“ Where a direct inflfcnce is possible % the physician, he will never think of attempting to reach 
his aim by circuitous routes. The straight way in medicine is also the best and most effectual; and 
those branches of our art which could pursue this direct track, have enjoyed quick and conspicuous 
progress— Beigel. 
CODMAN & SHURTLEFF, 
BOSTON. 
INHALATION OF ATOMIZED FLUIDS, 
By H. BEIGEL, M. D., L. R. C. P. 
[from THE LONDON LANCET 
ON THE TREATMENT OF 
OH ROM € DISEASES OF THE LUNGS, 
BY THE 
INHALATION OF ATOMIZED FLUIDS, 
By MORRELL MACKENZIE, M. D. 
[FROM THE LONDON MEDICAL iblES AND GAZETTE.] 
A NEW MODE OF TREATING 
DISEASES OE THE CAVITY OF THE NOSE, 
By J. L. W. THUDICHUM, M. D., M. R. C. P. 
Lettsonian Professor of Medicine of the Medical Society of London* 
[fKOM THE LONDON LANCET.] 
(Edition. 
PUBLISHED BY- 
CODMAN & SHTJRTLEFP, 
13 & 15 TREMONT STREET, BOSTON. CIRCULAR. 
Having for several years devoted much attention to constructing Apparatus for the Atomiza- 
tion of Liquids, and having been successful, — we believe, from testimony of the most 
eminent medical authority, — in producing more simple, reliable, and convenient instruments 
than any hitherto constructed, we are led to publish, in connection with a description of them, 
two articles from foreign authors of high standing, in which they show the great advantage of 
employing Atomized Liquids in diseases of the Throat and Lungs. 
We have also introduced an article “ On a new Method of Treating Diseases of the Nasal 
Organs.” A description of the Apparatus required for its employment may be found on page 
24. For much valuable information, enabling us successfully to adapt the apparatus for Atom, 
ization to its uses, we are indebted to the physicians of this city specially engaged in the 
treatment of diseases of the Lungs and Throat, who have openly signified their good opinion 
of the merits of this form of inhalation, and who urged us to enter upon the manufacture of the 
instruments we now offer to the profession. 
Since we commenced their manufacture, several important improvements in these Instru- 
ments have been awarded Letters-patent, and are not found in any other apparatus for Atomiza- 
tion. 
Having had much experience in the manufacture of Apparatus of the kinds described, 
we can assure purchasers that they are made with the utmost care, with view to complete 
efficiency, convenience, and durability, and every one is warranted. 
A Gold Medal has lately been awarded us by the Middlesex Mechanics’ Association, for 
Atomizing and Surgical instruments, as will be seen from the following Report, signed by 
a leading New England Surgeon and Physician : — 
“ 1503. Codman & Shurtleff, l*oston, Mass. One Case Surgical Instruments and Atomiz- 
ers. The Committee have no hesitation in awarding for this superb exhibition the highest premium- 
* * * * The various other instruments for inhalation of Atomized Liquids, and for Local Auasthesia, 
were all apparently iaultiess, both in design and workmanship. The exhibitors are regarded as more 
especially deserving the highest token of merit for having produced nothing except of their own manufac- 
ture. GOLD MKDAL. 
(Signed) LlLMAN KIMBALL, 31. D., Chairman." 
The parts of each kind being interchangeable, physicians at a distance requiring new tubes 
or other parts, can he sure that they will be adapted to the apparatus previously purchased. 
Doubtless many of our patrons, had they the oportunity, would make the inquiry of us,— 
Which kind of Atomizing Apparatus is, all things considered, the best1? Our reply would be 
that for inhalations, the Steam Apparatus is generally to be preferred : — 
1st. Because being self-acting, it produces an even and continuous flow of spray without 
inconvenience or labor. 
2d. The warmth of the spray produced by it is often an ad vantage. 
On the other hand, the Air Apparatus, with suitable tubes, is better adapted for making local 
applications to the different parts of the fauces, and to external surfaces, and is the only form 
of Atomizer which can be used for Local Anaesthesia. 
In ordering, the cuts, or numbers of the instruments required should be referred to, to 
prevent possibility of misunderstanding. To save collection expenses, funds should always 
be sent with the order, either in a post-office order, banker’s draft, or registered letter. 
Eor safety of funds addressed to us by any of these methods we will be responsible. 
If funds sent exceed the amount of the order, the excess will be returned with the goods. 
If no funds are sent, we shall forward the articles by express, with bill for collection, with 
collection expenses added, or we may decline to fill the order. 
For such testimony in regard to the value of our Apparatus, as will be most highly 
esteemed, we refer to pp. 25, 26, and 27. 
CODMAN & SHURTLEFF, 
13 & 15 Tremont Street. 
Boston, July, 1872. From the London Lancet. 
ON THE INHALATION OF ATOMIZED FLUIDS. 
H. BEIGEL, M.D., L.R.C.P. 
The application of medicaments is effected in a two-fold manner, viz.: either 
directly on being applied immediately to the suffering part, or indirectly by 
being received into the circulation of the blood; so that through this agency, 
which reaches all parts of the body, it may also affect those parts on which we 
intend to act. Where a direct influence is possible to the physician, he will 
never think of attempting to reach his aim by circuitous routes. The straight 
way in medicine is also the best and most effectual, and those branches of our 
art which could pursue this direct track have enjoyed quick and conspicuous 
progress. We need only call to our mind surgery, opthalmology, midwifery, 
and partly also, the treatment of skin diseases. 
But it is not very long since, that even in such cases as catarrh of the con- 
junctiva, simple ulcers, scabies, &c., very many compound medicines were 
ordered, — a kind of therapeutics which disappeared with the development of 
local treatment. Many parts of the body will certainly, by their position, ever 
exclude a direct proceeding in the matter just spoken of; as, for instance, the 
basis cranii, the heart, the pancreas, spleen, kidneys, &c., because no natural 
duct leads us to them. But the natural ways leading to others, which are 
therefore within our reach, have not been sufficiently appreciated. This was 
the case with the organs of respiration. The cavum oris and the pharynx were 
too easily accessible to be overlooked; but the glottis was considered a stop- 
page for any further advance, and the trespassing on which is almost impossi- 
ble. One thing remains remarkable: It has always been observed, that one 
of the most important occurrences in life, respiration, proceeds in the most im- 
mediate manner; that the inhalation of different gasses produces very marked 
effects upon the organism ; and although man was, and usually is, so ready to 
imitate easily explicable phenomena of Natui’e, and to use them for his benefit, 
nevertheless the attempts to gain influence upon the body, and particularly 
upon the organs of respiration, through breathing an artificially-created atmos- 
phere, were very rare. 
Grecian, Roman, and Arabian physicians recommended inhalations, but never 
attempted to use anything but vapors and fumigations; so that a non-volatile 
chemical body could not come into contact with the organs of respiration. But 
at all times the urgent necessity of immediate application of medicaments in 
the organs of respiration was so much felt, that Mascagni, a very renowned phy- 
sician, once said, “ if ever a specific should be devised against consumption, it 
would be such as to be introduced into the organism through the windpipe.” 
Besides this inhalation, some physicians of later date made use of blowing pul- 
verized medicaments into the larynx in diseases of that organ. Aretaeusmade 
use of a tube for blowing, which method in our times has been renewed with 
great benefit by Trousseau and other physicians. In many Continental spas, 2 
Inhalation of Atomized Fluids. 
arrangements were made to create an atmosphere suffused with mineral water, 
which the patient was recommended to inhale. But inasmuch as the mineral 
water was turned into it need not be said that the so-called “ vapora- 
toria,” or inhalation saloons, were filled merely with common water vapors. 
In 1849, Auphan, of Euzet-les-Bains, originated the idea of atomizing the 
mineral water, by throwing a jet of the liquid against the wall of the inhalatory. 
After a short time, the same system was adopted in Lamotte-les-Bains. But 
Sales-Giron first constructed at Pierrefonds an apparatus through which the 
fluid was subdivided into a fine vapor, which was inhaled by the patients with 
great benefit. His chief merit consists in his transferring this method from the 
vaporatory of the spas, to which it was hitherto restricted, into the hands of 
every physician, by devising a portable inhalation apparatus. Thus a long- 
cherished wish of physicians was realized, and from that time a new era in the 
local therapy of the organs of respiration commences. This apparatus of Sales- 
Giron consists of a vessel filled with the fluid which is to be atomized. Above 
this vessel an air-pump is placed, which compresses the air above the surface 
of the water. The pressure is indicated by manumetre. The water escapes 
through a fine opening of a tube, and strikes against a small metal disc, where 
it is turned into very minute vapor, which is inhaled by the patient. When 
Sales-Giron placed the results obtained in his vaporatory, and some years later 
his portable apparatus, before the Academie de Medecine, of Paris, great sen- 
sation was caused. At first, it was questioned whether the atomized fluids 
reached the larynx, the trachea and the lungs. Different opinions arose, and 
various experimenters arrived at different results. Meanwhile the new method 
gained more partisans. At last the Academie de Medecine took the investi- 
gation into their own hands; and, on January 7th, 1862, Poggiale, the reporter 
of the elected committee, in a deeply interesting, extensive, and brilliant dis- 
course, gave a substantiated statement of the case, based upon experiments. 
This statement was entirely in favor of the new method; and it was experi- 
mentally proved also by other authorities, that not only the vapor, but the 
chemical bodies, which, by being atomized, are incorporated into it, reach not 
only the trachea, but the cells of the lungs. 
Some time after, (in 1859,) Matthieu constructed an apparatus which he 
called nephogine, and exhibited it before the Academie de Medecine. But the 
greatest simplicity in the construction of the inhalation apparatus was attained 
by Dr. Bergson. He placed two glass tubes with very fine openings at one end, 
at right angles to each other; the other end of one tube dips into a vessel filled 
with the fluid which is to be subdivided, while the other is fastened to a 
caoutchouc tubing, about a yard in length. At the middle of this tubing is 
attached a rubber ball, and the end extends into a ball also, so that the one in 
the middle represents an air reservoir, and that of the end a pair of bellows. 
If the latter is pressed by the hands of the patient, the air in the upper ball is 
compressed, escapes through the fine opening, and causes a vacuum in the other 
tube ; the fluid of the vessel then ascends through aspiration, and is turned into 
fine mist when leaving the capillary opening. (See figure 3, page 17.) Inhalation of Atomized Fluids. 
3 
Upon this principle, which is as excellent as it is simple, Siegle has based his 
inhalation apparatus; putting aside the bellows, which fatigued the hands of 
the patient very much, and substituting a vapor kettle, into which one of the 
tubes descended. The vapor issuing forth effects the same purpose as the bel- 
lows, and the patients inhale comfortably. One inconvenience which all the 
apparatus had in common was, that the cloud of vapor containing the subdi- 
vided fluid, not only rushed into the mouth of the inhaler, but moistened also 
his face. With indifferent medicaments this was only disagreeable; but with 
liquids of a more acrid or caustic nature, — as for instance nitrate of silver,— 
it was not only disagreeable, by reason of leaving black spots on the face 
and forehead, but even injurious as a caustic for the eyes. (See note.) 
If we set aside the effect, praised by Demarquay, Leiblinger, and others, in 
conjunctivitis and keratitis, likewise the effect upon the ear, upon ulcers, &c., 
and only consider the effect upon the organs of respiration from the mouth and 
pharynx with its arches, the uvula, the glands through the larynx and trachea, 
with its ramifications to the lungs, we meet with a great number of diseases 
upon which the local therapy just spoken of exercises a great influence. But 
as the respiration is performed more or less powerfully and deeply, the atoms 
of the pulverized fluid reach the more or less distant organs of that function. 
From this fact it becomes self-evident that it will be necessary to respire feebly, 
if the influence should be directed upon parts situated in the mouth or pharynx; 
more powerfully and sometimes strenuously, if it should be our intention to act 
upon the larynx, trachea, or lungs. And further, as the lungs admit the great- 
est amount of air when the sitting position is assumed, it is manifest that we 
should place the patient in that position if we intend a deep penetration of the 
atomized cloud, whilst we should allow him to stand if we merely intend to act 
upon organs not so far distant. I do not intend to allude to such individuals as 
are excited and nervous at the aspect of every, even the most innocent instru- 
ment. Suffice it to say, that the inhalation apparatus do not enjoy an excep- 
tion. But there are persons — happily not frequently met with — whose respi- 
ratory channels are so sensitive, even in a healthy state, that they cannot bear 
inhalations, either with pure water or any other fluid, at the first attempt, and 
several sittings are necessary to accustom them to the process. All cases of 
high sensitiveness which I have hitherto observed were patients with laryngeal 
diseases; whilst with others, and particularly with those suffering from diseases 
of the lungs, inhalations agreed very well. 
The temperature of the atomized cloud, of course varies in proportion to the 
distance from the spout of the apparatus, and must be regulated according to 
the nature of the special case. For some patients, it is even necessary to have 
the fluid to be atomized, warmed. When the apparatus is in order, and ready to 
act, the patient stands or sits, and inspires more or less powerfully and deeply, 
according to the requirement of the case. The advice which has been given, 
that the patient should put out his tongue and keep his nostrils olosed, when 
inhaling, is, in my opinion, superfluous and useless. 
NOTE — The use of the shields described on pp. 16 & 18 serves to surmount these iucouveuienees more perfectly. 4 
Inhalation of Atomized Fluids. 
It would exceed the limit allowed me were I to attempt to treat on all the 
diseases against which atomized fluids in general, and especially inhalations, 
have been beneficially used. Demarquay has applied them in many cases, 
pharyngitis-granulosa, ulcera-syphilitica, laryngetis-cronica, and syphilitica, 
phthisis, &c., and reports that cure or improvement has often been obtained in 
a few days. Other authors, Zdekauer, Fieber, Schnitzler, Gerhardt, Lewin, 
Waldenburg, McKenzie, Gibb, and others, report favorable success by inhala- 
tions in cases of whooping-cough, asthma, inveterate bronchitis, aphonia, tuber- 
culosis, gangrena pulmonum, pneumonia, bronchiectasis, emphysema, &c. 
The number of the cures effected, as well as the time in which the cure 
took place, is far more favorable than in similar cases which were treated inter- 
nally, and my own experience induces me to agree with that statement. The 
inhalations form a real specific is certain cases of hemoptysis, in cough which is 
a result of eccentric irritation of the larynx, or trachea, in hoarseness and 
aphonia as consequences of acute or chronic inflammation of the mucous mem- 
brane of the larynx. The cure is sometimes affected with amazing rapidity, 
after many other medicaments have been applied without effect. Of many 
cases which I have observed, I shall here mention a few only. 
Case 1. A. B , an unmarried lady, consulted me at the end of last year 
for hoarseness, from which she had suffered for several years, and which was the 
more unpleasant to her, as she sang well, and a great deal, previous to that affec- 
tion,— a pleasure the deprivation of which gave herself and her friends great 
concern. The voice was coarse and without timbre; the larynx was painful 
only at the beginning ; now it is indifferent to external pressure. Laryngoscopy 
can easily be effected, and shows only a slight unnatural redness of the mucous 
membrane of the larynx, and of the vocal ligaments. No other inconvenience 
exists. In course of the affection a great many medicines were tried, and all 
without any effect. I applied inhalations of alum (ten grains to the ounce of 
water). After three applications a striking improvement was observed, which, 
after five, was so complete, that I discharged the patient, advising her not to 
sing yet; but after a week she could no longer resist, therefore resumed singing, 
and sang as before the affection. 
Case 2. C. D , a merchant from Lima, advised by his physicians, left 
that country and came to England. Ilis suffering consisted in a severe attack 
of a very troublesome cough, which came on every eight or ten days, and lasted 
for a day or two, and then ceased. During that time the sputa were tinged 
with a good quantity of pure blood. After each attack the patient felt very 
exhausted. When he came under my observation, he was very pale and emaci- 
ated ; his voice was coarse. The result of physical examination was infiltration 
of the left apex ; otherwise the conditions were normal. Three days after the 
examination he had a severe attack; he coughed frequently and vei-y severely, 
and was not ten minutes without coughing. The sputa consisted more of blood 
than mucous, and were very copious. The quantity of blood he ejected during 
the day was about two tea-cups full. I ordered immediately an inhalation of 
tincture of sesquichloride of iron. The cough did not decrease ; but the sputa, Inhalation of Atomized Fluids. 
5 
after the first inhalation, was not tinged. The patient inhaled twice a day, and 
had, altogether, thirty inhalations. The intervals between the attacks were, in 
the meantime, much prolonged. Blood never appeared during the cough, 
which altogether disappeared when extract of hyoscyamus was substituted for 
the above mentioned liquor. The appearance of the patient had very much 
improved ; and after six months’ stay in this country he again returned to 
Lima, whence he has repeatedly written, assuring me of his perfect health. 
Case 3. E. F , a vocalist, had caught a severe cold, in consequence of 
which he was very often attacked with considerable pain in his throat of a chok- 
ing character; he felt, besides, a burning sensation in the larynx, and his face 
was covered with perspiration. Each attack lasted about ten minutes, when it 
disappeared and returned several times in the course of the day. There was 
no typical appearance to be observed. The larynx was indifferent to external 
pressure. The result of larygoscopy was negative. Blistering, internal appli- 
cation of the acetate of morphia, cannabis indica, opium and iron, were had 
recourse to, but without any effect. I applied acetate of morphia by means of 
inhalation, (half a grain to an ounce of distilled water,) and the effect was, a 
perfect cure after ten applications. 
