp of this invention taken on lines 55 of Fig. 1.

Fig. 6 is a sectional view of the clamping member of the clamp of this invention taken on lines 66 of Fig. 3.

Fig. '7 is a sectional view of the holding member of the clamp of this invention taken on lines l1 of Fig. 3.

Fig. 8 is a top view of the portion of the clamp of this invention which is provided with a recess.

Figs. 9, 10 and 11 are front views of an alternative form of clamp of this invention showing the three positions of the holding member which are utilized in carrying out the novel method of circumcision described in this invention.

Fig. 12 is a front view of an alternate form of the portion of the clamp of this invention which is provided with recesses and which may be used 7 in place of the form shown in Fig. 8..

Fig. 13 is a sectional view of the alternative form of the portion of the clamp of this invention provided with recesses shown in Fig. 12 taken on lines I3l3 of Fig. 12.

Referring now to the principal form of the clamp of this invention shown in Figs. 1 to 8 there are provided base member which bears offset portion 2 I in the front thereof. Base member 20 is flattened upon its bottom portion 22 so that the entire clamp member may stand of itself while being used. Horizontal member 23 extends forwardly from offset portion 21 and is pref erably secured to offset portion 2| by screw member 24. Horizontal member 23 is provided with recess 25, which is preferably outwardly tapering at a preferred angle of 82 degrees. Clamping member 26 is adapted to fit into recess and is preferably formed with a stem portion 27 and an outwardly tapering portion 28. The outwardly tapering portion of clamping member 26 is preferably provided with a hollow portion 29 so that the

sides

30 and 3! may fit over the glans penis during the use of this device as will be subsequently explained;

Stem portion 21 is pivotally secured to upper member 32 by means of pivot 33 and recess 34. Spring member 35 is provided to hold base mem ber 20 and upper member 32 apart but the out ward pressure exerted by spring member 35 is counteracted by holding member 36 which is provided with grooves 31. Upper member 32 terminates in a point 38 which is adapted to fit into grooves 31.

Preferably also holding member 35 is held in a forward position by tension provided by spring 39 whichis secured to base member 20.

Holding member 3:6 is secured to base member 29 by pin 40 which is disposed in a recess 4| provided. in base member 23.

It is clear that when upper member 32 is depressed point 33 forces holding member 36 back against the pressure of spring 39 and that point 38 will be held when pressure is released within grooves 31. Furthermore upper member 32 pivots about pivot 42 when being depressed and raises clamping member 26 so that outer sides 43 and 44 bear against recess 25. The grooves 31 are marked with the numerals l, 2, and 3 and cause the following relationship of clamping member 26 with respect to recess 25.

When point 38 is held within groove 31 marked 1 clamping member 26 is in spaced relationship relative to recess '25 (as indicated by the alternative construction of Fig. 9).

When point 38 is held within groove 31 marked 2 clamping member 2-5 is in abutting relationship relative to recess 25 (as indicated by the alternative construction of Fig. However the construction'of the clamp embodies some play so that when a foreskin is also placed in recess the pressure exerted by clamping member 26 upon it will be sufiicient to hold it rigidly in place but not sufficient to cut off the blood supply.

When point 38 is held within groove 31 marked 3 clamping member 26 is compressed against the sides of recess 25 so that a great amount of pressure is produced causing complete haemostasis when a foreskin is placed within said recess.

Fig. 12 shows an alternate type of horizontal member provided with a a recess that can be used in the clamp member of this invention. This alternate structure is placed in position under screw member 24 in place of horizontal member 23. The alternate member 49 is provided with a plurality of recesses 50 which are of differing sizes and are preferably outwardly tapering. Recesses 56 are also provided which are adapted to engage pin member (not shown) in front of screw member 2A. In use with this modification a clamping member of proper size to fit in the recess selected and to fit over the glans penis is procured.

The recess to be used is placed directly forward of screw member 24 by pivoting horizontal member 49 about screw member 24.

