US660368A - Hernial truss. - Google Patents

Description

N0. 660,368. Patented Oct. 23, I900.

- J.- D. DAY.

HERNIAL muss.

(Application filed Oct. 11, 1899.)

UNITED STATES PATENT OFFICE.

JAMES D. DAY, OF LoNboN, ENGLAND.

HERNIAL TRUSS.

' SPECIFICATION forming part of Letters Patent No: 660,368, dated October 23, 1900.

Application filed October 11, 1899. Serial No. 733,308. (No model.)

To atZZ whom it may concern:

7 Be it known that I, JAMES D. DAY, a subject of the Queen of Great Britain, residing at London, England, have invented a new and useful Improvement in Surgical Trusses, (for which I have obtained a patent in Great Britain, No. 10,177, hearing date May 15, 1899,) of which the following is a specification.

Heretofore it has been proposed to construct surgical trusses fortreatiug rupture of a sheet of flexible or elastic material, either solid or fenestrated, cut to the shape approximately of an elongated heart and containing a vertical slit from its upper indentation communicating with a circular aperture, the slit being closed by a suitable lace when the truss Suitable straps or bands have is in position. been attached to the top extensions, which pass around the waist, and the base or lower end is continued as a strap or band which passes between the legs. The truss thus constructed is applied as follows: The slit being loosened, the penis and scrotum are passed through the circular aperture, whereupon the slit is laced up. The top straps or bands are then brought over the hips, around the Waist, and buckled at the back, and the lower strap is brought between the legs and secured to a specially-fixed buckle carried on the ordinary braces. The pressure of the truss may be readily adjusted by tightening or loosening the respective straps or bands. Now according to my present invention I form the body of the truss, which is composed of elastic or non-elastic flexible material or fabric, with a part of the body extending, Figs. 1 and 2, above the aperture, and thereby forming a continuous support, the want of such support forming a serious defect in the type of truss herein first described, because when so constructed pressure could not be brought upon the canal and the external abdominal ring. Further, I have found that it is of considerable importance that this part of the device should be strengthened, and with this object I have provided straps and buckles. It is in these features in combination with the hereinbefore stated type of truss that my present invention mainly consists, although I have added some constructional details of lesser importancesuch, for

example, as binding the, edge of the circular aperture with some soft material and introducing a running string, whereby thesize of the aperture may be varied. Further, asoft pad can be employedin combination with the truss, if desirable, especially in cases of considerable enlargement of the rupture, although this may not be necessary in ordinary cases, and the upper or top portion of the triangular part may be further supported by buttons or straps fastened to the ordinary braces or to special braces provided for the purpose.

I will now describe my invention with'reference to the accompanying drawings, in which Figure 1 shows my improved truss; and Fig. 2, a similar truss, illustrating a variation in the lacing and the addition of top straps, Fig. 3 being a horizontal section to show a pad, hereinafter referred to, drawn to a larger scale than the previous figures.

Referring to Fig. l, A is the body of the truss, which may be of approximately-triangular form and composed of solid or fenestrated elastic or non-elastic material or he rie. B is the central aperture therein, from which the material is divided at C in an upward direction, the two adjacent edges of the V division, which extend for some distance above the aperture, being united by laces O, and in some cases, as in Fig. 2, this division may also extend downward, as at C and be also provided with means, such as laces C by which the edges may be connected together.

In order to further strengthen and support the upper part of the body A of the truss, I provide," as in Fig. 1, a strap E, fixed'at one end t'o one side of the upper part of the body and intended to extend across the central portion of the said upper part of the body-and to be secured at the other side by a buckle E, fixed thereto. Such a strap E may be composed of' elastic or non-elastic material and not only aids in retaining the truss in position, but provides an additional support at this part. In Fig. 2 I have shown an example where two such straps E are employed.

B is the soft material-such as india-rub ber, chamois leather, soft silk, or the like with which the edge of the central aperture is bound, and, as shown in Fig. 1, D is the runningstring I introduce into such edge binding B, whereby the size of the aperture 13 may be contracted, and thus the tension or pressure around the base of the scrotum adjusted according to the particular case under treatment.

F F, Figs. 1 and 2, are the straps from which a connecting-band extends around the back of the wearer above or over the hips, and G G are other straps, which may be similarly connected, and these straps F and G maintain the position of the truss laterally, while I employ other straps I-I, attached to the top parts of the body A, which straps H may extend and be fixed to the braces which support the trousers or to other special braces, and in some cases additional straps may be employed between the straps F and G, if required. J is a connection conveniently composed of or covered by india-rubber tubing, which is connected to the lower part of the body A and passes between the legs of the wearer, the end being secured onto one of the back-bands or onto the ordinary or other braces.

Where required,l employ a soft pad or pads K, secured on the interior of the body A and shown by the horizontal section, Fig. 3. Such pad or pads are especially applicable in cases of considerable enlargement of the rupture, but are not necessary in ordinary treatment.

I claim as my invention- 1. A surgical truss comprising a truss-body of flexible material having a central aperture, and having a vertical central division, means for connecting the edges of said division, devices forming an independent positive connection to the trussbody across said division, and means for holding the truss to the wearer, substantially as and for the purposes set forth. v

2. A surgical truss comprising an approximately triangular-shaped truss-body, having a central aperture, a vertically-disposed division extending from the top, centrally through the body and at the center of said aperture, to the bottom of said truss, means for connecting the edges of said division, means for strengthening the truss-body across said division, a strap connected to the lower part of the truss-body at the lower edge, and means for holding the truss to the wearer sub stan tially as and for the purposes set forth.

3. A surgical truss comprising an approxi mately-triangular truss-body A, of flexible material, having a central aperture B, a division at 0, devices for connecting the edges of said division, the strap E to strengthen the truss at said division, and straps G G and F F in pairs, and the strap J to hold the truss to the body of the wearer, substantially as shown.

4. A surgical truss comprising an approximately-triangular truss-body A, of flexible material, having a central aperture B, a (livision at 0, devices for connecting the edges of said division, the straps E E to strengthen the truss at said division, straps 1-1 H, G G, and F F in pairs, and the strap J to hold the truss to the body of the wearer, substantially as shown.

JAMES D. DAY.

Witnesses:

W. ARTHUR WEIGHTMAN, D. GREEN.

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