ij?;?.'.*$r..\i.-r\. •', ■ < ».&':^;v-.;»..r" g5^SW,:V'V;v.'--:..-- • • •.' S^;a-^-.;-•• • :: -: . ■■.■:-■ totf/W^. v. H'••.■••■ ' -: • >ir.; )''4J^.-'k-.'i''-ri,"j'i-.v. vSferTv; .->■■■ - • £?.J5£?vV'-.:v.v!-'' •'' «Ssi5fcfevj^':; r- "•■■ Riw-rlr!^ :■".•......■». . • • . S5?^-■*:?-■■ .•:■• rJI^v.•;.;*■.'., -■•- Tx^-c;/) ■;■;:.:■, " v-.;^iXi:: NLM 00063612 7 ARMY MEDICAL LIBRARY FOUNDED 1836 WASHINGTON, D.C NLM000838927 OM LAST DATE • 1AR3 1970 CATALOGUE OF SHARP & SMITH, importers, manufacturers, wholesale and retail dealers in SURGICAL INSTRUMENTS, DEFORMITY APPARATUS, Artificial Limbs, Artificial Eyes, Elastic Stockings Trusses, Crutches, Supporters, Galvanic and Faradic Batteries, Etc. SURGEONS' APPLIANCES OF EVERY DESCRIPTION. NO. 73 RANDOLPH STREET, CHICAGO. FOURTEENTH EDITION. &ONOHUE & HENNEBERRY, PRINTERS, ENGRAVERS ANO BINDERS, CMCAGO * - ft <>u> NOTICE. Prices in this Catalogue are subject to Change without Notice. When ordering through druggists ask for Sharp & Smith's make, as inferior goods are frequently substituted. Please do not cut or mutilate this book. In ordering, always state Number of Figure and Page of Catalogue. Prices in this Catalogue are STRICTLY NET to Physicians, except where otherwise stated. SHARP & SMITH- CHICAGO ,1 i—Deformity Apparatus Manufacturing Department, 73 Randolph Street. 2—Artificial Limb Manufacturing Department, 73 Randolph Street. 3—Office and Salesroom, 73 Randolph Street. 4—Elastic Stocking Manufacturing Department, 71 and 73 Randolph Street. "SHARP & "SMITH, CHICAGO. ,-_Forging Department. 6—Grinding and Polishing Dep i ta.t2 Waldo Place. I 7—Finishing Department. ' 5 Phtpago '( 8-Nickel Plating Department. _i SUGGESTIONS TO OUR PATRONS. THE name of your Town, County and State, and your own name, should be plainly written. Articles sent by mail are sent at the risk of the purchaser. When Instruments are sent for repair, the address of the person sending them should be plainly marked, on outside of package. Instruments ordered by parties unknown to us will be sent by express C. O. D., including the charges for returning the money; and a remittance sufficient to cover express charges should accompany the order. Sharp or pointed Instruments, and articles wholly or partly of glass, cannot be sent by mail, excepting in tin boxes. All parcels sent by mail, on which letter postage has not been paid, are opened and examined at the Chicago office, and if writing is found inclosed, letter rate is charged on the parcel, which sometimes amounts to far more than express rates. This penalty postage we charge to the person sending the parcel. We pay great attention to having goods carefully packed, so that they can be transported to any part of the world safely; goods so packed cease to be our property when placed in the hands of the carrier. Therefore, for all delays or damages, the customer must look to the express company, who alone is legally responsible to the owner for their safe and prompt delivery. All articles of our manufacture and those bearing our name, we warrant; and any article sold by us not answering our description, or not according to order, will be taken back cheerfully; and any errors on our part will be promptly rectified. Reference to former correspondence should be avoided as much as possible. Do not depend on our remembering former orders, but designate the article wanted, either by name or description; and when measures are required send new measures. Attention to this suggestion will frequently save time and avoid delay. Very respectfully, Sharp & Smith. N. B.—Please do not cut or mutilate this book. In ordering, always state Number of Figure and Page of Catalogue. 3 8 6 ? G 2 274 5HARP & SMITH, CHICAGO. ELASTIC GO0DS A SPECIALTY. WHOLESALE AND RETAIL. * DIRECTIONS FOR MEASUREMENT |ich should be tIPk in* the* &i in* the*Morning before rising. The Measurement of Length is essential. Give the exact Measurement. AlLMeasurements for Length should be taken on Inside of Linm We allow for Expansion. WHEN ORDERING PLEASE STATE QUALITY DESIRED, WHE^R OF STOUT OR SECOND GRADE SILK, OR COTTON ELASTIC. [^"Silk Goods sent unless Cotton is Indicated in Order. GOODS MADE TO ORDER ON SHORT NOTICE WHEN SIZES ARE IRREGULAR OR EXTRA LARGE. For a Thigh Stocking.—Circumference at Stout A, B, C, D, E, F, G, H, I. Length from Silk. floor to F, and from F to I.............. $9 00 For a Thigh Legging.—Circumference at C, D, E, F, G, H, I. Length from C to F, and from F to 1.__.................... For a Thigh Knee-Cap.—Circumference at E, F, G, H, I. Length from F to I........ For a Thigh-Piece.—Circumference at G, H, I. Length from G to I................ For a Knee Stocking.—Circumference at A, B, C, D, E, F, G. Length from floor to F, and from F to G ................ B'or a Knee Legging.—Circumference at C, D, E, F, G. Length from C to F, and from F to G............................. For a Knee-Cap.—Circumference at E, F, G. Length from E to F, and F to G.......... For a Garter Stocking.—Circumference at A, B, C, D, E. Length from floor to E.. For a Garter Legging.—Circumference at C, D, E. Length from C to E........ For an Anklet.—Circumference at A, B, C. Length from floor to C.............. For a Wristlet.—Circumference at N, O, P. Length from N to P..................... Wristlet, with hand-piece ................, For an Abdominal Belt.—Circumference at K, L, M. Depth in front and back....... For an Umbilical Belt with Pad.—Circum- ference at the Navel.............. For a Shoulder Cap.—Circumference of Chest at Axilla T. Arm from Axilla to S, and Axilla to E. Arm three inches below Axilla............................ State which shoulder, right or left. For Handpiece.—Circumference at U, V,W Measurements should be taken at W over the thumb, also without thumb, but thumb extended from the fingers, as in illustration. For Elbow Cap.—Circumference at X, Y, Z. Length from X to Y, and from Y to Z.... Second Grade. $7 50 7 50 5 00 2 50 6 50 5 00 2 50 4 00 250 2 50 1 00 2 50 10 00 11 00 8 00 2 50 6 00 4 00 2 00 5 00 4 00 2 00 3 00 2 00 2 00 Cotton 15 75 5 25 3 50 1 75 3 75 3 50 1 75 200 1 75 1 75 2 00 8 00 9 00 6 00 2 50 2 00 1 75 For Extra Large Sizes an additional charge will be made. SHARP & SMITH, CHICAGO. 275 AMPUTATING AND GENERAL OPERATING CASES. We furnish the folic wing cases at prices quoted, only when sold complete. We make several of each style at one time, and are thereby enabled to sell the cases complete, at a much less figure than the instruments would amount to if sold separately. In omitting any instrument we cannot allow the net price for each instrument, and if cases are wanted modified we will make the prices rea- sonable, or will be pleased to send quotations on same or entirely new and special cases which we make it a point to turn out very quickly. Old instruments can be repaired and made to look like new, and put in cases with new instruments. The following cases supplied with metal aseptic or ebony handle knives as desired: FIG. * 900. Sharp & Smith's Amputating and Trephining Case...........$26 00 901. u " " " " " No. 2...... 24 75 * 902. Parker's General Operating Set.......................... 67 00 * 903. Sharp & Smith's Set of Amputating Instruments No. 3......18 75 * 904. " " Amputating and Minor Operating Set........ 39 00 904-A. Sharp & Smith's Amputating and Minor Operating Set ivory handles...................................... 51 00 * 905. Sharp & Smith's General Operating Case No. 5, with Minor Operating Case inclosed............................. 75 00 906. Sharp & Smith's General Operating Case No. 6 with Minor Operating Case inclosed............................ 52 50 906-A, Sharp & Smith's General Operating Case No. 7 with Minor Operating Case inclosed............................125 00 907. Sharp & Smith's General Operating Set No. 1.............. 52 00 907-A. " " " " " " in ivory handles..... 63 00 908. " " " " " No. 2................ 75 00 909. Mott's General Operating Set.............................. 54 00 910. Markoe's " " " ............................ 50 00 911. California " " " ............................ 50 00 912. Buck's General Operating Set.............................135 00 913. Detmold's " " " ................ ........... 48 50 914. Seymour's" " " ............................132 00 915. Parker's Compact Operating Set........................... 46 50 916. Blackmail's General "............................ 98 00 917. Trephining Set.......................................... 12 00 918. Post's General Operating Set ............................109 00 919. Sharp & Smith's Operating Set ........................... 33 75 920. Bone Exsecting Set...................................... 48 75 921. Wood's General Operating Set........................flr... 52 ;oo 922. Hamilton's " ' "............................. 75 ot 923. Conant's Amputating and Minor Operating Case..............40 00 All instruments designated by a * are illustrated. See pages 2^1-A to 281-! for prices of other Operating Cases. ". \ 276 SHARP & SMITH CHICAGO. AMPUTATING AND GENERAL OPERATING CASES. Metal Aseptic or Ebony Handle Knives. cM/ctco-f/ie-co eFig. goo. Sharp & Smith's Amputating and Trephining Case, No. I. Sharp & Smith's Amputating and Trephining Set, No. I. i Liston's long Knife, hip and thigh. i Capital Saw. i Liston's medium Knife, leg and arm. i Metacarpal Saw. i Catling, foot and hand. i Gait's conical Trephine and Handle. i Tenaculum. i Pair spring-catch Fenestrated Artery i Scalpel. Forceps. i Elevator and Raspatory. i Tourniquet. i Brush. i Pair Liston's Bone Forceps. i Hey's Saw. Needles, Silk, Plastic Pins, Wax, etc. Mahogany Case, lined with oil dyed velvet..........$26 00 Fig. 901. Sharp & Smith's Amputating and Trephining Set, No. 2 1 Liston's Knife. 1 Catling. 1 Tenaculum. 1 Scalpel. 1 Elevator and Raspatory. 1 Brush. 1 Hey's Saw. 1 Capital Saw. 1 Metacarpal Saw. 1 Gait's Trephine. 1 Pair spring-catch Fenestrated Artery Forceps. 1 Tourniquet. 1 Pair Liston's Bone Forceps. Needles, Silk, Plastic Pins, Wax, etc. Mahogany Case, lined with oil-dyed velvet.........$24 75 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO I Liston's Amputating Knife, screw handle. I Liston's Amputating Knife medium Size. i Small Catlin. I Capital Saw. r Metacarpal Saw. I German Silver Wire Eye Speculum. i Hey's Saw. i Trephining Elevator and Raspatory I Gait's Trephine and Handle. I Finger Knife. i Curved Probe Pointed Bistoury. i Curved Sharp Pointed Bistoury. i Cooper's Hernia Knife. 3 Scalpels, assorted. I Cataract Knife. i Parker's Lachrymal Needle. i Exploring Trocar. I Director, steel. i Pair Probes, Silver. Fig. 902. Parker's General Operating Set. Tiemann & Co.'s Bullet Forceps. Tenotome. Pair Parker's Retractors. Small Trocar, straight. Rectum Trocar, curved. Pair Artery Forceps, plain. Pair Polypus Forceps. Steel Sound. Lithotomy Staffs. Lithotomy Bistoury. Pair Lithotomy Forceps. Pair Liston's Bone Forceps. Pair Eye Scissors, curved on the flat. Silver Catheters. Spiral Tourniquet. Eye Needle, curved. Set Parker's Aneurism Needles. Pair Strabismus Forceps. Pair Artery Forceps, spring-catch, plain. Needles, Silk, Plastic Pins, Wax, Etc. Rosewood Case, brass-bound, lined with silk velvet, one patent leather cover, waterproof...$67 00 278 SHARP & SMITH, CHICAGO, AMPUTATING AND GENERAL OPERATING CASES. Metal Aseptic or Ebony Handle Knives. *Fig. 903. Sharp & Smith's Set of Amputating Instruments. No. 3 1 Liston's Knife, hip and thigh. 1 Liston's Knife, leg and arm. 1 Catling, small, hand and foot. 1 Scalpel. 1 Tenaculum. 1 Metacarpal Saw. 1 Capital Saw, solid handle. 1 Tourniquet. i-Pair Bone Forceps. Needles, Silk, Plastic Pins, Wax, etc. 1 Pair spring-catch Artery Forceps. Mahogany Case, lined with fine oil-dyed velvet. .7. .. ... .$18 75 *Fig. 904. Sharp and Smith's Amputating and Minor Operating Set. For contents see next page................................$39 00 SHARP & SMITH, CHICAGO. 279 AMPUTATING AND GENERAL OPERATING CASES. * Fig. 904. Sharp & Smith's Amputating and Minor Operating Set. Illustrated on preceding page. 1 Director. 1 Hey's Saw. 1 Bow Saw, two blades. 1 Large Amputating Knife. 1 Medium Amputating Knife. 1 Small Amputating Knife. i Pair Artery Forceps, Bull Dog 3 Scalpels. i Finger Bistoury. 1 Curved Probe Bistoury. 1 Tenotome. 1 Curved Sharp Bistoury. 1 Hernia Bistoury. 1 Tenaculum. 1 Movable Back Saw- 1 Conical Trephine. 1 Bone Forceps, with spring. 1 Trocar and Canula 1 Vulsellum Forceps. 1 Tortion Forceps. 1 Elevator and Brush. 1 Pair Straight Scissors. 1 Pair Curved Scissors 1 Exploring Needle 1 Aneurism Needle. 1 Spiral Tourniquet. Needles, Silk, Plastic Pins, Wax, etc. Brass bound Rosewood Case, velvet-lined........................$39 00 Fig. 904-A. Same, with Ivory Handles........................... 51 00 *Fig. 905. Sharp & Smith's General Operating Case, No. 5, with Minor Operating Case inclosed. For contents see next page $75 00 9999415 280 SHARP & SMITH, CHICAGO. AMPUTATING AND GENERAL OPERATING CASES. *Fig. 905. Sharp & Smith's General Operating Case No. 5, with Minor Operating Case inclosed. See preceding page. Tiemann & Co.'s Bullet Probe. Lead Mallet. Bone Chisel. Bone Gouge. 1 Scissors, curved on the flat. Dressing and Polypus Forcep. Piffard's Bone Scoop. Sayre's Periosteotome. Satterlee's Bone Foicep. Steel Serresiins. Van Buren's Sequestrum Forcep Curved Hand Gouge. Ferguson's Lion Jaw Bone Forcep. Chain Saw. 1 Liston's Knife, hip and thigh. 1 Liston's Knife, leg and arm. 1 Catlin, small. 1 Bow Saw. Liston's Bone Forceps, curved. Spiral Tourniquet. Gait's Trephine and Handle. Elevator and Raspatory. Hey's Saw. Brush. Trocar and Canula. Heavy Cartilage Knife. Retractors, Parker's. Tiemann & Co.'s Bullet Forceps. The following instruments included in this set are fitted into a compact minor operating case, which can be removed from the larger one and carried in the pocket if desired. This minor case is leather covered and velvet lined, and contains: Metacarpal Saw. 1 Scalpels. 1 Sharp-point Bistoury. 1 Probe-point Bistoury. 1 Tenotome. 1 French Finger Knife. 2 Plain Artery Forcep. Twelve needles, silk, coil of silver wire, wax and pins, all in a finely carved, brass-bound case, lined with oil-dyed velvet, and supplied with patent leather, slip-over cover, waterproof..................$75 00 Fig. 906. Sharp & Smith's Operating Case No. 6.—Same style as auove. Tenaculum. Bulldog Artery Forcep. Pair Scissors. Director and Tongue Tie. Aneurism Needle. Long Silver Probes. 1 Liston's Knife, hip and thigh*. 1 Liston's Knife, leg and arm. 1 Catlin, small. 1 Bow Saw. 1 Bone forcep, Liston's best. 1 Spiral Tourniquet. 1 Gait's Trephine and Handle. 1 Elevator and Raspatory. 1 Hey's Saw. 1 Brush. 1 Trocar and Canula. 1 Heavy Cartilage Knife. 2 Retractors, Parker's. 1 Tiemann & Co.'s Bullet Forcep. 1 Tiemann & Co.'s Bullet Probe. 1 Lead Mallet. 1 Bone Chisel. 1 Bone Gouge. 1 Scissors, curved on the fiat. 1 Dressing and Polypus Forcep. 1 Serresfins. 1 Vulsellum Forcep. The following instruments included in this set are fitted into a compact minor operating case, which can be removed from the larger one and carried in the pocket if desired, The minor case is leather covered and velvet lined, and contains : 1 Metacarpal Saw. 1 2 Scalpels. 1 1 Sharp-point Bistoury. 1 1 Probe-point Bistoury. 1 1 Tenotome. 1 1 French Finger Knife. 1 1 Plain Artery Forcep. 12 Needles. Silk, coil of silver wire, pins and wax, all in a neat, brass-bound case, lined with oil-dyed velvet.....................................$5250 Tenaculum. Bulldog Artery Forcep. Pair Scissors. Director and Tongue Tie. Aneurism Needle. Long Silver Probe. SHARP & SMITH, CHICAGO. 281 AMPUTATING AND GENERAL OPERATING CASES. Fig. 906-A. Sharp & Smith's Complete Operating Case No. 7. Same Style as Fig. 905. Liston's Knife, hip and thigh. Liston's Knife, leg and arm. Catlin, small. Bow Saw, two blades. Liston's Bone Forceps, curved. Spiral Tourniquet. Gait's Trephine and Handle. Elevator and Raspatory. Hey's Saw. Brush. Trocar and Canula. Heavy Cartilage Knife. Retractors, Parker's. Tiemann & Co.'s Bullet Forceps. Tiemann & Co.'s Bullet Probe. Lead Mallet. Bone Chisel. Bone Gouge. Scissors, curved on the flat. Polypus Forcep. Piffard's Bone Scoop. Sayre's Periosteotome. Satterlee's Bone Forceps. Steel Serresfins. Van Buren's Sequestrum Forceps. Curved Hand Gouge. Ferguson's Lion Jaw Bone Forceps. Chain Saw, rotating handles. Bone Gnawing Forcep. Sponge Holders. Horn Screw for Lockjaw. Lithotomy Staff. Lithotomy Forcep. Lithotomy Bistoury. Gaylard's Bone Drill. Set Brainard's Bone Drills. Fenestrated Slide-catch Forcep. Fritche's Needle Holder. Cooper's Hernia Knife. Large Trepanning Scalpel. Steel Sounds. Male Catheters, plated. Pair Vulsellum Forceps. Plain Artery Forcep, heavy. Eye Speculum, Noyes', best. Dix's Spud. Beer's Knife. Linear Knife. : Iris Forcep. Iris Scissors. : Curved Trocar. Eye Needle. Brunn's Bone Scoop. Chain Saw Carrier. Double Operating Hook. Adams' Subcutaneous Saw. The following instruments included in this set are fitted into a compact minor operating case. which can be removed from the larger one and carried in the pocket if desired. This minor case is leather covered and velvet lined, and contains : 1 Metacarpal Saw. 1 2 Scalpels. 1 1 Sharp-point Bistoury. 1 1 Probe-point Bistoury. 1 1 Tenotome. 2 1 French Finger Knife. 12 1 Plain Artery Forcep. 1 Tenaculum. All in a finely finished case, lined with fine oil-dyed velvet, with patent leather waterproof cover for case.............................$I25 Bulldog Artery Forceps. Pair Scissors. Director and Tongue Tie. Aneurism Needle. Long Silver Probes. Needles, silk, coil of silver wire, one coil iron wire, wax and pins. Metal Aseptic or Ebony Handle Knives. SHARP & SMITH'S INSTRUMENTS When Ordering through Dealers. 281,\ SHARP & SMITH, CHICAGO. SUPPLEMENT. AMPUTATING AND GENERAL OPERATING CASES. An Aseptic Emergency Case. By John E. Owens, M. D., Professor of Surgical Anatomy and Operative Sur- gery in the Chicago Medical College. A case containing all that is required by the operating surgeon in the first treatment of injuries, whether single or multiple, whether slight or severe, is a desideratum. Thus equipped, one is enabled immediately to respond to urgent calls, and to fulfill the indications presented by the varied injuries of the occa- sion. In the latter part of 1889, after various modifications in style of instruments and their arrangement, the " Emergency Case," which I bring to yAnr rottpe, was completed. Fig. 906-B. Dr. John E. Owens' Case (Closed). It weighs twenty-four pounds, the length is fifteen and three-quarter inches, eight inches wide, twelve inches high. The top is oval, so that it can be con- veniently carried under the legs in an ordinary buggy. The bag is made of imitation Russia leather, and it and contents are protected by a movable canvas cover bound with leather. The box containing the instruments is made of polished cedar. The contents are arranged in the bottom of the box in two bottom trays, which are easily lifted by means of a ring fastening. The instru- ments are kept in position and protected by double red leather flaps or pads. The case fits into the bottom of the valise. The articles not in the wood box, but in the top of the bag, are the follow- ing: Scrubbing-brush, razor, large size fountain syringe, chloroform mask, one bottle of mercuric antiseptic tablets, ninety-five per cent, solution of carbolic acid §iss—in bottle with corrugated metal cover, a similar bottle containing cocaine, one ligature bottle (Owens') with aluminum reels and frame for catgut (both in corrugated covers which keep the rubber stopper in place), Esmarch's apparatus, bottle of drainage tubes, operating cushion, two (Owens') hard rubber boxes—one for iodoform and one for boric acid, two hard rubber fiat boxes— one for Hagedorn needles and one for ordinary surgeon's needles, one-half pound ether, small bottle chloroform, three soft catheters, safety pins, a roll of combination dressing in oiled silk, some extra gauze and cotton, tablets of morphine, one silver catheter and a Symes' staff, a few rollers, a piece of rubber tissue in which are tied sponges (kept till wanted for use in carbolic acid). SHARP & SMITH, CHICAGO. 281B AMPUTATING AND GENERAL OPERATING CASES. Dr. John E. Owen's Aseptic Emergency Case (Continued). Contents of Instrument Case. ToJ> Tray.—i patent hard rubber handle, with 2 amputating knives. 2 amputating knives (Owen's model). i finger or metacarpal saw. i aneurism needle, i tenaculum. i sharp, i probe-pointed, and i hernia bistoury. 5 assorted scalpels, i tenotomy knife, i hard rubber eye spud. i fenestrated artery forceps, i small mous e- ooth forceps. 6 haemostatic forceps, i splinter forceps. i syringe of glass and one of hard rubber, vulcanized. 2 hypodermic points, i aspirator point. I cocaine point. r long finger or metacarpal knife. 2 cards of silk and wire. Second Tray.—i screw probang and silver hook (oesophageal). I long and i short silver probe. [ long curved scissors, i cotton probe or carrier. i Nelaton's bullet probe, i grooved director. r articulated bullet-extracting forceps. i Tiemann & Co.'s new '' antiseptic " needle for- ceps, for Hagedorn and other needles (can be taken entirely apart.) 2 short Langenbeck's clamp artery forceps. i lifting back saw, i straight scissors, 2 virgin silver flexible directors for external urethrotomy. I haemostatic forceps and dilating retractors, serving for two retractors when taken apart, in operations on the mastoid process. Third Tray (bottom of box).— r trocar and silver canula, 2 tre- phines. 1 tissue forceps, 1 set of bone drills, 1 burr head drill, 1 antrum hook, 1 set (4) hard rubber ear specula, 1 aluminum tracheal tube, 2 double retractors, sharp and blunt with guards. 1 steel hammer, 1 pair articulated bone forceps, 1 chisel, 1 gouge, 1 bone-gouging forceps, 1 pair poly- pus iorceps All these instruments can be takrtn apart for cleansing, and the hard rubber handles are all vulcan- ized upon the steel ^nank, and can be boiled in hot water if nec- essary without damage. The manufacturer's process consists in vulcanizing and subjecting the handles to a powerful heat by 906-B. Showing the Upper Portion of Case Opened. steam. Fig. ooc-B. Showing the Trays in Owen's Case. 1 sponge carrier. 1 sequestrum forceps. 1 double Volkmann's spoon. 1 articulated vulsellum forceps (taken apart it serves for retractors). 1 Levis' double hernia director. 1 Bellocq's silver canula. 281C SHARP \ SMITH, CHICAGO. AMPUTATING AND GENERAL OPERATING CASES. Prices in this whole Catalogue Strictly Net, except where otherwise stated. DR. AP MORGAN VANCE'S COMPLETE EMERGENCY CASE. Fig. 906-C. Dr. Ap Morgan Vance's (Louisville, Ky.) Complete Emer- gency Operating Case, contains a more complete line of instruments, dressings, etc., than any one case yet put up. The lower half of the case contains the steel instruments, knives, forceps, etc , blocked in four wooden trays (see Trays 1, 2, 3 and 4). These wooden trays fit snugly into hard rubber trays, which are used during an operation to hold solution and instruments (as shown in Tray 4). These trays are i6}£ inches long, g/g inches wide, and 1V& inches deep. These set of trays in case can be separated from the upper part of the case. The upper part of case contains the surgical dressings, medicines, and all nec- essaries of an " Emergency Case." See following pages for description. SHARP & SMITH, CHICACO. 281D AMPUTATING AND GENERAL OPERATING CASES. Tray i.—For Dr. Vance's Case con- taining Capital Saw, Needles, Silk and Artery Instruments. Tray 2.—For Dr. Vance's Case con- taining Trephining and Necroses Instru- ments. SHARP & SMITH, CHICAGO. AMPUTATING AND GENERAL OPERATING CASES. Tray 3.—For Dr. Vance's case containing Bow saw and Haemostatic Forceps and Instruments. Tray 4.--Showing Wooden Tray, also Hard Rubber Tray, which holds the Wooden Trays, holding amputating Knives, Forceps, Scissors and a general assortment of Instruments. This case complete contains over 200 instruments. We do not furnish list of contents herewith because these cases are generally put up according to each doctor's selection, adding whatever instruments he may have on hand. Dr- Vance's capital idea is what we desire most to call attention to. All instru- ments are with smooth Metal Handles thereby aseptic, and are blocked in oiled "Hard Wood" which prevents the instruments from rusting. See pages 276 to 286 for other Operating Cases. SHARP & SMITH, CHICAGO. 281G AMPUTATING AND GENERAL OPERATING CASES. Sharp & Smith's New Compact Sole Leather Operating Case. The illustrations on this page represent our new Sole Leather Case which is the newest and most compact case ever yet of- fered to the profession. The case when closed is only 11^ inches long, 2% inches wide and l4}£ inches deep, can be carried ' by hand or in a good sized coat pocket or an ordinary sized over- Fig. 906-D—Closed. coat pocket. Following are the contents, which will be found to be as complete as in most of the larger sized operating cases : 1 Capital Saw, 8-inch blade, with detachable aseptic handle. 1 Amputating Knife, 7 K-inch " " 1 Catlin, 7%-inch " " " 1 Curved Sharp Bistuory. 1 Tenotome. 1 Tenaculum. 1 Curved Blunt Bistuory. 1 Large Scalpel. 1 Metacarpel Saw. 1 Straight Sharp Bistuory. 1 Medium Scalpel. Each of above minor Operating Knives made in one piece of steel, and thoroughly aseptic. 1 pr. Patent Lock Aseptic Bone Forceps. 1 pr. Lawson Tait's Aseptic Haemostatic Forceps. 1 pr. Pean's Aseptic Haemo- static Forceps. 1 pr. Straight Scissors with Collins' Aseptic Lock. 1 pr. Curved Scissors with Collins' Aseptic Lock. 1 pr. Bulldog Fenestrated Ar- tery and Needle Forceps, combined. 1 Director and Tongue Tie. 1 pr. Probes. 1 Esmarch's Tourniquet Chain % doz. as'td Needles in pocket 1 Card Surgeon's Silk. Price, Net $25.00 This case is lined inside with leather which is easily cleaned Fig. 906-D—Open 281H SHARP & SMITH, CHICAGO. AMPUTATING AND GENERAL OPERATING CASES. Fig. 906-E. Prof. G. F. Shears' Aseptic Pocket Operating Case. This case contains two scalpels, such as are used in ordinary operations, a sharp-pointed bistoury, a curved blunt-pointed bistoury, a tenotome, one-half dozen Pean's artery forceps, a silver catheter, a pair of scissors a probe, grooved director, an amputating knife and amputating saw, and a box of needles. The instru- ments are fitted snugly into aluminum trays The travs slip into a canvas case which contains three compart ments. In the cut, A shows the saw, and underneath is B, the amputating knife, both of which fit into the metal handle C. D shows the size of the aluminum tray. E is the cloth case, F the aluminum needle box. Other travs may be added if needed. Cut No. 4 represents the " needle box " open. ' (Description continued on following page,,) 8949 SHARP & SMITH, CHICAGO. 2811 Fig. 906-G. Sharp & Smith's New Emergency Bag. AMPUTATING AND GENERAL OPERATING CASES. (Prof. G. F. Shears' Aseptic Pocket Operating Case.—Continued.) The advantages claimed for this case are : First. It is, as the name suggests, thoroughly aseptic. There is nothing connected with it that may not be put into boiling water without injury—case, trays and instruments. When one considers how easily the ordinary leather pocket case may become foul from the secretions of the hands or body, the advantage of the washable case is apparent, and its cheapness allows of its being frequently replaced. Second. The selection of instruments is such as enables one to carry in small compass sufficient instruments to make any ordinary operation, from the removal of a tumor to the am- putation of a leg. Most of the pocket cases' contain only one pair of artery forceps, and a number of useless instruments, such as finger bistoury, gum lancet, thumb lancet, all of which might be represented by one knife. This case contains six pairs of forceps, sufficient for any ordinary operation, and makes use of the same for needle-holder, dressing forceps, and similar instruments. Third. The instruments and trays being made of alum- inum and the case of cloth, make the whole case exceedingly light and easily carried. Size of trays, 7x2 ^ inches. Size of case filled complete, 7^x3^x1)^ inches. Price........Net, $25 00 Fig. 9 6-G. Showing the bag closed and with metal trays strapped to the bocto Fig. 906-G. Showing bag open, and contents and trays exposed. Fig. 906-G. Sharp & Smith's New Emergency Bag. This Emergency Bag is manu- factured from dark seal grained leather, neatly lined with Amer- ican kid. The bag is cabinet shape, so that when open its contents are all exposed, and within easy reach. The lids are each supplied with flaps, under which are loops for instruments. Improved Emergency Bag No. 1 contains 1 eight oz., 2 fou'- oz., and 1 two oz. metal covered bottles; 1 bone spicula forceps; 1 pair heavy scissors for removing clothing- 1 good quality razor' 1 one gallon fountain syringe with Esmarch's irrigating nozzle; I dozen carbolized surgeon's sponges in metal capped bottle; 1 hard rubber iodo- form dusting box; 1 bottle braided silk, as- sorted sizes; 1 bottle cat -gut, assorted sizes; 1 bottle soft rubber drainage tubes; 1 bottle containing nee.dlesand pins; 1 cake antiseptic soap; 1 bottle antiseptic tablets; 1 nail brush; 1 linen roll, with adjustable loops. All ar- ranged in a 15 inch black seal grain leather bag, provided with two metal trays, as shown in the illustration. Price, net.......$25 00 282 SHARP & SMITH, CHICAGO. AMPUTATING AND GENERAL OPERATING CASES. Fig. 907. Sharp & Smith's General Operating Set No. 1. Amputating Saw, best. Metacarpal Saw, movable back. Gait's Trephine and Handle. Hey's Skull Saw. r Trephine Elevator and Raspatory. 1 Pair Bone Forceps. 1 Pair Lithotomy Forceps. Pair Bullet Forceps. Trocar and Canula. Urethral Sounds. Lithotomy Staff. Male Catheter, silver plated. Spiral Tourniquet. Amputating Knife, long. Amputating Knife, medium. Catlin, long. Lithotomy Bistoury. Grooved Director and Tongue Tie. Set Mott's Aneurism Needles. Tenaculum. Hernia Knife. Bistoury, probe-pointed. Bistoury, sharp-pointed. Scalpels, assorted. Tenotome. Pair Scissors, straight. Pair Scissors, curved on flat. Pair Artery Torsion or Needle For- ceps. Pair Vulsellum Forceps. Exploring Needle. Pair Artery Forceps, fenestrated. Needles, Silk, Plastic Pins, Wax, etc. Neat Brass-bound Rosewood Case, lined with velvet... .$52 00 907 A. Same, with ivory handles.................... 63 00 Fig. 908. Sharp & Smith's General Operating Set, No. 2. Retractors. Scalpels, assorted sizes. Straight Bistoury. Sharp-curved Bistoury. Probe-curved Bistoury. Hernia Knife. Aneurism- Needle. Tenaculum. Director and Tongue Tie. Tourniquet. Liston's Knife. Catlin. Screw Handle to fit above. Bow Saw with two Blades. Screw Handle to fit above. Phelps' Artery Forceps. Plain Artery Forceps. Pair Straight Scissors. Pair Curved Scissors. Trephine Elevator. Rosewood Case, brass Silver Probes, five inches. Silver Probe, seven inches. Nelaton Probe. Mathieu's Throat Forceps. Pair Liston's Bone Forceps. Trocar. Gait's Trephine. Van Buren's Sequestrum Forceps. Pair Bone Gouging Forceps. Steel Sounds. Screw Handle for same. Silver-plated Catheters. Bone Chisel. Bone Gouge. Sayre's Periosteotome. Tiemann & Co.'s Bullet Forceps. Polypus Forceps, straight. Lithotomy Director. 1 Coil Silver Wire. Needles, Silk, Plastic Pins, Wax, etc. ■bound, leather cover..............gyr 00 SHARP & SMITH, CHICAGO. 28? AMPUTATING AND GENERAL OPERATING CASES. Fig. 909. Mott's General Operating Set. Mott's Knife, large. Mott's Knife, medium. Small Catlin. Capital Saw. Metacarpal Saw. Tourniquet. Tenaculum. Pair Artery Forceps, plain. Pair Artery Forceps, spring-catch, plain. Tiemann & Co.'s Bullet Forceps. Liston's Bone Forceps, best. Gait's Trephine and Handle. Trephining Elevator and Raspatory. Tenotome. Curved Bistoury, sharp-pointed. 1 Curved Bistoury, probe-pointed. 1 Steel Director. 2 Silver Probes. 1 Pair Polypus Forceps. 1 Pair Scissors, straight. 1 Pair Scissors, angular curved. 2 Mott's Retractors. 1 Finger Knife. 3 Scalpels. 1 Double Hook. 1 Hey's Saw. 1 Trocar and Canula. Needles, Silk, Plastic Pins, Wax, etc. Rosewood Case, lined with oil-dyed velvet........$54 00 Fig. 910. Markoe's General Operating Set. Liston's Knife, Long Liston's Knife, medium. Liston's Knife, small. Straight Bistoury. Curved Bistoury. Curved Bistoury Probe. Hernia Knife. Scalpels. Tenotome. Tenaculum. Aneurism Needle. Tourniquet. Chisel. Metacarpal Saw. Hey's Saw. Rosewood Case, lined with velvet..................$50 00 Fig. 911. California General Operating Set. Elevator and Raspatory. Pair Artery Forceps, plain. Pair Artery Forceps, spring-catch fenestrated. Pair Vulsellum Forceps. Pair Toe-Nail Forceps. Capital Saw. Gait's Trephine. Pair Parker's Retractors. Pair Liston's Bone Forceps. Bone Gouge. Silver Male Catheter. Steel Sound. Needles, Silk, Plastic Pins, Wax, etc. 9x1. Capital Saw. Amputating Knife, long. Amputating Knife, medium. Small Catling. Scalpel. Elevator and Raspatory. Pair Artery Forceps, spring catch, plain. Pair Artery Forceps, slide-catch, bulbous points. Tourniquet. Trocar, straight. Tongue Depressor, japanned. Pair Liston's Bone Forceps. Gait's Trephine and Handle. Steel Director. Curved Bistoury, probe-pointed. Curved Bistoury, sharp-pointed. Scalpels, assorted sizes. Tenotomy Knife. Aneurism Needle. Pair Polypus Forceps. Hey's Saw. Metacarpal Saw. Pair Dissecting Scissors. Double Hook. Green's Tonsil Bistoury. 0 Probang. Catheter, German silver, plated. Metal Bougie. Pair Tiemann & Co.'s Bullet Forceps Needles, Silk, Plastic Pins, Wax, etc. Straight Bistoury. Mahogany Case, lined with oil-dyed velvet..........%^c 90 284 SHARP & SMITH, CHICAGO. AMPUTATING AND GENERAL OPERATING CASES. Fig. 912.—Buck's General Operating Set. Liston's long Knife, hip and thigh. Liston's medium Knife, leg and arm. Metacarpal Knife, large. Straight Bistoury, ferruled handled. Curved Bistoury, sharp point. Curved Bistoury, probe point. Hernia Bistoury. Tenotome. Scalpels, assorted sizes. Tenaculum. Pair Crampton's Artery Needles. Double-pronged Hook. Beer's Cataract Knife. Desmarre's Scarifying Knife. Straight-Eye Needle. Curved Eye Needle. Gouge and Spud for removing for- eign bodies from the Eye. Folding Probang, with silver Bucket. Long Bullet Probe, German silver. Nelaton's Bullet Probe. Pair German Silver Retractors. Double Silver Trachea Tube. Curved Rongeur, with spring. Ferguson's Bone-Holding Forceps, Lion Jaw. Pair Liston's Bone Forceps. Pair Sequestra or Toe-Nail Forceps. Small, straight Trocar and Canula. Ferguson's Bone-Holding Forceps, crowbill. Rectum Trocar and Canula, curved. Gouges. Pair Lithotomy Forceps. Glass Ear Speculum. Tourniquet. Silver Catheters, Nos. 3, 6, 9 and 12. Tiemann & Co.'s Bullet Forceps. Steel Director. Pair Coxeter's Forceps. Vulsellum Forceps. Pair Eye Scissors, curved on the flat. Pair Heavy Scissors, angular curved. Lithomy Bistoury. Wire Ecraseur. Pair spring-catch Artery Forceps, fenestrated. Pair Buck's Throat Forceps. Pair Polypus Forceps. Pair Strabismus Forceps. Buck's Hernia Director. Capital Saw. Chain Saw, best. Trephine and Handle. Metacarpal Saw, movable back. Finger Saw, narrow blade. Lithotomy Staffs. Steel Bougies. Syme's Staff. Buck's Sponge-holder. German Silver Eye Speculum. GEdema Glottis Instrument. Coils silver suture Wire. Coils Iron Wire. Silver Probes. Serrefins. Chisels. Needles, Silk, Plastic Pins, Wax, etc. Straight Trocar and Canula, large size. Mahogany or Rosewood Case, brass bound, good French Lock, lined withsilk velvet, neatly arranged, one patentleather cover, water Proof.....................................................$i35 00 Fig. 913.—Detmold's General Operating Set. Detmold's General Operating Set................................. 48 50 Fig. 914.—Seymour's General Operating Set. Seymour's General Operating Set................................. T32 00 Fig- 915.—Parker's Compact Operating Set. Parker's Compact Operating Set.................................. 46 50 Fig. 916.—Blackman's General Operating Set. Blackman's General Operating Set................................ 08 Oo Trephining Set. Fig. 917.—Trephining Set. Contents of above cases furnished on application. 12 00 SHARP & SMITH, CHICAGO. 285 AMPUTATING AND GENERAL OPERATING CASES. Fig. 918.—Post's General Operating Set. 1 Granger's Sponge Holder, gilt. 1 1 Pair Dressing Forceps. 1 1 Pair Polypus Forceps. 1 1 Pair Strabismus Forceps. 1 1 Pair Strabismus Scissors. 1 1 Set Mott's Aneurism Needles. 1 1 Pair Angular Scissors, heavy. 1 1 Kramer's Ear Speculum, best steel 1 and German silver. 1 1 Pair Liston's Bone Forceps, larger 1 than usual. 1 1 Female Catheter, silver. 1 1 Metacarpal Saw. 1 6 English Gum Elastic Catheters. 1 1 Medium-sized Trocar and Canula. 1 1 Probang, with Silver Bucket 1 1 Nelaton's Probe. 1 1 Pair Cilia Forceps. 1 1 Sharp-pointed Curved Bistoury, with 1 Ferrule. 1 1 Finger Bistoury. 1 3 Scalpels, assorted sizes. 1 1 Tenaculum. 1 1 Trephining Scalpel and Raspatory. 1 1 Long Amputating Knife. 1 1 Blunt Hook. 2 2 Coils Silver Wire and Silk. 1 1 Metal Bullet Probe. 1 1 Pair Uvula Scissors, with Claws. 12 Rosewood Case, brass-bound, lined with Gait's Trephine. Bone Trephine. Trephine Handle. Ebony Gorget. Pair Coxeter's Forceps. Pair Dressing Scissors. Trephining Elevator. Pair Spring catch Artery Forceps,plain Rongeur. Double Trachea Tube, silver. Pair Eutropium Forceps. Silver Catheter, No. 9. Hey's Saw. Pair Mott's Retractors. Japanned Tongue Depressor. Rectum Trocar. Pair Sequestrum Forceps, toe nail. Wire Eye Speculum. Tiemann & Co.'s Bullet Forceps Lachrymal Needle. Tenotome. Probe-pointed Bistoury. Straight and 1 Curved Eye Needle. Beer's Cataract Knife. Medium-sized Amputating Knife. Silver Probes. Director. Pair Vulsellum Forceps. Suture Needles, Silk, Wax,Plastic Pins. silk velvet, one patent-leather cover, waterproof................................................ $109 00 Fig. 919.—Sharp & Smith's Operating Set. Capital Saw. Catling, long. Liston's Medium Knife. Elevator and Raspatory. Scalpels. Straight Bistoury. Tenotome. Probe Bistoury. Sharp-curved Bistoury. Tenaculum. Aneurism Needle. Brass bound Rosewood Case. 1 Tourniquet. 1 Ivory Exploring Needle. 1 Vulsellum Forceps. 1 Pair Curved Scissors. 1 Pair Straight Scissors. 1 Gait's Trephine. 1 Movable Back Saw. 1 Hey's Saw. 1 Liston's Bone Forceps. 1 Pair Spring-catch Artery Forceps. Needles, Silk, Plastic Pins, Wax, etc. ...................§33 75 Chain Saw, best. Chisels, different sizes. Gouges, different sizes. Curved Rongeur or Gouge Forceps, with spring. Pair Liston's Bone Forceps, large. Set Brainard's Bone Drills. Bone Trephine and Handle. Fig. 920.—Bone Exsecting Set. 1 Pair Mott's Retractors. 3 Coils Silver Wire. 1 Pair Bone Forceps, angular. 1 Pair Ferguson's Lion Jaw Bone-hold- ing Forceps. 1 Lead Mallet. 1 Metacarpal and Interosseous Saw, narrow. 28G SHARP & SMITH, CHICAGO. AMPUTATING AND GENERAL OPERATING CASES. Fig. 920.—Bone Exsecting Set—Continued. 1 Elevator and Raspatory. 1 Pope's Antrum Drill. 1 Pair Sequestrum Forceps. Needles, Silk, Plastic Pins, Wire, etc. Mahogany Case, lined with oil-dyed velvet..........$48 75 Fig. 921 Wood's General Operating Set.......................... $52 00 " 922 Hamilton's " " " .......................... 75 °° " 923 Conant's Amputating and Minor Operating Case......... 40 00 MINOR OPERATING CASES. Fig. 950 Hospital Minor Operating Set......................... $56 00 " 951 Conant's " " " ......................... 2625 " 952 Sharp & Smith's Minor Operating Set..............No. 1 24 00 " 953 " " " " " .............No. 2 15 00 " *954 " " " < " ..............No. 3 n 25 " 955 Otis' " " " ................... 48 75 " 956 Erskine Mason's " " " ................... 33 75 " 957 Frank Rockwell's " " " ................... 45 00 Fig. 950.—Hospital Minor Operating Set. 2 Finger knives; 2 Straight probe pointed bistouries; 1 Straight hernia knife; 2 Curved sharp pointed bistouries; 2 Curved probe pointed bistouries; 1 Curved hernia knife; 1 Abscess knife; 1 Short, straight bistoury; 4 Tenotomes, various shapes; 1 Tenaculum; 1 Pair Sharp & Smith's needle forceps; 1 Pair Parker's retractors; 3 Serresfins, steel; 1 Straight tonsil knife; t Curved tonsil knife; 7 Scalpels, assorted sizes and shapes; 1 Green's double hook, plain; 1 Pair fenestrated artery forceps; 1 Pair Coxeter's artery forceps, small; 1 Pair strabismus forceps; 1 Pair Tiemann & Co.'s bullet forceps; 1 Bullet probe, Tiemann's; 1 Pair polypus forceps; 1 Pair Vulsellum forceps; 1 Pair straight, heavy scissors; 1 Pair scissors, curved on the flat; 1 Pair scissors, angular curved; 1 Trocar and canula; 1 German silver ear speculum; 1 Be- locq's canula, for epistaxis, silver; 1 Steel director; 12 yards annealed iron wire. Assorted needles, silk, silver wire, and plastic pins, all in neat rosewood case, brass bound and lined with oil-dyed velvet.................... $56 00 Fig. 951.—Conant's Minor Operating Case. 1 Pair Small, fine Bone Forceps; 1 Pair Van Buren's Scissors; 1 Chisel; 1 Combination Catheter; 1 Set Mott's Aneurism Needles; 1 G. S. Director; 1 Pair Silver Probes; 1 Pair Needle Forceps, slide catch; 1 Pair Parker's Retractors; 1 Scalpel; 1 Finger Knife; 2 Bistouries; 1 Hernia Knife; 1 Double Hook; 1 Amputating Knife and Saw, to screw into one handle; Needles and Silk. Put up in a mahogany, brass bound case, 8 inches long, 3^ inches wide, 1^4 inches deep, outside measurements. Price......................................... $26 00 Fig. 952.—Sharp & Smith's Minor Operating Case No. 1. 1 Double Hook. 1 Narrow Metacarpal Saw. 1 Curved Sharp-pointed Bistoury. 1 Pair Plain Artery Forceps. 1 Curved Probe-Pointed Bistoury. 1 Small Trocar. 1 Cooper's Hernia Knife. 1 Pair angular Scissors. 4 Scalpels, assorted. ' 1 Pair Slide-catch Artery Forceps. 1 Pair small Polypus Forceps. 6 Needles, Silk, Iron and Silver Wire. 1 Tenotome. 1 Steel Director. 1 Tenaculum. 2 Silver Probes. 1 Aneurism Needle. In morocco case, lined with oil-dyed velvet........ $24 00 SHARP & SMITH, CHICAGO. 287 954 i Tenaculum. r Bulldog Artery Forcep. i Pair Scissors. i .Director and Tongue Tie. i Aneurism Needle. 2 Long Silver Probes. F»g- 953- Sharp & Smith's Minor Operating Case No. 2 Metacarpal Saw. Scalpels. Sharp Point Bistoury. Probe Point Bistoury. Tenotome. French Finger Knife. Plain Artery Forcep. Twelve needles, all in a neat morocco covered case, very compact........................ $15 oc • This is the same case that is contained in our general operating cases, and parties purchasing it from us may at any future time buy the balance of the operating set, thus completing the case without loss. *Fig- 954- Sharp & Smith's Minor Operating Case No. 3. Scalpels. Straight Sharp Bistoury- Curved Sharp Bistoury. Hernia Knife. Tenaculum. Metacarpal Saw. 1 G. S. Director. 1 Pair Silver Probes. 1 Pair Straight Scissors. 1 Pair Thumb Forceps. Needles and Silk. Put up in a fine morocco case........$11 25 955- 956- 957- *958- *959- *96o. Otis' Minor Operating Case................................. $48 75 Dr. Erskine Mason's Minor Operating Case................... 33 75 Dr. Frank Rockwell's " " " .................. 45 00 Contents of cases furnished on application. Diameter of Cushion 20 24 14 inches........................... 4 00 ........................... 5 00 ........................... 4 00 These Cushions are made with an inflatable rim at the top, to prevent the escape of the fluid upon the bed- ding or clothing, and by the opening and apron this fluid is conducted down into a bucket, placed to receive the same. The rubber, unlike other Cushions on the market, has a velvety softness that makes them very comfortable to the patient; the color is a clear tan, and they are made with the greatest care to give them durability. They are being largely used in obstetrical, perineal, cervical and general surgical operations, especially where cleanli- ness and convenience are desired. 958-959 287A SHARP & SMITH, CHICAGO. OPERATING INSTRUMENTS. FIG. 975 Murphy's (Chicago) Anastomosis Buttons, per set of 3........ $10 00 975 " " " " ...............each, 5 00 976 " Forceps for Introducing Anastomosis Buttons.... " 2 25 977 " Intestinal Clamp Forceps..................... " 1 75 MURPHY'S BUTTON FOR ANASTOMOSIS OF THE HOLLOW VISCERA. The operations which can be performed by means of this button, in shorter time, with greater ease and with greater safety than by other means, are the following : I Gastrostomy : This operation is performed for the purpose of nourishing a patient suffering from stenosis of the oesophagus from any cause. It can be performed with the button in from 5 to 7 minutes after the peritoneal cavity is opened, with a certainty that the stomach and peritoneum will remain in contact until union takes place. It is done as follows: Two stitches are taken in the wall of the stomach in a direction from the operator, a loop is left and two return stitches taken three lines from and parallel to the first ; an incision is then made through the wall of the stomach and female half of button inserted with shank protruding; the shank is pushed through the parietal peritoneum one-half inch from line of incision, and male half of button pressed into it; the incision in the peritoneum is then closed and the operation is completed. 2 Gastroenterostomy, performed for all obstructions at the pylorus, whether from cicatricial or neoplastic formations. It is performed same as above, only the male portion of button is inserted into the bowel and then the button pressed together. The operation can be done in from 7 to 10 minutes. 3 Cholecystoenterostomy; Approximation of Gall Bladder to Bowel; Treatment for Cholecy- titis, Cholelithiasis, Obstruction Jaundice from stone or other causes. It is performed by putting half of the button in the Gall Bladder and the other half in the Duodenum and pressing them together. The gall stones may or may not be removed at time of operation. The operation can be performed in from 11 to 20 minutes. 4 Cholecystostomy, by this means can be performed in from 6 to 8 minutes ; it is done in the same manner as in Gastrostomy, only the gall bladder is used in place of the stomach. It is done in so much less time than with the suture, and is very much safer.—Continued on following page. �9999999999 SHART & SMITH, CHICAGO. 287B OPERATING INSTRUMENTS—MURPHY'S BUTTONS.—Continued. 5 End to End Approximation of Bowel : This operation will be called for in Gangrene of Bowel from strangulated hernia, volvulus, constriction by bands, or other causes. For bullet wounds where a portion of the bowel must and should be resected. Following removal of portions of bowel for malignant diseases. The end of the bowel can also be joined to its sides. The operation is so simple that a novice can perform it in 15 to 20 minutes by inserting a purse string suture in each end of bowel, securing half of the button in position, drawing the suture and pressing button together. 6 Colostomy : This operation is no longer to be looked upon as justifiable, considering the ease with which ileo-colostomy can be performed with the button. Nevertheless It can be performed in exactly the same way as Gastrostomy or Cholecystostomy, by means of the button. 7 Pylorectomy : The Pylorus is resected in the usual way and the gastric opening completely closed. The male portion of the button is inserted into the resected end of the duodenum as described in the end to end approximation of the bowel ; the female end of the button is inserted into the posterior wall of the stomach in the same manner as in Gastrostomy. 8 Resection of the Caecum : Can be performed in the same manner as Pylorectomy. The usual resection of the Caecum having been made, the end of the colon is completely sewed up. By means of button the re- sected end of the ileum is united to the side of the colon as previously described in pylorectomy. 9 Resection of Rectum, for stricture or malignant growth, the upper por- tion being held down in position by the button. 10 Annular Strictures of Rectum : The Cicatricial band is clasped in the button and,it sloughs out. n Bacon's Method : The new and ingenious meth- od of treating strictures of the rectum suggested by Dr. Bacon of this city, by the use of the button, commends itself. By his plan cures are made possible in a class of cases that has been the bugbear of rectal surgery for the last century. A full description of the technique J. B. Murphy, M. D., furnished on application by Room 911 Venetian Building, Sharp & Smith. Chicago. 2S7C SHARP & SMITH, CHICAGO. OPERATING INSTRUMENTS—ABDOMINAL. FIG. *978 Prof. N. Senn's Bone Plates (including four patent eye needles), small...........................................per pair, $2 00 *978 Prof. N. Senn's Bone Plates (including four patent eye needles), medium.........................................per pair, 2 00 *978 Prof. N. Senn's Bone Plates (including four patent eye needles), large...........................................per pair, 2 00 *979 Crofford's Abdominal Needles..........................each, 1 25 *98o Lamblin's " " .......................... " J75 *98i Prof. W. K. Knoll's (Cranial) Rongeur Punch Forceps......... 7 50 *982 " " " " Raphe " " ......... 7 5° SENN'S BONE PLATES. "TJ^^UIJl These bone plates are not returnable if the Jl ^^^^m P package is once broken. " An intestinal anastomosis between the bowel *1SHABP||\VM,TH 11 above and below the invagination by decalcified 978 perforated bone discs can be made in fifteen min- utes, and at once restores the continuity of the intestinal canal." These bone plates are made from the compact layer of an ox's femur or tibia, which is cut into oval plates one-fourth of an inch in thickness, two and one-half to three inches in length, and one inch in width, approximately. The plates are then passed through a careful and tedious preparatory process with a view to decalcifying and rendering antiseptic. That every pair of bone plates may retain its sterilized state, it is packed in a bottle containing absolute alcohol. The metallic cap of the bottle containing the plates is hermetically screwed home. " When the plates are to be used, they are washed in a two per cent, carbolic acid solution and the threads or sutures attached by threading two fine sewing needles, each with a piece of aseptic silk, twenty-four inches in length, which are tied together. The threads are then fastened to the surface of the plate by another thread passing through the perforation in the shape of a loop, and fastened to the back."—Intestinal Surgery, N. Senn. Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 287D CRANIAL INSTRUMENTS. By W. F. Knoll, M. D., Chicago. 981 Fig. 981—Prof. Knoll's Rongeur Punch Forceps, for enlarging lineal dimensions following the "Raphe" Punch Forceps, Fig. 982. 982 Dr. Knoll's Raphe Punch Forceps, Fig. 982, are intended for any case which may require a lineal dimension of the skull. With it the Sinuses can be crossed with perfect safety. Illustration showing skull cut after the operation of Prof. Knoll by the cue of instruments Figs. 981 and 982. 288 SHARP & SMITH, CHICAGO. AMPUTATING, GENERAL, AND MINOR OPERATING INSTRUMENTS. ANTISEPTIC GOODS.—See Index. * j iooo Atomizers—Wier's Antiseptic, small............. .. ..... ......-.......$*jj °f> liooi •' " ;; large............................ -....... * 75 * 1002 " Hank's " ................................•....... " °° * 1003 Aprons—Rubber, for operators' use............................f3 00 to 000 Bandages, all kinds, see index. 1003-A Small.Iodoform Duster.................................................$° 5° *ioo3-B Medium " " .....................•'........................... too 1003-C Large ............................................... 1003 1002 Instruments designated by a * are illustrated. �37548 SHARP & SMITH, CHICAGO. 289 AMPUTATING GENERAL AND MINOR OPERATING INSTRUMENTS. 289A SHARP & SMITH, CHICAGO. AMPUTATING, GENERAL AND MINOR OPERATING INSTRUMENTS. SHARP & SMITH, CHICAGO. 289 B AMPUTATING, GENERAL AND MINOR OPERATING INSTRUMENTS- FIG. *ioo5-A. Bandage roller, nickel plated .......................................... $2 25 ''ioos-B. " "Jobse," nickel plated................................. 300 *ioo7-C. Hancock's Surgical Bandage or Drainage Tube Safety Pins................ 25 *ioo7-D. Ward Cousins, " " " .....' per doz......... 35 A New Surgical Safety Pin for Holding Drainage Tube in Place. By Dr. Joseph L. Hancock. I have recently invented a simple device for holding soft drainage tubes in place which, from its field of usefulness, prompts me in laying it before the medical profession. It is a surgical safety pin, constructed, as will be seen in my drawing, of one piece of nickel plated steel or brass wire, turned into a circular form once and a half around. Then, a sud- den bend is made and the end carried straight across the middle to the opposite side where the point rests upon the wire. The other end of the curved wire is turned up into a small hook to receive the point, for holding and giving firmness to the springing frame which is so made to facilitate the catching and unlocking of the pin. The advantage it Dr. J. L. Hancock's New Surgical possesses over the ordinary safety pin and Safety Pin. other devices used for similar purposes is at once appreciable, namely: It is simple, easy to keep clean, and secures the drainage tube per- fectly in place, when the dressing and band- age is put on. 1016 Instruments designated by a * are illustrated. 290 SHARP & SMITH, CHICAGO. AMPUTATING, GENERAL AND MINOR OPERATING INSTRUMENTS. FIG. --------------- *ioo4. Bandage Rollers, plain....................................................$i oo *ioo5. " " Crocker's..............................................4 5° 1006. " Plaster Paris, Greene's. .. >...............................4 00 *ioo7. " " " " Judkin's....................................6 00 *ioo7-A. " Clamp, Esmarch's................................................ 55 1007-B. :' " Langenbeck's............................................ T 25 1008. " Shears, Braun's................................................. 6 00 *ioo9. " " Sayres'................................................5 00 1010. " Szymanowsky's........................................ 6 75 1011. " " Esmarch's....................... .................... 2 56 *ioi2 " '• Wackerhagen's............................................ 4 5° *ioi3. " " Wright's................................................. 250 1014. " •' Henry's.................................................. 5 5° *ioi4-A. " " Leiter's................................................ 2 OO All Instruments designated by a * are illustrated. A New Apparatus for Preparing Plaster-of-Paris Bandages. By W.m Judkins, M. D. 1007 Directions for Use. Run the end of Bandage on rod E under the bar near bottom of box through gate of regulator F, and fasten on rod D. Place the plaster in the box at G, and turning the handle, the Bandage in passing through the gate has all superfluous plaster scraped off and its meshes are thoroughly impregnated with a coat of plaster. By means of a thumb screw on regulator F the Bandage may be charged of any desired thickness. a ^ |andage is a11 woundP on Crank D give same two or three reverse turns and with- wamted Banda&e- now ready for use> is wrapped in paper and put away in a tin box until SHARP & SMITH, CHICAGO. 291 AMPUTATING, GENERAL AND MINOR OPERATING INSTRUMENTS. *ioi5 Bone Staffs, Prince's........................(See page 289-B) $2 *ioi6 " " Blandin's......................(See page 289-B) 2 *ioi6-A Metal Fenestrated Knives, very light and thoroughly aseptic... Plain Ebony Handle, Riveted 1017 Bistouries, Straight, Sharp 1017 " " Blunt 1017 " Curved " 1017 " " Sharp 1017 " Hernia *ioi8 *ioi9 *I020 1021 1022 *I023 *I024 1025 1026 1027 *I028 *I029 1030 1031 1032 1033 i°34 *i°35 1036 i°37 1038 1039 1040 1041 Scalpels Tenotomes Tenaculums Exploring Needles Gum Lancets Aneurism Needle Knives, Catlin, Short Ch'd. " " Ferruled... ■{ Plain Ivory " Riveted.. . " Ch'd. Solid Metal " j Thor. ) " Minor Opt. "j Asep. f ' Plain Ebony Handle, Riveted........... " ' " " and Ch'd... " " Ferruled.......... ■i Plain Ivory " Riveted........... and Ch'd... Solid Metal j Thor. j Minor Opt. } Asep. [ Medium.................................... 2 Large..................................... 2 50 25 85 50 75 85 85 00 85 5° 75 85 85 00 85 00 25 75 Liston's Amputating, Short, Hand and Foot........... 2 00 " " Medium, Leg and Arm........... 2 25 " " Large, Hip and Thigh........... 2 75 Brain............................................. 1 25 Liston's with Parker Handles........,............... 4 00 Amputating, Wood's Circular........................ 3 00 " Mott's........................$1 85 to 3 50 Conant's One Knife and Saw........................ 5 50 (see 1053), Conant's Two Knives and Saw............. 7 00 Finger, Long, French............................... 1 Lenticular......................................... 1 Valentine's Section................................. 6 Heavy Cartilage.................................... 1 Adams' Subcutaneous............................... 1 Wright's Folding................................... 4 5° 25 00 5° i5 25 -1017 1020 1023 291A SHARP & SMITH, CHICAGO. AMPUTATING, GENERAL AND MINOR OPERATING KNIVES. fig. Each. *ioi6-B Ferguson's Minor Operating Scalpel, Aseptic............... $i 25 *ioi7-A Bistouries, all patterns with hollow Aseptic metal handles.. 75 *ioi8-A Scalpels, all sizes, with hollow Aseptic metal handles...... 75 *ioi9-A Tenotomes, sharp and blunt with hollow Aseptic metal handles............................................ 75 *io2o-A Tenaculum, with hollow Aseptic metal handles.............. 75 1016-B 10T7-A 1017-A 1018-A 1019-A 1 1020-A 1024 1028 1029 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 291B AMPUTATING, GENERAL AND MINOR OPERATING KNIVES. *io24-A Catlin, small size, hollow Aseptic, metal handle............................ $2 25 1024-B " medium size, hollow Aseptic, metal handle........................ 2 50 1024-C " large " " " " " ..................... 300 *io28-A Liston's Amputating Knife, medium, leg and arm, hollow Aseptic, metal handle....................................................... 225 1028-B Liston's Amputating Knife, short, hand and foot, hollow Aseptic, metal handle. 200 *i02g-A " " large, hip and thigh, " " " " 2 50 *I036-A Finger Knife, long, French pattern, hollow Aseptic, metal handle.. $1 5° *io36-B " " " " " " " " " 1 00 1039-A Cartilage" heavy, hollow Aseptic, metal handle.............. 1 5° 1039-A 1036-A 1036-B 1024-A 1028-A All instruments designated by a * are illustrated. 291C SHARP & SMITH, CHICAGO. AMPUTATING, GENERAL AND MINOR OPERATING KNIVES. *i04i-A. *io4i-B. *i04i C. *i04i-D. *io4i-E. *i04i-G. *i04i-H. *io4i I. *i04i-K. *i04i-L. *io4i-M. Dr. J. Frank's Large Resection Scalpel...... ...................... " " small .................................. " Probe Point Resection Bistoury........................... J " " Sharp ................. Dr. Jno. B. Hamilton's Scalpel and Fascia Elevator .......T.........---- I Shears' large Convex Edge Tenotome..................................• • J " Bellied Tenotome ....................... ................. J " Straight "............................ ........... * small Concave Edge Tenotome................................... J $i 5° Straight Tenotome. 5° 50 50 00 00 00 00 00 00 00 1041-A 1041-D H K M 1041-G to M All instruments designated by a * are illustrated. 1041-E. SHARP & SMITH, CHICAGO. 291D AMPUTATING, GENERAL AND MINOR OPERATING INSTRUMENTS. SAWS. FIG. *io42-A Leonard's Aseptic Amputating Saw...................... $3 50 *io42-B Sharp & Smith's Aseptic Phalangal Bow Saw............... 3 50 *io42-C Rust's Aseptic Amputating Saw (9 in. blade).............. 8 00 AN IMPROVED ASEPTIC AMPUTATING SAW. By William R. Leonard, M. D., New York. The amputating saws in general use in this country have the old-fashioned pistol-handle shape grip, which is objectionable, especially if the hand is wet or smeared with oil or blood. The grip becomes lessened and the force reduced. The cut here presented shows the improvement at a glance. The saw is in three sections; the blade, back and handle, which takes but a few seconds to put together or detach for cleaning. The slot in the blade catches on to a pin in the handle, the screw passes through the handle, back and blade, making one solid piece. The screw also acts as a joint to enable you to raise the back at a right angle to the blade, in case you wish to saw down through the spinal column or a femur. The handle is made round, flat, or oval, preferably round, and is on a plane with the blade, connected by a neck. The shape and angle of the handle give the most secure grip, and it is impossible for it to slip out of the hand. The increased force given by this handle enables the operator to work faster, and save several seconds in time in sawing through the femur. 292 SHARP & SMITH, CHICAGO. SAWS. 1042-D *io43 *io44 *io45 1046 1047 1048 1049 *i04g-A Saw—Capital—Sharp & Smith's Aseptic.................................$16 00 This saw is thoroughly aseptic has two blades which can be put at any angle for operating. The saw is made exclusively of metal, and nickel plated, and is one of the most useful instruments yet offered to the profession. Saw, Capital, Aseptic, Satterlee's....................................____ 3 50 Parker's........................................ 3 00 Butcher's.................................... 12 00 Bow............................................ 5 00 Movable Back................................... 3 50 Detmold's...................................... 3 75 Pfarre's......................................... 3 75 Sharp & Smith's No. 2.......................... 5 00 SHARP & SMITH, CHICAGO. 293 *t°5° ♦1051 1052 *io53 ♦1054 i°55 1056 *io57 1058 M059 *io6o *io6i SAWS. Saws—Chain, best....................................... $6 00 T. & Co.'s beaded........................* 4 50 " Conant's and Knife, 1 blade ....................... 5 00 " 2 « ....................... 6 50 " Hey's Skull....................Aseptic $1 50 plain 1 30 " Goodwillie's Oral................................ 2 00 " Graefe's Circular................................. 15 00 u Wyeth's Exsecting................................ 15 00 " Szymanowsky's Exsecting........................ 15 00 " Adam's Interosseous, large........................ 3 00 " " " small....................... 2 00 " Lente's " ............................ 1 00 io53 All instruments designated by a * are illustrated. 294 SHARP & SMITH CHICAGO. SAWS. Dr. Jno. Wyeth s New Instrument for Exsections. 1057 The above instrument has been used successfully in exsections of the humerus and shoulder joint, the elbow joint, the hip joint, cutting through both trochanters with perfect facility, the radius, the metatarsus, and the acromion process and spine of the scapula. It can also be used in exsections of small bones closely related to each other, as the metacarpal bones. The handles work with a double-jointed motion, and have a fixation clamp,/, like the Russian needle holder. By opening or closing the handles, the jaws, g, are separated or closed. The action of the rotating shield, h, and the saw, /, are the same. FIG. ♦1062 Saws—Schrady's—Subcutaneous Saw and Knife.............$ q 25 1063 " Hunter's Plastic Saw.............................. 2 00 ♦1064 " Lewis folding.................................... T 50 1065 " Tiemann & Co.'s Circular......................... 9 00 *io66 " Metacarpal, plain handle.......................... x 00 1067 " " Ivory " .......................... T 5o *io68 " " Movable Back...............$T 75 to 3 50 1069 " Maxilla R. & L..............................each. 1 -10 ♦1070 " Post's Chain Saw Carrier...............t.......... - OQ ♦1071 " Buck's " " " ......................... j 5<3 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 295 SAWS. 1054 /062 296 SHARP & SMITH, CHICAGO. DRILLS.^ O 1072 1073 1076 1077 1074 1079 SHARP & SMITH, CHICAGO. 297 DRILLS. FIG. *io72 Drills—Brainard's, set 5 and handle.......,............set $ 2 65 *ic>73 " Hamilton's...................................... 400 ^1074 " Howard's..............................,....... 5 25 1075 " Gunn's......................................... 2 50 #1076 " Pope's Antrum.................................. 2 60 ^1077 " Gaillard's, for ununited fractures.................. 1 90 *i078 " Wyeth's set...................................... 4 00 ^1079 " Tiemann's Drill Stock............................ 5 25 *io8o " Buck's Drills for the mastoid process.............. 22^ g3&~^~ .imniwTiniiiniirnii-rri r» - r i -- mirf»- -™T - - -—--------~--- - ----- ■-"=■- IO78 Wyeth's Set Bone Drills, $4.00 Net. k SHARP A gMITH \ IOSO All instruments designated by a * are illustrated. 298 SHARP & SMITH. CHICAGO. FIG I08l *io82 ♦1083 *io84 1085 *io86 ♦1087 *io88 *io89 1090 *io9i *I092 ♦1093 ♦1094 io95 1096 *io97 1098 *io99 RETRACTORS AND HOOKS. Retractors—Volkman's See Figs. 1081-A to D, page 299-A each. Parker's.................................pair. $ 1 00 " Mott's.................................. " 1 °° " Blackman's................................ " 2 25 " Prince's.................................. " 260 " Bilroth's R. and L., 3 prong blunt..........each 1 75 « " " " 6 " sharp.......... " 225 " " "■ " 3 " blunt, angle on flat " 1 75 " Gerster's........................ ...... " 1 85 « " Modified by Sharp & Smith, with longer handle and longer blade___per pair. 1 85 " Collins' Fenestrated.................... " 1 85 " " without Fenestra............... " 1 85 Greene's Double Hook................................--- 1 85 Langenbeck's Double Hook............................... 3 °° " Levator and Hook........................... 1 3° Vulsellum Hooks, 2 prong............................... 1 10 » " 3 " ............................... 1 30 Tenaculum Forceps, Disarticulating........................ 1 85 Prince's Tenaculum Forceps.............................. 4 5° Mastin's " " Double........................ 2 25 1087 M 1088 1086 1082 T083 All instruments designated by a * are illustrated. 1084 SHARP & SMITH, CHICAGO. 299 RETRACTORS AND HOOKS. 1091 1092 1093 1094 1097 4 1099 299A SHARP & SMITH, CHICAGO. ASEPTIC RETRACTORS AND HOOKS. Fig. *io8i-A Volkman's six prong Aseptic Retractor................... $2 00 *io8i-B " four " " " .................. 175 *io8i-C " three" " " .................. 15° *io8i-D " two " " " ................... 1 25 *io92-A Lange's large Aseptic Retractor.......................... 1 75 1092-B " smaller " " .......................... 1 50 *io92-C " large curved Aseptic Retractor................... 1 25 *io92-D Giant Aseptic Retractor................................. 2 00 *io94-A Dr. Jno. E. Owens, Guarded Double End Aseptic Retractor.. 2 50 *io94-B " '• " " Aseptic Retractor Forceps............. 2 25 *io94-C Hagedorn's Aseptic Retractor............................ 2 50 *io94-D Langenbeck's Sharp Point Aseptic Retractor.............. 1 50 *io94-E " Blunt " " ............... 150 ♦1094 G Dusham's flat end Fenestrated Aseptic Retractor........... 2 00 *io94-H " round" " ■' " .......... 200 All instruments designated by * are illustrated SHARP & SMITH, CHICAGO. 299B ASEPTIC RETRACTOR AND HOOKS. This retractor has sharp prongs on one end, and blunt on the other. The sharp prongs are covered by a guard which pro- tects the hand when the blunt end of re- tractor is being used. It is especially useful in deep wounds, abdominal wounds,wounds in the loins, etc. 1094-A These Retractor Forceps are provided with the Collins' Aseptic Lock, and when taken apart each blade can be used as a single Retractor in Tracheotomy, for instance, and other wounds, or in operations upon the mastoid. When used together, the instrument not only serves for retracting or reopening of wounds, but by open- ing the handles they also enlaige the wound longitudinally. 1094-C 1094-H 487�37927�73 �457259920375734 800 SHARP & SMITH, CHICAGO. BONE INSTRUMENTS. FIG. *IIOO IIOI 1102 IIO3 *no4 ♦1105 *no6 1107 1108 *no9 *ino 1 in 1112 1113 1114 i"5 Forceps—Bone Cutting—Liston's, plain.. spring. large " with spring angular........ curved on flat... « " Satterlee's............ « " " curved...... " " Isaacs' Bayonet shape.. " " Hamilton's Serrated.... Rongeur, straight........................ " half curved.................... full " .................... " Little's, for pocket........................ 3 " Hoffman's Gouge......................... 3 " and Bone Holder, Darby's................. 3 Wyeth's Exsecting Forceps and Saw, see page 294 *i 116 Forceps—Needle Cutting, Stimson's......... 85 00 00 5° 25 25 00 25 5° 00 5° 5° 5° 00 00 00 2 75 1110 1104 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 301 1119 1122 *II23 1124 *II25 1126 1127 *II28 1129 1130 *ii3i *II32 **33 BONE INSTRUMENTS. Forceps, Toe Nail, Post's..........................*.......$ 2 00 Trephining and Sequestrum, Van Buren's............ 2 00 Sequestrum, Markoe's curved...................... 1 85 Hamilton's........................... 1 85 Ferguson's, with spring................ 1 85 Van Buren's.......................... 2 00 Poor's angular........................ 2 Duck Bill............................ 1 25 85 Gross' plain.......................... 2 00 with hinged spring.................... 3 25 Bone Holding—Ferguson's Lion Jaw---.......... 2 25 " " —Darby's.......................... 3 00 " Gnawing, curved and straight, each.......... 2 50 " Farabeuf's (Osteopher)...................... 4 5° " Holding Hamilton's, (Osteopher)............ 3 00 " Gnawing, curved and straight, each........... 250 SHARP &.SNTCIH II2I IIl8 1125 H23 H20 All instruments designated by a * are illustrated 1128 SOI A SHARP & SMITH, CHICAGO. ASEPTIC BONE INSTRUMENTS. The accompanying cut illustrates a very useful and serviceable "joint" for use in all styles of forceps and scissors. It is known as the "box joint;" Forceps made with this lock are thoroughly aseptic, and are also as ffeh. strong as the ordinary pattern. It can be unjointed instantly, and as quickly put together. Following we show some styles of forceps furnished with the above Open Box Joint." described, lock. w rioo-A 1105-A nio-A 1128-A 1114-A 999999999999999999999999 SHARP & SMITH, CHICAGO. 301B ito. ASEPTIC BONE INSTRUMENTS. *noo-A Bone Cutting Forceps, Liston's, Aseptic Lock............................$ 2 50 noo-B " " " with spring.................. 2 75 *no5-A " " curved on flat................ 2 75 1105-B '• "• " " with spring.................. 300 *nio-A Rongeur, or Bone Gouging Forceps, straight, Aseptic Lock.................. 3 00 ino-B " " with spring......... 325 *UI4-A Hoffman's Gouge Forceps, Aseptic Lock................................. 3 50 *i 128-A Ferguson's Lion Jaw Bone Holding Forceps, Aseptic Lock.................. 3 00 *H45-B Bone Chisel, Von Brun's Straight Aseptic................................. 1 25 *H45-C " Gouge, " " ................................. 175 *i 145-D " " Curved " ................................. 2 00 *H45-E " " " Curved plain " ................................. 1 25 *H45-G " " " Luer's Aseptic, Left ................................. 2 00 *H45-H " " " " Right................................. 200 *H45-J " " Dolores Aseptic......................'................... 2 75 *U48-A Gouge or Scraper, Volkman's Aseptic..................................... 1 40 *H55-A Aseptic Lead Mallet................................................... 1 75 1155-A All instruments designated by a * are illustrated. 301C SHARP & SMITH, CHICAGO. ASEPTIC BONE INSTRUMENTS. FIG. *ii55-B Blake's Double End Bone Curette, Aseptic................ $3 °° *i 155-C Bone Curette and Drill " ................ 1 5° *ii55-D Owens'Double End Bone Curette, " ___........... 1 75 *ii55-E Sharp & Smith's Double End Bone Curette, Aseptic......... 1 5° *i 155-G Bone Scoop and Scraper, Aseptic......................... 1 25 *i 155-H Pratt's Bone Scoop and Spud, Aseptic.................... 150 *i 155-I Kocher's Director, " ..................... 1 25 *i 155-K Knoll's Periosteotome, " ..................... 1 75 *n55-L Prof. N. Senn's Periosteotome, " .................... 1 75 *i 155-M Matthieu's Raspatory, " ..................... 1 .50 *i 155-N Matthieu's Bone Reamer, " ..................... 1 25 *ii55-0 Steel Nails for Excision, " ..................... 60 *ii55-P Bone Pins for Excision, " ............per dozen, 1 00 *J X55-Q Sharp & Smith's Bone Curette, " ..................... 1 50 *i 155-R Fink's Rounded Sharp Knife, " ..................... 1 50 "55-B 5HABP *= SMITH "55-C "55-D "55-E 1155-G SHARPS SMITH "55-H "55-1 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 301D ASEPTIC BONE INSTRUMENTS. "55-N H55-Q H55-R I take pleasure in introducing to the surgical profession an instrument of my own device (Fig. 1155-R). * c^ lt a Curved Bistoury, for the want of a better name. It is a bistoury with a cutting edge, continuous on the rounded point, bent upon itself, forming almost a half circle (see illustration). The uses of this instrument will at once suggest themselves to the surgeon. To sever attachments where a straight bistoury, or curved scissors cannot be satisfactorily brought into use. It is also serviceable for cutting away necrose of bone, in like manner cutting or curetting the same. It is useful as a curette in cavities requiring a cutting edge. This instrument is particularly serviceable in some amputations about the joints, in severing synovial ligaments, especially those of the carpal bones of the hand, in gunshot wounds, crushing them, requiring their removal at the joints, in conservative surgery. The above illustrated instrument I had made for my own use at the house of Sharp & Smith, Chicago, 111. I. W. Fink M. D., Hillsboro, 111. D/...+//.�� 802 SHARP & SMITH, CHICAGO. BONE INSTRUMENTS. 1131 1147 1139 SHARP & SMITH, CHICAGO. 303 BONE INSTRUMENTS. 11*2 II42A 304 SHARP & SMITH, CHICAGO. MACEWEN'S CHISELS AND OSTEOTOMES. Dr. Wm. Macewen (' Osteotomy") says: The instruments used by me are of two different kinds, the chisel and the osteotome. The former being of the same form as the carpenters'—though different in temper, the latter being sharpened like an attenuated double inclined plane. The chisel is used for paring, shaving and cutting out of bone, such as a cuneiform portion of the tibia in anterior curvature. The osteotome is used only for making simple incisions or wedge-shaped openings without removal of bone. Fig. 1146. Macewen's Chisels. The blade of the chisel has two parallel sides extending as far as the cut- ting edge. The cutting surface has one side straight, the other beveled. It ought not to be too thick, otherwise the bone will splinter. For most purposes an eighth of an inch at the base of the bevel is suitable. The breadth of the fnstrument varies according to the size of the bone. Half an inch broad is iound very suitable in the majority of cases; but for narrow fibulae a quarter of an inch is better. The breadth ought always to be less than that of the bone to be divided, otherwise the soft tissues on either side would be cut. Though the form of the instrument is similar to many employed by the carpenter, yet the temper and quality are quite different. A chisel tempered so as to cut wood, such as a carpenter's, would not be suitable to cut bone. On the other hand, the instrument employed by the iron cutter (dresser) would be equally faulty in thickness and temper. The bone would be apt to turn the edge of the former while the latter would be apt to splinter it. The nearest approach of the requisite temper will be found in the tools of the hard wood or ivory turner- but it is best to get the chisel tempered to suit bone, and its quality may be easily tested on the thighbone of an ox. The osseous surface left by a sharp chisel ought to be quite smooth. This instrument is used for cutting a wedge and removing it out of the bone. For the purpose of making a simple osteotomy, or in order to have a wedge-shaped opening in the bone, without removal of any osseous substance, an osteotome is employed. SHARP & SMITH, CHICAGO. 305 The Surgical Needle of Dr. Hagedorn, of Magdeburg. The curved surgical needles at present in general use have a stem, the section of which forms either a section or an oval. The needle, at the inner side of its curve, is flattened to a broad double edge, terminating in a point. The edge is transverse to the curve of the needle. A puncture made with such a needle is parallel with the direction of the wound, as shown in cut, a, a. On tying the suture the stitch-wound forms a gap, as shown, b, b, which frequently causes small fistulas, and will not always heal by first intention. In the Hagedorn needle the section of the stem forms an oblong parallelo- gram. It is of equal length and thickness throughout its entire length from eye to point, and is curved in its axis, with its short cutting edge on its convex side near the point. The length of the cutting edge is about twice or thrice the width of the needle. The needle for intestinal sutures, however, makes an exception, its point being round. The Advantages Claimed by this New Kind of Needle are : i. Being curved on the edge, they are more resistant, the point following the in- tended direction of puncture without deviation. 2. The eye can be made larger and tapering at the terminal end, so that even a stout double thread will pass through the puncture without difficulty. 3. Owing to its equal thick- ness the needle can be firmly and safely grasped at any %-Z 4. The cutting edge being on the convex side, cannot be blunted by the needle holder. 5. The incision made by the needle is in a right angle to the edge of the wound (see c. c.) The two edges of the ! stitch wound, on tying the suture, are drawn into close apposition, whereby their union is favored (see d, d). 6. The fiat needles cause less injury, especially in sut- ures of nerves and tendons. point, whereby its direction will be greatly facilitated. The Hagedorn Needles are put up'in packages of one dozen of any one size, either straight, semi-curved or full-curved. Price per package, $1.25. Card Containing 20 Different Curved Needles. 1168 306 SHARP & SMITH, CHICAGO. NEEDLES, Etc. n66 1161 1174 1169 1172 1164 SHARP & SMITH, CHICAGO. 307 FIG. II56 "57 II58 "59 1160 *ii6i *i 162 *n63 *n64 *n65 *n66 *n67 *n68 *n6o. *ii7o 1171 *II72 *ii74 "75 1177 ♦1178 *ii79 *n8o *ii8i NEEDLES, PINS, Etc. Buck's Pin Carrier........................................$ Hare-lip Pins.....................................per doz. " " Silver Canula.............................each Plastic " lance point.............................. " Acupressure Pins, lance point....................... per doz. Buck's " 1 to 2 inch...................... 2>4 Hair-lip Needles................................... Needles—Ordinary Surgeons, Straight................ " Curved................................... " Half curved.............................. " Hagedorn's.............................. " Self Threading............................ " For Mouth............................... " For Silver Wire...........................each. " In which Silver Wire can be screwed.......... " Acupressure, Simpson's..................... " •' with Glass Heads................ " Acupuncture " " " ............... " Ligatures all kinds, see index. *ii76 Langenbeck's Serresfins, steel............................. " " " curved..................... " " can be taken apart to be cleaned...... Serresfin's Silver Wire, straight........................... curved............................ Hoff's, set with handle, used to approximate the edges of wounds while passing sutures................................... Tucker's Wire Cutter...................................... Milne's Compressor.......................c............... 1182 •1183 00 J5 35 20 5° °5 10 l5 25 5° 5° 5° 75 00 00 10 35 20 10 10 5° 5° 5° 20 20 25 00 10 1179-1180 1183 $S=m ao oO u8i 1182 308 SHARP & SMITH, CHICAGO. 1185 1186 1187 *n88 1189 1190 1191 1192 "93 *n94 "95 1196 1197 1198 *H99 1200 1201 1202 1203 1204 1205 *I206 1207 TOURNIQUETS, TREPHINES, Etc. Gait's Trephine, Conical..................................................$ 2 75 " Cylindrical.............. ................................... 275 Crown Trephine....................................................... 3 25 Guarded " ............................................................ 4 50 Trephine Handle, Horn.................................................. 60 Brush......................................................... x5 " Braces......................................................... " 00 '' Necrosis...................................................... 2 75 Tirefond or bone screw................................................... T 85 Trepan for the hand.................................................... i 85 Esmarch's Tourniquet, complete, with 3 yards web........................... 2 25 " 4 " " ........................... 2 75 " " Chain, only....................................... 50 " " Chain and strap............................... ..... 1 00 Tiemann's "................................................... 1 5° Pettit's Spiral " ...... .......................................... I 50 Cushing's Field " ................................................... 50 American " " ................................................ 75 Mott's Spiral " ................................................... 1 50 May's " ................................................. II 00 Gross' "................................................. 9 00 Prussian ".................................................. 60 Charriere's ".................................................. x 85 Skey's " ................................................ 1800 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 308A TOURNIQUETS, TREPHINES, ETC. 1207-B iVa. *ii8s-A Roberts' Aseptic Trephines, *n85-A *n85-A *n85 \ *n85-A " " 1^2 " ...................... *T207-A Signoronis' Tourniquet......... .............. *i207-B Ward Cousin's Instantaneous Tourniquet, Aseptic........... '"1 207-C Esmarch's Emergency Tourniquet, with elastic ligator........ *I207-D Clover's Ether Inhaler .... .......................... Instruments designated by a * are illustrated $5 00 5 00 6 00 6 50 7 00 10 ou 2 00 50 15 oc 308B SHARP & SMITH, CHICAGO. TOURNIQUETS-ETHER INHALERS i207-C ETHER INHALERS. '..................... j Qq *i283A « " Suture.............'.'.'.V. .'."..'.'.'!.'.'.!!!.'!!!.'! 125 *i284A " " Acupressure Scissor Handle ............... 2 2; *1285A " " " « 2 2^ *iz86A " " suture " « '.!!'.!!!!!'. .7.7.'.!'. 