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Surgical instrument.

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US977825A
US977825A US1910537028A US977825A US 977825 A US977825 A US 977825A US 1910537028 A US1910537028 A US 1910537028A US 977825 A US977825 A US 977825A
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body
fig
urethra
end
opening
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George N Murphy
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George N Murphy
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, E.G. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00Bandages or dressings; Absorbent pads
    • A61F13/15Absorbent pads, e.g. sanitary towels, swabs or tampons for external or internal application to the body; Supporting or fastening means therefor; Tampon applicators
    • A61F13/38Swabs having a stick-type handle, e.g. cotton tips
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery

Description

G. N. MURPHY. SURGICAL INSTRUMENT. APPLTOATIOH FILED JAN. 8, 1910.

Patented Dec! 6, 1910.

PATENT OFFICE.

enonen'n; MURPHY, or IADUCAH, KENTUCKY.

SURGICAL INSTRUMENTJ To all whom it may concern: 1

Be it known that I, 'Gnonen N. MURPHY, a citizen of the United States, residing at Paducah, in the county of McCracken and State of Kentucky, have invented a new and useful Surgical Instrument, of which the following is a specification.

The device forming the subject matter of this applicatiomis adapted to be used in the treatment of granulated patches or ulcers,-commonly found in the urethra, as a result of gonorrhea of long standing.

In the treatment of urethral ulcers, the medicament should be applied to the pathological tissues, and at no other point, and with this end in view, it has been attempted hitherto, to illuminate the urethra by means of head reflectors and devices more cumbersome, but equally unsatisfactory. These illuminatingdevices have failed to prove satisfactory, for two reasons; .in the first place, their manipulation is so complicated,

that the average practitioner ofmedicine has no opportunity to become adept in their use; and, in the second place, the illumination of the urethra is an unsatisfactory method of locating ulcerated patches therein, for the reason that, under an artificial light, healthy and pathological tissues appear of nearly the same color.

It is the object of this invention to provide a device whereby, without illuminating the urethra, the pathological portions thereof may be accurately located, and the medicament applied to the diseased tissues and at no other points.

With the above and other objects in view, the invention consists in the novel construction and arrangement of parts hereinafter described, delineated in the drawings and claimed, it. being understood that, within the scope of what is claimed, divers changes in the form, proportions, size and minor details of they structure may be made, without-v de arting from the s irit of the invention.

' Similar numerals 0 reference are employed to denote corresponding parts throughout the figures of the drawings, wherein- Figure l is an elevation of a urethroscope constructed in accordance with my invention, and ada ted to be used in the treatme'nt of chronic urethritis in the male; Fig. 2 is an elevation, partly in section, showing a the device of'Fig. 1, in operation; Fig. 3 is a longitudinal section of the lower extrem- Specification of Letters Patent.

Applicationfiled January 8, 1910. 'Serial No. 537,028.

Patented Dec. 6, 1910.

ity of the instrument shown .in Fig. 1; Fig. 4 is an elevation of a modified urethroscope, adapted to be used in the treatment of urethritis in the female; Fig. 5 is an elevation of an applicator adapted to be used in connection with either the instrument shown in Fig. 1 or that shown in Fig. 4; and Fig. 6

is a transverse section of the devices shown in Figs. 1 and 4,.parts being in elevation.

Referring to Fig. 1 of the drawings, the

device includes a tubular body 1, provided in its side wall, and adjacent one end, with an opening 2. A tip 5 is provided, which, as shown at 6, is curved slightly, laterally. This tip 5 is substantially the same in diameter as the body 1, the adjacent ends of the body 1 and of the tip 5 being adapted to receive a connectingelement in the form of a block 3, one end of which \is secured, by means of a transverse pin 4:,01' the like, within the end of the .tubular body 1. The other extremity of the connecting element 3 which extends into the tip 5, is provided with a circumscribing recess 8, adapted to be engaged by projections, in the form of studs 7 or the the construction being such that one end of .he connecting member 3 issecured within he body 1, while the tip 5 is free to rotate upon the said connecting member.