Figs. 9, 1'0, and 11 illustrate the manner in which the circumcision process of this invention is carried out. These figures show the same type of clamp as shown in Figs. l-8 but with still another alternate form of horizontal member provided with a recess. As shown in these figures horizontal member 68 is formed with a thickened forward portion 6i which is provided with recess 62 into which clamping member 26 fits. Sides 63 and 64 of recess '62 are outwardly tapering. This construction allows the foreskin of the penis to be circumcised to fit easily within recess 52.

It is also pointed out that horizontal member 23 and clamping member 2'5 in the principal form of the invention are removable and while the lower portion of clamping member 26 and the recess provided in horizontal member '23 must be equal in size, the size of the parts selected will be determined by the size of the penis to be circumcised.

The novel method of circumcision utilizing the apparatus of this invention will now be described in detail.

The child to be circumcised is prepared in any number of conventional manners one of which is described by F. M. Al Akl, M. D. in Clinical Symposia, volume 2 Number 7. The adhesive mucosa is loosened with a blunt probe, the foreskin and mucosa are then clamped with two haemostats on the right and left. A dorsal slit is made in the foreskin with blunt probe scissors halfway between the tip of the foreskin and the corona. This last step, while not strictly necessary, aids in permitting the clamping member to fit over the glans penis as will be subsequently explained. The foreskin and the mucosa are pulled down with the haemostats off the glans penis until the corona is visible. The corona is then cleaned so that all smegma is removed and the corona is free from adhesion of the mucosa. The foreskin and mucosa are then pulled back over the glans penis with the haemostats.

A clamping member 26 of size to fit over the glans penis as shown in Fig. 9 is selected and the proper size of horizontal member 6!! bearing a recess of size to accommodate clamping member 26 is secured to the clamp by means .of screw member 2d and pin member Before clamping member 26 is secured to the clamp, however, it is held in the hand and forced into the slit in the foreskin and mucosa previously made. The foreskin and clamping member 26 is then held in the hand, the instrument locked into number 1 position and clamping member 25 is placed up through recess 62 with the stem portion forward. In order to do this clamping member 23 is preferably held on a slant and recess 62 lubricated in order to allow the foreskin to slide through easily. Clamping member 28 is now straightened out and pin member 33 engaged with member 32. The instrument is now transferred to the other hand, the thumb is held over the top of the stem of clamping member 26 and the foresln'n and mucosa 65 pulled through recess 62 to the proper size With the aid of a haemostat. At this point the hollow portion of clamping member 26 fits over the glans penis 65 and extends practically to the corona 61. When the operator feels the proper length of foreskin is exposed he then sets the instrument to number 2 position (Fig. 10) at this point the foreskin 65 is held firmly by the clamp but circulation is still present in the blood vessels supplying blood to the foreskin. The foreskin is then removed and the instrument set in number 3 position Where the foreskin is compressed producing complete haemostasis. The clamp is left in this position for a period of from one to ten minutes.

The foregoing specific embodiments of this invention as shown in the foregoing specification are for illustrative purposes and for purposes of example only. Various changes and modification can obviously be made within the spirit and scope of this invention and will occur to those skilled in this art.

I claim:

A circumcision instrument comprising a flat base member upon which the instrument may stand of itself, said base member bearing an offset portion in the front thereof, a forwardly extending horizontal member secured to said offset portion, said horizontal member being pivotally secured to said offset portion and bearing a plurality of outwardly tapering recesses, an outwardly tapering hollow clamping member adapted to fit within one of said recesses, an upper member pivotally secured to said clamping member and to said offset portion, said upper member being capable of determining the relationship between said clamping member and one 5 of said recesses, a spring member adapted to exert outward pressure upon said base member and said upper member, and a holding member secured to said base member capable of holding said base member and said upper member in place against the outward pressure exerted by tion compressing said clamping member against the sides of one of said recesses.

HARRY BRONSTEIN.

References Cited in the file of this patent UNITED STATES PATENTS Number Name Date 662,178 Truax Nov. 20, 1900 2,533,373 Hinckley Dec. 12, 1950 OTHER REFERENCES Gomoco Clamp Advertisement, Form 4, Received in Patent Oflice April 25, 1935. Copy in Division 55.