US458708A - Speculum - Google Patents

Speculum Download PDF

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US458708A
US458708A US458708DA US458708A US 458708 A US458708 A US 458708A US 458708D A US458708D A US 458708DA US 458708 A US458708 A US 458708A
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jaws
instrument
handle
speculum
bar
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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
    • A61B1/32Devices for opening or enlarging the visual field, e.g. of a tube of the body

Description

(No Model.) I

J. W. DAILY. srnoumm.

' No. 458,708. Patented Sept. 1, 1891.

' INVENTOR I ATTORNEY UNITED STATES PATENT Orrlcn.

JOHN w. DAILY, or DENVER, COLORADO.

SPECULUM.

SPECIFICATION forming part of Letters Patent No. 458,708, dated September 1, 1891.

Application filed April 17, 1391.

State of Colorado, have invented certain new and useful Improvements in Speculums; and I do declare the following to be a full, clear, and exact description of the invention, such as will enable others skilled in the art to which it appertains to make and use the same, reference being had to the accompanying drawings, and to the figures of reference marked thereon, which form a part of this specification.

My invention relates to a novel form and construction of speculum or surgical instrument used to dilate certain passages of the body and throw the light withinfor the purpose of facilitating their examination.

The object of my invention is to provide an instrument of the class statedwhich shall be superior to those heretofore used in point of utility, and at the same time of simple and economical construction.

My improved speculum is of the bivalve class and possesses several important features of novelty.

In the use of speculums much difficulty is often experienced by reason of the tissues protruding thereinto from both sides as the jaws or valves are opened after insertion in the orifice, whereby it often results, particularly where the patient is fleshy, that these protruding parts meet in the center of the instrument and completely obstruct the view. I so construct my speculum that the parts can only enter from one side, and to accomplish this I provide one of the valves or jaws with a lip which when the instrument is closed overlaps the opposite jaw interiorly, said lip being of sufficient width to bridge the space which would otherwise be left between the jaws on one side when the instrument is open. The advantages of this feature will be readily observed.

Another feature is the attachment of a small incandescent electric lamp to the inte rior of one of the jaws of the instrument, whereby perfect illumination is obtained under all circumstances.

Other features are the hinging of the jaws so that their axis shall be parallel with their Serial No. 389,391. (No modell) sides, and the mechanism for controlling the opening and closing of the jaws.

The instrument will be fully understood by reference to the accompanying drawings, in which is illustrated an embodiment of the invention.

In the drawings, Figure l is a top or plan view of the instrument closed; Fig. 2, a side elevation of the same. Fig. 3 is a top view showing the jaws open, the handle being broken away. line as on, Fig. 1, looking in the direction indicated by the arrow; Fig. 5, a section taken on the line g y, Fig. 1; Fig. 6, a cross-section taken on the line 2 s, Fig. 2.

In the views, wherein similar reference characters indicate corresponding parts of the mechanism, let the numeral 10 designate one of the jaws or valves provided with the handle portion 11. The opposite jaw 12 is provided with a similar handle-piece 13 and a lip or blade 14, adapted to overlap the opposite j aw interiorly when the jaws are closed, the jaw 10 being provided with a recess or depression 15 for the reception of said lip. The two jaws or valves when closed form a hollow cone-shaped body, with the handle parts extending obliquely downward from the base a short distance, where a bend 16 is formed extending at right angles to the body of the instrument. The handle-pieces are suitably hinged at this bend by a rivet 17, which forms the axis of the jaws. This axis should be parallel with the adjacentsides of the body of the instrument, so that the space between these jaws when opened will be of equal width throughout their length. This method of hinging the handles has a decided advantage over the old method, in which the handles are carried straight back from the body of the instrument and pivoted by a rivet placed at right angles to the body thereof. It will be readily seen that where the axis is placed as last described or in the old-style Fig. 4 is a section taken on the as the tissues protrude between the jaws Below "and inthe rear of the axis the handleieces make a slight bend upward and then ow outward from each other, as shown in the drawings. These handles are connected about midway between their axis and their free extremities by a ratchet-bar 18, one extremity of which is pivoted in a suitable socket formed in piece 10, while the opposite extremity passes through an opening 19, formed in part 18. Bar 18 is provided with a toothed or notched'portion 18-, the teeth I claim isbeing pointed inward, as shown in Fig. 5, and engaged by a stationary pin 20, secured in the part 13 and extending into opening 19. The ratchet-bar is normally held in engagement with this pin by a spring 21, secured at one extremity to part 13, while its free extremity projects outward therefrom and engages the ratchet-bar. of such size that the bar 18 may be pressed downward therein sufficiently to release its teeth from engagement with pin 20; This downward movement of the ratchet-bar is made in opposition to the action of spring 21. When the ratchetbar is released from pin 20,. the handle-pieces are forced outward and the jaws to the closed position by the action of a steel spring 22', secured at one extremity to the inner side of part 11, while the opposite or free extremity engages the handle-piece 13 in the rear of the axis. A small incandescent electric lamp 25 is secured to the inner side of one of the jaws, as shown. This lamp-isshown attached to the jaw 12,