225 [Extract from " Medical News," September 1st, 1883.) ACUPRESSURE FORCEPS. An Instrument for the Instantaneous Arrest of Hemorrhage during Surgical Operations. By Oscar H. Allis, M. D., Surgeon to the Presbyterian Hospital; Lecturer on Orthopaedic Surgery and Joint Diseases in the Post'Graduate Course at Jefferson Medical College ; Surgeon to the Jefferson Medical College Hospital. Under this heading I wish to introduce an instrument to the medical pro- fession that I have devised for the arrest of hemorrhage. It consists of two blades, Fig. 1282, under the command of a spring, the lower of which is a needle, and designed to transfix bleeding tissues, which done, the grasp of the hand is released, and compression is instantly effected between the blunt blade which lies upon the surface of the bleeding vessels and the needle which lies beneath them. 1282-A Its special application is where hemorrhage takes place simultaneously from many bleeding vessels. Few surgeons have not felt the need of a certain and instantaneous haemostatic in operations in which the tourniquet cannot be used, or after the tourniquet has been removed. In the latter case,•though the main vessels have been ligated, the hemorrhage is often so great from numerous small bleeding points, and the usual means of arrest and ligation so tardy, that fatal collapse has not infrequently resulted. It is for this class of cases that the acupressure forceps have been devised. Beneath a bleeding area the needle is thrust, and the spring, instantly denoting that the hemorrhage has been arrested, leaves the operator to turn his atten- tion to another point of danger. Thus half a dozen instruments will be found as efficient and much more transparent than a corps of assistants—not getting in the operator's way, and maintaining a silent but effective grip until the liga- ture may be applied, and the instruments one by one removed. In the surgical clinics of medical colleges, in hospitals, in active military service, and in the private practice of those surgeons who cannot command adequate assistance, this instrument will, I believe, be found of great service. As acupressure forceps, they often render the ligature unnecessary, for no oozing will follow their removal if the vessels are small, and their application has ^S^^^58 continued for several minutes. Inoperat- I28o-A ing on the female perineum, in which the ligature is to be avoided, this instrument, especially No. 1280, will do excellent work. 318 SHARP & SMITH, CHICAGO. ARTERY FORCEPS. Four varieties and nine sizes are made. One, in which both blades are needles—a suggestion of Dr. Reen, as represented by Fig. 1281. Nos. 1282 and 1280 will be found most generally 1281-A useful. No. 1280 or a larger size, will be found effectual in deep wounds, as in lithotomy. For plastic operations upon the face a small size is made (Fig. 1282). There are three sizes of No. 1280, three of No. 1282—the largest of which is fully eight inches long. Although each instrument may be used not only as a haemostatic, but also as a tenaculum, yet the two designed especially as tenacula are represented in 1282A and 1282B. For this purpose I have found the large size (Fig. 1282B) to work admirably. In using the instruments, a quick, firm thrust is necessary, but this manoeuvre can easily be acquired on the coat sleeve. My preference (if I could have but one variety) is for No. 1280. Were I ordering a dozen I should take three of No. 1280, three of No. 1282, two of each a size larger, one of No. 1282B, and one of mammoth No. 1282. No. 1282-B is not necessary if an ordinary ten- aculum is at hand, but I believe that those having No. 1282-B 1282-B will set the old tenaculum aside. Figure 1282-B is not shown in cut; it is the same as 1282-A, only larger. 1283-A suture forceps. I have given these instruments a satisfactory trial in the Jefferson Medical College clinic and hospital, and in the Presbyterian Hospital, and feel that they have a useful future before them. 1284-1285-1286-A The above Allis' Forceps with Scissor Handles are supposed to be an improvement on the old style, and at present seem to be in fair demand 0906050402010201000202020000010101 SHARP & SMITH, CHICAGO. 319 ARTERY FORCEPS. *i287A Forceps, Pratt's Artery, angular, 1288A *i28gA *I2QO I29I *I2g2 I293 I294 *I295 *i296 1297 1298 1299 1300 *i3oi *1302 long. new Artery and tissue.................... " Faenger's Compression French Lock, large 8 inches.. small, 6 " " " " curved, 9^4 inch............. Langenbeck's Artery Compressor....................... Milne's " " ......................... Levis' ' " ......... Gross' " " ........ Buck's " ■" ......... Skey's " " ........ Erichson's " " ........, Briddon's " " ......... Hahn's Artery Compressing Forceps...... Dr. J. Frank's (Chicago) Dressing Forceps, Adam's Splinter Forceps................ *i303ALittle's " " ............ *i304 Polypus Dressing " plain........... 1305 " " " catch........... *i3o6 Spier's Artery Constrictor............... *i307 Mattock's Key Ring Artery Clamp........ 522 50 to $1 5° 1 75 2 00 2 25 1 75 2 5° 5° I 10 2 5 2 60 27 00 l8 00 l8 .75 45 00 2 25 I 5° 75 75 I 00 I 00 3 00 35 1290 Instruments designated bv a * are illustrated. 1289A 320 SHARP & SMITH, CHICAGO. ARTERY FORCEPS. 1302 1303-A 1301 1306 SHARP & SMITH, CHICAGO. 3k50A ARTERY FORCEPS. Aseptic Artery Forceps; plain......................... ...............$ " " Listou's Mouse Tooth........................... " " " Sharp & Smith's Slide Catch..................... x " " Walcher's....................................... I " Dr, Christian Fa«.nger's.......................... i Dr. J. Frank's Scalp Wound Clamp Forceps.............................. 2 Forceps (cross action) fur spreading open the lips of a wound................ 3 Dr. H. \\ . Booae's Clamp Force s, for securiig and ligating deep sutures. .. . 3 Byford's Single Curve Compression Forceps..............(see following page) 2 " Double " "' " ............. " " 2 T •' " .............. " " 2 Senn's Bulbous Artery Forceps........................ " " 2 " plain Aseptic Artery Forceps................... " " 1 Lawson Tait's " lock Artery Forceps............... " " 1 " " curved Artery Forceps.......... " 1 Knoll's Blunt Artery Forceps.......................... " 1 Bouffleur's Artery and Needle Forceps for round orflat needles " 2 FIG. *i27g-A *I2S8-B * 1293-A *r293-B *1300-A *i3oo B *i3o -C * 130 r- A *I305-A *'305B ^305-C * i yj..- A *i3o6-B *i3o7-A 1307-B *i"07-C *i3o8-A 1301-A All instruments designated by a * are illustrated. 320B SHARP & SMITH, CHICAGO. 1307-C 1307 A 1306 B See preceding page for prices. 1308-A SHARP & SMITH, CHICAGO. 321 NEEDLE HOLDERS. FIG. *i3o8. Needle Holding Forceps, Prout's..........................$2 60 13°9- " " " Physic's........................... 1 50 *i310- " " " Sand's...... .................... 3 00 " (see index.) '• and Artery Combined Fen.strated .... 2 00 1311. " " " Philadelphia....................... 4 00 *i3i2. " " <' Parker's .......................... 1 50 1313. " " " Fritche's........................... 3 50 *i3i4- " " " Russian........................... 3 00 1315- " " " " Imp......................... 3 25 i3T6. ' " " " Stimson's (See Fig. 3512, page 609.).. 2 75 *i3J7- " " " Sim's plain........................ 1 75 1318. " " " " with catch..................... 2 00 1319. " " " Thomas'...................=...... 3 50 1320. " « " Wyeth's........................... 3 40 *i32i. " " " Whitney's......................... 3 25 1317 Instruments designated by a * are illustrated. 322 SHARP & SMITH, CHICAGO. NEEDLE HOLDERS. This needle-holder is constructed in such a manner as to hold at different angles a very large or very small, decidedly curved or absolutely straight Hage- dorn or round needle. The principle of holding the different curved and shaped needles of this design consists in having the ends of the forceps for seizing the needle ground to fit each other like the ball and socket joint. The socket or lower end of the forceps is ground in grooves at three or four differ- ent angles to a point below the base of the socket. And thus the needle fits in either one of these several grooves and the ball end of the forceps presses di- rectly upon the needle in the center of the socket, and holds it firmly. The parts are disjointing, one portion is long for the hand to grasp firmly or lightly, as may be needed, the other is shorter, and made with a ring for the end of the thumb. This is placed at right angles to the axis of the instrument. 1324 1327 1328 1325 SHARP & SMITH. CHICAGO. .323 NEEDLE HOLDERS. 1332 -1333- 1330 324 SHARP & SMITH, CHICAGO. NEEDLE HOLDERS. FIG. 1322 Needle Holding Forceps, Mathis', for curved needles ... ..... $3 75 ♦1323 " " " Hanks'........................... 3 00 *i324 " " " Heuel's........................... 3 00 *i325 " " " Emmet's........................ 2 25 1326 " " " " with Catch................ 2 65 *i327 " " " Reiners'......................... 3 00 *i328 " " " French........................... 3 50 1329 " " " Hagedorn's, small................. 5 00 ♦1330 " " " " large.................. 6 00 *i33T " " " Fowler's.......... .............. 3 00 *i332 " " " " with Russian handle......... 4 00 *i333 " " " Gibbons'......................... 450 All instruments designated by a * are illustrated. ASEPTIC UNIVERSAL NEEDLE FORCEPS. By George R. Fowler, M. D., Brooklyn. Ever since the introduction of the excellent form of flat needle known as the Hagedorn, surgeons have regretted the apparent necessity for a needle holder of considerable complexity of mechanism, in order to grasp this form of needle firmly. The device of Hagedorn for accomplishing this purpose is open to the very serious objection of having a number of "stow-away" places for dirt, and consequently infectious material. It requires the services of a T33i mechanician, when it is cleaned, in order to take it apart and put it together again properly. We have made, a needle forceps which combines three very desirable qualities. In the first place, it is thoroughly aseptic, being composed of but two parts, which unlock and come apart by means of what is known as the "French lock." Secondly, its jaws are of hard steel, instead of being faced with soft copper, as is the case in the Hagedorn forceps and conse quently are more durable; and, lastly, it is so arranged as to grasp firmly a needle of any shape, whether flat, round, or three-cornered. The above cut represents the needle-holder grasping a Hagedorn needle, which can be placed at any angle between its jaws. A shallow groove upon the face of one of its jaws enables it to hold with equal security a round or a three-cornered needle The advantages of possessing a needle holder capable of grasping any sort of needle will be apparent to every surgeon. SHARP & SMITH, CHICAGO. 325 NEEDLE HOLDERS. ASEPTIC NEEDLE FORCEPS. By A. Ady, M. D., Muscatine, Iowa. The instrument represented by the engraving will hold any kind of needle —round, flat, straight or curved—and hold it firmly. It has both a diagonal and a rectangular slot. In these days of antiseptics, all surgical appliances should be as free as possible from any danger of carrying septic material from one case to another; and any instrument that can not be readily taken apart T334 for the purpose of cleansing is consequently dangerous. This holder was invented with special reference to the avoidance of any such danger. Being practically composed of only four pieces, it can be taken apart instantly by removing the nut, and cleansed, and as readily put together again. 1340 1338 326 SHARP & SMITH, CHICAGO. NEEDLE HOLDERS. *J334 **335 *i336 *r337 *i338 *i339 ♦1340 *i340-A Needle Holding Forceps, Ady's...........................$ 7 5° Ethridge's....................... 3 75 Dr. A. J. Skenes................. 4 00 Tiemann & Co.'s Patent.......... 4 5° Sharp & Smith's ................. 2 50 Thiersch's & Spindles............. 7 50 Abbe's modification of Hagedorn's.. 2 00 Pocket Case, size of Hagedorn's Needle Holder................ 6 50 T337 T339 1340-A All instruments designated by a * are illustrated. 1335 SHARP & SMITH, CHICAGO. 327 ARTERY AND PERINEUM NEEDLES. FIG. 1340-B Bozeman's Needle Carrier............................... $6 00 *i34i Parker's Needles, set of six in handle, handle serves as a case for the Needles........................................ 3 75 *i342 Agnew's Needle and Needle Holder....................set. 3 40 *i343 Rivedon's Perineum Needles in three different curves ... .each. 2 50 *i344 Keyes'modification of Rivedon's Perineum Needle, straight... 7 00 *i345 " " " " " " curved.... 7 00 The Keyes Modification Needles can be taken apart and easily cleaned, and consequently are aseptic. 1344 I 1340-B 1341 *345 All instruments designated by a * are illustrated. 1343 328 SHARP & SMITH, CHICAGO PERINEUM NEEDLES. KIG, * r 346 Wilson's Needle Perineum............................___$ 1 00 *i.347 " " Right and left...................'.___each. 1 25 *i347-A Papine's Perineum Needle................................ 65 *i347-B Knox Perineum Needle .'....•............................. 75 *i347-C Knox New Perineum Needle.............................. 75 *i348 Sharp & Smith's Hollow Silver Wire Needles, with two Needles. 3 00 1349 " " " " " " " thiee " 4 00 ■"1350 Mott's Aneurism Needle.................................. 2 25 1351 " " and Director..................... 50 1352 Spiral " " ................................. 140 1353 Student's " " ................................. 225 1354 Gunn's Artery "................................. 260 1348 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 329 PERINEUM NEEDLES. i 1372 1358 1342 1350 1366 330 SHARP & SMITH, CHICAGO. PERINEUM NEEDLES. 1355 i356 1357 *i358 *i359 1360 1361 1362 i363 i364 1365 *i366 1367 1368 1369 1370 ♦1372 *i373 *i374 Ciampton's Artery Needle R. & L....................per pair $3 75 Parker's Stone's Canulated Emmet's " Pease's " VonBrun's " Currie's Double Canulated Needle. T. & Co.'s " " Automatic Hoff's Naevus Helical Thomas' Perineum Emmet's Cervical Sims' " Plain Aneurism Whitehead's Aneurism Von Brun's " 1 1 1 8 3 4 5 for wire sutures............ 3 4 .set of each .doz. 1359 =*a 1374-A All instruments designated by a * are illustrated. 25 00 85 00 00 25 25 00 85 25 75 25 oc 00 CO 75 3° 5° 1373 T374 *i374-A Cautery Irons—Thomas'—Set of 3, with handle......per set. $3 35 I374-B " " " " 4, " " " 4 50 1374-C " " " Single.......................each. 1 00 1374-D " " Handle................................ » 75 1374-E " Iron Lamp, Self Blowing...................... << 3 00 SHARP & SMITH, CHICAGO. 831 TROCARS, CURETTES, ETC. i389 1392 1381 4 1380 332 SHARP & SMITH, CHICAGO. TROCARS, DIRECTORS, PROBES, ETC. IG. ' ' ' 375 Carroll's Knot Tyer....................................... 376 Volkman's Bone Scoop.................................... 376-A Hebra's " " ................................... 377 Brunn's "................................... Piffard's " " 3 sizes.........................each. Hoag's Fenestrated Bone Scoop ........................... Scoop and Elevator...................................... Dessault's Serre Noed................................... Spatula and Elevator...................................... " " Tongue Tie................. .............. Nested Trocars, 4 in set, Metal Pencil Case.................. u a , u << " " 3 " Ebony Handle.................... 4 « " " .................... 38S 3 " Metal " .................... 388-A Exploring Trocars...................................... 389 Southey's Trocars and Canulas for Anasarca in Ivory Case.... 390 Trocar, with German Silver Canula........................ Self Acting Blow Pipe.................................... Commodone Extractor.....................'............... Porte Meche................ ............................. Director—German Silver and Tongue Tie................... " " " " Aneurism Needle.............. " " " " Ear Spoon................... " Steel and Tongue Tie............................ " " Little's.................................... " Spear Point and Tongue Tie................. " " Angular and Tongue Tie................... " " and Probe Point... .•....................... " Silver and Olive " ........................... '' " " Tongue Tie.......................... " " " Aneurism Needle...................... Ear Spoon. 378 379 380 381 383 384 385 387 387-A 387-B 391 392 393 394 395 396 397 398 399 400 401 402 4°3 404 405 4o5AHunter's Steel Director and Counter Pressure Spatula. 406 407 408 409 410 411 Probes, Silver, 4 to 5 inch..........................per pair Plated,4 to 5 " ..............'........... « Silver, 6 " ........................ « Hamilton's, with Director Set. I 5° I 40 I 5° I 5° I 5° 2 5° I 25 75 5° 5° 3 5° 3 5° 3 00 3 5° 3 00 90 2 5° 1 00 3 00 5° 40 45 5° 5° 75 60 90 90 75 1 5° 1 5° 1 5° 1 5o 75 5° 35 75 1 10 1 35 1 5° I388-A SHARP StSMUlj I387-B All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 333 CAUSTIC HOLDERS, CATHETERS, ETC. FIG. *i4T2 Silver Caustic Holder..................................... j^ 50 For more complete line of Caustic Holders, see index. i4i2ACatheters, Plated, Male. 1 to 12 ............................ 65 1413 ♦1414 1415 1416 •1417 Silver, " 1 to 12____ ....................... 150 Parker's Combined, with Caustic Holder, Silver..... 3 00 Plated..... 1 50 Combined Male and Female, Plated............... 85 Silver............... 85 1405-A 1414 1394 All instruments designated by a * are illustrated. 994 334 SHARP & SMITH, CHICAGO. BULLET INSTRUMENTS. 1421 1422 14^3 1424 1425 1426 1427 1428 =1429 143° 'I431 :i432 Bullet Forceps, U. S. A................................... $1 50 " Gross'.................................... 175 " American................................. 1 50 " T. & Co.'s Spiral........................... 450 " " latest........................... 2 60 " Moses'................................... 2 60 " Gunn's......................... ........ 2 25 " Hamilton's ..................... ...... 1 75 Dr. Jno. T. Darby's Forceps and Bullet Probe Combined...... 3 00 Bullet Forceps, Canulated................................ 260 Dr. Jno. F. Ball's Bullet and Tenaculum Forceps Combined.. . 1 85 Bullet Forceps, Prussian................................... 2 25 " Extractors, Jones'................................. 3 00 " " Moses'.................................. 2 60 " " Leonard's............................... 7 50 1432 1431 T4T9 1418 1420 SHARP & SMITH, CHICAGO. 335 BULLET INSTRUMENTS. r433 1434 *435 i436 M37 1438 »439 1440 1441 1442 1443 1444 1445 1446 1447 = 1448 **449 *i45° 1451 *i452 *M53 **454 1455 i456 1457 1458 *i459 1460 1461 *i462 1463 ♦1464 ♦1465 *i466 ♦1467 1467 A 1467B Bullet Scoop, T. & Co.'s. " Seeker, " Screw Bullet Probes, Burr Head Head...... Bullet Probes Sayre's Vertebrated Silver................... Long Silver..........................50c to Lead........................'............. Nelaton's, Porcelain Head................... Spiral (10 inches long) Porcelain Head.,...... T. & Co.'s and Lint Introducer.............. Steele's Elastic............................ Hamilton's Jointed, with Director and Porcelain r. & Co.'s................................. " " Thomasin's............................• • • • " " Dr. Jno. T. Darby's Probe and Bullet Forceps Combined............................................. Bullet Probes, Girdner's Telephonic...................• ■ ■ ■ • HERNIA INSTRUMENTS. Hernia Knives, Cooper's Slide Catch........................! Stewart's......................$ 3 75 Wood's....................... 1 15 " Director, Stanley's..................... 1 85 " " Peters'...................... 2 00 " " Levis'...........,............ 1 10 " " Hinged.......>.............. 1 15 Curved....................... 1 85 " " Buck's........................ 1 5° " Needle, Dowell's..................each. 75 " " Warren's................. " ^5° " " Woods'................... " 1 10 Riggs'.................... " 3 75 " Syringe, Warren's...................... 14 °° " " Heaton's...................... 3 °° " " De Garmo's.................... 6 00 " " Greene's...................... 5 °° Herniatome, Allis'............................ 5 5° Hernia Instrument, Agnew's................... 4 75 " " Wutzer's.................. 9 00 " " Redfern-Davis'............. 11 25 I 3° 6 75 00 1 6 5° 00 1 5° 35 45 1 00 60 1 25 1 5° 1 75 85 3 00 12 00 1437 ^ 1440 336 SHARP & SMITH, CHICAGO. BULLET AND HERNIA INSTRUMENTS. 0 m 1441 1464 1449 See "Supplement" for additional Hernia Instruments 7 831708566632 45 SHARP & SMITH, CHICAGO. 337 HERNIA INSTRUMENTS. H53 See "Supplement" for additional Hernia Instruments. 1454 M59 337A SHARP & SMITH CHICAGO. HERNIA INSTRUMENTS. FIG. *i467-C Guarded Herniatome.................................. $13 50 *i467-D Warren's Double Edge Hernia Scalpel................... 1 50 *i467-E Grimala's Hernia Knife................................ 3 75 *i467-G Cooper's " " ................................ 1 50 *i467-H Belmay's " " ............................... 1 50 *i467-I Thompson's " "................................ 150 *i467-K Tesse's " " ................................ 175 ISfflflff""" 1467-D 1467-E 1467-G 1467-H 1467-1 Instruments designated by a * are illustrated. 1467-K SHARP & SMITH, CHICAGO. 337B DISSECTING AND POST-MORTEM INSTRUMENTS AND CASES. 1468-A Case of Post-Mortem Instruments, designed by Dr. A. Meyer, Physician to the Illinois Eastern Hospital for the Insane, at Kankakee, 111. Contents : 1 Heavy Section Knife. 5 Large and Small Scalpels, 1 Dissecting Forceps. 1 Blow Pipe. 1 Rib Shears. 1 Probe Pointed Scissors. 1 Mallet 1 Saw. 1 Chisel. 1 Chain Hook. 1 Rachitome. 1 Brain Knife. 1 Cup for Measuring Fluids. 1 Catheter. The Case is made of Gum Wood, outside and inside. Is very durable and easily kept clean ; has lock and key, and is compact. The contents of this case was furnished us by Dr. Ludvig Hektcen. Price of Case......................................net, $33 00 337C SHARP & SMITH, CHICAGO. DISSECTING AND POST-MORTEM INSTRUMENTS AND CASES. 1468-B This case, modeled by Dr. Ludvig Hektcen after the one made by Leiter in Vienna, contains the following instruments : 1 Knife with Stout Handle and Thick 2 Probes. Blade. 1 Blowpipe. 4 Knives. 1 Chisel with Transverse Handle. 1 Brain Knife. 1 Saw. 2 Dissecting Forceps. 1 Hammer. 1 Blunt Hook. 2 Chisels. 1 Sharp Hook. 1 Bone Shears. 1 Straight Scissors. 1 Measure. 1 Curved Scissors. 1 Enterotome. 1 Pair of Chisels for Opening Spinal Canal from the Front. 1 Grooved Director. Needles and Thread. This Case is made of, and is lined with gum wood, and provided with a convenient handle, making a compact and complete outfit. Has lock and kev and bolts. Price of Case.............................net. , >**,*>*rtw~rrwfr. ♦1763 1764 ♦1765 *i766 1767 1768 1769 1770 •1771 1772 *i773 *i774 *i775 1776 1777 1778 *i779 1780 1781 ♦1782 1783 EYE INSTRUMENTS. Cataract Needles, Beers', straight..........................$ " " hollow curved.......................... " " Noyes', narrow........................ Decision " narrow................................. " " broad.................................. " " long................................... ' stop................................... Depression Needles, large curved.......................... Eye Needles, per dozen............................ ....... " Silk, see index Plain Iris Knife.......................................... Broad " " .......................................... Stop " " ......................................... Double Edge Iris Knife.................................. Sickle Shape " " ................................ Concave Edge, Secondary Knife............................ Convex " " " ............................ Desmarre's Angular Secondary Knife....................... " Scarificator.................................... Critchet's Concave Lens Scoop........................ ... Flat " " ............................ Shell Lens Scoop........................................ Hard Rubber Lens Scoop....... ........................... I OO I 25 I OO I OO I OO I OO I 10 I CO 75 I 10 I 10 I 10 I 10 I 25 I 10 I 10 I 25 I 10 I 10 I 10 I J5 60 I u 1763 1765 1766 1771 I773 I774 ,775 I77g I7s3 I7g4 i7S" SHARP & SMITH, CHICAGO. 375 ♦1784 *i785 1786 1787 *i788 *i789 *i790 1791 1792 r793 1794 *J795 ¥i796 *i797 *i798 1798- *i799 1800 *i8oi 1802 EYE INSTRUMENTS. Graefe's Lens Scoop......................................$ 1 25 Fenestrated Lens Scoop.................................. 1 20 Lens Scoop and Spud................................... 1 75 Hard Rubber Spoon...................................... 50 Desmarre's Knife for enlarging the cornea section............ 1 15 " Short Knife for enlarging the cornea section..•..... 1 15 Angular Knife for enlarging the cornea section, R. or L.. .each 1 25 Strabismus Bistoury, curved................................ 1 75 " " straight............................... 1 10 Jaeger's Bistoury Cache........ 6 00 Parker's Fistula Lachrymalis knife 1 15 Wilde's Canulated Forceps..... 9 00 " " " Scissors, and Forceps Needle, in 1 handle. 11 Wilde's Canulated Needle...... 9 Noyes' Iris Scissors............ 3 ■A " " " delicate points. 4 Straight Iris Scissors, light .... 1 " •' " heavy.... 1 Curved on fiat Iris Scissors, light. 1 " " " " " heavy 1 1790 1788 1789 1799 1797 I7g8 1795 Instruments designated bv a * are illustrated. 1801 376 SHARP & SMITH, CHICAGO. *l8o3 1804 €805 *i8o6 1807 *i8o8 *i8o9 *i8io r8n *8l2 5813 EYE INSTRUMENTS. Scissors Strabismus, angular..............................$ 1 10 " " curved on flat.......................... 1 10 " " Noyes'................................ 3 00 " " Hobby's curved........................ 2 25 " Conjunctiva...................................... 1 10 " Maunoir's Canaliculous, one blade, probe-pointed.... 1 10 " Dudley's Cataract................................. 7 50 " Wecker's Iridectomy............................... 4 00 " McDowell's " ............................... 3 25 . " Haldeck's " ............................... 4 00 " Strawbridge's Keratome........................... 7 50 1810 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 377 EYE SCISSORS. Eye Scissors, Chadwick's Pterigum........................$ 4 55 it a it a ........................ 2 00 Stevens'Subconjunctival Tenotome Scissors___ 2 25 (Extract from "Archives of Ophthalmology" June, 1888.) THE ANOMALIES OF THE OCULAR MUSCLES. By Dr. George T. Stevens, New York. The method of operating in heterophoria has been described in a former paper. Since writing that paper the method has been still further modified, and I shall here only refer to the modified steps in the operation. In making the incision through the conjunctiva the smallest possible open- ing is made, precisely over the center of the insertion of the tendon. The opening should be less than y2 millimeter in extent. Then the blades of the scissors are introduced with greatest care, one on the scleral and the other on the conjunctival side of the tendon, when they are insinuated toward the border, then pressed strongly against the insertion of the tendon. In order to permit the blades to be introduced in this small wound and to be carried properly into position for cutting the tendon, they have been modified in an important manner. As now made the blades are quite thick and strong until within about one-third of an inch from the extremity, when they become suddenly very slender, the two united being less than the size of No. 1 Bow- man's probe. The points, although so extremely delicate, are perfectly strong, and " walk and talk " together in the most perfect manner. There is no catch- ing or failure to cut under any circumstances. In operating for esophoria, a certain allowance is to be made for the QOB- traction which occurs in the process of healing. I have found it advisable not to allow more than i° or 20 exophoria immediately after the operation, with abduction of n°, or at most of 120. If we allow a greater degree of exophoria or of abduction, we are open to risk of permanent exophoria. Exophoria of i° or 2° on the day following the opera- tion is liable to progressive increase, and should the abduction remain in excess with exophoria i° or more on the next day after the operation, the excess should •be corrected. An exophoria i° or 2°, with abduction of n° or 120 at the time of operation, very rarely, if ever, shows an over-correction after the first few *i8i4. *i8i5. *i8i6. 378 SHARP & SMITH, CHICAGO. hours. On the following day after such an operation, we should hope for abduction of 8° with no esophoria. Should it be required to reduce the extent of the operation, it can be accomplished in the following manner: A delicate Tyrell's hook is introduced beneath the conjunctiva and the divided extremity of the tendon. The hook is then turned with its point forward and pressed against the central part of the tendon, when traction is made. The extreme cut border of the tendon is drawn into the small Opening of the conjunctiva, when a needle carrying a No. oooooo silk thread is passed as near to the edge as possible. It is then passed into the subconjunctival tissue at the corneal side of the wound and outward, including the conjunctiva, to the extent of less than one millimeter. The thread is tied so as to graduate the tension, bringing the tendon forward sufficiently to guard against exophoria while preserving the required relaxation. This procedure, when required, should be made with the finest of thread and with the most extreme delicacy of manipulation. 1S14 SHARP & SMITH, CHICAGO. 379 EYE INSTRUMENTS. ^1817 1818 *i8i9 1820 ♦1821 *l822 *i823 ♦1824 *i825 1826 1827 1828 *i829 *i830 ♦1831 *i832 *i833 *i834 1835 Strabismus Forceps, straight............................. $1 00 " " curved............................... 1 10 Iris Forceps, Leibrich's Rotating........................... 3 00 " '' " " latest..................... 4 25 " " straight...................................... " " curved ...................................... " " Graefe's Angular............................. 1 " " Fischer's.................................... " " Walton's Self Holding........................ 1 Fixation Forceps, Noyes' Curved.......................... 1 00 " with spring........................ 1 50 '' " slide......................... 2 Dudley's................................ 2 De la Roosa's............................ 1 90 90 10 90 85 Graefe's 25 25 50 Carron de Villard's....................... 2 and Tumor Forceps.............................. 1 Conjunctiva Forceps, Noyes'.............................. 2 Adhesion " curved.............................. 1 1 50 25 10 5° 50 1829 l83° *83i All instruments designated by a * are illustrated. 1825 380 SHARP & SMITH, CHICAGO. EYE INSTRUMENTS. ♦1836 *i837 *i838 *i839 ♦1840 1841 1842 *x843 *i844 *i845 *i846 1847 1850 •1851 1852 i853 *i854 *i855 1856 *i856A Blitz' Extirpation Forceps................................. $2 Henry's Depilating " ................................. 1 Cilia Forceps........................................... Foreign Body Forceps................................... 2 Lanne's Forceps Needle, for false membranes................ 3 Noyes' Eyelid Clamp Forcep?.............................. 1 Rattis Trichiasis " .............................. 2 Eye Spray, hard rubber.................................... Eye Spray............................................... For other Sprays, see Index. Entropium Forceps, Snellen's.............................. 2 " " T. & Co.'s, with knife.................. 5 " " Knapp's............................... 2 " " Laurence's............................. 2 " " Prout's reversible....................... 2 Plain..... Cross Bar. Ring. ........................ 1 .......................... 1 ................. ....... 2 Desmarre's Shell........................ 2 metal....................... 2 " " Noyes', with set screw.................. 1 " " " with slide catch.................. 1 Sharp & Smith's Ring Lid Elevator........................ 25 75 75 40 25 85 25 50 60 OO 25 50 25 60 50 75 25 OO OO 85 85 5° 1832 1836 1843 1844 SHARP & SMITH, CHICAGO. 381 EYE INSTRUMENTS. 1845 1 s46 1849 1851 1855 1656—A 382 SHARP & SMITH, CHICAGO. FIG. *i857 Needle I loldi *i858 it *i859 i860 1861 a *i862 n *i863 a ♦1864 a ♦1865 a 1866 EYE INSTRUMENTS. Knapp's, very delicate, " Prout's " Whitney's............. " Collins'............... " Renier's.............. " Russian............... " Paris................. " Galezowsky's.......... " Hagedorn's.......... For other Needle Holders, see index. 5° 60 25 25 OO OO 5° 25 OO 1859 1857 1864 SHARP & SMITH, CHICAGO. 383 EYE INSTRUMENTS. *i867 *i868 *i869 *i87o •1871 1872 *i873 1874 *i875 ♦1876 ♦1877 *i878 1879 *i88o 1881 = 1887 Specula, plain wire. Graefe's, short.................................... 1 " long.................................... 1 Noyes' Improved, steel gilt........................ 2 " " nickel plated..................... 1 " plain ..................................... " right and left, each........................ 1 Liebold's........................................ 1 Hart's ......................................... 1 Galante's....................................... 1 Liebrich's...............................*......... 1 Laurence's........................................ 2 Critchet's..................................... 1 Agnew's......................................... 3 Mittendorf's...................................... 1 Pana's........................................... 3 Schweigger's.................................... 2 Luer's........................................... 1 Comb's.......................................... 1 Schwatka's....................................... 1 40 40 2 5 25 25 5° 75 5° 75 00 75 5° 25 35 75 5° 00 00 5° 75 5° 384 SHARP & SMITH, CHICAGO. EYE SPECULUMS. 1884 1878 1887 1883 This Speculum (Fig. 1887), the invention of Lieut. Schwatka of the United States army, is well explained by the above illustration. The branches that pass under and clasp the eyelids can be of any of the various forms that may suit the ideas of different operators. It is in the lever branches that open and close the former that the essential novelty of the instru- ment is found. These levers are reflected back on to the same .side as the branches they respectively operate, so that their closure opens the branches, and vice versa. They are serrated on their outer edges, which indentations are made to firmly receive a rubber band that is the power in opening the speculum, and which power may be made variable by simply slipping the band along the ser- rations according to the well known principles of the lever. It is evident that more than one band can be used and increased power be obtained, but as now made, the single band at the end of the levers is sufficient to almost break the finest made instruments when attempting to close the branches, and is therefore sufficient. The crowns of the teeth are somewhat rounded, making it easy to slip the round rubber band along them to any point, and even during an oper- ation. That fineness of touch so common among oculists, acquired by the manipulation of such delicate instruments as are necessary in their profession will here materially assist them in properly adjusting this instrument for any operation. SHARP & SMITH, CHICAGO. 385 EYE INSTRUMENTS. FIG. 1888 Eye Probes, Noyes' Set................................................$ 2 25 1889 " " Levis'....................................................... 1 e0 *i8go " " Theobold's Set of 16 (8 pieces)............. 300 1891 " " silver, delicate.............................................. 25 1892 " " Anel's, silver................................................ 25 *i8g3 " " Bowman's, set of eight, silver.................................. 210 i^g4 single, silver, two sizes ............................. 1895 set of eight, hard rubber, same as Fig. 1873........... 1 1896 " single, hard rubber, two sizes....................... 1897 " " Livingston's elastici......................................... 1 *i8g8 " " Williams', set of eight, silver, A and B.......................... 2 *i8g8 " " Dilator, Williams', silver, C............................. *i8g8 " " " " " D and E............................. i8g9 Weber's Graduated Dilator .............................................. *igoo Galezowsky's Canaliculous Dilator ........... ................ ...... 1 *igoi Bowman's Silver Director .............................................. *igo2 Wecker's Lachrymal Canula .......................................... 1 *I903 Spier's Catheter, silver...................................... 1902 1893 1901 1900 386 SHARP & SMITH, CHICAGO. EYE INSTRUMENTS. FIG. *igo4 Jaeger's Plate Lid Holder, hard rubber ................................. 1905 " " " " shell......................................... *\go6 Alum Pencils.............. ..................................... *igo6 Blue Vitriol Pencils.................................................. igo7 Nitrate of Silver Pencils.............................................. *igo8 Hotz' Eye Glass Drop............................................... Medicine Droppers, per dozen....................................... igog Ophthalmo Phantomes, hard rubber, jointed stand, and face on pivot, two eyes *igio " " " " " " •■■«<<.< one eve igii plain japanned, movable stand, one eye ................ 6 00 igi2 Glass Eye Baths ............... .......... ................. 25 igi3 Thompson's Optometer.................................................. 1 1914 Pupilometer....................................... ................. 3 *I9I5 Perins' Eye.......................... ................................. 22 1916 Camel's Hair Brushes, per dozen...................... 7. ,\................ igi7 Desmarre's Cautery Irons............................................ 2 1918 Silver Case Caustic Holder, short..................... ................... 1 I9ig " " " " medium...................................... 1 ig2o Knapp's " .............................................. ig2i Eye Cups.......................................................... ig22 Eye Bath Bottles........................................................ ig23 '' Douche, common.................................................... ig24 " " H. R. stop cock (see Fig. 1843)..................... ........ 1925 " " Agnew's............ ...................................... ig26 Eye Shades, single, small ........................................... ig27 " " double " ................................................. « 1926 " " single, large................................................ 1927 " " double, "................................................. Artificial Eyes, all styles (see page 387.)................................... 5 00 Price to Patients, $10.00 each. 50 1 00 25 25 1 00 10 50 8 50 7 50 60 75 5o 25 25 10 50 80 25 75 75 50 25 15 35 15 35 1906 All instruments designated by a * are illustrated. 1904 SHARP & SMITH, CHICAGO. 387 HEADQUARTERS FOR FRENCH AND GERMAN ARTIFICIAL EYES. SHARP &5NWTH CMICI\GQ SHARP &. 3NUTH CWIGISCQ We have on hand a large assortment of colors, forms and sizes, for the right and left eye, from which personal selections may be made, or we can send them by express; but as the success of being well matched depends on the ex- actness of the description and the minuteness of adaptation and accommodation of the Artificial Eye to the remains of the natural one, we advise patients to apply to their physician and have him send us the following particulars: Right or left eye. Diameter of the iris of the well eye. Normal diameter of the pupil. Degree of "atrophy of globe in comparison to well eye. Form of anterior of stump, flat, round or conical. Partial or entire presence or absence of cornea remaining transparent. Depth of furrow behind lower lid. Sex and age of patient. A drawing ( natural size ) representing accurately the eye region of both eyes, the color of the iris and sclerotica (or a minute description). Price to Patients, $5.00 IN ORDERING GOODS PLEASE STATE NUMBER OF FIGURE AND PAGE OF CATALOGUE. PLEASE DO NOT DEFACE THE CATALOGUE BY CUTTING OUT THE ILLUSTRATIONS. Sharp & Smith. 388 SHARP & SMITH, CHICAGO. EYE CASES. 1928 Fig. 1928. Dr. W. T. Montgomery's Eye Case contains: Graefe's Cataract Knife. Small Angular Keratome. Plastic Scalpel. Stop Cataract Needle. David's Rubber Spoon. Pair Spring Catch Fixation Forceps. " Tenotomy (Strabismus)Forceps. " Optic Scissors. Set Bowman's Probes, 1 to 8. Whitney's Needle Holder. Pair Heavy Curved Scissors. covered Velvet lined case, $32 00 way desirable. The case as it now is, is sufficiently small to be carried in the hip pocket. Any desired case put up to order, adding any instruments that vou mav have on hand. J y Gallante's Eye Speculum. Graefe's Narrow Cataract Knife. Large Angular Keratome. Cataract Needle. Noye's Canaliculous Knife. Lens Spoon. Pair Curved Iris Forceps. " Iris Scissors. " Tenotomy Scissors,(Strabismus). Desmarre's Entropium Froceps. Strabismus Hooks. Needles and Silk, in fine Morocco This case can be had modified in any SHARP & SMITH, CHICAGO. 389 EYE CASES. Fig. 1929. EYE CASE, No. 5, CONTAINS: Beer's Knife; Curved Needle; Iris Needle; Forceps; Scissors, fine-pointed, curved on the flat; Wire Speculum; Strabismus Hook; Dix's Hook; Dix's Spud; Silver Probe; 3 Suture Needles; Fine Silk; Tyrrel's Sharp Iris Hook; Daviel's Curette. Morocco case, lined with silk velvet. Price..........................................$ 12 75 Fig. 1930. SHARP & SMITH'S EYE CASE, No. 4, CONTAINS: 1 Beer's Knife; 1 Keratome or Artificial Knife; 1 Dix's Spud; 1 Curved Needle; 1 Straight Needle; 1 Pair Iris Scissors, straight; 1 Pair Strabismus Scissors; 1 Strabismus Hook; 1 Wire Speculum; 1 Parker's Fistula Lachry- malis Knife; Tyrrell's Blunt Hook; Silver Probe; 1 Critchett's Lens Scoop; 1 Pair Forceps; 6 Suture Needles; Fine Silk. In a Rosewood case, lined with silk velvet. Price..........................................$ 18 00 Fig. 1931. SHARP & SMITH'S EYE CASE, No. 3, CONTAINS: Graefe's Linear Knife; Parker's Fistula Lachrymalis Knife; Beer's Cataract Knife; Desmarre's Scarificator; Straight Keratome; Angular Keratome; Stra- bismus Hook; Small Scalpel; Large Curved Needle, couching; Small Curved Needle; Straight Iris Needle; Cystotome; Tyrrell's Blunt Hook; Tyrrell's Scoop; Wire Speculum; Cilia Forceps; Strabismus Forceps; Iridectomy For- ceps; Straight Iris Scissors; Iris Scissors, curved on the flat; Anel's Silver Probe; 6 Suture Needles and Fine Silk. Rosewood case, lined with silk velvet. Price..........................................$ 25 75 Fig. 1932. SHARP & SMITH'S SET OF STRABISMUS INSTRUMENTS, No. 2, CONTAINS: 1 Pair Strabismus Scissors; 1 Pair Strabismus Forceps; 1 Double Hook; 1 Strabismus Hook; 1 Wire Speculum. In a neat morocco case. Price..........................................$ 6 25 Fig. 1933. SHARP & SMITH'S EYE CASE, No. 1, CONTAINS: 1 Curved Couching Needle; 1 Strabismus Hook; 1 Beer's Cataract Knife; 1 Double Hook; 1 Pair Curved Forceps; 1 Pair Strabismus Scissors; 1 Wire Speculum. In a neat morocco case, lined with silk velvet. Price..........................................$ 9 °° Fig. 1934. NOYES' EYE CASE, CONTAINS : 2 Desmarre's Eyelid Retractors, large and small; 1 Wire Speculum; 1 Noyes' Canalicula Knife; 1 Set Bowman's Probes, silver, Nos. 1 to 8; 1 Small Scalpel; 1 H. R. Dental Syringe; 2 Strabismus Hooks; 1 Pair Straight Iris Scissors; 1 Pair Curved Iris Scissors; 1 Pair Fixation Forceps; 1 Dissecting Forceps; 1 Dix's Spud; 1 Spatula; 1 Straight Iridectomy Knife (Keratome); 1 Angular Iridectomy Knife; 1 Short Iris Forcep; 1 Large Curved Iris For- ceps; 1 Tyrell's Blunt Hook; 2 Straight Decision Needles; 1 Graefe's Linear Knif'e, wide pattern; 1 Small Sharp Iris Hook; 1 Pair Prout's Entropium For- ceps;'! Cystotome and Curette; 1 Sands' Needle Forceps; 2 Graefe's Linear Knives; 1 H. R. Spoon; 1 Critchett's Lens Scoop; 6 Small Curved and 3 Straight Suture Needles, and Fine Silk. In a fine Rosewood, brass bound case, lined with silk velvet. Price..........................................$ 49 5° Any style of case made to order. n 390 SHARP & SMITH, CHICAGO. EYE INSTRUMENTS. PIG. *ig34-A Knapp's Roller Trachoma Forceps.......................................$ 3 00 *ig34-B Ayres' Chalazion Forceps............................................... 2 00 *ig34-C Liebold's Iris " .............................................. 3 00 *ig34-D " " Scissors ............................................. 3 00 *ig34-E Kuhnt's Eyelid Elevator............................................... 2 65 *ig34-G Dr. J. S. Pyles' Fixation Forceps............................. ........ 2 25 *I934-H Self Retaining Lid Retractor............................. 7 50 FORCEPS FOR THE EXPRESSION OF THE MORBID SUBSTANCE IN THE TREATMENT OF TRACHOMA. Since the method of expressing, or squeezing out, the trachomatous substance in the treatment of trachoma, has been popularized by Hotz, Noyes, Sargent, Prince and others, a large number of instruments have been invenred for the purpose. One of the most popular is "Knapp's Roller-Forceps." It is made of steel, and is on the principle of the mangle. The branches divide at their enSs like a horse shoe, the space between the ends is closed by a creased cylinder, as shown in the accompanying cut. wmmm The cylinder rolls on pivots in sockets. De removed, cleansed and reinserted. 1934-A The branches are elastic, so that the cylinder can 1934-^ I934-D IQ34-H Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 390A EYE INSTRUMENTS. A NEW ASTIGMOMETER By F. C. Hotz, M. D., Attending Surgeon Illinois Charitable Eye and Ear Infirmary, Chicago, III. This very useful instrument for detecting astigmatism (made for me by Messrs. Sharp & Smith), consists of a blackened metal screen twenty centimeters (eight inches) square; in its cen- ter it has a round aperture (b); and the semicircle of a protractor is fastened to it, so that the ninety degree mark is exactly perpendicular over the round hole, and the one hundred and eighty degree mark exactly on a horizontal line with it. Between the protractor and the central hole, a semicircular slot, ten millimetres wide, is cut into the screen, but is covered in front by a round metal disc, which can be rotated round the central opening, and which has, near its periphery, a round hole (a), so arranged that it travels exactly along the slot when the disc is rotated. Just over this second hole (a), the edge of the disc is drawn out to an arrow-like point, which reaches the concave margin of the protractor. This point and the centers of the two holes are exactly in a straight line, and therefore the angular degree of the protractor to which the arrow points will always show the radius In which the movable hole (a) is situated. Both holes are exactly of the same size. They have a diameter of four millimeters, and are filled with a thin piece of ground glass. When placed before a light, these holes appear elongated to an astigmatic eye looking at them at a distance of 15 to 20 feet. Whenever, therefore, a patient sees them oblong, we know he is astigmatic; and as the movable hole (a) can always be brought into the line of elongation of the central hole, the instrument will at once tell us by the indicator the exact direction of the one principal meridian. Price...........................................$5 00 net. (See Journal of the American Medical Association, September 20, 1890.) 390B SHARP & SMITH, CHICAGO. EYE INSTRUMENTS. 1935-A *935-E I935-F I935-G I935-H 1937 F1C. * 1935-A *i935-B *i935-C *i935-D *i935-E *i935-F *i935-G *i935"H *i936 *i937 *i938 1938 Stevens' Eye Needle Holder............................. $3 50 " Fixation Forceps............................... 1 75 " Straight Tendon Forceps........................ 1 25 " Curved Tendon " ........................ 1 25 " Eyelid Retractor............................... 1 30 " Traction Hook (anterior view)................... 1 50 " ................................ 1 5° " Tenotomy Hook.............................. 1 10 Wells' Enucleating Hook................................ 2 00 Prince's Trachoma Forceps............................. 1 90 Noyes' " " .............................. 1 30 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 391 EAR INSTRUMENTS. FIG. :i94o Wilde's Ear Specula, set of 3 in case, H. R.. *i94i i942 1943 *i944 1945 1945- 1945- *i945- I946 *i947 1948 *i95o Sexton's Toynbee's" A Hotz's B " C " Gruber's silver. " : H. R. silver. " 1 H. R silver. a H. R. silvei plated plated. plated, pla d ^1951 i952 1953 1954 *i955 i956 1957 *i958 *959 i960 Kramer's Bivalve Ear Specula, nickel plated, 3 sizes......each " " " " " " with set screw..... Bivalve " " " " ................. Knapp's Tubular " " 3 in set, H. R................. Spiers' Self-Retaining Ear Specula......................... Glass Mirror " " ........................ Porcelain " " .......................... Fergen's " " .......................... Siegele's " " .......................... Hudson's " " .......................... 5° 5° OO 10 75 5° OO OO OO 60 75 5° 25 00 85 00 20 5° 35 40 5° 25 25 000 1940 1945-c 00 1944 1947 All instruments designated by a * are illustrated. 392 SHARP & SMITH, CHICAGO. EAR INSTRUMENTS. FIG. *i96i Brunton's Otoscope....................................• • • $4 °° *i962 Clark's " ........................................ 7 5° *i963 Simrock's " with Lens.............................. 2 75 *i964 Hassenstein's " three Tips---........................... 3 °° *i965 Siegele's Aural Otoscope.................................. 2 75 *i966 Ely's modification of Siegele's Otoscope..................... 5 25 llllliilililllllllii See next page for balance of Otoscopes. SHARP & SMITH, CHICAGO. 393 EAR INSTRUMENTS. 394 SHARP & SMITH, CHICAGO. EAR INSTRUMENTS. Blake's Inner Ear Mirrors, Set.............................$ 5 25 Troeltsch's Mirrors with handle, 3 inches................... 2 00 " " " 2^ " ................... 1 75 " " " 2 " ................... 1 50 " " " and head band, extra........ 1 00 Mirrors, Ball and Socket, 2 inch with Head Band and Handle. 3 00 Miller's Lamp........................................... 11 00 Collins' Lamp........................................... 5 25 Pomeroy's Ear Syringe.................................. 250 Blake's Inner Ear Syringe............................... 3 25 Kramer's Brass Ear Syringe with Rings, Small............... 1 75 '• " " " Large............... 2 25 " " " " Ivory Nozzle........ 2 50 Hard Rubber " 1 oz........................... 65 " " 2 oz........................... 85 " 3 oz........................... 125 " 4 oz, two tips................... 1 50 Wheelock's Reversible Flow H. R. Syringe.................. 1 50 Sexton's Inner Ear Syringe............................... 7 c0 -A. Roosa's " " Continuous Flow................ 6 50 Sexton's Ear Douche.................................... 4 co Lncae's Reflux Ear Syringe, Hard Rubber.................. 1 00 -A. Rumboldt's Modification of Lucae's Douche........ 375 -B- " " " " tube only.'.'.'.'. 1 00 1975 1976 For other Syringes see next page. All instruments designated by a * are illustrated. *974 SHARP & SMITH, CHICAGO. 395 EAR INSTRUMENTS. 1985-A By means of this Syringe a continuous syringing of the ear is effected, doing away with the old process of refilling the syringe. By virtue of the spiral wire around the piston rod the piston is forced back automatically, the syringe filling and emptying by an arrangement of valves in the piston, and through the hollow piston-rod which communicates with the reservoir by means of the rubber tubing, thus creating a continuous flow. 3!)6 SHARP & SMITH, CHICAGO. EAR INSTRUMENTS. 1988 Politzer's Air Bag, 6 oz., Plain White....................... " " " Red or Black, English Pure Gum. 8 oz., 1989-A 1990 199O-A •^gg! " t" with Roosa's Attachment. .. 1992 Roosa's Attachment for above, extra.......... *I993 Politzer's Tip and Attachment for above, extra. *ig94 Rumbold's Ear Spout....................... 1994-A Metal " " ...................... *i994-B Hosmer's " ...................... 1994-C " " " Folding Hard Rubber. .. ^1995 Sexton's Soft Rubber Nozzle............. *I995~A Buck's Hard Rubber ' ................ 1995-C Allem's Double ' ............... with Valve. with Valve. 1991 1995-A 1994. Ear Spout. The il- lustration does not show, as it should do, the entire length of the rubber tube that conducts the water spout to the recepta- cle at the patient's side. I995 1994-B All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 097 Virgin Silver Eustachian Catheter......................................... <$ i " ........................................ I ......................................... i EAR INSTRUMENTS. FIG. I996 1997 Noyes 1998 Coin 1999 Plated " " ......................................... 20CO Hard Rubber " "...................................... 2000-A Ferguson's Soft Rubber Eustachian Catheter............................ 1 2001 Rumbold's '■ " " " ............................. ! Spier's Eustachian Catheter............................................... Seiss' " with Rubber Syringe ........................... 2 Levis '' Hard Rubber Syringe....................... 2 Bonafont's " " Holder........... Stark's " •' ............ Pomerov—Kramer's Eustachian Catheter Holder Fullgraf's Spray Hackley's " Toynbee's Diagnostic Tube Explorer, to fit same Clark's Ear Tube Tuning Fork-A Tuning Fork-C 2002 2003 *20O4 2005 2COO 2007 2008 2009 *20IO *20II 2012 ♦2013 *20I4 2004 All instruments designated by a * are illustrated. 397A SHARP & SMITH, CHICAGO. Dench's Eustachian Catheter and Bougie with] 3 Bougies and detachable aluminum handle.................................................... ** <* Behrens' Silver Eustachian Catheter...................................... x Starkey's " ...................................... Fisk's " " " ..................................... I Behrens' Head Band for holding Eustachian Catheter....................... 1 Politzer's Acumeter for Testing the Hearing.............................. 2 *20I5-H Myles' Antrum Tube...... ....................................... T *2oi5-I Colburn's Middle Ear Tube with 2 points................................. 2 *20I5-K Syphon Ear Douche .................................. ......... *20i 5-L Dundas Grant's Eustachian Insufflator................................... *2oi5-M Oak's Double Bulb Eustachian Apparatus complete......................... 3 *20i 5-N " Ear Mirror....................................................... 5 *20I4-A *20i4-B *20i4-C *20i4-D *20i5-E *20i5-G 2014-A DR. DENCH'S EUSTACHIAN CATHETER AND BOUGIE. The use of this instrument was fully des.ribed by its author in Arch, of Otology, Vol. XXI, No. 2. It consists of a metallic Catheter which carries a small bulb tipped German silver Bougie in such a manner that it does not occupy the lumen of the Catheter, and when in position permits of inflation before dilatation. The graduations on the surface of the Catheter indicate the extent to which the Bougie is introduced beyond the orifice of the Catheter. SHARP -SMITH 2014-B Headband for fixating the catheter after being intro- duced into the Eustachian tube. Is indispensable in cases in which it is desirable to apply bougie or string treatment to the Eustachian tube, or electricity. Politzer Acumeter for testing the hearing. Besides having a constant tick, it is of advantage in cases where the watch cannot be heard. 2015-G 2015-H Fig. 2015-H—DR. MYLES' ANTRUM TUBE. This tube is constructed for the purpose of washing out the antrum, and is made of pure silver. It is malleable, and can be easily bent to any curve, and is provided with a bulbous end to which the rubber tube of a syringe can be attached. It is made in three sizes. 2014-C 2014-D SHARP & SMITH, CHICAGO. 397B EAR INSTRUMENTS. 2015-1 2015-K 20I5-N 2015-L The Clinical Otoscope as modified by Dr. Oaks, Chicago, has the fol- lowing advantages over the ordinary tar mirror with handle, or any of the many forms of head bands : 1st. It can be used for simple ex- aminations of the ear by holding in one hand by the adjustable handle while the other hand controls the aural speculum. 2d. It can be instantly adjusted by means of the triple ball and socket joint to be held between the teeth, bringing the sight hole directly in front of the eye, thus enabling the use of both hands for local treatment or operative procedure. 3d. It does away with the ob- jectionable features of the head band. 4th. Being of small size and light weight, and folding upon itself, it can be conveniently carried in a side pocket. 398 SHARP & SMITH, CHICAGO. EAR INSTRUMENTS. An Improved Form of Eustachian Catheter. By H. Lindo Ferguson, F. R. C. S. J., Dunedin, N. Z. In order to overcome the difficulty of passing an Eustachian catheter in cases where the inferior turbinated bone or a displaced septum encroaches on the nasal passage, and to avoid giving pain to the patient when the nasal mucous membrane is much swollen and sensitive, a soft rubber catheter might be used, fitted with a straight style, on withdrawal of which the catheter would resume its curve. SHARPftSMITH . 2000 A The catheter is of the ordinary shape, and is of soft red rubber, having inside the stem and extending nearly to the point, a spiral of fine wire, which prevents the lumen of the instrument being lessened by pressure when in position. There is a straight style of the same length as the catheter, which, when it is introduced, obliterates the curve at the beak. The catheter on the style is introduced like a straight probe along the floor of the nostril, with the side to which the beak tends to curve, outward. When the back of the pharynx is felt, the style is withdrawn and the beak curls around to the mouth of the Eusta- chian tube. In several cases I have not had to draw it forward at all, for the ' curve of the beak withdraws the point about the right distance. The instru- ment passes through very much obstructed nostrils and gives no'pain in cases in which the hard rubber catheter cannot be tolerated. NEW PUS BASIN. From Design of H. L. Smith, M.D. For hospital, dispensary and private practice, this basin will be much appreciated over the common ones in use, as some portion of it will perfectly fit any portion of the body. Made of sheet iron, pressed into shape and coated with a pure vitreous enamel, which, for tenacity and power of resisting the action of acids, has no equal. The surface is smooth and as easily cleaned as china, while the article is light, and practically indestructible. Fig. 2014-A — Pus Basins— Each $1.50. 2014-A 2014-A For other Pus Basins, see page 405. SHARP & SMITH, CHICAGO. 399 FIG. *20I5 2016 *20I7 ":20I7- *20I7- *20l8 *20ig *2020 2020- 2021 EAR INSTRUMENTS. Butties' Iodine Inhaler............................................... Pomeroy's Glass Inhaler................................................ Rumbold's Injector................................................. •A '' Curved Injector............................................... B '' Acou-Otoscope................... Knapp's Powder Blower........................................... Wilde's Ear Gorget...............................................# Gooch's Double Polypus Canula for removing polypi, silver.................. 1 75 " plated. ............. 1 oo Hawley's Fig. 2017-B.—Acou-otoscope. An instrument to enable the examiner to see the membrana tympani, and hear the effect of the inflation of the Eustachian tube at the same time. Fig. 2017.—Rumbold's Small Ear Injector. This illustration is a little forger in diameter than the instrument itself. All of its streams are recurrent and very fine. 400 SHARP & SMITH, CHICAGO. EAR INSTRUMENTS. *2022 Blake's Polypus Snare................................• • • *2 °° 2023 " " " with three assorted Canulas and one Tympanum Perforator, in case, *2o?4 Wilde's Polypus Snare.......... 6 25 2 00 2033 SHARP & SMITH, CHICAGO. 401 EAR INSTRUMENTS. FIG. *2025 Jarvis' Polypus Snare, straight............................. $i 2025-A " " " curved.............................. 1 *2026 Politzer's Tympanum Perforator, angular.................... 2026-A " " " " Ivory handle........ 1 2027 Prout's " " .......................... 1 Noyes' " ".......................... 1 Blake's " " .......................... 1 Gruber's Tensor Tympani Instrument...................... 2 Weber's " " " ....................... 6 Drill, with Guard for perforating the Mastoid Process......... 3 Buck's Drill " " " " ......... 2 Politzer's Meatus Knife.................................... 1 Gruber's " " Sickle shape........................ 1 *2036-ABuck's Curette ......................................... *2o36-B " Cotton Holder.................................... Silver Probe....................... ............... Knife for Mastoid Process........................... 1 Port-Acid Glass..................................... Silver Probe.................................... Blunt pointed curved Bistoury........................ t Maryngotome............,......................... Furnucle.......................................... 1 Sharp pointed curved Bistoury.....................• • • r 2037 Burnett's Knife for Mastoid Process........................ 1 2038 Post's Rongeur Forceps for Mastoid Process................. 2 2039 Hand Gouge " " " ................. 1 f g h i h 2028 2029 2030 2031 2032 2033 2034 2°35 *2036-C *2036-D *2036-E *2036-F *2036-G *2036-H *2036-I *2036-K 5° 5° 75 10 10 10 10 25 00 75 25 10 20 55 25 60 10 10 60 10 70 OO 10 15 25 15 2036 2037 12 401A SHARP & SMITH, CHICAGO. EAR INSTRUMENTS. I! M K3 o o c o OJ OJ '•> ^J ■^j ^1 W n a W 2039-A 2039-c 203c)-1J SHARP & SMITH, CHICAGO. 401B EAR INSTRUMENTS. FIG. *2033-A. Wilson's Mastoid Drill................................. $5 00 :!:2037-A. Dr. F. C. Hotz, Ear Spoon, long metal handle............. 50 *2037-B. " " " Curette, " "............. 50 *2037-C. " " " Cotton Carrier...................... 50 *2037-D. " " " Probe, flexible, pure silver............ 75 *2037-E. " " " Tenaculum......................... 60 *2037-G. " ' " " Knife for operations on membrana tym- pani........................................ ...... 1 00 *2037-H. Dr. F. C. Hotz, Ear Knife for operations on membrana tym- pani..................... .......................... 1 00 *2039-A. Schwartz's Gouges and Chisels, each..................... 75 *2039-B. Buck's Chisels......................................... 75 *2039-C. " Fenestrated Retractor............................ 3 50 *2o39-D. " Mastoid Hook Guide............................. 1 65 *2o67-A. Durham's Fenestrated Ear Forceps....................... 4 50 *2o67-B. Hotz Fenestrated Curette Forceps........................ 2 00 *2o67-C. Dunn's Nasal and Ear Polypus Forceps................... 1 50 2067-A 2067-B 2067-C All instruments designated by a * arc illustrated. 402 SHARP & SMITH, CHICAGO. EAR INSTRUMENTS. FIG. ^2040 Angular Ear Hook..................................... 2041 Devil's Screw " .................................... 2042 Politzer's Manometer................................... ♦2043 Angular Steel Ear Probe................................ 2044 Hard Rubber " " ................................ 2045 Whalebone " " ................................ 2046 Plain Silver " "................................ 2047 Fenestrated Ear Scoop.................................. 2048 Civiales " " .................................. 2049 Politzer's Hard Rubber Scoop........................... ♦2050 Gross' Ear Spoon and Hook............................. 2051 " " " " Spud............................. ♦2052 Spiers' Ear Curette Spiral............................... *2o52-A " " " and Spud............................ *2°53 Quiers' " " ...................................... *2054 Elastic Caustic Holder.................................. ♦2055 Politzer's Eyelet Forceps for introducing Eyelets in the perforated Tympanum....................... $1 20 2056 Toynbee's Acoumeter............................. 3 00 2°4° 2052 2043 2053 2052-A 2050 I SHARP & SMITH, CHICAGO. 408 EAR INSTRUMENTS. FIG. 2057 Politzer's Ear Forceps.................................... <$i 10 *2os8 " Polypus Ear Forceps for removing foreign bodies. ,.. 1 50 *2o59 Allen's " " " " " " « ..... 3 25 2060 Wilde's Angular Ear Forceps, Mouse Tooth................. T 00 *2o6i " " " " serrated...................... 1 00 2062 " " " " . self-grasping................ 1 50 2063 Hinton's Polypus " " .......'...................... 3 00 *2o64 " " " " double-joint.................. 3 25 2065 Sexton's " " for cotton..................... 75 *2o66 " " " for removing foreign bodies..... 3 00 *2o67 Noyes' Alligator " " ............................ 3 25 2058 2061 2067 All instruments designated by a * are illustrated. 404 SHARP & SMITH, CHICAGO. EAR INSTRUMENTS. Fie. 2068 *2o69 2070 2071 2072 *2o73 2074 2075 *2076 Bumstead's Canulated Ear Forceps. Pomeroy's Toynbee's Angular Roosa's Mathieu's Rumbold's Eyelet Tiemann's Wiers' Duplay's 00 85 25 25 25 60 75 25 00 2066 2076 All instruments designated by a * are illustrated SHARP & SMITH. CHICAGO. 405 EAR INSTRUMENTS. FIG. *2C77 Gruber's Ear Scissors.................................... $i 75 *2078 Jarvis'- " ".................................... 4 50 *2o79 Simrock's " " .................................... 3 30 2080 Pus Basins, Nickel Plated, small........................... 90 *2o8o-A" " " " medium........................ 1 10 2080-B " " " " large........................... 1 25 2080-C" " " " triangular, small.................. 1 75 2080-D" " " " " medium............... 2 00 2080-E" " " " " large................. 225 2081 " " Hard Rubber, small........................... 75 2081-A" " '' " medium........................ 1 00 2081-B " " " " large........................... 1 25 2081-C " " Papier Mache, triangular, small.................. 1 00 2081-D" •' " " " medium............... 1 25 2081-E" " " " " large................. 1 50 2082 " " Papier Mache, small........................... 35 2082-A" '" " " medium........................ 5° 2082-B " " " '' large.......................... 75 For other Pus Basins, see page 398. 2083 Holcomb's Cotton Carrier, steel............................ 25 2084 Spiral " " ................................ 5° 2085 Hard Rubber Cotton Carrier.............................. 5° 2079 All instruments designated by a * are illustrated. 406 SHARP & SMITH, CHICAGO. DIAGNOSTIC AND OPERATING EAR CASES. FIG. •2086 Dr. A. H. Buck's Pocket Ear Set...........................$ 5 50 2087 Dr. Samuel Sexton's " " ........................... 14 00 2088 Roosa's Ear Case....................................... • • 37 5° 2080 Dr. A. H. Buck's Operating Case............................ 27 00 Fig. 2086. DR. A. H. BUCK'S POCKET EAR SET, CONTAINS: Plain Fenestrated Scoops. 1 Silver Probe. 1 Tenotome. Tympanum Perforator. 2 Holcomb's Cotton Carriers. Put up in a fine morocco case, 6% inches long, if6 inches wide, y2 inch deep. Fig. 2087. DR. SAMUEL SEXTON'S POCKET EAR SET, CONTAINS : Blake's Ear Snare, with tympanum 1 Pure Silver Probe. perforator. 1 Tensor Tympani knife. 1 Granulation Knife or Hoe. In morocco covered velvet lined case. ST. JOHN ROOSA, M. D., CONTAINS: Abscess Knives. Universal Handle for Knives, etc Fig. 2088. EAR CASE, BY D. B. Roosa's Mirror, with head band and handle. Set Gruber's Ear Specula. Rhinoscopic Mirror. Green's Tongue Depressor. Blake's Ear Snare, with tympanum perforator. Pair Wilde's Angular Ear Forceps. Glass Acid Rod. German Silver Eustachian Catheters Politzer's Apparatus, with Roosa's attachments. Fig. 2089. DR. A. H. 1 3 inch Mirror, with head band. 1 Pair Delicate Angular Forceps. 1 Set of Drills, with sharp edges. 1 Set (4) Wilde's Silver Ear Specula. 1 Blake's Ear Snare, with pure silver canula. 1 Extra Fine Ivory Handled Sharp Curved Bistoury. 1 Extra Fine Ivory Handled Blunt End Curved Bistoury. Dozen Artificial Ear Drums. Tape Measure. Scalpel, fine ivory handle. Bistoury, " " " Conversation Tube. Hard Rubber Ear Syringe. Tuning Fork, C. Diagnostic Tube. Hard Rubber Eustachian Catheter, for a child. Cotton Holder. Put up in a neat morocco case. BUCK'S OPERATING EAR SET, CONTAINS: Extra Fine Ivory Handled Scalpel. Myringotome. Furuncular Knife. Curettes, steel handles. Cotton Carriers, steel handles, as- sorted sizes. Porte-acid Glass, with platina appli- cator. Middle Ear Probe. Other Ear cases put up to order. SHARP & SMITH, CHICAGO. 407 APPARATUS FOR ASSISTING THE HEARING. "G- ~ Jap. 2090 Conversation Tubes, 5 feet, Silk.................. $6 50 *209i " " Conical, 3 feet, Silk......... 450 2091-A " " « 5 « Mohair....... 5 00 2091-B " " " 3 " " ....... ^ 2, *2Q92 " « Straight, 3 " Silk.......... 2 5o 2092-A " « " 3 •< Mohair....... 200 *2093 Dipper Ear Trumpets, large....................... 6 00 2093-A " " " medium.................... 5 00 2093-B " " « small...................... 450 N. P. OO 2094 Jointed " " " ...................... 3 50 *2094-A " " " medium..,___............ 400 "600 2094-B " " " large...................... 500 800 2095 Bugle Shape Ear Trumpets, large.................. 4 00 6 00 *2095-A " " " " medium............... 3 00 4 50 2095-B " " " " small................. 2 50 3 50 2096 London Hearing Horns, large..................... 5 00 *2096-A " " " medium................... 450 2096-B " ■' " small.................... 4 00 The London Horns furnished in Nickel Plate or Black at same price. *2097 Leather Covered Auricles......................... 3 50 2097-ASilk " " ....................... 5 00 *2098 Silver Cornets...........................per pair. 3 00 2099 " " connected with wire...............set. 4 00 *2100 Artificial Tympanum........................each. 25 *2ioi Apparitor Auris.........................per pair. 6 00 DEAFNESS AND ITS CAUSES, APPLIANCES FOR ASSISTING THE HEARING. Sound is the result of any impulse conveyed by the undulations of the air to the organs of hearing, which are so constructed as to receive these undu- lations, and so organized as to become sensible of them, and to convey the impressions to the brain. These organs consist, first and essentially, of a special nerve expanded on membranes and endowed with the property of sensi- bility to the impression of sound; secondly, of a physical apparatus fitted for receiving and conducting these impulses in their course to the sentient nerve. We may divide the ear into an external, middle and internal portion. The exter- nal comprises the auricles commonly called the ear, and the external opening or tube. The middle ear consists of the tympanum or drum, with the ossicular auditus. The internal, or true ear, is termed the labyrinth, and comprises sev- eral parts, among which are the auditory nerves, or cochlea. The mechanism of the ear is exceedingly complicated. Although many minute parts compose this organ, yet the seats of disease are few. The drum (membrana tympani), the most delicate portion, is situated near the middle of the tube (Eustachian) which extends from the external opening in the ear to the nose and throat, and forms a partition in this tube, the air on one side reaching the drum from the ear, on the other side from the throat and nose. They lubricate the meatus 408 SHARP & SMITH, CHICAGO. EAR TRUMPETS AND TUBES. and preserve the suppleness of the lining membrane. The wax prevents the. introduction of bodies that may be floating in the air, and by its bitterness and unctuousness prevents insects from penetrating the more delicate parts of the internal ear. It must thus appear that deafness must exist in the state of inac- tion of either the drum, the nerves, the cochlea, the follicles secreting the wax, or the membranes of the passages of the ear. The diseases which affect hear- ing are most generally of scrofulous or nervous origin, excepting those vvhich occur from violence, or the excessive use of powerful drugs. Noises in the head are caused by colds. The follicles do not per- form their functions, and in consequence of the absexice of the lubricating substance the formation of scales or scurf (which it is the function of the follicles to prevent) upon the drum of the ear, ensues. This formation pre- vents this organ from vibrating in response to slight movements of air which in health move it effectually. This formation in the ear decreases the size of the conducting canal, while it covers up the wax glands, which prevents the healthy wax from coming out. Hence arises deafness. The drum is thickened by a formation of scales. These are imperfectly attached by their edges, and slight movements of air rustle them, while violent movements force them upon the drum, and the scales and drum moving together, produce sound. Hence in a mill or railroad car where there is a great noise, you hear even a whisper better than when in a quiet room. In this case it would be well to consult with a physician. But in most cases our Auricle (Fig. 2097) will be, to say the least, extremely useful. This Auricle is made from different metals, so combined as to secure' electric power. It is covered with fine morocco, and, that it may not be conspicuous, is connected with a fine steel spring, with suffi- cient power to press the soft rubber tubes into the ear. A person with long hair wearing an instrument of this construction can wear it without its being in any way conspicuous or inconvenient. It enables the air to have free access to the drum, and by it a circle of electric nerve power is made to connect from one ear to the other externally, and complete the circle through the nerve internally. Electricity moves in circles, and the nerve power of the human body is electricity. This fact is illustrated by applying the ordinary magnetic battery to the nerve of a cadavera, and it will cause the subject to rise, the face to grimace, and give power to the nerves which have lost their power, and recall them to life. The Silver Ear Vibrator (Fig. 2099, not illustrated), answers the same purpose as the Auricle in cases of Primary Deafness. Catarrhal Deafness is the result of a cold. Catarrh, as it is usually, is when the lining membrane of the nose is the seat. It com- mences with a discharge, slight in quantity and of a watery character. As the disease progresses suppura- tion of the parts takes place, and thev iolence of the disease may be determined by the nature of the dis- charge. When the inflammation reaches the covering of the bones of the nose the discharge is distinguished by its offensiveness, and a further progress results in the destruction of the bones of the nose and closing of the Eustachian tubes. Some are affected in damp or rainy weather with deafness, and cannot account for the cause. It arises from the thickening of the membrane lining the Eustachian tube. It is evident too for the radical cure, you must attack the root of the cause of thickening This may be done by the use of the Nasal Douche, after the method of Professor Thudicum of London, or by the use of most any style of " Nasal Douche " SHARP & SMITH, CHICAGO. 409 EAR TRUMPETS AND TUBES. By a thorough course of this popular and scientific treatment of Catarrh, the abnormal secretions are caused to pass out through their natural outlets. The discharge from the nose will soon cease, as well as the pain in the temple and the noises in the head, when produced by this cause. If the lining mem- branes of the throat or nose have lost their sensation of taste or smell, they will speedily yield to this treatment, and be restored to their normal condition. For Catarrh in its incipient stages, Dr. Warner's Catarrhal Syringe has been found very useful. This valuable instrument is the result of long study. The hard rubber tube, which is to pass into the posterior nares, is connected with the soft rubber bag by a piece of flexible tube, so as to enable patients to use it them- selves simply by compressing the bulb, thus avoiding the unpleasant sensation caused by using the ordinary syringe for that purpose, as you cannot always feel sure of throwing the injection forward. In cases of Deafness, where the patient has no organic constitutional trouble, is over forty years of age, and enjoys fair average health, he can only expect to obtain relief by the use of the Ear Trumpet. As age increases the deafness becomes worse. To these persons we recommend our Ear Trumpet (Fig. 2094), japanned or German silver. They can be taken apart, and are sufficiently compact to admit of being carried without inconvenience. This Trumpet magnifies the sound so as to require no raising of the voice, and con- versation can be carried on in an ordinary tone. 2094-A For the benefit of those who desire to hear lectures, attend church or hear public speakers at a distance, we manufacture the Dipper Trumpet (Fig. 2093), with a piece of metal across the bell, perforated with small holes to admit sound. The metal plate acts as an electric conductor in condensing and concentrating sound, greatly vibrating the increased volume of air before it reaches the nerves, thus giving the Trumpet all the more power of increasing sound. Many persons now supposed to be incurably deaf, might be restored to a respectable degree of hearing—greatly to be desired by themselves, as well as by their friends—by using our Ear Trumpet represented in Fig. 2095A. Cor- rugated and composed of different metals, it is one of the most powerful Ear Trumpets we manufacture. This Trumpet is of great use where the deafness results from scarlet fever. In many cases the small bones of the ear come away and total deafness ensues. 2095-A 410 SHARP & SMITH, CHICAGO. EAR TRUMPETS AND TUBES. Conversation Tubes (Figs. 2091 and 2092). These we have manufactured expressly for us They are perfectly flexible, and do not produce an external sound which is the fault with too many Conversation Tubes. This tube suits the most obstinate cases of deafness, and is particularly convenient at the din- ner table and in company, as the wearer can converse in almost a whisper, and private conversation can be carried on without attracting the attention of others. The most popular of all the Trumpets are the London Hearing Horns (Fig. 2096 A), which are constructed on new and scientific principles, and although they are equally as strong as many of the larger instruments, they answer for those who are moderately deaf, and as they can easily be carried in the pocket and concealed in the hand when in use, they are highly prized by those having them. We have them in black and nickel plated, and in sizes varying from 2 finches to 4 inches high. The plated ones are finely polished. and present a neat and handsome appearance, while the black ones are preferred by those who wish to conceal them and desire to make as little show as possible. Cornets are the smallest of hearing instruments, and will be found efficient in cases of obstruction of the meatus by reason of contraction or the presence of polypi. As they usually come in contact with tissues that are more or less inflamed, they should always be made from gold or silver. These are shown in Figs. 2098 A and B. Artificial Tympanums are used to diminish the evil results occurring from perforation of the drum. The Artificial Tympanum is pressed against the remains of the natural one, and the opening thus closed. They are shown in Fig. 2100 C. 2098 2100 SHARP & SMITH, CHICAGO. 411 EAR TRUMPETS AND TUBES. FIG. 2102 *2I02A 2I02B 2IO3 *2io3A 2103B 2104 Jointed Plain Ear Trumpet, Japanned, small.................$ 2 00 medium.............. 2 50 large................. 3 00 Double Curve " " small................. 2 00 medium.............. 2 50 large................. 3 00 Bell Shape " " ..................... 6 00 2102-A 2103-A The Apparitor Auris is shown in Fig. 2101A, and is so shaped that it may be worn entirely within the concha, being almost unobservable on account of its close fit and flesh color. The advantage of this instrument over the cornet consists in having the canal elongated so that the waves of sound that enter the aperture are not diffused, but conducted through the meatus to the tympanum. Those commencing the use of hearing instruments, especially of Trumpet and Auricles, will frequently be disappointed with first trials, and will complain that sounds are confused, but after a short experience they will usually appear natural, and the assistance derived will be so highly valued that the use of arti ficial aids will not willingly be dispensed with. All instruments designated by a * are illustrated. 411A SHARP & SMITH, CHICAGO. NASAL INSTRUMENTS. A NEW ADENOID FORCEPS. By Frederic D. Owsley, M. D., Professor of Laryngology and Rhinology, Post Graduate Medical School of Chicago; Laryngologist and Rhinologist to Cook County Hospital. This forceps, which I recommend to the attention of the profession, is a modification of Schultze's post nasal forceps. 2104-A. The advantageous features of this instrument are, first, the rapidity with which the growths may be removed, thereby doing away with the necessity of other than local anaesthetics; and secondly, after introducing the instrument behind the soft palate, it is impossible with ordinary force to grasp within the cutting blade of the instrument any normal tissue. The structure of this is such that the operator has the assurance that in removing adenoid vegetations he will not mutilate the orifices of the Eustachian tubes, the septum, or any normal development in the post nasal cavity. 2104-B—Modification of Gottstein's Post Nasal Curette. The slight modification I have recommended in the contour of the ring knife has proved in my hands to be an improvement. Frederic D. Owsley. SHARP & SMITH, CHICAGO. 411B FIG. *2i04-A *2i04-B *2i04-C *2io4-D *2I04-E NASAL INSTRUMENTS. Dr. Frederic D. Owsley's Modification of Schultze's Post Nasal Curette Forceps.......................................................... Dr. Frederic D. Owsley's Modification of Gottstein's Curette............ Dr. Carl E Munger's " " " ............ Dr. Frank E. Miller's " " " ............ Dr. Myles' Nasal Trimmer.......................................Each oo 25 50 50 00 A MODIFIED GOTTSTEIN'S CURETTE. By Carl E. Munger, M. D. Clinical Assistant Manhattan Eye and Ear Hospital, Throat Department, New York. Those who have used Gottstein's ring knife for the removal of "adenoids" from the naso-pharynx, have found it of the greatest convenience and utility, by reason of its ease of introduction and manipulation. It is an instrument which can ordinarily be used without the aid of anaesthesia, and the further advantages pos- sessed are its adaptability to patients of all ages, the absence of danger of harming surrounding tissue, and the thoroughness of removal of the adenoid vegetations. In a recent number of the Record is an excellent article by Dr. Frank E. Miller on the ''Removal of Adenoid Vegetations from the Vault of the Pharynx" by "Gottstein's new improved curette." A still further modification of this most useful instrument, and one which I have found to be in every way satisfactory, is reached by having the instrument so made that, while preserving the general contour of the "improved Gottstein." the distal portion of the ring, instead of having a slightly convex or nearly flat surface, has its form so changed that the ring presents a heart shaped appearance, as seen in the accompanying cut. The advantage of this is that the curette can be made, as it were, to straddle the posterior edge of the nasal septum and by so doing allow the two wings of the "heart" to reach into the choanae. By this means the curette can be brought farther forward and the space more thoroughly cleared than by any other form of the ring-knife. A somewhat similar instrument was recently shown by Professor Adam Politzer, of Vienna, at a meeting of aurists in London, but, so far as I know, this shape has not been used in this country. I have found this modification of Gottstein's "ring messer" or curette to be very satisfactory in the removal of adenoids, and take great pleasure in recommend- ing it to those using like instruments. 2104-C Fig. 2104-E—This instrument is for use in trimming obstructing cartilages and bones in the nasal cavity. It is made in the form of the alligator forceps and its jaws are after the manner of a punch and die, the solid upper blade sinking into the lower fenestrated jaw. 2104-E Instruments designated by a ! are illustrated. 412 SHARP & SMITH, CHICAGO. *2io5 2106 2107 *2io8 *2IOQ 2IIO *2III 2112 *2II3 21 14 *2II5 *2Il6 NASAL INSTRUMENTS. Brown's Post Nasal Curette Forceps....................... $3 25 Lowenberg's " " " ....................... 3 00 Politzer's " " " ....................... 3 40 Cohen's " " " ...................... 2 50 " " Cutting " ....................... 3 00 Stoerck's " " " ....................... 2 50 Wagner's " " " ...................... 2 25 " " Cutting " ....................... 4 00 Luer's " Polypus " ....................... 3 00 Plain " " " short.................. 1 00 " " " long................... 1 50 Gross' " " " ....................... 150 2109 2115 2116 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 412A NASAL INSTRUMENTS. A NEW FORCEPS FOR ADENOID GROWTHS. By R. C. Hodges, M. D., Galveston, Tex. "The Adenoid Forceps ordinarily employed are frequently a source of danger to the uvula or soft palate, as the crossed or scissors action is apt to pinch or cut. In operating on these adenoid growths in the vault of the pharynx very often one is obliged to dispense with a palate retractor. This is most frequently the case in operating on children. "Toavoid injuring, and at the same time to admit of lifting and detracting the palate, I have devised this forceps. The spreading of the blades enables the surgeon to cut freely and avoid the uvula. Another advantage is the large cutting surface. I have found this instrument very useful and practical, and believe that it possesses all the advantages of other forceps, and is superior to all of them in the points I have mentioned." A NEW NASO-PHARYNGEAL FORCEPS. By Jas. E. Nichols, New York. For the treatment of the very important and now commonly recognized disease known as chronic hypertrophic naso-pharyngitis, or adenoids of the pharyngeal vault, there have been many instruments in use with varying degrees of success. Since Loewenberg first made use of his post-nasal forceps, there have been numerous changes and modifications in his model, each one of which has, I suppose, a "raison d'etre." I venture to add another to the number, for the reason that so many have expressed an appreciation of its excellence, and not with any claim to great originality. The main objection to the forceps of the Loewenberg or Hooper type is that having only a pinching edge with very small space between the blades when closed, the adenoid issue is not cut off in a cleanly, efficient way, but rather torn off in bits of varying size, according to the strength of the pinch, and the grasp of the pincher. The result is a more or less roughened surface, and in many cases a stripping down of the pharyngeal mucous membrane, followed by unpleasant cicatrices. It is always advisable to leave as smooth a surface as possible after an operation of this nature, in order that speedy healing may take place, as well as the diseased tissue be entirely eradicated. The forceps shown in the accompanying cut have proven successful in this respect. The curve of the scissors blade is such as to fit the vault's normal curve, and the cutting edge is long enough to cover the origin of most growths. Being fenestrated, a very large amount of tissue can be removed at one grasp, and I have rarely found it necessary to introduce the instrument more than twice on one patient. The scissors handle is believed to be more manageable than the straight handle, with spring, of the Gradle foiceps, from which the principal features of the instrument are derived. 13 412B SHARP & SMITH, CHICAGO. NASAL INSTRUMENTS. *2ii6-A Dr. R. C. Hodges' Forceps for Adenoid Growths (see preced- ing page).......................................... $3 5° *2ii6-B Dr. Jas. E. Nichols' Naso-Pharyngeal Forceps (see preceding page).............................................. 3 75 *2ii6-C Dr. Norval H. Pierce's Nasal Rongeur Foreeps............. 3 00 *2ii6-D Heyman's Nasal Curette Forceps......................... 3 00 Fig. 2116-C. DR. PIERCE'S NASAL RONGEUR FORCEPS. These forceps were originally designed for removal of the middle turbinated bodies, including the bony parts, in suppuration of the turbinated cells. They may, how- ever, be used for removing the anterior head of the middle turbinated in those cases where the employment of the wire snare is often rendered impossible. Such cases are found in proliferation of the external muco - perosteum, as in the same condition when it attacks the muco- perosteum lining the labyrinth. They are made in three sizes, and are constructed so that a good deal of force may be con- veyed to the cutting edges. It is un- necessary to say that they may be used for nipping off those small polypsed hyper- trophies which are sometimes situated in positions which render the use of the snare impossible. 2116-C 2116-D instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 412C NASAL INSTRUMENTS. Fig. *2i 17—A Long, Slender, Ring Polypus Forceps..................................$3 00 *2H7—B Sharp & Smith's Long, Slender, Angular Polypus Forceps................. 2 25 *2ii7—C " " Curved "................ 2 25 *2H7—D Leonard's Nasal Polypus Forceps. .............. ............. 2 25 2117—D 2117—A 2117—B All instruments designated by a * are illustrated. 2117—C 412D SHARP & SMITH, CHICAGO. NASAL INSTRUMENTS. Fig. ♦2117—E Dr. Leonard A. Dessar's Nasal Electrode................ $i 50 *2117—G Dr. Goodwillie's Nasal Plug Placer..................... 85 *2ii7—H Rhinoscopic Mirror, extra small with handle.............. 60 2117—I " " " " without" .............. 50 2117—K " " handles (Universal)................ 35 A NEW NASAL ELECTRODE. By Leonard A. Dessar, M. D., New York. " The risk of infection from the use of the ordinary cautery electrodes led me to the idea of devising an instrument by which this danger might be obviated. " Mucus and pus are apt to collect on and about the binding cords of the ordinary electrode and so become a source of infection, as it is almost impossible to cleanse these instruments thoroughly." At my suggestion there has been constructed a set of electrodes made of metal which, when not in use, may be immersed in a solution of carbolic acid or other disinfectants, and thus rendered perfectly aseptic. Another advantage of these electrodes is the fact that they can be heated to the proper degree with a weaker electrical current than those in ordinary use. The instruments are made of copper, nickel plated, and the shafts are united by two metal bands, the insulating material used being ether fibre, asbestos, or ivory. 2117—D Fig. 2117-D.—In cases of hemorrhage a hard-wound cotton plug can be placed in any desired position by means of this instrument. The plug placer can be withdrawn without disturbing the plug by means of a slide which pushes the plug off the instrument. 2117—C. 2117—E. This Mirror is of extra small size, being only 8 mm. diameter, and is especially adapted for rhinoscopic diagnosis. All instruments designated by a * are illustrated. SHARP & SMITH. CHICAGO. 413 NASAL INSTRUMENTS. 2117 Robinson's Pharyngeal Forceps........... .......... *2ii8 Knight's Nasal " ..................... *2ii9 Sajou's Pharyngeal " .................. 2119-A " Nasal Bone " ...................... *2T20 Simrock's Polypus " ...................... *2i2i Noyes' Alligator Nasal Polypus Forceps ... ..... *2i22 Cohen's Evulsion Forceps for Naso-Pharyngeal Tumors. 414 SHARP & SMITH, CHICAGO. NASAL INSTRUMENTS. FIG. ^2123 Jarvis Rongeur Forceps...................................$ 4 5° *2i24 Rumbold's Polypus " ....................................... *2125 '' Pharyngo Nasal Forceps............................ ♦2126 McKenzie's Polypus " Snare.......................... 6 00 *2i26A Penn's Cat Gut Ecraseur.................................. 4 00 2126 2126-A For removing small tumors from the nose, fauces, rectum and uterus. Two verv small i,ni- through the pin receive the ends of an "E" violin string, which is doubled and passed throuth from the opposite end of the tube. passea trirougn SHARP & SMITH, CHICAGO. 415 NASAL INSTRUMENTS. FIG. *2127 Jarvis' Septum Punch.....................................$ 6 25 2128 Sajou's (set)" ".................................... 9 00 ♦2129 Steele's " "................................... 7 50 *2i3o Gradle's " Forceps......................f........... 6 00 2131 Bosworth's Rhinoplastos................................... 3 00 *2i32 Adams' " .................................. 2 25 *2i33 Goodwillie's Nasal Snare Forceps............................ n 25 2133 Instruments designated bv ? * are illustrated. 415A SHARP & SMITH, CHICAGO. NASAL INSTRUMENTS. <*** 2133-A Fig. 2133-A—DR. MOREAU R. BROWN'S NASAL ECCHONDROTOME. This instrument, intended to take the place of the saw, the chisel and the knife in many of the operations on the nasal septum, particularly for the removal of the various forms of the ecchondroses and the cancellous exostoses, consists of two blades, one of which is made fast to a handle by a set screw, while the other slides along the former, somewhat after the same manner of the blades of a Mackenzie tonsilotome. The cutting edges of the two blades may be made to approximate each other rapidly by pushing the second or sliding blade with the thumb, or slowly by means of a screw ; experience having demonstrated that to be a very advantageous arrangement. The blades can be turned on their long axis so as to operate in either the left or right nasal cavity. These instruments are made by Sharp & Smith. 2133-C. 2133-D. This Trephine, used with the Electric Motor, is particularly safe on account of the shield and its great advantage lies in the shoulder at the end of the shank, which prevents the teeth of the Trephine from striking the end of the shield. SHARP & SMITH, CHICAGO. 415B NASAL INSTRUMENTS. Fig. *2i33-A Dr. Moreau R. Brown's Nasal Ecchondrotome............................$8 50 *2i33-B Hartmann's Nasal Chisel set of 3 in one handle............................ 5 go *2I33-C " Hand Chisel, made in three sizes....................each, 1 50 *2I33-D Dr. Myles' Guarded Nasal Trephine....................................\ 6 00 *2I33-E Dr. E. L. Oatman's new Nasal Snare...................... ............ 9 75 *2i33-G Dr. Moreau R. Brown's Nasal Snare Handle............................ 1 00 *2i33-H Dr. Norval H. Pierce's Alia? Nasi Instrument ........................... 50 *2i33-I Dr. Myles' " " " .......................... 50 ♦2133 K Dr. Norval H. Pierce's Rod for Dry Massage............................ 75 (From "The Medical Record,'1'' April 16, 1892.) NEW METHOD OF FASTENING THE WIRE IN NASAL SNARES. By E. L. Oatman, M. D., Nyack, N. Y. In the best of nasal snares the manner of fastening the ends of the wire is oftentimes a source of annoyance and delay, especially so when in the midst of an operation it becomes necessary to shorten the loop. My attempted improvement consists in catching the wire between an eccentric wheel, with an attached lever and the flattened upper surface of the carriage, the opposing sur- faces being roughened to prevent slipping. The modification was adapted to Hooper's snare (^----- and ecraseur, but it is also applicable to any other instrument similarly constructed. The wire should be accurately placed and the lever pressed down with only moderate force. 2133-H. Instrument for Overcoming Convergence of the Allae Nasi. (See Dr. Norval Pierce's Paper in the International Medical Magazine for October, 1892.) 2133-G Brown's Cautery Snare Handle. 2133-II 2133-1 With this instrument there is no pressure exerted on the septum, and the instrument itself is hid from sight. It is introduced by passing the heads into the pockets at the end of the nose and shoving the springs up until the connecting part rests upon the septum cutaneum. 2I33-K Dr. Norval H. Pierce's Rod for Dry Massage of the nose—a long steel rod having a clutch which is secured by means of a sliding knob. The clutch carries a wad of dry cotton loosely held together, with which the nasal mucous membrane is massaged after the method of Braun of Trieste. Instruments designated by a * are illustrated. 416 SHARP & SMITH, CHICAGO NASAL INSTRUMENTS. FIG. *2134 Bosworth's Nasal Snare.................................... 2135 " " " m case.............................$3 °° 2136 " Set of Nasal Snares............................. 9 00 *2i37 Jarvis' Nasal Snare, straight................................ 1 50 2138 " " " curved................................ 1 75 2139 '" " " two tips............................... 300 *2i4o Wyeth's " " .................................. 7 5° 2141 Sajou's Modification of Jarvis' Snare........................ 2 25 *2141A Rumbold's " " "......................... 2140 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. NASAL INSTRUMENTS FIG. *2142 Sajou's Polypus Snare...................................................$ 6 *2i43 Allen's 2144 Wilde's *2i45 Hobby's 2146 Green's 2147 Ellsberg's 2148 Douglass' Ingal's Piano Wire for Polypus Snare " % lb. Bunches 2151 See next page for prices on Rhinoscopes. Instruments designated by a * are illustrated. 417A SHARP & SMITH, CHICAGO. NASAL INSTRUMENTS. Fig. 2148-A Dunn's Universal Electric Bracket. This bracket is composed of a wall piece, a double-acting joint, and a single arm. The joint is so arranged that it gives a circular motion on a fixed plane, while the arm can be elevated or lowered to any angle, and fixed by the set screw, which works in the little wheel. Through the whole bracket is strung an electric wire, which can be connected with the regular incandescent current, or to the current of a strong storage battery. Dr. Dunn has attached to his bracket a twenty-four candle power coiled wire electric bulb, which gives a light as clear as sunlight (if used with this condenser) without the intense heat of the latter. Fig. 2148-C Showing Condenser with brack et attachment. Fig. 2148-B Dunn's Electric Light Condenser. Consists of a bell-shaped hood, which covers the electric light bulb, while it allows the lens to pass over the top when not in use (see Fig. 2148 B). At the side of the bell is an opening over which fits the piano convex lens. The lens is set in a frame and attached to the sides of the bell in such a manner that the lens can be elevated and retained on top of the bell when the operator does not wish to use the con- densed light. This condenser is attached to the metal piece of the light bulb by a number of arms, and can be used with any form of incan- descent bulb. It is distinct from the bracket. Fig. 2148-B Dunn's Electric Condenser, showing the lens over the top. SHARP & SMITH, CHICAGO. 417B NASAL INSTRUMENTS. A New Combined Electro-Cautery and Cold Snare Handle. By W. A- Dunn, M. D., Professor of the Diseases of the Throat and Nose, Hahnemann Medical College and Hospital, Chicago, 111. Fig. 2148-D. Dunn's Combined Electro-Cautery and Cold Snare Handle. This handle, as made for me by Messrs. Sharp & Smith, Chicago, 111., is composed of hard rubber, and pat- terned after the usual pistol handle with an additional curve to the right. This allows a good firm grasp in the right hand, in such manner that the thumb and index finger are free to manipulate the current and snare slide respectively. On the top of the handle is a groove, in which is set the slide of the snare, to which the snare wires are attached by small set serews. This slide has a curved brace on top for the tip of the index finger, by which it can be drawn toward the hand, thereby bringing home the wire. The slide can be retained at any point by a set screw, and is used as a brace for the forefinger when used as a simple cautery. The cords are attached to posts on the under surface of the instrument by a pin and socket joint, and are usually made to fit the cord of a Flemming Electro-Cautery Battery, but may be made to fit any make of cord. The current breaker is a spring attachment on the lift surface of the instrument, which is manipulated by the pressure of the thumb on the button at the end of the spring, which brings the metal in contact with a post in the side of the handle and completing the circuit. The metal tips of the handle to which the electrode is attached may be bent at any angle, so that the hand of the operator is entirely out of the range of vision in the many operations about the throat, nose and ear. Any form of electrode may be used with the handle, but the styles shown in the cut answer every purpose if skilfully used. g™^MM—-——— ^=-- -^====_=t_nsa Fig. 2148-E Dunn's Nasal Cotton Applicator, for applying solutions to the nose and naso-pharynx, and for plugging the nose with cotton, is composed of a German silver shank and a virgin silver point, which is pliable. The point is flat, and can be bent to reach any part of the nose or naso-pharynx. It can be had with fixed handle or without handle, to fit the Universal Handle. fi<;. *2i43-A Dr W. A. Dunn's Universal Electric Bracket..... .......... ......$ *2T48-I! " " " Electric Light Condenser........................... 1000 *2i48-C •' " " " '' " attached to bracket............ *2i48-D " " " Electric Cautery and Cold Snare Handle, without Electrodes. 7 5° *2i48-E " " " Nasal Cotton Applicator................ .............. 75 418 SHARP & SMITH, CHICAGO. *2i49 2150 •2151 2152 *2i53 ♦2154 *2I55 2156 *2i57 2158 2I59 *2i6o *2l6l *2l62 NASAL INSTRUMENTS. Duplay's Rhinoscope...................... ...............^ 5 °° Plain " ...................................... 6o Simrock's " ..................................... 6 °° Jarvis' " ...................................... 3 5° Frankel's Nasal Speculum, different sizes.................... 15° " Improved Nasal Speculum........................ 1 5° Swift's " " ........................ 1 75 " Improved " "........................ 2 °° Roth's " " " ........................ 15° Robert & Collins' " " N. P.................... 15° « " " H. R.................... 1 50 Plain Bivalve " " (see Ear Instruments).--- 1 00 Shoulder " " " (see Ear Instruments)..... 1 00 " " " " with screw, (see Ear Inst'ts) 1 50 Bonafont's Bivalve Nasal Speculum......................... 1 85 Ellsberg's " " " steel...................... 3 00 Folsom's " " " ........................ 1 00 2154 2155 2162 2157 2160 2161 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 419 NASAL INSTRUMENTS. Goodwillie's Nasal Speculum Rumbold's Leonard's Thudicum's " with screw. *2i63 *2i64 ♦2165 *2i66 2167 2168 Sexton's " .................................. 2169 Roosa's.................... .......... ^2170 Bosworth's '• ".............................. 2170A " Wire '" " .................. ...... ..... *2i7i " Speculum with shield, reversible to either side for cauterizing *2i7iA Hotz's Nasal Speculum....................................... 60 2 50 2 50 60 1 00 1 50 1 85 35 75 2 00 85 2164 "'••..'•-/ '".. Fig. 2164.—Nasal Speculum, eight inches long, with reversible blades. This length is given to it to enable the patient to hold it in his nasal passage. 2170 2166 i20 SHARP & SMITH, CHICAGO. *o 2172 173 2174 *2i74A *2T75 *2i76 2177 2178 2179 *2i8o *2l8l 2182 NASAL INSTRUMENTS. Simrock's Nasal Speculum................................. $' 00 Seder's " " ................................. Sajou's " " ................................. x 35 Brandis' " " ................................. 3 25 Jarvis' small" '' ................................ ' 60 " (operating) latest Nasal Speculum.................... 1 00 Set of three Hard Rubber " " ................... 75 " Allen's " " .................... 75 Bellocq's Canula for Epistaxis, plated....................... 1 00 " " " " silver........................ 2 00 Gooch's Double Polypus Canula, plated.................... 1 00 Tampon for Epistaxis, Hard Rubber........................ 75 2176 2180 2172 2181 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 420A NASAL INSTRUMENTS. Fig. *2i78-A Dr. W. A. Dunn's set of 3 H. R. Nasal Specula.......................... $ 1 00 *2i78 B Dr. Frederick D. Owsley's Nasal Speculum.............................. 1 50 *2I78-C Fenestrated Nasal Speculum........................................... 2 50 *2i78-D Myles' Nasal Speculum................................................ 1 75 *2i78-E Claiborne's Speculum for applying caustic to the deep structures of the nasal cavity........................................................... 100 *2i78-G Seller's Self-Retaining Nasal Speculum, R. & L...................... each, 50 *2i78-H Black's " " " ................................. 200 *2i 78 I Smith's Nasal Speculum .....................................•...... 1 25 2178-K Devilbiss' Self-Retaining Nasal Speculum............ -................... 1 5° S2i78-L Palmer's " " ' ................................ 5° 2178-A 2178-B FIG. 2178-B-DR. FREDERICK D. OWSLEY'S NASAL SPECULUM. The above Nasal Speculum is a modification of Kramer's ear speculum, and its advantages lie in the fact that the curves of the blades are so formed as to adjust themselves easily to natural contour of the nostrils, and its freedom from sharp edges prevents the instrument from contusing and wounding the membrane of the nasal cavity. 2178-C ■i/^£m FIG. 2178-D—MYLES' NASAL SPECULUM. flfflBBfr !■ Myles' Combination Speculum consists of a Lenox Browne han- wmml dIe attached to a split Simrock Speculum, and is self-retaining by yf* ^^ means of a small shoulder at the inner edges. The spread of the 4r ^^. nostrils is accomplished by a lateral movement on a rigid bar, which ________^ is corrugated on the inside and holds it at any desired distention. 2178-D Instruments designated by a * are illustrated. 14 420B SHARP & SMITH, CHICAGO. NASAL INSTRUMENTS. Showing Fig. 2178-G— Applied. 2178—E 2178-G 2178-L—Applied. 2878-L SHARP & SMITH, CHICAGO. 421 NASAL INSTRUMENTS. FIG. *2183 Leffert's Palate Hook....................,............... o T *2184 Hard Rubber Palate Retractor............................ *2i85 Sajou's " " .. x *2i86 Rumbold's Soft " » .'..'.'........................ , *2*87 " " " " Curved....................'. A 2188 " Inflator for Eustachian Tube, Hard Rubber..... 2l88A " " " " " Glass.............. 2189 Sexton's " .......................... 2 5° 5° 5° 25 25 75 25 60 2184 Fig. 2186. Soft Palate Retractor.—,4, lever to separate the arms. B, the soft rub- ber band that closes the arms, and holds the uvula out of the operator's way. C, the lever that raises the wedge. After the instrument is introduced behind the velum, and' the arms spread by the lever A, then the wedge retains them in this position. 2187 Fig. 2187. Curved Soft Palate Retractor.—The curved extremity is passed along the floor of one nostril until it reaches the pharyngo-nasal cavity; pressing the two ring levers a and b together causes the curved extremity to draw the velum forward, the probe point c preventino- the slipping of the velum. 2189A Fig. 2189-A. Dr. Behren's.—Curette to be introduced through the nostril for removal of adenoid growths in the post-nasal space. $1.75 net. All Instruments designated by a * are illustrated. 422 SHARP & SMITH, CHICAGO. ^2190 2191 2192 *2i93 2194 2195 2196 2197 2198 2199 2200 *220I 2202 *2203 *2204 *2205 *22o6 *2207 2208 *2209 NASAL INSTRUMENTS. Sajou's Acetic Acid Applicator............................. " Chromic " " ............................. McCoy's Applicator...................................... Bosworth's Aluminium Applicator.......................... Posterior Pharyngeal .......................... Ingals' Aluminium " (page 439)............... Bosworth's Aluminium Probe.............................. Hard Rubber Probe...................................... Silver Probe...............................• .............. Steel "............................................ Cohen's Pharyngeal Cotton Holder.......................... Turnbull's " " " ......................... Allen's Cotton Holder.................................... Volkman's Curette..................................... Sass' (3 curves) Curette...............................each. Spiers' Curved " ................................... Hyde's " ................................... Gradle's Spoon " ..................................• Allen's Septum Knife..................................... Sajou's Periosteal Knife................................... Ingals' Knife (page 439).................................< Sajou's Abscess retro-Pharyngeal Trocar.................... 2190 2203 jES^EESSSSa^*. 2204 2207 jmii.^i^. 2209 Pptt^B^SOTnjTiBillgS^ 2206 SHARP & SMITH, CHICAGO. 422A NASAL INSTRUMENTS. Fig. *2194-A Dr. Payne's modification of Gleitsmann's Aluminum Trichloracetic Acid Applicator, per set of (4).............................................. $3 00 *2ig4 B Bosworth's Acid Applicator............................................ 25 *2ig4-C " Chromic Acid Applicator...................................... 4 50 *22og-A Woakes' Nasal Plow.................................................. 1 85 *22og G Fritche's Nasal Curette............................................... 225 *22og-H Lowenberg's Revolving Curette.......................................... 3 50 ♦2209 I Nasal Curette.......................................... 225 t e \ ^fesg=^^--------„ —~■■■.WWW-—---- -— - - ^-» 2194-A This modification consists of the small cap, which is screwed over the open end and con- fines the application of acid to the location to be treated. These Applicators are made of alum- inum. f 2194-C I ill & A *VW¥^frfrW»»trt«t4i'frM> t % « 44^^^M 2273 Instruments designated by a * are illustrated. 439 SHARP & SMITH, CHICAGO. A NASAL SCISSORS. By Frank Hamilton Potter, M. D., Lecturer on Laryngology, Medical Dept. Niagara University. These scissors can be used with great advantage in many operative pro- cedures upon the nasal passages. The cut above illustrates a new form of the instrument, which it is thought, possesses sufficient merit for publication. Attention is called to the following points: i. The hand of the operator is always below the line of vision, whether the instrument is open or shut. 2. The blades are one and five-eighths inches long, and will thus grasp large growths; or, with but a slight movement of the handles, they can be opened sufficiently to trim the edges of wounds. The latter point is well illustrated in the cut. 3. The cutting edges are serrated, so as to make an uneven wound, and thus favor the coagulation of blood. 4. It is strongly made, and thus allows, when necessary, the use of con- siderable force. Other scissors have been devised embodying some of the points mentioned above, but it is believed that this instrument has so combined them as to in- crease the practical value of the scissors in nasal surgery. SHARP & SMITH, CHICAGO. 431 SOME NEW NASAL, PHARYNGEAL, AND LARYNGEAL INSTRUMENTS. By S. Sherwell, M. D , Brooklyn N Y. FIG. *2278 Dr. S. Sherwell's Nasal Scissors, No. i.....................$ 4 00 *2279 " Pharyngeal, Scissors, No. 2................ 5 5° *228o " Nasal " No. 3................. 5 50 *228i " Laryngeal " No. 4................. n oc *2282 Dr. Prince's Spool Eyed Needle........................... 350 In connection with my dermatological work I have to do with a not incon- siderable number of diseases of the upper air passages, often certainly as syph- ilitic annexes, but far more frequently of the character of non-specific affec- tions. At one clinic, that for skin and throat diseases at the Brooklyn Eye and Ear Hospital, I see about five hundred new throat and nose cases each year, which, together with private practice of the same kind, and duties in other hos- pitals, would bring the total amount to very considerably over one thousand cases annually. I have consequently had to meet, and get over as best I might, most of the difficulties that occur in these regions in the way of operative interferences. And although I have a fair array of instrumental armamenta for that special work, still I suppose no man has at his command all the special instruments made for help in such cases; and in fact, sometimes, if not frequently, he is called upon to either modify some existing instrument, or to devise new ones (as I claim to have done in the instruments I now lay before you) to meet the exigencies of the existing situation, or to supply deficiencies. The instru- ments in question, I hope, in many cases will serve to fill the traditional "long felt want," and I shall, publish them as Sherwell's Nasal, Pharyngeal and Laryngeal Scissors. Fig. 2278.—Nasal Scissors. The nasal scissors are intended for removal of neoplastic growths, or hypertrophic tissue, from the anterior or middle, or even the deeper portions of the nares, and consist of a pair of serrated blades similar to the alligator-tooth scissors, slightly concave-convex, and with handles bent downward in the long axis so as not to obstruct the vision while operating. The pair shown were made five months ago for operation on the nose, for the removal of hypertrophied turbinated tissue in the person of a well-known professor of surgery, and succeeded in their purpose fairly well. It will be noticed that they are best adapted for the left nares—on that side the trouble was present in this case; but they can be, and have been, used for right nares by inverted handling. The notched teeth prevent slipping and pushing of the tissues away, as can be best demonstrated by cutting a piece of India rubber with them, and then doing so with the ordinary smooth scissor-blades. It will be noticed, also, that the shanks of the handles are narrowest when the blades are open nearly, if not fully, to the greatest necessary extent. 15 432 SHARP & SMITH, CHICAGO. Figs. 2 and 3, pharyngeal and nasal, I give in order of priority of make. Fig. 2279.—Pharyngeal Scissors. In Fig. 2 I have tried to construct an instrument capable of being used by any one, however inexpert; that should run no risk of piercing the pharynx, or the important vessels back of the tonsils, etc., no matter what unguarded movements a nervous or intractable patient might make during the operation. This is intended to trim a pharynx, to cut out small teat-like projections of a fretted or ragged tonsil, which are so often seen—and which are, from their size and shape, impossible to remove by the tonsilotome—and also as a most useful uvulatome. The advantage, so readily seen by the expert, of its need- ing no help with forceps—thus leaving one hand free for tongue depression or for steadying the head of the patient—seems to me obvious enough; and it has certainly so proven in the relatively few cases in which, owing to its recent make, I have had an opportunity to use it. The instrument, as will be noticed, is an absolutely pointless scissors, hinged about one-third of the distance from the extreme end, and thus com- posed, as will be seen, of four blades, but forming but two, as it were, by cut- ting at the hinged-joints as well, when the handles are closed. The instrument when open, and it should be ordinarily introduced that way if the pharyngeal space is shallow, has an inside cutting surface something like the old Roman spear head, the apex directed toward the operator; it needs but one word to explain why that is made so: This serves to thrust the inclosed tissues forward to the operator instead of away from him, as is the case with the 'ordinary curved or straight scissors. c, Blades open ; d, Blades eloss Fig. 2280.—Nasal Scissors. I think this idea has the merit of novelty at least, for I cannot recall any other instrument in which the cutting is going on all around at the same moment, save in ecraseurs. By draughtsman's error the proximal blades are not made long enough ; angle of distal blades correct • the lumen should be considerably longer. SHARP & SMITH. CHICAGO. 433 I have purposely given Fig. 3 out of its natural sequence, although it is intended for the same use as Instrument No. 1, i. e., for the removal of hypertro- phic or other tissues from any part of the anterior or deeper nares. I think it has many advantages over the first shown, but it is more complex. It is, as will be seen, but a modification of the pharyngeal scissors just described, but is more delicate, and has serrated edges. It will be noticed that the inside cutting edge is not that of the Roman spear, but rather that of the Indian arrow head or javelin; this is accomplished, as is evident, by making the site of the hinged joint nearer the extremity of the blade. I operated with it on January 29, 1887, the day it came from the maker's hands, having reserved a patient with the growths above named; it worked very well. It needs no special instruction in its use, is absolutely free from danger, and causes, it may be said, no haemorrhage. I think the instrument made a little stronger might be better. The last instrument (Fig. 4), though it has, and must have, more limited use and a far narrower circle of users, I am somewhat enthusiastic over. Probably all laryngologists have been bothered (we may take the confessions of the most noted, at least, that they have been) to get hold of and crush or cut, or both combined, those little or big neoplasms that occur, fortunately, relatively so rarely in the recesses of the larynx. I average three or four laryngeal tumors, I think, annually, and have a fair supply of Stoerk's, Mackenzie's, Schrotter's, Fauvel's, etc., instruments; but every now and then I have been exceedingly annoyed at the elusiveness of these little tumors situated on the vocal cords and elsewhere in. that vicinity I have sometimes tried all my own tools, and borrowed others, and worked till my patience or that of the patient was exhausted; this is apt more particularly to be the case in and of those sessile outgrowths, papillomata, or what not, from one or the other vocal cord. a Tube • b Sheath, cutting edge below slot; Instrument retracted into sheath ; d, Sliding retractor grip on wire. Fig. 2281.—Laryngeal Scissors. The instrument now shown is then adapted to one of Schrotter's tubes and handles, and consists virtually of the same idea as that of the hinged and jointed four-bladed scissors just as given in the preceding two, naturally much lessened in size, and with yet a different lumen. The instrument is introduced closed into the larynx, allowed to expand by the automatic spring arrangement on pressing the wire attached to the finger-piece, and when, as the expert will know, it is at or about the site of the growth, is redrawn up into the tube, and into the slot in the tube, by retracting finger pressure. The instrument may not cut the growth off cleanly, but a very slight pushing and retracting will divide the tissues met with there. The cleanness of separation is of little consequence anyhow, for we know, as a matter of fact, that the nutrition of these small neoplasms once essentially interfered with by crushing or cutting, they tend to disappear, as do warts and such by astringent and alterative applications being applied with the brush, etc. 434 SHARP & SMITH, CHICAGO. I believe this instrument to be a good addition to the existing armamenta for laryngeal operation, and hope it and the others will commend themselves to the gentlemen more especially interested in such work. Owing to its recent make I have had but one opportunity of using this instrument on a laryngeal growth; it succeeded then admirably. One point omitted in description of instrument is, that there is a screw-joint at junction of shaft and tube, permitting any degree of rotation of cutting surfaces. I also believe that the principle of this hinged and pointless scissors would adapt itself for use in some of the mucous openings and cavities of the body. The four blades closing at once give it an essentially ecraseur-like action, so that haemorrhage is usually extremely slight. (Extract from the American Journal of Ophthalmology, February, 1887.) PRINCE'S SPOOL EYE NEEDLE. By E. A. Prince, M. D., Jacksonville, 111. The accompanying cut of my spool advancement needle was received with the request that an account of it be given to some medical journal for publication. Its necessity first became evident about six years ago. In attempting to correct an internal strabismus of moderate degree, the capsule of Tenon was sufficiently lacerated to allow the tendon to retreat so much as to occasion an extreme external squint, decidedly worse than the original deformity. Stimulated by the prospect of disgrace, I extemporized a hook, after drawing the temper of a surgical needle, and fortunately succeeded in advanc- ing the retracted muscle, which was then secured to its proper place with a perfect cosmetic result. A study of this case developed the operation of "advancement of the rectus," together with the capsule and conjunctiva, published in the St. Louis Medical and Surgical journal, June, 1881, and in Noyes' "Diseases of the Eye," page 116. The operation was improved by a pulley modification, which appeared in the New York Medical Record, August 8, 1885, with a cut of the needle then in use, after the manner of the corkscrew-staphyloraphy needle. The antiseptic importance of keeping the thread from touching the face, hair or clothing, together with the realization of its extensive usefulness in cauthoplasty and other operations on the conjunctiva, led to the conception that it merited a spool in the handle, to carry antiseptic silk, shielded from contact with pyogenic organisms. 2282 This requirement was met in August, 1885, by the introduction of a bob- bin, a, to carry about thirty feet of silk, which issues from a very small opening in the shield and passes through the eye of the needle, b, to be caught by toothed forceps—after the tissues have been transfixed. The loop suture for advancement is made by transfixing the rectus a second time from within outward, catching the thread and withdrawing the needle before cutting it off. The thread for the anterior fixation point (pulley) should be entered one or two millimeters from the cornea, slightly into the SHARP & SMITH, CHICAGO. 435 dense tissue, which purpose is better served .by the sharpness and delicacy of a No. 25 eye needle. This thread is then tied to encircle one branch of the loop suture in a form of pulley over which it is drawn to any degree of tightness, and tied with a surgical bow-knot, to be modified or made secure after an interval, when a perfect position shall have been established. The silk which has been employed is iron-dyed No. 2. It is first soaked in a one-tenth per cent, sublimate solution, dried, waxed (to prevent untwisting), and treated with iodoform in vaseline (three per cent.), when, wound on the spool, it is always ready for use. FIG. 2283 Bosworth's Permanent Clamp................ .............$ 1 65 Quier's Foreign Body Extractor (see index)................ 2 00 2284 Breathing Inhibitor...................................... 2 00 NASAL INTUBATION. By D. H. Goodwillie, M. D. On this occasion it is only my purpose to introduce to you a method of nasal intubation as a valuable aid in the treatment of intranasal disease, and at some future time to give more in detail the result of an experience of some years of its use. My first efforts began by the use of pure rubber gum tubing of different sizes and strength, and made applicable to each case by such impromptu means as I had at command. These experiments, after being carried on for some time, were so encouraging that I had the tubes made in soft rubber and plati- num or aluminium from models that have proved by experience to be of practi- cal application. These improved tubes have given me such good results that I merely call your attention to them for your consideration. These tubes are oval (a) in shape and of the same size, with the exception of the anterior end (b), that is shaped so as to fit the vestibule of the nostril, and by that they are retained in place.. They are made in different sizes, % to y2 inch in diameter, and in length from 2^ to iy2 inches, but may readily be cut to any desired length. The metal tubes can be changed in their caliber by passing through them a core of the desired shape. The anterior end may be soft rubber, as it is more comfortable by its flexibility in the vestibule of the nose. The small rubber tubes are made use of at the beginning of the treatment and changed to larger ones until there is normal space or the deformity has been corrected. Then the metal tubes may be used if so desired, as they allow freer respiration through them. The tube is put into the nostril by raising the end of the nose and gently passing it into the inferior meatus, then releasing the end of the nose and passing the anterior end into the vestibule. They can- not be seen externally, and so can be worn and treatment carried on without any unsightly appearance, or even knowledge of their presence. 436 SHARP & SMITH, CHICAGO. They can be readily removed by the patient for cleansing and returned to the nostril. Some of my patients have worn them constantly for months with- out discomfort, and always with benefit. I will simply refer to some of the nasal diseases in which they have been made use of, viz.: i. Intranasal haemorrhage. 2. Fractures of the nose, internal and external. 3. Deviations of the cartilaginous and bony septum after the necessary surgical operation of section or removal of exostosis. 4. After the removal of hypertrophic turbinated tissues or polypi, whether by the cautery or snare. 5. Hypertrophies of the soft tissues without an operation, when worn for a sufficient time to produce absorption. Beginning on the following Page is a LIST OF INSTRUMENTS DEVISED BY E. FLETCHEK ING/ILS, M. D.. CHICJLQ-O. Ills. COMPILED BY JNO. EDWIN RHODES, 7V^. D., CHICJLGr-O, Ills. Pages 437 to 446 inclusive. SHARP & SMITH, CHICAGO. 437 *2285 2286 ♦2287 2287- *2288 2289 *2290 *229I *2292 *2293 229/; ♦2295 *229fj *Z297 *2298 *2299 *2300 *2301 *2302 *23°3 *2304 * DR. INGALS' NASAL INSTRUMENTS. Ingals' Cold Wire Nasal Snare, Steel Post, with 6 tubes....... « " << " " " 6 " in case.. " Glass Powder Blower (3 tubes) Rubber Bulb.......... A " Nasal Syringe.................................... Cautery Electrodes..........................per set. " " ............................each. Septum Knife................................... Cotton Applicator................................ Silver Canula................... ................. Brush Holder................................... FTat Nasal Probe................................ Nasal Speculum................................... Bone Cutting Forceps.............................. ; Dressing Forceps.............. .............. 1 Foreign Growth Forceps........................... ' Wire Loop Adjuster............................... ' Nasal Dressing Scissors............................ ' Turbinated Bone " ........................ < Nasal Spatulas..........................set of 3. ' Nasal Spout, including Rubber Tube................ ' 4-inch Mirror, with Lens....................•....... >*, 00 6 OO 1 OO 1 OO 2 OO 1 60 1 OO 40 1 OO 75 75 1 25 2 25 2 OO 2 5° 9 OO 2 5° 2 5° 75 2 00 4 5° 2285 Fig. 2285.-INGALS' COLD WIRE NASAL SNARE. (For description, see following page.) 438 SHARP & SMITH, CHICAGO. DR. INGALS' INSTRUMENTS. '2305 Ingals' Head Band......................................$ 1 50 Set of Spray Tubes with rack....................... 4 50 Nasal Saw........................................ 1 50 " Rubber Tampon............................ 75 Tonsil Forceps.................................... 2 50 Laryngeal Forceps, any style...................each. 3 50 " Case of Instruments...................... 22 00 Cautery Battery .................................. 50 00 *23o6 *2307 ♦2308 ♦2309 *23IO 2311 *23I2 Fig. 2285.—INGALS' COLD WIRE SNARE. (For illustration, see preceding page.) This is a well-constructed snare, with steel post and six tubes. Suitable for removal of tumors, hypertrophied tissues, foreign bodies, etc., in nasal cav- ities, pharynx and larynx. It is armed by means of a piece of No. 5 piano wire doubled into a loop, the ends being passed through the tube and wound about the posts securely. When additional traction power is needed the small wheel may be run down upon the horizontal bar, and turned as may be desired in cases where it is necessary to cut through the growth slowly, in order to avoid hemorrhage. In this way twenty, thirty minutes or more may be employed in the removal of a growth. 2287 Fig. 2287.—INGALS' POWDER BLOWER. Consists of a rubber bulb with rubber tubing attached, 12 inches in length, provided with straight and bent glass tubes. The distal ends of the glass tubes are slightly spread. When the powder has been placed in the rounded end of the glass tube, the rubber tubing is forced over that end, the glass tube seized by thumb and fore finger of the right hand and the bulb lying in the palm of the hand is compressd by the remaining fingers of the hand. In this way the other hand is free for use of the nasal speculum, throat mirror, etc. Fig. 2287-a-INGALS' NASAL SYRINGE.-(Not Illustrated.) The fluid to be used is drawn into the bulb by first exhausting the air by compression, and with the end of the tube immersed in the fluid, the bulb is filled by suction. It can then be forced out with as little pressure and as slowly as desired. SHARP & SMITH, CHICAGO. 439 DR. INGALS" INSTRUMENTS. Fig. 2290.—INGALS' SEPTUM KNIFE. Blade one and one-quarter inches long, with sharp point. Used in opera- tions upon the cartilaginous septum. —~—^~~~ ill ______ ______y- -______ ~ fcHAKPlvlSHITH—^ M } 22gi Fig. 2291.—INGALS' APPLICATOR. These are made of copper, nickel plated, eight inches in length. They are quadrilateral in shape from the point five inches. They are flexible, and can be bent at any angle, for use in naso-pharynx, larynx, etc. When used in making applications in the larynx, it is best to tie the cotton swab securely with a piece of thread, winding it about the applicator, thus avoiding the risk of having the cotton drawn from the applicator, when grasped by the spasmodic action of the glottis. MJUgjir* SHARP b iMITH 2292 Fig. 2292.—INGALS' SILVER CANULA. This canula is made for attachment to a common hypodermic syringe, and is used for making applications of solutions of cocaine in the nasal passages. Fig. 2293.—INGALS' THROAT BRUSH-HOLDER. The quill is cut off an ordinary camel's hair brush at the base, and the holder is then screwed on. It can be bent at any desired angle, and is used to make applications of pigments to the throat or larynx. 440 SHARP & SMITH, CHICAGO. DR. INGALS' INSTRUMENTS. 2294 INGALS' FLAT NASAL PROBE. Five and one half inches in length, made of aluminium, bent at an angle of forty-five degrees in order that the hand may not be in the line of vision when using it in the nasal passages. 2295 INGALS' NASAL SPECULUM. Nickei plated. Adapted to the shape of the nasal opening. The jaws can be separated one inch. The Speculum is five inches in length. 2296 INGALS' HASAL BONE FORCEPS. These are made to remove projections from the Septum in operations for exostoses, and wherever bone forceps are necessary in operations within the nasal passages. 2297 INGALS' NASAL DRESSING FORCEPS. Bent, as per cut, at a proper angle, and a useful and necessary instru- ment in the laryngologist's armamentarium. SHARP & SMITH, CHICAGO. 441 DR. INGALS' INSTRUMENTS. 2298 Fig. 2298.—INGALS" FOREIGN GROWTH CUTTING FORCEPS. These were devised to remove granulations in the trachea after tracheotomy, but will also be found of service for certain cutting operations on the nose or throat. B A 2299 Fig. 2299.—INGALS' WIRE LOOP ADJUSTER FOR TUMORS IN NASO- PHARNYX. This loop adjuster was devised for carrying the wire behind and around tumors in the naso-pharynx, when operating for removal with the cold wire snare It is so arranged that the wire can be disengaged in situ, and the instrument removed. 2300 Fig. 2300.—INGALS' NASAL SCISSORS. These scissors are useful in intra-nasal operations, made of suitable strength, and so constructed that the blades can be separated widely when operating in the nares. 442 SHARP & SMITH, CHICAGO. DR. INGALS' INSTRUMENTS. Fig. 2302. INGALS' NASAL SPATULA.—Set of Three. These are made of steel, and nickel plated. They are five and one-quarter inches long, are from one-half inch to one-quarter inch in width, and are bent at an angle of about 450. They are very useful in pressing back swollen tissues in the nares to afford a better view of the nasal chamber; also in tamponing the nares, breaking down adhesions, etc., in some cases answering the purpose of a nasal speculum Fig. 2301. INGALS" TURBINATED BONE SCISSORS. In some cases where it is necessary to remove tissues, or a part of the mid- dle turbinated body, these scissors will be found to serve the purpose well. Fig. 2303. INGALS" NASAL SPOUT. This is furnished with a rubber tube to convey fluids to a suitable jar. It is used in operations in the nares. 2303 SHARP & SMITH, CHICAGO. 443 DR. INGALS' INSTRUMENTS. INGALS' NASAL SPRAYS These sprays are put up in t^jts of three, and are made especially for office use. The bottles are of extra length, and the tubes are fitted to screw into a hard rubber cap attached to the bottle. They give a powerful spray with an air pressure of from ten to fifteen pounds, and throw fluid cosmoline, petrolina or aqueous solutions equally well. These atomizers are set in a neat rack, and each tube is furnished with a straight, curved, and Dr. Ingals' long tip for larynx and posterior nares. Sharp & Smith have also an excellent cut- off to fit these tubes for use with compressed air apparatus Fig. 2307.—INGALS* NASAL SAW. This saw is used in operations upon the nasal septum for the removal of exostoses and corrections of deviations. Fig. 2308.—INGALS' NASAL TAMPON. Made of soft rubber, in a number of sizes. It is carried into the nares, collapsed, and is then in- flated, causing pressure to prevent hemorrhage, and for other purposes. Fig. 2309.—INGALS' TONSIL FORCEPS. Used to grasp the tonsil in tonsillotomy with the Ingals' snare. Fig. 2306.— DAVIDSON RUIBEK CO. 2306 444 SHARP & SMITH, CHICAGO INGALS" HEAD BAND AND MIRROR. 2305 48534853482323535353484853485353484853534853 SHARP & SMITH, CHICAGO. 445 DR INGALS' INSTRUMENTS. 2288 Fig. 2288.-INGALS' CAUTERY ELECTRODES. Ingals' Cautery Electrodes, made of No. 14 copper tubing, neatly wound and shellacked. No. 1. Five inches in length, with platinum wire, No. 22 tip, shield of non- combustible vulcanized fibre, used in making superficial cauterizations of the nasal mucous membrane. No. 2. Five inches in length, blade % inches long, of, No. 20 platinum wire Used principally in making linear cauterizations of the turbinated bodies and submucous thickenings at sides of vomer. The side opposite the cautery wire is carefully wound and shellacked. No. 3. Five inches in length, with tip of No. 21 platinum wire. Useful in the cauterization of bases of polypi, after removal of the tumor, etc. No. 4. Five inches in length, very flexible, with adjustable tip of No. 25 platinum wire. No. 5. Five inches in length, tip of No. 22 platinum wire. Used in opera- tions on pharynx, tonsils, etc. No. 6. Seven and one-quarter inches in length, adjustable tip of No. 2. platinum wire. Used in cauterizations of naso-pharnyx, base of tongue, epi- glottis, etc. The tip is sometimes guarded with vulcanized fibre, the same as No. 1. Xo. 7. Five inches in length, with tip of No. 22 platinum wire. Xo. 8. Galvano-cautery Ecraseur, same as Fleming's. 446 SHARP & SMITH, CHICAGO. DR. INGALS' INSTRUMENTS. Fig 2311 Dr Ingals'Case of Laryngeal Instruments contains: 1 Plain Wire Nasal Speculum; 1 Ingals' 4-Inch Mirror and Head Band; 8 Metal Screw Top 2 dr Vials- 1 Pair Ingals' Dressing Forceps; 4 Laryngeal Mirrors, in fixed handles- "1 Ingals' Powder Blower, with glass tubes; 1 Folding Tongue De- pressor-' 1 Flat Platina Applicator; 2 Cotton Carriers; Absorbent Cotton. In neat morocco covered, velvet lined case, opening in center, with handles for carrying. This is a correct list as furnished by Dr. Ingals, through Dr. Rhodes. w\ U—" ilglSHARP & SMITHlt HUL chicaco.ill. Jj; 2312 Fig. 2312.—DR. INGALS' CAUTERY BATTERY. This battery has been before the profession now for several years, and the recent improvements have made it the best and strongest cautery battery in the market. There are two large cells, and the elements consist of large zinc and carbon plates, which are depressed by a screw to any desired depth, regulating the strength of the current perfectly. The cells hold a large amount of fluid which requires less frequent changing. The battery needs very little care. Some of them have been in constant use a number of years. The battery is inclosed in a neat black walnut case, 12x15x22 inches high. SHARP & SMITH, CHICAGO. 447 MOUTH AND THROAT INSTRUMENTS. FIG. *23i5 Hamilton's Tonsillotome................................. $10 50 *23i6 Billings' " (see page 449-B)................. 700 *23i7 Gunn's " .,.............................. 1000 2318 Tiemann & Co.'s one Blade Tonsillotome.................. 11 00 *23i9 " " two " -' .................. 17 00 *2320 Fahnstock's plain all Metal " .................. 3 5° 2321 " Best Ebony Handle " .................. 4 5° o SHARP&. SMITH ~" 2319 instruments designated by a * are illustrated. 448 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. *232 2 Mathieu's Tonsillotome, three sizes, each....................$ 5 00 *2323 Mackenzie's " .................................. 5 00 *2324 Bishop's "................................. 750 *2325 Rupprecht's " ................................ 1000 2326 Sajon's " .................................. 9oo 2327 Lentz's ".................................. 5 00 2328 Elsberg's " .................................. 650 2322 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 449 MOUTH AND THROAT INSTRUMENTS. FIG. =2329 Sajou's Uvalotome.......................................| 6 '2330 Tiemann & Co.'s Uvalotome.............................. 6 =2331 Wood's Uvula Scissors, with claws.......................... 3 '2332 Seder's Angular Uvula Scissors with claws................... 5 !^333 'Tonsil Scissors, Curved or Flat........................... 2334 Hamilton's " ......... ............................. 2335 Mathieu's " ........................................ 2336 Tiemann & Co.'s Scissors............................... 2337 Ericksen's " ............................... 2338 Richter's Angular " ............................... 2339 Whitehead's " for dividing Muscles.............. 3 ^2340 McKenzie's set of Scissors, Forceps and Ecraseur.-........... 18 00 75 75 00 75 5° 5° 25 75 00 35 75 2340 All instruments designated by a * are illustrated. 2330 449A SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. Fig. ^ *234o-A Dr. Jas. P. Parker's Modified Tiemann's Tonsilotome....... $" 25 *234o-B Dr. Norval H. Pierce's Snare Tonsilotome................ 7 5° *234o-C Dr. W. A. Dunn's Modified Mackenzie Tonsilotome........ 6 75 ^2340-D Dr. Casselberry's Naso-Pharyngeal Tonsilotome (see p-. 449C) 15 °° *234o-E Dr. Casselberry's Lingual Tonsilotome........( " ) 7 5° A NEW TONSILOTOME. By Jas. P. Parker, M. D., Kansas City, Mo. Of all the amygdalotomes that have been devised, the instrument known in this country as Tiemann's is probably the most popular. The only objection that could be urged against it was the inconvenience of attaching the blade to the handle by a screw, which led me to suggest a ball-and-socket attachment. As now modified it is a very satisfactory instrument. The blade is easily fixed in position by a thumbscrew, when the bar at- tached to the knife is drawn out as far as it can be, allowing it to drop into the slot of the handle ; with the thumb of the left hand on the ball it is pushed forward until the ball glides into the socket. The blade is readily removed by reversing the manipulation. By slackening the thumbscrew, the blade may be turned in position for the right or left tonsil. Its use requires but one hand and one motion, and the hand of the operator never obstructs the light. When once applied to the tonsil, only the closure of the scissors-handle is required. The tonsil is first pierced by the forks and raised from its bed, and then the knife is drawn home and cuts the gland, leaving it grasped by the forks. The instrument is easily taken apart and cleaned, and is therefore perfectly aseptic. Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 449B MOUTH AND THROAT INSTRUMENTS. 2316 (See page 447). 2340-B *Fig. 2340-B DR. N. H. PIERCE'S SNARE TONSILLOTOME. This is a thoroughly asceptible instrument. The end piece is easily detachable, and may be replaced instantly. There is less bleeding after its use. This Tonsillotome was designed with a view of excising muckle-shaped tonsils. In operating on these a forceps is used, the tonsil is pulled away from the wall of the pharynx, and the wire drawn. The wire does not cut through the tonsil, however. The cutting edge is situated on the semilunar surface of the shaft. The simplicity of its construction makes it possible to be produced at a lower cost than the regular tonsillotome. 440C SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. 2340-D 2340-E DR. CASSELBERRY'S IMPROVED MATHIEU TONSILOTOME « SHARP- 5MITH 234O-G " The wire snare is an excellent means of abscission when the child is anesthetized, as when combining this operation with that for ' adenoids,' but otherwise it is too slow and painful, and like the galvano-cautery snare, it requires more time and quietude for adjustment than are avail- able with young children. " The tonsilotome is still the best method for children, and I take pleasure in presenting a simplified instrument which I have used for years with the utmost satisfaction. It is the Math- ieu guillotine so constructed as to do away with the fork attachment. (See Fig. 2340-G.)"— (Continued on following page.) SHARP & SMITH, CHICAGO. 449D MOUTH AND THROAT INSTRUMENTS. In place of the fork I use, held in the other hand, a specially constructed vulsellum by which the tonsil can be grasped, drawn out of its bed, and abscised at the point desired with much greater accuracy than by the fork attachment. (See 2340-H.) I have found the action of the fork to be largely accidental, dependent on the size and shape of the tonsil and the amount of gagging by the patient, that now it determined too deep an abscission, and again misses the tonsil entirely, especially if this happens to be rather small or flat. In other words, the new instrument assisted by the vulsellum, will abscise many tonsils that could not be satisfactorily grasped by the old mechanism, and it will abscise all tonsils with a reasonable degree of accu- racy at the proper line. 2340 H DR. KNIGHTS ELECTRIC TONSIL SNARE. 2340-I This instrument consists of a cautery canula, braced by an insulated metallic guide, ending in a fenestra similar to the McKensie Tonsilotome. The platinum wire is tied to the ring by a fine silk thread, which holds it in position to properly grasp the tonsil. The heating of the wire burns the thread and the metallic ring protects the surrounding parts during the operation. This Snare is adapted for use with any cautery handle. ' 2340-K 2340-L 2340-M Fig. *2340-G Dr. Casselberry's Improved Mathieu's Tonsilotome........... *2340-H Dr. Casselberry's Grasping Forceps.......................... *2340-I Dr. Knight's Electric Tonsil Snare.......................... *2340-K Dr. Hobbs' Curved Blunt Tonsil Bistouries.................... *2340-L Dr. Hobbs' Tonsil Hooks.................................. *2340-M Dr. Hobbs' Double Edge Tonsil Knives..................... Instruments designated by * are illustrated ........$6 00 ....... 2 25 ....... 300 .. each, 1 35 .. . " r 35 ... " 1 35 450 SHARP & SMITH, CHICAGO. *234i 2342 2343 2344 *2345 ♦2346 *2347 *2348 ^2349 *235° *2Z5I MOUTH AND THROAT INSTRUMENTS. Heywood Smith's Scissors................................ $ 9 00 Concealed Scarifier....................................... 4 75 Tonsil Scarifiers, 12 Patterns, each....................$1 10 to 2 00 Green's Tonsil Bistoury.................................. 1 00 Yearsley's -' Knife..................................... 1 65 Updegraff's Tonsil Bistoury.............................. 1 25 Double Edge Staphylarophy Bistoury...................... 1 75 Curved R. & L. " " each.................. 1 75 Whitehead's Paring Knife............................. 1 10 " Gum " .............•................... 1 10 " Hoe " ................................ 1 10 23:1 2350 2345 2348 2347 2346 2341 All instruments designated by a * are illustrated. 545 SHARP & SMITH, CHICAGO. 451 MOUTH AND THROAT INSTRUMENTS. FIG. 2352 Tobold's Polypus Forceps Concaved Cutting Edge........................$ 1 2353 '' " " Convex " " ............... ........ 1 2354 Lanciform Forceps.......................................... 1 *2355 Laryngeal Knives, any pattern, each................. ........... 1 2356 Buck's " ........................................ 2 2357 Concave " " ......................................... 1 2358 Convex " " ....................... ............... 1 *236o-C Langenbeck's Narrow, Double Edge Staphyloraphy Knife........ ........ 1 *236o-D Wide "' ................. 1 Single Edge Staphyloraphy Knife. *236o-E *236o-F '' *236o-G *236o-H " *236o-I Staphyloraphy Tenaculum.... *236o-K " Retractor...... *236o-L " Suture Holder. ♦2361 Tobold's Laryngeal Lancet (concealed)........ *23&2 McKenzie's 3 blade Laryngeal Lancet....... Buck's Tonsil Lancet. Button. 452 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. ^2363 Updegraff s Staphylarophy Hook,$i 25 *2364 " " Needle 1 25 1=2365 " •' Needle Bent....................... 1 25 2366 Updegraff s Staphylarophy Case. 6 75 2367 Whitehead's Spiral Needle.....1 25 2368 Silver Wire Needle........each 10 2369 Green's Tonsil Hook ......... 1 30 ^2370 Green's Double Tonsil Hook.... X 75 2371 Leffert's Palate Hook.......... 1 50 FIG. 2372 *2373 *2374 *2375 ♦2376 *2377 2378 *2379 Plain Hard Rubber Palate Hook. .$ 40 Langenbeck's Double Trachea Hook........................ 2 25 Langenbeck's Tracheatome ..... 3 00 Luer's Cheek Retr'ctor, either side 1 60 " " " right side 1 00 " " left side . 1 00 Dieffenbach's Cheek Retractor, S. & S. Cheek Retractor........ 2 25 2363 f 2364 2373 2376 All Instruments obsignated by a * are illustrated. SHARP & SMITH, CHICAGO. 453 MOUTH AND THROAT INSTRUMENTS. FIG. FIG. ♦2380 Otis'Trachea Dilator...........$250 2384 Wells'Trachea Dilator........ $160 2381 Elastic Trachea Dilator....... 60 *238s Delaborde's Trachea Dilator.....3 75 ♦2382 Minor's Trachea Dilator..... 3 50 ^2386 Trosseau's Trachea Dilator..... 1 75 *2383 Ellsberg's Trachea Dilator..... 1 85 *2387 Rumboldt's Uvula Retractor.... 1 10 Fig. 2387. Uvula Retractor. The body of the instrument is a slender tube, about six inches long. Its larger extremity is trumpet shaped, and is covered with thin sheet rubber; its smaller extremity is so made, that the uvula may be drawn into it. Instruments designated by a * are illustrated. Other Trachea Instruments, see Supplement at end of book. 454 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. *2387-A Burrows' Trachea Dilator................................................$ 2 oo 2388 Hanks' Tracheotome..................................................... 6 75 2389 Russell & King's Tracheotome........................................... 25 00 2389-A " " " Hospital Style ............................. 27 50 *23go Pitha's ............................................ 2 75 *239i Tiemann & Co.'s and Dilator............................... 6 25 ♦2392 Trachea .Scalpel......................................................... 1 10 *23g3 Pilcher's Trachea Retractor.......... ................................ 125 *2393-A' Gerster's Short Blunt Trachea Retractor................................... 1 50 *2393-B " Long Hooked " " .................................... 1 50 *2393-C " Short Shaip " " .................................... 1 50 *2393-D Pilcher's Supra Sternal Retractor............................... .......... 2 00 2393-C 2391 2392 Instruments designated by a * are illustrated. Other Trachea Instruments, see Supplement end of book. SHARP & SMITH, CHICAGO. 455 " " with flexible Mirror. Aluminium Trachea Tube.......... Soft Rubber " Hard " Silver Plated Trivalve Silver Durham's Set of Johnson's Double MOUTH AND THROAT INSTRUMENTS. fig. (Trachea). 2394 Single Silver Trachea Tube...........................................$ 2 50 *2395 Double ♦2396 2397 *2397-A *2398 ♦2399 2400 2401 2402 *24o3 *2404 2405 *24o6 ♦2407 2408 2409 ^2410 Dunn's Laryngeal Cotton Applicator, Silver ............................... 1 5° *24lO-A Stucky's Modification of Smith's Acid Applicator........................ 2 25 and Obdurator....................... Gendron's " Split Silver Trachea Tube.............................. 600 T. & Co.'s Vertebrated '• " ................................ 4 5° Tracheal Aspirator............................................ ! 85 Ellsberg's Cotton Applicator............................................ 4 5° McCoy's " " .......................................... .. 400 Goodwillie's " "............................................. 1 00 "2411 2412 2413 2414 2415 ■2416 2417 Flexible Stem Brush Holder, 12 Brushes Plain California Child's Brush and Caustic Holder. Teeger's " Holder Wagner's Brush Holder with two stems and >2 brushes. McKenzie's Brush Holder with one brush. 456 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. 2403 2410 For description see next page. SHARP & SMITH, CHICAGO. 457 MOUTH AND THROAT INSTRUMENTS. A NEW LARYNGEAL COTTON APPLICATOR. By W. A. Dunn, M. D., Clinical Instructor in the Diseases of the Throat, and Microscopist to the Hahnemann Hospital. (For illustration see preceding Dage). Instead of the Laryngeal brush which is very unpleasant on account of irritation of the mucus surface and the difficulty in keeping clean, T had made for my own use, by Sharp & Smith, a pencil, the shank of which is of German silver next the handle, and the remaining portion of pure silver, that it may be very pliable. The screw, eye and cap are of hard silver. You thread the eye with absorbent cotton, screw down the cap and trim off the surplus cotton which is changed for each operation. It has the advantage of being absolutely clean and very much less irritating to the larynx than the brush. It is impossible to leave the cotton in the larynx. FIG. 2418 Ellsberg's Spoi 2419 Buck's "2420 Hart's 2421 Emmet's =2422 Sims' "' "2423 Husson's ^2424 Fergen's " 2425 Granger's " 2426 Post Nasal " $4 Sr'ARRfc SMITH :@JiPi 2421 =3a= g 1—-W- -,.EEES 2424 o^ 2422 2423 We direct the profession to an easily cleaned and perfectly aseptic sponge holder. The instrument is nine inches long and made out of a single piece of Steel Wire, Nickel Plated The biaoes are brought together by an incomplete ring of steel, which can be readily slipped off, thus permitting the instrument to be thoroughly cleaned. The Cut represents the instrument so clearly that further explanation is unnecessary. The advantages that are claimed for this instrument are: 1. That it is easily cleaned, hence thoroughly aseptic. 2. That it is light, strong and durable. 3. That it is cheap. 458 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. *2426-A Dr. N. H. Pierce's Combined Mouth Gag, Speculum, Oris and Tongue Depressor...............................$ i o oo *2426-B Faenger's Mouth Gag................................... 4 5° *2426-C Allingham's " ...................... ............ 525 *2426-D Henrotin's " .................................. 2 °° 2426-A Cut 2 2426-A Cut 1 2426-B 2426 c 2426-D SHARP & SMITH, CHICAGO. 459 MOUTH AND THROAT INSTRUMENTS. FIG. 2427 Buck's Trachea Guide...................................... a. t -Q *2428 Heister's Speculum Oris................................[.........['.'. -1 7c *242g Goodwillie's " "...........................' _' a co 2430 Westmoreland's Speculum Oris........................ ................ j L 2431 Ehrhart's '• "...................... ........... ~I * *2432 Gross' " "..................................... ;? !> *2433 Roser's " "..................................... i yt *2434 Sharp & Smith's Mouth Specula, each......................___........ 1 00 2434-A " '■ " set of three..............................' , Qo 2434-B " " " " four............................. i „ ♦2435 Hard Rubber Oral Screw .......................................... * if. 2435-A Whitehead's Mouth Gag............................................. 7 50 For other mouth gags see page 516. m 1 2434 2429 All instruments designated by a * are illustrated. 17 459A SHARP & SMJTH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. *2435-B Faenger's New Mouth Gag............................... $5 00 *2435-C Mussey Mouth Gag..................................... 5 25 *2435-D Parker's " ".................................... 2 00 *2435-E Goodwillie's Mouth Gag................................. 2 25 *2435 G- Dr. Knoll's Spiral .Esophageal Stylets...............each, 1 25 2435-D 2435-E 2435-0 Fig. 2435-G-DR. KNOLLS STYLET AND COIL DILATORS. For Severe and Eccentric Strictures of the ^Esophagus. They consist of a slender silver stylet twice the length of the sesophagus, and a series of coils made of different weights of wire one-half the length of the stylet. In eccentric strictures which cannot be entered with a rubber bougie, and in those cases where the opening is too small to admit the ordinary bougie, the stylet is first entered and held in situ. The coils are then passed in over the guidance of the stylet, beginning with the smallest and increasing until the proper amount of dilatation has been made. The instrument is equally valuable in stricture of the urethra. Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 459B MOUTH AND THROAT INSTRUMENTS. FIG. *2435-H Behrens' Laryngeal Applicator........................... $i 25 *2435-I Hard Rubber Oesophageal Bougies....................... 1 25 *2435-K Sharp & Smith's Set of Oesophageal Bougies, Bulbs in handles 3 50 *2435-L Plain Oesophageal Tubes................................ 1 15 2435-H Fig. 2435-H—Dr. Behrens' Instrument for applying nitrate of silver in the larynx. Before using, the instrument is to be dipped in a melting mixture of nitrate of silver and nitrate of potash, the proportion to be decided accord- ing to the requirements of the case. If the application of a solution is preferable, cotton batting wrapped around the hooked end and soaked in the solution will do better than pencils, the use of which is very often clumsy, and for other reasons objectionable. The ruffled side will prevent the cotton batting from falling off. 2436 %(^<5^ Smith. 2630 All Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 491 MOUTH AND THROAT INSTRUMENTS. 2634 2636 2635 2647 2644 Sharp <5r> Smith. 2646 492 SHARP & SMITH, CHICAGO. ♦2634 *2635 *2636 ♦2637 2638 2639 *2640 *264i *2642 2643 *2644 2645 ♦2646 *2647 ♦2648 *2649 MOUTH AND THROAT INSTRUMENTS. Magic Atomizer, No. 1, single bulb...................... $1 00 " " Hard Rubber, No. 5, single bulb............. 1 25 " " " " No. 25 " " ............. 1 50 " " " " No. 30 " " ............. 1 40 Mattson's No. 1 Atomizer, single bulb...................... 75 " Clinical " " " .......... ........... 1 25 Millard's No. 5 " Throat and Ear, single bulb....... 1 50 " No. 6 " Larynx, single bulb. " No. 10 " Throat " " . Reversible Atomizer, double bulb .......... Richardson's " " " .............. Davidson's " single " .............. Shurtleff's " " " .............. Phcenix " " ".............. Holmes' " " " .............. S. & S. Freezing Atomizer, ................ 5° 5° 50 5° 5° 60 60 60 60 SHARP & SMITH, CHICAGO <93 MOUTH AND THROAT INSTRUMENTS. FIG. *26so Atomizer Tips, Throat, straight, Platina lined, No. i.......... $ 40 *265i " « " curved " " " 2.......... 40 ♦2652 " " " " " " "3.......... 4o ♦2653 " " Nasal " " •' "4.......... 60 *2654 " " Hall's " " " ................ 60 Tips for all Atomizers furnished at once. 2654-B Ingals'Nasal Tip. .S 60 2042 instruments designated by a * are illustrated. 493A SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. A DEVICE TO PREVENT MOUTH-BREATHING DURING SLEEP. Suggested by Thomas R. French, M. D., Brooklyn. 2654 C Device in Position. Extract froin New York Medical Journal, April 16, 1892. ARTICLE BY DR. FRENCH. "When, from any cause, the nasal passages are greatly diminished in size, or occluded, breathing through the mouth is, of course, a necessity; but even after the cause has been removed the habit of mouth-breathing not infrequently persists. Again, this injurious habit is often practiced because of relaxation of the muscles of the lower jaw during sleep. The mouth may be closed on going to sleep, opened while sleeping, and when consciousness arrives is found closed again, so that many are ignorant of the fact that they ever breathe through the mouth. Adults who present symptoms of the practice of this habit during sleep will, as a rule, deny its existence, but if they are questioned closely they will usually admit that the mouth and throat are almost always dry in the morning, and that it may be several hours before those parts regain their normal condition. " For all cases in which the presence of the habit is known or suspected, and also to deter- mine the existence of sufficient nasal capacity during sleep, it has been my custom in the past few years to direct the use of strips of a material known as ' wash blonde' in such a way that, if the nasal passages are sufficiently free, the lower jaw will be held in place, and, as a conse- quence, nasal breathing enforced. With the kind assistance of Mr. S. V. W. Lee, recently under my professional care, this device has been much improved and is serving an excellent purpose. "The device consists of a piece of 'wash blonde,'a kind of ' illusion,'which is attached to straps of light webbing and adjusted to the head in the manner shown in the accompanying sketch. "The 'wash blonde' is placed under the chin and the perpendicular straps buckled together at the top of the head. In this way the needful support is given to the lower jaw. The perpendicular straps are held in position on the head by two back straps, which are looped on tQ them, arfd which are also regulated by a buckle. The buckle at the top of the head is padded to prevent uncomfortable pressure being made, and the whole appliance is so light and elastic that it is usually worn, after a trial or two, without the slightest discomfort." The apparatus is made in two sizes, for adults and children. Price each, $1.00, net. This apparatus will be found very effective in preventing and curing the habit of snoring SHARP & SMITH, CHICAGO. 493B MOUTH AND THROAT INSTRUMENTS- CHLORINE INHALER FOR TREATMENT OF PHTHISIS. By The Shurly & Gibbes Method This is an apparatus devised to enable patients to take at their homes the inhalations as recom- mended by Drs. Shurly & Gibbes, in their treatment of Phthisis. It consists of a nickel plated frame which holds the Inhaler. The Inhaler is a glass bottle on the end of which is attached a Rubber Hood; this Hood fits tightly over the face. Near the end of Inhaler is a. hole about i inch in diameter, through which is sprayed the solution to be used. With this instrument also goes a hard rubber two-tip Atomizer with continuous spray. The apparatus is neat in appearance, and occupies a space of only about 13x8^x5 inches. A solution of Chloride of Sodium, Grs. XII to the ounce, filtered, is used in the Atomizer, with which Aqua Chlori (Hance Brothers & White, Philadelphia) is mixed in the proportion of one-half to one drachm to the ounce. This solution is then sprayed into the large bottle through the opening in the side. The patient places the shield tightly over the mouth and nose and inhales as deeply as possible as the solution is being sprayed into the chamber. Instead of the Hand Atomizer (generally used on this apparatus) can be attached an Air Condenser, in connection with the Davidson No. 65 or 66 Atomizer. (See following page.) The inhalation should be used about ten minutes morning and evening, and the amount of the Aqua Chlori should be carefully regulated so as to avoid too much irritation. This apparatus is used by Dr. E. Fletcher Ingals and Dr. John Edwin Rhodes in their treatment of cases by the Shurly-Gibbes method. See following page for prices. 99999999999999� 494 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. SHARP & SMITH'S No. 73 IMPROVED CONDENSED AIR APPARATUS. Complete with Pump, Davidson's Spray, Cut-off, Etc. Fig. 2655-A The Receiver of the above apparatus is of copper, 7 inches in diameter by 28 inches high, nickel plated, and is tested to 300 pounds to the square inch, and provided with an A No. 1 gauge registering from 1 to 200 pounds' pressure. The valves are made so they will not leak at any pressure, being made of bronze, and nickel plated, as is also the gauge. The receiver stands as high as an ordinary table, and the valves can be easily controlled. The Pump is nickel plated and of the latest improved pattern, and differs in construction from most of the pumps generally sold with receivers. The Tubes (Davidson's) are of hard rubber with platina lined tips, throwing spray in different directions. These spray tubes are connected to the receiver by means of a " shut-off," as shown in " hand " on cut, which shut-off is connected with the receiver by silk covered tubing. These tubes can also be used with the ordinary Atomizer Hand Bulb. This apparatus can bo used in the "Shurly 6° Gibbes" method, as shown on preceding page. PIG. *2654-D Shurly Gibbes Chlorine Inhaler complete (as shown in cut).............. . $6 00 Hypodermic Syringe, with three needles, in case.......................... 2 50 Chloride of Gold and Sodium (genuine)......................per ounce, 1 00 Iodine (genuine)............................................. " 1 00 *2655-A Sharp & Smith's No. 73 Improved Condensed A r Apparatus, complete.....net 30 00 For parts of Condensed Air Apparatus, see page 497. SHARP & SMITH, CHICAGO. 494A NEW COMPRESSED AIR APPARATUS. 2655-B Fig. 265 5-B - This cut represents our new Air Receiver and Pump combined. The base, column and fly wheel are made of iron, japanned in black and ornamented in bronze ; the extreme height is 42 inches, the base is 14 by 24 inches, and the wheel 24 inches in diameter. The pump and air receiver are made of brass, highly polished, and nickel plated. The air receiver is 32 inches high and 9 inches in diameter, provided with a 50 pound gauge and two exhaust valves, and thoroughly tested to 100 pounds' hydraulic pressure, warranted to be air-tight. The pump has most excellent valves, thereby greatly increasing its working capac- ity, the chamber is 23^ inches in diameter, by 7 inch stroke. The whole apparatus is well made and handsomely finished, especially adapted as an ornament to a physician's office, occupying only a small space. Price complete, including 10 feet of silk covered tubing, a set of (3) Davidson's H. R. Sprays and Automatic Cut-off, $65.00. THE QUADRUPLE HYDRAULIC AIR COMPRESSOR. The superiority of this Compressor (Fig. 2655-C) consists in the fact that it will compress air to four times the pressure of the water supply to which it is attached, so that with a WATER PRESSURE OF 15 LBS. AN AIR PRESSURE OF 60 lbs. will be obtained in the air receiver. It is automatic and noiseless in its action and wastes no water, as it ceases to operate when the receiver is filled, but will again begin to work as soon as the pressure in the receiver has been reduced. It is a highly finished nickel plated 2655-C cylinder, and is not objectionable in size or appearance. Length, 31 inches, height, 8 inches. Price...........................................................$45 °° 4941! SHARP & SMITH, CHICAGO. A NEW STAND FOR HOLDING SPRAY TUBES AND MEDICINES. Fig. 2655-D—THE PIERCE TABLE. For Rhinological, Laryngological and Otological Work. After the Design and Specifications of Dr. Norval H. Pierce, of Chicago. The dimensions of the table are, height 28 inches; width 21 inches; length 34^4 inches. It was designed with the idea of embracing economy of space, capacity and convenience ; its shape allows it to be placed in the corner of the consultation room, and even in this position every part is readily accessible to the operator, who sits at the side. In hospital or clinical work it may be placed between two operators, and .then each one has free access to every portion. In it are three drawers, in which may be kept all instruments used in general work, all uncommon pigments and powders, towels, etc. The surface is divided into three portions, the first a plain surface, 15x21 inches, covered with heavy plate glass, the edges of which are ground to a bevel; this is readily disinfected, and is the surface which comes in contact with instruments before or during operations. The next portion is divided into 20 compartments, each measuring 2 inches square, and 4 additional compartments, measuring 2 inches in width, and 8^ inches in length ; the former receive jars for containing pigments and powders, the latter are for applicators, probes, speculae, mirrors for specific and non-specific cases, etc., etc. The last portion contains 24 perforations for receiving the Davidson atomizers and powder blowers. The table is attractive in appearance and is an elegant addition to the specialist's office furniture, aside from its utility and convenience. Price, $30.00 net. SHARP & SMITH, CHICAGO. 