US810675A - Dilator. - Google Patents
Dilator. Download PDFInfo
- Publication number
- US810675A US810675A US25703005A US1905257030A US810675A US 810675 A US810675 A US 810675A US 25703005 A US25703005 A US 25703005A US 1905257030 A US1905257030 A US 1905257030A US 810675 A US810675 A US 810675A
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- Prior art keywords
- members
- handle
- lever
- pin
- spring
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- 238000000926 separation method Methods 0.000 description 3
- 230000000694 effects Effects 0.000 description 2
- 230000000717 retained effect Effects 0.000 description 2
- 210000004291 uterus Anatomy 0.000 description 2
- 238000005452 bending Methods 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 210000001215 vagina Anatomy 0.000 description 1
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/0206—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors with antagonistic arms as supports for retractor elements
Definitions
- My invention relates to dilators, and more particularly to uterine dilators; and the invention has for its object the production of an instrument of the said class which may be used with convenience in the more or less in accessible quarters for which it is designed and which possesses certain features of construction and operation whereby the serviceability of the instrument is materially enhanced, as will be hereinafter fully disclosed, and more particularly pointed out in the accompanying claims.
- Fig ure 1 is a perspective View of a uterine dilator embodying my invention.
- Fig. 2 is alongitudinal vertical section thereof through the fulcrum-joint.
- Fig. 3 is a top plan view of a modification, and
- Fig. 4 is a longitudinal vertical section of Fig. 3 through the fulcrumjoint thereof.
- the dilator shown herein comprises two lever members 1 and 2, working ona common fulcrum-joint 3 between them andopposed to each other, so that their relative approach at one end produces a relative separation at the other.
- Each member is provided at opposite ends with a blade 4 and a handle 5, respectively disposed at an angle with the longitudinal axes of the said members and preferably at a right angle therewith, and the said angle or angles are so chosen that the blades 4 and handles 5 are respectively parallel with each other, or substantially so.
- the pivotal axis of the fulcrum-joint 3 is also so disposed as to be substantially parallel with the blades and handles, so that mutual approach of the handles in parallel position will effect the mutual separation of the blades 4, also in parallel position, and vice versa.
- the fulcrumjoint 3 is comprised of a tubular extension or barrel 6, provided on one of the lever membersfor example, 1in the direction of the handles and a pin 7 on the other member 2, which is received by said extension and retained therein by means of the thumb-nut 8, screwed onto the end of said pin.
- Other kinds of retaining means may obviously be employed, however, for holding the members of the fulcrum-joint together.
- the extension or barrel 6 is preferably longer in its axial direction than the thickness of either lever memb er, so that a longer bearing-surface is thereby provided for the fulcrum-joint than would otherwise be possible without the extension or an undesirable or impractical thickness of the said lever members, the appropriate length of said bearin surface being such a one that will not bind-when the opening or closing force is applied at the extremities of either the blades or the handles.
- abow-spring 9 adapted to exert an opening force upon the handle ends of said lever members.
- This spring which may assume various forms, is constructed to embrace the tubular extension 6, with its two free ends located in seats 10 in the region of the junction of the handles with their respective lever members.
- the spring is confined upon the tubular extension by the same means which retain the pin 7 thereinviz., the thumbnut 8and also by means of seats 10, which are preferably formed as slight depressions or recesses in the handles 5, so located as to hold the free ends of the spring close against the two lever members.
- the spring 9 may be held in position either by the thumb-nut 8 or the seats 10 alone, if desired, and, furthermore, that other forms of confining means may be employed with equal effect.
- the relative separation of the blades 4 4 is intended to be produced by means of the flat screw 13, which is secured at one end within a slot 14 in one or the other of the lever mem bers 1 or 2, being preferably located in the handle - ⁇ sections of said members, and the said screw passes through a similar slot 14 in the handle-section of the opposite lever, beyond which it carries a wing-nut 15.
- the handle ends of the levers are brought together and the blades caused to separate, the extent of such movement being accurately gaged by means of the scale marked on one or both of the fiat sides of the said screw.
- the screw is capable of ready reversal of position with respect to.
- cross-apertures 16 are provided in both the levers, intersecting the slots 14, and the pin 17 is adapted to be inserted interchangeably in either aperture, entering a hole in the end of the screw.