The upper end of the body 1 is provided with a laterally extended head 9, upon the upper surface of which is located a mark, which, if desired, may be in the form of a star 10,- cut entirely through the head 9. This star 10, is alined, longitudinally of the body 1 With the opening 2 adjacent the bot" tom thereof. The tubular body 1 is graduated, as denoted by the numeral 11, according to the metric, or any other system; The graduations may be noted by suitable numerals. The graduations may run from the opening2 toward the head 9, or, as shown in the drawings from zero at the head 9, toward the opening 2.

The form of the invention shown in Fig. 4 of the drawin s, which is adapted for female use is of t e same construction as the device shown in Fig.1, saving for the fact that the tip 15 thereof is straight, instead of curved.

For use in connection either with the device shown in Fig. l .or that shown in Fig. a an applicator isprovided, which, as shown in Fig. 5 consists of a rod 12, sometimes made so like, extending into the interior of the tip 5,

of wood, upon the ends of which are mountcarefully sterilized, warmed and lubricated,

'. The operation of the device is as ed pledgets of cotton, or other suitable material.

follows: Before introducing the urethroscope into the urethra, the patient should void his urine, and a few drops of a cocaine solution or other local anesthetic, should be'liberated in the urethra so as to render the subsequent treatment painless. A firm pillow that will elevate the pelvis about four inches, should be placed beneath the hips, so as to tilt the bladder backward, and prevent any residual urine from flow mg into the instrument when the opening 2 is positioned in the mouth of the bladder. The instrument should be and gently introduced into the urethra, until the opening 2 is disposed at the mouth of the bladder, which, under average conditions will take place when, as shown in Fig. 2 of the drawings thehead 9 is in contact with the meatus. The applicator is then introduced into the tubular body 1 until one of the pledgets 14 is positioned opposite the opening 1. This will ordinarily take place when the end of the applicator is in abutment with the upper end of the connecting member 4:. When one of the pledgets 14: is thus positioned opposite the opening 2,. the applicator is gently manipulated with a r0- tating pressure. If there is any ulceration in the urethra opposite the opening 2, the pledgets, when the applicator is withdrawn from the instrument, will show blood, contact between the pledgets and the urethra being insufficient to draw blood unless there is some ulceration at that point. If, how-5.} ever one end of the applicator comes out o the lnstrument clean, the tubular body 1 is then rotated through a small arc, the pivotal connection between the body 1 and the tip 5 permitting this rotation, and the engagement between the tip 5 and the urethra preventing the tubular body 1 from being drawn upwardly, in the absence of a pronounced upward pull. The end of the applicator is then introduced into the tubular body and the area located opposite the opening 2 is examined. This process is continued until the entire transverse area of the urethra at a given point has been examined. The instrument 1s then lifted a short distance nd another zone of the urethra is examined,

the process being continued until the entire surface of the urethra has been covered. a

The graduations 11 upon the body 1 serve V accurately to define the distance of the ulcers either from the bladder or from the meatus, depending upon the direction in which the body -1 1s raduated. The star 10 which is located in a inement with the opening 2 serves to show at any given instance the exact position of the opening 2 with respect to the circumference of the urethra. After the ulcerated patch has been located, the applicator, one of the pledgets 14 of which is saturated with any suitable caustic, orother medicament, is introduced into the body, and the pathological tissue treated. The opposite end of the applicator is then introduced into the tubular body, in order to remove any excess of the medicament, thereby avoiding smearing of the canal with the medicament, when the instrument is withdrawn.

From the foregoing it will be seen that I have provided an instrument well adapted, without illuminatingthe urethra, to locate any ulcerated patches therein, and effectively to treat the same, the construction of the instrument being such that it may be employed without an obturator, and without the possibility of cutting or wounding delicate tissues.