495 COMPRESSED AIR APPARATUS. *2657 No. 4 Compressed Air Apparatus.......................... $36 50 *2658 " 5 " " " .......................... 41 5° Prices of Figs. 2657 and 2658 include appurtenances, same as in Fig. 2655. No. 4. This Receiver is made of supe- rior tinned steel, japanned in rich chocolate color, with first-class gauge registering from one to one hundred pounds' pressure, and high-pressure valves warranted not to leak. Also, provided with couplings for attaching the necessary rubber tubing. The gauge and valves are made entirely of bronze, highly finished and plated. Size, 10 inches diameter by 18 inches H high. 2657 No. 5. This Receiver is made of superior tinned steel, japanned in rich chocolate color, with first-class gauge registering from one to one hundred pounds' pressure, and latest im- proved high-pressure valves, warranted not to leak. Also, provided with couplings for attaching the necessary rubber tubing. The gauge, valves, and couplings are made of bronze, highly finished and plated. Size, 10 inches diameter by 32 inches high. 2658 496 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. * 2659 No. 6, Condensed Air Apparatus.........$42 5° * 2660 No. 7, " " " ......... 37 50 * 2661 No. 8, " " " ......... 39 5o 2662 Burgess " " " (tubes extra) 20 00 Prices of figures 2659, 2660 and 2661, include appur- tenances same as in figure 2655. Fig. 2659—No. 6. This Receiver is made of same ma- terial and finish as the No. 5, and provided with the latest improved high-pressure valves, warranted not to leak ; first class gauge registering from one to one hundred lbs.. and couplings for attaching the necessary rubber tubing. It is designed for use with globe inhaler as well as with ordinary spray tubes. Size, 10 inch, diameter by 32 inch. high. 2659 2661 2660 Fig. 2660—No. 7. This Receiver is made of copper, highly finished and plated. With first-class gauge, register- ing from one to fifty lbs. pressure; two accurately-fitted air cocks, and couplings for attaching the necessary rubber tubing. The gauge, air-cocks, and couplings are made of bronze, and nickel plated. Size, 9 inch, diameter by 16 inch. high. Fig. 2661—No. 8. This Receiver is made of same ma- terial and finish as the No. 7, and provided with two latest improved high-pressure valves, warranted not to leak, and couplings for attaching the necessary rubber tubing. The gauge (first quality) registering from one to fifty lbs. pressure. Size, 9 inch, by 16 inch, high SHARP & SMITH, CHICAGO. 497 FIG. No. 3 No. 4 No. 5 No. 6 No. 7 No. 8 FIG. *2663 *2664 *2664- *2665 2666 2667 2665- 2666 2667 *2667 MOUTH AND THROAT INSTRUMENTS. Air Receiver (only) as described in Fig. 2656................$27 00 " 2657................ 19 00 " 2658................ 24 00 " " 2659................ 25 00 " " 2660................ 20 00 " " " " 2661............... 22 00 PARTS OF CONDENSED AIR APPARATUS. Automatic Cut off (cut off only)............................$ 3 00 00 90 OO 50 OO 80 25 75 *5 Devilbiss' Automatic Cut off A Rumbold's " " "___........................... Sass' Spray Tubes, Glass mounted......................each " " " Metal " ...................... " " " " Hard rubber mounted................ " A " " " Glass, not " ................ " A " " " Metal " " ................ " A " " " Hard rubber not mounted............ " B Holmes' Spray Tubes................................ " Devilbiss' " " Metal for Vaseline (see index)....... Mounted...........................................each *2668 Hanks' Spray Tubes, Glass 3 sizes, not mounted.......... " Rumbold's Spray Tubes (see pages 499 and 500)............. 2668-A (As in Fig. 2663) Spray Tube bottle with cork.............. 2669 Thimbles for Spray Tubes................................. 2670 Silk Covered Rubber Tubing........................per foot 2671 Lined " " ........................ " " 2672 Plated Air Pumps (T Handle) latest improved (same as in Fig. 2655)............................................ 2673 Black Walnut Stand to hold six spray tubes.................. 2 00 2674 Hard Rubber Atomizer Stand, mounted on nickel-plated pillars, to hold nine sprays..................................... 10 00 2674-A Pressure Gauge 2^4 inches, including fitting for Receiver, made of bronze and nickel-plated.............................. 6 00 *2674-B No. 65, Set of H. R. Spray Tubes, complete............... 3 5° *2674-C No. 195, " " Powder Blowers, " ............... 350 2 00 85 25 3° 5° 18 7 00 Fig. 2674-B. These sprays are put up in sets of three, and are made especially for office use. The bottles are of extra length, and the tubes are fitted to screw into a hard rubber cap attached to the bottle. They give a power- ful spray with an air pressure of from ten to fifteen pounds, and throw fluid cosmoline, petrolina or aqueous solutions equally well. These atomizers are set in a neat rack, and each tube is furnished with a straight and curved tip for larynx and posterior nares and connection for condensed air apparatus, if desired. Fig. 2674-C These tubes are put up same as the Fig. 2674-B and used on the condensed air apparatus or with bulb, for throw ing powder. Fig. 2674-B. Spray Producers. 20 Fig. 2674-C. Powder Blowers. 498 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. Fiffure 2664-a. Rumbold's Spray Controller, a, set-screw, to control the pressure on the rubber tube connected with the compressed air reservoir. The illustration shows the manner of hoWing the instrument. The Spray Controller is thus made the handle of the Spray Producer. / \ 2668 2667-B SHARP & SMITH, CHICAGO. 499 MOUTH AND THROAT INSTRUMENTS. FIG. *2675 to 2682 Rumbold's Glass Vaseline Spray Tubes.....'.....each $ 40 ♦2675 to 2682 " Metal " " " .......... " 1 50 *2675 t0 2682 " Glass " " " Mounted for connection with Air Condenser..............each 70 *2675 t0 2682 Rumbold's Metal Vaseline Spray Tubes, mounted for connection with Air Condenser...............each 1 75 The Rumbold Tubes are considered by those who have used them to be superior to any other in use. They are made in glass and metal—the glass being used the most. They are preferable because the desired amount of med- icine can be measured and put in the cup. Figure 2675, Spray Producer No. 4. This instrument is used to make local applications to the pharyngo-nasal cavity. Figure 2676, Spray Producer No. 5. This instrument is used to make local applications to the posterior nasal cavities, treating the surface under the inferior, middle and superior turbinated processes. Figure 2677, Spray Producer No. 1. This is used to treat the fauces, ton- sils, and by inhalation, the lower portion of the pharynx, and slightly the larynx, vocal cords and bronchial tubes. Figure 2678, Spray Producer No. 2. This instrument is used to make local applications to the anterior portions of the nasal passages. 500 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. Figure 2679, Spray Producer No. 3. This instrument is used to cleanse the posterior wall of the pharyngo-nasal cavity, when it is coated with a heavy, thick secretion that cannot be removed by the No. 4 spray producer. ir.\y. Figure 2680, Spray Producer No. 6. This instrument is used to make ap- plications to ulcerated surfaces on the posterior wall of the pharynx, and pos- terior wall of the epiglottis. Figure 2681, Spray Producer No. 7. This instrument is used to make local applications to ulcerated surfaces located on the superior border of the epiglottis, the ary-epiglottic folds, arytenoid processes, and vocal cords. Figure 2682, Spray Producer, No. 8. This instrument is used to make ap- plications to ulcerated surfaces that cannot be reached by Nos. 6 and 7. SHARP & SMITH, CHICAGO. 501 MOUTH AND THROAT INSTRUMENTS. FIG. *2683 No. 9. Rotary Air Pump............................ ♦2684 " 10, " " " two wheel.................... 2683 2684 Fig. 2683.—This cut represents the well-known Rotary Air Pump, designed for ex- hausting as well as compressing air^or atomizing purposes, and for compressing oxygen. The construction of the pump is such that a pressure of one hundred pounds to the square inch can be obtained with comparatively little effort. The fly-wheel, frame part, and base are nicely japanned in black and ornamented in bronze, and all bright parts highly finished and plated —making this pump especially adapted for the office. Height of pump from floor to top of wheel, 40 inch.; size of base, 14 by 14 inch.; diameter of wheel, 20 inch.; diameter of chamber, 2 by t]/2 inch, stroke ; weight of pump, 90 pounds. Fig. 2684.—This cut represents the two-wheel Rotary, Pump, of same material and finish as the Fig. 2683 Rotary but considerably heavier in construction, and designed for compressing air or gas into Receivers of extra large sizes. Height of pump from floor to top of wheel, 43^ inch.; size of base, 14 by 14 inch.; diameter of wheels, 20^ inch.; diameter of chamber, 2 inch, by 8 inch, stroke ; weight of entire pump, 150 pounds. Instruments designated by a * are illustrated. 502 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. ♦2685 Dr. N. L. McBride's Inhaling Apparatus complete as shown in cut, with Rotary Air Pump, and Figure 2658 No. 5 Air Re- ceiver 10x32 inch......................................$°7 °° 2686 Dr. N. L. McBride's Inhaling Apparatus only, Improved...... 12 00 This apparatus can be had by itself or in connection with any of our air condensers or pumps. U _0J 0 rt X X 0 4-1 T3 X ^ c 3 4-1 4-1 O T3 _aj ■JT1 3 in K^ ^ aj CTl T-l c C 0 OJ WJ rt 4-1 0 >*- 13 OJ (U 0 c N 1-1 u x 0 O H u X <1 (U c ro ■^ n < !-J X I-i 4-> 17) t^ U -a rt X X Oh PL, tu 4-1 r^ 0 X 3 3 < 4-1 O (L) > rt 0) •J £ O, > 1/1 s-.' a 0 rt >-. C/3 [_, x < l-0) u rt C OJ a 3 1^, n IX ._ t« n X 'Zj a in -a O X 0 3 O E (1) 0 t/2 T3 rt u V <3 ^ X m .n u n rt 4-1 X 1-1 X All of our Air Condensing apparatus, etc., are thoroughly reliable, and are guaranteed by us as represented. We pack them carefully, and would suggest in ordering, to have them sent by freight. 3 999991� SHARP & SMITH, CHICAGO. Fig. 2687-A. Showing Working of the New Hydraulic Pump. Fig. 2687-A shows our Hydraulic Air Compressor in use in a physician's office. l!y using this perfectly automatic pump, a continual steady air pressure is maintained, thus enabling the operator to give his entire attention to the patient. An Air storage reservoir and the Hydraulic pump can be attached in any convenient place, and if the water pressure which is to operate pump is a low pressure water service, the pump should be connected in the Basement, or at the lowest possible level [as it is not necessary to place Pump and Air Reservoir in the same room], so as to allow of the waste water being carried to the sewer connection. This pump can be attached to any of our condensed air apparatus, as shown on pages 494, 495, 496, and on this page. We solicit Correspondence, and shall be pleased to furnish additional information regarding the advantages of using this Pump for the purpose specified. Fig. 2689-A shows Sharp & Smith's Air Receiver. Twenty inches high, with pressure gauge. Three sizes glass spray tubes and bottles. Has 3 metal clasps on top of cylinder, fastened to back of gauge, for holding the bottles and tubes. One nickel-plated "T" Pump. 504 SHARP & SMITH, CHICAGO. FIO. *2687-A *2688-A *2688-B *268q-A MOUTH AND THROAT INSTRUMENTS. Hydraulic Air Pump (Pump only)........................$24 00 Jno. Edwin Rhodes' Muriate of Ammonia Inhaler.......... 1 00 Sharp & Smith's Vaseline and Alboline Atomizer........... 80 " Apparatus Complete..................... 40 00 DR. JNO. EDWIN RHODES' MURIATE OF AMMONIA INHALER. The accompanying cut represents a very desirable form of a Muriate of Ammonia Inhaler. Muriate of Ammonia is generated by the union of Ammonia with Muriatic Acid, and with this apparatus it is carried in a minutely neb- ulized form to the mucous membrane of the respi- ratory tract, thus being applied directly to the diseased surface. It is a useful method of treatment in many cases and forms of Catarrh, also Bronchitis, Laryngitis, Trachetis, etc. Combinations with various other useful inhalants may be made by adding the desired amount of the drug to the Aqueous Solution of Ammonia. Among those that may be used are Oil of Tar. Eucalyptol, Menthol, Terebene, Extract Pinus Canadensis Dest., Extract Ham- emelis Dest., Carbolic Acid, etc., etc. DIRECTIONS. Fill the bottle one-half full of water, and add eight to ten drops of strong Ammonia. Fill the small vial in the cork one-half full of Hydrochloric Acid. Push the long tube through the opening marked 1 down to the flange, placing the curved end immediately over the acid receptacle. Place the mouth-piece in opening 3, cork the bottle tightly and inhale the fumes. Do not blow through the mouth-piece. To the water in the bottle may be added five to ten drops of either Oil of Tar or Eucalyptol, or the desired quantity of such other inhalant, as may be prescribed. The solution in the bottle should be changed every twenty-four hours. "The receptacle for acid shonld always be one-half full, and should be changed once a week. It is desirable to use the inhaler for five to ten minutes, morning and evening;. 2688-A SHARP & SMITH'S VASELINE AND ALBOLINE ATOMIZER NO. 73. For Warming and Atomizing Pure Vaseline Ointments and Alboline. We wish to call the attention of the profession to this Atomizer which we have designed for warming and spraying pure Vaseline and Alboline, either plain or medicated, for the treatment of Nasal Catarrh, Hay Fever, Asthma, Bronchitis, and other diseases of the respiratory organs. In the treatment of this class of dis- eases, the application of Vaseline or Albo- line warmed, and applied as a spray, commend themselves at once. With this Atomizer it is possible to apply the pure, warm Vaseline or Alboline spray, by which their beneficial effects are greatly increased. 2688-B SHARP & SMITH, CHICAGO 505 MOUTH AND THROAT INSTRUMENTS. FIG. *26qo Globe Inhaler on Stand (without receiver shown in cut).......$30 00 2691 " " only...................................... 3 00 2692 " " with trimmings............................ 12 00 2693 " " " " and bracket............. .. 20 00 2690 This instrument consists of a glass vessel, 9 inches diameter by 12 inches long, one end being provided with a metal cap with a spray tube attached, reaching about two inches into the globe. The liquid to be vaporized can be taken from the globe, or from a test tube attached to the frame. The instrument can be adjusted to the height of the patient. The iron table stand is nicely ornamented in black and gilt, and the other metal parts are highly finished and plated. Price of Inhaler, without Receiver, $30.00. Two mouthpieces and six feet of silk covered tubing are furnished with each instrument. 506 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. FIG. *2694 Buttles' Inhaler, complete.................................................$ I oo 2695 Cutter's "........................................... • 1 00 *26g6 Evans' " " .............................................. 2" 00 2697 " Spray Chamber and Inhaling Tube................................ 8 50 269S '' Receiver alone.................................................. 2 50 2699 '' Pump " .......... .................................... 8 00 2700 " Connections.................................................... 1 00 2701 Brewster's Inhaler....................................................... 60 *27o2 Barber's "....................................................... 3 °o 2fcq6 SHARP & SMITH, CHICAGO. 507 MOUTH AND THROAT INSTRUMENTS. FIG ^2703 Brady's Inhaler.......................................... § 75 2704 Fulgraff's " .................... ..................... 50 *27o5 Hunter's " .......................................... 85 2706 Schofield's " ......................................... 2 25 2707 Kirkwood's Large Inhaler ................................ 3 00 2707-A " Small " .................................. 1 50 2708 Crumb's Inhaler.......................................... 1 00 2709 Vilas' " .......................................... 1 75 2710 Oliver's Tar " ......................................... 75 2711 Fitch's Hard Rubber Inhaler.............................. 75 2712 Roosa's Iodine " two tips.,..................... 1 00 2713 Gedding's " .............................. 4 00 2714 Hazen's ".............................. 2 25 2715 Hutchinson's "............................. 35° 2716 Laforme's " .............................. 60 2717 Ramage's " .............................. 60 *27i8 Semple's- ".............................. 3 00 2719 Stafford's ".............................. 75 2720 Delano's " ............................ 85 2705 All instruments designated by a * are illustrated. 508 SHARP & SMITH, CHICAGO. MOUTH AND THROAT INSTRUMENTS. 2721 '2722 American Oliver's Nebulizer, To Patients. To Physicians. ..$3 00 $2 OO . . . 2 OO I 50 2722 In this Vaporizing or Nebulizing Apparatus, based upon the invention of Dr. Henry K. Oli- ver, the medicine, when suitably constituted by the addition of glycerine or other vehicle, is first atomized and then further broken into a fine cloud by striking against a hard surface. Issuing from the inhaling tube it floats upon the atmosphere for a long time without being ab- sorbed into it. Possessing this quality, it is ad- mirably adapted to be received by the air-cells of the lungs, into which it surely penetrates, as abundantly proved by careful observers. To use it, take the rubber bulb in the hand, compress it strongly, let it expand quickly and continue this as rapidly as convenient, and air charged with fine vapor of the medicament will issue from the inhaling tube G. In affections of the lungs and bronchial tubes, take this tube well into the mouth, close the lips and inhale the vapor with long, deep inspirations, holding the breath as long as can be done without inconvenience, and then allow it to pass out slowly through the nose. The bulb being worked continuously, the small hole in the rubber stopper being closed by the finger while breathing outward, the inspired vapor of the medicament will pass into the lungs and then outward through the pharyngeal vault and both nostrils, and will thus be brought in contact with the entire respiratory tract. For catarrh, coughs and colds, in addition to the foregoing, insert the inhaling tube a short distance into each nostril by turns, close the mouth and work the bulb while holding the finger over the small hole in the stopper. The vapor will now pass through one nostril into the deeper cavities of the nose and out at the other nostril. A number of valuable recipes with suggestions for their appropriate use, obtained from high medical authority, will be supplied with each. This ingenious little apparatus converts liquid "T^'^ remedies into a nebula or vapor so very fine that it re- mains suspended in the air like smoke, and can be inhaled and retained within the lungs as readily as the air we breathe, or can be introduced into the nasal passages without the slightest discomfort. Nor is the substance thus inhaled a mere gas or the odor of a medicine, but the actual medicine itself in its full remedial potency. Much good was expected from atomization, but it failed because the atomized liquid condenses in the throat, and never finds its way into the lower air passages. This is entirely different, however, with this new method, for the remedy selected penetrates to the very air cells of the lungs to the most remote cavity of the head, or to the middle ear, as may be desired—a fact which a single application will conclusively demonstrate. Every nebulizer is accompanied by valuable recipes for the cure of the various diseases named above, gathered from the practice of well known specialists of established reputation. Your druggist can prepare the remedies. SHARP & SMITH, CHICAGO. 509 MOUTH AND THROAT INSTRUMENTS. FIG. ♦2723 Plain Mouth Respirator...................................................$ 75 *2724 Mouth and Nose Respirator.......................................... 1 50 2725 Nitz' Mouth and Nose Respirator....................................... 1 50 *2726 Anti-Dust " .......................................... r 25 *2727 Tyndale's "......................................... 2 60 *2728 Robinson's " ......................................... 50 2724 2726 2727. 2728 2723 Instruments designated by a * are illustrated. 510 SHARP & SMITH, CHICAGO. INTUBATION APPARATUS. Fig. 2729 O'Dwyer's Intubation Set, complete....................$24 00 Comprising: *273o Fig. 1. O'Dwyer's Mouth Gag. *273i " 2. " Tube Introducer. % *2732 " 2-G " Tubes with Obturator. *2733 " 3- " Scale for measuring the Tubes to assist in the selection of proper size. '2734 Extracting Forceps. SHARP 4 SMITH.CHICAGO 2734 (Fig. 4.) The numbers on the scale (Fig. 3) indicate the years for which the corre- sponding tubes are suitable. For instance, the smallest tubes when applied to the scale will reach to the first line, marked 1, and is intended to be used up to SHARP & SMITH, CHICAGO. 511 the age of twelve or thirteen months; the size marked 2 is suitable for the next year, 3 and 4 for those years, and so on. When the proper tube is selected for the case to be operated on, a fine thread is passed through the small hole near its anterior angle, and left long enough to hang out of the mouth; its object being to remove the tube should it be found to have passed into the oesophagus instead of the larynx. The obturator is then screwed tightly to the introductor, to prevent the possibility of its rotating while being inserted and passed into the tube. The following is the method of introducing the tube, which is done without the use of an anaesthetic. The child is held upright in the arms of a nurse, and the gag (Fig. 1) inserted in the left angle of the mouth, well back between the teeth, and opened widely; an assistant holds the head, thrown somewhat backward, while the operator inserts the index finger of the left hand to elevate the epiglottis and direct the tube into the larynx. The handle of the introductor (Fig. 2) is held close to the patient's chest in the beginning of the operation, and rapidly elevated as the canula approaches the glottis. The tube is then pushed downward without using much force. It is then detached. The joint in the shank of obturator is for the purpose of facilitating this part of the operation. As soon as the obturator is removed, and it is ascertained that the tube is in the larynx, the thread is withdrawn, but at the same time the finger is kept in contact with the tube to prevent its being also withdrawn. It is important that the attempt at introduction be made quickly, as respi- ration is practically suspended from the time that the finger enters the larynx until the obturator is removed. It is therefore, under the circumstances, much safer to make several abortive attempts than one prolonged effort, even if successful. For the purpose of removal the patient is held in a similar position, except that the head is not inclined backward, or very slightly so, and the extractor passed into the tube guided by the index finger of the left hand, which also fixes the epiglottis, and is brought in contact with the head of the canula. Firm pressure with the thumb is then made on the lever above the handle while the tube is being withdrawn. If secondary dyspnoea supervenes at any time, the tube should be removed, and a larger one substituted. To avoid accidents it is very essential to have some preliminary practice on the cadaver, particularly in extracting, which is the more difficult operation, owing to the aperture of the tube being so much smaller than that of the larynx. These tubes will also prove valuable as dilators in chronic stenosis of the larynx or trachea. Parties wishing our instruments, and finding it more convenient to obtain them through dealers, are requested to order "S. & S. manufacture," as otherwise inferior goods are frequently substituted. All instruments of our manufacture have our name on them, which is a guarantee of the quality. SHARP & SMITH, Manufacturers of Surgical Instruments, 73 Randolph Street, Chicago. 512 SHARP & SMITH, CHICAGO. INTUBATION SETS. FIG. 2735 Waxham's Intubation Set, latest............................$27 50 Comprising; ' 1 O'Dwyer's Tube Introducer (2731—Fig. 2). 1 " ' " Extractor (2734—Fig. 4). 1 " Scale (2733—Fig. 3)- 1 Waxham's Gag. 1 Pair Waxham's Trachea Forceps. 1 " Respirator. 5 " Tubes, with Epiglottis and Intubators. *2736 O'Dwyer's Instrument for Intubation in Chronic Stenosis of the Larynx........................................................ 2 50 Extract from an article entitled " INTUBATION IN CHRONIC STENOSIS OF THE LARYNX." By Joseph O'Dwyer, M. D. * * I have also devised a snare (Fig. 2736) for the removal of laryngeal growths, particularly when situated in the subglottic region, where it is difficult to reach them with forceps in adults, and impossible in children. For growths attached to the lateral aspects of the larynx the snare is passed far enough down to give room for the neoplasm to slip between the blades, when it is 2736 pressed firmly against the side of the larynx, and withdrawn. If the seat of attachment is unknown, both sides, and then the anterior and posterior por- tions of the glottis, can be curetted in succession. This instrument will not seize any of the normal tissues when applied laterally, but in removing it, when used antero-posteriorly, it is necessary to protect the epiglottis and uvula with the finger. Two sizes of this snare are necessary, that shown in the cut being suitable for children. In young sub- jects it is guided into the larynx in the same manner as in practicing intu- bation. In adults it can be inserted with greater facility by the aid of the mirror. All Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 513 INTUBATION. FIG. 2737 Dr. J. Tascher's Intubation Set.............................$27 00 Comprising: 1 O'Dwyer's Tube Introducer (2737)—Fig. C). 1 " " Extractor (2734—Fig. A). 1 " Scale (2733—Fig. 3). 1 Prof. S. A. McWilliams' Gag (2737—Fig. B). 6 TASCHER'S TUBES, with Epiglottis (2738—Fig. F), and one p?it TASCHER'S Throat Forceps (2738—Fig. E.) 2737—C 2738—D, E and F. Fig. D in above cut represents the false Epiglottis used in the introduction of each tube. Cut Showing the O'Dwyer Tube in Position. 2737—B 21 514 SHARP & SMITH, CHICAGO. INTUBATION. Fig i represents the' anterior portion of a transverse section of the larynx, showing the head rest- ing in the ventricle of the larnyx; No. i, the true vocal cords as they grasp the body of the tube beneath the flange; No. 2, the false vocal cords resting above the flange; No. 3 the epiglottis; No. 4 the head of the tube; No. 5,the body; No. 6 ventricle. Fig. 2 represents an antero- posterior section of the larnyx, giving a side view of the position of the tube in the larnyx. No. 1, true vocal cords; No. 2, fa'se vocal cords; No. 3, epiglottis; Xo. 4, head of the tube; Nc. 5, body of the tube; No. 6, ventiicle. Fig. 3 represents the larnyx slit open posteriorly, with tube in position. No. 1, true vocal cords; No. 2, false vocal cords; No. 3, epiglottis; No. 4, head of tube situated in ventricle; No. 5, body of the tube; No. 6, ventricle. Fig. 5 represents the larnyx as viewed through the epiglottid ap- erture, showing the position of the true vocal cords, without tube. Fig. 4, same view with tube in position. SHARP & SMITH, CHICAGO. 515 MOUTH AND THROAT INSTRUMENTS. *2739 Dr. J. Mount Bleyer's Tongue Tractor........ %A Ca l2^° " Momh Gag.................':::::::::. M5 L 274i Cupped and False Epiglottis Tube....... 3 00 TONGUE AND LARYNX TRACTOR For the Performance of Forced Laryngoscopy in Children. Mouth-Gag and Cupped- Out Intubation-Tube, with False Metal Epiglottis Attachment. By J. Mount Bleyer, M, D., New York. Among the methods of examination which are at. our disposal for the recognition of laryngeal disease in children, laryngoscopy takes the first place and the results which are thus attained are of such great importance in diag- nosis that I was led to devise some means which would assist in such a proce- dure. It is extremely difficult, by a mere verbal description, to explain clearly any process requiring the use of an instrument and skill. In such cases a single practical demonstration is of more value than a dozen pages of written directions. This tongue and larynx trac- Tongue Tractor.-2739. ^^ Wh[°h *S rePresented in the accompanying illustration, I have successfully used in my last three hundred cases, which were operated on in the described manner (intubation of the larynx for stenosis). These cases were previously examined by forced laryngoscopy in order to ascertain the extent of the disease present. This instrument was found to facilitate the examination necessary in the majority of cases of acute laryngeal disease in children under four years of age. Such procedure is not to be underrated in importance, nor neglected on account of any personal disinclination to undergo the necessary trouble involved in making it. If such an inspection will disclose facts of diagnostic importance, surely it will not be neglected by any earnest physician. Suggestions for Operating with the Tongue and Larynx Tractor. The patient is to be placed upon the lap of a nurse, who is directed to hold the child in an upright posture, facing the operator, the feet being most conveniently held between the knees of the nurse. With a towel envelop the body and arms, which are thus to be pinned securely. The gag is now inserted. At this stage of the operation a five per cent, solution of cocaine, with which the pharyngeal and laryngeal surfaces are to be thoroughly sprayed, or without any use of cocaine, as I often do when the examination is of short duration, the operator passes the tractor down, and secures the base of the tongue, guided upon the forefinger of his left hand. Then drawing upon the base of the tongue, which favors partial elevation of the larynx, the tractor is to be passed upward, outward and downward. Enforced laryngoscopic examination in children is performed in the above described manner, and there is no doubt that many advantages are thereby gained. Often a very common difficulty is met with in the position of the epiglottis, as more or less depressed, overhanging the larynx, or compressed and rolled together at its sides. By forcing and steadying the epiglottis against the base of the tongue this difficulty is nearly obviated, and a thorough view of the larvnx and neighboring pares may be viewed and treated. 516 SHARP &' SMITH, CHICAGO. TONGUE AND LARYNX TRACTOR.—Continued. Other important advantages of this instrument are that where there might occur some difficulty in extracting a tube after intubation, extraction is per- formed after elevation of the larynx with any ordinary forceps. The mouth gag, which is herein represented, will be found to have superior qualities in its construction in many points. I have found that all other gags are very troublesome to introduce into the mouth of the child, on account of the shoulders of the alveolar processes of the gagger, which are very large, and espec- ially when one has to deal with a stubborn patient, who will not begin to open his mouth. This led me to have a wedge attach- ment made to the side of the alveolar process, and very low shoulders, in order to help to open the mouth and thereby slip immediately the gag in between Mouth-Gag.-274o. the angles Qf the jaw> The aJ, veolars of the gag are padded with soft rubber, and which can be changed in every case; thus no damage is done to the teeth, and where no teeth exist the gums are protected thereby. The shoulders are very low, so that while the gag is in position it will not press upon the hard palate and crush in the same, as I often had experienced. Slipping of the gag is avoided by the anatomical construction of the angles of the gag ; also the soft rubber padding keeping it in place by the indentation of the teeth. The separating of the jaws by the gag can be accomplished to any degree and with ease. Also it lies flat upon the cheek, and is self-retaining. To Dr. Charles E. Denhard of New York, I must credit the principle of this gag. Dr. J. Mount Bleyer's Cupped and False Epiglottis Tube. The tube is an improvement upon the soft rubber false epiglottis- of Dr. T. E. Waxham of Chicago, to whom all honors should be given for this ingenious idea. When one has operated many cases he begins .to see the necessary wants and deficiencies which exist. These tubes have many advantages over the first tubes of Dr. O'Dwyer. They are cupped out at the head, and admit of the extractor engaging itself into the tube, and thereby the extraction made easy. A metal-hinged artificial epiglottis, which is intended Cup and lube.—2741. . ^ . ° . . r ° ,, '. , to assist the patient in swallowing, to prevent the falling of foods and fluids through the canula into the bronchi, and to guard against the dangers of broncho-pneumonia. Since the use of these tubes I have had better results. FIG. 2742 Mussey's Mouth Gag.................................... $5 00 2743 Dedham's " " .................................... 3 5° 2744 Whitehead's " " .................................... 7 50 2745 Smith's " " .................................... o 00 2746 Wier's " " .................................... 525 2747 Lentz's " " .................................... 4 5o 2748 O'Dwyer's " " (see page 510)........................ 300 2749 Waxham's " " ................................... 3 00 2750 Warren's " "............................,....... , 00 2750-A Hartman's " " and Retractor....................... 1000 SHARP & SMITH, CHICAGO. 517 HARE LIP INSTRUMENTS. FIG. 2751 *2752 *2753 2754 2755 2756 *2757 2758 2759 *276o *2/6o *276o *276i 2762 2763 *2764 Smith's Hare Lip Forceps..... Hutchinson's Hare Lip Forceps Parallel Simpson's Pin Cutting Forceps Prince's Hare Lip Clamp Buck's Pin Carrier Folding, Plain Post's " " Folding, Plain. Buck's & Post's Pin Carrier, in one handle............... $ 2 Buck's Pin«, 1 to 2 inch............................doz. " " i\ inch. " " 3 inch. Hare Lip Needles............................per dozen Canulated Silver Needles...........................each Plastic Needles....................................doz. Southey's Set of Trocars and Canulas.................... 2 ' 27£2 All instruments designated by a * are illustrated. 2757 518 SHARP & SMITH, CHICAGO. HARE LIP INSTRUMENTS. FH-. *2j6^ Emmet's Canulated Needle............................... $J *2y66 Ivory Handle Scalpel.................................... J 2767 Ebony " " ............• ...................... *2768 Hornby's Hare Lip Truss............................... 4 2769 Hamilton's Hare Lip Scissors............................ 1 ♦2770 Angular " " " ........................... J •2771 . Curved " " " ............................ * 85 00 75 5° 5° 00 00 2765 2770 2771 SHARF & SMITH, CHICAGO. 519 TOOTH-EXTRACTING FORCEPS. ALL OUR FORCEPS ARE OF THE BEST QUALITY, NICKEL PLATK.I) AND FULLY WARRANTED. FIG. *2775 No. 19—Right Upper Molar:.............................1 *2776 No. 19—Left " " ............................ ! $' 5° ♦2777 No. 24—Universal " .............................. [each. *2778 No. 28—Right and Left Lower Molar......................J Fig. 2775 (No. 19). Right Upper Molar. Fig. 2776 (No. 19). Left Upper Molar. Fig. 2777 (No. 24). Universal Molar. Fig. 2778 (No. 28). Right and Left Lower Molars. 520 SHARP & SMITH. CHICAGO. TOOTH FORCEPS. FIG. *2779 No. 47 Hutchinson's Tooth Forceps..................... $ i 50 *278o No. 23 Lower Molar Cow-Horn, either side................ 1 50 *278i No. 16 " " " " " .............. 150 *2782 No. 45 Upper " " " " ............... 150 *2783 No. 14 Lower Incisor................................... 1 50 *2784 No. 13 Upper "................................... 1 50 Fig. 2779 (No. 47). Lower Molar (Hutchinson's). Fig. 2780 (No. 23). Lower Molar Cow-Horn, either side. Fig. 2781 (No. 16). Lower Molar Cow-Horn, either side. Fig. 2782 (No. 45). Upper Molar Cow-Horn, either side. Fig. 2783 (No. 14). Lower Incisor Fig. 2784 (No. 13). Upper Incisor SHARP & SMITH, CHICAGO. 521 TOOTH FORCEPS. FIG. *2 785 No. 8 Universal Incisor and Bicuspid.................... § i 50 ^2786 Xo. 46 Lower " " " ................... 1 50 ^2787 No. 4 Upper and Lower Bicuspid, half curve............. 1 50 ^2788 No. 25 Lower Biscuspid, Safety........................... 1 50 ^2789 No. 27 Lower Wisdom.................................. 1 50 ^2790 No. 10 Upper Dentes Sapientiae, with or without hook, either side........................................ 1 50 Fig. 2785 (No. 8). Universal Incisor and Bicuspid. Fig. 2786 (No. 46). Lower Incisor and Bicuspid, either side. Fig. 2787 (No. 4). Upper and Lower Bicuspid, half-curve. Fig. 2788 (No. 25). Lower Bicuspid, Safety. Fig. 2789 (No. 27). Lower Wisdom. Fig. 2790 (No. 10). Upper Dentes Sapientiae, with or without Hook, either side. 522 SHARP & SMITH, CHICAGO. TOOTH FORCEPS. *279i No. *2792 No. *2793 No. *2794 No. *2795 No. *2 796 No. Lower Dentes Sapientiae either side................1 Universal Root...................................j Lower Root, Full Curve........................... if1 5° Upper and Lower Root, Half-Curved...............j each. Upper Front Root, Straight....................... Bayonet Root....................................J lSHRRP&SMITH)]' Fig. 2791 (No. 22). Lower Dentes Sapientiae, either side. Fig. 2792 (No. 7). Universal Root. Fig. 2794 (No. 2). Upper and Lower Root, Half-Curved. Fig* 2795 (No. 1). Upper Front Root, Straight. Fig. 2796 (No. 35). Bayonet Root. SHARP & SMITH, CHICAGO. 523 TOOTH FORCEPS AND SETS. *2797 Brophy's set of Tooth Forceps, for Physicians' use.............$7 85 Fig. 2797. Dr. Brophy's (Rush College) Set of Tooth Forceps for Physicians' use. CONTAINING 1 Pair No. 28R, Tooth Forceps. 1 " " 32, " " 1 " " 39, 1 " " 10, Special Tooth Forceps. In Chamois Lined Pouch. PLEASE DO NOT CUT OR MUTILATE THIS BOOK. In ordering state number of figure and page, and we can promptly fill your order. 524 SHARP & SMITH, CHICAGO. INSTRUMENTS FOR PHYSICAL DIAGNOSIS. FIG. *28oo Camman's Ordinary Stethoscope.............................$i 35 *28oi " Stethoscope with closed spring adjustment............ 2 25 *28o2 Sharp & Smith's Improved spring adjustment Stethoscope...... 3 75 *28o3 Knight's Improved (Camman's) Stethoscope.................. 3 5° 2803 28c2 28oo Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 525 ig INSTRUMENTS FOR PHYSICAL DIAGNOSIS. *28o4 Sharp & Smith's Perfected Camman's Stethoscope, No. i......| 2 20 *28o6 Allisons Differential Stethoscope N°' 2...... * 85 *28o7 Paul's Stethoscope ........................° 2 5° *28o8 Laenec « (see page 527-A)......................... 2 75 2809 Koefenderfer's Stethoscope.. ............... 4 °° 2810 Davis'Stethoscope...... .......................... 2 75 2811 Powell's " ............................ 2 °° 2812 Loomis' 2 25 3 °° 2805 2807 2806 2804 526 SHARP & SMITH, CHICAGO. INSTRUMENTS FOR PHYSICAL DIAGNOSIS. *28l3 2814 2815 *28i6 Arnold's Stethoscope......................................$ 1 00 Boeker's " ...................................... 1 00 Martin's Combined Stethoscope............................ 3 75 Cedar Stethoscope........................................ 40 2816-A " " with rubber ring.......................... 85 *28i7 Ebony l\........................................ 1 00 2817-A " and Ivory Stethoscope............................... 1 50 2818 " Stethoscope, with rubber ring......................... 1 25 *28i9 " " with Pleximeter and Hammer.............. 2 50 *282o Hawksley's New Stethoscope.............................. 1 00 *282i University Stethoscope, Improved.......................... 2 00 *282lA " " ................................... 200 2817 2820 2816 2821-A Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 527 INSTRUMENTS FOR PHYSICAL DIAGNOSIS. Fig. *282 2 Dennison's Hard Rubber Stethoscope...........$4 oo to $9 00 The instrument here presented is the result of considerable experimenting and differs from those heretofore used in many particulars which are of great importance in a good instrument, though in outward appearance it is very much like other stethoscopes. The points of dissimilarity are those which by having many different kinds made, are the essentials in a perfect instrument. 1. As to the quality of sound.— The material of which an instrument is made determines the character of the sound obtained. A stethoscope made wholly of metal or with metal tubes only, gives a metallic quality to all the sounds transmit- ted, whose pitch seems to be elevated and thereby unnatural. This perversion of natural sounds is not obtained in any such degree by gutta-percha, wood or celluloid. In this instrument is chosen hard rubber for the arms instead of the metal here- tofore used in most stethoscopes, and I have had the flexible tubes made so as to give a smooth inner surface to the coiled wire, which holds them in shape. We have succeeded in embedding the wire between two tubes of soft rubber and then vulcan- izing them together. This arrangement gives nearly as natural effects as does a stethoscope made wholly of hard rubber, which of course would be inflexible and unyielding. 2. As to the form of the instrument.—The size of the canal in this instrument is largest at the attachment of the bell and gradually decreases in diameter to the ear ends, and is in imitation of those trumpets or conversation tubes which best serve the purposes of deaf persons, owing to their property of concentrating and conducting the waves of sound, and forms one of the principal advantages of the instrument. The larger sized tube used in this stethoscope is an especial advantage to those physicians who have slight defects in hearing, and will be pre- ferred we believe by the great majority of the profession. The ear-tips are shaped with particular reference to the direc- tion of the canal in the arms of the stethoscope and have the lower and forward edges bulged to such an extent as to fill in spaces behind the tragi, so that it throws the tube openings in the direction of the-auditory canals. The ear-tips are crowded into the external auditory canal as firmly as can be comfortably done by means of a rather stiff spring, which brings the arms of the instrument together, and which is supplied with a set screw so that it can be regulated to suit the listener. • • , All the joints, bells, tubes and arms are constructed on the principle of a slightly conical tube, each portion fitting evenly and tightly into the other, and the fastenings of the flexible portion to the gutta-percha are so perfect that there is no interruption in the transmission of sounds from the chest to the ear. 2822 527A SHARP & SMITH, CHICAGO. INSTRUMENTS FOR PHYSICAL DIAGNOSIS. 2801-A CAMMAN'S FOLDING STETHOSCOPE. 2822-A The advantages of this stethoscope are that the curves of the tubes are very carefully formed—and the whole stethoscope is without joints, thereby transmitting a more correct sound. SHARP & SMITH, CHICAGO. 527 B INSTRUMENTS FOR PHYSICAL DIAGNOSIS *28oi-A Camman's Spiral Spring Stethoscope....... *28oi-B " Folding Stethoscope............. *2822-A Professor F. T. Johnson's Stethoscope....... *2822-B Dr. R. K. Valentine's Improved Stethoscope. n 35 3 oo 4 oo 3 35 Medical Record, July 16, 1892. AN IMPROVED STETHOSCOPE. By R. K. Valentine, M. D., Brooklyn Home for Consumptives, Brooklyn, N. Y. In presenting this instrument to the profession we claim for it the three cardinal virtues of a stethoscope, namely, excellence as a transmitter of sound; convenience for applying to the chest-wall, and for carrying in the pocket (not an unimportant factor); and thirdly, comparative cheapness. The instrument is composed of hard rubber, the bell and ear pieces being united by two pieces of ordinary soft rubber tubing, each about three and a half inches in length. The bell is a cylinder five inches long, having an internal diameter ^at the mouth of seven-eighths of an inch. At the top of the cylinder there are two openings, one-quarter of I an inch in diameter each, separated by a sharp septum of hard rubber, and the same diameter is continued the full length of the ear-pieces. When the instrument is in use, the divided waves of sound are car- ried from the cylinder in two straight lines along the ear-pieces to the curves, which lead them directly into the ears of the operator. The expense of making the stethoscope is largely due to the perfectly smooth finish of the interior of the hard rubber tubing, throughout its entire length, by which means only are such good results obtained. A simple method of testing stethoscopes, as to their power of trans- mitting sound, is by applying their bells to the face of a clock or a watch By this method, the famous instrument of Dr. Dennison, of Colorado—having a diameter of a quarter of an inch more at the mouth of the bell than the one under consideration—is the only stethoscope we have been able to find which transmits a louder sound, and that but slightly, when the accessory bells are not in use; but when this stetho- scope is armed with its ordinary soft rubber cone, having a diameter of one and three-quarter inches at the mouth, it transmits a louder sound than does the Dennison instrument even with its largest hard rubber bell adjusted, and having a diameter of two and three-quarter inches. The cause of this is, doubtless, due to the Dennison accessory bell being attached to the permanent bell by passing it within the latter, thus constricting the canal, whereas with this instrument the rubber cone is caught on the outside of the mouth of the cylinder, where several neat circular ridges serve not only for ornament but also for the pur- pose of retaining it in position. The ordinary soft rubber tubing connecting the cylinder and ear- pieces permits of folding, and thus the stethoscope is readily carried in the pocket. Just here we would suggest dropping it into the pocket with the sharply flexed rubber tubing uppermost, sothat it will not crease. When the interior of the bell becomes very dusty, invert the whole instrument under the cold-water faucet, and wash out all the canals. 2822-B Instruments designated by a * are illustrated. L* 527C SHARP & SMITH, CHICAGO. INSTRUMENTS FOR PHYSICAL DIAGNOSIS. 2822-D FIG. 2822-C—POWELL - CAMMAN'S STETHO- SCOPE. A simple, useful and durable combination of Powell's and Camman's Stethoscope has been attained, and will no doubt be found serviceable by the medical profession. The price is such that it is within the reach of all. The suction bulb is placed centrally, and forms a permanent part of the instrument. In applying the Stethoscope, the bulb is slightly com- pressed, the hard rubber part is placed wherever desired; when the bulb is allowed to assume its normal shape, the hard rubber bell will adhere to the skin, a vacuum being formed by the bulb exhausting the air from the circular cham- ber. The metal part is nickel plated and well finished; the elastic parts are made of best quality rubber. Every instru- ment warranted perfect. 2822-C 2S22-G Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 527D INSTRUMENTS FOR PHYSICAL DIAGNOSIS. Fie. *2822-C Powell's Mod. Camman's Stethoscope.................................... $2 25 *2822-D Hard Rubber Telescopic................................. 2 50 *2822-E Dr. Jno. H. Chew's " ................................... 250 *2822-G Prof. Campbell's.................................... 2 50 *2&22-YL Snofton's .................................... 2 00 *2834 A Dr. Norman Bridges' Percussion Hammer and Pleximeter.................. 1 00 *2834-B Taylor's Percussion Hammer.............,............................. 1 50 *2842-A Dr. Hammond's Dynamometer......................................... 10 00 2822 H This Stethoscope is very compact and convenient, and is very extensively used in Great Britain and the Colonies. 2842-A Instruments designated by a * are illustrated. 2834-A 528 SHARP & SMITH, CHICAGO. INSTRUMENTS FOR PHYSICAL DIAGNOSIS. ♦2823 ♦2824 2825 *2826 2827 *2828 2829 2830 2831 ^2832 2833 2834 *2835 ♦2836 2837 ♦2838 *2839 2840 2841 Flint's Percussion Hammer, best............................$ " " " rubber......................... Bennett's " " .......................... • 1 Bartlett's " " ............................... Winterich's " " ..................'............. 1 Wells' " ■ " ............................... 1 Schroeter's " ............................... 1 North's " ............................... 1 Post's Hard Rubber Pleximeter............................ Flint's " " ............................ ' Ivory " ............................ Bartlett's Hard Rubber " ........................... Camman's Inter Costal Auscultator........................ 1 Ingal's Embalometer..................................... 2 Seguin's ^Esthesiometer................................... 3 Vance's " .................................. 4 Carroll's « .......................:.......... 3 Hammond's " .................................. 2 Sieveking's " .................................. 3 75 5° 00 90 5° 25 5° 00 60 25 75 60 00 25 20 00 00 00 20 2838 2824 2836 2823 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 529 INSTRUMENTS FOR PHYSICAL DIAGNOSIS. FIG. ♦2842 Dynamometer.................................................••......$ 6 00 2843 Dudgeon's Sphygmograph.............. ................................ 18 75 ^2844 Marez's .............................................. 60 00 *2845 Pond's .............................................. 35 00 2846 Brown's Spirometer.................................................. goo 2847 Barnes' '" ....................................... ............. 600 *2848 Hutcninson's " .................................................. 25 00 *284g Marsh's " .................................................... 2 50 2850 Extra Balloon for Marsh's Spirometer...................................... 25 2851 Dio Lewis' Improved ".................................... n 00 2849 2842 2848 2844 284S All instruments designated by a* are illustrated. ■t / 19 9999984 530 SHARP & SMITH, CHICAGO INSTRUMENTS FOR PHYSICAL DIAGNOSIS. 2852 2853 2854 2855 2856 2857 2859 2860 2861 2862 2863 2864 2865 *2866 2867 *2868 2869 2870 2871 2872 2873 2874 ♦2874- *2875 2875 2875 2875 2875 2875 *2875- ♦2876 Carroll's Stethometer.................................... Quain's " ..................................... Marsh's Pocket Respirometer.............................. Waldenberg's Pneumatometer............................ " Pneumatic Apparatus........................ Tobold's " " ........................ Holden's Resonator.............................. ....... Camman's Cardiometer..................................., Flint's " ...................................■ White's Haemarheumoscope.............................. Spring Tape Measure, Metal Case, 3 feet................... " « " " " 5 feet.................., Chestermann Steel Tape Measure, Metal Case---........... Plain Urinometer, Wood Case.............................. English " ........:............................... Best " " enamel stem, plain black letters, and gradu ated test glass........................................ Squibbs' Urinometer...................................... Hard Rubber " (patent)............................. Thermometer and Urinometer combined.................... Vance's Urinary Test Case................................ Compact " " ............................... Complete " " with reagents................... A Bartley's " " .............................. Test Tubes, 6 5 4 3 $ 2 40 a 00 12 00 6 50 67 50 37 5° 2 00 3 75 8 00 1 20 35 45 1 5° 40 75 75 75 25 25 5° 00 inch...............................per doz. 3 to 6 on foot. Holders nested 16 50 2 00 35 3° 25 20 40 3° 10 25 SHARP 4 "MITB .CHICAGO' 2868 All Instruments designated by a * are illustrated. 2866 SHARP & SMITH. CHICAGO. 531 *2877 *2878 2879 2879 2880 2880 *288i *28Si ♦2881 *->8Si *28Si 2882 *2883 *2883 *->8S3 ♦2883 2884 *2885 *2886 2887 2888 2888 2888 2889 2890 2891 PHYSICAL DIAGNOSIS APPARATUS—URINARY. Test Tube Racks....................................................each, Roberts' Test Case (modified by Lewis)..................................... Glass Alcohol Lamps, with Burner and Ground Glass Caps, 2 oz.............. 4 oz............... Litmus Paper, red or blue, per book.................................... " per sheet..................................... Porcelain Evaporating Dish with Lip, 2 oz..........................each, " 4 oz............................. " " S oz.............................. " " " 16 oz.............................. " 32 oz. Watch Crystal Shape Evaporating Dish............................. dozen, Beaker Glasses, 1 oz................................................. " 2 oz................................................ " " 4 oz................................................. " " nested, 5 in nest, 2 to 10 oz................................. Blow Pipes, Brass..............................................;..... Medicine Droppers, Straight.........................................dozen, Curved.......................................... " Barnes' Medicine Droppers........................................ " Mohr's Burettes, 2^ C. C.............................................each, 50C.C............................................. " " " 100 C. C............................................. " Graduated Pipettes.................................................. " Curved Brass Forceps................................................ " Straight " " ................ .............. ............. " f 75 25 00 25 35 10 10 25 35 60 85 1 25 75 75 1 25 1 75 1 25 50 35 35 90 1 40 2 00 3 40 25 40 40 2877 Fig. 2878 Roberts' Urine Test Appara- tus (improved by Lewis). Consists of the following parts: 1 Set Neubaur's urinometers with two test glasses. 4 Urine glasses. 6 Test tubes. 1 Alcohol lamp. 5 Bottles with pure reagents. 1 Burette with holder. 3 Pipettes and 3 stirring rods. 1 Graduate. 1 Flask with ring support for same. The whole on a revolving etagere of black walnut, etc., with printed description. 532 SHARP & SMITH, CHICAGO. BARTLEY'S POCKET URINARY TEST CASE. WARRANTED. Manufactured of German Silver. Dimensions 4x1 %'s.y2 inches. THOUSANDS IN USE. The Re-agents (Powders) are prepared from the formulae of Dr. E. H. Bartley, of the Long Island College Hospital, and chemist to the Board of Health of the City of Brooklyn. The Case is designed for the use of physicians at the bedside of the patient, or for the office. With it a complete examination of the urine, for clinical purposes, can be made. 2874-A These Re-agents leave nothing to be desired as regards delicacy and certainty. No filtering of the Urine necessary. The Re-agents can be renewed by your home Druggist. It is unique, durable and cleanly. This case contains a scientifically correct urinometer inclosed in a cloth bag to prevent breakage, a heavy glass test tube serving as a urinometer jar and test tube, a package of litmus test papers, a pipette for convenience in handling the urine, two vials to contain the test powders and spoon. With these the following points may be determined at the bedside, viz.: The quantity of urine passed, the color, transparency, reaction, specific gravity, total solids passed, and the presence or absence of sugar and albumen. Each Bottle contains sufficient Powders for some 50 Tests. A small handbook containing instructions, formulae for the powders and valuable information obtained by recent investigations of Dr. Bartley and others, accompanies the case. Please do not mutilate this book. Send us Number of Page and Figure, and we can promptly fill your order. SHARP & SMITH, CHICAGO. 532A PHYSICAL DIAGNOSIS APPARATUS-URINARY. 2891D SHARP & SMITH'S TEST CASE FOR URINARY ANALYSIS. This case contains every- thing necessary for the Analysis of Urine. CONTENTS: 6 Re-agent Bottles, filled; 1 Re-agent Bottle, empty; 2 Salt Mouth Glass Stop- pered Bottles; 1 dozen Test Tubes; 1 Test Tube Hold- er; 1 Pipette; 1 Stirring Rod; 1 Funnel; 1 Alcohol Lamp; 6 small Filtering Papers; 6 large Filtering Papers; 1 Porcelain Evap- orating Dish; 6 small Glass Evaporating Dishes; 1 Book Red Litmus Paper; 1 Book Blue Litmus Paper; 2 Beaker Glasses; 1 Test Tube Swab; 1 Urinometer. Complete, in handsome polished box, size 14x10^ \"]% inches. See following page for prices. 532 B SHARP & SMITH, CHICAGO. PHYSICAL DIAGNOSIS APPARATUS-URINARY. FIG. *289i-A Doremus' Ureometer, with directions.................... $i oo *289i-B Einhorn's Saccharometer, " ..................... i oo *289i-C Esbach's Albuminometer, ..................... i oo ♦2891-0 Sharp & Smith's Urinary Test Case..........•............. 5 00 *289i-E Prof. S. A. McWilliams' Urinary Test Case................. 4 00 2891-E PROF. S. A. McWILLIAMS* URINE TEST CASE. For Hasty Office Examination. This Case contains: I 3 oz. lamp with wick and alcohol. 1 Good Urinometer. X Urinometer jar with lip, and graduated, 5 V2 x \\ inch. 10 Test tubes, 5j£xT\ inch. 1 Test tube holder. 1 Stick with cotton on for cleaning tubes. 1 Fine pointed nipple pipette for dropping nitric acid into test tubes. 1 Fine pointed cubic centimeter pipette, longer than above, to suck up urine for sugar examination. I Bottle nitric acid. 1 Bottle acetic acid. I Glass stirring rod. 1 Bottle of sodio potassic solution for Fehling's test. 1 Bottle of cupric sulphate solution for Fehling's test. The solution keeps best in separate bottles,—mix in equal quantities in test tube when used. 1 Jar of litmus paper, red and blue. I Jar of matches. 1 Bottle for bichloride water, into which place nipple pipette after using with nitric acid 1 Bottle for bichloride water, into which put long pipette after using, with urine until ready to clean. 1 Strip of paper, marked 1, 2, 3, etc., in order to facilitate the record of persons' urine when allowed to stand in tubes, as—No. 2 Tube is Mr. Jones'. 1 Tab. of paper ^ by 5^ inches by % inch thick, for taking notes of examinations I Urinary analysis guide book. 1 Lead pencil with eraser to keep notes on tab. 1 Bottle with small glass funnel for filtering cloudy urine. 12 Filter papers. Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 533 SELF-REGISTERING FEVER THERMOMETERS. With Absolutely Indestructible Register. The great improvement made in self registering fever Thermometers, by forming an indestructible register, has within the past year or two, practically driven from the market the old style of fever Thermometer, which registered by means of a piece of mercury detached and separated from the main column by a small air space. The indestructible registei is formed by a very small contraction of the caliber near the bulb, which allows the column to rise, but upon contraction of the mercury the column breaks at the contraction in the caliber, thus leaving that part of the column above it a stationary register, until shaken down by the operator. We particularly recommend this Thermometer to the trade All of our clinical Thermometers are made from seasoned tubes, and put up in hard rubber cases. Certificates from the Thermometric Bureau of Yale College, will be furnished if desired. SHARP ft SMITH 2892 A Few Remarks about Clinical Thermometers. The normal temperature of the human body, at completely sheltered parts of its surface, amounts to 98.4° Fahr., or a few tenths more or less, and a rising above 99.50 Fahr., or a depression below 97.30 Fahr., are sure signs of some kind of ailment, if such increase or decrease is persistent. The average, temperature of the trunk of the body in the tropics is nearly one degree higher than in temperate climates. The increase of temperature above 990 F., as measured by the thermome- ter is the best index of the amount of fever present in any disease. The temperature of the body in disease is much more readily and rapidly influenced than either the pulse or respiration. The co-relation of the pulse, respiration and temperature is of the utmost importance to be known in many diseases. For example, in pneumonia, if the mean of the temperature is not above 1040 Fahr., and that of the pulse is not above 120 in a minute, and the mean of the respirations not over 40 in same time, the case must be considered a slight one, and if the patient is healthy otherwise, he will surely commence to get well in from eight to twelve days, without any medical treatment beyond attention to diet and rest. Each disease which runs a definite course (scarlet fever, measles, small pox, typhus, typhoid, rheumatism, acute phthisis, etc., etc.,) has a characteristic and distinctive range of temperature. The necessity of using a reliable thermometer is, therefore, of the utmost importance. 534 SHARP & SMITH, CHICAGO. CLINICAL THERMOMETERS. Please Read and Carefully Observe these Directions. Thermometers are in working order, and always ready for application when the top .part of the small bit of mercury that forms the Index is below the arrow point. After using it, and in order to bring the Index again below the arrow point and ready for use, take the top part of the stem of the Thermom- eter (near the 105) between the thumb and first finger, with the bulb turned downward, or inclined toward the fioor. In this position quietly swing from you (like a pendulum) from the elbow down, leave wrist hang as loose as pos- sible. Always look at the position of your Index after each swing, until you again see the top part of it below the arrow point, and it is again ready for ap- plication. If it be found that one or two quiet swings is not sufficient to bring the top part of the Index below the arrow point let your swing be somewhat forcible. Don't shake the Index lower than is necessary. One or more separations of the column does not put the instrument out of order. Always take the top part of the top separation for a reading, and so long as any separation remains the instrument is good for years. By observing these directions you will have no trouble with your Thermometer. FIG. ♦2892 Sharp & Smith's Self-Registering Indestructible Index Ther- mometer...............................................$1 25 2893 Sharp cc Smith's Self-Registering Indestructible Index Ther- mometer, black......................................... 1 00 ♦2894 Sharp & Smith's (Gilt Case and Chain) Self-Registering Inde- structible Index Thermometer............................ 1 50 *2895 Sharp & Smith's (one minute) Self-Registering Indestructible Index Thermometer.................................... 1 25 *2896 Hicks' Self-Registering Indestructible Index Thermometer. 1 25 2897 •' Lens front " " " " 2 25 *28g8 Spiral " " " " 1 25 *2899 T- & Co.'s Syphon " " " " 2 50 *29oo Spiral Surface Self-Registering Thermometer........$6 00 to 7 50 2900A Surface " " ......... 2 50 to 7 50 *29oi Seguin's Surface " " ................. 2 00 SHARP ft SMITH SharJ> <5^ Smith. 2898 All Instruments designated by a * are illustrated, SHARP & SMITH, CHICAGO. 535 CLINICAL THERMOMETERS. FIG. *2902 Patent Double Bulb Thermometer (see description below).....$ i 50 2903 " New Twisted " " " 2 50 A matter of great importance to physicians, in order to obtain the temper- ature of a feverish patient, is to have a correct, quick working instrument, and one that will enable them to see the register quickly. Many are the contrivances resorted to to enlarge the column, but the trouble has always been that a large bore tube requires a correspondingly large bulb, which would be too slow of motion, and therefore impracticable. Hicks, of London, has succeeded in enlarging the column of mercury by the use of a prismatic (magnifying) front, but there still remains the need of first finding the proper axis of the prism, so as to enlarge the column. Annexed cut shows at once the advantage of this instrument above all others. I. Instead of a large, slow moving bulb, we use two small bulbs which by uniform action supply the large bore with a big column of mercury, the stand- ing of which can be seen at a glance. II. The two bulbs exposing double the amount of surface to the influence of temperature than the single, will necessarily move much quicker. III. The double bulb forming a flat surface, will prevent the instrument from rolling, a point that will not fail to be appreciated by the practitioner. IV The instrument having an indestructible index (self register) by which the losing of the register is completely overcome. In recommending this new instrument we guarantee that every thermome- ter is fully seasoned and carefully tested before leaving our factory, and certifi- cates, when desired, will be issued from the Observatory in Yale College, New Haven, which will bear out our claim for accuracy. 536 SHARP & SMITH, CHICAGO. CLINICAL THERMOMETERS. FIG. *2904 Immisch's Avitreous Clinical Thermometer, silver............. 2904-A " " " '' with certificate, silver. 2905 " " " " " " gold.. 2905-A " " " " " •• The glass Thermometers now in use, are of necessity so frail that the chances of breaking one almost as soon as bought are excellent, and for this reason many physicians are compelled to spend from twenty-five to fifty dollars a year for Clinical Thermometers alone. A reliable instru- ment that will last indefinitely has always been desired, but until Immisch's Avitreous Thermometer was invented could not be obtained. These neat and elegant instruments are in shape like a miniature watch with thick glass face and either gold or silver case, and though the first cost is a trifle more than that of the ordinary glass thermometer, they are far cheaper in. the end, as with ordinary care they will last a lifetime. The figures on the face or scale are clearly marked in both Fahrenheit and Celcius, and the temperature can be read far easier than on any other ther- mometer; in fact, in this respect alone, the Avitreous Thermometers possess the greatest possible advantage over the best glass tube instruments ever made. On account of their shape and size they can be either worn on the watch chain as a charm, or carried in a neat case in the vest pocket; while, if pre- ferred, they may be attached to a small cord round the neck, which will allow the instrument to be inserted either in the mouth or axilla without fear of being swallowed or falling. As a surface Thermometer it is unsurpassed for readily recording the tem- perature ; its sensitive nature is shown by the slightest breath on the case caus- ing the indicator to move. For use internally it can neither injure nor receive injury, and is conse- quently convenient and safe. Before being applied the instrument can be brought by friction to about normal; this saves much time with a restless patient or fractious child. No shaking down is required, the instrument readily accommodating itself to the altered temperature. About 30 seconds elapse before the temperature last recorded is changed. This is generally admitted to be sufficient time in which to take the reading. The mechanism is so simple that it would be hardly possible for it to get out of order, and even in so unlikely an event it can be easily and inexpen- sively repaired. The action of the instrument depends upon the opening and closing of a metallic tube which is filled with highly expansive liquids; this being the case, it is insensible to barometric changes, as has been proved to the satisfaction of the highest scientific authorities. It received the only First Class award for Thermometers at the International Medical Congress, 1881, but has only recently been made for sale. Possessing so many advantages over the ordinary thermometer, the glass of which is generally made so thin over the bulb that it becomes often danger- ous to use, it cannot be wondered at, that it has received the highest praise from the medical press and profession, while the meteorological, engineering, and other scientific journals unite in recommending it to the public generally, as an accurate, ingenious and sensitive instrument. All instruments designated by a * are illustrated. SHARP & SMITH. CHICAGO. 537 CLINICAL THERMOMETERS. *29o6 Sharp & Smith's Companion Case ... <, , . ll°! Ba"ry'S c"u Sdf Re^isterin§ ^destructible Index Thermometer ? 7c 2900 belt " a a ki 'J ordinary.............. 2909 Colored Bulb Self Registering"IndestVuVtible'lndex'Thermom- ' *5 eter, Baver's............ .......................■....... 1 00 2907 The improvement in Fig. 2907, Thermometer, is in the stem or grad- uated part, being brought parallel with the center of the cylinder, and hfvin* the bulb partly curved so that it will come in contact with all the necessary parts under the tongue, and at the same time will rest securely and not slide either way By this means, as well as by the fact that the bulb is surrounded by the flesh, either with the mouth shut or open, the heat being evenly distrib- uted, a more uniform and satisfactory result is obtained. The instrument may be used for surface temperatures, and its crutch shape also adapts it to the ax- illa. 1 hey cannot roll, are strongly made, and with ordinary care will last for years. Jl 2906 Sharp & Smith's Companion Case contains 1 No. 3 Hypo. Syringe 1 Fig. 2892 Thermometer, 1 Soft Rubber Catheter, Hypodermic Tablets, all 'in neat morocco covered, velvet lined case, 4%xi^x^. SHARP & SMITH, CHICAGO HYPODERMIC SYRINGES. We keep in stock a very large assortment of Hypodermic Syringes of our own make, and others. We guarantee the quality of all of them, and will repair syringes free of charge where the fault is our own. In ordering "needles'" for Hypodermic Syringes, it is better to send us the syringe on which they are to fit, or an old needle of the kind wanted, so as to insure an accurate fit. In sending syringes to us for repairs, please put your name on the bot- tom of the syringe box or on a tag attached to the syringe. The " pistons " of all syringes should be kept in proper order by fre- quent oiling, and renewing of the leather packing whenever it becomes too loose. FIG. 2915 Sharp & Smith's Hypodermic Syringe, No. 1. Fenestrated, grad- uated glass barrel, two needles..........................§ 1 Sharp & Smith's Hypodermic Syringe, No. 2. Plain, graduated glass barrel, two needles................................ 1 Sharp & Smith's Hypodermic Syringe, No. 3. Fenestrated, grad- uated glass barrel, two N. P. Needles.................... 1 Sharp & Smith's Hypodermic Syringe, No. 3X. Fenestrated, graduated glass barrel, two N. P. Needles (reinforced), mo- rocco case, with space in top for wire, packing, etc......:. 1 Sharp & Smith's Hypodermic Syringe, No. 4. Solid barrel, graduated on piston, two N. P. Needles......,......... ^2916 •2917 "291. 2919 5° 25 25 5° 1 75 2916—No. 2. 2917—No. 3. 2918—No. 3x All of our Hypodermic Syringes are furnished with " cases, illustrated as such or not—except when otherwise designated. whether SHARP & SMITH, CHICAGO. 539 HYPODERMIC SYRINGES. FIG. 2920 Sharp & Smith's Hypodermic Syringe, No. 5, Fenestrated, grad- uated glass barrel, two N. P. Needles, oval Morocco case.. .$ 1 75 2921 Sharp & Smith's Hypodermic Syringe, No. 6, Fenestrated, grad- uated glass barrel, two N. P. Needles, metal case.......... 1 75 2922 Sharp & Smith's Hypodermic Syringe, No. 7, Hard rubber bar- rel, graduated on piston, two needles..................... 1 25 ^2923 Sharp & Smith's Hypodermic Syringe, No. 8, Fenestrated, grad- uated glass barrel, two gold-plated needles, syringe gold- plated, Morocco case, space in top for wire, etc............ 3 00 ^2924 Sharp & Smith's Hypodermic Syringe, No. 9, Double Fenestrated, graduated on both piston and glass, 3 assorted steel, nickel plated needles—in fine Morocco covered case, space in top of case for wire, etc., screw cap for keeping packing moist .... 1 75 2925 Sharp & Smith's Hypodermic Syringe, No. 10, Pocket syringe, Double Fenestrated, capped at both ends, carrying two fine steel needles in one end, and provided with room at the other end for carrying tablets if desired........................ 2 00 2923—No. 8. 2924—No. 9. This Hypodermic Syringe is a very popular one, being made with finger rests on the sides, which are of considerable assistance in using the instrument. They are also provided with a vial with perforated rubber stopper, which greatly facilitates the filling of the Syringe. 23 540 SHARP & SMITH, CHICAGO. HYPODERMIC SYRINGES. FIG. *2g26 Sharp & Smith's Hypodermic Syringe No. n. Same style as figure 2918, but with Gold Plated Needles......................................... $200 2927 Sharp & Smith's Hypodermic Syringe No. 12. For Pocket. Patent Hollow Piston arranged similar to Fig. 2925, but with only one needle ........ 1 75 *2g28 Sharp & Smith's Hypodermic Syringe No. 13. Very compact, holds 15 minims only, has two fine needles which are carried parallel with the barrel and are protected from rust by carefully sealed cylinders. The syringe in case is but 2\ inches long.................................................. 250 *2g29 Sharp & Smith's Hypodermic Syringe No. 14. Double Fenestrated, graduated on piston, end of barrel removable for introduction of hypodermic tablets; metal cap to screw on in place of the needle when the syringe is not in use. Six bottles of hypodermic tablets, two needles, in neat satin-lined Morocco case, with extra wires and washers........................................ 3 00 2930 Sharp & Smith's Hypodermic Syringe No. 15. Same as No. 14, but with ears on syringe...................... ................... .............. 3 50 VACUUM HYPODERMIC SYRINGE. The clearness of the cut renders a detailed description unnecessary. The Syringe is thoroughly aseptic ; has no in- terior plunger or leather packing to get out of order. Interior of barrel is kept entirely free from oil and'dirt, thus preventing any foreign mattar mixing with the medicine. Each Syringe has two reinforced steel needles, and is put up in neat case. Price, $2.50. 2928 SHARP & SMITH, CHICAGO. 541 ■2931 2932 2933 2934 *2935 HYPODERMIC SYRINGES. Sharp & Smith's No. 9-A Hypodermic Syringe................$2 50 Tiemann's No. o Hypodermic Syringe....................... 3 00 " " 1 " " ....................... 3 00 " "3 " " ....................... 2 50 Fowler's Hard Rubber Pocket Hypodermic Syringe........... 2 50 Fig. 2931. SHARP & SMITH'S No 9-A HYPODERMIC SYRINGE. This Syringe is in shape and size same as our No. 9, but differs from that and all others in the construction of the piston, which is provided with an oil chamber between the exhausting and ejecting sections of the packing, which, when filled with oil, will distribute the same along the inner surface of the glass cylinder. The leather packing, in pass- ing along this surface, will come in contact with the oil, and be continually lubricated. This will be found of great advantage when the instrument is not in constant use- because, as soon as the piston is withdrawn, the oil con- tained in the chamber is immediately brought in contact with the leather packing, which renders it soft, distends it, and keeps the syringe always ready for use. The chambei should be refilled occasionally. To refill, unscrew the uppei' cap and withdraw the piston just enough to expose the chamber, drop in a small quantity of oil, then replace the 2931 piston, and screw the cap down firmly. We put these Syringes up in same style as the No. 9, in velvet lined, mor occo covered case —3 fine steel N. P. points, and a bundle of non-corrosive wires. The Syringe is made at the end so as to allow of tablets being used. Fig. 2935. FOWLER'S HYPODERMIC SYRINGE. For the Pocket or Pocket Case. This Syringe consists of a hard rubber barrel and piston (b), a needle (a) whose mounting screws into the barrel, and a hard rubber tube (c) with a cap (d.) This second barrel serves the double purpose of a protection for the needle, and a receptacle for powders, eight of which, of a quarter of a grain each of morphine, can be placed in it. The instrument all screwed together, is represented at e, and is about the s 'ze and shape of an ordinary Hard Rubber Thermometer Case, and occupies no more room in the pocket. To give a hypodermic injection, remove the receptacle, unscrew the needle, draw back the piston and empty one of the powders into the barrel. Then pour a few drops of water into the barrel, replace the point, and after giving the instrument a few shakes to make sure that the morphine is all dissolved, it is ready for Instruments designated by a * are illustrated. (2935 24 542 SHARP & SMITH, CHICAGO. HYPODERMIC SYRINGES. FIG. 2936 Declat's Hypodermic Syringe, with two Needles................$5 00 ♦2937 " '' " " four " ................ 6 00 # R } Leiter's " " Hard Rubber Case.............. 3 75 2936 j" " " " Leather Case, No. 1.............. 3 00 *2939 Stimson's '' " for pocket, all silver needles fit in- side the Syringe........................................ 2 00 2940 Celluloid Barrel Hypodermic Syringe, two steel Needles, Celluloid Case...................... ..................... ..... 3 00 2941 Celluloid Barrel Hypodermic Syringe, two steel Needles, met'l case 1 25 2942 Hypodermic Syringe and Cocaine Set........................ 3 00 '2943 Greene's Hypodermic Case................................. 9 00 ||||I!IIIU»1 2938 2939 All Instruments designated by a * are illustrated, SHARP & SMITH, CHICAGO. 543 FIG. ♦2944 *2945 ♦2946 HYPODERMIC SYRINGES. Sharp & Smith's Hypodermic Syringe, No. 16................ .$2 25 W. T. & Co.'s No. 3 Phcenix Hypodermic Syringe............. 2 00 " Farny " Metal Case Hypodermic Syringe.................... 3 °° 2945 2944 Fig. 2944 This Hypodermic Syringe is designed to use with soluble tablets, and is put up in very neat and compact nickel-plated case, ^xi^x^ inch. Beside the Syringe and two Needles, the case contains 20 tablets of Morphine Sulphate % grain. In other respects the same description will apply to this Syringe as to Fig. 2929. 2946 Instruments designated by a * are illustrated. 544 SHARP & SMITH, CHICAGO. *2947 *2947- ♦2948 ♦2949 29-^0 295i 2952 2953 2954 295 ■; 2956 2957 2958 2959 2960 2961 2962 2963 HYPODERMIC SYRINGES. P. D. & Co's. Tablet Syringe in metal case, with six bottles of Tablets. This Syringe has the Patent Plunger Attachment...........................$ -A Sharp & Smith's Hypodermic Syringe No. 17............................... Stop Cocks for Aspirator Attachment to Hypodermic Synnges.................. Pure Silver Canulas (Ingals'), to fit Hypodermic Syringes..................... Hypodermic Bottles, Tiemann & Co.'s....................................... Minim Measure...............•............................. " " Pipette.......•..................................... " Points, steel, best............................•..........• • " " gold plated.............•.....•...................... " " nickel-plated......................................... '• " gold tips..............................................° • " " aluminium............................................ " " platinum............................................ " " extra long.................... •...........•.......... Trocar................ ........-...................... Oil Stone, for sharpening points, each............................---25c. to Reamers for cleaning out Needles " ...................................... Wire for needles, per bunch............................................. 3 5o 2 25 1 25 1 00 75 40 40 25 35 25 75 75 75 35 75 1 00 10 05 2947-A No. 17 same as Fig. 2917 (No. 3) except with 6 Tablet Bottles. SHARP B. SMITH :949 All instruments designated by a * are illustrated. M1AK1' & SMITH, CHICAGO. U4A MISCELLANEOUS SYRINGES. Fig. 2965 Sharp & Smith's No. 9-B Tablet Syringe, in Flexible Leather Case. This is the most con- venient style of Hypo- dermic Syringe in the market. The syringe has the " Oil Chamber " and also the " Expanding Piston," thereby doubly insuring an " always ready for use" syringe. With this syringe we furnish 6 vials of Hypo- dermic Tablets, assorted. Price, $3.50. Fig. 2965-A. Sharp & Smith's Metal Case Hypodermic Syringe with Four Bottles for Tablets. This Syringe has patent "Oil Chamber" and is always ready for use. The case is the most compact of its kind considering the contents, and measures only 3/^xi^x^ inches. Price, $2.50 net, without tablets. 2965-A 2965-B Sharp & Smith's Tablet Syringe. Same as Fig. 2965, except with four bottles for Tablets instead of six. The case is made of celluloid—very handsome and durable. Price, $2.50 net, without tablets. 99994 �999999999999999999999� 544B SHARP & SMITH, CHICAGO. 2967 MISCELLANEOUS SYRINGES. Fig. 2967 THE KOCH LYMPH SYRINGE. We have the pleasure of presenting to our customers an illustration of the Koch Lymph Syringe. The instrument is worked by means of a rubber bulb instead of the piston used in ordinary hypodermic syringes. The cylinder, which is glass, has a capacity of two grammes, is accurately graduated, pointed at one end to receive the shoulder of the hypodermic needle, and squared at the other to adapt itself to the bulb attachment. The cylinder, after being filled with the requisite amount of lymph, is then attached to the bulb, the stop-cock of which has been previously shut. After the needle is inserted under the skin, the stop-cock is opened, and the fluid injected by pressure upon the bulb. The advantages claimed for the instrument are its simplicity, efficiency, and the ease with which it can be kept clean. PROFESSOR KOCH'S LYMPH. The material used by Professor Koch in his inoculations for tuberculosis is a viscid fluid, the color of a dilute solution of iodine, is of a slightly syrupy consistence, and is supplied in white glass corked bottles, containing each about forty grammes. It is prepared for use by adding one hundred grammes of sterilized water, the maximum dose of injection being one gramme. The in- jection is made subcutaneously in any part of the body, but preferably between the scapulae. No reaction appears locally, but at the end of four hours severe constitutional effects are manifested in the appearance of rigors with malaise followed by a temprature which may reach 1060 F., with a corresponding in- crease in the pulse-beat from 120 to 160. Vomiting frequently occurs at the acme of the fever. In some cases the reaction is attended with alarming symptoms, very great prostration, requiring the use of stimulants, and severe dyspnoea. When the tuberculous deposit is superficial, there is in and around it great tumefaction. The amount of constitutional disturbance is said to be governed by the extent of the tubercular deposit. This is noted particularly in cases of lupus and in tuberculous glands of the neck. The constitutional symptoms are usually of short duration. Subsequent injections are not attended with systemic disturbances. Over the surface and in the neighborhood of tuberculous swelling scabs appear which, on being separated, leave healthy granulating surfaces. Cases in that stage are said to be cured, inasmuch as they show no constitutional reaction. FIG. *2965 Sharp & Smith's No. 9-B Tablet Hypodermic Syringe «-» co 2966 Dr. Geo. F. Fiske's (Lucae's) Double Bulb .......... ; 00 ♦2967 Professor Koch's Lymph Syringe............................ 