In conclusion, I shall proceed to make a few remarks on the medicaments I 
use for inhalation. Generally speaking, every chemical body which is soluble 
can be atomized, and therefore inhaled. The largest number of remedies con- 
tained in the Materia Medica can therefore be used for the local therapy of 
the respiratory organs. But it must be borne in mind that, besides the local 
effect, the medicaments are much more readily absorbed through the mucous 
membrane than they are by internal application, — a fact which must be taken 
into consideration, when the dose is to be decided on. 
The following medicaments are those mostly recommended and found bene- 
ficial by practitionei’3 engaged in treatment by inhalation, and which I can 
recommend from my own experience: — 
1. In inhalatory treatment of the respiratory organs, nitrate of silver 
deservedly occupies the first place. Its dose is three to five or ten grains, in 
one ounce of distilled water. It is particularly serviceable in inflammatory 
conditions of the pharynx and the larynx. The strength of the solution, the 
frequency of the sitting, and the duration of the same, must be adapted to the 
nature of the particular case. It need scarcely be mentioned that proper care 
must be taken if strong solutions are inhaled. 
2. Much milder in its effects is nitrate of alumina, which, as far as I am 
aware, was first used by myself in inhalations. I prepared it from a simple 
solution of the metal in nitric acid, working the crystals in distilled water 
repeatedly, condensing the solution by evaporation and recrystalizing. It ren- 
dered good service, not only in inflammation, but also in nervous affections of 
the larynx and trachea. The dose is three grains in an ounce of distilled water. 
Very useful medicaments are the following: — 
3. Tannin, — three grains to eight or ten grains in one ounce of water. 
4. Alu cr?..— four grains to ten or fifteen grains, ditto. Treatment of Chronic Diseases of the Lungs. 
6 
5. Solution of sesqui-chloride of iron, — one minim to five or ten minims, 
ditto. 
6. Corrosive muriate of mercury, — four grains to one or two ditto. 
7. Acetate of lead, — a grain and a half to eight grains ditto. 
8. Sulphate of zinc, — half a grain to five ditto. 
9. Common salt, — which has long been considered a most useful agent in 
the treatment of diseases of the respiratory organs. On the supposition that 
it was present in the atmosphere near the sea and saline springs, physicians 
have been in the habit of sending thither patients affected with chest diseases ; 
and to give the full benefit of it to those who are not able to travel, it had 
always been the object of physicians to create an artificial sea air. But it is 
only since the invention of the inhalation apparatus that this object could be 
fulfilled. The application of common salt for the purpose of inhalation is 
therefore very extensive, and produces very marked effects. I make use of it 
in doses of from five to ten and twenty grains to an ounce of water ; and one 
ounce is effective, particularly in diseases of the lungs and windpipe. In nerv- 
ous affections, particularly of the larynx, and also the asthma, narcotics have 
been used especially. 
10. Tincture of opium, — one to ten minims in an ounce of water, and the 
preparations of opium. 
11. The salts of iodine, bromine, chlorine, and some others. Authors report 
the good effects of arsenic, in the shape of Fowler’s solution, and in a dose of 
half to five minims in an ounce of water. Lastly, besides the different mineral 
waters, there must be mentioned : — 
12. Pure or distilled water, cold or warm, or even as hot as the patient can 
bear it. It renders, in many cases of inflammation and paralysis of parts of the 
larynx, good service. 
From the London Medical Times and Gazette. 
ON THE TREATMENT OF CHRONIC DISEASES OF THE 
LUNGS BY THE INHALATION OF ATOMIZED LIQUIDS. 
BY MOKELL MACKENZIE, M. D. 
The author, after an elaborate description of the various instruments invented 
for the purpose of introducing medicine by means of inhalation, enters into an 
account of the apparatus invented by Dr. Siegle, of Strasbourg, and himself, 
which he describes. Dr. Siegle’s simple apparatus is an excellent one, and the 
author stated that he had often used it with great advantage. After enumerat- 
ing the physicians and physiologists who had worked at the subject on the Con- 
tinent, the author analyzed the experiments which had been performed by 
Demarquay, Fournie, Brian, and others, on rabbits and dogs. He then related 
his own experiments, which had been carried out in conjunction with Dr. 
Duchesne, of Woodford. After detailing various experiments performed on Treatment of Chronic Diseases of the Lungs. 
7 
pigs and dogs, Dr. Mackenzie sums up the results. 1st, Demarquay’s and 
Brian’s experiments on dogs; 2d, his (Dr. Mackenzie’s) on pigs and dogs; 3d,an 
experiment performed by Demarquay, in the presence of numerous witnesses, 
on a woman with a tracheal fistula, in which it was shown that the inhaled 
liquid penetrated to the trachea, though there was a great obstruction at the 
upper opening larynx. This experiment which had been previously unsuccess- 
fully performed by Fournie, has since been repeated by Lieber, Schnetzler, and 
others, with result, similar to those obtained by Demarquay. 4th, the fact first 
shown by Bataille, and since by Moura Bourouillou, the author, and others, 
that after the inhalation of a colored atomized solution the sputa remained 
tinged long after the employment of the laryngoscope could detect any traces 
of the material used. On the one hand there was an immense number of pos- 
itive proofs of the penetration of atomized liquids : on the other hand there 
were a few experiments performed, with negative results. It was scarcely 
necessary to remark that any experiment might be performed — the most simple 
chemical test employed — in a manner to insure failure. 
But a few experiments of this sort could have little weight against the mass 
of evidence on the other side. The author stated that the greatest benefit 
from this system of therapeutics might be expected and had resulted, in bron- 
chitis, asthma, and haemoptysis. He brought forward twenty-two cases treated 
between October, 1863, and January, 1864. There Avereten cases of bronchitis, 
six of phthisis, two of hemoptysis, three of asthma, and one of whooping- 
cough. The author did not believe that in the phthisis the treatment would 
have a positively curative effect, but was beneficial in cutting short intercurrent 
bronchitis. Of the twenty-two cases detailed, only two were unable to make 
use of this curative process. Of the ten cases of bronchitis, eight were cured, 
one relieved, and one obtained no benefit. The average duration of the time 
required for curing these cases, though most of them were severe, and of long 
standing, was only fifteen days and a quarter. The shortest time was six days 
(a severe case) ; the longest forty days. The duration of treatment was not in 
proportion to the severity of the disease, one mild case requiring twenty-eight 
days to get well. Of the six patients laboring under consumption, two were 
unable to use the inhalations on account of the irritation Avhich they caused. 
Of the remaining four cases, while the physical signs did not undergo any mate- 
rial alteration, the local symptoms (expectoration, pain and cough) Avere greatly 
relieved. The general health was much improved in tAvo cases, Nos. 11 and 15, 
slightly in a third, and not at all in a fourth. In two cases of haemoptysis, one 
severe and the other slight, the atomized liquids rapidly stopped the bleeding. 
In three cases of asthma, one a very severe case, which had obstinately resisted 
the ordinary treatment, this system of therapeutics soon gave relief. In one 
case of whooping-cough (in an adult) the inhalations gave immediate relief, and 
quickly effected a cure. The author stated that during the past year he had 
used atomized liquids in more than eighty cases of diseases of the lungs, and 
that he had found the plan of treatment no less successful than was detailed in 
this paper. 8 
Treatment of Diseases of the Cavity of the Nose. 
The various instruments referred to in the communication were brought before 
the society, and likewise diagrams illustrating their action and method of employ- 
ment. Dr. Gibb said that the subject of the author’s paper was one of the highest 
importance, and in which he took the greatest interest. In the earlier part of 
his professional career, he (Dr. Gibb) had looked forward to the time when some 
means might be devised for introducing fluid in a minute state of division into 
the interior of the bronchial tubes, which would prove more certain in its effects 
than the vapor inhaled from certain substances. From the evidence brought 
forward by the author, illustrated by experiments of his own and Continental 
investigators, he had not the slightest doubt that any atomized fluid reached 
the minutest bronchial tubes and air cells; and from his own experience of the 
inhalation of fluid thus atomized or pulverized, he was quite satisfied such was 
the case. With Siegle’s atomizer, he had caused the inhalation of a solution of 
the iodide of silver, for a few minutes only, in a case rapid phthisis in the second 
stage of the disease, with profuse expectoration and laryngeal mischief. The 
effect of this was a general feeling of warmth throughout every part of the 
chest, and subsequent diminution of the expectoration. This feeling of warmth 
so generally diffused, convinced him that the atomized fluid had reached the 
minutest bronchi. As a palliative in some cases of phthisis, and as likely to 
diminish the amount of expectoration, the inhalation of atomized fluids would 
prove useful ; but it never could be relied upon as a curative agent in this 
disease. With regard to bronchitis, the chronic form especially, asthma and 
haemoptysis, his own experience agreed with that of the author, and showed 
that in many cases the greatest amount of relief could be obtained. Indeed, 
he had been surprised at the good results which sometimes followed, — in the 
two former, especially. As furnishing an additional and most useful therapeutic 
agent, in the treatment of laryngeal and chest diseases, the inhalation of certain 
atomized fluids must be regarded as one of undoubted value, and he (Dr. Gibbs) 
gladly bore testimony in its favor. 
From the London Lancet. 
ON A NEW MODE OF TREATING DISEASES OF THE CAVITY 
OF THE NOSE. 
BY J. L. W. THUDICHUM, M.D., M.B.C.P. 
LETTS ONI AN PBOFESSOR OF MEDICINE OF THE MEDICAL SOCIETY OF LONDON. 
The treatment of diseases of the cavity of the nose has hitherto been 
attended with very great difficulties, owing to the circumstance that the cavity 
is large, complicated by many sinuosities, interrupted by many thin, bony, and 
membranous projections, and therefore little accessible, and for the most part 
not accessible at all, to instruments by which growths might be removed, or 
topical remedies applied. The removal of excrescences from the lower and 
median nasal canal was yet the most successful of surgical operations, although Treatment of Diseases of the Cavity of the Nose. 
9 
it was frequently left incomplete, or remained unavailing, owing to the speedy 
return of the polypi. But the topical application of remedies for the treat- 
ment of acute and chronic affections of the nasal cavity, which is certainly the 
principal therapeutic requirement, and in many cases prevents the formation of 
polypi, could only be attempted by mechanical contrivances which wex-e so 
objectionable to the patients, that, after longer or shorter trials, they had to be 
abandoned. I have had under ray own care several important cases of affection 
of the nasal cavity, in which the mere possibility of cleansing the cavity of the 
nose Would have been a great boon to the patients; others, in which I have no 
doubt the application of remedies, such as we ax-e in the habit of xxsing in con- 
junctivitis, would have effected a speedy recovery from painful and troublesome 
conditions. The only mode of cleansing the cavity of the nose, which was then 
known in medical science, was by injections with a syringe ; but, owing to the 
velocity with which the injected fluid touched the walls of the nose, this process 
always created much irritation, pain, sternutation and lachrymation, and the 
patients mostly opposed the entrance of the fluid by expiratory efforts, which, 
indeed, were the only means they had of preventing the fluids from running 
down the choanxe and reaching the larynx. The mei*e effect of pure water 
upon the Schneiderian membrane being highly irritating, two causes combined 
to defeat the object of injections of water; and when medicines which might 
be supposed to have a beneficial effect upon the diseased Schneiderian were dis- 
solved in the water, they, although perhaps better tolerated than pure watei*, 
could not be kept sufficiently long in contact with the affected parts to exercise 
upon them even such slight medicinal action as their necessai’ily diluted state 
permitted. There was a third application that could be made, — namely, the 
introduction of medicines in the form of fatty or mucilaginous ointments. In 
one case in which I endeavored to benefit a chronic ozaena— a residue of 
scarlet fever — by topical applications, a solution of sulphate of zinc in intimate 
mixture with lard, had a most decided effect, the patient being much impi’oved , 
though not cured. But this application of ointment to the surface of the lower 
canal of the nose, and to a part of the median canal, (which are the only por- 
tions that, as a rule, can be reached, even by clever manipulation,) is the most 
objectionable of any, so far as its accompaniments of irritation and pain ai’e 
concerned, sternutation and lachrymation being not rarely long continued after 
it, and the peculiar pain producing a l’eluctance on the part of the patient, 
which it is difficult to ovei-come in young and old people. All these applica- 
tions, then, were partial, imperfect, irritating, and consequently unavailing to 
effect the desired end. Many cases of superficial ulceration ended in caries, 
embittering the life of the patients, and, through the odor, making intei’course 
impossible and family relations troublesome; other cases of chronic inflammation 
ended in deformity of the external nose and the formation of polypi in its 
cavity, and produced a constant false resonance of the voice ; a number lasted 
throughout a lifetime, the nose being a constantly weak part, and capable of 
prostrating the patient at any opportunity which dust and wind might afford; 
others had consequences even more sevei'e, and the specific ulcerations of the Treatment of Diseases of the Cavity of the Nose. 
cavity of the nose only too frequently terminated in that sinking of its bridge, 
which is the most painful proclamation of disease with which a patient can 
become afflicted. Then there were the convulsive affections produced by local 
irritation in the nose — those cases of fabulous sneezing in which hardly any 
remedy availed, even in diminishing the number of spasms in time, because 
the centre and seat of the irritation could not be reached by medical agencies. 
Truly dangerous were some cases of bleeding from the nose, in which the 
broken blood-vessel could not be reached by either styptics or mechanical com- 
pression, and could not be made to contract by contact with that most powerful 
of haemostatic agents, ice or ice-cold water. Not a few cases of this kind 
terminated fatally, or required the most desperate measures to prevent the fatal 
end, such as plugging of the nose and choanae with sponges or tinder; and 
these not rarely left a condition of anaemia in which other accidental diseases 
could put a stop to life with comparative ease, or which continued without the 
supervention of other diseases, enfeebling and considerably shortening the rest 
of the life of such patients. 
All these difficulties, and many more which might be mentioned, are removed 
at one stroke by the discovery of Professor Weber, of Halle: that when one 
side of the nasal cavity is entirely filled through one nostril with fluid by hy- 
drostatic pressure, while the patient is breathing through the mouth, the soft 
palate completely closes the choanae, and does not permit any fluid to pass into 
the pharynx (a physiological fact thus far already discovered by E. H. Weber, 
of Leipzig, before 1847, and published in Muller’s Archiv, 1847, pp. 351-354); 
while the fluid easily passes into the other cavity, mostly round and over the 
posterior edge of the septum narium, in some persons also through the frontal 
sinuses, and escapes from the other open nostril, after having touched every part 
of the first half of the cavity of the nose, and a great part, certainly the lower 
and median canal, of the second half. By means of the application of this 
principle to the treatment of diseases of the nose, it is possible easily and fre- 
quently to wash the nasal cavity, to disinfect and deodorize it, to remove the 
sordes which accumulates so easily in it, and to apply to its surface a great 
number of beneficial medicinal substances, so as to prevent acute affections 
from extending, and to incline them towards a speedy recovery; to stop haemor- 
rhages, allay irritations, and subdue in a remarkable manner, chronic affections 
of the Schneiderian membrane, so as to re-establish a perfectly healthy surface 
and normal condition of the organ of smell. 
The Apparatus,*—A rod of iron or brass, thirty inches in length, is fastened 
upright into a heavily-loaded foot, so as to form a firm stand. On this rod 
slides a nut which can be fixed at any height by means of a screw, and carries 
an arm and ring, in which is cemented a high cylindrical glass vessel of a 
capacity of from one to two pints. The glass vessel is open above, and its 
cavity contracts within the ring in which it is fastened, here directly to pass into 
a small-bore muzzle, to which a suitably-sized flexible india-rubber tube, thirty- 
six to forty inches in length, is fastened. To the other end of the india-rubber tube 
a stop-cock is fixed; upon this a little cup-shaped collar, and upon this the 
For description of apparatus as made by us, see pages 21—22. Treatment of Diseases of the Cavity of the Nose. 
11 
cylindrical perforated muzzle of gutta-percha or of prepared india-rubber. If 
now the glass-vessel is filled with fluid, and the little stop-cock immediately 
underneath the nozzle is opened, the fluid will escape at the fine openings of 
the nozzle; and if the nozzle accurately fits the nostril, and the fluid is allowed 
to flow, the fluid will enter and fill the cavity of the nose, as will be more 
especially described hereafter. Great care must be taken to ensure an adequate 
fitting of the nozzle to the nostril of the person who is to be operated upon, as, 
if fluid escape by the side of the nozzle, it makes the operation difficult and 
tx*oublesome. It is therefore necessary to have several sizes of nozzles, to be 
fixed upon the stop-cock at will. In order to avoid all possible chances of 
infection, and ensure cleanliness, I lay it down as a desideratum, that every 
person using the apparatus should have his or her own nozzle, to be used 
exclusively by that person. In dispensaries and hospitals, where this cannot 
be so easily effected as in private practice, the utmost care should be exercised 
to clean the nozzles from any semi-solid matter which easily becomes firmly 
adherent to them. As the current is always directed outwards through the 
openings, there is hardly any chance of the interior of the nozzle becoming 
unclean or infectious. Yet it will be well to give to each patient, particularly if 
he be the subject of specific disease, his own apparatus. Even the suspicion 
that a patient might, by accident, blow into the tube and endanger his successor, 
will thus be avoided. 