Havin thus described the invention what is claime is A device of the class described comprising terminally abutting tubular members, oneof which is provided with an opening in its side wall adjacent its abutting end, the opening being s aced from said end; a connection inserte into the abutting ends of the tubular members; and elements upon the said members, engagin the connection to provide for an indepen ent rotation of said members, one end face of the connection being positioned substantially at right angles to the axis of the device, and disposed etween the opening and the abutting end of the member in which the o eni'ng is located.

In testimony that I claim the foregoingas my own, I have hereto aflixed' my's1gnature in the presence of two witnesses.

. GEORGE N. MURPHY. Witnesses:

WILLIAM V. EATON,

Murrm THoMrsoN.

US977825A 1910-01-08 1910-01-08 Surgical instrument. Expired - Lifetime US977825A (en)

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Cited By (37)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2469399A (en) * 1945-04-17 1949-05-10 Ciba Pharm Prod Inc Disposable dispensing device
US2955591A (en) * 1954-05-20 1960-10-11 Kenneth S Maclean Abrasive cytologic instruments
US3017879A (en) * 1958-10-03 1962-01-23 Weston Lab Inc Fertility tester
US3595241A (en) * 1969-02-19 1971-07-27 David S Sheridan Insured internal flow medicosurgical tubes
US4551100A (en) * 1982-06-07 1985-11-05 Ultradent, Inc. Method of preparing gingival area for dental crowns
US4997371A (en) * 1988-06-22 1991-03-05 Honda Giken Kogyo Kabushiki Kaisha Dental agent applicator
US5246371A (en) * 1992-08-31 1993-09-21 Ultradent Products, Inc. Method and apparatus for delivery of highly filled, thixotropic sealant to teeth
US5269684A (en) * 1992-08-31 1993-12-14 Ultradent Products, Inc. Adjustable brush delivery tip with secondary flow path
US5599292A (en) * 1990-07-24 1997-02-04 Yoon; Inbae Multifunctional devices for use in endoscopic surgical procedures and methods therefor
US5649902A (en) * 1988-07-22 1997-07-22 Yoon; Inbae Multifunctional devices for endoscopic surgical procedures
US5807280A (en) * 1997-02-25 1998-09-15 Linda Sue Mangels Pressure ulcer measurement probe and method
US6436107B1 (en) 1996-02-20 2002-08-20 Computer Motion, Inc. Method and apparatus for performing minimally invasive surgical procedures
US6463361B1 (en) 1994-09-22 2002-10-08 Computer Motion, Inc. Speech interface for an automated endoscopic system
US6646541B1 (en) 1996-06-24 2003-11-11 Computer Motion, Inc. General purpose distributed operating room control system
US6699177B1 (en) 1996-02-20 2004-03-02 Computer Motion, Inc. Method and apparatus for performing minimally invasive surgical procedures