- the pin has a rather large head and is so located with respect to the spring 9 that when the latter is in position, as above described, the said head will lie between the same and the adjoining lever member, the pin being thereby locked or retained in position so long as the spring is confined on its tubular extension by the seats 10 or by the nut 8, or both.
- FIGs. 3 and 4 a further development of the invention is illustrated.
- the blade-section and'handle-section of one lever member are separated by the barrel 6, but the said member still retains its first described function, and' the other member is similarly formed, the handle and blade sections thereof being separated by the fulcrum pin or shaft 7, which is received within the barrel 6.
- the set-screw 18 locks the end of the shaft rigidly to its handle-section, and thereby retains the shaft within the barrel, as shown in Fig. 4, and it also serves to confine the spring 19 upon the tubular extension or boss 20 on the said handle-section by passing through the slot therein.
- the blades 4 4.
- the angles between them and the blade-sections of their lever members constitute abutments or stops, which are adapted to limit the extent to which the blades may be inserted into the uterus.
- the barrel portion of the instrument which is intended to be inserted within the vagina may be of any desired or suitable length without obstructing access to the uterus.
- the ends of the blades of both of the forms illustrated may also be curved or serrated to any extent, as may be desired.
- a uterine dilator comprising two lever members each provided with a blade and a handle respectively disposed at an angle thereto and substantially parallel with each other, in combination with a fulcrum-joint 1 between said members having its pivotal axis substantially parallel with said handles and comprised of a tubular extension on one lever member and a pin on the other received thereby.
- a dilator comprising two opposed lever members each provided with a blade and a members and an extension on one of them, in combination with a spring on said extension having its free ends bearing against said handles.
- a uterine dilator comprising two opposed lever members each provided with a blade and a handle respectively disposed at an angle thereto and substantially parallel with each other, a fulcrumjoint between said lever members having its axis substantially parallel with said blades and handles and comprising a tubular extension on one lever member and a pin on the other received thereby, in combination with a spring embracing said tubular extension adapted to exert an opening tendency upon the handle ends of said lever members.
- a uterine dilator comprising two lever members each provided with a blade and a handle respectively disposed at an angle thereto and substantially parallel with each other, a fulcrum-joint between said members having its axis substantially parallel with said blades and handles and comprising a tubular extension on one of said members and a pin on the other received thereby, in combination with means for retaining said pin therein and a spring confined on said extension by said means and arranged to exert an opening tendency upon the handle ends of said lever members.
- a dilator comprising two opposed lever members each provided with a blade and a handle, a tubular extension provided on one member and a pin on the other received by said extension to afford a fulcrum-joint for said members, in combination with a bowspring embracing said extension, and seats rovided in the region of the juncture of said iiandles and lever members for retaining the free ends of said spring.
- a dilator comprising two opposed lever members each provided with a blade and a handle substantially parallel to each other, a tubular extension provided on one member and a pin on the other received thereby, in combination with a bow-spring embracing said extension and contracted below the same to prevent the accidental removal of said spring therefrom.
- a dilator comprising two lever members each provided with a blade'and a handle, a
- two lever members each formed with a blade and a handle, a screw for forcing relative movement thereof located in slots therein, a cross-aperture intersecting one of said slots and a pin in said aperture having holding engagement with said screw, in combination with an extended fulcrumjoint between said members, a spring confined thereon and serving to confine said pin in its aperture.
- two lever members comprised respectively of a blade-section, barrel and handle section, and a blade-section, pin and handle section, saidvpin and barrel con stituting a fulcrum-joint for said members and blades and handles respectively for said members disposed substantially parallel with the pivotal axis of said joint.
- a pair of lever members respectively having handles extending at an angle thereto and a transverse fulcrumoint for said members provided with an axial extension, in combination with a spring confined on said extension with its free ends bearing respectively against said handles.
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Prostheses (AREA)
Description
. PATENTED JAN. 23
G. F. RICHTER.
DILATOR.
APPLICATION FILED APLM, 1905.
2 SHEETS-SHEET 1.
PATENTED JAN. 23, 1906.
G. F. RICHTER.
DILATOR.
APPLICATION FILED APR. 24 1905.