Of the fluids to be employed for rinsing the nose. — Pure warm water, 
when introduced into the nose by means of the apparatus, causes, in most per- 
sons, a very disagreeable sensation, ending in lachrymation and sternutation 
(or tears and sneezing,) with subsequent copious discharge of watery mucus 
from the nose. If the quantity of water run through the nose be large, the 
“ cold ” produced thereby, including the change in the sound of the voice, may 
last for some hours. To avoid this objectionable symptom, it is best to employ 
solutions of common salt, or other salts, of sugar or milk for rinsing the nose. 
In the course of practice, cases will arise in which all these solutions offer 
advantages. For general use, a solution containing one ounce of common salt 
in a pint of water, is satisfactory. Some persons will bear less salt; others will 
tolerate more. Of this solution, having a temperature rather lower than that 
of the blood, from one to four, or if desired, any number of pints, may be 
allowed to flow through the cavities of the nose. It does not easily produce 
sneezing, rarely lachrymation, and hardly ever any subsequent symptom of cold 
in the head. The saline solutions, which, next to common salt, offer the greatest 
advantages, are those of the common phosphate of soda, and phosphate of 
ammonia and soda. They can be used by themselves, or mixed with the com- 
mon salt. Their alkalinity has a beneficial effect upon the irritated Schneiderian 
membrane, and dissolves, or loosens any deposits of mucus or pus, which so 
frequently dry and harden upon the surfaces of the nasal cavity. 
Of the fluids to be employed for deodorizing the nasal cavity. — For this pur- 
pose I have employed dilute solutions of permanganate of potash. This agent 
has done me such excellent service in removing the fetor of the mouth in cases 12 
Treatment of Diseases of the Cavity of the Nose. 
of typhoid fever, that I was induced to apply it for the removal of the fetor of 
ozatma, and with the most striking and immediate success. A solution of from 
one grain to ten grains in a pint of water is a good proportion, according to the 
severity of the case. The solution tastes alkaline, and acts as a feeble escharotic 
upon healthy and particularly upon vascular and erythematous parts. When 
the margin of the nostrils is excoriated, the permanganate colors the excoriated 
part brownish; but the effect of this is rather beneficial than otherwise, as 
the excoriated and colored part dries easily, and after the shedding of the faint 
brownish pellicle, appears healthy. 
Mode of applying these and other fluids to the nose by means of the appa- 
ratus.— The fluid, of the proper composition and temperature, is filled into the 
glass vessel. All air in the india-rubber tube is now replaced by fluid, the escape 
pi the air upwards being facilitated by gentle manipulation. The glass vessel 
is raised and fixed in the position which will give the desired pressure. A 
little fluid is now allowed to escape from the nozzle, to make sure that all air is ex- 
pelled. The patient (or healthy person, if it is only desired to show the physi- 
ological experiment) is seated in front of a basin, with his head and face 
slightly bent over it, the apparatus standing by his side. He is told to 
breathe through his mouth exclusively, and abstain from swallowing. The noz- 
zle, previously selected as of proper size, and connected with the apparatus, is 
now inserted into one of the nostrils, and held there by the patient’s hand of the 
same side. The little stop-cock (or tube) is now opened, and after a few 
seconds a continuous and rapid stream of fluid is seen to flow from the oppo- 
site nostril into the basin below. Persons who have control over themselves 
will always bear the experiment as here described ; but young persons, nervous 
females, and children, become confused, begin to cry, or to swallow and breathe 
through the nose. In such cases the level of the fluid in the glass should be very 
little above the level of the introitous into the external ear, so that the fluid 
runs very slowly, or only drops out of the free nostril. The hand of the opera- 
tor should be upon the india-rubber tube, to close it by compression the moment 
he sees bubles come through the nostril, or perceives that the patient swallows 
or becomes confused. It is always well to let the fluid pass at first under 
slight pressure, in order to allow sordes within the nose to be loosened and 
crusts of dried matter to be softened. When this has been effected, it is useful 
suddenly to raise the glass vessel and produce a rapid stream, which will then 
scour the impurities away. In some cases I have done this repeatedly with 
success. The loosening of crusts and lumps of inspissated mucous is always 
attended with some irritation, and also with retardation and diminution of 
the current of fluid. The sudden increase of the pressure is the surest means 
of causing the least inconvenience to the patient, and effecting in the quickest 
manner the purpose of the operator. It is also well to reverse the current now 
and then, as sordes are much better detached in that manner. If only 
one nostril is diseased, or the principal seat of the disease, I allow the 
fluid to enter by the opposite side, and to leave by the affected nostril. I then Treatment of Diseases of the Cavity of the Nose. 
13 
change the current, and filling the affected nostril, allow the current to leave by 
the healthy one. Thus, half a dozen or a dozen changes may be usefully insti- 
tuted. It is really surprising what an amount of sordes will sometimes be 
removed from the nose by the rinsing process. Any one who has seen it once, 
will easily conceive the manner in which, by means of these constant accumu- 
lations, nasal diseases became chronic, incurable, and lead to fearful suffering 
and death. When water has been allowed to run through the nose, it takes 
two minutes and a half, before the sense of smell returns to its integrity. When 
saline solutions have been used, it takes about a minute and a half; but after 
the alkaline solutions a minute suffices to allow the perception of odors to be 
clearer than before the application. If the special excitant of the olfactory, as 
the perfumers term it, the neutralizer and stirrer-up of smell, ammonia, is 
applied immediately, even in less time than a minute will be sufficient. There 
are cases of chronic coryza, with some blenorrhagia, in which the affection of 
the Schneiderian membrane prevents patients from satisfactorily performing 
their business, which requires a full command of the organ of smell. Chemists, 
perfumers, wine merchants, provision merchants, and others, may belong to this 
category. In cases of this kind the topical treatment is beneficial. After the 
application of alkaline solvents in particular, the sense of smell is clearer. 
I hope that the advance which we are making in the treatment of diseases 
of the nose, may be shared by its physiology. There is no greater enjoyment 
of Nature’s triumphs, and no greater safeguard against noxious things of all 
kinds, than a healthy nose. 
Of the medicinal solutions which may be applied to the cavity of the nose. — 
Although the solutions before enumerated act in a measure as alteratives, resol- 
vents, and escharotics, and, therefore, rarely constitute a sufficient medical 
application by themselves, yet they are more frequently used for preparing the 
nose for the application of more energetic and specifically acting solutions. To 
this latter class belong the solutions of alum, sulphate of zinc, and sulphate of 
copper — the best astringents; the solutions of nitrate of silver, and bichloride 
of mercury — the most suitable alteratives; and the solutions of chloride of 
calcium, in which suboxide or oxide of mercury is suspended in a finely sub- 
divided state, together with the bichloride solutions — the best specifics. Of 
stimulating solutions, a mixture of eau de Cologne with water or salt wTater, is 
sometimes useful. 
The probable concentration of these solutions can be surmised from the cir- 
cumstance that the sensibility of the healthy nasal cavity stands about midway 
between that of the eye and the mouth. When the nasal cavity is completely 
filled with fluid, the specific sense of smell cannot any longer be exercised ; 
even the solution of eau de Cologne is not perceived to be such when it once 
fills the nose. The sense of smell being thus entirely obliterated by the fluid 
contained in the nose, the reflex effects which substances may exercise by means 
of this sense are entirely absent; and the only impingement which the fluids 
can produce is upon the filaments of sensitive nerves coming from the fifth pair. 
It is owing partly to this circumstance that comparatively strong medicinal solu- Treatment of Diseases of the Cavity of the Nose. 
tions are borne by the nasal cavity without great secretion. Another circum- 
stance favoring the application of stronger solutions is the ready manner in 
which the healthy service of the nose defends itself against irritating, chemical- 
ly-impinging substances by means of a copious flow of mucus. Excoriated or 
ulcerated parts lack this power of rapid secretion ; and hence they are affected 
by medicinal solutions much more than the healthy parts of the surface of the 
nasal cavity. What is here stated is the general result of experience and ex- 
periment; but, at the same time I must insist that the application of medicinal 
solutions in each case should be begun with the greatest caution, as individuals 
differ greatly in point of irritability of the nasal cavity. In the beginning, 
therefore, very dilute solutions of medicinal substances should be used, and 
their strength be increased gradually, after their effect has been well exhausted, 
by the use of greater quantities, applied by a quick flow, or the use of smaller 
quantities in a slow current distributed over a longer time of contact. 
Solution of alum. — Half an ounce of roughly-powdered crystalized alum is 
dissolved in a small quantity of hot water, and the solution made up to one 
quart by means of cold and tepid water in such a manner as to ensure that the 
temperature of the solution should be below, but near to, blood-heat. In su- 
perficial ulceration or blenorrhagic conditions this solution is well borne. Ulcer- 
ated parts, which before its application were red, mostly appear as white 
patches after its application, thus showing that the effect of the alum on the 
ulcerated surface has been considerable. When I was desirous to manage with 
smaller quantities of solutions, I have sometimes mixed a little permanganate 
solution with that of alum. 
Solution of sulphate of zinc. — From a scruple to a drachm of the sulphate 
of zinc, dissolved in a quart of warm water, together with half an ounce or an 
ounce of sulphate of soda or sulphate of magnesia, gives a suitable fluid. 
Solution of sulphate of copper. — Of this sulphate also from a scruple to a 
drachm, mixed with half an ounce or an ounce of soda sulphate or magnesia 
sulphate, can be dissolved in a quart of warm water. 
Solution of acetate of lead. — Of this crystalized acetate from a drachm to 
two drachms, together with half an ounce or an ounce of crystalized acetate of 
soda, may be dissolved in a quart of warm water. 
Solution of nitrate of silver.— Of this salt not more than from half a 
grain to a grain should be dissolved in each ounce of water. A quart of water, 
therefore, in which previously from half an ounce to an ounce of nitrate of soda 
has been dissolved, may receive from sixteen to thirty-two grains of the nitrate. 
In particular cases the solution may be made stronger. The nitrate of potash 
is not so good as the nitrate of soda, because it has slightly irritating qualities. 
When it is necessary to use it in an emergency, when soda nitrate cannot be 
had, the solution should be more diluted. 
Solution of bichloride of mercury. — The greatest caution is necessary in 
the use of this agent, as it has a tendency to produce excoriations on healthy 
surfaces. The first solution to be employed should be one containing fine grains 
of corrosive sublimate in a quart of water, in which an ounce of common salt 
is also dissolved. Treatment of Diseases of the Cavity of the Nose. 
15 
Solution of chloride of calcium with suspended oxide or sub-oxide of mer- 
cury. — These fluids are the common phagedsenic waters, or black and yellow 
wash, to which common salt has been added. Two drachms of calomel, twelve 
fluid ounces of lime-water, one ounce of common salt, and twenty ounces of 
warm water, yield the black solution. One scruple of corrosive sublimate, one 
ounce of common salt, twelve fluid ounces of lime-water, and twenty fluid 
ounces of common warm water, yield the yellow wash. These mixtures must 
be well agitated in the glass vessel while being allowed to run through the 
nasal cavity. 
Sedative solutions. Of prussic acid forty minims to the quart of warm salt 
water, of tincture of opium two drachms, may be taken. These drugs may be 
added to some of the above solutions of metallic salts. But if this is desired, 
it is better to substitute a solution of morphia for tincture of opium. The 
Prussic acid is incompatible with the copper, silver, and precipitated mercury 
solutions; it goes conveniently with the alum and common salt solutions. 
Styptic or hcemostatic solutions. — Amongst these, ice-cold salt water, con- 
taining an ounce of salt to a pint of ice-water, takes the first place. When this, 
after having been continued for a considerable time, is insufficient to stop the 
haemorrhage, a fluid ounce of the tincture of the sesquichloride of iron may be 
added to each pint of ice-cold salt water. 
Stimulating solutions. — One ounce of eau de Cologne upon ten ounces of 
salt-water, is a useful stimulant. Strong spirit of wine may be taken in place 
of the eau de Cologne. 
I have now fully, and for some readers, perhaps, somewhat too explicitly de- 
scribed a number of medicinal solutions which may with advantage be applied 
to the treatment of nasal diseases by the method in question. I was desirous 
to impress upon the memory of the reader the fact that I recommend only such 
solutions as are brought up to a certain specific gravity by salts which do not 
decompose the medicinal agents. There may be cases in which it is desirable 
to swell the Schneiderian membrane by watery fluid and produce endosmosis, and 
others in which highly concentrated solutions may beneficially be used to effect 
exosmosis and shrivel Schneider’s membrane. These and the 
various accommodations of the fluids and their degrees of concentration, I 
must leave to the skill and ingenuity of those who make use of this method. 
They will also probably multiply the resources of the rhino-therapeutic phar- 
macy, and thereby add to the success and certainty of this interesting method 
of treatment. 16 
Description of Apparatus. 
DESCRIPTION OF APPARATUS FOR TREATMENT OF 
DISEASES OF THE THROAT AND LUNGS 
BY MEANS OF ATOMIZED MEDICATED LIQUIDS. 
BACH OF THE APPARATUSES IS PACKED FOR TRANSPORTATION, AND FURNISHED 
WITH DIRECTIONS FOR USING. 
Fig. 15. The Complete Steam Atomizer. The 
name complete is used in connection with this apparatus 
with particular reference to the quality of its performance. 
as under no circumstances does it throw out little jets ol 
hot water to frighten or scald the patient. The word is 
also appropriate when used to describe the apparatus 
itself, as it is the result of much care in arrangement 
and of expense in the machinery employed for its con 
struction. On account of its convenience, durability, 
portability, compactness, and cheapness (in the besl 
sense of the word), we think it adapted to come into 
almost universal use by physicians for their patients, 
and by patients at their homes. 
It consists of the sphere-shaped brass boiler A, steam outlet tube B, with packing-box 
C, formed to receive rubber packing, through which the atomizing tube D passes, steam tight, 
and by means of which tubes of various sizes may be tightly held against any force of steam 
by screwing down its cover while the packing is warm; the safety-valve E, capable of grad- 
uation for high or low pressure by the spring and screw in its top, the non-conducting handle F, 
by which the boiler may be lifted while hot, the medicament-cup and cup-holder G, the sup- 
port H, base I I, the glass face-shield ./, with oval mouth-piece connected by the elastic 
band K with the cradle L, whose slotted staff passes into a slot in the shield-stand M M, where 
it may be fixed at any height or angle required by the milled screw N. 
The shield-stand is formed into a handle just above the waste-cup O, and its base is formed 
to receive and hold this cup. It has also a sliding arrangement and set-screw, by which it may 
be fixed any desired distance from the atomizing tubes. 
The boiler is supplied with water through the opening into which the safety-valve is 
screwed. 
All of its joints are hard soldered and cannot be separated by any heat short of redness 
or any pressure attainable with the lamp. Every one is carefully tested to a pressure ol 
more than one hundred pounds to the square inch, and no accident can happen to frighten the 
patient or injure the apparatus, should the water in the boiler become entirely exhausted. 
The spirit-lamp P is of brass, and is provided with means of graduating the flame, and 
with an extinguisher. 
The waste-cup, medicament-cup, and lamp, are held in their places in such a manner that 
they cannot fall out when the apparatus is carried or used over a bed or otherwise. The appa- 
ratus is contained in a box 7|x4x 8 inches; it, can be carried from place to place by the 
practitioner without removing the atomizing tubes or the water; it can be unpacked and put 
in position for use in one minute, and repacked in the box in as short a time. 
Price of this Apparatus, as represented in the cut, including two Glass Atomizing Tubes, extra 
packings, and Shield Band $6.00 
#The same, with all the brass parts,—i. e., the Boiler, Shield Stand, Lamp, and their attachments, 
Nickel-plated,—thereby giving the Apparatus an exceedingly neat and pleasing appearance 8.60 
Either of the above in neatly made, strong, Black Walnut box, with handle, additional . . 2.50 
Extra Face Shields, any size, including Elastic Band, each 50 
Glass Atomizing Tubes, each, 25 cts.; Silver do., $2.00; Silver and Platinum, 4.00 
OODMAN & SHURTLEFF, 
BOSTON. 
Fig. 15. The Complete Steam Atomizer. 
For Inhalation, tfc. 
Patented Mar. 24, 1868, and Mar. 10,1869. 
* See note at foot of page 19 in regard to Nickel Plating. Description of Apparatus. 
17 
The Complete Steam Atomizer, large, apparatus No. 40, intended for use of 
hospitals and for office use of physicians requiring the almost constant use of the Atomizer. 
The boiler will contain twenty-six ounces of water, or enough for four to six hours of con- 
stant use. This apparatus has the same parts and details as the preceding, and is made with 
the same care and thoroughness. It is contained in a box 12 x 6| x 11 inches. 