US6714841B1 (en) 1995-09-15 2004-03-30 Computer Motion, Inc. Head cursor control interface for an automated endoscope system for optimal positioning
US6726699B1 (en) 2000-08-15 2004-04-27 Computer Motion, Inc. Instrument guide
US6728599B2 (en) 2001-09-07 2004-04-27 Computer Motion, Inc. Modularity system for computer assisted surgery
US6793653B2 (en) 2001-12-08 2004-09-21 Computer Motion, Inc. Multifunctional handle for a medical robotic system
US6804581B2 (en) 1992-08-10 2004-10-12 Computer Motion, Inc. Automated endoscope system for optimal positioning
US6839612B2 (en) 2001-12-07 2005-01-04 Institute Surgical, Inc. Microwrist system for surgical procedures
US6852107B2 (en) 2002-01-16 2005-02-08 Computer Motion, Inc. Minimally invasive surgical training using robotics and tele-collaboration
US6905491B1 (en) 1996-02-20 2005-06-14 Intuitive Surgical, Inc. Apparatus for performing minimally invasive cardiac procedures with a robotic arm that has a passive joint and system which can decouple the robotic arm from the input device
US6951535B2 (en) 2002-01-16 2005-10-04 Intuitive Surgical, Inc. Tele-medicine system that transmits an entire state of a subsystem
US7053752B2 (en) 1996-08-06 2006-05-30 Intuitive Surgical General purpose distributed operating room control system
US7074179B2 (en) 1992-08-10 2006-07-11 Intuitive Surgical Inc Method and apparatus for performing minimally invasive cardiac procedures
US7083571B2 (en) 1996-02-20 2006-08-01 Intuitive Surgical Medical robotic arm that is attached to an operating table
US7217240B2 (en) 1999-10-01 2007-05-15 Intuitive Surgical, Inc. Heart stabilizer
US20070185468A1 (en) * 2005-10-19 2007-08-09 Prywes Arnold S Method for fluid control in medical applications
US7259652B2 (en) 1996-08-06 2007-08-21 Intuitive Surgical, Inc. General purpose distributed operating room control system
US20070208223A1 (en) * 1999-11-09 2007-09-06 Intuitive Surgical, Inc. Endoscopic beating-heart stabilizer and vessel occlusion fastener
US7408439B2 (en) 1996-06-24 2008-08-05 Intuitive Surgical, Inc. Method and apparatus for accessing medical data over a network
US8489235B2 (en) 1998-11-20 2013-07-16 Intuitive Surgical Operations, Inc. Cooperative minimally invasive telesurgical system
US8641698B2 (en) 2001-05-01 2014-02-04 Intuitive Surgical Operations, Inc. Pivot point arm for robotic system used to perform a surgical procedure
US8845681B2 (en) 1996-11-22 2014-09-30 Intuitive Surgical Operations, Inc. Rigidly-linked articulating wrist with decoupled motion transmission
US9119654B2 (en) 1998-11-20 2015-09-01 Intuitive Surgical Operations, Inc. Stabilizer for robotic beating-heart surgery
US9271798B2 (en) 1998-11-20 2016-03-01 Intuitive Surgical Operations, Inc. Multi-user medical robotic system for collaboration or training in minimally invasive surgical procedures

