US2922415A - Anoscope - Google Patents

Anoscope Download PDF

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Publication number
US2922415A
US2922415A US682113A US68211357A US2922415A US 2922415 A US2922415 A US 2922415A US 682113 A US682113 A US 682113A US 68211357 A US68211357 A US 68211357A US 2922415 A US2922415 A US 2922415A
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anoscope
obturator
shoulder
made
end
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Expired - Lifetime
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US682113A
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Gary J Campagna
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Gary J Campagna
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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
    • A61B1/31Instruments 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 rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B2017/345Cannulas for introduction into a natural body opening
    • A61B2017/3452Cannulas for introduction into a natural body opening for the rectum, e.g. for hemorrhoid surgery

Description

1960 G. J. CAMPAGNA' 2,922,415

- ANOSCOPE Filed Sept. 5, 1957 dary J; Campagna [Cb OFF; SLICK United States Patent ANOSCOPE Gary J. Campagna, Corte Madera, Calif.

Application September '5, 1957, Serial No. 682,113

1 Claim. (Cl. 128- 1) This invention relates to a transparent operating anoscope and similar instruments which are made of a clear transparent plastic.

Anoscopes and similar instruments have heretofore been made of metal, but such instruments ofier a number of disadvantages. For one thing, electric cautery is frequently employed when using such instruments and if the anoscope is made of metal, there is always the danger of shock to the patient. Further, with a metal anoscope, it is impossible to examine the distended wall so that abnormal conditions along the wall itself may be overlooked. Such metal instruments are ordinarily provided with extremely small light bulbs at the far end and there is always the danger of having a bulb burn out during an operation, requiring replacement of the bulb. Additionally, anoscopes which have been used in the past have had an obturator of metal so that the physician inserting the instrument cannot see the placement of the instrument until the obturator is removed.

It is therefore an object of the present invention to provide an anoscope and obturator therefor made of a clear plastic, which plastic can be easily cleaned by cold sterilization methods.

It is another object of this invention to provide such an anoscope made of a clear plastic such as methyl methacrylate having a high index of refraction whereby light is conducted down the walls of the anoscope obviating the necessity of using a light source Within the anoscope.

Still another object of this invention is to provide an anoscope having an obturator made of a clear transparent material so that the operator can see in advance as the instrument is inserted.

Another object of this invention is to provide an anoscope which is completely shockproof, reducing the hazards of electric cautery.

Still another object of this invention is to provide an anoscope having a simple locating pin for the obturator so that the obturator will not be turned relative to the instrument proper while it is being inserted in a body cavity.

In the drawings forming part of this application:

Figure 1 is a plan view of an anoscope made in accordance with the present invention.

Figure 2 is a view, partly in section, on the lines 2-2 of Figure l.

Figure 3 is a sectional view, generally on the lines 3-3 of Figure 2 but with the obturator partially withdrawn from the anoscope.

Figure 4 is a perspective view of the anoscope of the present invention with the obturator withdrawn therefrom.

Referring now to the drawings by reference characters, the anoscope of the present invention has two principal parts, namely, the anoscope proper, generally designated as 5, and the obturator, generally designated as 7. The anoscope has a central portion in the form of a tube 9 to which is attached a flared end 11. To the flared end 11 is attached a handle 13. It will be noted that the tube 9 terminates in a square shoulder 15, and this square shoulder serves to pick up light and convey it to the operation site. The opposite end of the anoscope has a tapered end 17 for easy insertion in a body cavity.

The obturator 7 is made of a clear transparent plastic also, and it consists of a central body portion 19 having a smoothly rounded end portion 21. At the opposite end of the obturator is a shoulder 23, and beyond the shoulder is a handle portion 25. It will be noted that the shoulder 23 normally fits against the shoulder 15 and that shoulder 23 further has a pin 27 extending therefrom which fits into a small slot 29 formed in the wall of the tubing 9. It will further be noted that when the pin 27 is in the slot 29, and when the shoulder 23 is in engagement with shoulder 15, the front end of the instrument formed by the anoscope proper and the obturator form a smoothly rounded curved surface which may be readily inserted in a body orifice. Further, the pin 27 and the slot 29 keep the obturator from turning as the device is inserted, preventing injury to the patient.