Price, including two Glass Atomizing Tubes, and extra packings $15.00 
Extra Face Shields, including brass band 1-00 
Glass Atomizing Tubes, . . each 25 cents; Silver, $2.00; Silver and Platinum, 4.00 
No. 46, Nickel-plated, as described in connection with No. 15 . . 20.00 
Fig. 2 represents Dr. II. K. Oliver’s Hand Instrument, 
as described in a paper on Atomization, contributed by him to the 
“ Boston Medical and Surgical Journal ” of March 8, 1866. a, Elas- 
tic Bulb with Valves, serving as a bellows to produce the spray within 
the jar. b, The Bergson Atomizing Tubes, the upright arm being 
formed in part by a rubber tube, which dips into the medicament 
placed in the bottom of the jar. c, Opening for the admission of air. 
In this instrument the receptacle for the medicament and the shield 
for the protection of the face are united in one piece, while the spray 
is rendered exceedingly fine by being thrown forcibly against the side 
of the jar. 
Price, with two Atomizing Tubes, $4.00. Price of Atomizing Tubes alone, 50 cents each. With 
Double Bulbs, instead of a Single one, $5.50. 
CODMAN & SHURTLEFF, 
BOSTON. 
Fig. 2. 
Fig. 3, Clarke’s Atomizer. This Apparatus 
is essentially the same in form as that of Dr. Andrew 
Clarke, of England, but of improved construction, 
li consists of the Elastic Bulb f, which, with its 
valves, serves to force air into the Elastic Chamber g, 
which, alternately expanding and contracting, sup- 
plies a steady stream of air to the Atomizing Tubes 
i, one branch of which dips into the vial containing 
the medicament. The stopper is of elastic rubber 
(patented), and fits perfectly the atomizing tubes and 
the vial. In addition to its other uses, this instrument constitutes a perfect Douche for bathing 
and making medicinal applications to burns, sensitive eyes, inflamed surfaces, painful sores, and 
for perfuming or disinfecting the sick-room. 
Price with two Glass Atomizing Tubes, $4.00. For other Tubes, see Fig. 47, page 19. 
CODMAN & SHURTLEFF, 
BOSTON. 
Fig. 3. 
Fig. 4. Freezing Apparatus for 
producing Local Anaesthesia. 
This form of apparatus — similar to that 
represented in Fig. 3. with exception of At- 
omizing Tubes, which are of metal, — is all 
that is required for producing Local Anaes- 
thesia by freezing with Ether, as employed 
by Dr. Richardson, of London, or with 
Rhigolene, as described by Dr. H. J. Bige- 
low, of Boston, in the “ Boston Medical and 
Surgical Journal ” of April 19, 1866. 
The Metallic Tubes which accompany 
this Apparatus are equally efficient for in- 
haling purposes, except for liquids liable to 
be vitiated by contact with metal, for which 
CODMAN & SHURTLEFF, 
BOSTON. 
Fig. 4. 
* See note at foot of page 19 in regard to Nickel Plating. 18 
Description of Apparatus. 
glass or silver, or silver and platinum tubes should be used. Price of Apparatus, with Nickel- 
plated Freezing Tubes, $5.00. Price, with two Glass Bergson Atomizing Tubes, and vial (fitted), 
thus combining in one the two apparatus for freezing and atomizing, represented in Figs. 3 and 
4, $6.00. Price of Nickel-Plated Freezing Tubes alone, $2.00. 
Rhigolene, of best quality, in strong 12-ounce bottles, per bottle, $1.00. 
Fig. 6 represents Sliurtleff’s Atomizing 
Apparatus, (patented). It is similar to Dr. 
Clarke’s (Fig. 3), but lias the shield b in addition. 
When used for inhalation the end of the shield 
is taken into the mouth, and serves both to pro- 
tect the face and to depress the tongue, so that a 
direct and powerful current of spray may reach 
the throat. 
For making external applications the shield may be used to direct the spray upon a small 
surface only, or it may he disconnected, and the apparatus used without it. 
As all superfluous spray is turned to liquid by striking the inner walls of the shield, and is 
returned again to the vial by a suitably-formed orifice through the rubber stopper, this apparatus 
is very economical of the medicament, — a matter of some importance, when expensive liquids 
are employed. 
Extra shields of uniform or of various sizes will be furnished, if required, and can be con- 
nected with the other part of the apparatus without loss of time by passing them into the elastic 
rubber band which secures them to the upright standard, 
At r is a joint controlled by a thumb-screw, on which the shield swings when the vial is 
filled or emptied. 
Price, with two Glass Atomizing Tubes, $4.00. For other Tubes to fit this Atomizer, see 
Fig. 47, page 19. 
CODMAN & SHURTLEFF, 
BOSTON. 
Fig. 5. 
Fig. 22. The Boston Atomizer. 
This Atomizer differs from ShurtlefTs in being without the Air- 
Chamber Bulb, and on that account affords an intermitting instead of 
constant flow of spray. It is made of as good materials as the former 
apparatus, and will be found very convenient for most of its uses. 
Price, with two Glass Atomizing Tubes, $2.50. 
For other Tubes, see Fig. 47, page 19. 
CODMAN 
" & SHURTLEFF, 
BOSTON. 
The Tremont Atomizer, Apparatus No. 23, 
Differs from the “Boston” in being without the Shield. 
Price, with two Glass Atomizing Tubes, $2.00 
Pat. March 24,1868. 
The Universal Atomizer. Apparatus No. 24. 
Entered according to Act of Congress, in the year 1870, by Codman & Shdktleff, in the Office of 
the Librarian of Congress at Washington. 
Similar to Apparatus No. 23. Supplied with one unplated Metallic Tube, with Regulator 
instead of Glass Tubes. 
Price, $1.50 
With Plated instead of Unplated Tube 1.75 
Fig. 25. The Constant Atomizer 
Entered according to Act of Congress, in the year 1870, by Codman & Siiurtleff, in the Office o 
the Librarian of Congress at Washington. 
Por same use as Apparatus No. 3, page 17. Has linen in- 
stead of silk net, and is supplied with one unplated metallic 
Tube, with Regulator, price, $3.00. With plated instead of 
unplated Tube, $3.25. 
For other Tubes adapted to the Bulbs, see pages 19, 20. 
Fig. 25. 
•Note.— Experience during the time in which Rhigolene and Ether have both been used for Local Anaesthesia, 
seems to have decided that Khigolene is preferable to Ether, as being much quicker in action and more economical 
on account of lesser first cost, and smaller quantity required. Description of Apparatus. 
19 
Fig. 56. The Perfume Atomizer, Patented May 2, 1871. 
This compact and pleasing apparatus is intended particularly for 
diffusing perfume and disinfectants. It is well adapted for Inhala- 
tions also. It may be conveniently held in one hand. The metal 
parts are nickel plated. 
Price, $1.50 
Per Mail, 1.80 
CODMAN & SHURTLEFF, 
BOSTON. 
The rubber of all the Atomizers is white and of the best quality. The Air-Chamber or Res- 
ervoir Bulbs are covered with a netting of silk to prevent undue expansion, and to give the 
Chamber such rigidity as to afford a powerful current of spray. The valves are of a material 
and form to render them uniform and perfect in action in all positions, and each one is carefully 
fitted to its seat. 
Fig. 56. 
OODMAN & SHURTLEFF, 
BOSTON. 
Fig. 47. Atomizing Tube, No. 4:7, adapted to Apparatus Nos. 3, 
5, 22, 23, 24, 25, and to all the Bulbs. 
Price, Glass, without Regulator, . $ .25 
Metal, Nickel-plated, with Regulator, 75 
“ not plated, “ “ 50 
When of Silver, with Regulator, 2.00 
“ “ “ and Platinum with Regulator, 4.00 
Tubes adapted to all Bulbs of our manufacture. 
o and p (Figs. 8 and 9), conical end of air Tube for connecting with the 
rubber Tube of the Bulbs. 
R and G (Figs. 8 and9), Regulator (patented) for controlling the quantity 
and quality of the spray. 
CODMAN & SHURTLEFF, 
BOSTON. 
Fig. 8. The Nickel*-plated Freezing Tube usually furnished 
with the Apparatus, Fig. 4. Price, with Regulator, $2.00; 
when of Silver, $4.00; and when of Glass without Regulator, 
$1.00. 
r Fig. 8. 
Fig. 9. Metal Tube, for throwing spray downwards 
into the larynx, or, when inverted, upwards into the 
posterior nares. It is also well adapted to freezing. 
Price, Nickel-plated, with Regulator, $2.00; when of 
Silver, with Regulator, $5.00 ; when of Silver and Plati- 
num, with Regulator, $12.00. 
COOMAN & SHURTLEFF, 
BOSTON. 
Fig. 9. 
Fig. 13. Glass Tube, for throwing spray down- 
wards into the larynx, or when inverted, upwards 
into the posterior nares. 
Price, without regulator, $1.00 
CODMAN & SHURTLEFF, 
BOSTON. 
CODMAN & SHURTLEFF, 
BOSTON. 
Fig. 13.J 
Figure 14. Glass Tube, for throwing spray 
upwards through the posterior nares. 
Price, without Regulator, $1.00 
Fig. 14. 
* Nickel Plating.—For the last two years we have been making use of Nickel Plating for Atomizing 
Tubes, and for many other instruments. It does not tarnish from presence of rubber, like Silver Plating, 
is easily kept bright, is elegant in appearance, and very durable. Description of Apparatus. 
Fig. 11 represents a very useful (patented) modifica- 
tion of the tube Fig. 9. By means of a nicely-made 
joint at b, the horizontal part may be turned to throw 
spray up or down, or in any direction at a right angle to 
the body of the tube, —the induction end of the liquid- 
bearing tube being always downwards. It is particularly 
adapted to use in the throat, as the spray may be readily 
directed, either into the larynx or posterior nares. When Fig. 9 is used for the posterior nares, it 
is first charged with liquid and then inverted, and the operator is restricted to the use of as 
much liquid only as the tube will contain ; while with that represented in Fig. 11 the current 
of spray may be continued as long as desirable in any direction. This quality renders it in some 
cases superior to other tubes for Local Anesthesia. 
Price, Nickel-plated, with Regulator, $3.00; Silver, with Regulator, $6.00; Silver and Plati- 
num, with Regulator, $15.00. 
CODMAN & SHURTLEFF, 
BOSTON. 
Fig. 11. 
Fig. 12. Reversible Bifurcated Tube, with joint as de- 
scribed in connection with Fig. 11, designed to throw Atomized Rhigo- 
lene on both sides of the gum at the same moment. This Tube is 
used for Local Anaesthesia in Teeth Extraction, painless removal of 
Dental Pulp, obtunding sensibility of Dentine in excavating cavities, 
&e. For testimony in regard to the value of the Apparatus for 
Dental use, see pages, 22 and 23. 
CODMAN & SHURTLEFF, 
BOSTON. 
Fig. 12. 
Price, Nickel-plated, with Regulator, $5.00. 
No. 18. Double Spray Tube, for throwing spray into both eyes at the same time. 
Nickel-plated, with Regulator, $3.00. 
No. 19. Double Spray Tube, for both nostrils, Nickel-plated, with Regulator, $3 00. 
To all the Metal Tubes, adapted to the Bulbs, we have attached a Regulator (patented), 
which, without materially increasing the cost, adds greatly to their value, as it enables the opera- 
tor to secure such an amount of liquid as will freeze in the least possible time when the Tubes 
are used for Local Anaesthesia, and will afford the finest spray when used for inhalation. It is 
also very useful in preventing the passage of foreign substances into the Tubes. Many Silver 
and other Metallic Tubes are so made as to be nearly worthless on account of the manner in 
which the orifices are formed, and of the unsubstantial method of joining the two branches. 
Those of our manufacture have orifices for rued.,in solid metal turned and drilled in a lathe, and 
N. 
the two branches are soldered firmly together in immediate contact, or connected by double 
braces for those formed on a right angle. Those described as Silver, or as Silver and Platinum, 
are made in the same manner; the latter have both Nozzles and the liquid-bearing Tube of 
Platinum, and are therefore not liable to be acted upon by any liquid. All our Glass Tubes are 
well annealed and remarkably strong. The two branches are so united that they cannot possi- 
bly get into a wrong position relatively to each other, and therefore always work well in the 
hands of the most unskilled. 
We will make to order Atomizing Tubes of any description from any material 
desired. Drawings should accompany the order. 
By consulting pp. 19 and 20 physicians may select Tubes and Bulbs for special wants. 
The Bulbs are also very useful as Inflators for Pessaries, Barnes’ Dilators, and for other pur- 
poses. For extensive operations, we make a large Freezing Apparatus with compound jets, 
which we will describe, if desired, by letter. 
Those presented in Figs. 3, 4, 5, $3.00 
22, 23, 1.00 
“ “ 25, 2.50 
PKICES OF BULBS. Description of Apparatus. 
21 
DESCRIPTION OP APPARATUS FOR TREATING 
DISEASES OF NASAL PASSAGES, 
BY THE METHOD OF DR. THUDICHUM. 
Each of the Nasal Douches is packed for transportation and accompanied with directions for using. 
They are made of best materials only, and will be found far superior to the many 
imitations which have been made. 
CODMAN & SHURTLEFF 
BOSTON. 
Fig. 6. Nasal Douche, or Apparatus for treating dis- 
eases of the Nasal Cavity, by the method of Professor 
Thtjdichum. a, Reservoir, to contain one quart, b, Lead- 
ing Tube, c, Nozzle, fitting the nostril in such a manner 
that liquid cannot pass outward, nor air into the nostril, d, 
Joint formed by inserting a short glass Tube within the 
rubber tubing, at which Nozzles of different sizes, or for 
different patients, may be connected without loss of time- 
Price with two Nozzles, $2.00; extra Nozzles, each, 
25 cents. 
Fig, 6. 
Nasal Douche, same construction as Fig. 6, to contain one pint. Price, with two Nozzles, $1.75 ; 
extra Nozzles, each, 25 cents. 
Fiq. 7. Dr. Oliver’s form of Apparatus for Nasal Douche, designed 
for office use. a, Black Walnut Stand, b, Conical Reservoir, c, Lead- 
ing Tube, d, Nozzle, e, Joint, e, Ring, hinged to Stand, to support 
the Reservoir. 
Price, with two Nozzles, $3.50; extra Nozzles, any size, each, 
25 cents. 
In using either kind of Douche described, the Reservoir is placed 
higher than the head, and the rubber Tube is grasped near the Nozzle, 
between the thumb and finger, so as to control the current. The Nozzle 
is then depressed enough to allow a little of the liquid to escape, thereby 
expelling air from the Tube. It is then pressed gently into the nostril, 
and the grasp slightly relaxed, when the current will enter and fill the 
whole cavity of the nose and escape by the opposite nostril, the head at this time being thrown 
slightly forward over a basin, and the mouth kept open. 
CODMAN & SHURTLEFF, 
1 BOSTON. 
Fig. 7. 
Fig. 16. Allen’s Nasal Douche. Instead of the 
reservoir furnished with other forms of Douche, this 
has a stopper, so made that when inserted into a bottle 
of suitable size, such as can be found in every house, 
and the bottle inverted, the liquid will pass down the 
tube, while air enters through another smaller tube in 
such a way as to form no interruption to the egress of 
the liquid. 
On account of its cheapness and portability, it will 
be found a desirable form of the Douche. 
CODMAN & SHURTLEFF, 
BOSTON. 
Fig. 1G. 
Price, with 24-inch tube and one nozzle of best form, $1.20; with 36-inch tube, $1.50. 22 
Opinions of Physicians and Surgeons. 
Fig. 17. Traveller's Nasal Douche. A convenient form 
of Douche for persons travelling. It may be used with 
the water pitcher of the sleeping apartment. 
To start the current, put the weight and about half the 
rubber tube with it into the liquid; close the tube near 
the liquid by pinching it between the thumb and finger 
and withdraw it downwards, leaving the weight at the 
bottom of the pitcher. The liquid will flow through the 
Syphon thus formed, and the Douche may be used as de- 
scribed in connection with Fig. 7. 
The Douche is supplied with two nozzles, and contained in a convenient box. Price, 
$2.00 ; Extra nozzles, each, 25 cents. 
Fig. 17. 
The following will be found very useful as attachments to the Nasal Douche of either 
kind; viz., — 
Fig. 20. 
Fig. 20. Dr. E. H. Clarke’s Ear Tube, forming an admirable Douche for cleansing the 
Ear, or for applying medicated liquids. Price, Hard Rubber, including six inches rubber tub- 
ing, 50 cents ; Glass, including six inches rubber tubing, 30 cents. 
Fig. 21. An attachment for showering the Eye. It is 
made of metal and gives quite a number of very fine jets. 
Price, with twelve inches rubber tubing, 75 cents. 
The above attachments may he connected with the Douche Tubes at the joints d or b 
instead of the usual nozzle, and will be found useful by every physician. 
Fig. 21. 
We also make little Stop-cocks of hard rubber, which are thought by some to add to the 
value of the Douche. If required, they are inserted in the Tube at the joints d or e. Price, 
additional, $1.75. 