Cited By (69)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2469399A (en) * 1945-04-17 1949-05-10 Ciba Pharm Prod Inc Disposable dispensing device
US2955591A (en) * 1954-05-20 1960-10-11 Kenneth S Maclean Abrasive cytologic instruments
US3017879A (en) * 1958-10-03 1962-01-23 Weston Lab Inc Fertility tester
US3595241A (en) * 1969-02-19 1971-07-27 David S Sheridan Insured internal flow medicosurgical tubes
US4551100A (en) * 1982-06-07 1985-11-05 Ultradent, Inc. Method of preparing gingival area for dental crowns
US4997371A (en) * 1988-06-22 1991-03-05 Honda Giken Kogyo Kabushiki Kaisha Dental agent applicator
US5649902A (en) * 1988-07-22 1997-07-22 Yoon; Inbae Multifunctional devices for endoscopic surgical procedures
US5700239A (en) * 1990-07-24 1997-12-23 Yoon; Inbae Multifunctional devices for use in endoscopic surgical procedures and method therefor
US5599292A (en) * 1990-07-24 1997-02-04 Yoon; Inbae Multifunctional devices for use in endoscopic surgical procedures and methods therefor
US7074179B2 (en) 1992-08-10 2006-07-11 Intuitive Surgical Inc Method and apparatus for performing minimally invasive cardiac procedures
US6804581B2 (en) 1992-08-10 2004-10-12 Computer Motion, Inc. Automated endoscope system for optimal positioning
US5246371A (en) * 1992-08-31 1993-09-21 Ultradent Products, Inc. Method and apparatus for delivery of highly filled, thixotropic sealant to teeth
US5269684A (en) * 1992-08-31 1993-12-14 Ultradent Products, Inc. Adjustable brush delivery tip with secondary flow path
US7395249B2 (en) 1994-09-22 2008-07-01 Intuitive Surgical, Inc. Speech interface for an automated endoscope system
US6463361B1 (en) 1994-09-22 2002-10-08 Computer Motion, Inc. Speech interface for an automated endoscopic system
US6965812B2 (en) 1994-09-22 2005-11-15 Computer Motion, Inc. Speech interface for an automated endoscopic system
US6714841B1 (en) 1995-09-15 2004-03-30 Computer Motion, Inc. Head cursor control interface for an automated endoscope system for optimal positioning
US6436107B1 (en) 1996-02-20 2002-08-20 Computer Motion, Inc. Method and apparatus for performing minimally invasive surgical procedures
US7118582B1 (en) 1996-02-20 2006-10-10 Computer Motion, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US7507199B2 (en) 1996-02-20 2009-03-24 Intuitive Surgical, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US6699177B1 (en) 1996-02-20 2004-03-02 Computer Motion, Inc. Method and apparatus for performing minimally invasive surgical procedures
US7695481B2 (en) 1996-02-20 2010-04-13 Intuitive Surgical, Inc. Medical robotic system with different scaling factors
US7914521B2 (en) 1996-02-20 2011-03-29 Intuitive Surgical Operations, Inc. Method and apparatus for performing minimally invasive cardiac procedures
US6905491B1 (en) 1996-02-20 2005-06-14 Intuitive Surgical, Inc. Apparatus for performing minimally invasive cardiac procedures with a robotic arm that has a passive joint and system which can decouple the robotic arm from the input device
US7083571B2 (en) 1996-02-20 2006-08-01 Intuitive Surgical Medical robotic arm that is attached to an operating table
US7543588B2 (en) 1996-06-24 2009-06-09 Intuitive Surgical, Inc. Multi-functional surgical control system switching interface
US6646541B1 (en) 1996-06-24 2003-11-11 Computer Motion, Inc. General purpose distributed operating room control system
US7097640B2 (en) 1996-06-24 2006-08-29 Intuitive Surgical, Inc. Multi-functional surgical control system and switching interface
US7408439B2 (en) 1996-06-24 2008-08-05 Intuitive Surgical, Inc. Method and apparatus for accessing medical data over a network
US7259652B2 (en) 1996-08-06 2007-08-21 Intuitive Surgical, Inc. General purpose distributed operating room control system
US7053752B2 (en) 1996-08-06 2006-05-30 Intuitive Surgical General purpose distributed operating room control system
US9402619B2 (en) 1996-11-22 2016-08-02 Intuitive Surgical Operation, Inc. Rigidly-linked articulating wrist with decoupled motion transmission
US8845681B2 (en) 1996-11-22 2014-09-30 Intuitive Surgical Operations, Inc. Rigidly-linked articulating wrist with decoupled motion transmission
US5807280A (en) * 1997-02-25 1998-09-15 Linda Sue Mangels Pressure ulcer measurement probe and method
US9271798B2 (en) 1998-11-20 2016-03-01 Intuitive Surgical Operations, Inc. Multi-user medical robotic system for collaboration or training in minimally invasive surgical procedures