The obturator 7 as well as the anoscope proper are both made of a clear transparent plastic. The body portion 5 is made of a materialhaving good light transmission qualities and a high index of refraction, such as methyl methacrylate (sold under the trade names of Plexiglas and Lucite) and such plastics have the property of conveying light down theirwalls and discharging it at the opposite end. Thus, light is conducted from over the operators shoulder to the site of the operation, obviating the necessity of employing any illumination device within the anoscope itself. Further, since the obturator 7 is made of a clear transparent plastic, the operator can see what he is doing While he inserts the device. Since the walls 9 of the obturator are of clear plastic, the operator can also see the condition of the walls of the body cavity into which the device is inserted. Since such plastic does not conduct electricity, it is completely safe for use in electric cautery. 1

Although the device has been described as an anoscope, it is obvious that the principles here involved are of broad application and can be applied to similar instruments for surgical or exploratory procedures such as vaginoscopes or bronchoscopes.

I claim:

An anoscope and obturator combination made entirely of polymerized methylmethacrylate comprising a tube portion having proximal and distal ends, said proximal end terminating in a gentle flare and being provided with a handle and said distal end terminating in a taper, said obturator having a central body portion fitting within said tube and a handle terminating in a plane polished surface normal to the major axis of the obturator Whereby an operator can look through said obturator as the anoscope is inserted in a body orifice. a shoulder on said obturator between said handle and said body portion to limit the forward movement of the obturator, a pin on said shoulder fitting into a recess in said tube whereby said obturator cannot turn with respect to said tube when fully inserted therein, said obturator having a bulbous end which fits with the tapered end of the anoscope to make a smoothly rounded member for insertion in a body orifice.

References Cited in the file of this patent UNITED STATES PATENTS 1,880,551 Wappler Oct. 4, 1932 2,583,937 Fossati Jan. 29, 1952 2,759,478 Boltuch Apr. 21, 1956 2,746,450 Lady et a1. May 22, 1956 2,769,441 Abramson Nov. 6, 1956 FOREIGN PATENTS 551,146 Great Britain Feb. 9, 1943

US682113A 1957-09-05 1957-09-05 Anoscope Expired - Lifetime US2922415A (en)