It will be noticed that the Nasal Douches, represented in the cuts, though differing in detail 
from those described by Prof. Thudichum, are the same in principle. Though very simple, and 
comparatively inexpensive, we know, both from observation and report, that they answer per- 
fectly the purpose intended. 
Directions for using accompany each of the different forms of Douche Apparatus. 
OPINIONS OP PHYSICIANS AND SURGEONS. 
Boston, May 2, 1866. 
Gentlemen, — I have used the three kinds of Apparatus for Nebulizing, prepared by you, and I have 
found them perfectly safe in their arrangements, and useful for throat and lung complaints. 
Yours, respectfully, II. I. BOVVDITCH. 
18 Arlington St., Boston, May 11, 1866. 
Messrs. Codean & Shurtleff: Gentlemen — Your Steam Atomizing Apparatus furnishes an easy 
and valuable method of making local application to the fauces, larynx, and lungs. 
EDW. H. CLARKE. 
The following is an extract from a note from Dr. Henry J. Bigelow :— 
“ I have thus far found nothing better for freezing with Rhigolene than the tubes made by you after 
the pattern I gave you, and which I still use with your other apparatus.” 
Boston, May 16,1866. 
Messrs. Codman & Shurtleff: Gentlemen,—Your Apparatus for Atomization of Liquids seems to 
have been carefully made, and 1 think it an efficient one where required for treatment of diseases of the 
Throat and Lungs. The Apparatus for Local Anaesthesia which you made for me answers the purpose per- 
fectly. 
I am, very truly, your obedient servant, J. MASON WARREN. Opinions of Physicians and Surgeons. 
23 
“ I have just had occasion to use one of your Apparatus for Local Anaesthesia, and it acted like magic. It 
is just the thing for Minor Surgery. ” 
April 29, 1867. 
“ I have thoroughly tested the Narcotic Spray Apparatus you sent me on trial, and believe it to be the 
best of any I have seen.” 
“ I have been using one of your Steam Apparatus for about a year, and find it perfectly adapted for 
treating all diseases of the Throat and Lungs.” 
Galveston, Texas, Sept. 27, 1867. 
“ Gentlemen,— I see that the impression prevails that Rhigolene is not suited to a warm climate, 
because it is thought that it boils at a temperature of 70 degrees F. 
“ The article which you sent me in January, and of which I have a small quantity remaining, 1 know 
has been subjected to 90 degrees, and often more, this summer, yet it has not lost in the least any of its 
efficiency. 
“It produces congelation of the tissues where applied, almost instantly, and with an exceedingly small 
quantity. I am delighted with it. as well as the excellent apparatus of Dr Bigelow. It robs minor 
operations of all their terrors, entirely preventing pain; and this is a great consideration in an operation. 
“ I have ventured to freeze parts where the vitality is low, and never yet have 1 experienced the slightest 
trouble as to any secondary effects.” 
* “ It seems to me a singularly convenient and useful one.” 
* “ In completeness, elegance, and adaptability to the purpose for which it is designed, it is, I think, 
superior to any other ‘ Steamer ’ in use.” 
* “ The little apparatus is the most complete for its price than any that have yet been manufactured, and 
the retail price so low that expense is no longer an impediment to its employment by patients.” 
From Philadelphia Medical and Surgical Reporter of Nov. 28th, 1868: — 
* “ Our Boston friends, Messrs. Codman & Shttrtleff, have favored us with another modification of their 
model atomizer, and we must say that it is an elegant Instrument, and sufficiently cheap to bring it within 
the reach of every practising physician in the country; and their energy in this direction, in popularizing 
such useful apparatus deserves commendation.” 
From Boston Medical and Surgical Journal of Nov. 26th, 1868: — 
* “We have received from the makers, Messrs. Codman & Shurtleff, a new instrument for using 
atomized fluids, which appears to be very complete, simple and durable. 
“ The inventors claim that it cannot explode, unsolder, nor throw hot water jets instead of vapor. 
“ If its future use warrants the expectations its appearance would lead us to form of it, it will prove 
very popular and very useful. 
“ For its thorough work and durability the price is very reasonable.” 
* “ Its operation is complete and satisfactory, and the ingenuity and artistic skill displayed in the design 
and manufacture is a success truly.” 
* “ I have not seen anything, either in workmanship or convenience, which surpasses it, and shall take 
great pleasure in recommending it as an admirable instrument.” 
* “ It seems to be as near perfect as such a machine can be, and I have no doubt will be much sought for 
by the profession.” 
From the New England Medical Gazette of January, 1869: 
“ The ‘ Complete Steam Atomizer,’ as arranged by Codman & Shurtleff, seems the ultimatum of 
convenience, durability, portability, and compactness for the purpose intended; and as to cheapness, we do 
not see how so perfect and extensive a piece of machinery can be made for six dollars. 
“ Wherever frequent and continued medical inhalation is employed, this apparatus is invaluable. 
“ Their Hand Atomizer, for local applications, is one which no physician should be without.” 
* “ It is the best constructed apparatus of the kind I have examined. 
“Your efforts in the practical atomization of remedies, are largely advancing this valuable means of 
treatment.” 
Massachusetts General Hospital, 
Boston, February 16,1869. 
Codman & Shurtleff’s Complete Steam Atomizer has been used in the wards of the Massachusetts 
General Hospital since its introduction. It is perfectly simple in its construction, yet substantial, compact, 
and safe. It atomizes steadily and completely, and gives entire satisfaction. 
BENJ. S. SHAW, M. D., 
Resident Physician and Superintendent. 
* The Complete Steam Atomizer. 24 
Opinions of Dentists — Postage. 
Besides the foregoing testimonials, nearly all of which are from distinguished medical gentlemen, 
we have received others of the same purport, to the number of hundreds, or perhaps thousands 
while we have never heard of an instance in which a Steam Atomizer of our manufacture 
has burst. Indeed, we know that such an accident is impossible with any Steam Atomizer ever 
made by us. 
OPINION'S OF DENTISTS, 
Who have used the Freezing Apparatus for their branch of Surgery. 
The Apparatus for Dentists’ use was referred to by Dr. Stellwagen, at a meeting of the 
Pennsylvania Odontograpliic Society, reported on page 316 of Dental Cosmos, for January, 1867, 
as follows: — 
“ Dr. Stellwagen then exhibited a Spray producer, of American manufacture, having the Tubes for 
the liquid and the air distinct and separate, which he thought made a more perfect Spray than the English 
Instrument, and with less Ether. 
“These Instruments have been employed with marked success in the Dental and Surgical Clinics of 
the Philadelphia Dental College.” 
“ I received the instrument you sent, and it has proven all I could ask.” 
Philadelphia, Jan. 24,1867. 
“Messrs. Codman & Shurtleff.—I inform you with pleasure that the Spray Apparatus of Amer 
ican manufacture, mentioned in the Cosmos of January, as brought before the Odontograpliic Society of 
this city, is of your manufacture, and has, within my own observation, been used by many with very happy 
results. ” 
“ It is very satisfactory. The Double Tube is much superior to one I saw from * * * I wish you would 
send me another.” 
“ As I think I have given it a fair trial, I feel bound, in justice to its merits, and to my professional 
brethren, to add my testimony to its approval. The Tube which you let me have about two months ago 
(with regulating screw), I find to be an improvement.” 
“ Your Apparatus for Local Anaisthesia, which we ordered some time ago, answers the purpose to our 
perfect satisfaction.” 
POSTAGE. 
The following will be sent by Mail, if so ordered, providing the amount necessary for prepayment of 
postage accompanies the order in addition to the price: 
Postage—Cents. 
Apparatus, Fig. 3, complete 87 
Apparatus, Fig. 4, complete 84 
Combined Apparatus, Figs. 3 and 4, complete 105 
Apparatus Fig. 5, complete 100 
Apparatus No. 56 30 
One Glass, Silver, or Silver and Platinum Tubes, for Apparatuses Figs. 15, or 46 09 
Two Glass Tubes for Fig. 15, or 46 12 
One or two Glass Tubes for Fig. 2 06 
One Glass, Plated, Silver, or Silver and Platinum Tubes, for Figs. 3, 5.22,23, 24, 25, shown also in Fig. 47 .06 
Two of either for the same 09 
Silver, Plated, or Silver and Platinum Tubes, for Fig. 4, (also shown in Fig. 8) .12 
Silver, Plated, or Silver and Platinum Tubes, Figs. 9 and 11 12 
Dental Tubes, Fig. 12 15 
One or two Nozzles for either kind of Douche, Figs. 6, 7, and 16 06 
Three or four Nozzles for either kind of Douche, Figs. 6, 7, and 16 09 Surgical Instruments. 
25 
THE STORER SPECULUM. 
The accompanying cuts represent an im- 
portant improvement upon any form of Spec- 
ulum hitherto in use, lately devised by Prof* 
Horatio R. Storer, and exhibited by him to 
the Suffolk District Medical Society, on Sep- 
tember 26th. 
It will be seen that by a simple spring 
attachment at the side of the Cusco bivalve, 
(represented at A,) the blades may at once be 
disjointed, swung around back to back, and 
there fixed by a turn of the nut already exist- 
ing upon the screw traversing the handles, 
with the effect of giving a retractor equal in 
working facilities to that of Sims’. 
Dr. Storer’s instrument is, in fact,- a duplex 
one: as a speculum retaining the excellence of 
Cusco’s instrument, and as a retractor better 
for ordinary purposes than the complicated and 
more expensive instruments of Emmet, Boze' 
man, Fallen and Bryant. 
The history of the invention may be given 
in Dr. Storer’s own language, when describ- 
ing it to the Society. 
liA year ago I was discussing with my assist- 
ant, Dr. Stone, the features of Dr. Thomas’ 
Telescopic Speculum, and remarked to him that 
while I was averse to the unnecessary multiplica- 
tion of instruments, I thought it possible to 
improve upon the best yet in use, which 1 con- 
sidered Cusco’s to be. Some six months after- 
wards I had occasion to remove stitches from 
the anterior vaginal wall, after an operation 
for vesical fistula, and happened to have no 
retractor with me. I therefore directed Dr. 
Stone to remove the screws connecting to- 
gether the blades of Cusco’s instrument, and by 
reversing their relative position I had at once 
the retractor that I desired. By subsequently 
attaching a movable spring peg in place of 
one of the screws, and rendering the other one 
a fixed point, immediate change from the speculum to the retractor, and back again, became possible by a 
slight touch of the linger.” 
This instrument (many of which have already been sold) is of our own manufacture; and from its combin- 
ing the advantages of two separate and distinct mechanical principles, and thus making one instrument 
serve the purposes of two, will probably come into almost universal use. It has been styled by Dr. 
Storer the *• Boston Speculum,” but will doubtless be known by his own name. Price, $6. 
Dr. Storer’s other instruments may also be obtained of us. 
CODMAN & SHURTLEFF, 
BOSTON. 
CODMAN a. SHURTLEFF, 
BOSTON. 
DR. E. CUTTER’S PESSARIES. 
Vaginal portion of hard rubber, supported by a belt passing around the hips. 
These pessaries have each the single posterior support, the hooked termination and joint. 
They differ from most pessaries in use, in that they distend the vagina always in its long diam- 
eter, never transversely, and therefore never interfere with the normal tonic contraction of its 
transverse fibres. Their fixed point, by means of the elastic suspension, is the sacrum, and not the 
vaginal or pelvis walls. The suspension imitates the natural elasticity of the normal uterine 
supports, and permits a limited degree of motion. The suspension cord runs in the furrow 
between the buttocks, which prevents lateral motion of the Pessary. Motion upwards is pre- 
vented by the post-utero vaginal cul de sac ; downwards, by the suspension ; forwards, by the 
cervix uteri; and backwards by the promontory of the sacrum.  
Surgical Instruments. 
The joint in the crook obviates the necessity of removing the belt, — permitting the tubing 
to be turned aside during defecation, at the same time serving as a handle, by means of which 
the vagina may be kept at its normal length, and the uterus in situ naturalis during the bearing- 
down efforts, which, under other circumstances, are likely to retrovert a replaced womb. 
CODMAN & SHURTLE-FK, 
BOSTON. 
FOR RETROVERSION. 
Fig. 3. 
Loop Pessary- 
No. 1. 5| inch, . . . each, $3.00 
“ 2. 5 “ ... “ 3.00 
No. 3. ' inch,. . . each $3.00 
“ 4. 4 “ . . . “ 3.00 
T Pessary. 
No. 1. 4 inch, $3 00 
“ 2. 4£ “ 3.00 
“ 3- 5 “ 3.00 
Fig. 4. Surgical Instruments. 
27 
FOR ANTEVERSION. 
Loop Pessary. 
No. 1. 3£ inch . . $3.00 
“ 2. 3| “ . . 3.00 
“ 3. 4 “ . . 3.00 
COOMAN & SHURTLtFF, 
BOSTON. 
Fig. 13. 
COOMAN & SMURTLEFfj 
BOSTON. 
T Pessary. 
No. 1. 4 inch $3.00 
« 2. 41 “ 3.00 
“ 3. 5 “ 3.00 
Fig. 14. 
FOR SIMPLE PROLAPSUS, 
COOMAN & SHUHTLEFF, 
BOSTON. . 
COOMAN & SHURTLEFF, 
BOSTON. 
Ring Pessary. 
Fig. 19. 
Cup Pessary. 
Fig. 18. 
No. 1. 3f inch $3.00 
“ 2. 3£ “ 3.00 
“ 3. 3f “ 3.00 
No. 1. 3£ inch $4.00 
“ 2. 3| “ 4.00 
“ 3. 3f “ 4.00 
FOR FLEXIONS. 
COOMAN 8. SHUAJLEFF, 
BOSTON. 
Stem Pessary. 
No. 1. Length of stem . . If inches $3.00 
« 2. “ “ “ . . 2 “ 3.00 
“ 3. “ “ “ . . “ 3.00 
Fig. 8. 
For complete description of these pessaries and of Dr. Cutter s instru- 
ments foi’ vaginal mensuration see Monograph by Dr. Cutter, on Versions and 
Flexions, which we furnish at 50 cents each. 28 
Surgical Instruments. 
Laryngoscopic Lantern, or Light Concentrator. 
Invented by Dr. JI. K. Oliver. 
This is, as far as we know, the only Laryn- 
goscopic Lantern made in the United States, 
— those in use here being all imported from 
Europe. To nearly all of these instruments there 
is the objection that they are adapted to a partic- 
ular kind of lamp or gas fixture. The invention of 
Dr. Oliver obviates this objection, — his Lan- 
tern being, by a number of very simple contriv- 
ances, easily fitted to any kind of lamp or fixture. 
The want of a portable Light Concentrator, 
of universal adaptability, has been greatly felt by 
Laryngoscopists when called upon to examine 
cases away from their office. It has also, as we 
know from personal experience, obstructed the 
desirable extension of the study and practice of 
laryngoscopy, inasmuch as general practitioners 
and students have found it necessary, in order to 
provide themselves with a Light Concentrator, to 
purchase also the fixture or lamp to which it was 
attached. 
Dr. Oliver’s Instrument is designed for direct 
light, — a method preferred by many Laryn- 
goscopists to reflected light. The lens, however, 
is of sufficient diameter for use with the frontal 
reflector, if thought desirable. 
Auto-laryngoscopy being by general acknowl- 
edgment an important means of acquiring skill 
in the use of the laryngoscope, there is attached 
to the Lantern a small mirror, wdiich by a very 
simple mechanism, has nearly all the movements 
usually afforded by the ball and socket joint. 
This Light Concentrator will be found useful 
not only in laryngoscopy, but in the examination 
of the external ear. 
In the same box in which the Lantern is packed, is a rack for three sizes of laryngeal mir- 
rors, copied from the London mirrors imported by Dr. Oliver, with which they bear favorable 
comparison. 
Description.— The Lantern is made up of three main portions, the front piece A. and 
two wings which hinge upon the front piece, and by which the diameter of the Lantern may be 
increased beyond the diameter of any of the glass chimneys in ordinary use. These wings may 
be locked together at the desired point, as at a. a. The height of the flame from the part of 
the lamp suited for a support of the Lantern varies considerably, of course, in different lamps 
and gas stands; and inasmuch as the lens must be on a level with the flame, the tube containing 
it is attached to a slide B> which, mooving in grooves, in the front main piece, may be raise! or 
lowered, as found necessary. The lens is also movable within the tube, in order to admit of its 
being retained in its focal distance from the flame, when the diameter of the Lantern is changed. 
The movement is made by the sliding of a knob on each side (b) in an elongated opening in 
the tube. The Lantern is made firm upon the lamp by passing a bit of cord back and forth 
between the instrument itself and hooks (d), which are strung upon a cord tied around any suit- 
able place in the lower part of the lamp. This arrangement is simple, extremely efficient, and 
universally practicable, —the latter point being difficult of attainment by any other mechanism. 
At c is seen the little mirror for use in auto-laryngoscopy. 
COOMAN & SHURTLEFF, 
BOSTON. 
Price,—Laryngoscopic Lantern $4.00 
Auto-Laryngoscopic Mirror, additional 1 .OO 
Set of three Laryngoscopic Mirrors 3.00 
All the above fitted in Case . . $0.00 
Laryngeal Mirrors, separately, any size 1.00 
Concise rules for use furnished with each Instrument. 