US9119654B2 (en) 1998-11-20 2015-09-01 Intuitive Surgical Operations, Inc. Stabilizer for robotic beating-heart surgery
US9636186B2 (en) 1998-11-20 2017-05-02 Intuitive Surgical Operations, Inc. Multi-user medical robotic system for collaboration or training in minimally invasive surgical procedures
US8489235B2 (en) 1998-11-20 2013-07-16 Intuitive Surgical Operations, Inc. Cooperative minimally invasive telesurgical system
US8666544B2 (en) 1998-11-20 2014-03-04 Intuitive Surgical Operations, Inc. Cooperative minimally invasive telesurgical system
US9867671B2 (en) 1998-11-20 2018-01-16 Intuitive Surgical Operations, Inc. Multi-user medical robotic system for collaboration or training in minimally invasive surgical procedures
US9666101B2 (en) 1998-11-20 2017-05-30 Intuitive Surgical Operations, Inc. Multi-user medical robotic system for collaboration or training in minimally invasive surgical procedures
US8914150B2 (en) 1998-11-20 2014-12-16 Intuitive Surgical Operations, Inc. Cooperative minimally invasive telesurgical system
US8504201B2 (en) 1998-11-20 2013-08-06 Intuitive Sugrical Operations, Inc. Cooperative minimally invasive telesurgical system
US7217240B2 (en) 1999-10-01 2007-05-15 Intuitive Surgical, Inc. Heart stabilizer
US20070208223A1 (en) * 1999-11-09 2007-09-06 Intuitive Surgical, Inc. Endoscopic beating-heart stabilizer and vessel occlusion fastener
US8870900B2 (en) 1999-11-09 2014-10-28 Intuitive Surgical Operations, Inc. Endoscopic beating-heart stabilizer and vessel occlusion fastener
US6726699B1 (en) 2000-08-15 2004-04-27 Computer Motion, Inc. Instrument guide
US9011415B2 (en) 2001-05-01 2015-04-21 Intuitive Surgical Operations, Inc. Pivot point arm for a robotic system used to perform a surgical procedure
US8641698B2 (en) 2001-05-01 2014-02-04 Intuitive Surgical Operations, Inc. Pivot point arm for robotic system used to perform a surgical procedure
US7239940B2 (en) 2001-09-07 2007-07-03 Intuitive Surgical, Inc Modularity system for computer assisted surgery
US6728599B2 (en) 2001-09-07 2004-04-27 Computer Motion, Inc. Modularity system for computer assisted surgery
US6785593B2 (en) 2001-09-07 2004-08-31 Computer Motion, Inc. Modularity system for computer assisted surgery
US6836703B2 (en) 2001-09-07 2004-12-28 Computer Motion, Inc. Modularity system for computer assisted surgery
US6892112B2 (en) 2001-09-07 2005-05-10 Computer Motion, Inc. Modularity system for computer assisted surgery
US6871117B2 (en) 2001-09-07 2005-03-22 Intuitive Surgical, Inc. Modularity system for computer assisted surgery
US6799088B2 (en) 2001-09-07 2004-09-28 Computer Motion, Inc. Modularity system for computer assisted surgery
US6839612B2 (en) 2001-12-07 2005-01-04 Institute Surgical, Inc. Microwrist system for surgical procedures
US8002767B2 (en) 2001-12-08 2011-08-23 Intuitive Surgical Operations, Inc. Multifunctional handle for a medical robotic system
US6793653B2 (en) 2001-12-08 2004-09-21 Computer Motion, Inc. Multifunctional handle for a medical robotic system
US8939891B2 (en) 2001-12-08 2015-01-27 Intuitive Surgical Operations, Inc. Multifunctional handle for a medical robotic system
US6852107B2 (en) 2002-01-16 2005-02-08 Computer Motion, Inc. Minimally invasive surgical training using robotics and tele-collaboration
US9039681B2 (en) 2002-01-16 2015-05-26 Intuitive Surgical Operations, Inc. Minimally invasive surgical training using robotics and telecollaboration
US9786203B2 (en) 2002-01-16 2017-10-10 Intuitive Surgical Operations, Inc. Minimally invasive surgical training using robotics and telecollaboration
US7413565B2 (en) 2002-01-16 2008-08-19 Intuitive Surgical, Inc. Minimally invasive surgical training using robotics and telecollaboration
US20060047365A1 (en) * 2002-01-16 2006-03-02 Modjtaba Ghodoussi Tele-medicine system that transmits an entire state of a subsystem
US6951535B2 (en) 2002-01-16 2005-10-04 Intuitive Surgical, Inc. Tele-medicine system that transmits an entire state of a subsystem
US7682357B2 (en) 2002-01-16 2010-03-23 Intuitive Surgical, Inc. Tele-medicine system that transmits an entire state of a subsystem
US20070185468A1 (en) * 2005-10-19 2007-08-09 Prywes Arnold S Method for fluid control in medical applications
US7655831B2 (en) * 2005-10-19 2010-02-02 Prywes Arnold S Method for fluid control in medical applications

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