US454327A - Device foe - Google Patents
Device foe Download PDFInfo
- Publication number
- US454327A US454327A US454327DA US454327A US 454327 A US454327 A US 454327A US 454327D A US454327D A US 454327DA US 454327 A US454327 A US 454327A
- Authority
- US
- United States
- Prior art keywords
- head
- ligature
- director
- fistula
- rectum
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Lifetime
Links
- 206010016717 Fistula Diseases 0.000 description 14
- 230000003890 fistula Effects 0.000 description 14
- 210000000664 Rectum Anatomy 0.000 description 12
- 210000000436 anus Anatomy 0.000 description 6
- 239000002184 metal Substances 0.000 description 6
- 239000000463 material Substances 0.000 description 4
- 206010002156 Anal fistula Diseases 0.000 description 2
- 210000003414 Extremities Anatomy 0.000 description 2
- 210000000282 Nails Anatomy 0.000 description 2
- 238000005192 partition Methods 0.000 description 2
- 239000000523 sample Substances 0.000 description 2
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12131—Occluding by internal devices, e.g. balloons or releasable wires characterised by the type of occluding device
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
- A61B17/12099—Occluding by internal devices, e.g. balloons or releasable wires characterised by the location of the occluder
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06166—Sutures
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12022—Occluding by internal devices, e.g. balloons or releasable wires
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00641—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for closing fistulae, e.g. anorectal fistulae
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/06066—Needles, e.g. needle tip configurations
- A61B2017/06085—Needles, e.g. needle tip configurations having a blunt tip
Definitions
- My invention consists of a flexible grooved director provided with a suitable handle on one end and detachable head at the other end adapted to carry a ligature, the head being provided with a cutting extremity, as will more fully appear in the following description.
- the object of this instrument is to pass a ligature from the exterior end or opening of anal fistulas through the channel of the same into the rectum and out through the orifice of the anus, for the purpose of curing the fistula, as hereinafter described.
- Fig- 0 ure 1 is a view of my instrument complete.
- Fig. 2 is a longitudinal section of the same.
- Fig. 3 is an enlarged longitudinal section of the head of the same.
- Fig. i is an enlarged cross-section of the head 011 the line a: 11 of 5 Fig.
- A is a director, formed by a strip of thin flexible metal or equivalent material bent so as to form a groove G, and is slightly tapered toward its point, where it is made thinner, so
- V is a suitable handle on one end of the grooved director A.
- B is a ligature provided with a metal head .5 O on one end.
- D is a circular blade or cutter, firmly fixed in the extreme end of the head 0.
- ligature B I use the ordinary soft rubber, on one end of which I fasten a small metal band or cylinder II, which is adapted 5c to fit tightly in the recess E of the head-piece C, alongside of the point of the director.
- a very thin partition P between the portion made to receive the point of the director and that made to receive the cylinder or band II on end of the ligature, so that either the point of the director or the band H, carrying the end of the ligature, may be separately inserted or removed, as may be desired.
- the director is made of flexible material, so that it may be bent to various curves, as may be required in diiferent cases.
- the blade D is made with its diameter a little less than that of the head 0, and in complete fistula acts merely as a probe; but in external incomplete fistula it serves to cut through and into the rectum, so that the end'of the ligature is carried therein.
- the index-finger of the left hand of the operator may be inserted at the anus into the rectum, before the head of the director enters it and as soon as the head passes through the wall of the rectum it can be detached by the nail of the finger and held fast while the director is removed.
- the head, with the ligature attached is then drawn out of the anus, the head removed, and ligature tied.
- a detachable head provided With a blade in one end and double recess in its other end adapted to receive both the point of the director and one end of the ligature, substantially as and for the purpose shown and described.
Description
(No Model.)
M. M. BROWN. DEVICE FOR APPLYING FISTULA LIGATURES. No. 454,327. Patented June 16,1891.
m: mums PEYLHS cm, mormurno mswmuwn, a. c.
UNITED STATES PATENT OFFICE.
MAl-ILON M. BROIVN, OF ELMIRA, NEW YORK, ASSIGNOR OF ONE-HALF TO GEO. V. MYER, OF TOIVANDA, PENNSYLVANIA.
FISTULA-LIGATURES.
SPECIFICATION forming part of Letters Patent No. 454,327, dated June 16, 1891. Application filed September 25, 1890. Serial No. 366,171. (No model.)
To all whom it may concern:
Be it known that I, MAHLON M. BROWN, a citizen of the United States, residing at Elmira, in the county of Chemung and State of New York, have invented certain new and useful Improvements in Fistula-Ligature Applicators; and I do declare the following to be a full, clear, and exact description of the invention, such as will enable others skilled [O in the art to which it appertains to make and use the same, reference being had to the accompanying drawings, and to the letters and figures of reference marked thereon, which form a part of this specification.
r 5 My invention consists of a flexible grooved director provided with a suitable handle on one end and detachable head at the other end adapted to carry a ligature, the head being provided with a cutting extremity, as will more fully appear in the following description.
The object of this instrument is to pass a ligature from the exterior end or opening of anal fistulas through the channel of the same into the rectum and out through the orifice of the anus, for the purpose of curing the fistula, as hereinafter described.