2 00 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 545 ASPIRATORS. We recognize the fact, that it is of the utmost importance to have an " Aspirator " in working order just when needed, and on this account we are more than particular to have every instrument (in this line) leave our office in PERFECT CONDITION. FIG. ♦2970 Sharp & Smith's No. i, Aspirator...........................$15 00 *297i " " " 2, i( French Pattern................. 10 00 2972 " " " 3, " with Trocars and Stop Cock..... 18 50 2973 Stomach Pump Attachment for Sharp & Smith's Aspirators..... 4 50 2970 2971 Instruments designated by a * are illustrated. 546 SHARP :; P?..TTH, CHICAGO. ASPIRATORS. FIG. ♦2974 Sharp & Smith's No. 4 Aspirator, large.....................$11 50 2975 " " No. 5 " small. '..................... 9 75 *2976 Codman & Shurtleff's No. 1 Aspirator, in walnut case.......... 12 00 2977 " " No. 2 " without bottle, in morocco covered case, with stopcock (to fit any bottle).............. 10 00 *2978 Stop Cock for C. & S.'s Aspirators—to fit any bottle.......... 2 50 *2979 Flint's Aspirating Trocar, with Syringe....................... 3 75 2978 2979 2974 SHARP & SMITH, CHICAGO. 547 ASPIRATORS. FIG. ♦2980 Sharp & Smith's Compact Aspirator........................$ 3 c0 *298i Pocket Aspirator, Hypodermic and Brandy Syringe Combined..................................... 2 50 2982 Sharp & Smith s Pocket Aspirator, etc, Syringe, same as above, without finger rings.................................... 2 25 si. -Jsff* HNllSKPttjjL. v\ 29S1 The above syringe will be found to be of the greatest importance to every practitioner. It is small, can be carried in the pocket or instrument bag, and in a case of emergency when a large "'Aspirator" is necessary (and is not on hand), will be invaluable. 2980 548 SHARP & SMITH, CHICAGO. FIG. ♦2983 ♦2984 ♦2985 *2986 2987 2988 2989 2990 2991 2992 2993 2994 2995 *2996 ASPIRATORS AND TROCARS. Fitch's Dome Trocar for Paracentesis Abdominis, 1, 2, 3, complete^ 6 00 " Aspirator Needles " " 4,5.......... 1 75 " Clamp Forceps " 6............ 3 35 Aspirating Trocar with Stop Cock.......................... 2 75 " " " " " gold plated................ 325 " Needles, assorted lengths, " ...........each. 1 25 " " " " nickel plated........ " 75 " Trocars, nickel plated.......................... 125 Otis' Hard Rubber Aspirator.............................. 450 Emmet's Aspirator...................................... 9 00 English "....................................... 13 50 Dieulafoy's " ....................................... 25 00 Excelsior " and Stomach Pump combined............. 15 00 Dr. H. Landis Getz's Aspirating Trocar and Canula.......... 6 75 3 SHE -A 6 DR. H. LANDIS GETZ' NEW IMPROVED COMBINED TROCAR AND CANULA AND ASPIRATING NEEDLE. We take pleasure in presenting and recommending to the profession a New Improved .Combined Trocar and Canula and Aspirating Needle, devised by Dr. H. Landis Getz. The object of this instrument is to overcome the dis- advantages of the common trocar and canula and common aspirating needle and yet to preserve the advantages and applicabilities of both, and at the same time combining the instruments in a neat and compact manner at reason- able expense. The advantages of the instrument will readily suggest them- selves, and we will therefore give only a brief description and a few sup-crestions concerning its application. SHARP & SMITH, CHICAGO. 549 ASPIRATORS AND TROCARS. 2996 a. Button which screws on trocar rod /, which is used as a handle, and also prevents the trocar from passing too far through the canula. To rod / are attached the three largest sizes of trocar tips; h, one of the tips are screwed on the rod f; c, handle portion of canula to which are attached by screw-joint the largest sizes of canula and the smaller or aspirating size/; e, repre- sents the outlet from handle portion of canula; /, a short piece of glass tubing through which fluid is seen to pass; g, a reversible bulb which may be used for exhausting or injecting; b, cap attaching to c, by screw joint into which is placed a small rubber disk, cut from rubber bandage material, through which pass the exploring trocar, or the larger trocar rod; 4, one of the open- ings, of which there are several in the end of each canula, to allow the fluid to pass, which will aid in determining the entrance of the sac; j, exploring canula with trocar needle passed through it. This needle is of the same length as the parts / and h combined, and when/ is used the needle is entered in the opening in b, passed through the small rubber disk and then passed on through c and/until the needle point projects about one-eighth of an inch beyond the canula. The instrument may now be used in the same manner as when used for exploring. The sac having been evacuated, the trocar point is pushed forward into the canula just beyond the attachment with c—the instrument still in the cavity, the bulb is now reversed, the trocar is again withdrawn past e and the cavity injected. The manner of again evacuating will readily suggest itself. Should it be desirable to leave a drainage tube within the sac, detach the handle portion of canula c from the canula proper, leaving the canula still in the sac, and pass the tube through canula into sac and now withdraw canula, leaving the tube dipping into the sac. The instrument is novel, neat, compact, inexpensive and complete. Note.—A convenient and perfect female catheter is formed by the parts a, b, c, e and /, and the largest sized canula and a catheter tip (instead of trocar tip) attached to /. If the bladder is to be injected or washed, the instrument is used as when washing any other cavity. To use the instrument for washing or injecting the male bladder use parts b, c, e, i and g, with such size of canula attached to c as the end of will slip tightly into the opening of the male catheter. 550 SHARP & SMITH, CHICAGO. CUPPING INSTRUMENTS. 3000 8-blade Scarificators..................................... $2 75 ^3001 10 ^3002 10 ^3003 12 ^3004 12 plain Scarificators, reverse plain reverse 2 75 3 00 3 00 3 5° 3005- Cupping Case complete................................... 5 50 3006 Plain Glass Cupping Cups---......................per doz. 1 00 '3007 with Rubber Bulb.............each. 5° 3008 All Rubber Cupping Cups................................ 75 3009 Cupping Cup Caps....................,................... 60 3010 " Pump, metal, nickel plated........................ 1 85 3011 " " " with Stop Cock............ 3 00 3012 Stop Cocks for Cupping Cups.............................. 60 3005 This case contains : Three Glass Cups, mounted ; three Stop-cocks, and fine nickel plated Pump. In morocco case, velvet lined. 5999999999999999999999999999 9999999 SHARP & SMITH, CHICAGO. 551 *3ol3 *3OI3 *3OI3 *3°*3 *3OI3 *3°i4 ^3014 *3OI5 *3oi6 3017 3018 3019 3020 *302I 3022 3°23 *3024 3°25 3026 3027 CUPPING INSTRUMENTS. Knapp's Glass Cupping Cups with Rubber Rim, No. 1... .each. $1 25 " 2.... " 1 00 a a .. it a a . - it " Metal Cupping Pumps............................ 1 00 " Japan " " ............................. 75 Thomas' Hard Rubber Dry Cupper...........'."............. 1 00 American Spring Lancets................................ 1 25 German " " ................................. 50 " silver" " .................•................ 1 75 " " " with 5 blades...................... 2 00 Tiemann &: Co.'s Spring Lancets........................... 2 50 Reece's Artificial Leech................................... 3 50 Herteloup's " " .................................. 6 00 Smith's " " .................................. 3 50 Aveling's Transfusion Apparatus.......................... 6 00 Fryer's " " ........................... 4 85 Garrigue's Mediate Transfusion Apparatus.................. 3 00 McDonald's " " ................. 450 Sharp &> Smith. SHARP & SMITH, CHICAGO. VACCINATING INSTRUMENTS. 3028 Spear-point Vaccinating Lancet........................... $ 60 *3o29 Thumb " " ........................... 5° *3030 Vaccinating Lancet and Comb............................. 75 3031 U. S. Army Vaccinating Instruments....................... 1 85 3032 Vaccinating Trocar...................................... 1 85 3033 " Comb, plain metal (6 needles).................. 20 3034 " Scarifier, plain.............................. 75 *3°35 Cyrus Edson's new Vaccinator............................. 1 50 A NEW VACCINATOR. By Cyrus Edson, M. D., New York. The little instrument shown in the cut has been in the hands of members of the vaccinating corps of the Health Department of New York during the past year, and has proved very useful. It consists of a needle holder, similar to those used by microscopists, having two jaws that are approximated by means of a sliding ring. These jaws are funnel shaped at their extremity in order to facilitate the introduction of the needle, which is inserted to the depth of three-fourths of its length. The handle is of hard rubber, with hollow space sufficiently large to hold twenty-five No. 5 needles. To use the instrument the operator unscrews the cap, selects a needle, fixes it in the jaws, and proceeds to scarify. Having performed the operation, the needle is removed and thrown away. The scarification made by the needle will be found to be better for the purpose in question than that made by the lancet—the skin and vessels being torn, and not cleanly cut. The result is that a larger absorbing surface is exposed and just sufficient blood and serum exuded to dissolve the virus from the quill. The instrument can be used more rapidly than the lancet, if tiine is taken to cleanse the latter after each vaccination is performed. The cost of needles is only five or six cents per paper of twenty-five. The device was contrived partly to meet the objections to vaccination made by parents of children attending school, on the ground that in the use of the lancet disease was liable to be transmitted from child to child. Indeed, one case of skin disease was alleged to have been caused in this manner; inves- tigation, however, disproved it. The popular prejudice against the lancet is deeply rooted, and is best and easier overcome by the new vaccinator. SHARP & SMITH, CHICAGO. 553 GYNAECOLOGICAL—UTERINE DILATORS. FIG *3o5o Atlee's Uterine Dilator..................................% 2 10 *3o5i Nott's " " ................■..................... 2 25 3052 Ady's " " .................'....................T r 25 *3053 Ellinger's" " with Ratchet......................... 7 50 3053-A " " " plain................................ 6 50 *3054 Goodell's modifipation of Ellinger's Uterine Dilator........... 7 50 3055 Baer's " " " " " ............ 675 *3o56 Hobbs' Uterine Dilator................................... 3 75 *3°57 Wylie's " "................................... 250 ♦3058 Wilson's " •' ................................... 4 00 *3059 Miller's " " ................................... 7 50 3060 Schweig's " " ............................:..... 7 50 *3o6i Canulated " " .................................. 300 3050 3051 3057 3058 All instruments designated by a * are illustrated. 554 SHARP & SMITH, CHICAGO. GYNiECOLOGICAL-UTERINE DILATORS. 3°59 3061 3053 3054 SHARP & SMITH, CHICAGO. 555 3062 3o63 *3o64 3o65 *3o66 *3°67 *3o68 *3o69 GYNECOLOGICAL—UTERINE DILATORS. Barnes' set of 3 Uterine Dilators...........................$ 1 50 " 3 " " with Stop Cock.............. 2 00 3 " " " " and Syringe.... 3 00 " single " " " " ....... 1 00 .......................... 65 Cowan's modification of Barnes' Uterine Dilator.............. 1 85 Hanks' set of 10 small " Dilators.............. 3 75 10 large " « .............. 4 10 3064 A NEW MODIFICATION OF BARNES' DILATOR. By George Cowan, M. D., Danville, Ky. 3069 In the Barnes' dilator the pocket into which the probe is inserted for intro- ducing the bag serves as a serious obstruction to its easy introduction, besides being placed externally and to one side of the bag—a very unsuitable point upon which to direct the force which is to guide and push the dilator into its place in the canal. Furthermore, the distal extremity is unnecessarily blunt or flat. The modification which I have had made, and which the accompanying diagram will serve to illustrate, is circular on transverse section throughout its length, and has a tapering distal extremity for its easy introduction into the cervix uteri. The probe which accompanies it is a small brass rod, having a 55G SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—UTERINE DILATORS. small button shaped extremity, and is introduced through the gum tube to the inside of the bag, and finally lodged in the center of the extremity, thus enabling the bag to fold and adjust itself neatly and closely around the probe during its passage through the cervix and along the canal, while the force is applied in the most advantageous position, i. e., inside the dilating bag. FIG. *3o7o Dr. Malcolm McLean's modification of Barnes' Uterine Dilator.$ i 85 ♦3071 " " Forceps for introducing above........ 3 35 *3o72 Dr. Bernay's Utero Tractor................................ 4 50 THE MANAGEMENT OF PLACENTA PREVIA. By Malcolm McLean, M. D., New York. * * * There are several objections to the usual form of Barnes dilators which are worthy of notice, and it is especially to the correction, as far as possible, of these faults, that I wish to call attention. The instruments, modified, as I shall demonstrate, seem to fulfil all the indications above alluded to without the attendant disadvantages. The usual fiddle shaped bags are inserted by means of a sound introduced into the little pouch, which is situated, necessarily, at an awkward point on the surface of the bag. This pouch, besides being liable to be punched through in a somewhat dangerous manner in the attempt at introduction, is a convenient receptacle for septic matter. And I have always felt misgivings in passing such a one into the uterine mouth. That the operation of inserting an ordinary Barnes' dilator in the ordinary manner is often a tedious perform- ance, I think those who have most frequently used them or have seen them used, will agree. I have more than once seen a skillful accoucheur baffled for fifteen or twenty minutes in this simple manceuver. To facilitate matters, Dr. Cowan of Danville, Ky., has offered a modification of these bags, in which there is no superfluous pouch, the instrument being made more cylindrical, and the distal end reinforced so as to allow firm pressure of a rod which is passed through the tube into the cavity of the dilator. There is one objec- tion to Dr. Cowan's instrument as it is pre- sented, viz., necessity of withdrawing the in- serting rod before dis- tension of the bag is commenced. This renders it liable to be- come displaced from the os uteri before it 3070 is expanded sufficiently to retain it. Again, there is the very serious objection to all the dilators described, in their use in cases of placenta previa, that they have to be graduated in sizes to suit the dilating cervix. In exchanging from a small one to a larger there is liability to some haemorrhage, and the operation of insertion has to be gone through a second or third time. Anything we may dp to avoid unnecessary manipulation is desira- ble, especially in instrumental manceuvers. I have therefore devised a modification of Dr. Barnes' dilator, by which the operation of dilation, etc., by their use, is easily accomplished without the disadvantages alluded to. As will be seen at a glance, it is a duplication of the • SHARP & SMITH, CHICAGO. 557 GYNAECOLOGICAL—UTERINE DILATORS. bag and tube, so that one side may be distended independently of the other, thus requiring but one insertion to get a very extensive dilation. These bags are made as smooth as possible, have no extra pocket, and are easily and quickly inserted by means of a pair of somewhat curved forceps, and are held in situ until sufficiently distended to retain themselves within the grasp of the cervix. Any one who will use this means of inserting the water bags will be impressed with the advantage gained over other methods. In placenta previa time is exceedingly valuable, and this instrument renders the operation more valuable by being promptly accomplished. 1 have generally found one size all that is required in dilating the cervix, so that one insertion has sufficed to com- plete the necessary expansion. They are easily cleansed, are very strongly made, and there need be but two sizes used. I have found them also very valuable in the induction of labor for eclampsia, and I know of no other means which will acamiplish delivery so safely and quickly. The objection made by some to India rubber dilators, that they are " apt to be found rotten just when needed," is scarcely worthy of notice. Because, in the first place, when well made and preserved, they will last for many months. (I have used one over two years.) And second, they may be obtained new on order at the better instrument makers of the cities. The largest size I have found useful as a vaginal dilator or colpeurynter. For expanding this instrument I always used carbolized hot water. The pres- sure made by it is very powerful, and they should be slowly injected; one side being fully distended first, and as soon as the grasp of the cervix begins to relax the other tube is attached to the syringe and very slowly filled. In this manner continuous dilatation with complete occlusion of the bleeding os is accom- plished, giving us most valuable aid in the management of placenta previa. I ought to make mention of Tavarnier's dilator, which consists essentially of a rubber bulb, which is carried through the os into the uterine cavity, and being distended to about the size of a large English walnut, is left to excite uterine contractions. This instrument will seldom be useful, as the larger instruments may generally be introduced without difficulty by the means above described. * * * 558 SHARP & SMITH, CHICAGO. GYNaECOLOGICAL-UTERINE DILATORS. FIG. O , (g 3073 Thomas' Uterine Dilator.................................'^ j> *3074 Hunter's " ................................ ^ *3°75 Peases « _« j>er«t.........■ ■ • ■ • ■ • •••• • ■ —j; | S° ^076 Seimon s 17 sizes;.............. *3o77 Palmers < .......................... * *3o77-A " " " ---.............................. 35 3079 Mansfield's Electric Uterine Dilator........................ 4 5° *3o8o Simpson's Set of " " ......................... 4 5° 3077 3077-A 3075 ^€^€^ ,.iiT.livliiiJTi»inKTmi.»mi,iuiiii.i.,\iimmnnfflrM^ 3080 3074 SHARP & SMITH, CHICAGO. 559 *3o8i 3082 3o83 3084 3°85 3086 *3°87 *3o88 *3o89 *3°9° GYNAECOLOGICAL—UTERINE DILATORS. Sims' New Blade Uterine Dilator........................... $9 00 Seeley's " " ........................., . 2 00 Scanzoni's " "........................... 7 50 Priestley's " ".......................... 7 50 Emmet's Water " " ........................... 1 50 " Sponge •• " ....................... 1 85 Dr. Wm. Wm. H. Wathen's (Louisville, Ky.) Uterine Dilator .. 5,00 Solid Elm Tents, straight.........................per doz. 75 " " " curved........................... " 150 Hollow" " straight.......................... " 1 10 UTERINE DILATOR. By William H. Wathex, M. D., Louisville, Ky. 3087 This dilator has been much improved, and to its superior qualities has been added a principle that makes it as perfectly aseptic as it is possible to have any surgical instrument. The blades are held together by a modified French lock that admits of the instrument being separated into its different parts in a few seconds, so as to be easily cleaned and made aseptic. This is the only dilator that is made after this fashion, and as the handles are of vulcanized rubber, hermetically sealed over the steel, there is no place where it is possible to have poisonous matter retained after any reasonable degree of surgical cleanliness. 3088 309° Instruments designated by a * are illustrated. 560 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—UTERINE DILATORS. FIG. ♦3091 Cervical Elm Plugs or Tampons.....................each 25c to 50 3092 Sponge Tents, best quality, carbolized................per doz jjj; 50 3093 " " " " " curved........... " 1 00 3094 " " " " " straight waxed--- " 75 30^5 " " " " " " extra large " 1 50 3096 Sea Tangle Tents, best quality solid.................. " 75 3096-A " " " " " hollow................ " 100 *3o97 Tupello " " " solid.................. " 75 3097-A " " " " hollow................ " 100 *3097-B Tent Expeller........................................... 50 ^3098 Dr. R. W. Wilcox's Forceps for introducing Uterine Tents .... 1 50 ♦3099 Elm Vaginal Plugs..................................each ^o to 60 3098 DR. R. W. WILCOX'S UTERINE TENT FORCEPS. After considerable experience with the various forceps in use for the intro- duction of tents into the uterus, it was found that these instruments were faulty because of the construction of the jaws, or of the handle. The jaws were too long or too smooth, or of a bad curve; the scissors handles are also objection- able. In this instrument the proper length of the jaws was ascertained by ex- periment; they are made rough to take a firm hold upon the tent, and they are curved so that an unobstructed view of the tent itself and the field of opera- tion is Obtained. The handle is modeled after the very convenient ones in use upon the Collins needle holders, and the instrument can be taken apart to in- sure thorough cleanliness. 3091 3099 3097 3097-B All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 560A GYNAECOLOGICAL—UTERINE DILATORS. STERILITY: INTRODUCING A NEW INSTRUMENT FOR ITS CURE. By P. E. Outerbridge, M. D., Assistant Surgeon to the Woman's and New York Cancer Hos- pitals; Attending Gynaecologist to the Demilt Dispensary. An apology may seem in order for drawing the attention of the reader to a subject which is touched upon inmost of the gynaecological textbooks of the present day, and with which every gynaecologist is supposed to be familiar. But at the present time there is a decided tendency to study with care only those things that are entirely new. I am aware that in taking up this topic I shall have to go over some old ground, but I trust, nevertheless, to be able to throw a little light on this rather old and threadbare subject. My connection with two of the largest clinics for diseases of women in this city has brought before me the frequency of the existence of sterility and its unhappy consequences, a condition, the amelioration of which must be apparent to all; moreover, I have found it to be the fact that by a large majority of the patients at the clinics sterility is often regarded with shame, not unmixed with a feeling of dis- grace, ideas quite contrary to those entertained by patients among the better educated class, in whom superior training has lessened these ancient convic- tions, for we know that among the old Romans a barren wife was considered a cause for separation. The patients, therefore, who come to consult for this condition, often fail to mention the subject directly, in the hope that some- thing may be done to bring about the possibility of conception. It is only, therefore, by close and careful questioning that we elicit from them the real ob- ject of their visit. In cases that give this history some other reason is always found, but it is nevertheless possible that it may be due to some constitutional trouble which im- pairs the general condition, or from lack of food or exercise the parenchyma of the uterus and appendages is weakened and so rendered incapable of developing and sustaining a healthy ovum; but I believe this to be of rare occurrence. In my opinion the absence of proper conjugal feeling will almost invariably be found to be of local origin, and if diagnosed correctly and treatment be car- ried out intelligently, at least in seventy per cent, of the cases our efforts to cure will prove successful. It must be remembered that sterility may exist in the male as well as the female, even though the sexual relation appears normal, and after a careful ex- amination of the female, and no cause can be found for the existing condition, an examination of the male should not be omitted. I will not at present enter into detail as to how this should be conducted, but will simply state that with the microscope and other modern appliances a diagnosis can very easily be made. The reader can readily understand, if such a condition exist, it would be a great injustice to subject the female to prolonged treatment, even if she have some slight trouble. Recognizing the many difficulties to be overcome, first, in obtaining the his- tory, and next, in following out any of the lines of treatment suggested in the textbooks, which in many instances, are extremely difficult and in the end perhaps futile, I thought if some very simple means could be devised by which the two vital elements could at least be brought together, the probability of the desired result occurring (viz., pregnancy) would be increased fully fifty per cent., and so solve this difficult problem. It is unnecessary at present to mention the various operations and surgical appliances devised to accomplish this simple thing, for the reader is doubtless perfectly familiar with them, and knows or be* lieves that, in a large majority of cases, a successful result is not obtained. 560B SHARP & SMITH, CHICAGO. DR. OUTERBRIDGE'S INSTRUMENT—Continued. The instrument I introduce in the following cuts is a very simple affair, consisting of a continuous steel wire made so as to form an anterior and poste- rior blade, with a slight eversion at one end, and at the other is bent at right angles. This shape adapts it admirably for the position it is to occupy in the cervical canal. The instrument is entirely self-retaining, and in consequence of its form, is not liable to change position. If, however, this should occur, it shows that it is not adapted to this special canal, and the operator can, with a Fig. 3098-B—Outerbridge's Introducer, showing Dilator In- Fig. 3098-A—Outerbridge's serted, and Introducer being withdrawn. Dilators. small forceps, bend it to meet requirements. The dilator varies in length from one to three inches. The wire should be bent as desired, then tempered to give sufficient power, and heavily silver or gold-plated. This makes it perfectly clean—in other words, renders it safe. The first instrument I made by simply taking a hair pin and bending it into the required shape ; this was used shortly afterward, being scraped and cleansed thoroughly with soap and water, and in- troduced with a plain dressing forceps, the uterus being steadied by a tenaculum. This primitive instrument, of course is very much less effective, and apt to be even dangerous on account of its non-elasticity and possible accumulation of rust, whereas the present instrument is both yielding and aseptic. The patient was allowed to go home with this instrument in situ, with the effect of relieving the dysmenorrhcea from which she suffered, and inducing conception immediately after the next menstrual period. For introduction, the patient may rest either in Sims' position or on the back, if using a bivalve speculum. The dilator is then put in the grasp of an instrument made especially for this purpose, such as is seen in the accompany- ing cuts. It is about ten inches long, and consists of two small steel blades, crescentic in shape, slightly curved and about half art inch in length, which at the end fall together, making it similar to a slightly flexible blunt probe. There is a small place between these two blades, which gradually increases in size for two-eighths of an inch, then grows smaller and coalesces in a slightly flexible rod which is about an inch long, smooth and round; on this there is a movable ball; the blades are shaped to hold and compress the smaller or inner end of the dilator, and being movable, can be adjusted to any sized instrument that may be required. I claim for this instrument that it dilates the cervical canal, making it pos- sible in every instance, after copulation, for the semen to gain admission to the uterine cavity, thus bringing the male and female vital principles together with certainty. For further description of these instruments, see "Medical Record " April 20, 1889. ' v SHARP & SMITH, CHICAGO. 561 GYNAECOLOGICAL-UTERINE DILATORS. FIG. *3098-A Dr. P. E. Outerbridge's Dilators for Sterility, heavily gold plated.........................t................each $o 50 *3098-B Dr. P. E. Outerbridge's Introducer for Dilators ........ " 2 00 *3098-B " " " " ......... " 2 00 *3099-A Dr. Daniel T. Nelson's Uterine Dilators, complete with three hard rubber covers................................ 6 00 *3099-B Dr. E. C. Dudley's Uterine Dilator and Douche............ 5 00 *3099-C Dr. E. H. Pratt's " " or Plug................. 75 3099A Nelson's Uterine Dilator. 3099-A Showing applicaticn of Dr. Nelson's H. R. Dilators attached to instrument. Hard Rubber Attachments for Nelson's Dilator. 3099-B 3099-C Instruments designated by a * are illustrated. 561A SHARP & SMITH, CHICAGO. FIG. 3IOO *3ioi *3ioi 3102 *3IQ3 *3io4 *3io5 3106 GYNAECOLOGICAL. Sims' Glass Vaginal Dilators, set of six............'.'.".".'.each$ * " Hard Rubber Vaginal Dilators.................... (( u a « " set of four.............. 2 Anderson's Vaginal Capsules, sizes 1, 2 and 3.........Per doz- Thomas' Dry Cupper............................ * Reese's Artificial Leech................................... £ Smith's " " .................................. 25 40 60 25 60 00 5° 00 3103 ANDERSON'S ANTISEPTIC VAGINAL CAPSULES. Size of Capsules. Care should be taken to select the proper size for each patient The small sTze No. 1 are generally used for young or unmarri ed women a*doher cases where it is difficult to introduce a larger size. The medium size ino. 2 a?e usually used for married women, and answer for most ordinary cases The farge size No. 3, is used in cases when it is desired to introduce more cotton, or when the parts are much relaxed. 3105 3104 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 561B GYNAECOLOGICAL INSTRUMENTS—CURETTES PIG. *3io6-A Ludlam's Uterine Curette *3io6-B Dudley's *3io6-C Peck's *3io6-D Leavitt's *3io6-E Holbrook's 3106-G " SHARPS SMITH, 3106-A 3106-C LEAVITT'S UTERINE CURETTE. This instrument is well represented in the cut. It is larger at one end than it is at the other; the smaller spoon being intended for use in a uterus not recently preg- nant. The larger spoon is the one which is commonly used in obstetrical work. The handle is flattened so that it can be held firmly, and rotation during use thereby prevented. This instrument is given a lateral sweep, by means of which small fragments of retained secundines and morbid structures are secured with greater certainty. After a uterine cavity, more or less covered with vegetations, has been curetted with apparent thoroughness by an ordinary instrument and the debris washed away, and the cavity dried by thorough swabbing, it will be astonishing to the operator how imperfect has been his work, if he now employs the Holbrook curette. The instru- ment is sufficiently heavy and well-balanced to adapt it perfectly to the most delicate manipulations, enabling one to employ a much finer sense of touch as the instrument comes in contact with the endometrium, and in this respect is much superior to other instruments. Its chief merit, however, lies in the fact that it serves not only as a curette, but also as an intra-uterine douche at the same time. The stem is hollow and the uterine extremity of the tube opens in the scoop of the curette, so that the water is reflected forward, thus immediately washing away all debris loosened by the curette. The tube of a fountain syringe is to be fastened to the handle, and after the stream is well started and the curette is introduced into the uterine cavity, it is to be handled as any other curette, only this can be done more delicately on account of its happy poise. In order to adapt it to all possible conditions the spoon extremity is furnished with two spoon tips of different sizes, which can be fastened at will to the handle by a screw attachment. 3106-E Instruments designated by a * are illustrated. 562 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—CURETTES. *3io7 3108 ♦3109 *3iio 3111 *3II2 3H3 *3ii4 Sims' Sharp Uterine Curette .............................$ 1 00 " Blunt " " ............................. 1 00 Thomas' Blunt " " .............................. 1 00 Siemons' " " ---w.....................each 1 25 Peaslee's " " ---.•........ .............. 225 Skene's " " ---*........................■ 100 White's " "............................. 1 50 Hoag's " " ............................. 2 50 y 3i12 3114 3!07 3109 Instruments designated by a * are illustrated. I 1 ill 111 111 ml IVAvA", i ■1 111 in. Wml 3110 SHARP & SMITH, CHICAGO. -56:5 GYNAECOLOGICAL—CURETTES. FIG. *3ii5 Marcy's Uterine Curette..................................$ 2 65 *3ii6 Burt's " " .................................. 2 00 ^3117 Cheatham's " " ....................,............. 1 85 *3ii8 Thomas' Serrated Uterine Curette or Spoon................. 2 25 3119 Engelman's " ".......................... 2 25 *3i2o Duke's " " .......................... 1 00 #3121 Wylie's " " .......................... 1 75 *312 2 Byf ord's " " .......................... 1 00 ^3123 Recamier's " "............___........ 1 50 311; 3123 3116 3122 3121 3"5 All instruments designated by a * are illustrated. 3120 564 SHARP & SMITH, CHICAGO. *3I24 *3*25 *3i26 GYNAECOLOGICAL—TOURNIQUETS. A. Ady, M. D's. New Uterine Constrictor.................... S3 75 " " " " Tourniquet and Expanding Curette 3 00 Dr. Chas. N. Dixon Jones' Rope Ecraseur for Hysterectomy. .. 5 75 DR. A. ADY'S UTERINE CONSTRICTOR. This is a simple and in- expensive instrument that answers the purpose of operations in trachealor- aphy admirably, and is not in the way of the operator. It consists of a canula like 3I24 a catheter, bent to fit the anterior part of the vagina, and hook around the pubes. At the outer end is a screw like that in a light and small ecraseur. The loop that goes around the cervix, as seen in the cut, is of twine, or fine copper wire (which is the easiest to adjust). To use the instrument, grasp the os with the tenaculum, pass the loop over it and around the cervix. One end of the cord or wire being fastened to the peg, pull the other through and give it a few turns around the same ; the loop can then be tightened by a few turns of the screw. The instrument is very light, needs no assistant to hold it, and is easily cleansed. DR. A. ADY'S UTERINE TOURNIQUET AND EXPANDING CURETTE. 3125 This instrument was originally used as an Expanding Curette, and roughly made of a piece of watch spring and a piece of catheter. It is also an improve- ment of the Emmet's. It is light, small, and can be taken apart for cleaning by turning one set screw. We should have several different lengths of watch-spring loops ; for the tourniquet, the latter is better made light, but, when used as a curette, it should be of the strongest. In doing Emmet's operation, place the loop around the cervix, tighten it by pushing on the flange to any desired tension, and fasten it by set-screw ; it will not slip off or come loose during the operation. It is very easily controlled. When it is desirable to use it as a curette, put in a heavier and shorter loop, and draw it back into the canula, when it is easily introduced into the uterine cavity, where it can be expanded by pulling on the flange with the thumb, to any desired extent. The piece of watch-spring adapts itself to the cavity, and, when rotated, will detach anything that may be attached in the shape of a secundine, without danger of lacerating the uterine walls. All instruments designated by a * are illustrated. SHARP & SMITH. CHICAGO. 565 GYNaECOLOGICAL-ECRASEURS. A ROPE ECRASEUR FOR HYSTERECTOMY. By Charles N. Dixon Jones, M. D., Brooklyn. The accompanying cut illustrates a temporary rope ecraseur which I ex- hibited at the December meeting of the Section in Surgery of the New York Academy of Medicine. Those who are accustomed to use the elastic ligature in hysterectomy or supra-vaginal amputation of the uterus for myoma, will find the operation greatly facilitated by the use of this instrument. Some form of instrument for temporary compression of the pedicle during manipulation and enucleation, before the stump is permanently secured, is a necessity in order to prevent haemorrhage. 3126 The elastic tourniquet is not so rapid nor so powerful in its action, and, furthermore, it is open to the more serious objection that it is apt to slip over the stump after the tumor is removed. The rope ecraseur is a modification of Mr. Lawson Tait's well known clamp. It is made stronger and longer, being about fourteen inches in length so as to give a wide range of compression in the rope. The rope is thoroughly boiled before use, so that it is not likely to slip. The instrument may be easily tightened during any stage of the operation. After it has accomplished its purpose the rope is cut, and the instrument is quickly removed and laid aside. A COMBINED CURETTE AND DOUBLE CATHETER. Fig. 3127- By George E. Abbott, M. D., New York. I send herewith a drawing of a double catheter, with a curette attachment, which has been found to work well by my friends and myself in several cases. It consists of a fac simile of a double catheter lent to me by Dr. Edwin F. Ward, (of New York) which has unusually large fenestra? for the free return of the injected fluid, to which may be attached the curettes D, E, F, on the round end of the catheter G. The curettes are of various sizes, and dull or sharp as desired. For curetting the anterior surface of the uterus or other cavity, screw the curette on as far as it will go, when it will be in position as at D, Fig. 1, or A, Fig. 2. For the posterior surface, give the curette a half turn, when its con- cavity will look backward, and will attack the posterior surface wall. For cu- retting the sides, unscrew the curette a quarter turn or a three-quarter turn, when it will have the position of Fig. 2, C or B. (See next page.) 2.-. 566 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—ECRASEURS.—Continued. It will at first seem that, when placed in these positions, the curette would not attack its work, but would turn this way and that. That this is not the case can be demonstrated by curetting the sides of the hand as it grasps the instrument. The curettes are attached by a fine thread and a long shoulder or tenon, as at b, and thus allow of the positions above indicated without loss of firmness. In use, a Davidson's syringe or irrigating tube is attached to the catheter at Fig. i, a, through which the antiseptic fluid passes, emerging at the little holes at the base of the curette D. The return current passes through the large fenestrae below b, and out ai c, into a white receiving vessel. (It will add much to the comfort of the surgeon to have a tube attached to c, thus avoiding wetting his hands, etc.) The advantages gained are: i. In making the parts thoroughly aseptic. The antiseptic fluid being allowed to ^^-^ run before entering the cervical canal, and during the time f \ of operating. 2. The denuded surfaces are immediately / 1 covered by the antiseptic fluid before infection can possibly j lj take place. 3. The detritus is immediately and fully re- \ If moved. 4. The surgeon can see by the returns in his white \ / receiving bowl what he is doing—fungosities, membrane, \ / pure blood, or clear antiseptic fluid. 5. No bacteria are \£ introduced, as in the use of the ordinary curette. 6. No §3 fungosities or detritus remain to decompose. ill SHARP & SMITH, CHICAGO. 567 *3I27 *3i28 3129 313° 3I31 *3J32 3133 3i34 3135 3*3° 3*37 *3i3« GYNAECOLOGICAL—ECRASEURS. Dr. Geo. E. Abbott's Combined Uterine Curette and Double Catheter___$ 4 00 Emmet's Uterine Tourniquet......... 4 00 Millers' " " ........ 4 50 Spohns' " " set of 7. 2 50 Smith's Straight Wire Ecraseur...... 3 00 " Curved " " ...... 3 25 " " 2 points 4 00 Braxton Hicks' " " 3 " 11 25 Barnes' " " ...... 3 75 Chassaignac's Small Straight Chain Ecraseur...................... 10 50 Chassaignac's Small Curved Chain Ecraseurs...................... 11 00 Chassaignac's large Curved or Straight Chain Ecraseur.................. 13 50 V 3143 3147 3146 568 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—REPLACERS. 3J39 ♦3140 3Hi 3*42 *3*43 3l44 3M5 *3i46 *3i46 *3r47 3M8 *3l49 3i50 *3I5I *3J52 *3i53 T. & Co.'s Short Chain Ecraseur. " Long " Emmet's Edwards' Sims' Porte Nott's Rectilinear Koeberle's Gooch's Polypus Canula, silver. « « " plated. Aveling's Polypotome.......... Simpson's .......... 00 00 5° 13 5° J5 26 26 9 5 2 1 6 2 UTERINE ELEVATORS. Ludlam's Uterine Elevator................................$ 3 " Modification of Guernsey's Uterine Elevator........ 1 Elliott's Uterine Elevator or Replacer...................... 2 Sims' " " " ...................... 4 Noeggerath's Uterine Elevator or Replacer................. 6 25 00 00 00 00 00 00 5° 00 50 00 75 .....rrmttf^^ 3149 3154 SHARP & SMITH, CHICAGO. 569 FIG. *3i54 *3i55 3i56 3157 *3i5« 3i59 3160 3161' *3i62 3*63 *3l64 GYNAECOLOGICAL—ELEVATORS. Uterine Elevator................$ 3 Emmet's Carroll's Wylie's Miller's Guernsey's Skene's Gardner's White's Simpson's Uterine Sound, graduated.... " " not graduated " Plain Uterine Sound " 00 60 00 00 00 25 00 75 65 65 65 3152 3151 3164 3158 3162 570 SHARP & SMITH, CHICAGO. *3l65 *3i66 ♦3167 ♦3167 *3l67 *3i68 *3i69 ♦3170 ♦3171 ♦3172 3i73 *3i74 *3*75 *3i76 3i77 3178 *3X79 GYNAECOLOGICAL—SOUNDS. Simpson's Telescoping Uterine Sound...................... $2 25 " Folding , " " ..................... 1 50 Pratt's Uterine Sound.................................each 75 A " Double End Uterine Sounds ................... " 1 00 B and C Prof. Knoll's Double End Uterine Sounds.......... " 100 Peaslee's Graduated Uterine.Sound......................... 1 50 Sims' Plain " " ........................ 60 " best " " ......................... 65 Cutter's " " ......................... 15° Jenks' " " ......................... 1 75 Fitch's " " .................... • t 00 Hunter's Sliding " " ........................ 1 25 Gidden's " "......................... 1 25 Cupped Uterine Sound for applications of ointment........... 1 50 Buttles' set of Uterine Sound, Probes, etc.................... 2 75 Chapman's set of " ".............................. 2 25 Sharp & Smith's Plain Uterine Sound ..................... 50 3i74 3165 3167-C 3167-B 3167-A 3167 'S171 Instruments designated by a * are illustrated. 3166 SHARP & SMITH. CHICAGO. 571 GYNAECOLOGICAL—SOUNDS. 3172 3175 3^6 3179 572 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL. *3i8o Jennison's Exploring and Indicating Sound..................$ 3 °° We have pleasure in calling the attention of physicians to this Instrument, containing valuable and remarkable qualities never before embodied in any for similar uses. In explorations of the uterine canal, and the diagnosis of malfor- mations, growths, displacements, and, to a certain extent, as a repositor, there seems abundant reason for the belief that it is possessed of peculiar and posi- tive value. In its construction a number of light steel springs about fifteen inches in length are arranged upon and parallel to each other, united at their ends, and placed within a small metal tube, which surrounds them, with the exception of about three inches at each end. One end of this tube is covered with hard rubber of size and form to constitute a convenient handle, which allows the instrument to rotate easily within it, affording complete freedom of movement while being introduced; or it may be held above or below the handle if free- dom is undesirable. The ends are each of about the diameter of Simpson's Sound. The whole of the instrument, except the handle, being covered with a deli- cate flexible rubber sheath, is protected from the intrusion of fluids, and is in all respects complete and convenient. Its construction being understood, it will be evident that any simple or single curve made in either of the flexible ends will be reproduced in an inverted form at the other; that an S, or double curve, in one end, will cause the other end to become straight; and that the instrument, while able to con- form its distal extremity to the uterine canal, whether normal or abnormal, will reveal its real form at the proximal extremity. Figure I. »■ Fig. i is a representation, the dotted lines showing some of the almost unlimited number of positions of the ends attainable by manipulation. In the diagnosis of displacements by the use of flexible silver instruments, their form, when withdrawn from the os, indicates little or nothing, because of straight- ening; not so, however, with this instrument, which, at each movement of introduction or of withdrawal, indicates at the exposed end the form of the covered one. In the use of any metal or partially flexible sound in a canal whose axis does not correspond exactly to its own, the sound overcomes resistance to its advancement by compelling the canal to assume its own shape; with the new instrument, on the contrary, an undulatory movement, or a slight increase of the curve already indicated, is obtained by gently manipulating its proximal end, so that it may be made to pass where other instruments would be excluded. 3180-A Dudley's Silver Uterine Applicator......$ 85 3180-B Dudley's Silver Uterine Probe........$ 85 SHARP & SMITH, CHICAGO. 573 GYNAECOLOGICAL—PROBES. FIG. 3181 Sims' Silver Uterine Probe................................$ 85 3182 " " " " with shield....................... 100 3183 " Aluminium Uterine Probe........................... 90 3184 ■ " " " with shield.................. 1 05 ^3185 Emmet's Silver Uterine Probe............................. 85 3186 " " " " with shield................... 100 3187 " Aluminium Uterine Probe......................... 90 3188 " " " " with shield............... 105 *3i89 Lente's Caustic Probe, one bulb............................ 95 3190 " " " two " ............................ 1 15 *3i9i Jenks' Uterine Probe..................................... 85 3192 Skene's " " and knife............................. 75 3193 Whalebone Uterine Probe.................................. 40 3194 Leaden " " .................................. 35 3195. Budd's Hard Rubber Uterine Probe......................... 35 3196 Thomas' Flat Hard Rubber Uterine Probe................... 1 35 ♦3197 " " " " " ................... 85 ^3198 Emmet's Silver Uterine Applicator, with slide................ 1 00 3199 " Aluminium " " ......................... 1 00 3200 Mitchell's Uterine Applicator.............................. 1 25 ♦3201 Budd's Hard Rubber Uterine Applicator.................... 40 3202 Thomas' " " " " .................... 1 5° 3203 Sims' " " " ' .................... 1 25 *3204 Turner's Uterine Applicator--- ........................... 75 3205 Dudleys " " ........»....................... 100 3206 " Whalebone Uterine Applicator...................... 75 3207 Miller's Hard Rubber " " ...................... 35 3208 Nott's " " " " ...................... 75 3209 Rea's Uterine Applicator.................................. 75 3210 Recamiei's Uterine Applicator............................. 1 00 3211 Woodbury's " " ............................. 75 3212 Wylie's " " ............................. 75 *3213 " Cervical Protector.................................. 1 5° 3214 Barker's Ointment Bougies........................ .... 1 00 3215 Dixon's " " ................................ I °° *3216 Lallemand's Porte Caustic................................. 3 °° 3217 Gross, " " ................................. 3 °° 3189 fl J.I.; I mi lull LLLXJ.,l.ia,lJ,klM,k/l-U->-ll.l/ h'W-'r^^- 3191 GflEMAVN-m 3185 3197 Instruments designated by a * are illustrated. 574 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—HOOKS. 218 3219 3220 3221 3222 3223 3224 3225 Sims' Blunt Hook........................................$ Byford's Blunt Hook..................................... 1 Bozeman's " " ..................................... 1 " Double Hook for exerting traction on the uterus.... 1 Emmet's Counter Pressure Hook........................... McDonald's " " " .......................... 1 Skene's " " " ........................... 1 Wylie's " " " ........................... 1 Sims' Uterine Tenaculum......................... " " wire......., ............. * * * * * * * *3226 A and D 3227 Nott's *322f3 F Perry's Barbed 3228 Skene's Double 3229 Miller's 3230 Nelson's *3226B, C Emmet's *323I 11 3232 Heavy *3226E Bozeman's *3233 " angular.................. for pulling down the uterus. with steel shank, 75 oc 10 90 95 5° [5 00 75 25 00 00 25 25 75 90 5o J5 l5 3223 3224 3225 3216 3204 3198 3221 3201 3222 3213 All instruments designated by a * are illustrated. 3220 3219 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—HOOKS. FIG 3234 Wylie's Uterine Tenaculum........................ 3235 Dudley's " " ........................ 3236 Thomas' " "........................ *3237 Pratt's " " ....................... *3238 " " "' blunt.................... Double Tenacula and Tenaculum Forceps—see index *3239 Sims' Pulley.................................... *324o " Wire Adjuster............................. *324i Bozeman's Wire Adjuster.......................... *3242 Sims' Enucleator. ............................... *3243 " " blunt hook........................ *3243A Emmet's Enucleator........................... 3233. Dr. Hanks' Improved Tenaculum is of the ordinary shape and size, but differs from other instruments of the kind in this respect. The steel shank is so constructed that the steel extends along the back of the handle, on the side opposite to the point or hook. When the latter is buried in the tissues, the direction in which it points will always be indicated by the metal back, as in the case of Simpson's sound, so that the hook can be disengaged immediately. $ 85 75 85 75 75 75 75 1 5° 2 65 3 25 1 15 575A SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—HOOKS. FIG. *3238-A Dudley's Uterine Tenaculum.............................$o 75 3238-B Byford's " " ............................. 1 10 *3238-C " " " Blunt........................ 1 10 *3238-D Arango's " " ............................. 1 15 *3238-E Dr. R. B. Talbott's Counter Pressure Needle Forceps....... 3 75 *3238-G Harris Counter Pressure Instrument....................... 1 50 3238-A 3238-C 3238-D Fig. 3238-D—A NEW UTERINE TENACULUM FOR FORMING SHOULDERS TO WIRE SUTURES. By Augustin Arango, M. D. Both difficulty and inconvenience are often encountered in gynaecological operations, especially in trachelorrhapy, in bending the wire over the line of the wound to form the shoulders preliminary to twisting the sutures. The method commonly resorted to by means of the ordinary uterine tenaculum is easily accomplished on one side by bending upward or to the left the wire held by the twister; the hook of the tenaculum being placed above the wire, acts as counter-pressure, and one shoulder is formed. On the other side the procedure is quite awkward, for, in order to make the shoulder here, it is sometimes necessary to cross hands or change the instruments in the hands to bring counter-pressure to bear on the wire. After experimenting to overcome the difficulty, I have devised an instru- ment * * * represented in the cut—which materially facilitates this part of the operation. It consists of a solid steel uterine tenaculum, the arm or horizontal portion of which is bent so as to form two angular depressions—the first below, the second above. The first is used for making traction and counter-pressure in forming the shoulder on the left of the operator, or on the upper side of the wound, as the case may be; the second facilitates the forming of the lower shoulder, or that on the right of the operator, counter-pressure being made hy pushing against the wire while it is properly bent. In all other respects the instrument resembles the ordinary uterine tenaculum, and may be used as such. Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 5753 GYNAECOLOGICAL. 3238-E The instrument which I exhibit to the Society is one I have recently devised, and find very useful in operations for lacerations of the cervix. It will also be found applicable in any operation where the needle must be extricated from dense tissue by the forceps and the aid of counter-pressure. I have called these counter-pressure forceps, as they supply the place of a counter-pressure hook at the time of passing the needle through the tissues; still, in very dense tissue we may be obliged to use the counter-pressure hook in drawing the thread through after the needle is firmly seized by the forceps. But its usefulness is such that I venture to place it before the profession. The instrument is made something on the principle of an ordinary needle forceps, though lighter; the difference being that it is flat on one side, with a small cross-bar attached to one jaw, passing across and sliding under the other jaw, thus forming a counter-pressure loop. Upon this bar is a small spur, which penetrates the tissue and keeps the instrument from slipping when in position for use.—Dr. R. B. Talbot. 3238-G Prices in this catalogue strictly net, except when otherwise stated. 576 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—DEPRESSORS. 3244 *3245 3246 *3247 *3248 3249 *325° *325J 3252 3253 3254 *3255 *3256 *3257 3258 3259 ^3260 *326i *3262 *3263 ^3264 *3265 Hard Rubber, Sims' Vaginal Depressor. " Double " Emmet's " " Nott's Double " " Bozeman's " Jackson's " " Hard Rubber " Whitney's " " Hunter's " " ............................. Ludlam's " " .............................. Peaslee's " " .............................. Hoffman's Automatic Suture Instrument.................... Brickell's Perineal Stays................................... Munson's Quill Suture.............................per pair. Thomas' Tampons........................................ Yarrow's Tampon Carrier.................................. Sims' Tampon Screw..................................... Hard Rubber Tampon Screw.............................. Sharp & Smith's " " .............................. Emmet's Glass Button for Cystitis.......................... Carroll's Knot Tier....................................... Dr. Chas. D. Scudder's Knot Tier......................___ 75 75 75 75 3° 5° 3° 30 00 25 75 25 60 60 '5 5° 00 40 10 25 5° 5° SX> OO 3255 SHARP & SMITH, CHICAGO. 577 GYNAECOLOGICAL, The accompanying cut represents an instrument de- vised by Charles D. Scudder, M. D., New York, to help in making knots, when suturing or ligaturing in cavities. The instrument consists of a two-pronged steel shaft with a baked rubber handle. Each prong has an eye near its end, and the distance between the eyes is three-eighths of an inch. The form of the prongs has been changed since the drawing was made, and the fork is now lyre-shaped. It can be made curved to any degree desired. The holes are carefully bevel- ed, and three sizes—nine-inch, six-inch, and four-inch length are made. In ligaturing, the first knot is carried over the haemostatic forceps, and the ends of the ligature (which should be of good length) are passed through the holes in the fork, as shown in the sketch. The knot is carried down and placed by the knot-tier wherever wished, and suit- able traction is made by pulling on the ends of the ligature, which are wrapped around the fingers of either hand, while steadying the handle with the thumbs. The instrument is then removed care- fully, in order not to undo the knot; a new hitch, single or double, is made, the ends again threaded through the eyes, the knot placed, and firm traction com- pletes the operation. In suturing, the needle is detached after the suture is passed through the tissues to be sewn together, and the knot 3265 is made and placed as above described. A little practice will enable the operator to apply knots quickly and surely. 3262 3260 3261 3264 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—SPONGE HOLDERS. Sims' Uterine Sponge Holder.......................... $ 50 Hart's " " " .......................... 75 Emmet's " " " .......................... 50 Granger's " " " .......................... 1 50 Fergen's " " " .......................... 1 00 German Silver Uterine Sponge Holder, long................. 55 Ellsberg's " " " ........... ....... 1 15 Husson's " " .................... 50 Byrnes' Uterine Fixator.................................. 1 85 Perforated Shot...................................per doz. 10 Shot Punching Forceps.................................. 2 00 Marcy's Perineum Pins...............................each. 35 *3266 *3207 *3268 3269 *327° 3271 3272 *3273 3274 3275 3276 3277 3267 3266 3273 We call the attention of the profession to an easily cleaned and perfectly aseptic Sponge Holder (Fig. 3273.) The instrument is nine inches long and made out of a single piece of steel wire, nickel plated. The blades are brought together by a ring of steel, which can be readily slipped off, thus permitting the instrument to be thoroughly cleaned. The cut represents the instrument so clearly that further explanation is unnecessary. The advantages claimed for this instrument are : 1. That it is easily cleaned, hence thoroughly aseptic. 2. That it is light, strong and durable. 3. That it is cheap. Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 579 *3278 3279 3280 3281 3282 3z83 *32 84 *3285 3286 ^3287 3288 3289 3290 3291 3292 3293 3294 3295 3296 *3297 3298 *3299 *33oo GYNaE;COLOGICAL—DRESSING FORCEPS. Bozeman's Uterine Dressing Forceps, with catch............. $1 50 " " " " without catch.......... 1 25 Sims' " " " " " .......... 1 75 " " " " with slide " .....'..... 2 25 Elliott's " " " " " .......... 150 " " " " without catch.......... 125 Plain " " " " " .......... 125 Byford's " " " " " .......... 1 35 * " " " with " .......... 1 50 Thomas' latest Uterine Dressing Forceps, cross action........ 300 Emmet's Hart's Leonard's Allen's straight a u Winston's Buttles' Wylie's Shield's Emmet's Thomas' Curette Dilating Gardner's Uterine Caustic Holding Sims' " " slide catch with catch.... without catch. 75 85 85 5° 25 60 75 25 75 5° 00 40 00 3278 3284 3285 3299 3287 All instruments designated by a * are illustrated, 3297 580 SHARP & SMITH, CHICAGO. *33°l 33°2 *33°3 *33°4 *33°5 *33o6 *33°7 GYNAECOLOGICAL—POLYPUS FORCEPS. Sims' Uterine Polypus Forceps............................§ 3 00 Luer's " " " ............................. 4 00 McClintock's Uterine Polypus Forceps...................... 4 5° Baer's " " " ...................... 3 O0 Heavy Straight " " " .............with catch 2 00 Thomas' " Applicating " ...................... 2 00 Wylie's " Angle " ..................... 2 25 3307 Instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 580 A GYNAECOLOGICAL—DRESSING AND POLYPUS FORCEPS. FIG. *3307-A Ludlam's Uterine Dressing Forceps, with catch...........................$i 75 *3307-B Hartz's Delicate Uterine Dressing Forceps, with catch...................... 2 50 *3307-C Harvey's Uterine Polypus Forceps....................................... 2 50 *3307-D Dr. H. T. Hauk's Uterine Tenaculum (see following page)................. 2 65 *3307-E Leavitt's Uterine Tenaculum Forceps (see following page)................... 225 3307-A 3307-B 3307-C Instruments designated by a * are illustrated. 580B SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—FORCEPS. Fig. 3307-D A FORCEPS FOR HOLDING AND DRAWING UP THE UTERUS DURING LAPARATOMY. By Dr. H. T. Hanks. This instrument had been devised because a tenaculum often slips and the two-toothed volsella forceps makes an unnecessary number of wounds. This new instrument consists of two strong-handled tenacula, joining together about two-fifths of the distance from the distal ends. The brads are one-third 3307-D of an inch in length and bent at right angles, and on each brad is a round, smooth button, which prevents injury to the uterus. The volsella shanks are bent so that the instrument is out of the way during manipulation. LEAVITT'S MODIFIED BULLET FORCEPS FOR GYN/ECOLOGICAL AND OBSTETRICAL USE. 3307-E It will be observed that this is substantially the American Bullet Forceps, with the addition of graded catches at the handle, by means of which the ■ inclosed tissues can be securely held. It is by far the best double tenaculum in use. SHARP & SMITH, CHICAGO. 581 GYNAECOLOGICAL—FORCEPS. ^3308 Currie's Double Canulated Forceps........................$ 5 ....................... 4 ....................... 2 .......•............... 1 ....................... 2 ....................... 2 3309 Byrnes' Uterine Tenaculum " 33IQ Skenes' " a it 33H Ball's " it it 3312 Hanks' it a 33i3 Nott's " U (( 33J4 Emmet's " it a for holding together the edges of wounds......'................................... 3 3315 Thomas' Uterine Tenaculum Forceps for holding together the edges of wounds....................................... 3 25 5° 00 85 00 25 75 75 582 SHARP & SMITH, CHICAGO. *33i6 33*7 *33i8 *33*9 332° *3321 *3322 *3323 *3324 GYNAECOLOGICAL—FORCEPS. Thomas' Shouldering Forceps.............................. $3 Sponge Holding and Dressing Forceps...................... 2 Langenbeck's Seizing " ...................... i Sims' " " ...................... 2 Thomas' " " ...................... 3 Self Grasping " "...................... 2 Byrnes' " " ...................... 2 Whitehead's " " ................,..... 3 Dixon's Applicating and Dressing "...................... 4 5° oo 9° 25 00 25 25 35 5° 3319 Tn certain cases in gynaecological practice the ordinary methods of clean- ing the part and making application to diseased surfaces have proved so troublesome that there has been devised the following described instrument, in order to facilitate the performance of the process. The instrument is a modification of the well-known throat applicator devised by the late Dr. Ellsberg. It is essentially a forceps provided with a lock similar to the lock of an obstetrical forceps, in order that the blades may be separated, to facilitate cleaning. The method of using the instrument is as follows: A bit of cotton is rolled into a wad of the proper size, leaving a firmly twisted projecting portion, which is grasped between the teeth of the forceps without springing the blades; the cotton is then saturated with the appropriate medicament. Thus armed, the instrument is introduced through a speculum, and the cotton point passed through the ostincae into the uterine cavity, and the medicament brought into contact with the parts to be operated upon. SHARP & SMITH, CHICAGO. 58:5 GYNAECOLOGICAL—FORCEPS. "3325 Plain Tissue Forceps, straight............................................. $ 1 25 *3326 *3327 Agnew's " 3328 Thomas' " *3329 3330 Sims' 3331 3332 Scott's " 3333 Nott's 3334 Adjustable" 3335 Curved curved........................................... 1 50 and adjuster ..................................... 1 90 straight............................................. 3 00 curved.............................................. 3 25 ............................................ 2 50 straight............................. ............... 2 25 ................ .................................. 2 OO ........................................... ........ 2 OO with catch......................................... 2 50 2 25 *3336 Dr. Geo. Cowan's Tissue or Trachealoraphy Forceps, spring catch............. 3 00 *3337 Emmet's Wire Twisting Forceps *3338 Nott's *3339 Fitch's 3340 Thomas' *334i Sims' 3341A Emmet's 333^ 583A SHARP & SMITH, CHICAGO. PIG. *3325-A *3325-B *3325-C *3325-D *3325 E *3335-A *3335-B *3362-A *3362-B *3362-C *3362-D GYNAECOLOGICAL—FORCEPS. Long Plain Tissue Forceps............................... Emmet's Four Prong Plain Seizing Forceps................. Shenstone's Sliding Catch Tissue " .......,........ Manton's " " " ....... ......... Long Angular Plain Tissue Forceps ......................., Long Curved " " ......................... Long Straight (catch) " " ..................... Sharp & Smith's Four Prong Tumor Forceps................. Dr. Henry Banga's Three Prong Heavy Tumor Forceps. English Tumor Forceps......... ..........;....... Bellamy's Heavy Tumor Forceps. 50 25 00 25 00 00 75 50 50 50 oc 3325-A 3325-B 3325-C 3325-D Instruments designated by a * are illustrated. 3325-E 6586308�47 SHARP & SMITH, CHICAGO. 583B GYNAECOLOGICAL—F ORCEPS. 3362-D 584 SHARP & SMITH, CHICAGO. "3342 ^3343 "3344 GYNAECOLOGICAL—FORCEPS. Byford's Vulsellum Forceps.............. *3345 Musseaux' " *3346 Byrnes' " 3347 Steele's 334« Jackson's " 3349 French's 335° Plain Regular " 3351 a 1. it 3352 " (with catch) 3353 a a 3354 " with ratchet *3355 a a a 3356 it a it 3357 Side Prong 335« u 6 and 7 inch................each 8 " 9 " ................ " Vulsellum Forceps, 6 and 7 inch " " 8 " 9 " " 7y2 91/. 6 . . .small $2 25 medium 2 50 large 2 75 90 25 00 75 00 70 85 85 25 25 65 00 85 25 334-4 3355 3345 3343 3342 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 585 GYNAECOLOGICAL—FORCEPS. FIG. 3359 Campbell's Uterine Tumor Forceps............... ♦3360 Greenhalgh's " " " .............. 3361 Nelaton's " " " ............... *3362 Tumor Forceps with Set Screw............. .... *33°3 Byrne's Tumor Forceps with Ratchet............. *3363-ASlide Catch Tumor Forceps...................... *3364 Sims' Vulsellum Hook.......................... 3364-AKuechenmeister's Vulselkim Hook............... 3365 Thomas' Speculum Forceps..................... *3366 Shot Compressing " .................... $6 00 3 75 2 75 2 50 2 50 3 25 4 10 3 75 2 00 1 75 586 SHARP & SMITH, CHICAGO. FIG. *3367 *3368 *3368 *3368 *3368 *3369 *337° *337i 3372 3373 3374 *3375 OVARIOTOMY INSTRUMENTS. Nelaton's Pedicle Forceps................................$ 2 70 Spencer Wells' Pedicle Forceps, angular.................... 3 c0 " " " " cfroirrlif - _ Sac straight.................... 3 5o half curved................. ? e0 fuU " ................ 35o ........................... 3 00 ---w...................... 4 25 • • •'....................... 2 25 Thompson's Vesico Tumor Forceps........................ 4 tr0 u <« it it ° .......■................... 4 50 a a ti a * ° Dr. C. M. Wilson's Sidney F. Wilcox's Thomas' 3368 337i 3367 SHARP & SMITH, CHICAGO. 587 GYNAECOLOGICAL—OVARIOTOMY. A NEW FORCEPS FOR CATCHING THE SAC IN THE OPERATION OF OVARIOTOMY. By Sidney F. Wilcox, M. D., New York. Having on many occasions noticed the difficulty experienced in catching the sac of an ovarian tumor, I devised the forceps represented in the cut, and they have proved in every way a success. The difficulty usually experienced is that, when the sac is distended, it is difficult to catch hold of it with anything except a large vulsellum forceps, and afterward the sharp teeth are liable to tear a friable sac if traction is made. For holding the sac and making traction, a forceps with broad flat blades is necessary, but, with those ordinarily made, it is impossible to seize the sac until it has collapsed. The forceps shown in the cut is a combination of the vulsellum and the broad bladed forceps. By widely separating the blades the projecting teeth can be fixed into the sac, and as the trocar is plunged in and the sac gradually collapses, the jaws are closed, and the walls are folded in between the broad fenestrated blades. The handles are then locked, thus giving a firm hold on the sac, by which means a great deal of traction can be made without fear of iaceration. 587A SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—OVARIOTOMY. 3375-C Fig- 3375-C DR. HENRY T. BYFORD'S FORCEPS FOR THE BROAD LIGAMENT IN VAGINAL HYSTERECTOMY. These forceps were designed exclusively for the broad ligament in vaginal hysterectomy. Their peculiarities are that they have a pelvic curve, are a little longer than the ordinary large hemostatic forceps used, while the lower blade is a little longer than the upper one, and has a projection so as to catch over it. I have used them satisfactorily in two cases. 3375-D Fig- 337S-D. A VAGINAL HYSTERECTOMY FORCEPS. By William H. Wathen, M. D., Louisville, Ky. A vaginal hysterectomy forceps should be so constructed that it may include in its blades the entire broad ligament with equal pressure, and absolutely control haemorrhage, but it should be as small as is consistent with the purpose which it is intended to serve. Some of the heavy instruments devised cause too much local irritation and sloughing of the vagina and vulva, and some of the smaller ones do not insure perfect hsemostasis. Appreciating these defects, 1 had hade for me a forceps that I think overcomes these objectionable features. The forceps are light, compress with equal force at each end of the blades, and will include the ligaments so firmly that the danger of secondary haemorrhage is wholly eliminated. The blades are deeply grooved in the center, so that they are buried in the broad ligaments with less pressure than is necessary with the ordinary forceps. This insures permanent fixation, thereby absolutely controlling haemorrhage. 3375-E SHARP & SMITH, CHICAGO. 587B GYNAECOLOGICAL—OVARIOTOMY. FIG. *3375-A. Collins' Tumor Forceps, with cross bar teeth.................... 3375-B " " " plain................................. *3375-C Byford's Hysterectomy Forceps............................... *3375-D Wathen's " ............................... *3375"E Pean's Heavy Hysterectomy Forceps ..................... *3375-G Dr. Henry Banga's Heavy Compression Forceps............ ... . *3375-H Ludlam's Heavy Curved " ............... *3375-I " Light " " " ................ *3375-K Pean's Wide Haemostatic Forceps............................ *3375-L Skene's Compression Forceps.................................. $6 oo 5 oo 3 oo 3 40 3 50 3 75 3 75 3 25 3 oo 3 oo 588 SHARP & SMITH. CHICAGO. GYNAECOLOGICAL—OVARIOTOMY. FIG. *3376 Thomas' Haemostatic Forceps............................$ i 85 *3377 Faenger's large straight Haemostatic Forceps, 8y2 inches....... 2 25 *3377 " " curved, " " " ...... 2 25 3378 " small straight " " ................ 1 75 *3379 Spencer Wells' Torsion Forceps........................... 2 25 ♦3380 " " Clamp "......................... 500 *338i " " " " •......................... 3 75 3382 Tait's Compression " .......................... 1 25 *33^3 Thornton's " " .......................... 2 50 *3384 " Mod. by Byford's Compression Forceps............... 2 00 *3385 " " " " " ......;........ 2 25 *3386 Peans' Heavy Clamp " ...........each. 3 50 3377 3376 3379 3381 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 589 GYNAECOLOGICAL—OVARIOTOMY. FIG. *3387 Dudley's Ovaiiotomy Pins............................each. $ 75 *3388 Peck's " " ............................. " 30 ♦3389 Wilcox's " " ............................. " 50 3390 Kellogg's " " Silver...................per doz. 2 00 339i " " " Gold....................... « 3 00 *3392 Hunter's Pedicle Needle.................................. 7 50 3386 3384 3383 3385 3392 3389 3387 Instruments designated by a * are illustrated. 590 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—OVARIOTOMY. FIG. . *3393 Atlee's Ovariotomy Clamp...........................•..... $4 5° 3394 Nott's " (< ................................. 8 °° *3395 Spencer Wells' Ovariotomy Clamp.......................... 4 5° *3396 Storer's " " • • :..............'......... 825 *3397 Tait's " " ......................... 7 °° *3398 Thomas' " " .......•.................. 3 35 *3399 Dawson's Modified " " • • • ■...................... 6 °° 3393—No. 2 3399 All Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 591 GYNaECOLOGICAL-OVARIOTOMY. 3396 3397 3395 3398 592 SHARP & SMITH, CHICAGO. GYNaECOLOGICAL-OVARIOTOMY. FIG. *34oo Gueride's Ovarian Clamp................................$ 3 4° 3401 Skene's " " Cautery......................... 11 *5 3402 Hard Rubber " " ................................ 4 00 3403 Noeggerath's " " ............................... 5 25 *3404 Baker Brown's " " ................................ 9 00 *3405 Byford's " " consisting of two Clamps and one pair Lever Forceps..................................... 11 25 3406 Wilde's Ovarian Clamp.................................. 4 50 3407 Lewis' " " .................................. 3 00 3408 McLeod's '• " .................................. 1 85 ^3409 Spencer Wells' Pedicle Clamp.............................. 18 75 3409 3405 3404 SHARP & SMITH, CHICAGO. 593 GYNaECOLOGICAL-OVARIOTOMY. FIG. *34io Dr. A. J. Skene's and W. H. Thallon's M. D.'s Cautery Ovari- otomy Clamp........................................$i i 25 *34ii Thomas' Clamp, for Compressing Vaginal Wounds.......... 4 50 3412 King's Scrotal Clamp.................................... 3 50 3413 Henry's " ".................................... 600 *34i4 Wells' Ovariotomy Clamp............................... 4 50 *34i4A Byford's Vaginal Retractor.......................per pair, 1 25 Fig. 3410.—This Cautery Clamp was de- vised by Drs. A. J. Skene and W. H. Thallon. 3414-A 34i4 All instruments designated by a * are illustrated. 594 SHARP & SMITH, CHICAGO. Fig. 3414-B.—DR. C. S. ELDRIDGE'S CUT- TING CLAMP. The following are some of the advantages of this in- strument : 1st. It cuts and clamps simultaneously. 2d. It is a safe haemostatic. 3d. This instrument works admirably in operations for cystocele. Its work here, as elsewhere, is accurate, reliable, bloodless, and rapid. 4th. As a Clamp in Ovariotomy it is so convenient that it must of necessity become a general favorite. 5th. There is no instrument on the market like it; nor is there one that can be handled so dexterously. 6th. This instrument is arranged with teeth that transfix the tissues before cutting, and makes it impos- sible for them to slip. 7th. Of its application for removal of prolapsed and redundant rectal tissues, Dr. E. H. Pratt says :" It is an exceedingly ingeniously contrived Clamp, and is much superior to previous inventions for this purpose. It is more easily managed than other instruments, does its work speedily, and is a valuable contribution to a surgeon's outfit." 8th. It is usually desirable to stitch tissues that are clamped. In pedicled strictures, of course the tissues are to be thoroughly choked by ligatures before the Clamp is removed, simply because they are the more easy of access. Where the object is to merely hold in coaption several edges, the ligatures can be placed in position before the Clamp is removed, but not tied until clamp is taken off. FIG. *3ii4-B *3H4-D *3"7-A *3"7-B Eldridge's Cutting Clamp.............Si 5 00 Wylie's Ovarian Trocar............... 2 50 Tait's Plain " " ............... 200 Byford's " (solid end) Ovarian Trocar.. 2 50 3117-B SHARP & SMITH; CHICAGO. 595 GYNaECOLOGICAL-OVARIOTOMY. Spencer Wells' Ovarian Trocar, straight................................... $ 7 50 curved, large...................... ..... 13 50 curved ....... ........ .......... 13 50 straight................................... 12 00 ............................ .... 4 00 .......................................... 3 25 ..................................... 8 25 " ............ .......................... 11 25 complete.................................. 6 00 ......................................... 1500 *34i5 *34i6 *34i7 Lawson Tait's •3418 *34i9 Dunster's *342o Emmet's 3420-A " curved *342i Warren's *3422 Fitch's Dome ♦3423 Thomas' 3423 34i: 3416 596 SHARP & SMITH, CHICAGO. GYNaECOLOGICAL-OVARIOTOMY. SS^ssil^l 3424 SHARP & SMITH, CHICAGO. 597 GYNaECOLOGICAL-OVARIOTOMY. FIG. *3424 Set of 4 Nested Trocars in case.............................$3 5° 3425 " 3 " " " ............................. 3 °° *3426 Pean's Trocars........................................... 5 25 *3427 Flint's " ............................................ 300 ♦3428 Cushing's Pelvic Abscess Dilating Forceps and Trocar.........4 00 ♦3429 Borck's Cyst Elevator...................................... 1 15 3427 3426 3428 3429 598 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—DRAINAGE TUBES. FIG. *343o S. & S. Hard Rubber Spiral Drainage Tubes, small...........$ 50 3431 " " " " " " large............ 75 *3432 Pure Silver Drainage Tube, 7 inches long..................... 75 *3433 Rubber (soft) " " per yard......................... 30 *3434 Thomas' Glass '' " ........ •..................• • • • 25 3435 " " " " perforated on sides............... 4° *3436 " Hard Rubber Drainage Tube double................. 1 75 343o Regarding the above Drainage Tube we would state that hard rubber being a non-irritant, the drain is more complete than glass or soft rubber. They can be screwed into any wound, no matter how much curved the wound is, and when removing the tube does not need to be drawn by force, but only needs to be twisted or turned to the left same as a screw. It can be easily cleaned, thereby aseptic, and can be used any number of times. We make them to order any length and thickness. \ 3436 3434 3433 3432 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 599 GYNAECOLOGICAL—DRAINAGE TUBES. *3437 to 3445. *344° to 3451. Dr. D. A. K. Steele's No. 1 Set of Drainage Tubes, c d '• a 2 " " " >3 °° 4 00 PROF. D. A. K. STEELE'S IMPROVED GLASS DRAINAGE TUBES. We desire to call the attention of the medical profession to an Improved Glass Drainage Tube, manufactured by us at the suggestion of Prof. D. A. K. Steele. >: They are manufactured from the best double annealed imported glass and' possess the ideal requisites for perfect wound drainage. » They are absolutely aseptic, non-collapsible, easily removed and re- inserted, and durable. We feel confident that they possess many points of superiority over rubber or bone drainage tubes, that will be readily recognized by practical surgeons. The apertures in these tubes are oblong and perfectly smooth. . 3437 3439 344° 344i Fig. 3437- No. 1 Straight. 5 inches long. "2 4 " " 3 3i " " « 4 3 " Fig. 3438. No. 5-A. Curved, si inch. long. Pig- 3439- No. 6-B. Curved, s inch. long. " 7-B. " 4 " " . 8_B> „ 3 .. „ Fig. 3440. No. 9-C. Curved. 3 in. long, " 10-C. " 4 " " " 11-C. " 5 " " Fig. 3441. No. 12-D. Curved. 3 in. long. " 13-D. " 4 " " " 14-D. " 5 " " Fig. 3442. No. 15-E. Curved. 4£ in. long. Pig- 3443 No. 16-F. Curved. 4 in. long. 3443 600 SHARP & SMITH, CHICAGO. GYNaECOLOGICAL-DRAINAGE tubes. 3444 "3445 No. 17-G Curve 3^2 inches long. " 18-H " ^A SET No. 2. y% inch Tubing consisting of Nos. 19 to 24 inclusive. Curves correspond with Set No. 1, as shown by the Letters. No. 19-B Curve 6 inches long. " 20-D " 7 " " " 21-E " 6 " 22-G « 6y2 " " 23 Straight 5^ " " 24-C Curve 7 " " Other Curves and Lengths being desired, can be furnished by sending drawing, stating length and size Tubing. For other Drainage Tubes see index. Fig. 3452. Sharp & Smith's Drainage Tube Introducing Forceps...... $2 00 3446 3447 3448 3449 345° 3451 3452 3453 Chamberlain's Glass Uterine Drainage Tube................ $ 85 •=3454 Dr. J. C. Hoag's modification Chamberlain's Glass Uterine Drainage Tube, double curve and grooved, holes in side ___ 1 00 3455 Dr. J. C. Hoag's modification Chamberlain's Glass Uterine Drainage Tube, double curve and grooved, and holes in end. 1 00 *3456 Dr. J. C. Hoag's modification Chamberlain's Glass Uterine Drainage Tube, bulbous, with perforations................. 60 ^3457 Dr. J. C. Hoag's modification Chamberlain's Glass Uterine Drainage Tube, bulbous, with slots....................... 75 i^s 3454 All Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 601 FIG. *3458 *3459 *346o 346i *34D2 *3463 GYNAECOLOGICAL—DOUCHE TUBES. Bozeman's Uterine Douche Tube........................... $1 25 Kelly's Modification of Bozeman s Uterine Douche Tube...... 3 00 Jennison's Uterine Douche Tube........................ 1 50 " " " " with Syringe........... 2 00 " (Wigmore's)" " " ........................ 1 50 " modified " " " ........................ 2 00 3458 3463 All instruments designated by a * are illustrated. 3459 602 SHARP & SMITH, CHICAGO. FIG. *3404 *34°5 *3466 GYNAECOLOGICAL. Dr. Wm. S. Gardner's Tube for Intra-Uterine Irrigation.......$2 50 Dr. W. Thornton Parker's Soft Rubber Velvet-Eyed Tube for Injecting and Measuring the Uterus.................... 95 Bozeman's Utero-Vesico-Urethral Drainage Support with Urinal 9 00 3464 PUERPERAL SAPR/EMIA AND A METHOD OF INTRA-UTERINE IRRIGATION. Fig. 3464. For giving vaginal injections a syringe, made on the pattern of a Davidson, with hard rubber finishings, is used. For intra-uterine injections the same syringe, with a soft rubber intra-uterine injection tube, is used. This tube is twelve inches long and seventeen (American) caliber. The point is round, smooth, and closed. Three inches from the point is a slightly raised collar. Between the point and collar, but grouped rather toward the point, are three large lateral velvet-eyed openings. The whole instrument is per- fectly smooth and flexible; there is not a rough edge or corner that can scratch the most delicate surface. The smallest nozzle of the syringe being on, the open end of the tube is slipped over it. The syringe and tube are then filled with corrosive sublimate solution, and the tube is introduced into the uterus by grasping the point between the index and middle fingers of the right hand, allowing the remainder of the tube to rest in the palm of the hand; then carry the tube between the fingers up to the external os; reflect the point into the cervical canal; grasp the middle of the instrument between the thumb and the finger of the left hand, and gently push it in until the collar is felt just at the external os. You then know that the end of the tube is well into the cavity of the uterus, and still a safe distance from the fundus. There is some danger from introducing even the softest instrument too far into the puerperal uterus. The solution is then forced into the uterus until it returns clear. About a quart is the quantity usually used, though as much as a gallon is sometimes necessary. The nozzle of the syringe is slipped out of the tube, the latter being left in place to assist in the exit of all the injected fluid. When the tube comes out of itself, it is placed in a solution of corrosive sublimate, 1-2000, until wanted. H'iUiHH:arA 3405 SHARP & SMITH, CHICAGO. G03 GYNAECOLOGICAL. ^3467 3468 3469 *347° 3471 !c?472 *3473 3474 3475 3476 *3477 3473 *3479 34S0 3483 3482 3483 *3484 3485 3486 3487 Nott's Double Current Catheter, silver......................................