2 SHEETS-SHEET 2.
Atty
Inventor:
ITED STATES PATNT FFIQE.
Specification of Letters Patent.
Patented Jan. 23, 1906.
Application filed April 24, 1905. Serial No. 257,030.
To all whom it may concern.-
Be it known that I, GUs'rAv F. RICHTER, a citizen of the United States, residing in the borough of Brooklyn, city and State ofNew York, have invented certain new and useful Improvements in Dilators, of which the following is a full, true, and concise specification. Y
My invention relates to dilators, and more particularly to uterine dilators; and the invention has for its object the production of an instrument of the said class which may be used with convenience in the more or less in accessible quarters for which it is designed and which possesses certain features of construction and operation whereby the serviceability of the instrument is materially enhanced, as will be hereinafter fully disclosed, and more particularly pointed out in the accompanying claims.
Referring to the accompanying two sheets of drawings, which form a part hereof, Fig ure 1 is a perspective View of a uterine dilator embodying my invention. Fig. 2 is alongitudinal vertical section thereof through the fulcrum-joint. Fig. 3 is a top plan view of a modification, and Fig. 4 is a longitudinal vertical section of Fig. 3 through the fulcrumjoint thereof.
The dilator shown herein comprises two lever members 1 and 2, working ona common fulcrum-joint 3 between them andopposed to each other, so that their relative approach at one end produces a relative separation at the other. Each member is provided at opposite ends with a blade 4 and a handle 5, respectively disposed at an angle with the longitudinal axes of the said members and preferably at a right angle therewith, and the said angle or angles are so chosen that the blades 4 and handles 5 are respectively parallel with each other, or substantially so. The pivotal axis of the fulcrum-joint 3 is also so disposed as to be substantially parallel with the blades and handles, so that mutual approach of the handles in parallel position will effect the mutual separation of the blades 4, also in parallel position, and vice versa. The fulcrumjoint 3 is comprised of a tubular extension or barrel 6, provided on one of the lever membersfor example, 1in the direction of the handles and a pin 7 on the other member 2, which is received by said extension and retained therein by means of the thumb-nut 8, screwed onto the end of said pin. Other kinds of retaining means may obviously be employed, however, for holding the members of the fulcrum-joint together. The extension or barrel 6 is preferably longer in its axial direction than the thickness of either lever memb er, so that a longer bearing-surface is thereby provided for the fulcrum-joint than would otherwise be possible without the extension or an undesirable or impractical thickness of the said lever members, the appropriate length of said bearin surface being such a one that will not bind-when the opening or closing force is applied at the extremities of either the blades or the handles. Combined with the foregoing elements I provide abow-spring 9, adapted to exert an opening force upon the handle ends of said lever members. This spring, which may assume various forms, is constructed to embrace the tubular extension 6, with its two free ends located in seats 10 in the region of the junction of the handles with their respective lever members. The spring is confined upon the tubular extension by the same means which retain the pin 7 thereinviz., the thumbnut 8and also by means of seats 10, which are preferably formed as slight depressions or recesses in the handles 5, so located as to hold the free ends of the spring close against the two lever members. It will be understood, however, that the spring 9 may be held in position either by the thumb-nut 8 or the seats 10 alone, if desired, and, furthermore, that other forms of confining means may be employed with equal effect. In order to guard against accidental displacement of the spring in a vertical direction, it may sometimes be desirable to contract the spring by bending it inward underneath the extension 6, as shown at 12 in Fig. 1.
The relative separation of the blades 4 4 is intended to be produced by means of the flat screw 13, which is secured at one end within a slot 14 in one or the other of the lever mem bers 1 or 2, being preferably located in the handle -{sections of said members, and the said screw passes through a similar slot 14 in the handle-section of the opposite lever, beyond which it carries a wing-nut 15. By the proper rotation of the nut the handle ends of the levers are brought together and the blades caused to separate, the extent of such movement being accurately gaged by means of the scale marked on one or both of the fiat sides of the said screw. The screw is capable of ready reversal of position with respect to.
the lever members, so that the nut and projecting end of the screw may be upon either side of the instrument. To this end cross-apertures 16 are provided in both the levers, intersecting the slots 14, and the pin 17 is adapted to be inserted interchangeably in either aperture, entering a hole in the end of the screw. The pin has a rather large head and is so located with respect to the spring 9 that when the latter is in position, as above described, the said head will lie between the same and the adjoining lever member, the pin being thereby locked or retained in position so long as the spring is confined on its tubular extension by the seats 10 or by the nut 8, or both.