and this is preferable on account of lip 14,

which gives a greater surface area for the purpose. One circuit-wire 26 is secured to the Opening 19 is made i oted handle-pieces of a speculum, of a ratchet-bar having one extremity secured to one handle piece 13 by an insulated binding screw 26, from which it is carried to the lamp, while the other wire 27 terminates at a binding-screw 28, from which point the metal of the instrument forms the circuit medium to a point 29, where a short wire is secured to the metal and carried thence to the lamp. This is believed to be the most convenient method of connecting the circuit-wires with the lamp. Any other convenient method may, however, be employed.

Having thus described my invention, what 1. A speculum provided With two distinct axially-movable overlapping jaws, which when in use present a single longitudinal opening, the tissues being'eoncealed on the opposite side by the. overlapping parts, substantial'ly as. described.

2. The combination, with the hinged orp-ivof said handle-pieces and the opposite ex tremity passing through a suitable opening in the opposite piece, which is provided with a pin adapted to engage theteeth of the bar,

' a spring holding the teeth of the bar normally in engagement with said pin, and a spring secured to one of the handle-pieces and having its free extremity in engagement with the opposite handle-piece, substantially as and for the purpose set forth.

In testimony whereof I aflix my signature in presence of two witnesses.

JOHN WV. DAILY. lVitnessesr WM. MoCoNNELL, G. .T. ROLLANDET.

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Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4337763A (en) * 1980-04-21 1982-07-06 The United States Of America As Represented By The Department Of Health, Education And Welfare Illuminated surgical instrument
US6450952B1 (en) * 1998-04-23 2002-09-17 Scimed Life Systems, Inc. Medical body access device
US20060217597A1 (en) * 2005-02-18 2006-09-28 Spotlight Surgical, Inc. Surgical illumination system
US20110213207A1 (en) * 2006-01-05 2011-09-01 Depuy Spine, Inc. Non-rigid surgical retractor
US8517935B2 (en) 2006-01-04 2013-08-27 DePuy Synthes Products, LLC Surgical retractors and methods of minimally invasive surgery
US8550995B2 (en) 2006-01-04 2013-10-08 DePuy Synthes Products, LLC Surgical access devices and methods of minimally invasive surgery
US8602984B2 (en) 2003-12-18 2013-12-10 DePuy Synthes Products, LLC Surgical retractor systems and illuminated cannulae
US20140148653A1 (en) * 2005-04-01 2014-05-29 Welch Allyn, Inc. Vaginal speculum apparatus

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4337763A (en) * 1980-04-21 1982-07-06 The United States Of America As Represented By The Department Of Health, Education And Welfare Illuminated surgical instrument
US6450952B1 (en) * 1998-04-23 2002-09-17 Scimed Life Systems, Inc. Medical body access device
US6702741B2 (en) 1998-04-23 2004-03-09 Scimed Life Systems, Inc. Medical body access device
US8602984B2 (en) 2003-12-18 2013-12-10 DePuy Synthes Products, LLC Surgical retractor systems and illuminated cannulae
US8622897B2 (en) 2003-12-18 2014-01-07 DePuy Synthes Products, LLC Surgical methods and surgical kits
US20060217597A1 (en) * 2005-02-18 2006-09-28 Spotlight Surgical, Inc. Surgical illumination system
US9332898B2 (en) * 2005-04-01 2016-05-10 Welch Allyn, Inc. Vaginal speculum apparatus
US20170172404A1 (en) * 2005-04-01 2017-06-22 Welch Allyn, Inc. Vaginal speculum apparatus
US9883792B2 (en) 2005-04-01 2018-02-06 Welch Allyn, Inc. Vaginal speculum apparatus
US20140148653A1 (en) * 2005-04-01 2014-05-29 Welch Allyn, Inc. Vaginal speculum apparatus
US9949633B2 (en) * 2005-04-01 2018-04-24 Welch Allyn, Inc. Vaginal speculum apparatus
US10376138B2 (en) 2005-04-01 2019-08-13 Welch Allyn, Inc. Vaginal speculum apparatus
US8517935B2 (en) 2006-01-04 2013-08-27 DePuy Synthes Products, LLC Surgical retractors and methods of minimally invasive surgery
US8550995B2 (en) 2006-01-04 2013-10-08 DePuy Synthes Products, LLC Surgical access devices and methods of minimally invasive surgery
US9254126B2 (en) 2006-01-05 2016-02-09 DePuy Synthes Products, Inc. Non-rigid surgical retractor
US20110213207A1 (en) * 2006-01-05 2011-09-01 Depuy Spine, Inc. Non-rigid surgical retractor

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