$2 75 " " plated..................................... 1 25 Reliquet's Double Current Catheter................................... 1 50 Skene's Reflux Catheter, metal.......................................... 1 50 " hard rubber....................................... 1 50 ' Double Perforated Catheter....................................... 1 00 •' Goodman's Self-Retaining Catheter................................ 65 Byrne's Reflux Catheter, silver......................................... 1 85 '" rubber.......................................... 3 00 '' Catheter Adjuster........................................... 1 50 Silver Female Catheter.................................................. 60 Plated " "................................................. 40 '' small holes........................................ 40 Jointed " " ..................................'.............. 75 Hard Rubber Female Catheter ..'...................................... 50 Leavitt's Soft Rubber Female Catheter..................................... 40 Flexible Metal Female Catheter........................................... 50 Sims'Sigmoid " " silver..................................... I 10 " " plated..................................... 45 '' hard rubber................................ 45 " Improved Sigmoid Female Catheter......................... ......... 75 Dowse's Self-Retaining Soft Rubber Catheter .......................$1 00 to 1 25 JMftRP &. SMITH CVUCW 3473 34»4 3470 3466 3477 3479 34°7 Instruments designated by a * are illustrated. 3472 604 SHARP & SMITH, CHICAGO. *34«9 *349° *349* *3492 *3493 *3494 *3495 *349° *3497 3498 3499 GYNAECOLOGICAL—NEEDLE HOLDERS. Bozeman's Spiral Needle Carrier.......................... $ 3 75 Ady's Uterine Needle Holder............................. 7 5° Ethridge's Uterine Needle Holder......................... 3 75 Dr. A. J. Skene's Uterine Needle Holder.................... 5 50 Tiemann & Co.'s " " " ................... 4 5° Thiersch's " " " and Spindles......... 6 00 Abbe's Modification of Hagedon's Uterine Needle Holder. ... 3 00 Hanks' Uterine Needle Holder........................... 3 00 Fowler's " " " .......................... 275 Thomas' " " "........................... 3 00 Wyeth's " " " ........................... 3 40 3489 3490 3493 3492 All instruments designated by a * are illustrated. 3491 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—NEEDLE HOLDERS. 3495 606 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—NEEDLE HOLDERS. KIG. *3500 Philadelphia Uterine Needle Holder..................................... $4 oo *350i Fritche's or (Paris) Uterine Needle Holder .......................... 3 50 *3502 Emmet's Uterine Needle Holder......................................... 2 25 *35°3 Sims'plain " ." " ......................................... 1 75 3504 " catch " "....................................... 200 *3505 Russian " ...............---...................... 300 3506 " Improved Uterine Needle Holder................................. 3 25 *35°7 Reiner's Uterine Needle Holder.. ".................................. 3 ou *35o8 Fowler's " " with Russian handle....................... 2 75 *35og Gibbon's " " ....................................... 450 *35io Hagedorn's " " small..................................... 4 50 35U " large.................................. 600 3507 3500 350i 3502 3503 All Instruments designated by a * are illustrated. 3505 SHARP & SMITH, CHICAGO. 607 GYNAECOLOGICAL—NEEDLE HOLDERS. -3509 3510 608 SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—NEEDLE HOLDERS. FIO. *35i2 Stimson's Uterine Needle Holder.......................... $2 75 *35i3 Dr. C. A. Von Ramdohr's Combined Needle Forceps......... 7 00 *35i4 Dr. Wm. K. Otis' Aseptic Needle Holder for Hagedorn or Round Needles........................................ 8 25 Cut showing the Manner of Operating with Sims' Wire Twisting Forceps and Scissors. COMBINED NEEDLE FORCEPS. By C A. Von Ramdohr, M. D., Instructor in Gynecology and Operative Midwifery, New York; Post Graduate Medical School. In operating for lacerated cervix a great deal of time is occupied in pass- ing the sutures. Usually the needle is first passed through one lip, extracted, introduced into the other one, and extracted again. The reason for this manoeuver is that it is the harder to catch the point of the needle with the extracting forceps the more it is embedded in the surrounding tissues; and in passing the needle through both lips at the same time, it will always leave the point more or less deeply embedded. Any simple contrivance enabling the operator to pass a needle through both hps at the same time, and extracting it without difficulty, thereby shorten- ing the time of operation, is well worthy of consideration. 3513 SHARP & SMITH, CHICAGO. 609 The combined needle forceps answers such a purpose. It consists of a pair of needle forceps which may be united or separated by a pivot and notch lock at their middle. The modus operandi is as follows: A straight needle (Pallen's trocar pointed by preference, longer or shorter according to the thickness of the denuded cer- vix) is. clasped at a right angle in the right hand (pivot) forceps. It is pushed through both lips, then the open left hand forceps (notch) is hooked on the pivot and the open branches are pressed against the cervix until the point of the needle lies, as it always must lie, according to the construction of the for- ceps, between the branches. The left hand forceps is then closed and the right one opened and withdrawn, and the point of the needle grasped by the left forceps is extracted. In this way I have been able to pass four sutures in a unilateral laceration inside of four minutes, certainly not very slow time. AN ASEPTIC HOLDER FOR HAGEDORN AND ROUND NEEDLES. By William K. Otis, M. D. The manifest advantages of the Hagedorn needle and its very general adoption by American surgeons, together with the fact that most of the holders adapted for its use are both cumbersome and difficult to clean, led me, a year or two since, to modify probably the most popular holder ever invented for round needles (that of Dr. Henry B. Sands) in such a manner as to render it capable of firmly holding flat needles, and also of being more easily cleansed, without eliminating any essential feature of the original instrument. This instrument is easily understood by a reference to the illustration. The end for holding round needles is unchanged, except that it is placed at the opposite end of the instrument to that which it originally occupied. The end adapted for flat 35i4 needles consists of the solid lower bar, the end of which is turned upward at a right angle; a sliding bar forced down upon this end by the powerful double lever, firmly grasps a needle placed between them. Several notches have been added to the original spring catch, in order to hold needles of different sizes. For cleaning, by simply turning the little button which holds down the sliding bar, the whole upper portion of the instrument may be raised, swung over on the axis of the joint, opening the round end, and disconnected. The last named joint has been constructed on a novel principle, recently introduced, and is more powerful and more easily manipulated than the old French button- hole joint. This instrument, owing to its compactness, is particularly adapted for its use in the pocket case, and holds a needle very firmly, and considerable practical use in the hands of competent surgeons has proved its efficiency. 3512 609A SHARP & SMITH, CHICAGO. GYNAECOLOGICAL—NEEDLE HOLDERS. [Extract from the New York " Medical Journal," May 18, 1889.] A NEW NEEDLE HOLDER FOR ALL KINDS OF NEEDLES. By W W Van Arsdale, M. D., Instructor in Surgery N. Y. Polyclinic ; Attending Surgeon Eastern Dispensary. Presented before the Section in Surgery of the New York Academy of Medicine, April, 1889. The jaws of the needle-holder represented in the accompanying cut work on the principle of Dr. G. R. Fowler's instrument, of Brooklyn. They are made smaller, however, so as to facilitate the application of buried sutures in small wounds, and the joint being a French lock, straight needles can be re- tained in proper position by being placed behind the transverse portion of the jaws against the longitudinal surfaces of the shafts. While the needle-holder, therefore, is especially intended for use with the Hagedorn needles, which are every day becoming more popular, it can be used equally well for straight nee- dles, for needles partly or wholly curved on the flat, and for perfectly round needles. In placing the flat Hagedorn needles in position the same precaution should be taken as in the Hagedorn needle-holder proper—namely, that of placing the portion of the needle which bears the eye in contact with the right side of the shaft of the instrument. (In the cut the needle is figured placed somewhat similarly on the left side.) The point of the needle should emerge at the point of the beak of the instrument. This position allows of greater free- dom of scope, and of easier rotation of the handles. The present instrument holds even the smallest flat needles sp firmly, however, that this point of posi- tion need not be insisted upon, as is the case with Prof. Hagedorn's holder, which is frequently too weak in its action. The shafts are sufficiently long to permit of placing sutures inside of cav- ities, though not too long to preclude delicate work in plastic operations. The instrument can be used for ophthalmic work, as small needles curved on the fiat and held between the transverse portions of the jaws can be closely approximated to the organ. The whole instrument is about seven inches in length in the present model. For use with the very largest flat needles made, it should be one or two sizes larger, the present one being intended for gen- eral use. The handles are made of vulcanized rubber conveniently fashioned to fit the hand, and can be made of any desired size to suit the operator. The poste- rior one is smaller than the anterior one, in order to facilitate rotation in sutur- ing with curved needles ; moreover it is flattened on the surface, so that one can tell the position of the holder in the hand by the feel of it alone. The catch consists of a tongue provided with three angular ratchet teeth, which fit into two retaining side-bars in the opposite handle. When the first tooth is caught, the needle placed between the jaws is held moderately firm, and very firmly indeed when the second tooth operates ; the third tooth, however, releases the catch by allowing the tongue to pass between the bars, and the in- strument opens, releasing the needle. The action of the catch is in some sort automatic. By closing the handles of the instrument after placing the needle For other Gynaecological Instruments, see Index. SHARP & SMITH, CHICAGO. 609B in position, the blades become locked and remain so until the needle is passed, when simple further pressure upon the handles releases the needle, thus doing away with all difficult thumb movements necessary to release the needles in most other holders. In many holders, the needle can only be released if the catch happens to be opposite the thumb of the operator; the present instrument can be readily opened in every position, even when held upside down. The instrument is a so-called antiseptic one. It can be instantly taken apart for cleaning. The blades readily come apart by means of the French lock. The two springs which open the blades and work the ratchet tongue res- pectively, are made in one piece and can be slid laterally out of the pivot-head which retains them. The tongue is moored in cannon bearings provided with side slots, from which it is easily disengaged after removal of the spring. The hard rubber handles are vulcanized on while the steel is hot, and the whole is afterward finished in one piece, presenting perfectly smooth surfaces. Even the name of the maker does not cause any unevenness of the surface, being made of metal and sunk into the handle so as to permit of a perfect finish while remaining visible to the eye. 3414-B 34'4-C 3414-D 3414-E FIG. *34I4-A Dr. W. W. Van Arsdale's Aseptic Universal Needle Holder.................$6 75 *34i4-B Dr. Geo. Edebohl's " '• " " ................. 3 35 *34i4-C Dr. Jas. H. Parkinson's " " " " ................ 650 *34I4-D Dr. Dixi Crosby's " " '• ................. 3 35 *34I4-E Dr. R. Ludlam's " " " " ................. 4 5° Instruments designated by a * are illustrated. 610 SHARP & SMITH. CHICAGO. *35I5 *35l6 35J7 *35<8 *35*9 352° *3521 3522 *3523 *3524 *352S *3520 3527 3528 3529 GYNaECOLOGICAL-SCISSORS. Sims' Straight Uterine Scissors, sharp or blunt...............$i " Curved on Flat Uterine Scissors....................... 2 " Angular " " ....................... 2 Emmet's Full Curve " " R. or L............each. 3 Half " " a " ............ " 3 Angular " " " ............ " 3 Lesser Curve " " " ............ " 3 Wire Cutting " " ............,...... " 3 Pallen's (A and B) " " .................. " 3 Bozeman's Angular " "..................' " 2 " Curved Down Handles, Uterine Scissors.......• " 2 " Right and Left " " ....... " 2 Byford's Sharp Point Uterine Scissors....................... 2 " Blunt " " " ....................... 2 Jenks' Perineum.... " " ....................... 2 75 00 00 2S 25 25 00 35 75 00 5° 00 00 00 25 3521 SHARP & SMITH, CHICAGO. 611 GYNaECOLOGICAL-SCISSORS. 3529 3528 3524 3525 612 SHARP & SMITH, CHICAGO. GYNaECOLOGICAL-SCISSORS. IT-io Goodell's Uterine Scissors................................ $3 25 7 3 -3«)3f 3937 3935 SHARP 8c SMITH, CHICAGO. 657 OBSTETRICAL FORCEPS FIG. *3939 Reamy's (Cincinnati) Obstetrical Forceps...................§ 6 oo *394o Leavitt's " " .................. 5 5° *394i Leonard's " " .................. 4 50 *3942 Stone's (St. Paul) " " .................. 450 *3943 Dr. J. Suydam Knox's (Chicago) Obstetrical Forceps......long 5 00 *3944 " " " " '' " ......short 4 50 3945 Jaggard's Modification of Simpson's " " .......... 6 00 3946 Brickell's " " .......... 6 00 3947 Burdick's " " .......... 6 75 3948 Scroggs' " " .....short 4 50 3942 3939 All instruments designated by a * are illustrated. €5TA SHARP & SMITH, CHICAGO. OBSTETRICAL INSTRUMENTS. Fig. 3948-A. Hale's New, Small, Short Obstetrical Forceps. " The measurements of these forceps are as follows: Whole length following the curve of the handle, upper side, 13 inches; length on straight line, 12 inches; length of blade, 6 inches; length of handle, 6 inches; weight, n^ ounces; greatest width between the blades, 2^ inches; width at end, 1 inch. It has a single English lock. (My first design had a button lock.) The aseptic forceps has a metal handle corrugated. It can be put in boiling water without injury to it. Its slight increase in weight is no disadvantage." " I have never heard but one objection made to the extreme downward curve of their handles. It was suggested that it would be difficult to apply the forceps with the woman's hips entirely on the bed0 Now this objection is untenable, for these forceps were never intended to be used before the child's head was low down, resting on the perineum, and when the forceps are applied at that stage the handles point upward, or nearly so. When applied at the proper time the blades are strong enough to allow all necessary traction. To hasten the last stages of labor no other instrument can compare with them." NEW OBSTETRICAL FORCEPS. By C. D. PALMER, M. D., CINCINNATI, O. Figs. 3948-B and 3948-C. Dr. C. D. Palmer, Professor of Obstetrics and Gynecology in the Medical College of Ohio, and Gynecologist to the Cincinnati Hospital, has gotten up a new forceps. The following are the points: Long forceps, weight, 18^ oz.; length, 14.5 inches; fenestra, 4.81 inches; distance between blades, 2.87 inches; dis- tance between tips of blades, .75 inch. They have a good pelvic curve, and a double cephalic curve in blades, and an English lock. The handles have a slight backward curve, equal to forward curve of pelvic blades. There are tractors on the handles, which consist partly of wood, and partly of metal. The short forceps have a weight of only 12 oz., and a length of but 11.27 inches. The fenestra of the blades are 4.18 inches long. The shanks are like Simpson's, with English lock. The distance between the blades at their widest part and at the tips is about the same as the long forceps. The handles have the backward curve also. FIG- 3948-C *3948-A Hale's New Small, Short Obstetrical Forceps........................ *3948-B Palmer's New Long *3948-C " " Short " "....................... *3948-D Kline's Obstetric Slippers, per pair, in neat case............. *3949 A Stahl's New Cranioclast............................... *3949-B Dr. W. B. Dewee's New Axis-Traction Obstetrical Forceps........... *3949-C Mann's New Placenta Forceps............................ 3948-B $5 00 6 00 5 00 5 00 13 00 . 9 00 . 2 75 SHARP & SMITH, CHICAGO. OBSTETRICAL INSTRUMENTS. 657 B DR. KLINE'S OBSTETRIC SLIPPER. We present for the consideration of the profession, a neat, simple, perfect device, which, as every experienced physician sees at a glance, does away with hand-pulling, and all crude, cumbrous makeshifts, and greatly facilitates labor by providing the means for a good "pull " thus giving a woman a measure of comfort during the most trying time of her life. This Slipper was invented by an experienced physician and is the result of his many contrivances to relieve his pa- tients. It consists of a pair of stout slippers connected by adjustable straps to nickeled steel handles; they are easily put on and off, are not in the way if left in the bed, and can be used by the patient in any posture. The Slippers fit compactly in a handsome case, which also has spaces for scissors, silk, catheter, probe, bottles of ergot, ether, chloroform, etc. One pair will last a lifetime .and as their utility is apparent, no argument is necessary. 3948-D 3949-A 3949-B 3949-C 658 SHARP & SMITH, CHICAGO. CRANIOTOMY FORCEPS. FIG. 3949 Meigs', straight Craniotomy Forceps.....................• • $ - 25 *395° " curved " " ....................... 2 25 3951 Simpson's (Cranioclast) Craniotomy Forceps................. 7 50 *3952 Thomas' " " ................ 3 75 3953 Ramsbotham's " '' ............... 450 3954 Brickell's " " ................ 3 00 *3955 Elliott's " "................ 250 3956 Budd's " " ................ 3 75 3957 Taylor's " " ................ 3 75 *3958 Lusk's Cephalotrite....................................... 13 50 3959 Braun's " ...................................... 11 25 *396o Simpson's " ...................................... 7 5° 3952 3955 SHARP & SMITH, CHICAGO. 659 FIG. *3g6i *3g62 39°3 3964 *39°5 *3g66 39&7 3968 39^9 3970 3971 *3972 3973 *3974 3975 39~6 *3977 OBSTETRICAL—CRANIOTOMY AND EMBRYOTOMY FORCEPS. Batchelder's Embryotomy Forceps........................................ $9 Double Crossing " " ................ .............. 2 Nickel-plated Placenta Forceps.......................................... 1 Munde's "......................................... 2 Budd's Nickel-plated Placenta Forceps.................................. 1 Loomis' " " ................................... Tiemann & Co. 's " " ............ ...................... Hodge's " "............ ..................... Bond's " ............ ...............,. ... Fenestrated, nickel-plated Placenta Forceps.............................. 1 00 25 75 25 90 4 00 1 85. Double Crossing Chamberlain's Clark's Hart's Schnetter's Carey's Ovum and Dentated 4 50 90 85 25 25 00 25 50 75 85 660 SHARP & SMITH, CHICAGO. CRANIOTOMY PERFORATORS. 3980 3982 3979 3984 3<;S7 SHARP & SMITH, CHICAGO. 661 CRANIOTOMY PERFORATORS. *397« *3979 *398o *398i *39§2 *39§3 *3984 39«5 3986 *39§7 *3989 *399° 3991 *3992 *3993 *3994 *3995 3996 Blot's Cranium Perforator................................$ 4 Holmes' Double Crossing Perforator........................ 3 Bedford's Cranium ........................ 2 Smellie's " Simpson's ' Thomas' " Naegeli's " Bachelder's " Hodges' " Garland's " Braun's Trephine Truehart's " Lucas' " Plain Ebony Handle, Blunt Hook................ .....: .. .. 1 Taylor's " " ........................... 1 Blunt Hook and Crotchet Combined..................... 1 Bedford's " . " " " ...................... 4 Budd's " " " " (guarded)............. 3 Taylor's " " " " ...................... 1 50 75 25 85 25 00 00 75 75 00 25 00 i5 15 15 50 30 25 3990 3992 3993 662 SHARP & SMITH, CHICAGO. OBSTETRICAL-CRANIOTOMY HOOKS AND VECTIS. 3997 Ebony Handle Vectis................................................ $i *3gg8 " " " (folding),.......................................... 2 3999 Ryerson's Improved Vectis............................................... 5 *40oo Leavitt's Placenta Hook................ ........•................... x *40oi Dewee's " " and Carey's Lever................................. 4002 Bedford's " " ...............•............................... 2 "4003 Decapitating .............................................. J ^4004 Clark's Placenta "............................. ......... ........ 2 4005 Ebony Handle Crotchet plain......................................... 1 4006 Taylor's Ebony Handle Crotchet.......................................... 1 4007 Elliott's " " ......................................... 1 "■4008 Pulling's Funis Clamp................................................... •=4009 Munde's Placenta Curette............................................... 1 4010 Robbins' '' Spoon................................................ 2 *40ii Sharp & Smith's Placenta Scissors........................................ I 75 &5 25 00 75 25 75 50 15 25 50 30 50 00 25 C" 4001 3998 401I 4003 4000 All instruments designated by a * are illustrated. m i w 4009 4004 SHARP & SMITH, CHICAGO. 663 OBSTETRICAL. 4012 Bandeloque's Pelvimeter..... 4013 King's '• .. '" ............'.......... 4014 Porte Cordon.......................................... 4015 Leather Covered Manikin and Fce'tus| for'College" use.'.'.'.'..'.".'.' * a ^ ,.- ~, French Manikins all kinds, imported to ordpr *4°M n^11 ?*stetrical B*&< *5 inch, $4.25;' iTinch 4016 Obstetrical Bags, 12 inches long, black or brown *4Qi7 " " I3 <• - .. ........ 75- With bottles, 50c *40i8 *40ig *402u *402i *4022 4023 4024 M 15 16 17 15 to 16 Pouches, Morocco, Chamois-Lined Plain (empty). !6 00 3 00 3 00 40 00 extra. 2 50 2 t>5 2 80 3 00 3 15 3 30 3 50 5 00 3 00 All of our leather bags are made of the best material, lined with Buckskin, and have pockets for hol- ding powders, etc. To the price of any of these bags add 50c if you desire to have bottles with them (6). 4016 to 4021 Fig. 4022. Repre- sents any of our cases open and with bottles blocked in. Price of this case empty with bottles in center.$4 50 4022 664 SHARP & SMITH, CHICAGO. OBSTETRICAL CASES. 4025 Fig. 4025. ELLIOTT'S OBSTETRIC SET, Containing: 1 pair Elliott's Long Forceps; 1 Blot's Perforator; 1 Blunt Hook and Crotchet; 1 pair Placenta Forceps; 1 pair Thomas' Craniotomy For- ceps; 1 pair flat Curve Scissors................................$26 25 Fig. 4026. DR. HODGES' OBSTETRIC POUCH, Containing: 1 Hodges' Forceps ; 1 Smellie's Perforator; 1 Blunt Hook and Crotchet combined, in a leather pouch lined, to roll......................$11 25 Fig. 4027. DR. BEDFORD'S OBSTETRIC POUCH, Containing: 1 Bedford's Forceps; 1 Bedford's Perforator; 1 Placenta Forceps; 1 Blunt Hook and Crotchet combined, in a leather pouch, lined, to roll, $15 00 Fig. 4028. DR. ELLIOTT'S OBSTETRIC POUCH, Containing: 1 Elliott's Forceps; 1 Blot's Perforator; 1 Placenta Forceps; 1 Blunt Hook and Crotchet combined, in a leather pouch, to roll..........$18 75 Fig. 4029. OBSTETRIC POUCH, Containing: 1 pair Hodges' Forceps; 1 "Blunt Hook and Crotchet; 1 pair Placenta Forceps; 1 Vectis; 1 Perforator; 1 pair Meigs'Craniotomy Forceps.® 16 25 Obstetrical Pouches, Rolling, best Morocco leather, lined with Chamois okin.................................................... 3 00 Obstetrical Cases of any Style made to order. SHARP & SMITH, CHICAGO. 665 SHARP & SMITH'S COMBINED OFFICE AND GYNiECO- LOGICAL CHAIR AND OPERATING TABLE. While we have and can furnish all styles of Operating Chairs or Tables, we especially recommend the Chair, etc., known as "Sharp & Smith's Combined Office and Gynecological Chair and Operating Table." We recommend this because the best physicians and surgeons of Chicago have assured us that, with it, more can be accomplished, practically, than any other device known of in that line. However, if the description of our chair should not be sufficient to warrant an order, and more description is necessary, we will be glad to furnish it. We wish also to say that the " Foot- stool " and "Pillow"that accompany this "Chair" are ("accidentally") not shown in the cut, but both are furnished with each chair leaving our office. SHARP & SMITH, CHICAGO. SHARP & SMITH'S COMBINED OFFICE AND GYNAECO- LOGICAL CHAIR AND OPERATING TABLE. 4030 Fig. 4030. No. 3 represents the Chair with extension removed from the foot of the Chair to the side, for "Sims' Position." 4030 Fig. 4030. No. 4 represents the Chair in the Gynaecological position, with stirrup attachments, which can be placed at any angle or distance from the foot of Chair. Under the seat will be seen a drawer which contains all accessories, including the extension piece and fittings, leaving the Chair when not in use as shown in Fig. 1. PRICES. Chair Complete, in fine plush......................................$55 00 " " " best leather.................................... 55 00 " " " imitation leather................................ 50 00 SHARP & SMITH, CHICAGO. 667 SHARP & SMITH'S COMBINED OFFICE AND GYNAECO- LOGICAL CHAIR AND OPERATING TABLE. See preceding pages. This Chair works without "Cranks," "Levers" or "Ratchets." Any position can be obtained instantly, and it .s movable in any direction with but the strength of one finger. A convenient Ottoman, and a leather-covered . Hair Pillow accompany the Chair. In the short space of time that this Chair has been on the market we have had innumerable testimonials as to its superi- ority over others, and we submit a few herewith'. *■ j TESTIMONIALS. A. C. Cowperthwaite, M. D., LL.D., Prof. Materia Medica and Diseases of • Women, State University of Iowa, Iowa City, says in his Textbook on ' Gynecology : "The latest design of chair for Gynecological Works, and the one, in my opinion, best calculated for that purpose, at least for the general practitioner, is the ' Combined Office and Gynecological Chair and Operating Table,' recently devised by Sharp & Smith of Chicago. This chair is very simple in its adjust- ment, is easily operated, and when not in use forms a handsome and comfort- able office chair." Dr. De Laskie Miller, Professor of Obstetrics and Diseases of Children, Rush Medical College, Attending Physician for Diseases of Children and Accoucheurs, Presbyterian Hospital, Attending Obstetrician St. Luke's Free Hospital, Consulting Physician Woman's Hospital, Consulting Physician Home for Incurables, says: "Messrs. Sharp & Smith:—I have examined your ' Combination Easy Chair,' Gynecological Chair and Operating Table. It certainly excels any- thing I have ever seen on account of its being so easily and quickly changed from one position to the other, and I failed to find any complicated machinery to get out of order. Its simplicity is a very desirable part of its construction." S. A. McWilliams, A. M., M. D., Professor of Clinical Medicine, College of Physicians and Surgeons, says : "Messrs. Sharp & Smith:—I am better pleased with your Gynecological Chair than any other I have seen, on account of its neatness, simplicity, dura- bility and usefulness." Dr. D. W. Graham, Professor of Surgery Woman's Med. College, Professor of Emergencies Chicago Training School, Attending Surgeon Presbyterian Hospital and Central Free Dispensary, Secretary Illinois State Medical Society, Editor Chicago Medico-Historical Society, says: "Messrs. Sharp & Smith:—I have examined your Combined Chair and Operating Table. For simplicity and ease of adjustment it has no superior. It has more good features than any chair I know of, and I can highly recommend it." Dr. E. H. Pratt, Professor of Principles and Practice of Surgery, Chicago Homeopathic Medical College, says among other things in praise of the Chair: "Your new Chair is a clever invention, and cannot fail to more than satisfy the most critical of operators." 668 SHARP & SMITH, CHICAGO. SHARP & SMITH'S COMBINED OFFICE AND GYNAECO- LOGICAL CHAIR AND OPERATING TABLE. TESTIMONIALS.—Continued. Dr. D. A. K. Steele, Professor of Orthopedic Surgery (and also Secretary of) College of Physicians and Surgeons, Surgeon Cook County Hospital, says: "It is simply perfection." P. M. Woodworth, M. D., attending physician Augustana Hospital, says: "Messrs. Sharp & Smith:—The new Surgeon's Chair is the most com- plete yet simple working chair it has been my privilege to examine, and the omission of cranks and springs is a great advantage. I consider it the best Gynecological Chair that I have seen." W. F. Knoll, M. D., Surgeon's Department Central Homeopathic Hospital and Free Dispensary; Professor of Minor Surgery, Physiology and Pathology Chicago Homeopathic Medical College, says: "Sharp & Smith:—I am very much pleased with the construction and operative qualities of your Surgical and Gynecological chair. It is a decided improvement in the right direction, and I am certain that any physician who has the pleasure of using it will bear testimony to its perfection." Dr. Norval H. Pierce, under date of December 6, 1888, says: " I consider the Sharp & Smith Operating Chair and Table the most per- fect combination of practical usefulness, strength and elegance thus far offered to the surgeon." We refer also to the following doctors, who appreciate, among many others, the superior qualities embraced in our Chair: A. L. Clark, M. D., Prof, of Obstetrics and Diseases of Women and Clini- cal Gynecology at Bennett Medical College, Gynecology Bennett Hospital, Professor Diseases of Women Bennett Free Dispensary, Member State Board of Health. A. E. Hoadley, M. D., Professor Anatomy College of Physicians and Sur- geons, Professor of Surgery, Chicago Polyclinic. A. L. Cory, M. D., Chicago, Surgeon of L. S. & M. S. R. R. H. Wardner, M. D., Supt. Illinois Hospital for Insane. Dr. G. W. Nesbitt, Sycamore, 111. Dr. Jno. E. Owens, Professor of Surgical Anatomy and Optical Surgery, Chicago Medical College, Attending Surgeon St. Luke's Free Hospital. Dr. Charles Gilman Smith, Consulting Physician to Presbyterian Hospital, and Chicago Hospital for Women and Children. F. L. Wadsworth, M. D., Physician in charge St. Joseph's Hospital, Profes- sor of Physiology Woman's Medical College. MANUFACTURERS, IMPORTERS AND DEALERS IN SURGICAL INSTRUMENTS AND APPLIANCES, 73 Randolph Street, CHICAGO. SHARP & SMITH, CHICAGO. 668A OPERATING TABLES. 4030 A—Closed. Fig. 4030-A—Represents Foerster's Portable Gynecological Table, facilitating the em- ployment of Trendelenburg's posture. This table is made all of metal, and can be folded to a very small size, and is thoroughly Aseptic. Size 60x30x21 J£ inches, entire length when extended 77 inches, weight 48 lbs. Price...................................................$35 00 Figs. 4030-B and C—THE COLUMBIA OPERATING TABLE. In this table the actual wants of the Physician and Surgeon are thoroughly considered, and same has been constructed at a reasonable price. Being simple in construction it is an improved substitute for a common table ordinarily desired by busy practitioners. The above cut(4030-B —Cut 1} illustrates the table with sides extended at full length as an Operating Table;either end can be raised or lowered at any angle. (See following page for different position of Table.) 668B SHARP & SMITH, CHICAGO. OPERATING TABLES. Columbia Operating Table—Continued. 4030-B—Cut 2 Fig. 4030-B—Cut 2 illustrates the Table for Gynecological Operation and Examination. Showing end of top raised, which can be raised to any angle. We call particular attention to our stirrups. They are put on every table, and so constructed that they can stand parallel with seat, or may be carried outward as far as desired. These tables have two large and four small drawers, which can be drawn out on either side of the table; it also has a sliding board for basin. 4 4030-c Columbia Table without Drawers. Fig. 4030-A and B—Table with Drawers, including Stirrups.........................$30 00 " 4030-C—Table without Drawers, including Stirrups............................. 20 00 Head Pillow in Leather...................... ....................... 2 00 Height of Table 32^ in. Width of Table 24 in. Length of Table when extended out, 5 ft. 8 in. SHARP & SMITH, CHICAGO. DE PEW OPERATING CHAIR. *403i No. i and 2, DePew Chair Upholstered in best leather, " " " in fine mohair plush. ^4031 a a • 50 OO 60 OO 4031 CONVERTIBLE OPERATING CHAIR. Chair in an Upright position. (Patented.) 670 SHARP & SMITH, CHICAGO. DE PEW OPERATING CHAIR. Fig. 4031. CONVERTIBLE OPERATING CHAIR. In position for Gynaecological Operation. Fig. 4031. CONVERTIBLE OPERATING CHAIR. Seat raised for Sims' Position. SHARP & SMITH CHICAGO 671 THE ARCHER GYNiECOLOGICAL CHAIR. FIG. ♦4032 The Archer Chair complete, with Seat Extension and Platform Step...........$ 60 00 4033 Leather Pillow to match, extra.......................................... 5 00 4034 Foot Supports for Lithotomy position, extra................................ 5 00 4035 Oculist Head-Rest, extra.................................................. 10 00 4036 The Archer Chair complete, with Seat Extension and platform Step and Head-Rest. 70 00 Fig. 4032. THE ARCHER CHAIR. Fig. 4032. THE ARCHER CHAIR, (Sims' position). 999999999 672 SHARP & SMITH, CHICAGO. GYNiECOLOGICAL—CHAIRS—Continued. Fig, 4032.—THE ARCHER CHAIR (speculum position). 4037 *4037 Wilson's Surgical Chair, upholstered in rep......... 4037 " " in best leather. *4Q38 Curtis' Gynecological Chair..................... ^36 00 60 00 25 00 '*id SHARP & SMITH, CHICAGO. 672A GYNECOLOGICAL CHAIRS—Continued. Fig- 4<>39 THE NEW INDIANAPOLIS SURGICAL AND GYNECO- LOGICAL CHAIR. The only chair that can be operated with ont< hand from either side when the patient is in the chair. The simplest and easi- est to operate. Durable and firm in all its posi- tions, and nothing about it to get out of order. Meets all the require- ments of an operating chair and table combined, having all positions. Every chair -guaranteed to give perfect satisfaction, and built and finished with finest materials. Covered in genuine leather, nickel plated trimmings, quartered oak, and is the handsomest Chair on the market. Price net, $40 00. Z- 4039 DORSAL POSITION. Fig. 4040 THE NEW TABLE FOR PHYSICIANS, SURGEONS AND GYNECOLOGISTS. For use in Private Practice, Clinics, Hospitals, Sanitariums, Etc. It is Light, Strong, Convenient and Neat. (A) represents head leaf which may be lowered to a level with the body (B), or dropped parallel with the legs. (C) is the foot leaf extended. The foot stirrups (E) drawn out di- agonally, not straight as appears in the above cut, thus giving ample room for the operator's arms. The leaf is readily drop- ped out of the way when necessary, and the stirrups easily slide under the table. (F) is an armature brace that moves through an iron escutcheon, thus supporting the leaf. (D) is a strong slide leaf. When a hand or arm is not to be operated on, it is convenient to place instruments upon. It moves out from either side of the table. The table is of standard dimensions and well finished. Price, $12 00 without casters. $13 00 with casters. Fig. 4040 672B SHARP & SMITH, CHICAGO. RECTAL SPECULA. PIG. ♦4050 Dr. Frank B. Ives' Rectal Speculum........................ $3 50 *4051 Kelsey's Rectal Speculum.................................. 2 50 *4o52 Dr. A. G. Beebe's Rectal Speculum......................... 3 50 *4o53 Dr. W. F. Knoll's " " ......................... 3 5° 4050 4051 DR. KNOLL'S BIVALVE RECTAL SPECULUM. In the spring of 1886 this was invented and placed on the market. Several modifications have been made since then, but the original possesses all the good points of the perfect Rectal Speculum. With it the sphincter can be dilated, and through it any operation of the anus or rectum, even to the sigmoid flexure, can easily be made. There are three different sizes made. SHARP & SMITH, CHICAGO. 673 RECTAL INSTRUMENTS—SPECULA. FIG. *4ioo Sims' Bivalve Rectum Speculum Fenestrated................................ $i 50 *4ioi O'Reilley's Bivalve Rectum Speculum... ............................... 2 00 *4iC2 Bodenheimer's " " ........ ....................... 1 50 *4i03 Leonard's " (flange).............................. 2 00 ^4104 Ricord's " " .... .............................. 2 50 ^4105 Dr. E. Andrews' (Chicago), Rectum Speculum ............................. 2 00 "4106 Allingham's Rectum Speculum........................................... 2 25 ^4107 Squire's " " ........................................... 350 if 4100 4105 4107 4106 674 SHARP & SMITH, CHICAGO. FIG. *4io8 "4109 •=4110 "4111 RECTAL INSTRUMENTS—SPECULA. Dr. J. B. Pouncey's Rectum Speculum..................................... $10 00 Haslam's Rectum Speculum.............................................. 2 00 Aloe's " " .............................................. 500 T. & Co.'s Three Blade Rectum Speculum.................................. 7 50 AN IMPROVED RECTAL SPECULUM. By J. B. Pouncey, M.D., Birmingham, Ala. The points of superiority are: 1st. The instrument, as shown in the cut, has two blades, the lower blad fitting into the upper, making it small and compact. 2d. The facility and ease of introducing. 3d. After the introduction of the instrument the rectum can be dilated to any de- sired extent by running up the screw attached to the blades. 4th. If this is done, any tumors, fistulous tracts, ulcers, etc., are in plain view for treatment. 5th. The blades dilate equally at both the internal and ex- ternal openings. 6th. There is a wide slot in the upper blade, covered by a slide, which, when withdrawn, exposes the diseased parts fully to view. See Pratt's Instruments, beginning page 691. SHARP & SMITH, CHICAGO. 675 THE NILES RECTAL SPECULUM. Fig. i. Shows the instrument ready for use. Fig. 2. Shows the slides with- drawn, and illustrates the character of the milled edges which fit in the grooves of the slots. Fig. 3- Shows the slot on each side, giving a full view of their position. Fig. 4- Gives a front view of the instrument with the slides half drawn and bent at the joints, exposingthe inner half of the slots. 4112—For description see next page. 676 SHARP & SMITH, CHICAGO. RECTUM INSTRUMENTS—SPECULA. FIG. *4ii2 Niles'Rectum Speculum (for illustration see preceding page). .$ 5 00 *4i 13 O'Neal's Rectum Speculum................................ 3 50 *4ii4 Keen's " " ................................ 3 5° Fig. 4112 (Niles' Rectum Speculum.) Its advantages are : That it is a douUe inclined plane, and has double slides hinged in the center, the unique character of the milled edges of which make it impossible to wound the mucous membrane, either on the withdrawal of the slides or instrument. You can expose one-half of the surface on either side, which is necessary whenever acids or caustics are used in treating fissures or ulcers. It is constructed upon purely scientific principles. It is shaped similar io the index finger, making its introduction easy for the physician, and painless to the patient, even in extremely irritable conditions, and gives a complete view of the parts, thereby facilitating a ready diagnosis of the case. See Pratt's Instruments, beginning page 691. All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 677 RECTAL INSTRUMENTS—SPECULA. FIG. 4115 Yount's Wedge End Rectum Speculum.........................., *4ii6 Trivalve Trellis Rectum Speculum......................;..... *4H7 Thebaud's Sphincter Ani-Dilator............................... *4ii8 Ashton's Glass Mirror Speculum......................... 4119 " metal lined..................... 4120 " Trivalve " ........................... 4121 Ordinary Glass Mirror " ................................ *4i22 Williams' Rectum " .......................... 4123 Van Buren's " " .... .......... .............. 4123A Weiss' three blade Rectum Speculum................. ....... 4124 Sass' Bivalve " ............... ........ 4125 Sharp & Smith's " " ......................... 4126 Fenestrated Hard Rubber Rectum- Speculum, set of 4............ 4127 Lane's three blade " ..................... 4128 Reed's Soft Metal Glass Slide Rectum Speculum................. 4129 Kelsey's Rectum Speculum................ ................. 4130 Helmuth's " " ....... ........................... 4117 4122 All instruments designated by a * are illustrated. See Pratt's Instruments, beginning page 691. $5 00 12 00 7 50 75 1 50 6 00 40 3 00 2 50 9 00 1 50 2 50 2 50 7 50 2 50 2 50 2 75 677A SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS—DILATORS. PIG. *4i3o-A Dr. E. N. Chaney's Aluminum Rectal Dilators, set of 4. . .. .$5 00 *4i3o-A " " " " " each...... 1 50 *4i3o-B Ideal Hard Rubber Rectal Dilators, set of 4............... 4 00 (Fig. 4130 B Dilators sold only in sets of 4.). *4i3o-C Dr. C. S. Eldridge's Metal Rectal Dilators, 4 sizes, each..... 2 00 We direct the attention of the medical profession to a Rectal Dilator (see cuts above, Fig. 4130-A) that was presented to the medical fraternity in the columns of the March, 1893, number of the Journal of Orificial Surgery in the article on " Primary Orificial Surgery," by E. N. Chaney, M. D., Chicago. After radical operations they are indispensable in retaining the normal caliber of the bowel during the processs of healing; also patients who may regain their health by primary work can perform the dilatation with this dilator satisfactorily. It has a long point, which makes the insertion remarkably easy. The accompanying cut represents them, and as their conformation indicates they are self-retaining and possess a superior surface, being made of aluminum. This metal, it is said by some physicians has a curative effect on the bowel. To perfect this dilator, it is made hollow and closed by an Eldridge screw cap, thus giving the operator the privilege of raising or lower- ing the temperature of the instrument by filling it with water. SHARP & SMITH, CHICAGO. 677B RECTAL INSTRUMENTS—DILATORS. 4130-B Patented May 17, 1892. Fig. 4130-B THE IDEAL RECTAL DILATORS. Made of Hard Rubber. Self Retaining. CUTS HALF SIZE. For patients with any form of chronic or rectal disease, and for treat- ment after operations. Their use relaxes the sphincter, stimulates the sympathetic nervous system, equalizes the circulation, and in this way, cures piles, prolapsus, fissure, etc., and relieves almost all forms of chronic diseases. It also cures constipation by increasing the peristaltic action. Directions:—The largest size consistent with comfort, should be lubri- cated and passed well up the rectum and held in place a few moments, after which it will be retained. It should remain from half an hour to two hours according to the effect desired, and may be used as often as necessary. Fig. 4130-C DR. C. S. ELDRIDGE'S MODIFICATION OF PRATT'S RECTAL DILATOR. As may be seen by accompanying cut, this Dilator is in two parts. It answers all the purposes of a Dilator, and in addition is made hollow, so that it can be fiiled with hot water or ice and salt, thereby making it an efficient means of treating the prostate and bladder when heat or cold is deemed necessary. It screws together so as to be absolutely water tight. 677C SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS—ANDREWS'. IX 4130-D Fig. 4130-D—ANDREWS' ECRASEUR FORCEPS. Used as a substitute for the chain ecraseur. One jaw passes loosely through a slot in the other. The edges are blunted so as to crush and not cut the tissues. The dotted line shows the position of the male jaw when the instrument is partly open. 4130-E Fig. 4130-E—ANDREWS' CURVED RECTAL SPECULUM. After insertion the core attached to the staff is with- drawn, and the slightly concave mirror shown in the lower part of the cut is inserted, and the wall of the rectum viewed, a little magnified, in the mirror which is inserted for the purpose. A concentrated beam of light is required. 4I30-G Fig. 4130-G—ANDREWS' BULB SOUND, For Examining the Rectum. Bulbs of various sizes are used which screw on, and are interchangeable. With this curve it is often possible to insert the sound so far as to feel the bulb with the surgeon's hand near the umbilica. Fig. 4130-H—INSTRUMENT FOR DILATING STRICTURE OF THE RECTUM. The closed blades are inserted, and then spread by turning a screw which passes through the handle. SHARP & SMITH, CHICAGO. 677D FIG. *4I30-D Dr. Edmund Andrews' Rectal Ecraseur.................................. $3 50 *4I30-E " " Curved Rectal Speculum........................... 3 50 *4i30-G " Bulb Sound........................ 1 25 *4i30-H Instrument for Dilating Stricture of Rectum......... 15 00 *4I30-I Improved Smith's Pile Clamp...................... 4 5° *4I30-K Dr. G. A. Hall's Rectal Dressing Forceps................................ 2 50 *4i30-L Dr. E. Z. Cole's Rectal Searcher and Irrigator............................ 1 75 *4i30-M Dr. F. Henrotin's Rectal Snare Ecraseur................................. 7 50 *4i3Q-N Prof. Hoadley's Rectal Fissure Speculum................................ 2 50 4130-N Instruments designated by a * are illustrated. 678 SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS—DILATORS. *4i3i Sims' Rectal Dilator.................................................. -f3 40 ♦4132 Dupuytren's Enterotome .............................................. 3 75 4133 Little's Rectal Dilator .. .............................................. 9 00 *4i34 Bolton's Pile Plug..................................................... 90 *4i35 Trosseau's " " .................................................... 1 so *4i35-A Plain H. R. Pile Plug___'....................................... 90 "4136 Reed's Pile Plug...................................................... 1 00 4137 Kent's " " ..... ..............'.......«........................ 1 50 "4138 Bodenheimer's Rectal Irrigator.......................................... 2 25 4139 Munde's *4i40 Cylindrical ^4141 Conical 4142 Olive Tip *4i43 Hard Rubber .................. ...................... 1 90 Bougies, i to 12, each..............■................. 75 " 1 to 12, " .............................. 90 " 1 to 12, "............................... 1 25 set of six in Hard Rubber Case ............. 3 50 4144 Bodenheimer's Set of 10 Exploring Bougies................................ 7 50 4135—A 4135 4141 See Pratt's instruments, beginning page 691. 4140 4M3 SHARP & SMITH, CHICAGO. 679 RECTAL INSTRUMENTS.—Continued. FIG. 4145 Soft Rubber Rectal Bougies, according to size.......................$1 00 to 2 00 ♦4146 Dr. A. H. Meisenbach's Rectal Plug....................................... A Rectal Plug for Senn's Method of Insufflation of Hydrogen Gas. By A. H. Meisenbach, M. D., St. Louis, Mo. In repeating Dr. Senn's experiments, of insufflation per rectum of hydrogen gas, I found considerable difficulty at times, to prevent the gas from escaping out of the rectum, using the ordinary syringe tip. I found this to be the case in experimenting on dogs, and also on the human cadaver. Dr. Senn recommends in his paper on "Insufflation of Hydrogen Gas per Rectum," etc., that ''an assistant hold the margin of the rectum around the syringe tip." In order to obviate the inconveniences of an ordinary syringe tip, and do away with the need of an assistant in controlling the margin of the rectum, I devised the herein described rectal plug. This plug has given great satisfaction, having used it in applying Senn's test in four cases of gunshot wounds of the abdomen which were brought to the City Hospital, and in a case of obstruction of the bowel due to the rupture of a Fallopian pregnancy, where obstruction was produced by an immense coagulum—later case occurring in private practice of Dr. Hornsby, and in which I applied "Senn'*s Test," "demonstrating the value of this measure in diagnosing intestinal obstruction. In the above applications of Senn's test the plug completely plugged the rectum, and effectually prevented the regurgitation of the gas, and allowed the gas bag and plug to be controlled by one person. The plug is made of hard rubber. The annexed cut shows a half size perspective and sectional view of plug. "A" represents cone-like plug, with tip similar to ordinary syringe tip. B is a hollow chamber in plug into which extends tip E, on which is a thread which screws into plug as shown at C. At D on tip E is a square shoulder and a round collar. The square shoulder is for the purpose of allowing a wrench to be used to tighten the tip into plug. Between collar on plug and collar on tip at D a washer is used, so as to insure perfect air-tightness. The end of Tip E which projects outside of plug is corrugated, so as to easily and tightly fit into rubber tubing from gas bag. I have found that pouring a little sweet oil into chamber, through opening in plug into chamber, in a measure prevents the liability to clogging, as the oil lubricates the sides of opening, and facilitates its being readily blown out by pressure from the gas bag. 680 SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS. FIG. *4i47 Philip S. Wales Soft Rubber Rectal Bougies, Nos. 3 and 4, each$ 1 00 *4i47 " « " " " " " 5 and 6, " 1 25 *4i47 " " " " " " " 7 and 8, " 1 50 *4i47 " " " " " " " 9andio, " 1 75 *4i47 " " « " " " " 11 and 12, " 2 00 The price of Bougies quoted above refers to the style shown in cut No. 7, Figure 4147. The circular cut marked "actual size," will assist greatly in or- dering. FIG. *4i48 Sharp & Smith's Hard Rubber Pile Pipe, small...............$ 60 4149 " " " " " " large............... t 00 4150 " " " " " Ointment, per bottle....... 50 4151 Seeley's " " " Pipe.................... 1 50 4152 " " " " Ointment, per bottle....... 50 STRICTURE OF THE RECTUM. By Philip S. Wales, M. D., Washington, D. C, Surgeon-Gen. U. S. N. * * * With the view of obviating all possible objections to mechani- cal dilatation, I devised, for the first time, in 1876, rectal bougies made oi pure gum (not, as heretofore, of gummed cloth webbing, or other materials), of ex- ceeding flexibility, smoothness and varying in size. A conduit runs through the center, and terminates in the point of the bougie, for the purpose of com- manding a stream of water that might be required at any moment to facilitate the introduction of the instrument. The points of the bougies are made in various shapes, spherical, conical, and olivary, with a view of meeting the neces- sities of special cases. The surface is perfectly polished, which, by reducing friction, increases the facility of introduction, and eliminates the unpleasant sensation of dragging caused by a rough instrument. The method of introducing the bougie is simple. The patient, after the bowels have been cleaned out by injection, is placed, reclining on his left side, upon an ordinary operating table, the thighs flexed, and the buttocks just over- hanging its lower edge. The smallest sized instrument likely to pass the stricture SHARP & SMITH. CHICAGO. 681 is smeared with grease, its point inserted into the anus, and gently pushed on- ward in the following manner: The right hand grasping the bougie close to the anus, the whole perineum is pressed upward, which will advance the point of the instrument; the left hand now steadies it, while the right is slid downward for a lower hold, the perineum, of course settling with it; the bougie is again pushed forward in the same manner until the obstruction is passed. I have oc- casionally found that this manceuver may be greatly facilitated by sinking the fingers of the left hand deep into the left iliac region, and drawing upward, as though an effort was being made, so to speak, to stretch out the sigmoid flexure, while pressure is made at the same time upon the bougie in the manner described. Another practical point of prime importance is to employ a stream of water, as warm as can be comfortably borne, propelling it through the conduit of the in- strument, whenever its point is arrested from any cause. The water, flowing from the distal aperture, will distend the bowel, efface its folds, and break down any hardened fceces which may exist, obstructing the ascent of the bougie. An assistant may manage the syringe, throwing in the water in such quantities as may be needed, while the operator is engaged with the bougie. It must be borne in mind, however, that no great volume should be used at once, other- wise the bowel will be excited to energetic contraction, and compel the instru- ment to be withdrawn before it has been properly lodged. In preliminary trials, the bougie may be permitted to remain two or three minutes, and afterward, when greater tolerance is established, a longer stay may be allowed. I rarely exceed five minutes in any case, even when the patient makes no complaint of irritation or pain. After several introductions of one size of a bougie, say number seven or eight, the next largest may be taken, and so on until the stric- ture has been sufficiently dilated. The application of the instrument may be repeated twice or thrice a week, according to circumstances, such as the irritability of the rectum, temperament of the individual, and inter-current attacks of diarrhoea or other trouble. Twice a week, in my experience, suffices in most cases; a fortunate issue, if attainable, can only be brought about by patient and prolonged treatment. Rudeness or violence inflicted with a view of hastening the case, can. effect nothing but harm, and may jeopardize the life of the patient. If the instruments be hastily thrust into the bowel it may be-perforated, especially in those cases in which inflammatory softening or ulceration exists; or if it be too large, the rectal mucous membrane may be ruptured, giving rise to smart hemorrhage; or the entire wall of the bowel may be ruptured into the peritoneum, an accident that is pretty sure to be followed by peritonitis, with all of its attendant dangers. But these funest consequences are infinitely less liable to follow the use of In- dia rubber bougies than any other sort, for certainly, a priori, nothing could furnish a milder, more equable and less dangerous force than these* and expe- rience shows this to be the fact. , It often happens that after the most patient devotion to this method of treat- ment, the bowels do not regain their functions, even after the largest size bougie has been passed with ease. This result is due in part to long continuance of the expanded condition of the bowel above the stricture, by which its muscular walls have been more or less paralyzed. 682 SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS-CLAMPS. *4i53 Smith's Haemorrhoidal Clamp. *4i54 Rockwell's *4i55 Nott's 4156 Amusat's 4157 Jones' Parallel 4158 Langenbeck's H 50 6 50 R 00 6 00 9 00 3 75 4154 4155 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 683 RECTAL INSTRUMENTS—CLAMPS AND FORCEPS. FIU. 4159 Allingham's Haemorrhoidal Clamp..........................$ 9 00 4160 Baker Brown's " " .......................... 9 00 *4i6i Bodenhamer's Curvilinear Forceps for facilitating the ligation of Haemorrhoids........................................ 3 40 *4i62 Ashton's Pile Clamp Forceps............................... 2 25 ♦4163 " " " " with lock...................... 3 25 ♦4164 Smith's " " " " " ...................... 325 *4i65 Allingham's Scissors and Director for Fistula in Ano.......... 5 25 *4i66 Munde's Rectal Irrigator.................................. 1 15 4167 Bodenhamer's Rectal Irrigator............................. 2 25 4i68 Mattson's " " .............................. 1 00 4166 4165 683A SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS. A Few Instruments Designed by Dr. T. A. Edwards, Denver, Colo. -----------------------------—-------------JgtwiiiiiiiiiiiniiiiiiiiniiiiiiiiiiiiiiiiiTiafFmBi SHARP &SMITH., 3*^*^^^^^^1^^™™^^^B|' 4168-A Fig. 4168-A represents an improved angular, smooth, blunt Rectal Hook. SHARP*. SMITH. 4I68-B Fig. 4168-B represents an improved angular barbed Rectal Hook. The advantage of these instruments over previous devices for such work is in the angle, which is of sufficient degree to prevent the hand from obstruct- ing the view in examinations, and in separating the hands of the surgeon while operating on pockets and papillae with curved scissors. SHARP 1 SMITH. 4I68-C Fig. 4168-C represents a long angular Retrojecting Needle. Like the angular tenaculum and hooks, this needle has an advantage over other hemorrhoidal needles in its length and angle being such that the syringe and hand of the operator are so far removed from the orifice that the vision is perfect. Its greatest utility is in the fact that the puncture and injection is made from above downward, and with the needle once engaged, no tumor can slip or roll, nor can the contractions of the levator or sphincter ani muscles change its position. Thus the operator is master of the situation, and releases the tumor at his will. tji§= 5HABPS SMITH 4168-D D Fig. 4168-D D represents a long Hemorrhoidal Needle, for injecting from below upward. The only advantage claimed for it is in its length and angle, which gives an unobstructed view in the treatment of either high or low tumors. These needles are made to fit a Sharp & Smith syringe. — T A. Edwards, M. D. SHARP & SMITH, CHICAGO. 683B RECTAL INSTRUMENTS. FIG. *4i68-A Dr. T. A. Edwards' Sharp and Blunt Angular Hooks.. .each, $i oo *4i68-B " " " Barbed Angular Hooks........... " i 25 *4i68-C " " Long Angular Retrojecting Needle " 1 25 *4i68-D Breslet and Marx' Syringotome........................... 3 00 *4i68-E Angular Probe Point Pile Scissors........................ 2 50 *4i68-G Martin's Rectal Douche................................. 1 25 *4i68-H Pratt's Rectal Knife.................................... 1 25 *4i69-A Dr. C. S. Eldridge's Rectal Explorer and Applicator (see p. 683C) 1 25 *4i69-B Dr. Robt. C. Block's Rectal Electrode and Searcher, with four sizes bulbs (see page 683C)........................set, 4 00 *4i69-C Dr. Louis J. Krouse's Rectal Electrode (see page 683D)..... 1 50 *4i69-D Hall's Rectal Elevator and Searcher (see page 683D)........ 1 00 4168-G 4168-H 683 C SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS. 4169-A Fig. 4169-A ELDRIDGE'S COMBINED RECTAL EXPLORER AND APPLICATOR. In treating chronic proctitis and ulcerations in the region of the sigmoid flexure of the rectum, I have not found the surgical paraphernalia usually employed for the purpose just all that could be desired. In several conditions due to pathological changes in the mucus and basement membranes contiguous to and within the sigmoid, the lumen of the canal is in such a state of stenosis as to make the passage of bougies or specula extremely tedious and painful. For exploring and estimating the diameter of the rectum, and for treating locally its many lesions with topical applications I have devised the instrument, an illustration of which is here shown. It is made of steel (nickel plated) and hard rubber, the tip or olivary point being manufactured of the latter material. The handle is constructed by curving a portion of the staff upon itself. It can be held in the right hand, which leaves the left disengaged to guide the point of the instrument through the sphincters and on to the promontory of the sacrum. As the tip is olivary shaped, it is easy of passage through into the sigmoid. I find it almost indispensable for getting through strictures; for detecting their extent from above downward, as well as for putting the parts into a suitable condition for the passage of bougies of large diameter. I think it possesses a meritorious feature in the provision made for its employment as a medicinal applicator. Near where the tip is fastened on to the staff of the instrument a slot is made through the rubber, and into this medicated gauze is drawn, for the purpose of reaching and treating any particular portion of the canal. Where the slot is made the instrument is some- what smaller than it is a little further toward the end, hence it follows that when the largest part of the smooth lubricated rubber olivary body passes a given narrow portion of the canal, the gauze loaded with medicament follows without difficulty. The use of this instrument gives me greater satisfaction than any non-flexible one I have ever employed. (See page 683B.) _C. S. Eldridge, M. D., Chicago, III. Fig. 4169-B DR. ROBT. C. BLOCKS RECTAL ELECTRODE AND SEARCHER. This instrument fills a very useful place in the treatment of diseases of the upper rectum and lower portion of the segmoid flexure. By its double curve conformation it can be readily introduced its full length, about twelve inches, thereby enabling the operator to apply the Faradic or galvanic currents, recognized agents of great value in the treatment of chronic con- stipation, strictures, and other pathological conditions common to these parts. At the same time it may be utilized by the physician in replacing through the rectum a retroverted uterus, and in existing strictures it makes known to him the exact location and extent of the constriction (see page 683B). SHARP & SMITH, CHICAGO. 683D RECTAL INSTRUMENTS. A NEW RECTAL ELECTRODE. By Louis J. Krouse, M. D., Cincinnati, O. The accompanying cut represents a new rectal electrode (one - half natural size). Local faradization of the rectum for atony of the bowels would no doubt be more often employed if a more suitable electrode than those ordinarily seen in the surgical stores could be found. The objection to the ordinary rectal electrode is that the metal end comes into direct contact with the non-sensitive mucous membrane of the gut, and may therefore injure its coats by having a too strong current running throucrh it. To overcome this objection I had constructed for me the above-named instrument. It is composed of two parts, an inner and an outer portion. The inner portion consists of a hollow metal tube, extending almost the whole length of the instrument, the lower end of which is arranged for the attachment of a Davidson's syringe, as well as for a thumb-screw, to which the cord of a battery can be attached. The outer portion is made of hard rubber, the distal end of which is per- Iforated by numerous holes through which the water, as well as the electrical current, can pass. The other end is made to screw on to the metal portion. In using this electrode it is always necessary to inject water through the electrode into the bowels, so as to immerse the perforated end ; otherwise the circuit would not be complete, and the patient would not get the benefit of the current. The advantages of this electrode over those ordinarily used are, first, that the metal end does not come into direct contact with the gut, and therefore cannot injure its membrane by the electrolytic action of the current ; and, secondly that a much more powerful current can be used without the fear of injury to the gut, as there is always a layer of water between it and the electrode. The instrument can readily be taken apart and cleaned. (For prices see page 683B.) 4169-D (See page 683B.) G84 SHARP & SMITH, CHICAGO. *4i°9 *4I7° 4171 4172 4173 4174 4175 *4i76 4177 ♦4178 4i79 *4i8o 4181 4182 4183 ♦4184 *4i85 RECTAL INSTRUMENTS. Hall's Elastic Ligature Carrier.............................$ 3 Allingham's Elastic Ligature Carrier........................ 2 Bush's Ligature Carrier................................... 2 Lente's " " ................................... I Plain " " ................................... Ostrum's " " ................................... 1 Helmuth's " " ....................................2 Gibson's Instrument for the Introduction of the Ligature in Anal Fistula............................................. 2 Hutchinson's Ligating Needle............................. 1 Whitehead's " " .............................. 1 Bodenhamer's Knife for Anal Fissure....................... 3 Kelsey's " " " ............ .......... 1 Blandin's " " " ....................... 6 Bistoury Cache for Rectal Stricture......................... 5 " Anal Fistula............$525 Tillaux's Forceps for Recto-Vaginal Fistula.. 3 50 Bush's Pile Needle—Set................... 1 75 o 00 60 40 00 90 5° 75 25 90 3° 75 85 00 25 4178 4185 4184 41 6q 4180 4170 SHARP & SMITH, CHICAGO. 685 *4i86 4187 4188 4189 4190 *4i9i 4192 *4*93 4193-A *4i94 *4i95 4196 4197 4198 4199 4200 4201 4202 4203 RECTAL INSTRUMENTS. Dr. Larney's Silver Probe and Director for Anal Fistula..... ft 1 7c Delicate Silver Probe.................................. '_ £ Delicate (pure) Silver Probe................................ 8k Flexible Silver Director Probe Point.............'.'.'........'. 1 Wales' Explorer.......................... Gooch's Plated Double Canula............................'. 1 " Silver " " .............'' 2 Sharp & Smith's Hemorrhoidal Syringe..................... 3 Adams' Haemorrhoidal Syringe........................'.'.'.'.'. 4 Sharp & Smith's Silver Haemorrhoidal Needle___............ 1 Sharp & Smith's Rectal Curette............................'. 1 Van Buren's Ligator.................................[[ [ e Rectal Scarificator................................. x " Insufflators...........;...................... j Bodenhamer's Rectal Exploring Sound, Set of 10............. 7 50 Vertebrated Recto-Colonic Exploring Sound................. 6 00 O'Berne's Rectal Tubes................................... T 00 English " " ..........................[[[.... 1 in; Soft Rubber Colon Tubes............. r ^ 10 60 00 00 5° 00 00 85 00 00 5° 4193 This instrument consists of a solid barrel syringe with cap, holding 35 minims, one pure silver probe pointed canula for the exploration and injection of sinuses, fistulae, etc., one hypodermic needle and one long point for the injection of haemorrhoids, the point being of platinum, and having a screw cover by means of which the distance the needle is inserted can be regulated. In fine morocco case. All instruments designated by a * are illustrated. 4194 4^95 680 SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS. *4204 Curved Rectal Trocar......................... *4205 Buck's " " ........................ 4206 Exploring "' " (see amputating instruments) *4207 Skene's Hard Rubber Endoscopes............... *42o8 Plain " " " ................ *42og Prolapsus Ani Truss .............. 4210 Rectal Porte Caustique ...................... 4211 Pins for transfixing hemorrhoidal tumors......... Enema Pumps, all prices. fi 50 2 7=, .each 2 00 , " 1 30 ..... 3 75 ..... 2 00 ..... 20 4208 Instruments designated by a * are illustrated. ��--:./+/+64�5C SHARP & SMITH, CHICAGO. 687 RECTAL INSTRUMENTS. FIG. *42i2 Dr. Chas. D. Scudder's Knot Tyer........................................ $ i 50 ^4213 Carroll's Knot Tyer...................................................... 1 50 4214 Allingham's Scissors....................................................., 3 75 421=; Saw Tooth " ................................................... 4 50 4216 Bush's Pile " .................................................... 1 15 *42I7 Angular " .............................................$1 00 to 250 *421S Curved on flat " .............................................. 1 00 to 3 00 4219 David's "..................................................... 300 4212 ISHARP-SMIIH 4213 Instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS. FIG. 4220 Suture Needles, ordinary,.........................................per doz , $ 50 4221 Self Threading Needles.......................................... " 1 00 4222 Hagedorn's Needles, flat......................................... " 1 00 4223 Silver Wire " .............................................each, 20 For cuts of above, see Amputating Instruments. *4224 Cautery Irons, set of 4................................................... 4 00 4225 " " " 3................................................... 300 *4226 Thomas' Cautery Irons, set of 3......................................... 3 35 4227 " " " 4......................................... 450 4228 " " single......................................each, 110 4229 " Handle................................................ 75 4230 Self Blowing Cautery Iron Lamp....................................... 3 00 ^4231 Byrnes' Tenaculum Forc'eps, for pulling down the rectum.................... 4 50 "■4232 Ball's " " " " " .................... 225 For Other Tenaculum Forceps, see Uterine Instruments. "4233 Rectal Dressing Forceps, with catch.......................... ........ 1 75 4234 " Polypus " ...... ........................................ 450 4235 Ashton's Rectal Polypus Forceps...................................... .. 2 25 4231 4224 All instruments designated by a * are illustrated 4233 SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS. A FEW NEEDLE HOLDERS. *4236 Sims' Plain Needle Holder. *4237 Emmets' " *4238 Russian *4239 Reiner's *4240 Hagedorn's *424i Ethridge's *i 75 2 ^5 3 oo 3 oo 6.oo 3 75 For Other Needle Holders see index. 4241 4240 690 SHARP & SMITH, CHICAGO. RECTAL INSTRUMENTS. FIG. 4242 Rectal Sponge Mop Holder...........................................$ 75 *4243 ' " Holder............................................... 75 4244 " Brush Holder and 1 dozen Brushes................................ 1 50 4245 Glass Brushes for making applications................ .............. each, 20 4246 Hutchinson's Ointment Syringe.......................................... 3 00 4247 " 3 P'pes........ ........................... 450 *4248 Lente's Platina Cup for fusing caustics.........~......................... 2 25 4249 Silver Artificial Anus............................................$5 oo to 10 00 4250 Small H. R. Suppositors................................................ 40 4251 Large " ".............................................. 50 "^4252 Sharp & Smith's Gas Apparatus (complete)................................. 7 50 W" 4243 4248 4252 The Administration of Gaseous Enemata, for Cure of Consumption. Send for Circular. SHARP & SMITH, CHICAGO. 690A On a Few of the Following Pages We Illustrate INSTRUMENTS USED AND INVENTED BY Prof. E. H. Pratt ■ • • IN • • ■ Qrifigial nSmerT NOTICE Chicago, January, 1893. Having tried different makers of Surgical Instruments for the manufacture of the Instruments used by me in Orificial Surgery, I take pleasure in stating that those invented and designed by me, and made by Messrs. Sharp & Smith, are most satisfactory. E. H. PRATT, M. D. 690 B SHARP & SMITH, CHICAGO. ORIFICIAL SURGERY. To the Editors of the Hahnemannian Monthly: I have been requested by your Chicago correspondent to give an epitome of :'Orificial Surgery," and its application. Although the subject is too extensive to epitomize satisfactorily, I will do the best I can at it referring those who would like to read more on the subject to the brief pre- sentation of it in the proceedings of the American Institute of Homoeopathy for 1886, to the work called "Pratt's Orificial Surgery," published by Halsey Bros., 51 and 53 Dearborn street, Chicago, 111., and to the current homoeo- pathic journals—more particularly " The Journal of Orificial Surgery," edited and published by E. H. Pratt, M. D., Francis D. Holbrook, M. D., and Emmet L. Smith, M. D. A more extensive textbook is in course of prep- aration, but it will still be some time before it is ready for press. A copy of the lectures and clinics given to the last class in Orificial Surgery, recently held at the Chicago Homoeopathic Medical College, at which about one hundred and twenty-five eminent gentlemen were present, can also be had on application and price. The work seems to be more or. less called for in the whole list of so-called chronic diseases, and for this reason: When the incidents and accidents of time derange the human organism, if its reactive power is good, the trouble is soon righted, either spontaneously or with remedial assistance. The mere fact of the long continuance of a disorder, whatever it be, the failure of the system, or part of the system, to rebound spontaneously, or respond properly, to well- prescribed remedial measures, is sufficient evidence of a predisposing nerve waste. In all such cases, where time and other measures have failed to restore lost health, by a careful examination made by one who is a competent judge, there can invariably be found some form of irritation at some or one or all of the orifices of the body, usually the lower ones, for obvious reasons. I cannot well improve on the language of the closing sentence of the first lecture ever given upon this subject, and I will ask you to insert it here. It is language which, I believe, will be historical in medicine: In conclusion, let me sum up the entire subject in a single sentence. Bring me an individual with clean lips and nostrils; a palate of proper length and unob- truding tonsils; a rectum that presents neither piles, prolapsus, fissure, ulcer, pockets nor papillae—an individual whose sexual orifices are smooth and free from all irritation; if it be a man, his foreskin shall be free, the frenum of sufficient length, the urethral passage smooth and normal in size, especially in its prostatic portion; if a woman, her hymen must be smooth and normal, her urethra devoid of caruncles and ulcerations, her internal and external os uteri reasonably patulous and without undue sensitiveness; bring such an individual, and I will point to the same person, and show you a human being whose digestion is good, whose sleep is sweet and restful, whose capillary circulation is superb, -whose very existence is a constant source of uninterrupted delights. Such men SHARP & SMITH, CHICAGO. 690C ORIFICIAL SURGERY—Continued. and women maintain a steady poise of mind and body—they live to the fullness of time, and, unless removed by accident, their dissolution takes place on the principle of the "one-hoss shay"—they settle slowly and peacefully into their last sleep, just because their life's timepiece has run down. On the other hand, introduce to me a mortal suffering with passive conjection in various parts, whose blood finds its lazy way back to the heart by slow stages because the peristaltic action of the arteries is tired out—a person whose vitality is low, and whose poor, enfeebled body begins to be the prey of inherited or acquired tendencies—consumption, scrofula, syphilis, organic derangements, of whatever form they may take—show me such an individual, and they are as numerous as withered leaves in autumn, and I will stake the reputation of this idea that I shall be able, without straining a point, to find legitimate fault with the condition of some one or more of the various orifices of the body. The work of orificial surgery involves the removal of all sources of irrita- tion and the securing of normal tension for all sphincters. It will take a volume to properly describe this work in detail, and do the subject proper justice. The work can have no rival, as it is only recommended for cases in which other measures have failed, and, instead of being frowned down with- out proper investigation, deserves at least a fair trial. It discloses many things which before were not understood, or at least appreciated. For instance: ist. The irritation of an organ starts at its mouth. Enlarge the propo- sition and you have the thought that bodily nerve waste in general begins at the openings of the body. 2d. The smoothing of rough orifices and the securing of proper dilata- tion of the sphincters guarding them, immediately and permanently (so far as material things can be made permanent) improve capillary circulation in general, and hence in particular. 3d. That in consequence of the increased capillary activity of the nutrition of the body in whole and in part is immediately improved, and its reactive powers increased. 4th. In consequence of the increased reactive powers—in cases where the work unaided is insufficient to restore perfect health, the properly prescribed remedial measures that before were ineffective will now produce their hoped- for results and recovery is possible. 5th. That reaction from orificial work is usually immediate, but may be delayed in certain conditions for several weeks. 6th. That the patient's sensations are not a safe guide to the existence of these irritations. 7th. That work on the sexual system is ineffectual, and oftentimes harmful if rectal irritation be not first corrected. 8th. That complete orificial work is essential to success, i. e., it must include all the orifices and be prosecuted at intervals until each and all of them are in a normal condition. • 9th. That by this work as a basis, fully four-fifths of the cases that are now abandoned as incurable are found to be easily and surely and perma- nently relieved. 35 690D SHARP & SMITH, CHICAGO. ORIFICIAL SURGERY—Continued. ioth. That the condition of the sympathetic nerve-power has more to do with the health and happiness of the human body than is usually supposed. nth. That the amount of local trouble present furnishes no index to the nerve-waste involved, or to the necessity for the work, or to the beneficial effects to be expected from it. 12th. That the central principle—of orificial irritation as a predisposing factor in chronic diseases generally—has stood well a continuous and active test, both public and private, in hundreds of cases and by hundreds of doctors, for the last three years, and that, so far as I am aware, no protest has been entered against it, and that the improvement, as experience multi- plied, has been confined simply to methods of carrying it out and not to any change in the principle itself. Such, in brief, is a condensed presentation of this vast subject of the Orificial Philosophy, and its scope. Its successes are marvelously brilliant and numerous; its failures are many times due to incomplete and incompetent work, and its unfortunate use in cases too desperate to be saved by anything short of a resurrection day. It is not a foe to any other measure of healing, but is a help to all of them. As is usual in all human endeavors, those who have opposed its investigation most violently are those who knew the least about it, and were least fitted to speak on the subject. Generally, however, the profession has been kind, and generous, and patient, and I heartily thank them for their fairness and indulgence. Fraternally, E. H. Pratt, A. M., M. D., LL. D., Prof. Surgery to Chicago Homceopathic College, and Consulting Surgeon to Cook County Hospital. Also founder Lincoln Park Sanitarium, cor. Dentin^ Court and Lake View Avenue, Chicago. SHARP & SMITH, CHICAGO. 601 PROF. PRATT'S RECTAL INSTRUMENTS. In introducing to the medical profession the Rectum Speculum, Scissors and Hooks, which I have recently invented, I desire to call attention to some of the peculiar advantages these instruments possess. In the first place, as the most important pathological conditions in a rectum are situated about an inch above the anus, on a level with the upper border of the internal sphincter, none but an expanding valvular instrument will sufficiently smooth out the natural rectal folds so as to render the discovery of these conditions possible. In the next place the bulbous extremity of the instrument, for the same reason that a fair sized urethral sound passes easier than a small one, can be introduced with the very minimum of discomfort to the parts. This bulb also holds back the expanded part of the rectum above the sphincter and enlarges the field of observation. The Speculum is self-retaining, enabling the operator to work if necessary without assistance, and is so constructed as to secure when so desired sufficient stretching of the sphincter, thus saving the operator much subsequent effort with thumbs or fingers. By partially closing the Speculum it can be revolved at pleasure without withdrawal. Piles, ulcers and fistula? can also be easier treated through this than through any other devices. Add to these qualifications the remarkably low price of the instrument, and it will be evident that at last a long felt want of the profession is supplied, viz.: a Perfect Rectal Speculum. The Tenaculum is needed for seizing for removal papillce or other morbid growth, pendulant mucous membrane, etc. The small blunt hook is indis- pensable in discovering and raising for removal rectal pockets. The Scissors are constructed in this peculiar manner so as to remove the hand of the oper- ator from the field of vision. The original article upon rectal pockets and papillce ox fringes, by Prof. Pratt, also the cut illustrating their situation and manner of detection is appended, as some may still be unfamiliar with them. Messrs. Sharp & Smith have made all the above mentioned instruments for me in a very workmanlike manner, and at my request have made the price vithin the reach of all. Yours truly, E. H. PRATT, M. D., Central Music Hall, Chicago. RECTAL POCKETS AND FRINGES. ,1 Paper read before the Illinois State Homoeopathic Association, Peoria, in 1S85, by Prof. E. H. Pratt, A. M., M. D., LL. D., of the Chicago Homoeopathic Medical College. They are as common as piles; more prolific of mischief than you would believe without a special acquaintance with them, and still they have been hitherto almost unknown to fame, and very much neglected. Our current literature contains little or no mention of them, and only in a few isolated places in medical lore will you find any indication that they have ever been even discovered; and nowhere, so far as I am aware, are they well described or properly noticed. This paper, therefore, is but an act of jus- tice.to a condition which should have received earlier attention, and although in itself but a feeble effort, it is to be hoped that it will inaugurate a line of thought and investigation that will in time place the complaint where it belongs—in the regular index of all standard surgical works. 