When it is desired to disassemble the parts of the instrument, as is frequently necessary for sterilizing the instrument, it is only required to loosen the thumb-nut and remove the spring, whereupon the pin and screw may be taken out and then the hinge-pin 7 withdrawn from its barrel.
In Figs. 3 and 4 a further development of the invention is illustrated. In these figures the blade-section and'handle-section of one lever member are separated by the barrel 6, but the said member still retains its first described function, and' the other member is similarly formed, the handle and blade sections thereof being separated by the fulcrum pin or shaft 7, which is received within the barrel 6. The set-screw 18 locks the end of the shaft rigidly to its handle-section, and thereby retains the shaft within the barrel, as shown in Fig. 4, and it also serves to confine the spring 19 upon the tubular extension or boss 20 on the said handle-section by passing through the slot therein. In this form of instrument the blades 4 4. are comparatively short, and the angles between them and the blade-sections of their lever members constitute abutments or stops, which are adapted to limit the extent to which the blades may be inserted into the uterus. It will be obvious that the barrel portion of the instrument which is intended to be inserted within the vagina may be of any desired or suitable length without obstructing access to the uterus. The ends of the blades of both of the forms illustrated may also be curved or serrated to any extent, as may be desired.
It will be observed that the difference between the two forms of the invention illustrated herein consists mainly in the location of the handle-sections of the levers upon the members of the fulcrum-joint. In Figs. 1 and 2 the sections a and l) of each lever are located at the same end of the fulcrum-joint 1,while in Figs. 3 and 4 they are respectively attached to the opposite ends thereof; but in both cases the fulcrum is parallel with the handles and has a long bearing-surface.
Having described my invention, what I claim, and desire to secure by United States Letters Patent, is
disposed.
1. A uterine dilator, comprising two lever members each provided with a blade and a handle respectively disposed at an angle thereto and substantially parallel with each other, in combination with a fulcrum-joint 1 between said members having its pivotal axis substantially parallel with said handles and comprised of a tubular extension on one lever member and a pin on the other received thereby.
2. A dilator comprising two opposed lever members each provided with a blade and a members and an extension on one of them, in combination with a spring on said extension having its free ends bearing against said handles.
3. A uterine dilator, comprising two opposed lever members each provided with a blade and a handle respectively disposed at an angle thereto and substantially parallel with each other, a fulcrumjoint between said lever members having its axis substantially parallel with said blades and handles and comprising a tubular extension on one lever member and a pin on the other received thereby, in combination with a spring embracing said tubular extension adapted to exert an opening tendency upon the handle ends of said lever members.
4. A uterine dilator, comprising two lever members each provided with a blade and a handle respectively disposed at an angle thereto and substantially parallel with each other, a fulcrum-joint between said members having its axis substantially parallel with said blades and handles and comprising a tubular extension on one of said members and a pin on the other received thereby, in combination with means for retaining said pin therein and a spring confined on said extension by said means and arranged to exert an opening tendency upon the handle ends of said lever members.
5. A dilator, comprising two opposed lever members each provided with a blade and a handle, a tubular extension provided on one member and a pin on the other received by said extension to afford a fulcrum-joint for said members, in combination with a bowspring embracing said extension, and seats rovided in the region of the juncture of said iiandles and lever members for retaining the free ends of said spring.
6. A dilator, comprising two opposed lever members each provided with a blade and a handle substantially parallel to each other, a tubular extension provided on one member and a pin on the other received thereby, in combination with a bow-spring embracing said extension and contracted below the same to prevent the accidental removal of said spring therefrom.
7. A dilator comprising two lever members each provided with a blade'and a handle, a
handle, a fulcrum-joint between said lever IUC screw for forcing relative movement thereof, means for securing one end of said screw to one member and a spring acting upon said members and retaining said means in operative position.
8. Ina dilator, two lever members each formed with a blade and a handle, a screw for forcing relative movement thereof located in slots therein, a cross-aperture intersecting one of said slots and a pin in said aperture having holding engagement with said screw, in combination with an extended fulcrumjoint between said members, a spring confined thereon and serving to confine said pin in its aperture.