For full description of the Lantern and method of its employment, see article contributed 
to the Boston Medical and Surgical Journal, of October 8th, 1868, by Dr. Oliver. Surgical Instruments. 
29 
AN ADDITION TO CAMMAN’S 
Double or Binaural Stethoscope, 
Intented to regulate the amouut of pressure on the Ears. 
[From the Boston Medical and Surgical Journal of April 29,1869.] 
Messrs. Editors :—At the last meeting of the Suffolk District Society, I presented an 
addition to the double stethoscope. Accompanying this communication is a cut representing 
this instrument with the addition. 
As the double stethoscope is very little used, even in this country, where it was invented, 
except by graduates of Harvard and Bellevue, and almost never, I believe, abroad,—convinced 
of its great superiority over the single instrument, I will briefly mention the reasons for this 
superiority, and then speak of the addition which has been recently made to the instrument. 
Its advantages are :— 
1. It greatly intensifies sound. Most of the 
single instruments simply conduct, a few slightly 
intensify them. 
2. It is much more easily applied to the chest, 
and maintained in place, — a certain amount of 
knowledge of the art of balancing seeming almost 
necessary to manipulate the single instrument suc- 
cessfully. 
3. We can keep our eyes upon the pectoral ex- 
tremity, and thus be assured of its perfect adapta 
tion, and prevent the friction of clothing, &c. 
4. It excludes from the ear sounds not conducted 
by the instrument. The statement once made by 
Prof. Flint, that “ in the conduction of thoracic 
sounds by Camman’s Binaural Stethoscope, their 
quality and pitch were altered,” has been since cor- 
rected by him, and he says that after further use of 
the instrument, he finds “the objection on this score 
without foundation;” and, he adds, “I am sure that 
this instrument will supplant all wooden stethoscopes 
as soon as it is fully appreciated Some 
practice is requisite to realize its value; hence many 
reject it after an insufficient trial, when, had they 
continued to use it, they would have been after a 
while unwilling to give it up.” 
The instrument consists of a bell-shaped extremity 
N, made of ebony, one inch and a half in diameter 
to which are attached to elastic tubes M M, three 
inches long and one-half an inch in diameter, made 
of wire and covered with silk, which articulate at 
L L with two German silver tubes B B crossed, 
about ten inches in length and one-quarter of an inch diameter, wliieli terminate in ivory or hard 
rubber tips A A, to fit into the ears. 
The adaptation of these tips was formerly effected by a simple elastic band, passing about 
the tubes B B, these tubes being connected by arms meeting in a joint at K. 
The only way in which the pressure on the ears could be varied, was by lengthening or 
shortening the elastic band, or by slipping it up and down on the tubes. 'I he great inconven- 
ience of this was particularly evident in my classes in auscultation, where the stethoscope was 
passed from one to another, and where not only were heads of all sizes, but where naturally 
much difference of opinion existed in regard to the amount of pressure desirable. 
fOOMAN & SHUATLEFF, 
BOSTON. 30 
Surgical Instruments. 
About a year ago I stated the difficulty to Moses G. Farmer, well known to our profession 
for his connection with the physiological experiments of Dr. Upham, in the case of M. Groux 
and he immediately suggested the addition represented in the cut. C J represents a standard 
(so fixed as not to interfere with motion in the joint at K), the upper part of which is a screw. 
II represents a slide movable on this standard, F a spiral spring, and D a nut. G G represents 
two arms attached by simple box joints to the slide at 11, and to German silver tubes at E E. 
It will be readily seen how the pressure of the tips A A upon the ears can be nicely regu- 
lated, by regulating the tension of the spiral spring F by turning the nut D. 
O represents a smaller pectoral extremity, which can be used sometimes with advantage in 
localizing heart murmurs, or when the application of the larger one is difficult on account of 
emaciation of the patient or other cause, but ordinarily the larger one should always be used. 
The instrument, with and without the addition, is made in a superior manner by Messrs Codman 
& Shurteeff, 13 and 15 Tremont Street. 
In closing I would strongly urge all who practice auscultation to use the double instrument, 
and would simply suggest that they be not dissuaded from its use by the roaring which will annoy 
them at first, but which they will soon disregard; that they never apply it over clothing except 
when absolutely necessary, and that they make inference from the results with great caution. 
F. I. Knight. 
Price of Instrument as represented in cut $9.50 
Price with Elastic Band instead of modification deecribed by Dr. Knight, $7.00 
gjf*” These Stethoscopes are made in the best manner, the flexible portion being of the best 
English Silk Covered Tubing, the movement of which produces no sound of itself. They take 
apart at the joints L L, for the sake of greater compactness. 
THE DOUGLASS PATENT ARTIFICIAL LIMBS. 
We have been appointed agents for these very excellent Limbs, and will forward descriptive 
pamphlets on application. 
BARNES’ DRY SPIROMETER, 
For ‘Developing the Dungs, and for showing their capacity in cubic inches. 
An air-tight flexible diaphragm is used to hold the air, rendering the instrument cheaper and 
more portable and durable than those in which water and weights are employed. 
It is recommended by some of the most eminent physicians of Boston and New York. 
Price, $10.00. 
APPARATUS 
For the Manufacture and. Administration of 
NITROUS OXIDE, OR LAUGHING GAS, 
For Anaesthesia during Surgical Operations. 
We manufacture very complete Apparatus for this use. Price, $50.00. Cuts and 
full description on application. Surgical Instruments. 
POCKET MEDICINE CASES. 
Focket Medicine Cases, 16 vial, calf $1.50 
“ “ 16 “ goat 2.00 
“ “ 20 “ “ 2.50 
“ “ 20 “ calf. . . 2.00 
Other varieties, from $1.25 to 3.75 
MEDICINE TRUNKS. 
Medicine Trunks, iron-bound, covered with russet leather, containing % oz., 1 oz., 2 oz., and 
4 oz. glass-stoppered bottles. 
Flat Trunks, 2, 5, and inches high , . . $5, $9, $11.50, $14, and $16.00 
Square “ 5, 7, “ 9 “ “ $6, $7, $12, $14, $18, “ 20.00 
MAGNETO ELECTRIC BATTERIES 
Magneto Electric Batteries (see cut), each $10.00 Surgical Instruments. 
32 
Amputating Instruments: — 
w sets, in Cases $27.00 $31.00 
“ and Trepanning, sets, in Cases . . . 40.00 44.00 
“ General Operating, sets, in Cases . . 53.00 66.00 
“ “ “ “ “ Parker’s compact 98.00 108.00 
“ Knives .... $2.00, 3.00, 4.00, 5.00, 5.50 
“ Catlines ....... 2.00, 4.00, 5.00 
“ Scalpels, ebony or ivory handle .... 1.50, 2.00 
“ Saws, Satterlee’s 5.00 
“ “ Metacarpal 1.25 
“ Bone Forceps ...... 2.50 to 6.00 
Artery Forceps, plain 1.00 
“ “ spring catch . . . . . . .1.50 
' “ “ Mass. General Hospital, plain .... 2.25 
“ “ spring catch, fenestrated 2.00 
“ “ slide “ “ ..... 2.50 
“ “ “ “ Dugar’s ..... 1.50 
“ “ Bigelow’s ........ 8.00 
“ “ small Bull Dog . . . . . . . .75 
“ “ spring catch, five teeth 1.75 
“ and Needle Forceps, combined .... 2.50 
Bristle Probangs, for removing obstructions from throat, . . 1.50 
Crutches, split shaft, with cross handle .... per pair, 3.50 
“ the same, with brass and rubber bottom . . “ “ 6.00 
“ Whittemore’s Patent, 
Maple . . . “ “ 10 00 
Lancewood . . “ “ 13.00 
Rosewood . . “ “ 14.00 
Crutch Bottoms, brass, with rubbers to screw in . “ “ 1.50 
“ “ same kind, extra size . . . “ “ 2.50 
“ “ Whittemore’s patent . . . “ “ 3.00 
Caustic Holders: — 
Ebony, with silver clasp ....... each .75 
“ “ platina “ ...... $3.00, 3.50 
“ Double end, one for holding sponge, the other for solid 
caustic 2.50 
Hard Rubber, two lengths 50, 75 
Byford’s Uterine, silver clasp, hard rubber case . . . 2.00 
Lente’s Intra-Uterine; silver, $1.25; platina, $3.00 
“ H. R. Storer’s modification, hard rubber case . . 3.50 
Miller’s Intra-Uterine, concealed, silver with platina clasp . 12.00 
Lallemand’s, for Urethra; silver holder, $5.00; platinum holder 7.00 
Catheters and Bougies : — 
French each, .15 
English “ .30 
French Conical Bougies “ .75 
“ Olive tip “ .85 
“ “ “ Catheters “ .90 
“ Conical “ ..... “ .85 
Catheters, silver, common curve $1.50 to 2.75 
“ “ Prostatic curve 2.25 “ 3.50 
“ “ combined, Male and Female .... 3.25 
“ “ “ “ “ “ Parker’s . . . 4.50 
“ “ any size and form made to order in a superior 
manner. Surgical Instruments. 
33 
Dissecting Cases and Instruments : — 
French Dissecting Cases, Charriere’s, consisting of 6 scalpels, chisel, 
chain and hooks, blowpipe, grooved director, probe, curved 
scissors, straight scissors, and dissecting forceps, contained 
in folding goat-skin case ....... 10.00 
contained in folding enamel leather case .... 9.00 
“ “ “ wood “ .... 9.00 
Dissecting Instruments, our own make, in wood cases, accord- 
ing to completeness 6.00 to 10.00 
Dissecting Scalpels, Charriere’s .75 
“ “ of our own make, ebony handles . . . .75 
“ “ ivory “ . . . 1.00 
“ Chain and Hooks 62 
“ Blowpipe 50 
Scissors, straight .75 
“ curved ........ 1.00 
“ Forceps, plain 75 
“ “ Coxeter’s or Beach’s 1.25 
Drinking Tubes 
Glass 
Silver, self-fastening 
to tumbler . 
25 
. 5.00 
Ear Instruments: — 
Hosmer’s Ear Spout 38 
Toynbee’s “ “ ........ 2.00 
Weber’s Ear Illuminator 10.00 
Toynbee’s “ 12.00 
Hassenstein’s Ear “ . 5.00 
Toynbee’s Ear Forceps ........ 1.50 
Wilde’s “ “ 1.50 
Clarke’s Polypus Snare 6.50 
Kramer’s Ear Speculum 2.50 
Porcelain “ “ 50 
Glass, reflecting Ear Speculum 75 
Toynbee’s “ “ three in case . . . 5.50 
“ M “ single ..... 2.00 
Wilde’s “ “ three in case, plated . . 3.00 
“ “ « “ « « silver . . . 4.50 
Eustachian Catheter 2.00 
Ear Mirrors : — 
Troltsches reflecting mirrors, with handle, for examining the ear, 
four sizes, price, . . . $3.50, $4.00, $4.50, and 5.00 
Mirrors, to mount upon head of operator, each, . . . 6.00 
With handle and one magnifying lens in case .... 5.00 Surgical Instruments. 
ELECTRO-MEDICAL APPARATUS, 
MANUFACTURED BY A. GAIFFE, PARIS.* 
IMPORTED BY OURSELVES. 
This Battery gives three Currents: 1st, The Extra Current; 2d, the 
Inductive Current; 3d, A Combination of the two. 
CODMAN & S-HURTLEFF, 
BOSTON. 
Though the result of these currents may be the same physiologically, yet 
they present a series of increasing etfects, which may be varied at will, begin- 
ning with a current so mild as scarcely to be perceptible, and being gradually 
increased to one of great intensity. The Battery is charged with the Bi- 
Sulphate of Mercury and Water, and gives rise to no odor. All its parts are 
perfectly adjusted, and do not readily get out of order. Extra “ troughs ” 
may be obtained at a small cost, thus enabling the physician to leave one 
with each patient whom he treats by Electricity. This arrangement also 
diminishes the weight of the apparatus. The whole machine is in the form 
of a case, 7% inches long, 4 inches wide, and inches thick, weighing only 
24 ounces, including therein the Electrodes, &c., contained in the case. 
Nothing protrudes from the exterior. It is, in fact, a pocket instrument, com- 
bining with compactness and durability, all the qualities of a superior Electro- 
Medical Apparatus. 
Price of the Battery, including Conducting Cords, two Insulated Handles, a 
spherical and an olive-shaped Electrode, a Metallic Brush, and a bottle of Bi-Sulphate of 
Mercury, all contained in the case $15.00 
Extra Trough 2.75 
Bi-Sulphate Mercury, per ounce. 20 
Davis & Kidder’s Magneto-Electric Machine 10.00 
Dr. Jerome Kidder’s Electro-Medical Apparatus 20.00 and 23.00 
Insulated Sponge Holders ; Cups for applying Electricity to the Eyes; Electrodes for the Rectum or 
Vagina, Spc., Spc. 
DR. GARRATT’S* 
SELF-ACTING AND CONSTANT 
ELECTRIC DISKS. 
A Scientific Adjustment of sensitive Metals, 
insulated silver, with Magnesio-lodi-Zinc. Compos- 
ing an elegant Self-acting Medico-EIectrique, that 
any person may apply and wear with comfort and 
relief; for local weakness and pain, for old rheumatic 
and neuralgic pains, induration and stiffness. It is 
also remarkable for its constant power to help 
weak lungs, heart, stomach, kidneys, lame back, 
Button Disk. and other aches and ails. 
Descriptive Circulars sent on application. 
Price of either style $2.50 
* Send for complete Descriptive Circular. Surgical Instruments. 
35 
Forceps, Bone $2.50 to 6.00 
“ Bullet 2.00 
“ Bird Stuffing, 10, 12, and 14 inch . . . 1.75 to 2.50 
“ Needle, Beach’s 10.00 
“ “ Bigelow’s '. 12.00 
“ (Esophagus, Bond’s, 2.50 
“ “ Burge’s ........ 5.00 
“ Tumor, 2.50, 2.75, 3.00, 3.25 and 3.50 
“ Placenta. See Obstetric Instruments. 
“ Craniotomy. “ “ “ 
“ Uterine. “ Uterine “ 
“ Polypus and Dressing 1.25 to 2.75 
Finger Gots, Light rubber each, .10 
“ “ Heavy Rubber . .... “ .12 
Holt’s Dilators, Improved, in case, ..... per set, 20.00 
ICE AND HOT WATER BAGS. 
Fig. 48 represents a very convenient form of Bag for making dry, hot, or 
cold applications to any part of the body. The Bag B is of rubber, for the 
reception of hot or of ice water; the mouth is closed easily and securely by 
the brass clamp and screws with milled nuts A A. 
The rubber is of best quality, and will last for many years. They are about 
three inches in width, the price varying with the length, viz.: 
11 inches long $2.20 
13 “ • 2.40 
15 “ 2.60 
17 “ 2.80 
19 “ 3.00 
Bags of other sizes and forms made to order at short notice. Also, Dr. Chapman’s 
Patent Ice and Hot-Water Bags, with separate compartments, each $5.00 to $10.00. 
CODMAN !• SHURILEFF, 
BOSTON. 
Fly. 48. 
INSTRUMENTS TO ASSIST THE HEARING. 
CONVERSATION TUBES AS PER CUT. 
Silk covering, ordinary size each, $5.00 
Worsted “ “ “....... “ 3.00 
Extra sizes .......... $6.50, 7.00, 8.50 
Trumpets, various patterns and sizes .... $1.50 to 5.00 
Auricles, small, medium, large, either .... per pair, 5.00 Surgical Instruments. 
36 
Knives, Corn each, .50 
Lancets, Shell Handles “ .50, .75 
“ “ “ French, Cbarriere’s ... “ 1.00 
“ “ “ Evans’, genuine ... “ 1.00 
“ “ “ Abscess “ 1.00 
Otoscopes 2.50 
Obstetric Instruments. See also Uterine. 
FORCEPS. 
Hodges . . . $8.00 
Simpson’s . . 8.00 
“ small 7.00 
Bedford’s . . 8.00 
Elliot’s . . . 9.00 
Buzzell’s . . 10.00 
Beatty’s. . . 7.50 
Denman’s . . 7.00 
Meigs’ . . . 7.50 
Davis’ . . . 7.50 
Channing’s. . 7.00 
Comstock’s. . 8.50 
Ramsbotham’s Forceps for Craniotomy 6.00 
MeigS’ Slight “and cJed} .«•» 
Smellie’s Perforator, 2.50 
Nagele’s “ 4.00 
Screw Perforator 8.50 
Blunt Hook and Crochet 1.50 
Yectis 2.50 
Placenta Forceps 2.50 
“ “ improved 3.00 
“ Hook 1.25 
Loomis’s Ovum Forceps . . . 6.00 
Roll-up Cases for Obstetric Instruments 6.00 
“ “ “ “ “ made to order 
Simpson’s. 
Channing’s 
Hodges’. 
Bedford’s. 
Denman’s. Surgical Instruments. 
DR. JAMES’ UTERINE SUPPORTER. 