28 (>'.;2 SHARP & SMITH, CHICAGO. PROF. PRATT'S RECTAL INSTRUMENTS—Continued. Your attention is called to the mucous membrane at the upper border of the internal sphincter, just where the enlarged middle third of the rectum is puckered to the smaller limits of the lower third. Through an expanded trivalve speculum the lower third will appear as a short, straight, smoothly distended canal ending above in a well-defined bor- der, beyond which is seen the plentiful folds of the middle portion crowding into the upper part of the speculnm, and completely obstructing a farther view. This narrow edge is sometimes smooth and unbroken, but sometimes is ornamented with a few thickened prolongations of mucous membrane—cone- shaped, very pointed and sensitive at the apex, which is free—very broad' and thick at the attached base. These papillae vary in number from one to five or six—and in length from a line to one-half inch, and are not unlike in appear- ance the broken relics of a hymen. If no one can suggest a better name let us call them a fringe. They are always sources of irritation and should be removed. Transfix them one by one with a tenaculum and with a pair of long scissors snip them off at their base. Each one contains a small artery which requires no attention, as the bleeding ceases spontaneously upon the removal of the speculum. These papillce or fringes are not found in every rectum, but are common, and when present should be treated as above. This is the first of the two neglected conditions which it is the object of this paper to introduce. The second one—the pockets-—is more important, more unobserved, and consequently more neglected than are the fringes. These pockets are simply small blind canals, from one-eighth of an inch to an inch in depth, and their number varies from one to eight or ten in cases troubled with them. Their mouths are in the same situation at the bases of the papillae; in fact, there will often be found two starting from the base of a papillae, one on each side, running parallel with each other, but separated always by a partition. Their direction is always toward the anus and they are very superficial, hugging the mucous membrane closely; their caliber is often sufficient to entertain a uterine sound, but they are usually smaller. The bottom of these pockets is usually very sensitive, the patient often flinching, even when partially under ether, as soon as the bent probe touches it. Several times I have entered a pocket with a probe, bent in the shape of a fish-hook, raised it slightly and with a pair of scissors snipped it out. Upon then removing the amputated pocket from the probe, over which it fitted like the finger of a glove, 1 have carefully turned it inside out, and examined its lining, finding it to resemble ordinary mucous membrane except at the very bottom, where there is usually found a small spot of ulceration. This last fact explains the ease with which, many times, the probe, during an examination of them in situ, will often pierce the bottom of a pocket and passing readily through the loose areolar tissue under the mucous membrane, will burrow to the anus itself. The operation of snip- ping them out is so simple and slight that ether is unnecessary, except in very nervous patients, or in those who would be poor subjects for the local appli- cation of cocaine. Do not confound these pockets with blind, internal fistulae, as they are not the product of abscesses, are never tortuous, never inclose the sphincter, and their lining is mucous membrane. They doubtless frequently result in fistulae, but cannot properly be so considered in the state in which we are considering them. So irritations of the rectum, be they ulcerations, haemorrhoids, erosions, prolapsus, pockets or fringes, can write their story of distress upon the feet, limbs, back, bladder, uterus, urethra, kidneys, liver, stomach, heart, head, face or coats of the bloodvessels, as suits their pleasure. I do not regard the exam- SHARP & SMITH, CHICAGO. 693 PROF. PRATT'S RECTAL INSTRUMENTS—Continued. ination of a case of insomnia, neuralgia, nervous prostration, general debility or functional derangement of any one or all the organs of the body as thorough or complete, without a careful exploration of the lower two or three inches of the rectum. The conditions of haemorrhoids, ulcerations, etc., are so fully under- stood and appreciated, that it seems best in this paper to neglect consideration of them, so that the pockets and fringes could have a little of the attention so long denied them. Permit for illustration the brief mention of two cases: i. A bright little lady came clear from Denver, Col., to be relieved of severe congestive headaches occurring once or twice a week, and of a long established habit of constipation. Four papillae were removed and three pockets laid open soon after her arrival, and to my own delight the habit of con- stipation was entirely removed, and the headaches improved in two weeks' time; and although medicines were given and suppositories were used, from what I have seen accomplished with them in previous cases, I do not believe I am unfair in ascribing the cure to the operations. The second case is one of the most remarkable it has befallen me to care for. A prominent lawyer of Chicago, a man standing six feet and two inches, and weighing over two hundred pounds, called to be examined for a life insur- ance. He appeared well in every particular, except feeling tired, sleeping poorly, and having a heart beat of 94 strokes per minute. He used neither liquor nor tobacco. He was informed that the rate of his heart's action would exclude him from present insurance, and he was referred to his family physician to reduce the rapidity of his pulse. He crowded me so hard to explain the condition that at last I began more thoroughly to investigate his case. The cold hands and feet and the pulse rate pointed to a weakened state of the sympathetic nerve. His mouth and teeth were all right. His tongue showed no signs of distress in stomach or liver—the urine was normal. An exploration of the rectum was then begun, with a view, chiefly, of ascertaining the size of the prostate gland, as he positively denied any rectal irritation or irregularity. Upon the mere introduction of the finger, the man became ashy pale. The prostate was normal, but the speculum revealed a few superficial abrasions of the mucous membrane and a few pockets and papillae. The spots were carefully touched with 950 carbolic acid and a cotton tampon inserted. Everybody has seen the white alae nasi and mouth caused by pin worms, or other rectal troubles. Imagine this same dead white painted over the whole face and the entire skin surface beaded with drops of cold perspiration, and you will have a fair image of the appearance of the patient as he wearily arose from the operating chair. Suppositories and medicines continued for a space of three weeks failed to reduce the pulse, but improved the color of the rectal mucous membrane, and prepared him for more radical work. Under ether two papillae were cut off and four pockets slit up and the sphincter thoroughly paralyzed. In twenty-four hours a report from the attending physician in whose care he was left (as he lived out of town too far for me to care for him) pleased me by recording his temperature as only 990 and his pulse at sixty beats per minute. A few days of rest sufficed to heal the wounds and start him well on the road to recovery. His pulse rebounded to 68 or 70, but no farther, when quiet—and he resumed his work with more vigor and life than he had known for years. I have not fairly painted his weakened condition when the case was undertaken. For several years he had been able to work but four or five hours a day, and he spent three months of last summer in Germany in search of health, which he did not succeed in finding, and he was just about abandoning his business for some out of door employment, supposing his case was one of brain-lug, which only prolonged rest and change of occupation would cure. 4 SHARP & SMITH, CHICAGO. ______ PROF. PRATT'S RECTAL INSTRUMENTS—Continued. Pratt's Large Clamp. Aseptic. $8.00, net. This clamp is a modification of the old Nott Clamp. The biades are increased in length, and the slot and ridge extend throughout their entire length. The handles are widely separated at the blade ends, admitting the free access of scissors; being one-half the weight of the old Nott Clamp, it is more easily handled. The clamp bar being made reversible, operations may be made by the patient being placed on either the right or left side. The instrument is made with a separable lock, and can be taken apart to cles.*-.. SHARP & SMITH, CHICAGO. cm PROF. PRATT'S RECTAL INSTRUMENTS-Continued. CLOSED Pratt's Trivalve Speculum. $2.50, net. Pratt's Bivalve Speculum..........#3.00, net. small size, 2.50, net. Pratt's Tenaculum. 75c. net. Pratt's Blunt Hook. 75c. net. SHARP ft SMITH CHICAtO SHARP S, SMITH CHIMCO Pratt's "T" Forceps. Aseptic. $2.00, net. "Six or eight 'T' forceps are essential to a complete list of orificial instruments, and in selecting them one should pick out those which have symmetrical and closely fitting teeth of considerable length. Many of the ' T ' forceps in the market are much too long and heavy, and clumsily made." 696 SHARP & SMITH, CHICAGO. PROF. PRATT'S RECTAL INSTRUMENTS-Continued. Pratt's Modification of the French "Shut Off." $3.50, net. " In the after treatment of rectal cases, a double Douche tube will be found serviceable, as will also soft rubber, olive- tipped Bougies. There is a French stop cock, illustrated above, which is convenient in employing irrigation. A small Kelly operating apron is an almost necessary convenience in addition to rubber aprons and douche bags." These Cushions are made with an inflatable rim at the top, to prevent the escape of the fluid upon the bedding or cloth- ing, and by the opening and apron this fluid is conducted down into a bucket, placed to receive the same. The rubber, unlike other Cushions on the market, has a velvety softness that makes them very comfortable to the pa- tient; the color is a clear tan, and they are made with the greatest care to give them durability. They are being largely used in obstetrical, perineal, cervical and general surgical operations, especially where cleanliness and convenience are desired. H. Pratt's New Rectal Dilators. The new Rectal Dilators are intended as an improved shape of what have been called ' The Eggs;' they are much easier handled and do better work. Nature flushes her capillaries daily by a daily dilatation of the sphincter ani. In cases of chronic constipation or chronic diarrhoea, where she fails to do so, the new dilators make a very satisfactory substitute, and have a tendency to re- c c v, u^^r establish natural habits. The dilators can be used by the patients themselves, RectaliK" and are great adjuvants in the treatment of chronic diseases. These dilators Price $1.15 to are made in four sizes. Price each $1.50, net. Per set, $5.00 net. $2.75,accord- ing to size. An admirable tool for use in large single pile tumors and in amputating the pile bearing circle of mucous membrane in the Whitehead operation, and piles without the membrane in Pratt's modification of the Whitehead operation. Pratt's Small Clamp. Price $2.75, net. SHARP & SMITH, CHICAGO. 607 OTHER RECTAL INSTRUMENTS. Dr. S. H. Linn's Improved American Clamp. $6.00, net. Dr. C. S. Eldridge's Haemorrhoidal Clamp. $5.50, net. Dr. C. S. Eldridge's Small Clamp for Internal Piles. $2.50, net Dr. Emmet L. Smith's Modification of Pratt's T Forceps. $2.25, net. Extract from " Medical Era," April, '92, p. m. •' The advantage claimed for Dr. Emmet L. Smith's T forceps is, that one jaw has a plain surface and the other has the teeth, so when a delicate membrane is seized, they do not come through as is often the case when two serrated edges come togetner. _ 1 he catch has five teeth, so as to allow the forceps to seize the membrane at any desired tension. 697A SHARP & SMITH, CHICAGO. PROF. PRATT'S URETHRAL INSTRUMENTS. The male sounds are made double after the manner of female sounds already described, so as to economize number and weight of the instruments. Possibly many of the instruments described may be produced in aluminum or some like metal, thus materially diminishing their weight, but at the present time it would not be justifiable to recommend instruments made of other than the standard metals, as the instruments made of the lighter metals have not been sufficiently tested to deserve mention. There are no patents or royalties on any of the orificial instruments, and they are manufactured by almost all the leading instrument firms in the United States. As many of the instruments, however, are poorly and carelessly made, it was thought best in this first number of the journal to caution those intending to purchase, of the difference in their manufacture, so those intending to make purchase of instruments at the shops might be enabled to select serviceable ones. BERGMAN'S PROSTATIC URETHRAL DILATOR. Dr. Nils Bergman, of the Lincoln Park Sanitarium, has lately invented an ingenious instrument for dilating the prostatic urethra. Price $4.50, net. The prostatic inch like the internal os uteri is sometimes abnormally contracted and sometimes too patulous. Extreme dilatation is a valuable measure for either condition in either organ, whether it be in the uterus or prostate. Heretofore, surgeons were compelled to rely solely upon the use of sounds for urethral dilatation. The advantage of Dr. Bergman's instrument lies in the fact that the dilatation can be carefully gauged by the sense of touch and accurately measured, and also can be submitted to alter- nate dilatation and relaxation by a vibratory motion of the fingers, thus arousing the sluggish organ more surely to a satisfactory reaction. SHARP & SMITH, CHICAGO. 697B PROF. PRATT'S UTERINE INSTRUMENTS. "It is important in surgical work that the surgeon should possess instru- ments well adapted to the purposes for which they are intended, and there- fore a few comments upon instruments may not be out of place in the first number of the Orificial Journal. In the development of orificial surgery it has been necessary, not only to invent many entirely new instruments, but to radically modify many of those already in existence. 'Vaginal speculi were already abundant and entirely satisfactory for all forms of orificial work required within the vagina, so that no modification of vaginal speculi has been attempted. While different operators may have predilections for different speculi, orificialists generally will probably give preference, first, to a broad-bladed Sims' speculum with a retractor, illustrated by the following cuts. Prof. Pratt's Vaginal Retractor. $1.00, net Sim's Vaginal Speculum. $1.00, net. "Second, for Miller's bivalve, as illustrated on following page; and third, in exceptional cases where the walls of the vagina are so redundant and flabby as to more or less completely obstruct the view furnished by the Sims' and Miller speculum, they will find it necessary, in order to successfully expose the cervix uteri and enable them to prosecute their investigations and operate with the desired success, to make use of Neugebauer's speculum, see following page. "Uterine tenacula and vulselli are indispensable, and for orificial work the best ones are the Pratt tenaculum, page 10, and the double vulsellum, page 17. 697C SHARP & SMITH, CHICAGO. PROF. PRATT'S UTERINE INSTRUMENTS—Continuea. Miller's Bivalve Vaginal Speculum. $1.50, net. "In the selection of uterine dila- tors, which are always required in undertaking intra-uterine work, experi- ence soon teaches the operator to dis- pense with valvular tools, and also with sponge and sea tangle tents, and to rely upon the graded sounds. In order to economize both in weight and number these sounds have been made double, embodying really two instru- ments in one. The following cut illus- trates the double ended sound. Neugebauer's Set of Specula, $4.50 net' Pratt's Double End Uterine Sound. 75c. net. "In selecting a set care should be taken to see that the end of one sound is a trifle smaller than the shoulder of the preceding sound, so that no force will be required in effecting an entrance of a sound. In exceptional cases of uterine stricture and fibrous degeneration a valvular uterine dilator will be found necessary, the best ones, the Sims' dilator, a trivalve, and Goodell's bivalve being preferred, as they are less liable to bruise the uterine tissues. Of course a Sims' flexible uterine sound is always indispensable for diagnostic purposes, as is also a long silver probe, which may serve either for uterine work, or in tracing fistulous tracts SHARP & SMITH, CHICAGO. 697D PROF. PRATT'S UTERINE INSTRUMENTS-Continued. #"In selecting a uterine curette there is a new one invented by Dr. F. D. Holbrook, of the Lincoln Park Sanitarium, which is so superior to all other instruments upon the market as to deserve especial mention. After a uterine cavity more or less covered with vegetations has been curetted with apparent thoroughness by an | ordinary instrument and the debris washed away, and the cavity dried by thorough swabbing, it will be astonishing to the operator how imperfect has been his work, if he now employs the Holbrook curette. The instrument is sufficiently heavy and well-balanced to : adapt it perfectly to the most delicate manipulations, enabling one to employ a much finer sense of touch as the instrument comes in i contact with the endometrium, and in this respect is much superior to i other instruments. Its chief merit, however, lies in the fact that it i serves, not only as a curette, but also as an intra-uterine douche at the same time. The stem is hollow and the uterine extremity of the tube opens in the scoop of the curette so that the water is reflected forward, thus immediately washing away all debris loosened by the curette. The tube of a fountain syringe is to be fastened to the handle, and after the stream is well started and the curette is intro- duced into the uterine cavity, it is to be handled as any other curette, only this can be done more delicately on account of its happy poise. "It must necessarily supersede all other curettes, because of its superior qualities. In order to adapt it to all possible conditions the spoon extremity is furnished with two spoon tips of different sizes, which can be fastened at will to the handle by a screw attach- ment." "In operating for laceration of the cervix, the orificial surgeon appreciates more keenly than the average gynecologist the import- II Ml ance of removing the cicatricial plug, as well as simply repairing un- !'? | healed rents. See following page for cut of a most valuable instru- U I ment for seizing the plug during the process of dissection. There is I .H a great difference in the make of the plug forceps. Be careful to select a pair with well-marked teeth and bulging jaws, so that the instrument may seize a good-sized plug and retain firm hold upon it." Holbrook's Uterine Douche Curette, $3.00 net. Same with two tips, $3-5° net- 697E SHARP & SMITH, CHICAGO. PROF. PRATT'S UTERINE INSTRUMENTS. Pratt's "V" Plug Forceps, $2.25, net. (See preceding page for description.) Pratt's Straight Uterine Scissors, $1.75, net. The scissors most serviceable in uterine and perineal work are a straight pair curved slightly at the ends of the blades, which are sharp-pointed. A pair of perfectly straight scissors will be found convenient in laying open the cervix for inspection. The accompany- ing cut illustrates them. Pratt's Female Urethral Speculum, $2.50. Emmett's Double Tenaculum. Price, $3.75 net. For spreading the cervical canal for the extirpation of cysts, and for removal of cicatricial plugs and for other cervical work. SHARP & SMITH. CHICAGO. 697G PROF. PRATT'S UTERINE INSTRUMENTS. Pratt's Intra Uterine Stems. 75c. net. Made of hard rubber, and of great utility in overcoming uterine stenosis and correcting flexions and starting nutritive changes. GHARP « SMITH. Uterine Douche Recurrent. Price $1.25, net. Used in chronic endometritis, sub-involution, etc. Combination Bed Pan, with Outlet and Inflating Tube. S3.50, net. No. 40. Bulb Syringe, with four pipes. 75c. net. Scoop Powder Blower, for the topical application of powdered medicine. Price 75c. net. Ludlam's Uterine Respositor. Price, $3.50, net. For use in restoring the uterus to proper position, previous to adjusting some more perma> nent means of support. 698 SHARP & SMITH, CHICAGO. THERMO-CAUTERY. ^4268 Pacquelin's Cauterv, complete, in neat Morocco Case, Fig. 4269, with two Cautery Points............................................... ............. $25 00 ^4269 Showing Cautery, in Case, as described in Fig. 426S. "■4270 No. 4—Button Cautery Point ) These two Tips are the ones referred to as be- ) ^4271 No. 5—Knife " ' ) longing to complete Apparatus Fig, 4.168. C *4272 No. 6—Curved Knife, Cautery Point.................................. ^4273 No. 7—Small " " ..................................... ^4274 No. 8—Curved Small Knife, " ..................................... *4275 No. 9—Cylindro Conical " .................................... "■4276 No. 10—Sharp Point Cautery........ 4277 No. 11—Very Fine Knife, Cautery Point................................... 10 00 *4278 No. 12—Needle Tip, ".................................. 1000 *4279 No. 13—Cautery Scissors Straight or Curved................................ 18 co 10 CO 10 00 IO CO 10 0 10 00 10 0 > 10 00 4280 4281 4282 4283 4284 4285 PARTS OF THE CAUTERY. Metal Reservoir........................................................$ 3 00 Glass "......................................................... 2 co Metal Lamp......................................... ................. 2 50 Glass " ....................................................... ... 2 00 Canulated Handle, with lengthened Tube................................... 2 co Double Bulb Blow Apparatus................... ........................ 3 00 4268 DR. PACQUELIN'S CAUTERY (THERMO-CAUTERY.) Pacquelin's Cautery is an instrument for the production of permanent and controllable heat, and with slight radiation, it can be raised to the highest temperature. It passes through liquids and organic tissues without losing its activity. This admirable instrument (without rival) is adapted to all the needs of actual cautery, owing to the variety of its forms. It occupies a privileged rank among the principal instruments indis- pensable in surgery, where the use of cautery by fire is indicated. The use of this instrument is desired from the fact that when platinum, as well as several other metals, slightly heated, is brought in contact with hydrocarbon vapors, it gradually becomes incandescent, and retains its heat as long as the vapors are supplied. It is combined as follows : A combustion chamber of platinum, a canulated ebony handle, a thick rubber tube, a reservoir for the hydrocarbon, a double bulb apparatus for supplying air. A spirit lamp, with blow pipe, is furnished with the above. NOTICE.—The above described parts are put up in a neat Morocco Case, four inches high, seven inches long, and five inches wide. SHARP & SMITH, CHICAGO. 699 THERMO-CAUTERY. 4270 4271 4272 4273 4274 4275 4276 38 700 SHARP & SMITH, CHICAGO. THERMO-CAUTERY. 4279—(see page 698). 4280 Fig. 4280 The Farny Pocket Thermo Cautery, with two platina tips............net $25 00 Fig. 4280-A Second Quality Pocket Thermo Cautery...............,.............. 16 50 INSTRUMENTS FOR MALE URETHRA, BLADDER AND GENITALS—CATHETERS. FIG. 4300 English Web Catheters, sizes 1 to 12....................each $0 IS_doz $ 43"i " (Double) Web Catheters, sizes 1 to 12................ " o 2"__ " ^°2 " "121016 ........................?..each 4303 " " 17 and 18.......... 4304 " (Best) " " Olive Tip, sizes 1 to 12......'"...'..... " 4305 " " " " " 12 to 18............... " 43^6 " Conical, " 1 to 12 " 4307 " " ' 12 to iS..'.'.'.'.'.'.'.'.'.'.'.'.'.'.'. " CONTINUED ON NEXT PAGE. 25 00 3; 5^ 75 50 75 SHARP & SMITH, CHICAGO. 701 INSTRUMENTS FOR MALE URETHRA, BLADDER AND GENITALS—CATHETERS. *43o8 Sharp & Smith's Improved Catheters, Conical, all sizes...................each, $o 50 *43og " " " Olive, " ................... " 50 *43IQ " Cylindrical, all seizes................ " 50 *43IX " hole in end and side..... " 50 4312 " " Prostatic.......................... " 60 *43^3 " " Mercier's Elbow................... " 65 *43i4 " " " " " Double Curve....... " 85 *43r5 " " Curved Cylindrical................. " 60 *43i6 " " " " Olive Tip.................. " 60 *43J7 " " " " Bulbous.......................... " 60 *43i8 " with long Bougie Tip............... " 75 }3o8 4309 43io 43" 4313 4314 43J6 4317 43i8 702 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS—CATHETERS. FIG. *43io Lee's Cylindrical half silk Catheter.........................$ ♦4320 " Olive Point " " "........................ *432i " Open End " " " ....................... *432 2 " Mercier's " " "........................ 4323 Silk Web Cylindrical Catheters ............................. 4324 " " Olive " .............................. 4325 " " Mercier's "............................ *4326 Belfast Linen Web Catheters, Olive Tip..................... *4327 " " " " Cylindrical..................... ♦4328 " " " " Mercier's...................... *432Q " " " " Olive Metal Tip................. *433° " " " " Cylindrical Metal Tip........... *433i " " " '• Mercier's " " ........... 1 ♦4332 " " " " Conical " " ........... 50 5° 75 65 ^5 75 85 5° 5^ 75 90 «5 10 90 4322 SHARP & SMITH, CHICAGO. 703 URETHRAL INSTRUMENTS—CATHETERS. A NEW CATHETER TIP. Antiseptic—Non-breakable. Heretofore in all Flexible Catheters, whether with woven or cut eyes, at least one-quarter of the body of the tube is displaced where the eye occurs, and the Catheter is consequently made weakest at the very part where the most strength is required. This gen- eral defect has been overcome in the Metal Eye Belfast Linen Catheters, by ingeniously attaching a properly con- structed German Silver Eye Piece, which is firmly woven inside the tip of the Catheter, so that it not only thor- oughly protects the weak part about the eye, but makes the head of the Catheter perfectly solid and antiseptic. In the Olive and Conical patterns, additional stability is given to the slen- der points by means of a catgut inside, which extends from the metal eye to the extreme tip, and makes the points solid and firm. 4328 CYLINDRICAL, WITH METAL Tlfi INSIDE 4330 OLIVE , WITH METAL TIP INSIDE 4329 CONICAL, WITH METAL TIP INSIDE 4332 MERCIER,WITH METAL TIP INSIDE 433i SECTIONAL VIEW OF METAL TIP 704 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS—CATHETERS. 4334 Soft Rubber Velvet Eye Catheters, cylindrical. *4334-B *4334-C *4334-D *4334-E *4334~E *4334-G *433^-I <*335 4336 4337 *4318 *4339 4340 4341 4342 *4343 4344 4345 4346 Each. 75 60 1 00 hole in end long conical ......, curved olive tip ..... small openings....., Mercier style........ open on end and side open near end........ Nelaton's '•' " " .................. Drainage " " " .................. Leavitt's " " Female Catheter............... Marcy's Soft Rubber Double Current Catheter.............................. 1 75 French Gum English '' Hard Rubber Tiemann's Soft Rubber Nott's Silver " Plated Plain Silver " Plated 60 60 60 50 25 75 50 SHARP & SMITH, CHICAGO. 705 URETHRAL INSTRUMENTS—CATHETERS. 4347 *4348 4349 435° 4351 435 2 *4353 *4354 4355 4356 *4357 4358 4359 *436° 436i 4362 Flexible Metal Catheter___ Sterling Silver Male Catheter Plated Pure Silver " Plated Prostatic Male Silver Barthalow's Silver Plated Gross' Spiral Silver.... Plated. , and guide. Goulay's Tunneled Cowan's Vertebrated Squires' Vertebrated " (mod. by Caro), Vertebrated Catheter........ Warren's Door Catheter for evacuating the bladder. Vermicular " ................ $2 251 75 5° 65 00 90 00 5° 75 50 75 75 5° 5o 5° 50 4360 4363-64 434S 4357 4353-54 706 SHARP & SMITH, CHICAGO. *4363 *4364 *43^5 *4366 *43^7 *4368 4369 437° 437i URETHRAL INSTRUMENTS—CATHETERS. Male and Female Jointed Silver Catheter....................$ 1 85 " Plated " ................... 85 " " " Silver " Parker's............ 300 " " Plated " '- ........... 1 50 Holt's Self Retaining " ............... ... 1 00 Dowell's " ................... 3 75 Metal Cooling " ................... 2 00 Wyeth's Cocaine " ................... 1 00 Otis' Urethral Haemostatic Tube " ................... 50 -os// *4372 Bigelow's Metal Catheter' Syringe............. 3 00 *4373 Dick's " Caustic " ............ 2 65 *4374 Van Buren & Keyes' Bladder Syringe with Stop /' Cock, Catheter, etc....................... 3 50 4373 4365-66 All instruments designated by a * are illustrated. SHARP & SMITH, CHICAGO. 707 URETHRAL INSTRUMENTS—SYRINGES- *4375 *4376 *4377 4378 4379 4380 *438i 4382 4383 4384 *4385 ♦4386 *4387 *4388 4389 *439° 1c439i 4392 "4393 4394 *4395 * Otis' Catheter Syringe, Parker's Otis' Keyes' Gouley's (Silver) Nozzle. Guide 12 24 inch each Otis' Taylor's Urethral Syringe............................. Ultzman' " " ............................. Bumstead's " " Glass Barrel..................., Braun's " " ....... ................... Keyes' (LTltzman's) Urethral Syringe..................... Hard Rubber " " .................... Bryce's " " and Applicator ...... Thornton Parker's " Tube...................... Hosmer's T. for washing out the bladder................ Van Buren & Keyes' Stop Cock Metal................... Hard Rubber............. " " Bladder Syringe................... " " Hot Water Bag for diseased prostate. Peck's Double End Bladder Syringe.......*............. Hi j« 4376 4377 43§5 43S7 708 SHARP & SMITH, CHICAGO. BRYCE'S URETHRAL APPLICATOR AND SYRINGE. 4388 This instrument, known as " Bryce's Urethral Applicator and Syringe," consists of a silver cylindrical tube, perfectly straight, ten inches long, with a number of perforations near the vesical end; within this tube slides another tube of equal length, pro- vided with a large fenestrum to correspond with the perforations in the outer tube. An air-tight plunger fits accurately in this inner tube. An ointment may be placed in this tube, and the whole encased in the outer one. This instrument is so arranged that when it is carried down to any desired spot, by turning the inner tube and forcing a little gauge pin into a slot in the outer tube, the fenestrum is brought opposite the perforations in the outer tube. By gently forcing the piston rod down, an ointment may thus be applied in any quantity to any particular spot or spots within the urethral tract. The instrument may be used equally as well for a syringe. It is the best one I have ever used for medicating the urethra. The surgeon can with positive cer- tainty know exactly where he is applying his remedies, and has perfect control of such agents, medicating only such spots as he may choose, applying large or small quantities as the case may demand. Any surgeon who is familiar with the anatomy of the parts, knows that a perfectly straight instrument can be readily passed into the bladder. 4397 4393 4395 4391-92 SHARP & SMITH, CHICAGO. 709 URETHRAL INSTRUMENTS—SYRINGES. *4396 Zuelzer's Katharaphor....................................$ 2 25 *4397 Wigmore's Gonorrhoea Tube............................... 1 85 ZUELZER'S KATHARAPHOR FOR THE URETHRA. [From Medical News.] The above named instrument, designed by Professor Zuelzer, is well adapted to cleanse a diseased urethra of infectious bodies and inflammatory effusions. Its chief use is in cases of acute gonorrhoea, but it also finds appli- cation in the chronic state, with accompanying erosions, rents, broad superficial loss of substance and ulceration or croupous infiltration of the mucous membrane. The customary method of using injections, suppositories and ointments, is undoubtedly deficient in not providing for a preliminary thorough washing of the affected tract, and the want of care and exactness, which lies in applying medicaments over an unremoved layer of inflammatory products, needs hardly to be mentioned as incompatible with our ideas of antiseptic treatment. By the use of the Katharaphor this indica- tion is fulfilled, and the ingenious and com- plete manner of construction has led to the belief that it is deserving of notice in America. The accompanying illustrations may serve to explain the instrument: The bell A is of a size to cover the glans penis. The bent tube a, distinguished from its fellow c by an elevated ring, is connected with an irrigator of water or antiseptic solu- tion, and terminates in the straight tube B. The latter has a length of 4/4-5 /4 inches, and ends with a free opening. The outer tube C, encasing B, is screwed into the under surface of the bell and communicates thereby with the outflow tube c. The outer tube is of silver or German silver, its lower end is closed and has a tip like a catheter's. Its sides are per- forated by four long broad slits. The three elevations on B prevent the outer tube C from bending inward. The current of fluid in A B escapes at the. open extremity. Through the slits in C it bathes the urethral walls, and the collected washings returning inward again are discharged through c. In the treatment of acute gonorrhoea in Zuelzer's clinic, the patient's urethra is irrigated once daily. The liquid is either hot or cold the latter state being generally preferred on account of the comfortable sensations it produces. The washings are collected in glass vessels until the fluid no longer shows turbidity. By compressing the rubber tube attached to c the outflow^is arrested. This is done at short intervals and tends to remove particles that would not otherwise come away. An irrigation lasts from fifteen to forty minutes. It may, of course, when possible be frequently repeated. Prof. Zuelzer usually combines the use of medicated suppositories, but not with any decided influence on the duration of the purulent discharge. This, as a rule, entirely disappears in from six to eight days, even when pure water is the irrigant. y ' Louis Kolipinski, M. D. 43Q6 709A SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS. AN APPARATUS FOR DILATING THE BLADDER. By Dr. H. M. Starkey, Chicago. 4397-A This apparatus was devised for the treatment of a case of extreme contraction of the bladder following long continued severe cystitis. The cystitis having subsided under appropriate treat- ment, the bladder was left with a capacity of only one-half an ounce and the urine could not be retained longer than twenty minutes. Dilatation was practiced a few times by placing a reser- voir at a considerable height above the patient, but this proved unsatisfactory because inaccurate. \\ ith this simple apparatus all the factors are under complete control, and can be exactly meas- ured and recorded. The temperature of the solution used for dilatation is measured by the thermometer. The pressure under which it is introduced is measured by the air gauge. The time by the watch and the amount injected, by the marking on the bottle. The apparatus consists of the graduated and tabulated bottle; which is nearly filled with a sterilized normal saline solution, at a temperature of about 110° F. By means of the double hand bulb, the air above the solution can be increased by from three to six pounds to the square inch. The air introduced is filtered by passing through cotton in the receptacle. From the tubule of the bottle the solution passes through a soft rubber tube and a double current catheter to the bladder. 4397-B 4397-C 4397-D SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS. FIG. *4397-A Dr. H. M. Starkey's Apparatus for Dilating the Bladder................... $10 oo *4397-B Otis' Urethral Hemostatic Tube—"Velvet Eye".......................... 60 *4397-C Vaughan's Catheter for Irrigating the Urethra—"Velvet Eye".............. 60 *4397-D Nail's Urethral Applicator, or Soft Rubber Cupped Bougie—"Velvet Eye".. . 95 *4397-E Waechter's Improved Catheter for Treating the Urethra.................. 3 50 *4397-Gf Sage's Urethral Powder Applier ..................................... 7 50 *4397-H Lindenschmidt's Urethral Irrigator and Irrigating Dilator.................. 5 00 4397-E 4397-G 710 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS—BOUGIES AND GUIDES. ill 4405 4406 4407 4408 4409 441 i 4412 4416 0iCe=>— 4414 ' 4417 W4418 A Aft. f SHARP & SMITH, CHICAGO. 711 FIO. URETHRAL INSTRUMENTS—BOUGIES. 439s" English Web Bougies (Common), sizes i to 12___ $ is 4399 " " " " » 1 to 12........per doz. 1 25 44°° " " " " " 13 to 16...........each. 25 44oi " " " « « I? and 18.......... « ,0 4402 " " " (Fine) « 1 to 12.......... « 0 44°3 " " " << « i3to 16........... " L 4404 " " " « " 17 and 18.......- ,. " 9o *44°5 Sharp & Smith's Improved Bougies, Cylindrical......" c0 *44o6 « « « Conical............. « 50 *44Q7 " " •' " Olive Tip........... « rQ *44°8 << « « « Bellied.........« 60 *44Q9 " '• « Aboule........." 75 44io « « « Double Aboule...... " 1 00 *44H " " " << Triple " ...... « 1 25 4412 Otis'Bougies, Aboule, Nos. 6 to 40, French scale......... " 35 4413 English Filiform Bougies............................. « 5o *44i4 French " " ............................ <» -Q *44i5 Whalebone " " ............................ « 2r *44i6 " " 1 doz. in box..............per box. 250 ^4417 Olive Tip Whalebone Filiform Bougies.................each. 25 *44i8 Goulay's " " " . .•............... « 2~ 4419 Banks' " " ................. " 7r 4420 Eldridge's Pathfinder..................................... 26 25 4421 Modified Eldridge's Pathfinder............................ 2 75 4422 Warren's Exploring Sound................................ x gr *4.<23 Weisse's Bougie Aboule, with non-flexible, ruled staff.......... 75 *4-^4 " Urethral Sound, for treating Strictures of the Male Urethra exteriorly to the triangular ligament..........., .. . 75 4425 Belfast Linen Bougies, Olive Tip..................... .each. 50 4426 " " " Cylindrical.................... " 5o 4427 Sea Tangle " ..................... « 7c 4428 Silk Web " ..........................'.'.'.'..'." 1 00 *4429 Papier Mache and Catheter Box (see Fig. 4416).......... " 75 4430 Casper's Rubber, Gonorrhceal Bougie....................... 2 00 4431 Hunter's Filamentous Wedges.........................each. 60 4432 Wax Bougies........................................ " 30 4433 Flexible Metal Bougies................................ " 50 *4434 Straight Elm . " ............................per doz. 2 00 ♦4435 Curved " " ............................ " 2 00 *4436 Piffard's Bulbous Bougies.............................each. 35 _i_______2 g 4_______5_______e__ ^ ' >' -w 1 < I____!_!____i I ■••i,-''r;~t,;...L 1 1 ■ 1 •■■ 1 i. ■■■■ i ;■■''; 2 ______S 4 5 712 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS-BOUGIES AND SOUNDS. FIG. 4437 Fowler's modification of Otis' Bulbous Bougies each.........................$ 65 *4438 " " '" " (in case), Set.... .............. 5 00 4439 Leather Rolls for Fowler's Bougies, to hold from 16 to 34 Bougies.............. 2 00 SOUNDS. *4440 Wier's Short Curve Steel Sound............................................ 1 15 *444i Piffard's Fossil Sound..................................................,,.. 75 *4442 " Meatometer..................................................... 85 DR. FOWLER'S CASE OF OTIS BOUGIES. 4438 This set of Bulbous Bougies, for locating strictures of the male urethra, was devised by Dr. Geo. R. Fowler, as a companion to Prof. Weisse's Pocket case of Sounds. This set consists of 16 bulbs numbered according to the French Scale, giving every even number from 10 to 40. Owing to the small difference between the sizes in this scale, every alternate size is all that is usually thought necessary. The slide attached to the rods serves as a place on which the sizes of the bulbs are stamped, and as an accurate and simple means of measuring the depth of the stricture, by sliding it up to the meatus and fastening it with a turn of the screw, while the bulb is engaged in the stricture. Owing to the rare occurrence of strictures below the straight portion of the urethra, the rigidity of the stems in these instruments, will very seldom become an objection, and their compactness and arrangement will be found a great convenience in carrying, and in use. The entire set is contained in a morocco case 3^ inch x 9^, and less than one inch thick. 4440 SHARP & SMITH, CHICAGO. 713 URETHRAL INSTRUMENTS—SOUNDS. FIG. *4443 Fowler's set of 12 sizes curved Sounds in Case........... *4444 Weisse's " 12 " straight " " DR. FOWLER'S SET OF SOUNDS. This set of Sounds comprises twelve sizes from No. 9 to No. 20 American Gauge, and while they are as effective as the old style of Sounds, the weight, bulk and expense are reduced nearly one-half. They have the regular Van Buren curve and taper, and are put in Morocco cases \2}i inches long, 4 inches wide, and 1 inch deep. Weight complete, 20 ounces. DR. WEISSE'S POCKET SET OF SOUNDS. 4444 This set of Sounds, devised by Dr. Weisse of the University Medical College, New York, comprises twelve sizes, from No. 9 to No. 20 American Gauge. They are well adapted to all purposes for which Sounds are used in the straight portion of the urethra; as almost nine-tenths of the treatment requiring Sounds is confined to this portion of the canal, they will nearly fulfil all the require- ments. The absurdity of introducing a curved instrument into the bladder for the purpose of dilating any part of the straight urethra is apparent. The Sounds are Nickel Plated, and put up in neat Morocco Case, measuring only 8>4 inches long, 2^ inches wide, and ft inch deep, so it can be readily carried in the pocket. Case and Sounds only weigh ten ounces. :J7 k H4 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS—SOUNDS and EXPLORERS. FIG. 4445 Van Buren's Steel Sounds, finely Nickel plated, sizes i to 20 English Scale ....................................each$ 60 4446 Van Buren's Steel Sounds, Sizes 21 to 25 English Scale......... 75 *4447 " Set of 8 Steel Sounds, in case...................... 6 50 *4448 Steel Ointment Sounds .................. ... each 1 25 4449 Morocco Covered, Velvet Lined Cases, for 2 Sounds........... 2 50 445° " " " " " " 8 " ...........3 00 445i " " " " " "12 " ........... 4 25 4452 " " " " " "16 " ........... 5 50 *4453 Mastin's (mobile) Olive Point, Steel Sound.................... 1 85 SHARP & SMITH, CHICAGO. 714A URETHRAL INSTRUMENTS. FIG. *4453-A Rhodes' Case of Straight and Curved Sounds...................... .......$7 50 *4453-B Pratt's Double End Male Sounds....................................each, 75 *4474-A Otis' Improved Stone Searcher......................................... 4 50 *4497-A Dr. W. T. Belfield's (Chicago) Urethral Dilator........................... 5 00 *4497-B Bergman's Urethral Dilator...................................... 4 50 *4497-C Gouley Prostatic Gland Dilator......................................... 12 00 *4497-D Andrews' Double Channel Evacuator, with Syphon Strainer and 2 Evacuating Tubes.............■...........:.................................... 15 00 *4497-E Lydston's Urethral Irrigator........................................... 1 25 *4497-G Pratt's Retrojector...................................................... 1 75 *4497-H Mussey's Bladder Curette............................................. 2 25 4497-B Instruments designated by a * are illustrated. 5393 714B SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS. 4497-C 4497-D Dr. Edmund Andrews' Double Channel Evacuator for Litholopaxy, with Syphon Strainer. 4497-0 4497-E SHARP-SMITH 4497-H SHARP & SMITH, CHICAGO. 715 URETHRAL INSTRUMENTS. FIG. 4454 Teft's Sound for Strictures exteriorly to the Triangular Ligament $ 95 4455 Flexible Metal Sounds.................................... 40 4456 " " " double curved........................ 60 4457 Goulay's Sounds.......................................... 1 00 4458 Otis' " ......................................... 100 4459 Straight Steel Sounds..................................... 75 4460 Double End Steel Sounds.................................. 75 4461 Pratt's " ".................................. 75 4462 Winternitz's Cooling" .................................. 3 00 4463 Piffard's Fossil " ................................ 75 4464 Goulay's Tunneled " ................................. 1 25 4465 Lawrence's " ................................. 1 25 4466 Hale's Sound for Involuntary Emissions..................... 1 25 4467 Benique's Sound......................................... 1 00 4468 Bumstead's "......................................... 1 00 4469 Hollow Sounds for Cold Water............................ 1 75 STONE SEARCHERS. *447o Andrews' Stone Searchers, complete........................$ 1 25 *4471 Thompson's " "................................ 250 *4472 Goulay's "................................ 1 15 *4473 Little's "................................ 2 00 *4474 Otis' *' ................................ 4 00 4475 Plain " " ................................ 1 50 4476 Mercier's Prostatic Gland Dilator........................... 7 50 4477 Goulay's " " .........'.................. 12 00 4478 Walker's " " " ........................... 27 00 4479 Harrison's " ".......................each. 1 10 DILATORS. *448o Schweig's Urethral Dilator.................................$ 7 50 *448i Goulay's " " for over-distension................. 9 00 4482 Thompson' " " ................................. 750 4483 " " " in case........................... 9 00 4484 Goulay's (") " " ................................. 9 00 4485 Gross' " " ................................. 10 00 ♦4486 Holt's " " ................................. i3 5° 4487 " (Bumstead's) Urethral Dilator........................ 10 25 4488 Dolbean's " " ........................ 1800 4489 Bigelow's " " ........................ 115° *4490 Stearns' " " ........................ 3 75 *449i Priestley's " "........................ 9 °° 4492 Thebaud's " " ........................ 7 5° 4493 Powell's " " ........................ 26 25 4494 Steurer's " " ........................ 6 00 4495 Voillerner's " " ........................ 1650 #4496 Otis' Meatus " .................... 1 15 *4497 Thompson's Prostate Sound and Tube—Sound, $2 25. Tube.. 375 4471 See preceding and following pages. 716 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS—DILATORS. 449° See preceding page for prices SH.-IRP & SMITH, CHICAGO. 717 URETHRAL INSTRUMENTS. FIG. 4498 Desormeaux's Endoscope................................$35 °° *4499 Skene's " ................................. 2 00 *45oo Otis' " .................................. * °° 4501 Laveur's " .................................. :5 °° *4502 Glass Mirror Urethral Speculum........................... 35 4503 Sharp ec Smith's Bivalve Urethral Speculum, 3^ inches long... 15° 4504 Meatus " " " ................. 3 5° ♦4505 Skene's Folsom's " " ............. ■ ••• : °° ♦4506 " " '■ ................. : 85 ♦4507 Brown's " ................. 3 35 ♦4508 Lallemand's Silver Porte-Caustic........................... 3 °° 4509 Gross' " '• '• ........................... 3°° 4510 Wier's Meatoscope......................... ............. I °° 4511 Porcelain "........................................ 5° 4512 Silvered Glass Meatoscope................................. 35 4513 Smith's Urethroscope..................................... 2 5° 718 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS—URETHROTOMES. "4Sp It is nothing more, as may be seen in the wood cut, than a ^Jmksm metallic exploratory bougie, the slender shaft being provided Eslpr5® with a handle, grooved for the reception of a steel rod, to one 4515 end of which is attached the blade, and to the other a button, through the retraction of which the former is thrown out of the under surface of the bulb, so that the incision may be made along the floor of the urethra. The extent to which the blade can be projected is regulated by a lateral screw near the handle. The length of the contrivance is eleven inches, of which three are taken up by the handle, button and screw. In actual practice I have found two such instruments to be all that are required. In one, which is intended for strictures of moderate caliber, the bulb is equal to No. 15 of the French catheter scale; while in the other the bulb corresponds with No. 23, which suffices to define coarctations of much larger size. In exceptional cases, still larger bulbs may be demanded. SHARP & SMITH, CHICAGO. 71fe URETHRAL INSTRUMENTS—URETHROTOMES. Otis' Straight Urethrotome (latest pattern)..... 4523 4528 4529 4530 All instruments designated by a * are illustrated. 4524 720 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS—URETHROTOMES AND URETHROMETERS. "4531 Mastin's Diagnosing Urethrotome.............. ..........................$11 25 *4532 " Instrument for Subcutaneous Urethrotomy.......................... 4 50 4533 Pritchett's Rotating Urethrotome.................................... 18 75 4534 Westmoreland's Urethrotome.............................................. 9 00 4535 Peters' " ................................................... 4 50 4536 Banks' "................................................ 1500 *4537 Otis' (modified by J. Blake White's), Urethrotome........................... 30 00 *4538 Dr. J. Blake White's '• ............................. 1500 4539 Milnes' Dilating Urethrotome........................................... '275 Stearns' Dilating Urethrotome........................... 9 00 Wyeth's ".......................... 2000 Hunter's " " ........................... 26 25 Brown's " .......................... 19 50 Young's ' .........................37 50 Rogers' " " and Urethrometer............... 3000 Walker's External Urethrotome.......................... 1 35 Otis' Urethrometer.............. ...................... 13 50 Weir's " .................................... 1350 Gross' " ..................................... 5 00 4531 4532 4537 4538 4547 SHARP & SMITH, CHICAGO. 721 URETHRAL INSTRUMENTS—STRICTURE CUTTERS. FIG. *455° Sharp Point Lithotomy Scalpel.............................$ i 25 *4551 Probe " " "............................. 1 25 455; Dupuytren's " " .............................. 1 40 *4553 Little's Sharp Point Lithotomy Bistoury....................... 1 15 4554 Gouley's Beaked " " ....................... 1 20 *4555 Blizzard's Probe Pointed Bistoury American................... 1 25 *455<3 " " " " English................... 1 25 4557 Wyeth's Sharp " " ............................ 1 50 *4558 Piffard's Fossil Stricture Cutter............................ 7 50 4559 Civiale's Bistoury Cache.................................... 2 50 4560 Dupuytren's Double Bistoury Cache.............:........... 18 00 *456i Wood's Bisector.......................................... 3 4° 4562 Hutchinson's Lithotome..................................... 5 25 ,„v,y > til m mi 'A Will ill mi 4550 4551 4553 4555 4556 4561- All instruments designated by a * are illustrated. 722 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS—MEATOTOMES. Gouley's Meatotome.....................................................$ 2 25 *45&3 4564 Mitchell's •4^65 Otis' 4566 Civiale's •4567 Piffard's 4568 Simpson's 4569 Piffard's Meatometer..................................................... *4570 Bush's Gorget......................................................... 3 *457i Hooked Gorget ........................................................ 2 *4572 Physick's " two blades... ........» ............................... 4 4573 Ordinary " Blunt___ ............................................. t 4574 Keyes' Blunt Gorget.................................................... 1 4575 Scoop and Gorget ............................................. ......... j 4576 Sims' Scoop........................................................... x *4577 Luer's ''........................................................... 1 *4578 Scoop and Conductor................................................. j 4579 Dowell's Gorget and Staff ............................ ............... 4 *4S8o Little's Lithotomy Director............................................... ! 4581 Gouley's " " ................................................ t 16 50 1 30 3 75 1 00 5 25 85 40 25 85 90 85 85 50 85 75 25 15 15 4580 4577 4578 4572 SHARP & SMITH, CHICAGO. 723 LITHOTOMY STAFFS. FIG. ♦4582 Markoe's Lithotomy Staff.................... * T r„ *4583 Littie-s •« ■• ....................;;;;;;:::•;:::;;:;;;;* * c0 4584 Lateral " " ....................................... "•• \ =° 4585 Rectangular " «• .................................__ = 4586 PlainSteel " " ..................... ........ . ?~ 4587 Walker's " " .......................'.'.'.'..'.'.'.'.'.'.'.'.'.'.......... \ cQ 4588 Buck's " "........................................ 2 je 4589 Whitehead's " " and Knife................................... goo 4590 Woods' "............................................ 1 75 4591 Hewitt's " " and Knife .......................... ........ 300 4592 Syme's "............................'...".'.'..'.'.'.'.'.'.".'.'.' 135 *4593 Buchanan's Rectangular Lithotomy Staff ............................... x 85 4594 Wheelhouse's " " ........................ 1 so 4595 Single Edge Circumcision Knife...........................!!!'.'.'...!'.'!! 160 4596 Dc ible " " " ...................'.'.'.'.'..'....'.'.'.'.'..'.'.'.'.'.'.'.'.'. 200 *4597 Circumcision Probe and Spatula............................................ 75 4598 Silver Urethral Applicators....................... ,. . " * r rQ *4599 McCoy's ". " .......................'.'.'.'.'.'.'."'.'.'.'.".'.'.'.'.'..'.'. 200 4583 4582 4593 4599 4597 724 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS-FORCEPS. 4602 SHARP & SMITH, CHICAGO. 725 URETHRAL INSTRUMENTS—FORCEPS. FIG. *46oo Curved Bladder Forceps............ *46oi Double '" " ............ *46o2 Thompson's Bladder Forceps......... *46o3 Curved Lithotomy Forceps........... *46o4 Teevan's " " fenestrated *46o5 Little's " " straight... 4606 Stone Crushing Forceps.... ........ 4607 '' Extracting " ......... *46o8 Gouley's Double Lever Lithoclast .. *46og Dolbeau's Lithoclast............... *4&io Lithotomy Guide.......... *46n Thompson's Urethral Forceps ....... *46i2 Alligator " straight . 46 3 Mathieu's " ourved... ^4614 Collins' " " ........ ♦4615 Hutchinson's Prepuce " ........ 4610 40J5 All instruments designated by a* are illustrated. $3 75 3 75 3 75 2 00 2 25 2 00 4 50 2 25 6 00 5 25 2 65 I 50 4 OO 4 50 4 00 1 75 726 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS FIG. -Lithotrites and Evacuators. *46i6 Bigelow's latest Lithotrite.................................$25 4617 Ferguson's "................................ 18 4618 Teevan's "................................ 26 *46i9 Thompson's " ............................. 4620 Mathieu's " ......................'....... 4621 Jacobson's " ............................. 4622 Heurteloup's " and Mallet.................... 4623 Gouley's "............................. 4624 Keyes' " ............................. 4625 Chismore's Evacuating Lithotrite........................... 18 00 00 75 25 22 50 n 25 22 50 18 75 26 25 26 25 4616. Bigelow's Lithotrite LITHOLAPAXY. Rapid Lithotrity with Evacuation. By Henry J. Bigelow, M. D. The following are the chief points connected with the modification in lithotrity which I have described, and for which I propose the above name. 1. The calculus, although not necessarily pulverized, is crushed as rapidly and completely as is practicable. The dust and fragments are immediately evacuated, and a serious source of irritation is thus removed. 2. This can be generally effected in a single operation. 3. The operation—performed of course under ether— may be if necessary, of one or two hours' duration, or even longer. 4. The method applies to larger stones than have been hitherto considered to lie within the province of the lithotritist. It also applies to small stones, nuclei, phosphatic deposits, and foreign substances. 5. Evacuation is best accomplished by a large tube, pre- ferably straight with a distal orifice, the extremity of which is shaped to facilitate its introduction, and, during suction, to repel the bladder wall—and by an elastic exhausting bulb, which acts partly as a siphon. Below the latter is a glass recep- tacle for debris. 6. The best size for the tube is the largest the urethra will admit. 7. Such a tube is usually introduced with facility, if passed vertically as far as it will go toward the anus before changing its direction, and afterward directed almost horizontally, and passed by rotation through the triangular ligament. The first part of this rule applies also to the introduction of a lithotrite, and even a curved catheter. A free injection of oil is im- portant. SHARP & SMITH, CHICAGO. But the IE prevent 1§^ 8. A small meatus should be enlarged, or a stricture divulsed, to allow the passage of a large tube. 9. If the bladder be not small, a large and powerful lithotrite is always better than a small one. 10. That this may have room for action, the escaping water should be replaced occasionally, through a tube inserted a few inches into the urethra by the side of the lithotrite. bladder should not be over distended. 11. To save time, and also to undue dilatation of the vesical neck, a non-im- pacting lithotrite is desirable. The jaws of a non-fenestrated instrument will not impact, if the male blade is furnished with alternate trian- gular notches by which the debris is discharged laterally, and also with a long thin spur at the heel fitted to a corresponding slot in the female blade—provided the floor of the female blade, especially at the heel, be made nearly on a level with its rim. To repel the bladder, the female blade should be longer and a little wider than is usual. It should have also low sides easily 4627. \ t accessible to frag- Bigelow's Evacuating Apparatus. \. y ments, relying for strength less upon these than upon a central ridge below the heel. In the male blade of such a lithotrite the apices of the tri- angles should be a little blunted. Lastly, a non- fenestrated female blade protects the floor of the bladder, during a long sitting. A fenestrated instrument directs sharp splinters against it. The latter also delays the process of disinteg- ration, by delivering through its opening the same fragments many times. 12. In locking and unlocking a lithotrite repeatedly in a long operation, it takes less time and is easier to turn the right wrist, as in my instrument, than to displace the thumb of either hand in search of a. button or lever, as in previous instruments. Bigelow's latest Evacuating Apparatus (see page 728)........$20 00 Bigelow's old style " and Stand............. 12 Otis' " Thompson's " Nelaton's " Clover's Walker's " Keyes' straight Evacuating Tube with Obdurator............. 6 00 " curved " " " " ............. 6 75 Stand for Bigelow's Evacuating Apparatus. *4626 *462 7 4628 4629 4630 4631 4632 4633 4634 18 OO II 25 22 5° IO SO l6 5° IL 728 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS. 4647 SHARP & SMITH, CHICAGO. NEW OPERATION FOR PHIMOSIS. By P. G. Skillern, M. D. Fig. 4646. I wish to invite the attention of the profession to a method of performing the operation of circumcision which I originally proposed and have since per- formed upon several cases of phimosis. The object sought to be obtained is to excise both prepuce and mucuous membrane at the same time, so that when the forceps are removed the glans penis will be at once entirely clear of both. In the ordinary manner of operating, it frequently occurs that the lining mem- brane of the prepuce covers and entirely surrounds the glans after the foreskin is removed, so as to necessitate slitting it up afterward. This is a real annoy- ance, and also protracts the healing considerably. In performing this operation, the foreskin is to be retracted until the junction of skin and mucous membrane is reached, or as nearly so as may be desired; then three small hooks attached to a chain—somewhat similar to those con- tained in postmortem case, but smaller—are inserted from within outward, at equidistant points, first through the mucous membrane, then through the skin, thus fixing the two in their new relation to each other, so that when traction is made the mucous membrane is put upon the stretch. A grooved director is then passed around the glans, so as to break up any existing adhesions. Now the chain being kept taut, the forceps (see figure) are applied, and a threaded needle passed twice through the fenestra of the forceps, so as to leave two long threads passing through both skin and mucous membrane. The prepuce is then divided close to the blade of the forceps, and the latter removed. After ligaturing the small vessels, if necessary, the threads are raised on a director from the center between the remaining prepuce, and divided so as to leave four separate and distinct sutures, which, when tied, will leave both skin and mucous membrane nicely coaptated. This is the operation as done with the author's forceps. The results obtained by it in several cases in which it has been used, have been all that could be desired. 48 South Bond Street, Philadelphia. A NEW PROCEDURE IN THE OPERATION FOR PHIMOSIS. Fig. 4649. By R. J. Levis, M. D., Surgeon to the Pennsylvania Hospital, and to the Jefferson College Hospital. The object of the instrument illustrated in the cut is to facilitate the entire excision of the inner inelastic mucous membrane of the prepuce, without removing any, or more than may be required, of the outer normal skin. In some cases of phimosis total circumcision is necessary, but in a considerable proportion only a partial ablation of preputial integument is essential, and the inconvenience may be readily overcome by the method I suggest, without causing disfigurement, or indeed, making much change from the normal appearance of the organ. In most instances only the inner lamina of the preputial fold is morbidly involved, and the excessive removal of the outer layer is an error which is liable to be committed in the usual manner of operating. 730 SHARP & SMITH, CHICAGO. LEVIS' OPERATION FOR PHIMOSIS—Continued. In general form the instrument somewhat resembles the ordinary mathe- matical compasses or dividers. The limbs, or blades, terminate in blunt points, and are deeply serrated on their outer surfaces, with points or teeth set back- ward, like fine saw teeth, for the purpose of firmly holding the mucous mem- brane, without the risk of slipping when traction is made. The blades are forced apart by a thumb screw. In operating, the blades, closed to a point, are introduced within the pre- puce up beyond the corona of the glans. They are then, by turning the thumb screw, strongly separated, so as to render the mucous membrane tense. Trac- tion is then made, and the outer elastic skin is drawn back fully, so as to be away from the portion to be excised, and excision is effected by transfixing the prepuce through the middle with a bistoury, and cutting laterally in both direc- tions toward the blades of the instrument. Any remaining portion of inelas- tic tissue may be removed with the scissors, and the operation is completed by attaching the cut edge of skin to the edge of mucous membrane remaining around the cervix by a few stitches. In this manner the inner inelastic mucous membrane may be removed, while all the normal outer integument remains. 4°49 4651.—Showing Girdner's Method of Operation. Figure 4651. This instrument is introduced closed into the preputial opening, then, relaxing the spring, causes the barbs to transfix, first the mucous membrane, and then the skin. SHARP & SMITH. CHICAGO. 731 URETHRAL INSTRUMENTS—PHIMOSIS, VARICOCELE. 4652 *4»53 *4&54 *4&55 4656 *4°57 4658 *4059 *4&6o *466i 4662 4663 4664 4665 4666 4667 4668 Baruch's Circumcision Scissors.............,........................ 2 Taylor's " " ....................................... 3 Curved on flat " ".......................................... 1 Lewis Varicocele Clamp ................................................ 3 Sayre's " "........................................... Andrews' " "............................................. Wood's " "' ............................................ Henry's Scrotal " ...........,...................... .......... .............................................. 3 '[ ........................................... •••• 4 .............................................. 1 .................................. ............ 6 ......................................... 6 " Cartilage Scissors.................... ...................... 3 Masturbation Clamp.................................................. Keyes' Varicocele Needle .......................................... 1 Whitfield's " " ... .................................... z Wyeth's Cocaine "....................... ...............;.... 1 Miliano's Scrotal Compressor ... ................................... 1 Carroll's " " ... ....................................... ! Howe's " ............................................ 2 (See Suspensories in Index). 00 75 00 00 00 00 85 co 50 75 75 00 00 00 25 35 25 4&57 732 SHARP & SMITH, CHICAGO. URETHRAL INSTRUMENTS—VARICOCELE. [Extract from the. " Medical Record," May 28th, 1881.] (Read before the New York Academy of Medicine, April 21st, 1881.) REMARKS ON AMPUTATION OF REDUNDANT SCROTUM FOR THE RELIEF OF VARICOCELE. Illustrated with New Instruments to Facilitate the Operation. By M. II. Henry, M. A., M. D., Late Surgeon-in-Chief State Emigrant Hospitals, Ward's Island, New York, Etc., Etc. In the removal of a redundant scrotum in the manner I shall describe, for the relief of varicocele, no more than ordinary skill is called for. The success of any delicate surgical operation depends mainly on the care and management before, during, and subsequent to the operation. I have ventured to allude to many little details because I am fully impressed that they bear a most important relation to the chances of success. Success in any operation depends on attention to details. Failures are too frequently the result of neglect of these so called trifles. Cases of- minor sur- gery have frequently—by neglect of details—been converted into cases of ma- jor importance. DESCRIPTION OF INSTRUMENTS. This instrument, which I have called scrotal forceps or clamps, consists of two parts (Fig. i.) The main part of the instrument has two double curved 4659—Fig. 1. blades, made of steel, about ten inches long, sufficiently heavy to give strength and admit of pressure without injury when in contact with the tissues. The han- dles are large enough to admit of a good grasp without cramping. That part of the instrument below the joint is curved as nearly as possible according to the natural lines of the raphae, from the upper anterior part of the scrotum down to and under the scrotum, so that it embraces, when placed in front of the scro- tum the entire and exact portion which it is desired to remove. The coating surfaces are evenly notched to prevent the tissues from slipping, affording a more secure hold on the soft parts, with less pressure and less injury than smooth surfaces. The blades are only thick enough to give strength, without leaving too much tissue in front. The handles are curved so that while they maintain a direct median line, they do not interfere or press on the genital parts. The double spring, besides giving additional security and compactness, renders them, to a great extent, self-acting, easy of manipulation, and that, at times, of very great consequence, ability on the part of the operator to perform the operation without the aid of additional assistance. The screws in the handle and at the end of the blades afford a complete and perfecthold of the parts to be removed. They are not adjusted until the oper- ator is perfectly satisfied that he has embraced the exact portion to be removed in front of the blades. SHARP & SMITH, CHICAGO. 733 URETHRAL INSTRUMENTS—VARICOCELE. The extra blade is made of steel, nickel plated, and is maintained in the sight anterior surface of the clamp by two small pins that fit in grooves cut in the clamp. It is easily inserted with a little pressure, and removed as easily by press- ing downward and forward; it is then dislodged by slightly .raising the extreme end. The extra blade, when in position, leaves a fenestra to afford the surgeon the facility of inserting all his ligatures, should he prefer it, before dividing the parts. The thickness or amount of the tissue left in front of the main blade and between that and the extra blade, which is the guide for the part to be re- moved, is ample to assist union, and if the division is a clean one, and the stitches are close and evenly inserted, the pressure and tension are so slight or rather, so divided over the entire cut surfaces, that there is little probability of ul- ceration through the stitches before union has taken place. When the part has been removed, the extra blade is displaced, leaving a free border exposed in front of the main blade about a quarter of an inch in thick- ness. In a few minutes the whole wound can be stitched without any incon- venience. The clamp is, of course, not removed until this is accomplished. Besides the clamp, the only instruments necessary are the scissors or scalpel, needles, with either silk or fine silver wire for sutures, a few acupressure needles, a few serres-fns, silver pins and some adhesive plaster. 4661—Fig. 2. 4658-A King's Varicocele Clamp..............................net $4 50 SHARP & SMITH, CHICAGO. 4669 4670 4671 4672 4673 *4°74 4675 4676 4677 *4678 4679 4680 *468i *4682 URETHRAL INSTRUMENTS. Aspirators. See pages 540 to 548..............$ Harrison's Bladder Trocar..................... 8 25 German Silver Hydrocele Trocar............... 1 00 Set of 4 " " metal case--- 3 50 " -z " " "... 3 00 Curved " " ............. 15° Reversible " " ............. 1 00 " (with set screw) Hydrocele Trocar..... 1 00 Cock's Instrument for tapping the bladder per rectum.................................. n 25 Getz' Trocar and Aspirator in case.............. 6 40 Bumstead's Insufflator........................ 3 75 Mallez " ......................... 1 40 Straight Tube " ......................... 1 00 Spermatorrhoea Ring.......................... 50 4674 For description, see pages 548 and 549, and below. Note.—A convenient and perfect female catheter is formed by the parts a, b, c, e and/, and the largest size canula and a catheter tip (instead of trocar tip) attached to /. If the bladder is to be injected or washed, the instrument is used as when washing any other cavity. To use the instrument for washing or injecting the male bladder use parts b, c, e, i and g, with such size of canula attached to c as the end of will slip tightly into the opening of the male catheter. 41. Si 4682 SHARP & SMITH, CHICAGO. 735 URETHRAL INSTRUMENTS. FIG. 4683 Hunter's Urethral Tourniquet..............................$ 4 50 4684 Dolbean's Lithotomy Dilator.............................. 18 00 4685 Walker's Prostatic Divulsor ............................... 1 50 4686 Penis Congester.......................................... 2 00 4687 Bumstead's Lamp........................................ 2 40 4688 Hard Rubber Caustic Holder.............................. 40 4689 Dick's Caustic Catheter Holder............................ 2 65 4690 Debris Tube and Obdurator................................ 1 85 4691 Circumcision Spatula..................................... 40 4692 Mussey's Bladder Curette................................. 225 4693 Gouley's Sharp Hook..................................... 1 00 4694 Brown's Air Tampon for Haemorrhage...................... 3 00 Pasteboard Catheter Scales. No charge. Metal Catheter Scales, all Gauges......................each. 3 00 10 9 8 '65432J OOOOOOO0000 11 12 13 14 15 16 17 OOOOOOOO 4696 A NEW INSTRUMENT FOR PREVENTING MASTURBATION. By S. T. Ferguson, M. D., Joliet, 111. Directions for Using the Anti-Masturbating Rings. First put small ring in instrument with the opening in ring looking from the instrument, then slip the large ring through the opening in small ring; now put the prepuce slightly on the stretch, then insert the opening in small ring on to the middle of upper side of prepuce, say a quarter of an inch, and press together the handles; then by forcing the sharp points of the small ring together through the prepuce and bringing the points together; the other two are put on in the same way, dividing the distance about equal. Reave them on for three or four months, or until you are sure the patient will not fall back into the habit. Price of Clamp Forceps, S3.75. Silver Rings, small, 35c. each; large, 50c. each. 999999999 736 SHARP & SMITH, CHICAGO. APPLIANCES FOR DEFORMITIES AND DEFICIENCIES, CONGENITAL OR ACQUIRED. PRICES QUOTED ARE TO PATIENTS. The period when the mechanical treatment of deformities was chiefly a question of brute force is not so remote that the remembrance of it should have altogether escaped from the minds of the medical professors. Formerly sur- geons sought to compel by violence, directly or indirectly applied, a distorted spine to resume its normal position. An idea of the primitive method is to be found in the practice, now extinct, of constructing apparatus for the treatment of spinal curvature upon an ideal type of a symmetrically formed spine, and exercising force with the intention of causing the curves of the distorted spinal column to approximate to those of the instrument. The mechanist now recog- nizes the fact that the laws of nature must be set in operation. Hence he applies himself diligently to study those laws by which the symmetry of the human frame is maintained, as well as the mode of action of the different causes which lead to a deviation from the normal standard. Anticipating these causes, he seeks to check the further progress of the disease, and to remedy its sure results. He no longer seeks to secure his object by a mere empirical use of mechanical force, but he seeks to attain it by a just adaptation of the means at his command, founded upon a careful appreciation and accurate calculation of the kind, direction and amount of force required. The evils of an empirical system of mechanical appliances were shown not only by the inefficiency or actual unfitness of the apparatus made for a given purpose, but also by the im- perfection of their construction. They were commonly made either more com- plex than was necessary, or so simple as to be worthless, or so heavy and cum- bersome as to weary the body, and so act as to constrict the muscles, or so light as to yield to the distension. Lightness of an instrument is too often sought at the expense of more important properties. These evils are the result of an insufficient knowledge of the lesions to be treated. The scientific mechanist constructs his appliances from an accurate estimate of the character and arrangement of the force needed, and of the strength of material required to meet the object he has in view. Thus he avoids on the one hand too great complexity, and on the other a deceptive sim- plicity of construction. He thus combines durability with the greatest attain- able lightness consistent with efficiency. This branch of mechanical surgery needs a special training, and cannot be acquired without a certain amount of surgical education. We pay special attention-to the careful and correct fitting of braces. Surgeons residing at a distance whose patients cannot visit us for adjust- ment, will have their orders promptly attended to by sending us the particulars found accompanying each illustration. SHARP & SMITH, CHICAGO. 737 DEFORMITY APPARATUS. 4750 We manufacture a variety of shoes to meet every form which the foot can assume. There are four varieties of primary club foot, viz. Talipes Valgus. Equinus, Varus and Calcaneus. Two or more of these varieties may exist together, forming sub-varieties. Talipes Valgus, or lateral yielding of the ankle joint outward, combined with extension and sometimes obliteration of the arches which compose the plantar surface, or sole of the foot, is among the most common of these deformities of the lower extremity, which calls for mechanical treatment. Fig- 475° exhibits diminution of the niched arches of the foot; the toes are diverted, and the external malleolus buries its contours in the external tarsal fossa. In every case it should first be decided whether divisions of the tendons be advantageous, or per contra. In severe cases of Valgus there can be but little doubt that as the peroneal muscles aid in raising the external margin of the foot, divisions of their tendons will often materially lessen the period of mechanical treatment by instantly removing one of the main ob- stacles, by tenotomy. But a large portion of cases recover without operation by using Dr. L. A. Sayre's Club Foot Shoe, (Figs. 4751 and 475 i-a.) The shoe pictured below is arranged for valgus or varus, This simple but ingenious shoe, contrived by Dr. Sayre, is so con- structed that it can be applied and secured accurately to the de- formed foot, before the elastic force is attached, instead of adjusting the foot to the shoe. This shoe is made with two lateral rods of steel running up to the calf of the leg, with a joint for its ankle, and it has in the sole opposite the medio-tarsal articulation, a bailor socket or universal joint, and three elastic muscles for the purpose of mak- ing flexion and eversion, and an elastic strap in front to secure heel in position; the upper leather laces neatly over the foot, adapting itself more perfectly than if arranged with straps and buckles. Figs, 4751, and 4751 A. Sayre's Club Foot Shoes. In ordering these shoes, send the following Measurements. INCHES. 1 Length of sole of foot................. 2 Circumference of calf................. 3 Circumference of instep............... 4 Circumference of ball of foot........... 5 Circumference above ankle............ 6 Length from floor to garter........... 7 Right or left foot?..................... 8 Talipes—varus or valgus?.............. Price to patients, Single Shoe $10 00 to $14 00 " " per pair 20 00 " 28 00 (According to size.) In ordering Club Foot Shoes please send out- line of foot on paper. Fig. 475i-A is same as 4751, except that press- ure in front to keep heel in position is of "leather," and directly next the foot inside of shoe. 786 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS—TALIPES VARUS, This deformity is, in a majority of instances, of congenital origin. Its dis- tinguishing features are retraction of the heel, an inversion of the toes, and a rota- tion upward of the entire foot, the inner lateral margin of which very often holds a position rectangular to that of the normal position of the limb. The foot, as is shown, is longitudinally turned, so that the external margin stands on the floor, whereas the internal margin is uppermost. The foot touches the ground anteriorly from the external malleolus; the back of the foot has a forward and the plantar surface a backward direction, which, of course, implies inversion of the toes. Fig. 4752. PROF. GUNN'S APPARATUS FOR TALIPES VARUS. Directions for Measurement. I. Patient's name (or sex). 2. Which leg (or both). Inches. 3. Length from floor to ankle joint. 4. Length from floor to knee joint, inner inside................. 5. Length from floor to knee joint, outside...................... 6. Length from floor to upper third of thigh.................... 7. Circumference of ankle........ 8. Circumference of calf......... 9. Circumference of upper third of thigh....................... It is necessary that we should have the shoes to fit the brace to, when making. Patients will furnish their own shoes (which should be laced ones) or send us the number of shoe worn, or following measurements if they wish us to furnish shoes. Length of sole of foot.................Inches. Circumference of ball of foot........... " of instep................ " 4752- above ankle.............. " This apparatus is especially useful in cases of children one year and upward. Steel bars pass up on each side of the leg, having joints at knee and ankle, which allows motion of joints and at the same time prevents heel from drawing up. The part extending to upper third of thigh prevents brace from turning on leg, holding the foot in natural position. We have found by expe- rience that all short appliances extending only to garter will turn on leg, and thus allow foot to turn. In all cases where the foot cannot be held straight with the hands without pain the tendons should be cut, so the foot can be placed in a straight shoe. The operation should not be done until apparatus is ready to apply at once. To apply the brace the screw at ankle-joint should be removed to enable you to get heel well down in shoe. The shoe must be laced tightly before placing brace in position on leg. Put screw in place after brace is adjusted. This apparatus can be lengthened as child grows, and new shoes put on as often as required. Full tension of screw at ankle should not be put on tendo Achilles directly after operation, but should be gradually tightened for the first three or four days. Fig= 4752 Price to Patients for Apparatus for one leg......$15.00 to 20 00 " " " " " both legs..... 30.00 to xq oo (According to size.) Shoes exta. SHARP & SMITH, CHICAGO. 739 DEFORMITY APPARATUS. Fig. 4752-A. IMPROVED SHOE FOR TALIPES VARUS. Directions for Measurement. Length of foot. Circumference of calf. " of instep. of ball of foot. " above ankle. Length from floor to garter. Right or left foot. Price to Patients, one shoe (according to size)...................$10 00 to 14 00 Price to Patient, two shoes (according to 4752-A size)...................$20 00 to 28 00 TALIPES EQUINUS. The chief anatomical characteristic is a permanent contraction of the tendo Achilles, by which the os calcis, the posterior pier of the plantar arch, is raised to such an extent as to cause the whole weight of the body to pass through the front of the foot only, thus destroying the natural heel and toe action during progression. Fig. 4753 shows Talipes Equinus. The plantar arch is materially increased, and the toes, more especially the large ones, are drawn back. The Achilles tendon is found to be extremely tense, and is rendered still more so by any attempt to flex the foot. Fig. 4754- SHOE FOR TALIPES EQUINUS. Directions for Measurement. 1. Patient's name (or sex.) SHOES EXTRA. D ...» V ' 2. Patient s age. 3. Weak ankle, resembling varus or valgus ? 4. Right, left, or both feet ? 5. Tendo achilles contracted? 