In the accompanying drawings, in which like letters represent like parts in each, Fig- 0 ure 1 is a view of my instrument complete. Fig. 2 is a longitudinal section of the same. Fig. 3 is an enlarged longitudinal section of the head of the same. Fig. i is an enlarged cross-section of the head 011 the line a: 11 of 5 Fig.
A is a director, formed by a strip of thin flexible metal or equivalent material bent so as to form a groove G, and is slightly tapered toward its point, where it is made thinner, so
0 that it can be shoved tightly in the aperture K, which is adapted to fit and receive it.
J is a suitable handle on one end of the grooved director A. V
B is a ligature provided with a metal head .5 O on one end.
D is a circular blade or cutter, firmly fixed in the extreme end of the head 0.
For the ligature B, I use the ordinary soft rubber, on one end of which I fasten a small metal band or cylinder II, which is adapted 5c to fit tightly in the recess E of the head-piece C, alongside of the point of the director. Within the head-piece 0 there is a very thin partition P between the portion made to receive the point of the director and that made to receive the cylinder or band II on end of the ligature, so that either the point of the director or the band H, carrying the end of the ligature, may be separately inserted or removed, as may be desired. The director is made of flexible material, so that it may be bent to various curves, as may be required in diiferent cases.
To operate with my instrument I fasten one end of the ligature within the band II, and insert it in the recess E of the head 0, and insert the point of the director A within the recess K of the head C alongside 0f the band II, and place the ligature along the groove G of the directorA the length thereof and extending beyond the handle thereof a sufficient length, as may be required. I then insert the head 0 into the exterior opening of the fistula, and with the director pass i t gently along the channel of the fistula and into the rectum. The blade D is made with its diameter a little less than that of the head 0, and in complete fistula acts merely as a probe; but in external incomplete fistula it serves to cut through and into the rectum, so that the end'of the ligature is carried therein.
In ordinary cases, when the fistula opens between the upper and lower sphincter, the index-finger of the left hand of the operator, may be inserted at the anus into the rectum, before the head of the director enters it and as soon as the head passes through the wall of the rectum it can be detached by the nail of the finger and held fast while the director is removed. The head, with the ligature attached, is then drawn out of the anus, the head removed, and ligature tied. In some cases it will be necessary to introduce a slotted speculum into the rectum and pass the head of the director through the slotinto the speculum and detach it with forceps. After the ligature is tied it begins to cut its way out.
It is repeatedly tightened, and in a few days a detachable head provided With a blade in one end and double recess in its other end adapted to receive both the point of the director and one end of the ligature, substantially as and for the purpose shown and described.
In testimony whereof I affix my signature in presence of two Witnesses.
MAl-ILON M. BROWN. Witnesses:
i W. T. CAMPBELL,
ELH. MURPHY.
Publications (1)
Publication Number | Publication Date |
---|---|
US454327A true US454327A (en) | 1891-06-16 |
Family
ID=2523206
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US454327D Expired - Lifetime US454327A (en) | Device foe |
Country Status (1)
Country | Link |
---|---|
US (1) | US454327A (en) |
Cited By (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4177813A (en) * | 1978-01-09 | 1979-12-11 | Med General, Inc. | Vessel occluder |
US5437680A (en) * | 1987-05-14 | 1995-08-01 | Yoon; Inbae | Suturing method, apparatus and system for use in endoscopic procedures |
NL1024218C2 (en) * | 2003-09-03 | 2005-03-07 | Stichting Sint Annadal | Device for treating fistulas. |
US20050070759A1 (en) * | 2003-09-26 | 2005-03-31 | Armstrong David N. | Instrument and method for endoscopic visualization and treatment of anorectal fistula |
WO2005096957A1 (en) * | 2004-04-08 | 2005-10-20 | Carmine Antropoli | Medical device for probing and carrying out a concomitant elastic traction of a fistula, more particularly perianal fistulas |
GB2434101A (en) * | 2005-12-21 | 2007-07-18 | Northwick Park Biomedical Serv | A fistula cutting device |
-
0
- US US454327D patent/US454327A/en not_active Expired - Lifetime
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4177813A (en) * | 1978-01-09 | 1979-12-11 | Med General, Inc. | Vessel occluder |
US5437680A (en) * | 1987-05-14 | 1995-08-01 | Yoon; Inbae | Suturing method, apparatus and system for use in endoscopic procedures |
NL1024218C2 (en) * | 2003-09-03 | 2005-03-07 | Stichting Sint Annadal | Device for treating fistulas. |
WO2005020823A1 (en) * | 2003-09-03 | 2005-03-10 | Stichting Sint Annadal | Device for treating fistulas |
US20050070759A1 (en) * | 2003-09-26 | 2005-03-31 | Armstrong David N. | Instrument and method for endoscopic visualization and treatment of anorectal fistula |
US7645229B2 (en) * | 2003-09-26 | 2010-01-12 | Armstrong David N | Instrument and method for endoscopic visualization and treatment of anorectal fistula |
WO2005096957A1 (en) * | 2004-04-08 | 2005-10-20 | Carmine Antropoli | Medical device for probing and carrying out a concomitant elastic traction of a fistula, more particularly perianal fistulas |
GB2434101A (en) * | 2005-12-21 | 2007-07-18 | Northwick Park Biomedical Serv | A fistula cutting device |
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