An approved instrument for holding the Prolapsed 
Uterus in situ naturali, without irritation or inconve- 
nience in wearing. We make three sizes, the metal 
parts being nickel-plated, abdominal plate hard rubber, 
and the belt elastic webbing. 
Price of either size, $6.00 
Pessaries: — 
Hodge’s Open Lever ....... each, $ .60 
“ Closed “ .......“ .60 
Meig’s Ring ......... lt .50 
Hard Rubber, concave “ .50 
Inflated, Soft Rubber Ring “ .75 
Inflating Soft Rubber, with Stem and Stop-Cock, ring 
pear and globe shape “ 1.50 
Inflators for Air Pessaries “ 1.50 
Wadsworth’s Uterine Elevator “ 5.00 
POWDER INSUFFLATOR. 
60BMAN & SHURTLEFF, 
BOSTON. 
Powder Insufflator, for the Insufflation to the Pharynx or Larynx, 
or other superficial cavities of the body, of astringent or haemostatic powders ; consists of a 
properly curved or straight, metal tube, (nickel-plated) attached to a net-covered rubber bulb. 
The Powder is placed in a fenestrum D, in the upper surface of the tube; the opening 
tightly closed by the slide B, and the Powder discharged by compression of the bulb. 
Price, as per cut, curved or straight $2.00 
Postage, 18c. 
Dr. Oliver’s, with flexible tube and valve 2.50 
Probangs’ Sponge each, .33 Surgical Instruments. 
Pipettes: — 
Fig. 52. This neat little invention enables the 
physician to drop one or more drops of any liquid, 
with entire certainty that the number wanted will 
not be exceeded. 
It is held between the thumb and index finger; 
the rubber cap is compressed, first, to expel air, 
and, when charged, to expel the fluid. 
Sent, post-paid, on receipt of price, 25c. 
• ODMAN & SHURTLEFF, 
BOSTON. 
POCKET CASES AND INSTRUMENTS. 
No. 1. Morocco Case,—German silver lock, two-folds, containing the 
following Instruments: Straight spear and curved probe-point 
Bistouries, Gum Lancet, Tenaculum, with buffalo-horn handles, 
straight Scissors, plain Artery Forceps, Dressing Forceps, Silver 
Probe, steel-grooved Director, Caustic Holder, Female Catheter, 
(silver-plated), three curved and two straight Needles, Liga- 
ture Silk $10.00 
No. 2. Morocco Case,—two folds, German silver locks, containing the 
following, with Buffalo handles, straight spear and curve probe- 
point Bistouries, Gum Lancet, Tenaculum, straight Scissors, 
plain Artery Forceps, Dressing and Polypus Forceps, Silver 
Probe, steel grooved Director, Caustic Holder, Male and Female 
Catheter, combined (silver-plated), three curved and two straight 
Needles, and Ligature Silk 11.00 
No. 3. Same as No. 2, with Shell Handle Instruments .... 12.00 
No. 4. Best Turkey Morocco Case,—German silver lock, two folds, 
containing the following Instruments of best quality and finish, 
Shell Handles: straight spear and curved probe-point Bistou- 
ries, Gum Lancet, Tenaculum, spring catch Artery Forceps, 
Dressing and Polypus Forceps, straight Scissors, two Silver 
Probes, steel-grooved Director, Combined Male and Female 
Catheter (silver), Caustic Holder, three curved and two straight 
Needles, and Ligature Silk 16.00 
No. 5. Same as No. 4, but with Female Catheter only, silver . . 14.00 
No. 6. Best Turkey Morocco three-fold Case,—German silver lock, 
containing the following warranted Instruments of best quality 
and finish: Shell Handles: Scalpel, curved probe and straight 
spear Bistouries, Gum Lancet, Tenaculum, Abscess Lancet, 
straight and curved Scissors, spring catch Artery Forceps, 
Dressing and Polypus Forceps, Tongue Spatula, steel-grooved 
Director, two silver Probes, Caustic Holder (Ebony), combined 
Male and Female Catheter (silver), four curved and two straight 
Needles, and Ligature Silk 20.00 
No. 7. Same as No. 6, with Ebony handle Instruments, and plated 
combined Male and Female Catheter. ..... 17.00 
No. 8. Same as No. 6, with slide catch to Shell Handle Instruments, 
fixing the blades when open or shut 22.00 Surgical Instruments. 
39 
No. 9. Russia Leather two-fold Case,—German silver lock, Prof. 
Gross’ Compact Case, containing the following warranted In- 
struments, with double shell-handle slide-catch Instruments: 
Scalpel and straight spear Bistory, curved probe and curved 
spear-pointed Bistouries, Gum Lancet and Tenaculum, straight 
Scissors, Artery and Needle Forceps combined, Dissecting 
Forceps, Polypus and Dressing Forceps, Exploring Needle, com- 
bined Male and Female Catheter and Caustic Holder (plated), 
Grooved Directors, two silver Probes, six Needles and Liga- 
ture Silk ........... 22.00 
No. 10. Compact Case,—Best Turkey Morocco two-fold Case, with sil- 
ver lock, containing the following warranted Instruments. The 
cutting instruments being shell handle, double-bladed, with slide 
catch, to fix the blades when open or shut. Scalpel and curved 
spear Bistoury, straight spear and curve probe Bistoury, Gum 
Lancet and Tenaculum, straight Scissors with lock-joint, spring 
catch Artery Forceps; Universal Forceps, (comprising Polypus, 
Dressing, Needle, and Tumor Forceps, single or double Tenac- 
ulum, with lock-joint); silver-grooved Directors, two silver 
Probes, combined Male and Female Catheter and Caustic Holder 
(silver), six Needles and Ligature Silk 25.00 
No. 11. Compact Case,—same as No. 9, with Charriere’s (French) 
Instruments .......... 32.00 
changes in the above Cases can be made to suit the buyer. 
Pocket Cases of Instruments made up to Order, with any number or style of Instruments 
required, of our own or of Charriere’s (French) manufacture. 
Respirators, for mouth only, wire, gold plated .... $3.00 
“ nose and mouth, hair cloth 3.00 
Short. Medium. Long. 
Rectum Tubes, English, elastic 75 1.00 1.50 
“ “ French, “ 1.00 
“ Dilators, new, assorted each, 1.00 
Syringes: — 
NEW HYPODERMIC SYRINGE. 
These cuts (two thirds the 
actual size) represent a new 
Hypodermic Syringe of our 
manufacture. § 
It is of German Silver, plated 
outside and inside with Nickel, 
and therefore not liable to be act- 
ed upon by any of the solutions 
used for Endermic Injections. 
The barrel is perfectly smooth and uniform in size throughout; and the piston, which has 
the double parachute packing, operates with remarkable smoothness. There are two sharp- 
ened and tempered steel tubes, differing in size and length, thoroughly plated with gold. They 
are connected with the barrel by a screw thread. 
CODMAN & SHURTLEFF, 
BOSTON. 40 
Surgical Instruments. 
This Syringe has a capacity of thirty minims, and a scale on the piston rod may be used 
to indicate accurately the quantity required and used. 
No. 1 has scale with cross lines for each minim. No. 2 has the same, and, in addition, the 
numbers 5, 10, 15, 20, 25, and also screw thread H B, and nut C, as represented in Fig. 48, 
enabling the operator to graduate the quantity required with entire ease and certainty. 
These Syringes are so thoroughly and strongly made as to be free from the annoying accidents 
common to most Hypodermic Syringes, and we believe that for convenience, durability, and 
nicety of construction, they have no superior. 
Price, in neat morocco case, No. 1, $5.00; No. 2, $5.50. Postage, 12 cents. 
Other Hypodermic Syringes. 
No. 3. Hard Rubber, graduated to half and quarter of whole capacity, two steel gilt tubes, 
in neat case, $3.50. Postage, 12 cents. 
No. 4. Same description, not as perfect, $3.00. Postage, 12 cents. 
No. 5. Glass, graduation engraved on barrel; silver-plated mountings, two steel-gilt tubes, 
$4.00. Postage, 12 cents. 
No. 6. Glass, as above ; piston rod graduated, numbered, and screw nut, $5.00. Postage, 12c. 
No. 7. Same as above, with silver mountings, $7.50. Postage, 12 cents. 
No. 8. Liiers, (French), graduation as Nos. 5 and 6, price, $13.00. Postage, 12 cents. 
Also, new Tubes for Hypodermic Syringes; and Syringes of everg kind repaired and made to order. 
Syringes, Catarrhal, hard rubber each, $1.50 
“ “ “ “ with silver tube . . . “ 2.50 
“ Enema, Davidson’s, No. 1 “ 2.00 
« “ “ “2 “ 1.75 
“ Vaginal, hard rubber, No. 2 “ 1.25 
“ “ “ “ “ 3 “ 1.50 
Stethoscopes: — 
Cedar each, .50 
Ebony “ 1.00 
Flexible “ 1.50 
Stomach Pump, Brass, with Enema Attachments . . . $16.00 
“ “ and Apparatus! for Paracentesis Thoracis, 
approved by Dr. Henry I. Bowditch, accom- 
panied with directions kindly furnished by him 30.00 
Sponge Holders, Buck’s curved 1.25 
“ “ “ straight 1.00 
“ and Caustic Holder combined, having one straight 
and one curvable point of each 3.00 
Sutures, armed, Dr. E. 
consists of a straight or curved 
needle with silver or copper wire' 
soldered to it, having no should- 
er; length of wire, 18 inches. 
CODMAN U SHUR TLEFR, BOSTON 
Price, straight needle, with fine silver wire, 30 
“ curved “ “ “ “ “ ...... .40 
“ Large straight needle, and large copper wire for post mortem, each .30 Surgical Instruments. 
Specula, Vaginal, glass reflecting 1.00 
“ Rectum “ 1.25 
“ Brown’s Wire Tractors, each 50 
“ German silver, three-blade 11.00 
“ “ “ H. R. Storer’s modification of Cusco’s . . 6.00 
“ Ricord’s Bivalve, German silver 7.00 
“ Sim’s, nickel plated “ “ 4.00 
“ Cusco’s “ “ 5.50 
“ “ folding “ “ 8.00 
“ Thomas’ German Silver 12.00 
“ “ improved “ 22.00 
“ Taylor’s “ 7.00 
“ Nott’s « 12.00 
“ Four Valve “ 8.00 and 12.00 
“ Rectum, O’Reilley’s, steel 5.00 
“ “ Hilton’s, nickel-plated 4.50 
“ “ Bivalve 4.00 
“ “ Clam shape 4.00 
Scissors for Pocket Cases: — 
“ Straight 75 to 2.00 
“ Curved 1.00 “ 2.00 
“ Eye 75 “ 2.00 
“ Uterine. See Uterine Instruments. 
Trocars, with silver canula. Various sizes, each .... 1.75 
Trephines, Galt’s 4.50 
“ Elevators for use with 75 
Tourniquet, Bigelow’s improved 4.50 
“ Field .......... .75 
“ Massachusetts General Hospital, steel, nick el-plated . 15.00 
Tonsillators, Fahnestock’s 7.00 
“ “ improved 10.00 
“ Warren’s 9.00 
“ Massachusetts General Hospital 10.00 
“ Automatic, transfixes and removes with one movement 
of one hand 12.00 
“ French ......... 10.00 
Tenotomes, Ebony handles 1.25 
“ Ivory “ ........ 1.50 
Tracheotomy Tubes, double, Hard Rubber, .... 3.00 
“ “ silver, according to size, . 5.00, 5.50, and 6.50 
“ Dilators 6.00 
Tongue Depressor, Tractor, and Case Spatula 
The cut represents a new combined Tongue 
Depressor, Tractor, and Case Spatula, 
of our own design. It is convenient for either 
use, strong, light, compact, inches long, 
f wide, thick, steel, nickel-plated, and does 
not rust. Convenient for pocket-case, med- 
icine trunk, or the vest pocket. 
Price, $1.00. Postage, 6 cents. 
do. Turck’s, steel, ebony handle ...... 4.00 
“ Folding, steel, nickel-plated ...... 2.50 
“ Steel, japanned ...... ... 1.50 
“ Hard rubber $1 00, 1.75, 2.00 
6 
CODMAN i SHURTLEFF, 
BOSTON* 
Fig. 61. 42 
Surgical Instruments. 
Throat Instruments: — 
“ Brushes, Badger’s Hair and Quill, 25 
“ “ “ “ ebony handle, German silver staff . 1.25 
“ “ Socket-handle for; same description . . . 1.25 
“ Brushes, numbered to order, in sets, to screw into the last, each .25 
“ Mirrors, five sizes, either ....... 1.00 
“ Mirrors, Concave, for mounting on forehead of operator, each 6.00 
Thermometers, Clinical: — 
“ Plain, graduated to 1-2 degree . . 2.25 and 2.50 
“ Self-registering, graduated to 1-5 degree . . . 4.00 
“ Self-registering, graduated to 1-10 degree . . 7.00 
“ Straight, graduated on stem, to 1-5 degree . . 4.00 
Uterine Instruments: — 
“ Sponge Tents, common sizes, each 25 
“ “ “ extra sizes and to order . . . .38 to 2.00 
“ “ Tent Carriers, spiral 1.00 
“ “ “ Sounds 1.00 
“ Sea-tangle tents, hollow 35 
“ “ “ “ solid ■ . . .25 
“ Forceps, bayonet-shape 2.00, 250 
“ Sounds, Simpson’s graduated, flexible, plated . . . 2.00 
“ “ folding, “ “ ... 2.50 
• “ “ with one notch “ “ ... 1.75 
“ “ « plain, “ « ... 1.50 
“ “ Giddings, new, with external slide and scale for 
measuring length of womb . . . . 2.50 
“ “ Cutter’s Vaginal 2.00 
“ Lente’s Uterine Probe, silver 1.25 
“ “ “ “ platina ...... 3.00 
“ “ “ “ hard rubber case . . 3.00 
Sims’ “ w silver 1.50 
“ Cutter’s Vaginometer for measuring length of vagina . 6.50 
“ Scissors 4.00 to 6.00 
“ Wire twisting forceps 4.00 
“ Scarificators: — 
il w Miller’s, in case 7.00 
“ “ “ without case 5.50 
“ “ Pinkham’s improved, in case . . . 8.00 
“ “ “ “ without case . . . 6.00 
“ “ H, R. Storer’s, in case 6.50 
“ “ “ “ “ Avithout case . . 5.00 Surgical Instruments. 
43 
Uterine Instruments: — 
“ Warren’s Canula Ecraseur 6.00 
“ Syringes, hard rubber, long tube, each • 1.50 
“ Barnes’ Uterine Dilators, with stop-cocks, set of three, with 
Inflator ......... 6.00 
“ Barnes’ Uterine Dilators, with stop-cocks, singly . . 1.75 
“ Barnes’ Uterine Dilators, without stop-cocks, each . . 1.50 
1EI> TT 33 IB IE IRv URINALS, 
FOR MALES AND FEMALES. 
Fig. 1. 
These Urinals are pro- 
prevent overflow; also with 
and are of the greatest 
with incontinence of urine, 
stant wear on the person, 
vided with valves, which 
tightly closing stop-cocks, 
service for persons afflicted 
They are adapted for con- 
and are quite durable. 
Male, without Scrotum Bag and Waistband, for day only, each . . $2.50 
“ «« “ “ with “ “ “ “ “ 3.00 
“ with “ “ “ “ “ “ “ “ Fig. 1 4.00 
“ without “ “ “ “ “ “ and night, each . 6.00 
Female, for day only, Fig. 2, each 3.00 
Fig. 2. Surgical Instruments. 
44 
THE AUTOMATIC VACCINATOR. 
[Whittkmores Patent.] 
FOE TXSXIEsra- THE CIRTTST. 
MADE ONLY BY OURSELVES. 
A. Perforator, having its end counter-sunk 
or hollowed to receive a small quantity of the 
crust. 
In using the Instrument, the forefinger is 
passed into the Ring C, and the thumb pressed 
upon the Lever B. by which the Perforator is 
raised, and after reaching a certain height is 
disengaged by the proper mechanism, when it 
descends with the force of the spring, and, 
slightly puncturing the skin, deposits the virus. 
A single, easy motion, in one direction, is all 
that is required to operate the Instrument,— 
the skin being punctured and the matter de- 
posited simultaneously. The pain attending its use is so slight as rarely to awaken a sleeping 
child, while the operation is rendered much more certain than by other methods. 
Every one warranted. Pkice, in paper box, $3.00 ; in neat case, $3.50. 
CODMAN & 
BOSTON. 
VACCINE VIRUS. 
Always on hand and sent by return train in answer to orders by mail or telegraph. 
We are able to supply physicians and the Trade with Yaccine Yirus of absolute purity 
and excellence. 
The Lymph we have heretofore furnished has given such satisfaction, that we now offer 
it with the renewed and complete assurance that no better service can he offered than that 
performed in this branch of our business. 
Being aware of the difficulty of obtaining adequate supplies of fresh Vaccine Virus, we 
have secured the services of an experienced physician, who will keep a succession of heifers 
at his own stables, vaccinated with genuine non-humanized virus, from which we shall receive 
fresh supplies as occasion may demand. We shall also continue to furnish as before, for those 
who prefer it, a constant supply of crusts and tubes, selected from healthy infants. 