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Cited By (31)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3044461A (en) * 1960-01-21 1962-07-17 Murdock Barbara Procto-sigmoidoscope
US4048988A (en) * 1975-01-08 1977-09-20 Richard Wolf Gmbh Shutter for a rectoscope
US4215678A (en) * 1976-08-13 1980-08-05 Propper Manufacturing Co., Inc. Endoscope
US4646722A (en) * 1984-12-10 1987-03-03 Opielab, Inc. Protective endoscope sheath and method of installing same
US4776845A (en) * 1986-06-27 1988-10-11 Davis Emsley A Rectal-stomal insert apparatus
US4957486A (en) * 1989-10-02 1990-09-18 Davis Emsley A Rectal-stomal insert apparatus and method
US5342353A (en) * 1990-11-05 1994-08-30 Allen Paul M System for laser treatment of the female urethra and bladder
US5347990A (en) * 1992-10-08 1994-09-20 Wendell V. Ebling Endoscope with sterile sleeve
US5419310A (en) * 1992-11-03 1995-05-30 Vision Sciences, Inc. Partially inflated protective endoscope sheath
US5443057A (en) * 1993-10-12 1995-08-22 International Bioview, Inc. Sterilizable endoscope and method for constructing the same
US5569161A (en) * 1992-10-08 1996-10-29 Wendell V. Ebling Endoscope with sterile sleeve
US5810790A (en) * 1996-11-19 1998-09-22 Ebling; Wendell V. Catheter with viewing system and port connector
US6083241A (en) * 1998-11-23 2000-07-04 Ethicon Endo-Surgery, Inc. Method of use of a circular stapler for hemorrhoidal procedure
US6102271A (en) * 1998-11-23 2000-08-15 Ethicon Endo-Surgery, Inc. Circular stapler for hemorrhoidal surgery
US6142933A (en) * 1998-11-23 2000-11-07 Ethicon Endo-Surgery, Inc. Anoscope for hemorrhoidal surgery
US6428473B1 (en) * 2000-02-18 2002-08-06 Genzyme Corporation Illuminated rectal retractor
US20060271095A1 (en) * 2005-05-24 2006-11-30 Rauker Robert M Apparatus and method of maintaining insufflation
US20070078486A1 (en) * 2003-06-20 2007-04-05 Tyco Healthcare Group Lp Surgical stapling device
US20080275306A1 (en) * 2005-10-26 2008-11-06 Carlo Rebuffat Anoscope for Ano-Rectal Diagnostic and Surgery
US20090312611A1 (en) * 2005-06-17 2009-12-17 Vycor Medical Llc Surgical Access Methods For Use With Delicate Tissues
US20100023023A1 (en) * 2006-02-15 2010-01-28 Drago Popovic Device, clip, endoscope and method for the intraluminal treatment of tissue, e.g. hemorrhoids
US20100022844A1 (en) * 2005-06-22 2010-01-28 Mangiardi John R Surgical Access Instruments for Use with Spinal or Orthopedic Surgery
US20100089971A1 (en) * 2008-09-10 2010-04-15 Milliman Keith L Surgical stapling device
US20100145148A1 (en) * 2008-12-09 2010-06-10 Tyco Healthcare Group, Lp Anoscope
US20100213239A1 (en) * 2007-03-07 2010-08-26 Carlo Rebuffat Stapler for mucosectomy
US20110201895A1 (en) * 2008-10-06 2011-08-18 Thd S.P.A. Device for surgical operations on a prolapse
JP2013542762A (en) * 2010-10-01 2013-11-28 アプライド メディカル リソーシーズ コーポレイション Natural orifice surgery system
ITMI20121377A1 (en) * 2012-08-02 2014-02-03 Angiologica B M S R L anoscope
US9204789B2 (en) 2009-10-08 2015-12-08 Covidien Lp Asymmetrical anoscope
US9216015B2 (en) 2004-10-28 2015-12-22 Vycor Medical, Inc. Apparatus and methods for performing brain surgery
US9737287B2 (en) 2014-05-13 2017-08-22 Vycor Medical, Inc. Guidance system mounts for surgical introducers

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US1880551A (en) * 1929-10-05 1932-10-04 Reinhold H Wappler Endoscope
GB551146A (en) * 1942-04-20 1943-02-09 Louis Van Lier Improvements in rectal and vaginal specula, proctoscopes, sigmoidoscopes and like surgical instruments
US2583937A (en) * 1952-01-29 Surgical exploring and operating
US2746450A (en) * 1954-10-27 1956-05-22 William T Lady Body cavity examining instrument
US2759478A (en) * 1953-11-19 1956-08-21 Mastercraft Plastics Co Inc Vaginal mold
US2769441A (en) * 1954-10-22 1956-11-06 Abramson Daniel Jerome Speculum

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2583937A (en) * 1952-01-29 Surgical exploring and operating
US1880551A (en) * 1929-10-05 1932-10-04 Reinhold H Wappler Endoscope
GB551146A (en) * 1942-04-20 1943-02-09 Louis Van Lier Improvements in rectal and vaginal specula, proctoscopes, sigmoidoscopes and like surgical instruments
US2759478A (en) * 1953-11-19 1956-08-21 Mastercraft Plastics Co Inc Vaginal mold
US2769441A (en) * 1954-10-22 1956-11-06 Abramson Daniel Jerome Speculum
US2746450A (en) * 1954-10-27 1956-05-22 William T Lady Body cavity examining instrument