9. In a dilator, two lever members, a tubular barrel forming a part of one member and a pin forming a part of the other and received in said barrel, a blade and a handle respectively provided for each member and disposed substantially parallel with the pivotal axis formed by said pin and barrel.
10. In a dilator, two lever members comprised respectively of a blade-section, barrel and handle section, and a blade-section, pin and handle section, saidvpin and barrel con stituting a fulcrum-joint for said members and blades and handles respectively for said members disposed substantially parallel with the pivotal axis of said joint.
11. In a surgical instrument, a pair of lever members respectively having handles extending at an angle thereto and a transverse fulcrumoint for said members provided with an axial extension, in combination with a spring confined on said extension with its free ends bearing respectively against said handles.
In testimony whereof I have signed my name to the specification in the presence of 40 two subscribing witnesses.
GUSTAV F. RICHTER.
Witnesses:
'H. G. KIMBALL,
FRED W. MOFFETT.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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US25703005A US810675A (en) | 1905-04-24 | 1905-04-24 | Dilator. |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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US25703005A US810675A (en) | 1905-04-24 | 1905-04-24 | Dilator. |
Publications (1)
Publication Number | Publication Date |
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US810675A true US810675A (en) | 1906-01-23 |
Family
ID=2879154
Family Applications (1)
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US25703005A Expired - Lifetime US810675A (en) | 1905-04-24 | 1905-04-24 | Dilator. |
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Cited By (28)
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US6132370A (en) * | 1996-04-26 | 2000-10-17 | Genzyme Corporation | Retractor-mounted coronary stabilizer |
US6231506B1 (en) | 1999-05-04 | 2001-05-15 | Cardiothoracic Systems, Inc. | Method and apparatus for creating a working opening through an incision |
US6283912B1 (en) | 1999-05-04 | 2001-09-04 | Cardiothoracic Systems, Inc. | Surgical retractor platform blade apparatus |
US6290644B1 (en) | 1996-02-20 | 2001-09-18 | Cardiothoracic Systems, Inc. | Surgical instruments and procedures for stabilizing a localized portion of a beating heart |
US6315717B1 (en) | 1996-02-20 | 2001-11-13 | Cardiothoracic Systems, Inc. | Surgical instruments for stabilizing the beating heart during coronary artery bypass graft surgery |
US6394951B1 (en) | 1996-02-20 | 2002-05-28 | Cardiothoracic Systems, Inc. | Surgical instruments and procedures for stabilizing the beating heart during coronary artery bypass graft surgery |
US20020065451A1 (en) * | 1997-09-17 | 2002-05-30 | Spence Paul A. | Device to permit offpump beating heart coronary bypass surgery |
US6406424B1 (en) | 1999-09-16 | 2002-06-18 | Williamson, Iv Warren P. | Tissue stabilizer having an articulating lift element |
US20030009081A1 (en) * | 1999-07-08 | 2003-01-09 | Chase Medical, Lp | Device and method for isolating a surface of a beating heart during surgery |
US6511416B1 (en) | 1999-08-03 | 2003-01-28 | Cardiothoracic Systems, Inc. | Tissue stabilizer and methods of use |
US20030094180A1 (en) * | 1995-04-10 | 2003-05-22 | Benetti Frederico J. | Method for coronary artery bypass |
US6626830B1 (en) | 1999-05-04 | 2003-09-30 | Cardiothoracic Systems, Inc. | Methods and devices for improved tissue stabilization |
US6685632B1 (en) | 1999-05-04 | 2004-02-03 | Cardiothoracic Systems, Inc. | Surgical instruments for accessing and stabilizing a localized portion of a beating heart |
US20040092798A1 (en) * | 1997-09-17 | 2004-05-13 | Spence Paul A. | Device to permit offpump beating heart coronary bypass surgery |
US6758808B2 (en) | 2001-01-24 | 2004-07-06 | Cardiothoracic System, Inc. | Surgical instruments for stabilizing a localized portion of a beating heart |
US20050010197A1 (en) * | 2003-07-08 | 2005-01-13 | Liming Lau | Organ manipulator apparatus |
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