Terms for Crusts, securely mounted for transmission by mail, postpaid: 
Non-Humanized $4.00 
From Healthy Infants 3.00 
For Ivory-Points, in packages of 10, enclosed in Air-tight Metallic Tubes: 
Non-Humanized ...... $2.00 
From Healthy Infants 1.50 
Capillary Tubes: 
Non-Humanized $3.00 
Purchasers will please keep a record of the nnmber of each package. If used within one 
week after receipt thereof and found ineffectual, a new package will he forwarded on appli- 
cation. 
We also furnish uncharged Ivory-Points for physicians’ use, at the following rates: 
Per 100 - - - - .30 Per 1,000 - - - $2.50 Surgical Instruments. 
45 
Veterinary Instruments: — 
Balling Irons, Mouth Rasps, Teeth Forceps, Cattle Probangs, Trachea 
Tubes, (plated), Trocars, Fleams, (plain and spring), Seton Reedies, 
Seton Scissors, Scalpels, Bistouries, Lancets, Nicking Knives, Cas- 
trating Knives, Embryotomy Knives, Wire Needles, Tin and Silver 
Wire, Horse Catheters, (flexible), Mare Catheters, (metal), Syringes, 
Milking Tubes, pocket cases of Instruments, etc., etc. 
Vaginal Depressor, Sims’ $2.00 
OPHTHALMOSCOPES, 
(Our own Importation.) 
Allen’s - -- -- -- - $4.00 
Nachet’s 8.00 
Jaeger’s - -- -- -- - 20.00 
Liebreich’s - - 6.00 
S tel wag’s ------- 14.00 
Binocular ------- 25.00 
Loring’s. 
LARYNGOSCOPES. 
Tobold’s ------- small, $15.00; large, 22.00 
Variety of others 16.00 to 30.00 
PNEUMATIC ASPIRATORS, 
Used in searching for deep-seated pus, - , - $14.00, 16.00, and 25.00 
DYNAMOMETERS, 
For testing strength of the hand, - $7.00, 11.00, 13.00 
AESTHESIOMETERS, 
For determining the extent of local paralysis, - - $4.00, 9.00, 13.00 
ARTIFICIAL LEECH. 
Heurteloup’s $10.00 to 18.00 
Smiths, $7.00 
Apparatus for Transfusion of Blood. 
Price, $35.00 46 
Surgical Instruments. 
DAY’S SPLINTS. 
(Whole set consists of the following number of Pieces) 
Extension Bar and Gaiter, 
1 Large Double Incline Plane, 
1 Medium Incline Plane, 
1 Small Incline Plane, 
8 Radius Splints, 
6 Forearm, 
5 Interosseous, 
3 Joint Arm, 
3 Condyle and Humerus, 
2 Clavicle, 
5 Dressing Splints, 
4 Patella Splints, 
12 Ankle Splints. 
We sell them singly or in sets. 
Price per Set, - -- -- -- -- -- $75.00 
Ahl’s Adaptable Porous-Felt Splints. 
(Set consists of 50 Pieces.) 
Sold in Sets only, Price, - -- -- -- -- $30.00 
CRIMEAN SPLINTS. 
Set of 5 Flexible Pieces for Dressing. 
Price per Set, - $1.25 
SAYRES’ SPLINT, 
For Hip Joint Disease. 
Price, - Common Size, $12.00; Extra Sizes, $14.00 to 16.00 
FOX’S CLAVICLE APPARATUS, 
(Bartlett’s Modification,) 
For Fractured Clavicle. 
Two Sizes, Each, - $2.00 Surgical Instalments. 
47 
TRUSSES FOR ADULTS. 
Ball and Socket, hard or soft Pads single, $4.00 
“ “ it «" U double, 7.00 
Ratchet, hard or soft Pad single, 4.00 
“ “ “ “ “ double, 7.00 
Spiral-Spring Pad single, 4.00 
“ “ “ double, 7.00 
French Style, or long Pad single, 4.00 
“ “ “ “ double, 7.00 
L. B. White’s Patent Lever, hard Pads single, $7.00 to 10.00 
“ “ “ “ “ “ double, 10 00 to 20.00 
Hard Rubber single, 8.00 
“ double, 10.00 
Moc-main or Yariocele 
Trusses for Prolapsus Ani 
Dr. Banning’s, with separate attachments for either kind of Hernia or 
Prolapsus, and for spinal and abdominal support .... 10.00 to 20.00 
CHILDREN’S AND YOUTH’S TRUSSES. 
Ratchet, hard or soft Pads single, $3.00 
“ “ “ “ “ double, 5.00 
French, soft Pads single, 3.00 
“ “ “ double, 6.00 
“ cheap style, soft Pads single, 2.00 
“ “ “ “ “ double, 3.00 
UMBILICAL TRUSSES AND BELTS. 
Umbilical Trusses $5.00 
“ Belts, with Adjustable Pads 6.00 
“ “ Children’s 2.50 
ABDOMINAL SUPPORTERS. 
Chapin’s * $4.00 
Boston 4.00 
London 5 00 
Philadelphia, with pads giving support on lateral muscles 7.00 
Fitch’s 4,00 
Banning’s, with attachment for either kind, of Hernia, or for Prolapsus Uteri, Pro- 
lapsus Ani, or Spinal Curvature 
Mrs. Betts’, with Prolapsus Pad 7.00 
The above described Trusses and Supporters are nearly all of our own manufacture, and 
will be found of the first class as regards quality, adaptation, and workmanship. The prices 
are those for which we adapt them to the patient. Physicians sending measures, and taking 
the trouble and responsibility of fitting patients, will receive them at a discount of per ct. 
from these prices. 
SILK ELASTIC ABDOMINAL BELTS, 
For use during pregnancy, and when abdominal support is required . . . $10.00 
SPINAL SUPPORTERS. 
All kinds of apparatus for Club Feet, Weak Ankles, Bow Legs, Malformations, &c., made 
to order, to meet requirements of each case. 
SHOULDER BRACES, SUSPENSORY BANDAGES, &c., 
DIRECTIONS for measuring for Trusses, Supporters, Crutches, Apparatus for Deform- 
ities, &c., will be sent if requested. DENTAL. DEPOT.: 
CODMAN & SHURTLEFF, 
MANUFACTURERS AND IMPORTERS OF 
O 3T1 EYELY KIETD- 
Gold and Tin Foil; Gold, Silver, and Platina Plate and Wire, 
Nos. 13 and 15 Tremont Street, Boston. 
Instruments Made to Order, 
EXCAVATORS AND PLUGGERS RE-POINTED. 
CONSTANTLY ON HAND, BEST MANUFACTURE OF 
Vulcanite and Plate Teeth, 
NITROUS OXIDE APPARATUS AND INHALERS, 
l/ULCAN/ZERS, LATHES, CHAIRS, EXTENSION BRACKETS, 
And all articles used in the Office or Laboratory. 
TEETH EIT1AOTIII FOBCEPS, 
Every pair of Extracting Forceps bearing our name is of the 
best material and of first class workmanship. War- 
ranted one year from date of sale. 
Price Oetogon Joint $2.75 f^etuqktid 
AFTER THE MANNER OF DIEULAFOY. 
“It is always possible, owing to Aspiration, to search for a 
fluid collection without any danger, whatever may be its seat 
or its nature.” 
“ I have thrust these Needles into almost every part of the 
body, into the Joints, the Liver, the Spleen, the Bladder, the In- 
testines, the Lungs and the Meninges, and I can affirm, and a 
great number of observers affirm with me, that we have never 
seen consecutive accidents.” 
Dieulafoy on Pneumatic Aspiration, pp. 21, 24. 
Fig. 68. 
DESCEIPTIOU". 
A, Brass Air Pump. S, C, Chambers containing Valves. By reversing the posi- 
tion of the chambers, the pump may be used at will as an exhaust or as a force-pump. 
A double milled circle around one end of each indicates, when these circles on both 
chambers are towards the pump, that it is an exhaust pump; when the circles are turned 
from the pump, that it is a force-pump. The chamber, C, is reversed by turning it 
with the tube end for end; D, E, Metallic Joints or Couplings, either of them fitting 
the pump or the air-cock, H, as required. F, Glass Receiver of sixteen-ounce capacity, 
having a coarse screw-thread cast in the glass of the neck so as to screw into a cor- 
responding thread in the brass cap, Q, making an air-tight joint by means of rubber 
packing. I, Fluid Cock. K, L, Metallic Couplings. M, short piece of Glass Tube to 
give early notice if fluid has passed the needle. Nos, 1, 2, and 3, Aspirator Needles, 
steel, hardened and tempered at cutting point and plated with gold. WE INVITE THE ATTENTION OF THE MEDICAL PROFESSION TO THIS 
NEW APPARATUS FOR ASPIRATION, 
Constructed upon the general plan of Potain’s modification of 
Dieulafoy’s Aspirator, but containing the following improve- 
ments and inventions of our own: — 
1st, — Means of changing the pump from an exhaust to a force- 
pump, and vice versa, thereby enabling the operator not only to with- 
draw an abnormal fluid, but to inject the cavity through the tubes and 
needle of the apparatus with one adapted to induce healthy action.— 
See Dieulafoy on Aspiration, pp. 276, 278. 
2d, — The employment, in our apparatus No. 1, of a metal 
Screw Cap, fitting the neck of the receiver supplied with this apparatus 
so securely that it cannot be forced from its place by condensed air 
while injecting, or accidentally removed while the receiver is in a state 
of vacuum for aspiration. 
3d, — The use of indestructible valves. 
Instead of the oiled silk valves of French and other American 
apparatus, which are almost certainly injured by contact with liquids 
— for instance, the accidental and almost unavoidable introduction 
either of a few drops of the aspirated fluid, or of the oil used for 
lubricating the pump, — we employ a light metal valve, fitting a me- 
tallic seat, the two ground together so as to secure close contact. 
They are unchangeable in form, and cannot be injured by contact 
with fluids. If desired, they may be as freely used, and the pump 
also, for liquids as for air. These valves are readily accessible by 
unscrewing the valve-chambers, and require no care beyond occa- 
sionally wiping valve and seat with soft paper or cloth to remove 
dust or adherent particles should they fail to work perfectly. 
4th, — An attachment for evacuating the contents of the stomach by 
adaptation to the pump and valves which accompany the aspirator, of 
a suitable stopper, cocks, rubber hose, and stomach tube. The stopper 
is of form and size to fit almost any large bottle, jug, or demijohn such 
as may be found in most houses. 
Thus, at half the cost of an ordinary stomach pump, the physician 
having the aspirator may supply himself with a means of evacuating 
and of washing out the stomach equal, if not superior, to any in use 
hitherto. 
Our Aspirators have been ordered for use in the United States 
army, as having been selected from among a large number of com- 
peting ones. Commendations bestowed upon Nos. 1 and 2, by physicians familiar 
with the latest European and American Aspirators, lead us to believe 
that, in some important particulars at least, they are superior to any. 
In his work on Pneumatic Aspirations, Dieulafoy shows the harm- 
lessness of the Aspiratory Puncture and its great superiority to the 
Exploring Trocar as a means of accurate diagnosis in all collections of 
Pathological Fluids. It has been used with unprecedented success in 
Retention of Urine, Reduction of Strangulated Hernia, in Ascites, 
Hydrothorax, Empyema, Pneumothorax, Effusions into the Pericar- 
dium, Serous, Purulent and Hematic Effusions of the Knee, Hydrocele, 
Hydatid Cysts, Abscesses of the Liver, and in various other Patho- 
logical Leisons. 
Fig. 69. The Stopper and 
Cocks supplied with Ap- 
paratus No 2. 
I» It I C II H O F APPARATUS. 
No. 1. Air Pump — exhaust or condensing as described; receiver, with screw 
cap, of capacity of sixteen or of six ounces, as preferred; three steel, gold- 
plated Aspiratory Needles, together with the necessary tubes, stop-cocks, 
&c., &c., as shown in Fig. 68, fitted in a neat case, accompanied with printed 
directions $20.00 
No. 2. The same, without receiver and with rubber stopper (see Fig. 69) to fit 
almost any bottle of quart capacity, or less, instead of screw cap arrangement, 
also with printed directions . .18.00 
No. 3. Dieulafoy’s Notched Aspirator, Nickel-plated, with two Needles, 
tubes, &c., in case 14.00 
No. 4. Stomach Attachment, as described, adapted to pump accompanying 
Nos. 1 and 2, additional 8.00 
The foregoing are the product of our own factory, and are warranted in every 
respect. 
Also, Dieulafoy’s Rack Aspirator 40.00 
For Pump and Brass parts of Nos. 1 or 2, Nickel-plated, add .... 1.50 
Also Trocars, with anjd without Stopcocks, to fit any of the above . 2.00 to 6.50 
CODMAN & SHURTLEFF, 
Makers of Surgical Instruments, 
13 and 15 Tremont Street, Boston. ELASTIC HOSE. 
DIRECTIONS FOR MEASURING. 
Indicate the measure around the limb in inches, opposite the 
dotted lines of the cut. 
For Stocking to cover the entire limb, measure at A B C E G H. 
For Stocking to reach to D measure A B C E G. 
For Stocking to reach to G, measure at A B C D. 
For Knee-cap, measure at D E F. 
For length of Stocking, measure from 1 upwards. 
IE5 IE?. ICES. 
(these prices are for single hose, not pairs.) 
To reach to H — 
Best Silk .... §13.00 
Cotton 8.00 
To reach to G — 
Best Silk . . . . 8.50 
Cotton 5 50 
To reach to D — 
Best Silk .... 5.00 
Medium Silk . . . . 4.50 
Cotton 3.00 
To reach from D to F (Knee-Caps) — 
Best Silk .... $3.60 
Medium Silk .... 3.00 
Cotton 2.50 
To reach from A to B (Anklets) — 
Best Silk (only) . . . 3.50 
A Discount of 25 per cent from these prices to Physicians. 
We will send the Hose by mail, if so ordered, provided the following sums necessary for 
pre-payment of postage accompany the order in addition to the price : — 
Hose reaching to H . . .86 
Hose reaching to G . • 24 
Hose reaching to D 18 
Knee-Caps and Anklets . . . .12 
Unusual sizes and forms for special cases made to order. Also, Elastic 
Abdominal Belts for Obesity, Pregnancy, Weakness, Sc. 
Physicians ordering the above for patients, will receive them at a discount from retail 
prices. 
Having our Factory, with steam power, ample machinery, and experienced workmen, 
connected with our Store, we can promptly make to order, in the best manner, new Instru- 
ments and Apparatus, and supply new inventions on favorable terms ; also sharpen and repair 
Surgical and Dental Instruments. 
CODMAN & SHURTLEFF, 
13 and 15 Tremont Street, Boston. APPARATUS FOB MlAOIIfISIS THOBACXS, 
Approved by DR. HENRY I. BOWDITCH, 
Accompanied with Directions kindly furnished by him. 
CAMMANN’S STETHOSCOPES, Disarticulating. 
OTOSCOPES. LARYNGOSCOPES, Simple Throat Mirrors. 
OPHTHALMOSCOPES,— Greefe’s, Liebreicli’s, Anagnostakis’s, 
APPARATUS EOR MANUFACTURE OF 
NITROUS OXIDE AND OXYGEN GAS. 
MILLER’S, PINKHAM’S and H. R. STORER’S 
INTRA-UTERINE SCARIFICATORS. 
DEWEE’S EVAPORATOR. 
SPLINTS AND FRACTURE APPARATUS. 
BIGELOW’S TOURNIQUET, 
SAYRE’S SPLINTS FOR HIP-JOINT DISEASE. 
BRISTLE PROBANGS. 
HYPODERMIC SYRINGES, great variety. 
RENTE’S INTRA-UTERINE CAUSTIC INSTRUMENTS. 
HOLT’S DILATOR. 
BARNES’ DILATOR. 
UNIVERSAL SYRINGES. 
INHALERS. 
FEVER THERMOMETERS. 
GALVANIC BATTERIES AND APPARATUS. 
MEDICINE TRUNKS AND POCKET MEDICINE CASES. 
AMPUTATING, TREPHINING, POCKET AND OTHER INSTRUMENTS, 
in sets, or single. 
THE VARIOUS INSTRUMENTS OF DR. H. R. STORER, AND OF DR. SIMS, FOR 
THE TREATMENT OF UTERINE DISEASES. 
Apparatus for Club Feet, Weak Ankles, Bow Legs, Spinal Curvatures, 
&C., made to order. 
Crutches, the best patterns, all sizes, always on hand. 
JRespirators. to prevent coughing on entering cold or warm air, also to prevent 
inhalation of dust. 
Teeth, Forceps, Pluggers, Scalers, Excavators, Operating Chairs, 
Spittoons, Mineral Teeth, Gold and Tin Foil, and all other Instruments, 
Implements and Materials used in the practise of Dentistry. 
Skeletons, articulated and disarticulated. 
Skulls, articulated, disarticulated, and sawed, showing, sinuses, internal and median ear. 
Manikins, Anatomical and Pathological Models, Charts, &c., on hand 
or imported to order. 
Price-Lists of Manikins, Models, Skeletons, &c., furnished on application,