Cited By (72)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3044461A (en) * 1960-01-21 1962-07-17 Murdock Barbara Procto-sigmoidoscope
US4048988A (en) * 1975-01-08 1977-09-20 Richard Wolf Gmbh Shutter for a rectoscope
US4215678A (en) * 1976-08-13 1980-08-05 Propper Manufacturing Co., Inc. Endoscope
US4646722A (en) * 1984-12-10 1987-03-03 Opielab, Inc. Protective endoscope sheath and method of installing same
US4776845A (en) * 1986-06-27 1988-10-11 Davis Emsley A Rectal-stomal insert apparatus
US4957486A (en) * 1989-10-02 1990-09-18 Davis Emsley A Rectal-stomal insert apparatus and method
US5342353A (en) * 1990-11-05 1994-08-30 Allen Paul M System for laser treatment of the female urethra and bladder
US5347990A (en) * 1992-10-08 1994-09-20 Wendell V. Ebling Endoscope with sterile sleeve
US5569161A (en) * 1992-10-08 1996-10-29 Wendell V. Ebling Endoscope with sterile sleeve
US5419310A (en) * 1992-11-03 1995-05-30 Vision Sciences, Inc. Partially inflated protective endoscope sheath
US5443057A (en) * 1993-10-12 1995-08-22 International Bioview, Inc. Sterilizable endoscope and method for constructing the same
US5810790A (en) * 1996-11-19 1998-09-22 Ebling; Wendell V. Catheter with viewing system and port connector
US6142933A (en) * 1998-11-23 2000-11-07 Ethicon Endo-Surgery, Inc. Anoscope for hemorrhoidal surgery
US6102271A (en) * 1998-11-23 2000-08-15 Ethicon Endo-Surgery, Inc. Circular stapler for hemorrhoidal surgery
US6083241A (en) * 1998-11-23 2000-07-04 Ethicon Endo-Surgery, Inc. Method of use of a circular stapler for hemorrhoidal procedure
US6428473B1 (en) * 2000-02-18 2002-08-06 Genzyme Corporation Illuminated rectal retractor
US20070078486A1 (en) * 2003-06-20 2007-04-05 Tyco Healthcare Group Lp Surgical stapling device
US20080210739A1 (en) * 2003-06-20 2008-09-04 Tyco Healthcare Group Lp Surgical Stapling Device
US9386974B2 (en) 2004-10-28 2016-07-12 Vycor Medical, Inc. Apparatus and methods for performing brain surgery
US9216015B2 (en) 2004-10-28 2015-12-22 Vycor Medical, Inc. Apparatus and methods for performing brain surgery
US9968415B2 (en) 2004-10-28 2018-05-15 Vycor Medical, Inc. Apparatus and methods for performing brain surgery
US9968414B2 (en) 2004-10-28 2018-05-15 Vycor Medical, Inc. Apparatus and methods for performing brain surgery
US20060271095A1 (en) * 2005-05-24 2006-11-30 Rauker Robert M Apparatus and method of maintaining insufflation
US8419695B2 (en) 2005-05-24 2013-04-16 Boston Scientific Scimed, Inc. Apparatus and method of maintaining insufflation
US20130066154A1 (en) * 2005-06-17 2013-03-14 Vycor Medical, Inc. Tissue retractor apparatus and methods
US20090312611A1 (en) * 2005-06-17 2009-12-17 Vycor Medical Llc Surgical Access Methods For Use With Delicate Tissues
US8409083B2 (en) * 2005-06-17 2013-04-02 Vycor Medical, Inc. Surgical access methods for use with delicate tissues
US9675331B2 (en) 2005-06-17 2017-06-13 Vycor Medical, Inc. Tissue retractor apparatus and methods
US20150289865A1 (en) * 2005-06-17 2015-10-15 Vycor Medical, Inc. Tissue retractor apparatus and methods
US9782157B2 (en) 2005-06-17 2017-10-10 Vycor Medical, Inc. Tissue retractor apparatus and methods
US8608650B2 (en) * 2005-06-17 2013-12-17 Vycor Medical, Llc Surgical access instruments for use with delicate tissues
US20100010315A1 (en) * 2005-06-17 2010-01-14 Vycor Medical Llc Surgical Access Instruments For Use With Delicate Tissues
US9566052B2 (en) * 2005-06-17 2017-02-14 Vycor Medical, Inc. Tissue retractor apparatus and methods
US9307969B2 (en) * 2005-06-17 2016-04-12 Vycor Medical, Inc. Tissue retractor apparatus and methods
US20100022844A1 (en) * 2005-06-22 2010-01-28 Mangiardi John R Surgical Access Instruments for Use with Spinal or Orthopedic Surgery
US8360970B2 (en) 2005-06-22 2013-01-29 Vycor Medical, Inc. Surgical access instruments for use with spinal or orthopedic surgery
US8337401B2 (en) 2005-10-26 2012-12-25 Covidien Ag Anoscope for ano-rectal diagnostic and surgery
US20080275306A1 (en) * 2005-10-26 2008-11-06 Carlo Rebuffat Anoscope for Ano-Rectal Diagnostic and Surgery
US8956282B2 (en) 2005-10-26 2015-02-17 Covidien Ag Anoscope for ano-rectal diagnostic and surgery
US9307896B2 (en) 2005-10-26 2016-04-12 Covidien Ag Anoscope for ano-rectal diagnostic and surgery
US8740781B2 (en) 2005-10-26 2014-06-03 Covidien Ag Anoscope for ano-rectal diagnostic and surgery
US8292904B2 (en) * 2006-02-15 2012-10-23 Ethicon Endo-Surgery, Inc. Device, clip, endoscope and method for the intraluminal treatment of tissue, e.g. hemorrhoids
US20100023023A1 (en) * 2006-02-15 2010-01-28 Drago Popovic Device, clip, endoscope and method for the intraluminal treatment of tissue, e.g. hemorrhoids
US8272555B2 (en) 2007-03-07 2012-09-25 Tyco Healthcare Group Lp Stapler for mucosectomy
US8875974B2 (en) 2007-03-07 2014-11-04 Covidien Ag Stapler for mucosectomy
US9883862B2 (en) 2007-03-07 2018-02-06 Covidien Lp Stapler for mucosectomy
US20100213239A1 (en) * 2007-03-07 2010-08-26 Carlo Rebuffat Stapler for mucosectomy
US8684251B2 (en) 2007-03-07 2014-04-01 Covidien Ag Stapler for mucosectomy
US9119621B2 (en) 2007-03-07 2015-09-01 Covidien Ag Stapler for mucosectomy
US8343185B2 (en) 2008-09-10 2013-01-01 Covidien Lp Surgical stapling device
US8360295B2 (en) 2008-09-10 2013-01-29 Covidien Lp Surgical stapling device
US20100089971A1 (en) * 2008-09-10 2010-04-15 Milliman Keith L Surgical stapling device
US9113871B2 (en) 2008-09-10 2015-08-25 Covidien Lp Surgical stapling device
US8181838B2 (en) 2008-09-10 2012-05-22 Tyco Healthcare Group Lp Surgical stapling device
US9358006B2 (en) 2008-09-10 2016-06-07 Covidien Lp Surgical stapling device
CN102170818A (en) * 2008-10-06 2011-08-31 Thd股份公司 A device for surgical operations on a prolapse
CN102170818B (en) 2008-10-06 2013-11-06 Thd股份公司 A device for surgical operations on a prolapse
US8679007B2 (en) * 2008-10-06 2014-03-25 Thd S.P.A. Device for surgical operations on a prolapse
US20110201895A1 (en) * 2008-10-06 2011-08-18 Thd S.P.A. Device for surgical operations on a prolapse
US9192291B2 (en) * 2008-12-09 2015-11-24 Covidien Lp Anoscope
US20160038015A1 (en) * 2008-12-09 2016-02-11 Covidien Lp Anoscope
US20150080656A1 (en) * 2008-12-09 2015-03-19 Covidien Lp Anoscope
US20100145148A1 (en) * 2008-12-09 2010-06-10 Tyco Healthcare Group, Lp Anoscope
US8348837B2 (en) 2008-12-09 2013-01-08 Covidien Lp Anoscope
US9636010B2 (en) * 2008-12-09 2017-05-02 Covidien Lp Anoscope
US8926505B2 (en) 2008-12-09 2015-01-06 Covidien Lp Anoscope
US9204789B2 (en) 2009-10-08 2015-12-08 Covidien Lp Asymmetrical anoscope
JP2013542762A (en) * 2010-10-01 2013-11-28 アプライド メディカル リソーシーズ コーポレイション Natural orifice surgery system
EP2692282A1 (en) * 2012-08-02 2014-02-05 Angiologica B.M. S.R.L. Anoscope
ITMI20121377A1 (en) * 2012-08-02 2014-02-03 Angiologica B M S R L anoscope
US9737287B2 (en) 2014-05-13 2017-08-22 Vycor Medical, Inc. Guidance system mounts for surgical introducers
US10327748B2 (en) 2014-05-13 2019-06-25 Vycor Medical, Inc. Guidance system mounts for surgical introducers

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