6. Length from floor to ankle joint............Inches. 7. Length from floor to garter............ 8. Circumfer'nce of calf It is necessary that we should have the shoes to fit the braces to when making. Patients will furnish their own shoes {which should be laced ones) or send us the numbor of shoe worn, or following measurements if they wish us to furnish shoes. Length of sole of foot........In. Circumference of ball of foot... " of instep......." above ankle .... " Fig. 4754 Price to Patients for one brace (according to size). .$8 00 to 12 00 << " " twn hrarps " " 4753- 4754- 16 00 to 24 00 740 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. TALIPES CALCANEUS. The patient walks on the heel with the toes uplifted without much lateral distortion (see Fig. 4755); the plantar arch is contracted, by which occurrence the outer extremities of the metatarsal bones and the os calcis will be approxi- mated, and the sole of the foot is almost invariably contracted in its long axis. These are the distinguishing features of this deformity. In such cases, shoe figure 4756 is most efficient. Directions for Measurement. 1. Patient's name. 2. " weight. 3. " age. 4. Right or left foot. 5. Length from sole to ankle joint. 6. Length from sole to calf. 7. Circumference of calf. (Shoes extra.) Fig- 4756 Price to patients for brace for one leg..........$10.00 to 20 00 " " " " two legs.......... 20.00 to 30 00 It is necessary that we should have the shoes to fit the braces to when making. Patients will furnish their own shoes (which should be laced ones) or send us the number of shoe worn, or following measurements if they wish us to furnish shoes. Length of sole of foot....................Inches. Circumference of ball of foot ...........Inches. Circumfeience of instep.................. " " above ankle.............. " Fig. 4758 represents an Apparatus for Weak Ankle, and after treatment of Talipes, which will retain the limb in correct position in cases where there is a tendency to Club Foot. The instrument is attached to an ordinary laced boot, has two lateral rods connected at the calf, with padded band, and fastened with straps and buckles, has an ankle joint, a stud above and below for the purpose of applying a strap of stout leather to hoid the ankle in position. This strap is used only in Weak Ankles. In after treatment of Talipes the same mechanism is used, but furnished with a stop ankle joint, the object of which is to main- tain the plantar surface in a horizontal position, especially where it manifests any tendency to obliquity. Since the stems are riveted to the sole of the shoe, and connected at the calf by the padded band, they compel the bottom of the foot to remain at right angles with themselves. It is impossible for the sole to become oblique without a shortening of one of the perpendicular bars. 4755- 4756. See following page for illustration of Weak Ankle Braces. SHARP & SMITH, CHICAGO. 741 sharp e. smith -1759 4700 DEFORMITY APPARATUS. WEAK ANKLE BRACE. Directions for Measurement, 1 Patient's name (or sex.) 2 Patient's age. 3 V/eak ankle, resembling varus or valgus? 4 Right, left, or both feet? 5 Tendo Achilles, contracted? 6 Length from floor to ankle joint____........,.. Inches. 7 Length from floor to garter.................... " ■ 8 Circumference of calf........................ " It is necessary that we should have the shoes to fit the braces to when making. Patients will furnish their own shoes (which should be laced ones) or se.id us the number of shoes worn, or following measurements if they wish us to furnish shoes. Length of sole of foot...........................Inches. Circumference of ball of foot..................... " of instep......................... " " above ankle........ ............. " WEAK ANKLE BRACE. Directions for Measurement. 1 Send laced shoe to fit foot, or give size of foot. 2 Patient's name (or sex). 3 Length from floor to ankle......................Inches. 4 Length from floor to garter...................... " 5 Circumference of fankle.......................... " 6 Circumference of garter......................... " 7 Which foot, right or left. Which way ankle bone tips, in or out. *4758 Price to Patients, for single brace according to size.............................$8 00, to $10 00 *4759 Price to Patients, for two braces, according to size.............................$16 00 to $20 00 Shoes Extra. It is necessary that we should have the shoes to fit the braces to when making. Patients will furnish their own 'shoes (which should be laced ones) or send us the number of shoe worn, or following measurements if they wish us to furnish shoes. Length of sole of foot...................:......Inches. Circumference of ball of foot.................... " of instep ..................... " above ankle ..................... " Fig. 4760—BICGS1 BUNION APPARATUS. This apparatus consists of a delicate lever of spring steel, with an oval ring in the center which is provided with hinges at its anterior and posterior margin. The apparatus is attached to the instep by a laced band, and the toe to the extremity of the spring by a piece of webbing. It affords the articulation freedom of motion in the natural plane, whilst the malposition of the toe is gradually rectified by constant lateral traction. It can be worn in a,shoe. Directions for Measurement. 1 Place the foot on paper and trace with pencil. 2 Circumference of ball of foot...................Inches. 3 Circumference of instep........................ " Price to Patients, single.................. $ 8 00 to 12 00 Price to Patients, double................. 16 00 to 24 00 742 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fio- 476i represents an instrument for extension of the Knee Joint. It is constructed in the following manner: Two bands or collars of stout sheet iron, about one inch wide, embrace the limb, the one just above the ankle the other at the upper third of the thigh. The bands are hinged posteriorly and in front slide together like a dog collar. They are connected on either side by a firmly riveted steel rod, in the center of which works a screw, which can be retained at anv given point by a small thumb screw working in its slide, and fastening to the thread of the larger screw. To apply this instrument the Canton flannel adhesive plaster is required. It is applied from the ankle to a point just below the knee, and from a point just above the knee to the top of the instrument upon the leg perpendicularly. The plaster strips are secured in their place by a l-oller bandage. The connecting rods are extended, the articulating surfaces of the tibia and femur separated, and the limb brought nearly straight again. Sponge is used to absorb the deposits that generally form in and around the joints in this condition of chronic inflammation. If this instrument is applied in the manner above described, and when extension is exerted, the patient wil. be enabled to bear almost the entire weight of the body upon the limb. With this instrument and the aid of a pair of crutches, the patient will be enabled to exercise in the open air with perfect comfort. SAYRE'S KNEE EXTENSION APPARATUS. The necessary measurements in ordering this o apparatus are as follows: Circumference of Thigh........... Inches. Circumference of Leg above Ankle.. " Circumference of Knee............ Length from above Ankle to upper third of Thigh................. ': Price to Patients.....................$20 00 4761. 4761 Applied. Fig. 4762 represents a splint for Morbus Coxarius. The instrument con- sists of a flange of steel three or four inches long and about one inch wide (according to the size of the patient), slightly curved, and which, when cushioned, fits directly under the crest of the ilium. At each extremity is a buckle to secure the perineal band, made of buckskin, filled with bran or stuffed with hair, and with ends of web (non elastic) to attach to the buckles. On the outer side of the flange is a ball and socket, or universal joint, to receive the head of the splint which runs down the thigh to within three or four inches of the extremity of the femur, and is capable of being made longer or shorter by a ratchet worked with a key. Near its lower extremity is attached a branch, which, curving over the thigh, extends as far down as the main splint, and both terminate in broad ends with a roller, over which a webbing attached to the adhesive plaster plays, and is secured to the splint by the means of buckles near each lower extremity. See next pa-6e for description of Fig. 4762. SHARP & SMITH, CHICAGO. * 743 SHARP It SMITH, CHI DEFORMITY APPARATUS. 4762.—SAYRE'S HIP APPARATUS. The Application of the Splint. The application of the splint is as simple as its con- struction. Take strong adhesive plaster, spread on twilled muslin; cut two fan-shaped pieces (shape of accompanying cut), one large enough to < reach from the perineum to within two or three inches of the condyle of the femur, on the inner side of the thigh, the other from the trochanter major to a point di- rectly opposite the end of the inner plas- ter. Sew on the narrow end of each (a) one of the webbings represented (ad) [not on the sticky side.] Apply them to their places, and after pressing them with the warm hand, to obtain a firm adhesion, secure them further by a well adjusted roller. The instrument contracted, is now laid over the thigh, the webbing (a) firmly fastened over the rollers to the buckles (aa) and the remaining one around the thigh. The perineal band is now adjusted rather instrument extended with the key, just enough to make the 4762 firm, and the patient comfortable, and then locked by pulling the slide down over the spring. In order to prevent the limb from swelling below the bandage, Dr. Sayre recommends the use of an elastic stocking or knee-cap. Price to Patients........................................$15 00 to 18 00 Fig. 4763.—SAYRE'S IMPROVED HIP APPARATUS. Dr. Sayre has improved his first device in many respects, and the instru- ment now employed by him is a short thigh splint, as shown in Fig. 4763. It consists of a pelvic band passing partly around the body under the crest of the ilium, well padded on its inner surface, to which usually two perineal straps are fastened for counter-extension; its outer surface holds a ball and socket joint, from which runs a steel bar or rod down the outer side of the thigh to within about two inches of the lower end of the femur. This outer bar is divided into two sections, one running within the other, and gauged or controlled by a ratchet and key, which can make it longer or shorter. At the lower extremity of this outer bar is a pro- jecting branch going over to the inner surface of the thigh to receive the attachments of the plaster. Both of the lower extremities terminate in a cylindrical roller, over which the tags of the plasters are attached to the two buckles placed at the lower ends of the apparatus. Directions for Measuring Figures 4762 and 4763. 1. Circumference of body between crest of Ilium and Trochanter Major.......Inches. 2. Distance from same point to center of Knee-joint...................... " Circumference of Thigh two inches above Knee-joint................. " C:Tumference of middle of Thigh--- " Mention if for right or left Hip. Sayre's or Sayre's Improved Splints 3- 4- 5- 6. Price to Patients................$17 00 to 20 00 744 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. 4764 476i Fig. 4764.— Hutchinson's Hip joint Apparatus. DIRECTIONS FOR MEASUREMENT. 1. Name of patient. 2. Age of patient. 3. Weight of patient. 4. Right or left leg. 5. Length from floor to ankle joint ........ Inches. 6. Length from floor to knee-joint.......... " 7. Length from floor to trochanter major..... '■'' 8. Length from floor to crest of illium...... " 9. Circumference of calf.................. " 10. Circumference of thigh................. 11 Circumference of pelvis................ " It is necessary that we should have the shoes to fit the braces to when making. Patients will furnish their own shoes (which should be laced ones) or send us the number of shoe worn, or following measure- ments if they wish us to furnish shoes. Length of sole of foot.......In. Circumference of ball of foot. .In. Circumference of instep......" above ankle... " Price to Patients, small size.............$25 to 30 00 " " large size.............. 30 to 40 00 Shoes Extra. Fig. 4765.—Washburn's Hip-joint Splint. This is a simple, straight bar of steel, jointed to a pelvic band. It is intended for poor patients, and has neither racks, pinions, nor screws. Extension is made, after fastening the lower end with adhesive strips, simply by the degree of tensity to which the perineal straps are ad- justed. A knee-cap assists in keeping the splint in place. DIRECTIONS FOR MEASUREMENT. 1. Length from ankle to dorsum illi.........Inches. 2. Circumference of pelvis " Price to Patients.............$7 00 FJg- 4766 — Hyde's Hip Apparatus. DIRECTIONS FOR ORDERING. Length from trochanter to knee-joint. Circumference of thigh above knee. Which leg, right or left? Price to Patients___§17 00 to 20 00 4766 SHARP & SMITH, CHICAGO. 745 DEFORMITY APPARATUS. Fig. 4767 shows Dr. Louis A. Sayre's Long Extension Splint for Hip Joint disease. This Splint extends from the crest of the ilium to the sole of the foot, and turned under it, from which position extension is made. Adhe- sive straps are applied to both sides of the whole leg in the usual manner, the inside strap terminating in a buckle at the waist belt, and the outside strap ter- minating in a short piece of webbing, which is passed through a slit in the apparatus, thence under the foot, and through another slit at the end of the foot piece, and buckled at the inside strap just above the internal malleolus. Thus extension is made from the bottom of the foot. Thus, also, when the patient attempts to walk it is the instrument which strikes the ground and sus- tains his weight without the least increasing the strain on the adhesive straps. In fact, it is an ever present crutch, allowing motion of the joint, but not allowing weight to be borne on it. Extension is kept up continually, more surface is allowed for adhesive straps, and only the legitimate strain is ever thrown upon it, never the weight of the body. There is one other advan- tage which this instrument has over others. Usually the physician has to depend much upon the care and judgment of others. With the splint termi- nating in the middle of the leg, there is no definite point where it should be. Hence there is no need of getting the most definite directions and calling in the aid of others to know if it is acting well, but the patient himself can tell if anything is wrong, The least slipping or relaxing of the straps he must feel, and will have them readjusted. Fig. 4767. DR. LOUIS A. SAYRE'S LONG SPLINT FOR KIP-JOINT DISEASE. Directions for Measurement. Name of Patient. Age of Patient. Weight of Patient. Right or left Leg......................Inches. Length from sole to crest of Ilium....... 6. Circumference of Pelvis at Iliac Crests.. . Price to Patients, $25 00 to 45 °°> according to size and finish. Directions furnished for applying these Apparatuses 4767 40�453�5 «6 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. • Fig. 4768 represents Dr. Bauer's latest improved Instrument for Extension (in a vertical line), which is attached to a well fitting laced boot, thus appropri- ting the foot for extension and the tuber ischii for counter-extension. The ratchet and key are the moving power, and do away with adhesive plaster. This apparatus needs no further explanation; its construction speaks for itself. Directions for Measurement. 1. Patient's name. 2. Patient's age. 3. Patient's weight (estimated). 4. Right or left leg. 5. Length from the sole to the tuber ischii (sound leg).............Inches. 6. " ..«.«. 1 (diseasecj ieg)........... " 7. Circumference of calf....................................... " 8. Circumference of thigh.................................. " It is necessary that we should have the shoes to fit the braces to when making. Patients will furnish their own shoes (which should be laced ones) or send us the number of shoe worn, or following measurements if they wish us to furnish shoes. Length of sole of foot........Inches. Circumference of ball of foot. .Inches. Circumference of instep...... " " above ankle.... " Price to Patients, $25 00. Shoes extra. 4768 Fig. 4769 shows Dr. Bauer's Wire Breeches. In the second stage of Hip Disease, where rest and an unchanging position is required this instrument is resorted to for the accomplishment of so important an object. It is also used in cases where the hip joint has been exsected. A semicircle is cut away to admit of applying dressings to the wound. The apparatus consists of a heavy wire frame fitting the posterior part of the body, and reaching from the axillary cavity to the sole of the feet. The foot plates are movable by means of screws and bands. There is an opening for the arms. To protect it from the corroding influences of urine or of faeces, that part of the apparatus most exposed, is covered thickly with varnish. It is lined with cotton batting. The Patient is placed in the apparatus while under the influence of chloroform, and fastened by means of bandages, body and limbs, so securely as to insure his position. If extension is desired, for the greater security of rest and position, longitudinal and circular, straps of Canton flannd adhesive plaster should be applied and fastened, the former to the foot-board. With this apparatus direct extension can be exercised, while the counter extension rests with the healthy extremity, on the same principle we employ in having our boot pulled off. In this position and rest are insured. The patient can pass his faeces with perfect ease by raising the lower end of the apparatus and placing a bed pan under it. You can carry the patient from one place to another, put him in a carriage, draw or drive him in the open air, and thus meet all the objections that have been raised to confinement. Directions for Measurement. J. Patient's name. 2. Patient's age. 3. Patient's weight. 4. Length from sole of foot to axilla...............Inches. 5. Length from sole of foot to perineum,............ " 6. Circumference of calf.......................... " 7. "knee.......................... " 8. " thigh....................... " 9- at the nates................ ... " 10. of pelvis at iliac crests............ '" 11. of waist........................". M 12. of chest under axillae.............. '* Price to Patients, $15 00 to 25 00. SHARP & SMITH, CHICAGO. 747 DEFORMITY APPARATUS. Fig. 4770. Hamilton's Wire Gauze Splint. s consists of an iron wire frame, moulded to the side or back of the pelvis and thigh, covered 1 wire gauze It is kept in place by a pelvic a broad thigh band, and secured with buckles. Hamilton advises its use whenever it is desired ecure immobility of the joint, together with ex- se in the open air. DIRECTIONS FOR MEASUREMENT. Name of patient. Age of patient. Weight of patient (estimated). Right or left side. Inches Crest of ilium to the condyles of the femur........................... " Circumference of the pelvis at iliac crest. " Circumference at the nates........... " Circumference of the upper part of the thigh............................ Circumference of the thigh above the knee............................ Price to patients.................... $15 00 Fig. 4771. DR. L. A. SAYRE'S WIRE CUIRASS. See following page for illustration. This is used in cases of hip-joint disease of the third stage and excision of the neck of the femur. It consists of strong wire netting, well padded inside. The cuirass being properly prepared and well padded, the patient is laid in it so that the anus is opposite the opening and free from any possibility of obstruction, when the well leg is the first to be dressed, by making it perfectly straight and screwing up the foot rest until it is brought firmly against the heel of the patient; having a pad between the foot and the rest to absorb the perspi- ration; the instep is then well padded with cotton or a blanket; and a roller is carried firmly round it and the foot rest, running up over the limb; but before going over the knee a piece of pasteboard, or leather, or several pieces of folded paper, are placed over the leg, knee and thigh, and the roller carried firmly over this extemporized splint for the purpose of preventing the slightest bending of the knee, when the roller is carried up the entire length of the thigh, around the perineum and over the outer arm of the instrument, and several times back through the perineum, and then across the pelvis, by which means the well limb is made a firm counter-extending force. Two strips of adhesive plaster from two to four inches in width, according to the size of the patient, are then placed upon either side of the operated limb, and secured with a nicely adjusted roller over the foot and up the limb and thigh, as far as the abscesses on it or the wounds will permit, being care- ful to leave a sufficient length of the plasters at the lower extremity, free for the purpose of applying them to the foot rest when extension is made, and firmly secured by a well adjusted roller. The foot rest is then screwed up to meet the heel of the shortened limb, and these strips of adhesive plaster are brought down around the foot rest and securely fastened. The foot rest is then extended by the screw, slowly and gradually, at times waiting a few moments- for the muscles to yield, which have been so long contracted, until the limb is brought s Thi OUt! witl and Dr. to erci 4770. 748 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. down to its full extent. It sometimes happens that, from long contraction of the abductors and the tensor vagina? femoris, subcutaneous section of those tendons and fascia will be requisite before the limb can be brought to its proper position, even after the head of the femur has been removed. After the limb is brought into this position a roller is carried from the foot over its en- tire surface; a large wad of oakum is plaited around the wound to absorb the discharge, and the roller is carried firmly over the wound, inner surface of the thigh, and around the pelvis. I place great importance upon this latter part of the dressing, as we thereby compress the tissues, and prevent the burrowing of pus, the oakum, which has already been placed in the wound, allowing of free drainage, no matter how tight the roller may have been applied. Immediately after the patient is dressed in this way, and has recovered from the anaesthetic, he is capable of being stood up against the wall, or riding out in a car- riage or boat, and can take his daily exercise in this way. I have, in several instances, had them removed a long distance, some miles, in fact, within an hour of the opera- tion and without the slightest inconvenienee or pain. This dressing will probably not require to be changed for from 48 to 60 hours, or until secretion has been formed to moisten the dressings, when the oakum plug can be removed without hemorrhage. If this dressing does not come away easily, warm water injections will readily float it out. The wound made clean, is again filled with Peru- vian balsam and dressed as before. After this it may require dressing once or twice a day, according to the amount of discharge, and the child should be removed from the entire instrument as often as is requisite. The well leg should be removed from the instrument at least once a week, and free movements given to all the joints, ankte, knee and hip, otherwise we may anchylose them, although they are not diseased. The wire cuirass should be used from a month to two months, accord- ing to necessity, after which the patient can' be put upon the long splint and allowed to exercise, thereby increasing his prospects of perfect motion of the new joint. MEASUREMENTS REQUIRED: 1 Sex of patient. 10 Circumference of body at nates. 2 General appearance of patient. 11 Length from axillae to perineum 3 Distance between base of neck, from (back). one side to the other, passing over 12 Length from vertebra prominens the ears and head. to perineum. 4 Circumference of head at the eyes. 13 Length from perineum to sole of foot 5 " " neck. inside. 6 Length from top of skull to the ver- 14 Length from crest of ilium to sole. tebra prominens. 15 Circumference of thigh at perineum. 7 Circumference of body under axillae. 16 " " midway be- 8 " at the waist. tween perineum and knee-joint. 9 " between crest 17 Circumference of calf. of ilium and trochanter major. 18 " " ankle. Price to patients $20 to $45, according to size. SHARP & SMITH. CHICAGO. 749 DEFORMITY APPARATUS. 4772. 4773- Fig. 4772. APPARATUS FOR HEMIPLEGIA. (Pa.alysis of one limb.) The apparatus represented by Fig. 4772 is for hemi- plegia, affecting the limb to the hip joint. We have often had occasion to make it, and found it to answer a good purpose, both as a support, and in aiding the restoration of the mobility of the muscles. It answers to the same des- cription as Fig. 4774, but is carried up to the pelvis. On to a broad steel pelvic band we fasten the artificial muscles for flexion or extension, as the case may require. It may also be worn with good results after treatment of hip joint disease, when, by adding a perineal band, the weight of the body is borne by the apparatus. SEND THE FOLLOWING MEASUREMENTS. Patient's name and description of the case. Patient's age. Right or left leg. Inches. Length from sole of foot to ankle joint....... " Length from sole of foot to knee joint........ " Length from sole of foot to trochanter major.. " Length from sole of foot to crest of ilium..... " Circumference of calf...................... " Circumference of knee..................... " Circumference above knee.................. " Circumference of thigh..................... " . Circumference of pelvis one inch below iliac crests " It is necessary that we should have the shoes to fit the braces to when making. Patients will furnish their own shoes (which should be laced ones') or send us the number of shoe worn, or following measurements if they wish us to furnish shoes. Length of sole of foot...................................Inches. Circumference of ball of foot............................ " of instep................................. 1' above ankle............................... Price to patients, apparatus for one leg, $30 to $40. Shoes extra. Fig. 4773. APPARATUS FOR PARAPLEGIA. (Paralysis of both limbs.) The apparatus for paraplegia answers to the same description as the one for hemiplegia, except that it is double. It is used when both the lower extremities are affected. A general description of the case is necessary to guide us in placing the artificial muscles in the right spot. The directions for measurements are the same as for the apparatus for hemiplegia, Fig. 4772. Price to patients $35 to $70. Shoes extra. 750 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. 4774 Fig. 4774—APPARATUS FOR PARTIAL PARALYSIS OF THE LEG OR THIGH. This cut shows an apparatus in every way applicable in cases of wasting palsy, or when certain groups of muscles become atrophied, losing the power to perform their proper functions. With this apparatus, the muscles are excited into action, and, aided by art- ificial substitutes, made of elastic rubber or steel, placed on the instrument so as to gently exercise the affected parts, will recall them to a sense of duty. Fig. 4774.—Directions for Measurement. Patient's name and age. Right or left leg. Length from sole of foot to ankle-joint...................Inches Length from sole of foot to knee-joint.................... " Length from sole of foot to upper third of thigh........... " Circumference of calf.................................. " Circumference of knee.................................. " Circumference above knee.............................. " Circumference of thigh................................ " It is necessary that we should have the shoes to fit the braces to when making. Patients will furnish their own shoes (which should be laced ones) or send us the number of shoe worn, or following measurements if they wish us to furnish shoes. Length of sole of foot..........Inches. Circumference of ball of foot....Inches. Circumference of instep........ " above ankle..... If both legs are of equal length, the above apparatus is sufficient; but if the effected limb is shorter than its fellow, theextension apparatus, Fig. 4776, must be combined with it. This will add $8 00 to the price stated below. Price to Patients, Single Apparatus, full length............$25 00 to 30 00 " " Double " " .............. 30 00 to 60 00 (Shoes extra). Fig. 477S-—SHORT LEG EXTENSION. We make an Extension Apparatus, Fig. 4775, to correct the Patient's limp, and to guard againt the danger of spinal curvature, induced by the result of infantile paralysis, when the bones have not kept pace in growth with those of the corresponding extremity. It consists of a steel sole and pillars. The steel sole is underlaid with leather, which is riveted to it. Fig. 4775 — EXTENSION FOR A SHORT LEG- STEEL SOLE AND PILLARS. Directions for Measurement. 1. Have the patient (both feet bare) stand up ; place books or blocks of wood under the short foot until the shoulders and pelvis are in hori- zontal plane; then measure these books or blocks, which will be the height required for extension. 2 Send us a well-fitting shoe. 3. Right or left leg. If we are to furnish shoes, send the measure as directed. 4775- (We make several patterns.) Price to Patients for Extension..........$9 00 SHARP & SMITH, CHICAGO. 751 DEFORMITY APPARATUS. Fig. 4776 Represents a Cork or Willow Wood Soled Shoe, to be Applied to a Limb that is Shorter than its Mate. The importance of this Shoe is that it gives stability. It thus allows of the Patient's body be- ing sustained with ease in walking. The cork or willow sole is made of such height as to correspond with the length of the other leg. In measuring for this Shoe, please observe same directions as with Fig. 4775. FIG. ♦4776 Price to Patients, Willow Extension ...... ................$2-5° to $5.00 ♦4776 Price to Patients, Cork Extension, $10.00 4776 4777 Fig. 4777— BRACE FOR PARALYSIS AND SHORTENING OF LIMB. Price to Patients....................$30 00 to 50 00 (Corset and Shoes extra.) This illustration shows a Brace devised for Patients having hip-joint disease, together with partial paralysis and slight spinal curvature, and consequent shortening of the limb. The Brace is provided with a leather- covered cork sole extension, giving the proper length to the deformed limb, as well as assisting in giving proper and even support to the spine. This Brace gives power and force to the paralyzed limb, allowing the physical force to control the parts more effectively than could be otherwise done, thereby assisting nature to more fully perform its functions, thus preventing the wasting away of the limb. When desired, we furnish either a special Corset made to order, or one of the perforated leather ones, shown by Figs. 4705 and 4706, page 767. Measurements Required. Sole of shoe to ankle-joint...............................Inches. Ankle to knee-joint.................................... Knee to hip-joint....................................... Hip-joint to iliac crest................................... Iliac crest to axilla..................................... Circumference at ankle................................. Circumference at calf....... ........................... Circumference at thigh................................. Circumference at hip-joint over iliac crest.................. Circumference of body at axilla. ........................ Send shoe, giving full particulars of case, that we may be assisted in making a correct fitting, as well as acting brace. SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4778 represents an Apparatus for cases of Shortening. It is most useful when there is a permanent shortening of the limb resulting from anchy- losis. It consists of a padded thigh band, secured to the limb with straps and buckles. The band is attached to a strong metal stem by a hinge. The stem is open in the center for lightness, and has a foot plate fastened below, into which is sunk a tube with a rubber bottom, which fills up the space between the foot and the ground. A strong knee cap passes over the patella, and, with the foot and ankle straps, secures the leg firmly to the apparatus. When this instrument is worn the weight, is received by the thigh band and transmitted thence to the ground, so that the knee is guarded from all strain, while the ten- dency to spinal deformities is arrested, which is always the result of a shortened lower limb. Fig. 4778. Directions for Measurement. 1. Patient's name. 2. Right or left Leg. 3. Length from Sole of Foot to Knee-joint. .Inches, 4. Length from Knee-joint to upper third of Thigh............................. << 5. Circumference of the Thigh............. " 6. Circumference of the Calf............... " 7. Degrees of the angle of flexion.......... " 8. Distance from the heel of the Patient's Shoe to the ground when standing erect " Price to Patients.........................§** 00 4778 Flg- 4779 represents Sharp & Smith's Apparatus for Anchylosis There are many cases where the joint is free from disease, but where at the same time it assumes a distorted condition. In these cases a mechanical extension of the contracted muscles is so clearly indicated as a means of curative treatment that anything which tends to facilitate this action may be considered a boon This instrument consists of two lateral rods connected with thigh and calf' bands and a joint at the knee, a screw connecting the calf and thigh bands hinged, so as to admit of extension. By examining the drawing, it will be seen that the greatest amount of resistance must be found just at the anterior surface of the knee over which the knee cap passes; secondly, against the calf; and thirdly., at the thigh. The center joint becomes the fixed point of rotation for the thigh, and by levers thus diminishing the angle of the knee but, as the tibia is acted upon by the lower band and knee cap in such a manner that it acquires a disposition to rotate backward around its own center, and as the same thing cannot occur at the thigh because it is firmly fixed to the pelvis pos- terior axation of the head of the tibia must take place, although1 this is generally of so small an extent as to be hardly noticeable! For illustration see next page. SHARP & SMITH, CHICAGO 753 DEFORMITY APPARATUS. Fig. 4779.—SHARP & SMITH'S APPARATUS FOR ANCHYLOSIS. (We make several Patterns.) (For description of this Apparatus, see preceding page.) Directions for Measurement. Right or left Leg. Patient's name. Patient's age. Length from floor to Ankle-joint,.......Inches. Length from floor to Knee-joint........ Length from floor to upper third of Thigh Circumference above Ankle............ Circumference of Calf................. Circumference of Knee................ Circumference above Knee............. Circumference of Thigh.............. When long apparatus, extending to bottom of foot is wanted, and you wish us to furnish shoe, send the following additional measures: Inches. a. Length of sole of foot.................................... " b. Circumference of ball of foot............................. " c. Circumference of instep.............................. " d. Circumference above ankle............................... " Price to Patients for Apparatus as shown in cut.................... $20 00 " " " " extending to shoe.................. 25 00 Fig. 4780.—MARKLEY'S PATELLA SPLINT. This splint is intended for the treatment of fractures of the patella and dislocations of the knee joint, and may be utilized in cases of fractures either just above or below the knee. It consists of two well padded iron troughs connected with hinges and circle stop so that it may be used straight, or flexed to any desired angle. Traction on the pads may be made by means of the two long screws, which are shown on the under side of the splint, and turned by a wrench. Each screw is provided with a sliding nut, which moves in a slot cut in the trough and to which is attached the traction bands CC. The bands BB assist in holding the pads firmly in place, while the bands A A hold the splint to the limb. As this splint can be made useful in many ways it should be in the hands of every practitioner. Fig. 4780. Directions for Measurement. 1. Length from above Ankle to upper third of Thigh.Inches. 2. Right or left Leg.............................. " 3. Circumference of Thigh........................ (t 4. Circumference of Calf......................°.. " Price to Patients.................................$12 00 4780 754 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4781.—KNEE-CAP FOR AFTER-TREATMENT OF FRACTURED PATELLA. Authorities on surgery say that great care must be taken not to rupture the ligaments of the newly formed union, which so often happens after recov- ery of the patient from fractured patella. For the purpose of guarding against such a recurrence, we make the apparatus shown, Fig. 4871. It consists of a knee-cap made of buckskin or satin jean, which is adjustable to the knee by buckles or laces. It is provided with a pair of coaptation pads, to retain the newly united patella in place. These pads are arranged to approximate by Idrawing on laces, as shown in the upper border of the cap, represented by Fig. 4781. It affords the patient exercise of the knee-joint, the best guard against the danger of anchylosis at the same time preventing any undue strain on the newly united upper fragment of the patella. Directions for Measurement. 1. Circumference above Knee.....................Inches. 2. Circumference of Knee........................- " 3. Circumference below the Knee.................. " 4781 Price to Patients. ■$5 5° Fig. 4782.—LEWIS' APPARATUS FOR TREATMENT OF FRACTURE OF THE PATELLA. This apparatus consists of a broad pad, resting on the popliteus, to keep the knee extended, and a narrow pad, fitting the upper border of the patella. A strap connected with the latter one is first passed through a ring attached to the popliteal pad, then continued down the leg on each side, being finally buckled to a lined foot pad. This makes the foot a fixed point for extension, and the ring through which the strap passes gives it also a direction backward, maintaining a firm hold of the upper fragment of the patella, whilst the lower fragment is readily kept in place by a strip of adhesive plaster. Directions for Measurement. 1. Circumference above Knee....................nches. 2. Length from sole of Foot to Knee............ '• 4782 Price to Patients $6 00 SHARP & SMITH, CHICAGO. 755 DEFORMITY APPARATUS. Fig. 4783.—HOOPER'S KNEE EXTENSION APPARATUS. This apparatus consists of a band encir- cling the thigh, of another for the calf, and of one above the ankle. These are fastened to two lateral shafts provided with joints at the knee. Two semi-circular brass tubes, fastened to the lower calf shafts, contain each a spiral spring, acting on bows fastened to the thigh shaft, thus exerting constant elastic extension, which is sure to overcome muscu-' lar contraction soon. Directions for Measurement. Circumference above knee........Inches. " at knee........... " below knee........ " above ankle........ " Length from above ankle to knee.. " knee to upper third of 4783 thigh...................... « Price to Patients................................................,e 00 Fig. 4784 represents our Apparatus for Knock Knee (Genu-Valgum). This deformity, when occurring in young children, is attended with very grave consequences, inasmuch as it rarely happens that both legs yield in the same ratio, or present the same angle of inversion. This deformity is commonly complicated with Talipes Valgus. Sometimes the latter appears as the pre-existing impediment, Knock Knee having been superadded in time. A careful examination of the trouble, under a proper degree of extension and counter-extension of the extremity, will disclose, as the direct cause of Knock Knee, a marked contraction of the external duplicature of the vagina femoris inserting at the capilalum fibulae, and occasionally a contraction of the biceps femoris, which involves a disturbance of the normal perpendicular position of the entire leg, resolving it into an angle. In cases of simple ligamentous weakness, instruments furnished with knee joints are very useful, as they aid in sustaining the perpendicular position of the limb; but where there is deflection to any serious extent, nothing will be able to overcome the deformity but an apparatus without a joint at the knee, extending from the pelvis to the ground, as represented in Fig. 4784. It consists of two lateral stems, secured to the boot by copper rivets. A padded band encircles the body, and a knee cap secures the knee to the lateral stems, and padded straps above the ankle and around the calf and thigh combined, direct the force outward. This instrument is exceedingly light, and, as it admits of free muscular motion, answers admirably in these cases. For illustration of Fig. 4784, see following page. 756 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4784.—APPARATUS FOR KNOCK-KNEES. (GENU-VALGUM.) (For description of these Braces, see preceding page.) Directions for Measurement. Patient's name. age. Length '"rom floor to ankle joint... .Inches. " " " knee joint..... ". hip joint...... " " " " iliac crests..... " Circumference of pelvis one inch below " iliac crests...................... . r Circumference of thigh at c.......... rt leg at d........... " (A stick to be placed on the outside of the limb, and the above two measures taken around both.) Right, left, or both feet ? If you wish us to furnish shoes, send the fol- lowing additional measurements (shoes extra:) Length of sole of foot...............Inches. Circumference of ball of foot........ " " instep............. " " above ankle........ " Price to Patients for pair Braces (according to size)..........$30 00 to 40 00 Fig- 47^5 represents Sharp & Smith's Apparatus for Bow Legs. Few dis- tortions are more common, and yet they do not receive that attention which they demand. Parents, not understanding the cause of the deformity, think it will disappear as the child advances in years. Those who consider what influ- ence one class of deformities will exert in the pioduction of others, know that an incurvation of the tibia may, if neglected, lead to a loosening of the liga- mentous attachments of the knee joint, disturbance of the functions of the hip joint, and even deflection of the spinal column. The direction assumed by the tibia may be lateral, anterior, or a combina- tion of both. This deformity is primarily due to a softening of the bones, the result of a change in the chemical properties of the component ingredients of the osseous structure, viz., a diminution of earthy matters. This deformity requires constitutional as well as mechanical treatment. From the softened condition of the bones, the legs are unable to bear the weight of the body, unaided by artificial means. Our instrument is fastened to the sole of the shoe, consisting of two lateral rods extending above the knee, with joints at ankle and knee, and two round pads for the condyles to bear against the rods. The bars are connected by padded bands above and below the knee. On the side of the concavity we establish an artificial base, with two studs on the lateral bar, to which are attached elastic straps with buckles and sliding pad. These straps and pad are placed inside of the lateral bar, on the side of the convexity, and buckled on the, ^un(,aVe Slde °f the limb; b^ this means we get an extension of the tibia and fibula, and a depression of the arc by the elastic pressure, until the limb has been brought into a normal shape. For illustration of Fig. 4785, see next page. 4784 i3- SHARP & SMITH, CHICAGO. 757 DEFORMITY APPARATUS. Pig- 4785—BOW LEG APPARATUS. (For description of this apparatus, see preceding page.) Directions for Measurement. Patient's name (or sex). Which leg (or both)? Length from floor to ankle joint................ to knee " inner side..... to " " outside___ ches. to upper third of thigh. Circumference of ankle......... calf. 9 upper third of thigh___ It is necessary that we should have the shoes to' fit braces to when making the 47§5 Patients will furnish their own shoes (which should be laced o?ies) or send us the number of shoe worn or following measurements if they wish us to furnish shoes Length of sole of foot ................. T I Circumference of ball of foot.................'.", .'.'.".'.'.......... 7, ' of instep............... >> above ankle. Price to Patients, per pair Braces. (Shoes extra)' Fig. 4786-SHORT BOW LEG APPARATUS, Directions for Ordering. 1 State which leg, right or left, or both? 2 Distance from floor to ankle joint. 3 " " " knee " 4 Circumference at calf. Send laced shoe to fit, or give size of foot. The measure- 4786 ment for length of brace should be taken inside of limb. Price to Patients, per pair Braces. (Shoes extra)..................,%ps 00 Fig. 4787—APPARATUS FOR ANTERIOR CURVATURE OF THE TIBIA. Directions for Measurement. Patient's name (or sex). age. Anterior curvature of the tibia. Which foot? Length from floor to ankle joint................Inches " " " garter (c)................. Circumference at calf.......................... <> It is necessary tbat we should have the shoes to fit the braces to when making. Patients wil furnish their own shoes (which should be laced ones) or send us the number of shoe worn, or following measurements if they wish I 4787 us to furnish them, Length of sole of foot.........In. Circumference of instep........." Circumference of ball of foot above ankle... In. Price to Patients, single Brace. (Shoes extra)............ .$12 00 to 18 00 757A SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4787-A—LONG ANCHYLOSIS APPARATUS. This apparatus is for overcoming muscular con- tractions of the knee joint and for favoring the re-estab- lishment of motion in cases of false anchylosis. It consists of metal troughs 1, 2, 3, for the reception of the thigh and leg united by two lateral shafts, provided with joints at the knee and ankle, and attached to a shoe. A knee cap, adjusted to buttons on the lateral shafts with strong elastic straps, exerts pressure on the patella, whilst the instrument may be flexed and ex- tended by means of a key (g) and ratchet joint, opposite the knee. "It is an admirable apparatus for the gradual ex- tension of contracted muscles, and for favoring the re-establishment of motion in cases of false anchylosis, and of remaining stiffness and dryness after treatment of joint disease. By persistent and daily passive exercise a flexible and pliable joint may be restored without confining the patient to bed or room. The mechanism is powerful and may be moved swiftly, adapting it to the forcible breaking up of adhesions as well, should the surgeon prefer this to gradual extension. If desired, the instrument can be made to detach from the shoe, for the greater comfort of patients who are obliged to wear the apparatus continually, but wish to remove the shoe at night. It is also the best guard against malposition, for should it be deemed impossible to effect a cure, the limb may be placed in a situation (to anchylose) most conducive to its future usefulness." Directions for Measurement same as for the apparatus extending to bottom of foot, Fig. 4779, page 753. Price to patients $35 00 to $40 00 SHARP & SMITH, CHICAGO. 757B 4787-I 4708 40 DEFORMITY APPARATUS. fig. 4787-B-HUTCHISON'S KNEE JOINT SPLINT. To secure fixation of the knee joint, I use splints of hatter s felt. It consists of seven layers of cotton cloth saturated with shellac, and well rolled together while hot' That ordinarily sold consists of but five layers of cloth" which, for most cases, is not firm enough. To give effectual rest to the joint, the splint should be of sufficient length and wide enough to nearly surround the limb; it should extend half way up the thigh, and to a corresponding point below the knee. A shorter splint, merely wide enough to cover the posterior part of the limb does not secure the complete immobility which I have insisted upon in the treatment of diseases of the joint where absolute rest is demanded. The splint having been cut of the proper length and width, with a sharp knife, and the limb covered with a stocking, the felt, made pliable by dry heat in an oven or before an open fire, or by immersion in very hot water, ,s applied to the limb and covered quickly and firmly with a bandage from below upward, so as to mould it to all the equalities of the surface. While the splint is being applied, an assistant should make extension from the foot so as to straighten the limb as much as possible in cases' where the joint is flexed, but no violent effort should be made to reduce the malposition. So soon as the splint regains its inflexibility it may be removed, trimmed up and holes punched an inch or an inch and a half from the front edges for lacings. The object in punching the holes a little way back from the edges is to permit the splint to be made smaller by cutting off the edges, so that pressure may be kept up as the knee diminishes in size. The weight of the body is removed from the diseased joint by the use of elevated shoes and crutches.—Hutchison. Price to patients...............$I5 00 Fig. 4708 Represents Sayres' Suspension Apparatus suspended from the wall. For prices see page 768. 758 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4788 represents Dr. Lewis A. Sayre's instrument for extension of the Ankle Joint. This instrument consists of a firm steel or hard rubber plate, shaped to the sole of the foot, with a hinged joint at the heel, attached to a rod slightly curved at the bottom, and extending up the back of leg to a point near the knee. Over the instep is an arch like the top of a "Stirrup " with a hinged joint at its summit, from which springs another rod, which runs up the front of the leg, and is of the same length as the other. These rods are made with ratchet and cog, for extension, and connected at the top by a band of sheet iron, on one side of which is a hinge, and on the other a lock like that of a dog collar. The instrument is applied with Canton flannel, adhesive plaster (made expressly for extension purposes), cut in strips about one inch in width, long enough to reach from the ankle to a point near the tuberosity of the tibia, and placed perpendicularly all around the limb. The plaster is secured in its position, to within an inch of its upper ex- tremity, by a well adjusted roller bandage. The instrument is then applied, and the foot firmly secured by a number of strips of adhesive plaster to prevent its slipping, and the ends of the plaster at the top of the instrument turned over the collar, which has been previously locked just tight enough to be comfortable, and secured by a turn or two of the bandage. A roller should be carefully applied over the foot to prevent the plaster from slipping. This Apparatus was applied in the presence of the class at Bellevue Hos- pital by Dr. Sayre, on the 24th of February, 1864, in the manner above described. The patient was a sixteen year old girl; as soon as the instrument was properly adjusted, she stood upon her feet, without the aid of crutch or cane, for the first time in two years, and without any pain whatever, but the instant the screws were shortened, the pain was intense. Fig. 4788. SAYRE'S ANKLE EXTENSION APPLIANCE. Directions for Measurement. Length of the sole of the foot............Inches, Height from sole to two inches below knee... " Circumference of calf...................... instep.................... " 478S Price to Patients §2 2 OO SHARP & SMITH, CHICAGO. 759 DEFORMITY APPARATUS. APPARATUS FOR WEAK LIMBS. Directions for Measurement. Patient's name. " age. Length from floor to ankle joint.......Inches " knee " ___ "hip " ....... « " " iliac crests........ " Circumference of pelvis x inch below " iliac crests .................... « 8. Circumference of thigh........ « 9- " calf............'.'.'.'.' « It is necessary that we should have the shoes to fit the braces to when making. Patients will furnish their own shoes (which should be lacea ones) or send us the number of shoe worn, or following measurements if the)4 wish us to furnish shoes. Length of sole of foot........In. Circumference of ball of foot. . In. 4789 Circumference of instep......" " above ankle____" Price to Patients, adult's size (shoes extra)................$35 00 to 70 00 " children's " " ................. 25 00 to 35 00 Fig. 4790.—APPARATUS FOR OVER-RIDING TOES. The apparatus for over riding, or "hammer toes," consists of a steel sole, arranged with slits corresponding to the spaces between the toes. A strap of webbing is passed through these slits and over the contracted toe tor over each and all, as the case may require), and buckled or tied under the sole, tense enough to straighten the toe. This ap- paratus is kept in place by a thin silk, linen, or cotton covering, laced to the instep, and may be worn in an ordinary shoe. Directions for Measurement. Place the foot on paper and trace with pencil. Circumference of ball of foot. " instep. 4790 Fig- 479° Price to Patients, Apparatus for one foot.........$ 7 00 to 15 00 " " " " two feet......... 14 00 to 30 00 Fig, 4791.—ECLIPTING SPRING FOR FLAT FOOT. Consists of a spring tempered steel sole, constructed of the exact shape of the arch of the foot in its normal position. This sole is placed in the shoe and fastened at the heel by a screw, having the anterior portion free to move as the weight of the body is thrown upon it. Directions for Measurement. 1. Send a well fitting strong laced shoe. 2. Send a plaster cast of the foot with its arch elevated to the normal position. Patients................................$4 50 to 6 00 479i Fig 4791 Price to 759A SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Sharp & Smith's Raised Shoe for Shortened Limbs. Fig. 4791-B represents Sharp & Smith's Raised Shoe for Shortened Limbs. This apparatus is preferable to the ordinary form of iron stirrup and cork soled shoe. The weight of the body is equally distributed to both limbs, which enables the wearer to stand firmly on his feet The cut shows the foot laced to the extension. The dotted line shows the outline of the foot. When this apparatus is covered by the trousers, no deformity can be noticed, as the shoe does not differ in construction from the one worn on the normal foot. It is better for the patient to have us take the measurements here. The leather used in this shoe is of the best quality. Price to patients, for single shoe, $20.00 to $25 00 4791-C 4791-B. Fig. 4791-C represents a steel sole for flat feet. This sole consists of a double steel sole, so arranged that the height of the convexity of the upper one may be regulated at will. A screw, terminating in a square head, is turned with a key, so that the shape of the upper sole may be regulated to meet the changing demands of the patient. Send shoes that are one or two sizes too wide, so they will accommodate the extra space necessary for the double sole. Price to patients without shoe, $9.00. RESTRAINTS FOR THE HUMANE CARE OF THE VIOLENT INSANE. These buckles and straps are unequaled for simplicity, durability and neatness of appearance. Only the best materials are used. Each article is first pressed into shape wet, dried, and after- ward lined and stitched, thus securing permanence of shape, and preventing the wrinkling of lining. The Lynch Restraint Buckle, for Muffs, Waist Straps and Wristlets. Buckle, with waist strap of best russet belting..........$2 50 net. Buckle only............... 2 00 " Slipper, Showing Buckle Attached. Buckles, with straps and loops Shoe and ready to attach to slippers. Clothing Per doz...............$9 00 net. Buckle. Buckles only.......per doz., 8 00 ,: �999915 SHARP & SMITH, CHICAGO. 759B RESTRAINTS FOR THE HUMANE CARE OF THE VIOLENT INSANE. Canvas Muff. Canvas Mitt. The above Mitts and Muffs are made of drab canvas, and are in general use in hospitals. They are neat, light, durable and washable. The use of the small, long buckle on the wristlet renders it impossible to obstruct circulation in the hand by too tight buckling. In the muff, the hands are separated by a thickness of the canvas. Price of each complete, with waist strap and buckles, $5.00 net. The Lynch Bed Strap. This apparatus is for keeping delirious persons in bed. It is simple, practical and durable. It is quickly and easily attached to any bed, adjustable to persons of any size, and made of strong hemp web. The anklet is of soft, pliable woven material, which will not chafe. Sufficient freedom of motion is allowed to permit the patient to lie on either side. Price $10.06 net. The Lynch Muff. Price with waist strap and patent lock buckle, " .00 net. Mitts. Price per pair, with waist strap and patent lock buckle, complete, $8.00 net. Anklets. There are two styles of Anklet, one with small and one with large buckle. Those with small buckles do not become separated when detached from the patient, but are always together when required for use. They are adjustable to any ankle, and are especially designed for day use. Price of either, complete with straps and buckles, $6.00 net. Wristlets. Price complete with waist strap and patent lock buckles, $5.50 net. Directions for Using Buckle. To Unlock.—Push in the key straight. To Lock —Press down small pin in end of bolt with the forefinger of the right hand, then push in the bolt with thumb of same hand. The pin is to prevent locking till ready. When not in use slip in the bolt. 760 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. Fig. 4792.—APPARATUS FOR PARTIAL ANCHYLOSIS OF ELBOW JOINT. This consists of a broad band at the upper portion of the arm, a band just below the elbow joint, and one at the wrist; connected with these is a steel bar running parallel with the arm, having a joint at the elbow. Connected with the wrist band and the upper arm band is a screw extension attachment; by gradually turning this screw, the adhesions are broken up, and patient soon acquires the full use of the anchylosed member. Apparatus for Anchylosis of the Elbow Joint. G.TIEMANN 8.' CO DIRECTIONS FOR MEASUREMENT. Right or left arm ? Length from wrist to elbow joint (a to c)...... Length of wrist to axilla (a to d)............. Circumference of wrist (a) .................. 5. Circumference of forearm (b) ................ 6. Circumference of elbow joint (c)............. 7. Circumference of arm (d).................... . Inches. 4792 Price to Patients.............................................................$18 oo Fig. 4793 represents an Apparatus for Contracted Wrist. It is intended for correcting cases of flexed wrists, caused either by contraction of the muscles or by partial anchylosis. The cut fully shows the manner in which force is applied, and, if well fitted, good results can always be obtained. Directions for Measurement. 1. Circumference of arm just below the elbow. 2. Circumference of arm between wrist and elbow. 3. Circumference of hand between wrist and thumb joint. 4. Length of forearm to wrist. 5. Length from wrist to thumb joint. Price to Patients (according to size) $20 00 to 30 00 Fig. 4794.—Darrach's Patent Wheel Crutch. $50 00 to 85 00. DIRECTIONS FOR MEASUREMENT. Width of body in direct line from arm- pit to arm-pit; distance from arm-pit to floor. To measure width of body correctly, place a stick under each arm, close to the body, projecting in front parallel, and take distance between (not including curve of breast.) Prices of Crutches (Fig. 4794). desig- nated by distance from arm-pit to floor. 16 to 25 inches.,................-$5° °° 25 to 35 " .................. 60 00 35 to 45 " .................. 70 00 45 to 55 " ----............. 85 00 Sunshades and Fixtures, from $6 00 to $12 00. 4794 SHARP & SMITH, CHICAGO. 761 SPINAL DEFORMITIES AND APPARATUS. In cases of Spinal Disease, when we cannot have the patient for the proper adjustment of the instrument, if practicable, a plaster of Paris cast of the trunk would be desirable to model the apparatus from, in order to obviate the lia- bility to error, and to insure a proper application and save the medical attend- ant much alteration and manipulation. In order to show the deformity, the attendant may place a plate of glass upon the spine of the patient, and so adjust it as to cover the whole trunk, taking care '"hat the patient stands with his spine in the medial line of the plate as straight as possible (heels together). By means of a delicate brush and some paint the contour may be accurately drawn upon the glass. By this means the curved lines of the spine and its deviation can be marked. This done, a large sheet of paper must be placed on the glass and the lines of the body transferred thereto. With the above contours, together with a description of the case, the following measurements are required, viz.: Circumference of the body at the crest of the ilium and under the axillae, and the length from the crest of the ilium to the axillae. Inasmuch as the human body is purely mechanical in the formation and arrangement of all its parts, from the largest organs to the finest cells, it fol- lows that any variation from the primitive arrangement of any one of these must involve corresponding morbid manifestations, not only in the parts imme- diately concerned, but also in those which are associated with them, either by juxtaposition, continuity or function. The equilibrium of the spine is constantly being disturbed by the irreg- ular distribution of weight, or from habit or indolence, an indisposition to sit erect, and the constant strain unduly exercised against the weakened ligaments, added to the gravital weight of the head and shoulders, finally induce a permanent change of form. Directions for Measuring for Figs. 4796, 4797, 4798, 4799 and 4703. 1. Patient's name (or sex). age. " weight (estimated.) Inches. Distance from sacro-lumbar articu- lation to vertebra prominens.. .(C to D) Distance from sacro-lumbar articu- lation to first vertebra involved. (C to G) Distance from sacro-lumbar articu- lation to last vertebra involve.. (C to D) Distance from crest of ilium to axilla, right side....................(Ato H) Distance from crest of ilium to axilla, left side....................(^to^) Distance from the center of one scapula to the center of the other.(E to F) Horizontal (transverse) diameter of the protuberance. Circumference of the chest under axilla.......................(H) .. Circumference of pelvis, one inch 4795 below the iliac crests. In addition to the above measures, please state if the *Convexity of the Curve is to the right or left side. . *In the Figure of the accompanying Skeleton it is to the right. "WE Make a Specialty of Deformity Apparatus, 783 SHARP & SMITH, CHICAGO. 4796 DEFORMITY APPARATUS. SPINE BRACE FOR LATERAL CURVATURE. (scoliosis.) Fig 4796. To the pelvic belt are attached later- ally two elastic crutches, as in the Brace for Pott's disease, to relieve the spine of the weight of the *q trunk, posteriorly a single strong, upright bar, hold- ing a couple of adjustable pads for the scapulae, and ^just below, a leather band of proper width (attached hby a number of small brass buttons), terminating in a ^ strong, elastic India rubber webbing. This band is ?• passed around the protuberance obliquely, and but- toned to the pelvic belt in front an inch or two be- yond the lines alba, and will be found to exercise a gentle, but continuous elastic pressure, at the same time rotating the ribs around their vertebral axes, thus unfolding the helical curve. Directions for measuring, see Fig. 4795, page 761. Price to Patients......................................... $35 00 SPINE BRACE FOR POSTERIOR CURVATURE. Fig. 4797- "It is intended to afford an en- tirely elastic continuous and gentle pressure to the parts to which it is applied, giving to the patient, along with adequate support, an easy and comfort- able feeling. It is made of light tempered springs, and softly padded wherever it comes in contact with the body. "The belt below passes around the pelvis, and the principal weight is thrown upon the gluteal region. The front portion is broad, so as to com- press the protruding abdomen. Two upright parallel bars pass on each side of the posterior ele- vation, having a portion of silk elastic rubber between thern, which gives a constant pressure upon the protuberance. If the latter is inflamed, a portion cut out of the elastic material prevents direct pressure upon the extremity of the bone. Upon these side bars are attached two elliptic and padded springs, yielding to every pressure, and adapting themselves to the sides of the spinal column and keeping the body in an erect position. These are removed or applied by a very simple process. The two padded crutches are elastic, and elevate the body by pressing mostly under the margin of the scapula, thus obviating any tendency to pressure upon the axillary veins 1 hey are constructed in such a manner that the equilibrium of the body can be restored in case one shoulder is depressed." Directions for measuring, see Fig. 4795, PaSe 76j- Price to Patients........ 4797 .$35 00 SHARP & SMITH, CHICAGO. , 763 DEFORMITY APPARATUS. WASHBURN'S BRACE FOR POSTERIOR CURVATURE OF THE SPINE. (Potts' Disease.) Fig. 4798. This Brace was designed and first used in the St. Luke's Hospital, New York, by Dr. Charles Washburn, and has since, as then, been very successful. " Success with this apparatus depends entirely upon the faithfulness with which it is kept adjusted to the spine of the patient. It is only necessary that a gentle pressure should be maintained if it is con- stant. As the spine approaches its normal shape the curve of the brace will require to be altered from time to time. The steel has a soft temper, so that it will take the form in which it is bent when consid- erable power is applied, but will be sufficiently elastic for the purposes of this apparatus. With children's braces the necessary bending is readily accomplished by hand. " In the accompanying figure aa is a steel band which passes half way around the pelvis, just above the trochanters, bb are two flat bars of steel, parallel to each other, and curved upon their flattened sides to the form of the spine to which the apparatus is fitted. These bars are curved a little less than the spine, so that when secured in position their elasticity will constantly operate to rectify the spinal curve. The cross bar at the upper ends of the parallel ones is firmly riveted to them, and is to cross the back just above the spines of the scapula. At the ends of this bar are affixed buckles to receive the shoulder straps; cc are two movable pads which slide upon the bars to which they are attached—these are best stuffed with chopped cork. These compresses are to be brought one upon each side of the projecting knuckle of spine and secured firmly by means of the screws provided for that purpose. Buckles are attached to various parts of the brace, by means of which it is secured to the front part of the apparatus, which consists, as shown, of a piece of twilled muslin, or other strong material, which covers the chest and abdo- men, and is provided with straps. Such parts as are in contact with the body are carefully padded." Directions for measuring, see Fig. 4795, page 761. „ ^ * .....381 economy—the same jacket being capable of remoulding as the case progresses. We need a mould as follows: A plaster of Paris jacket is applied, and as soon as this hardens it is split down in the median line in front, re- moved from the body, and the cut edges placed and held in apposition by a bandage carried around, and over the entire jacket. This shell is greased on its inner surface, placed upon the floor, and filled with stiff plastic mortar. When this hardens the shell is removed, leav- ing an exact cast of the thorax, upon which the jacket is built. Price to patients, $25.00 to $40.00. ^•Sft^T 4707 SAYRE'S JURY MAST. Directions for Measurement. 1 Bend a flexible strip of lead to the contour of the back, commencing at the top of the head; carry along the spine to the sacrum. Care- fully remove and trace on paper; mark the position of the scapulae, iliac crests and disease. 2 Circumference; top of head around chin...Inches. 3 " around cranium......... '' 4 " pelvis, below iliac crests.. " 5 " neck.................. " 6 " neck and chin.......... " Price to Patients.........................$12 °° 767A SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. 4707-A—Sharp & Smith's Corset Brace with 4707-B—Torticollis Brace. Sayres' Jury Mast attached. Measurements re- quired same as for Fig. 4703 and also 4707. Price to patients, $35 00 Fig. 4707-B—TORTICOLLIS BRACE. This apparatus is principally the same as the Markoe's Brace, Fig. 4702, page 765. It consists of a well padded pelvic band, a, to which an upright steel bar is attached at /, passing upward along the spine to the upper dorsal region. A crossbar,;-, is attached to its upper end, passing from one axillae to the other and fastened to two crutches, k, fitting well under the arms. These are connected to the pelvic band by two lateral bars, m, which by means of a slot and screw can be raised and lowered somewhat at will. The parts of the apparatus so far described are applied firmly to the trunk by means of straps passing over the shoulder and fastened to the axillary crossbar at cc. A firm hold of the head is secured by a pad sheet steel inside, reaching almost from eye to eye backward around the skull, with apertures for the ears, and fastened to the head by straps over the forehead, and under the chin. To its back part a steel bar is riveted, d, which connects the upper part of the apparatus with that applied to the trunk. The lower end of this steel bar is ratched and adjusted in a slide to the upper end of the steel rod, passing up along the spine and held in position by a thumb- screw shown near the letter h. This connecting bar is intercepted by three different joints, e,fa.wo\g, by which flexion can be made in any direction when worked with the key. At the joint g, flexion can be made to the right or left, at / forward and backward, and at e rotation. The advantage of this appar- atus over many others is, that firstly a firm hold is effected "to the head and trunk, and that then the head can be brought in a proper position by a true and irresistible mechanism. The apparatus when worn is almost entirely hidden under the clothing, and patients cannot very easily withdraw themselves from its action. Measurements required same as for Markoe's Torticollis Brace, Fig. 4702, page 765. Price to patients.................. $80 00 to $90 00 SHARP & SMITH, CHICAGO. 767 B DEFORMITY APPARATUS. Fig. 4707-C—PROF. A. E. HOADLEY'S SPINAL APPARATUS. This is the brace that has been adopted by Prof. Hoadley. It is very simple in construction, dur- able and economical. The lower pad that rests across the back is secured to the uprights by a hinge joint, which permits the pad to adjust itself to the back. The pads that are placed on each side opposite the deformity are adjustable to height, and are sufficiently flexible to permit of being changed in shape to conform to the changing shape of the back. The upper ends of the uprights are secured by straps that pass over the shoulders to a pad, long and narrow, which rests on the upper front part of the chest. It has a lumbar joint which provides for the up and clown movements of the hips, which effectually prevents the brace from climbing in straight backed cases. Where there is much deformity and the pads are properly secured partially under the projection of the deformity, this lumbar joint in the brace is unnecessary. The measurements required are the circumference of the chest, and the hips just below the crest; the distance in straight line between this latter line and the top of the shoulder at the point of its union with the neck, and finally the shape of the back about an inch to the outside of the spinous processes. Price to patients...................$25 00 ^^^■^^^=^jj Fig. 4707-E—WOLFF'S SPINAL CRADLE. In reclining the body should be placed in such a position that the offending muscles are put upon the stretch. The deformity is temporarily overcome by the employment of Wolff's Cradle (Fig. 4707-E). The belt passes over the projecting ribs and shoulder-blade, thus bringing the weight of the trunk upon these parts, while gravity aids in overcoming the curvature in the lumbar region. Price to patients......$10 00 to $15 00 4707-D—Scoliosis Brace, same as Fig. 4796, page 762, extra light and fine. Same measurements re- quired as for Fig. 4796, p. 762. Price to patients. .$40 00 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. THE HOADLEY SCOLIOSIS BRACE. Fig. 4707-G Front View. Fig. 4707-G Back View. Fig. 4707-G Dr. A. E. Hoadley's Scoliosis Brace. This spinal curvature brace is adapted to cases of curvature where the principal curve is in the middle of the dorsal region. The apparatus is constructed in two sections: One, the pelvic belt, is composed of heavy leather, rein- forced with steel, to make it very strong and it is molded to the crest of the ilium, so that it is a perfect fit and makes it impossible for the belt to turn around on the pelvis. To this belt on each side are supported the crutches and a frame which is made rigid and firm to the belt. This frame corresponds in height to the prominent portion of the deformity. The upper edge of this frame, which at the top is a segment of a circle and tends to go around the body, is notched so as to form a ratchet. There is a clasp on the crutch bar which surrounds this ratchet bar. The crutch bar is loose on the belt and can play back and forth on the rigid ratchet bar. Between the clasp and crutch bar there is a dog which locks the crutch to the ratchet at any desired place. This mechanism is the same on both sides except that they are reversed in action. The second section consists of chest belt of thin steel which supports two pads each on a swivel joint or a joint that will permit motion in all directions. The pads are made of thin brass and hammered to fit, one is adjusted immediately behind and rests over the most prominent portion of the deformity. The other pad which will be more flat is adjusted to the front of the chest just below the clavicle and as near the shoulder joint as possible. This chest belt and pads are sup- ported and held in position by straps over the shoulders like suspenders. By means of little strips of steel supporting buttons, this chest belt is attached to the crutch bar, one reaching from the crutch bar forward and the other from the crutch bar backward. Now with the instrument in place and coupled up, the body can be made to twist in the direction of correction and retained at any point by simply shoving one crutch bar forward and the other one backward and fastening them there by means of the ratchet and dog. Any desired degree of twist can be given to the body and maintained, the tension can be varied at will. The crutches are also adjustable so that the shoulders may be carried as high as desired. This apparatus is readily taken off at night, and its adjustment is simple. This is the only curvature brace that is adjustable to the body that can forcibly twist the body, and maintain it in its twisted condition without otherwise distressing the patient. Price to patients, $45.00. SHARP & SMITH, CHICAGO. 707D DEFORMITY APPARATUS—HOADLEY'S LEG APPARATUS. THE HOADLEY HIP SPLINT. Fig. 4707-H This instrument is adapted to the purpose of fixing the hip joint at any desired angle. It is adapted to any case, acute or chronic, where there are no abscesses or open sores to interfere. When it is properly adjusted it does not interfere with the patients in bed while lying either on the back or sides. In severe and very painful cases the upright above hip should be bound to the body, either with a wide bandage pinned, or a regularly con- structed band with straps and buckles. In moderate cases the upper end of the splint need not be held very firm to the chest. The patient, in turning or moving, when it is required, will immediately take hold of the upright and hold it against his chest, or use it as a kind of a lever, and thus at all times insure the greatest security to the joint. The extension portion be- low the knee can pass either to the inside or outside of the foot and take either the shoe or the adhesive strap traction and it can be removed at will, which at night is especially desirable, and if continued traction is necessary, the night traction is best accomplished by weight and pulley. If the patient is moving around on crutches, the upper end of the splint should be left loose. Price to patients, $25.00. 4707-H 4707-K THE HOADLEY ORTHOPCEDIC WRENCH. Fig. 4707-K The same as a common Coe wrench or monkey wrench, which is constructed smooth and round upon all outward portions of the jaws. The inside of the jaws are also 3lightly rounded and the corners entirely removed. This wrench is constructed for the purpose of adjusting apparatus, bending, twisting, etc., while on the patient. There are no corners to bruise the flesh, nor corners to mark the instrument on which the wrench is used. They are de- signed to be used in pairs. They have ebony handles and are nickel plated, making a very beautiful as well as a useful instrument, HOADLEY'S KNEE SPLINT. Fig. 4707-I The advantages of the Hoadley Knee Splint are, that the thigh and leg segment can be adjusted or bound to the parts independent of each other by first loosening the side set screws or thumb nuts. After the upper and lower segments of the knee splint have been properly bound to the respective parts, 47°7-t any adjustment of the parts can be made and retained permanently, or changed from day to day. This Splint is capable of maintaining perfect fixation of the knee joint at any angle and with such lateral deviation as may be desired. The readjustment of the limb segments to each other with this Splint is very simple and easy, which makes it very desirable for the slow correction of bad positions. It also fulfills all indica- tions for fixation in resections of the knee, as it may be kept in position, maintaining all neces- sary fixation sufficiently long for the bones to unite, and at the same time permit examinations and redressings of the wound. It is made in two forms: Wide, for the fixation of joint operation upon, and close, for the fixation of chronic joint diseases. The thumb nuts are also made large, for the easy adjustment with the fingers, or short and small, to be adjusted with small wrench. Price to patients, 41 20.00. 768 SHARP & SMITH, CHICAGO. DEFORMITY APPARATUS. 470-j 4708 Fig. 4708.—Sayre's Suspension Apparatus. DIRECTIONS FOR MEASUREMENT. *47°* 47°9 f47ii 1. Age of patient. 2. Circumference of head around chin. 3. of head around occiput. Price of apparatus with plain pulleys.......................$ 6 00 With brass compound pulleys (as shown in cut).............. 11 00 Tripod (only).........$6 00 Seamless Shirts.. .$1 50 to 3 00 Price to Patients......................Short, $8 00; Long, 10 00 Fig. 4710.—Apparatus for Preventing the Dislocation of the Shoulder Joint. DIRECTIONS FOR MEASUREMENT. 1. Name. 2. Weight (estimated). 3. Right or left shoulder. 4. Circumference of the arm. 5. " axilla to acromion. b. " of chest under axilla. Price to Patients.........$6 00 to 9 00 Pages 736 to 768, are prices to Patients. Special prices to Physicians, and the Trade. 4710 SHARP & SMITH, CHICAGO. 768A ORTHOPGEDIC. SPINAL DISEASES AND DEFORMITIES. Scoliosis, Lateral Rotary Curvature, Braces. 4712-A Stillman's (Chicago) V-Lever Brace, combined with Corset (posterior view). Price to Patients, $50.o„ Illustrating Curvature when Patient has no Support. Showing Principal Features of Stillman's Brace. "It is my opinion, based upon many cases of this deformity, that the best results are ob- tained by the conjoined use of an active brace and proper exercise upon curved frames. " A brace alone is of but little use, serving merely to hold the body erect; but to exert any curative power it should be made to fit the patient accurately and be readjusted often, so as to exert its active effects through all the stages of improvement; and, in addition, the patient should be obliged to take systematic exercise, and, if necessary, should receive the benefit of massage, electricity and other tonics. The diet and habits of life should be regulated carefully, and all work avoided which tends to increase the deformity."—Chas. F. Stillman, M. £>., in The Medical Record, May 21, 1887. Measurements required, same as directed on page 768C for " Round Shoulders." 12-B Stillman's Horizontal Frame for Backward Curved Extension of the spine During Exercise.................................... ............$50 OO >68B SHARP & SMITH, CHICAGO. ORTHOPCEDIC. SPINAL DISEASES AND DEFORMITIES Spinal Apparatus. 4713 Stillman's Vertical Frame for producing backward curved extension of the spine during exercise. Price $70.00. 4713-B Stillman's Vertical Extension Brace, for rotary lateral curvature. Price to patients, $30.00 to $40 00. Directions for measurement, page 768-C. 4713-A Stillman's Vertical Elastic Ex- tension Derrick. Price $25.00. 4714 Stillman's Recumbent Spinal Extension Frames for Pott's Disease. Price to patients, $50.00. 4713 C Stillman's Brace Torticollis. Price to patients, $50.00. for SHARP & SMITH, CHICAGO. 768C ORTHOPCEDIC. SPINAL DISEASES AND DEFORMITIES. Braces for Round Shoulders. Measurements Required for Dr. Chas. F. Stillman's Spinal Braces. i. Sex of patient. 2. General appearance of patient. 3. Lay a soft piece of lead wire along the back, moulding it exactly to the spine, from the seventh cervical vertebra to the middle of the sacrum. With this pattern trace carefully the shape of the spine on a piece of paper, marking the points opposite the upper and lower borders of the scapula and the crest of ilium. 4. Circumference of body between crest of ilium and trochanter major. Inches. 5. Circumference of body at waist,............ " 6. Circumference of body under axillae,.......... " 7. Distance between the upper borders of the scapulae,..... " 8. Distance between the lower borders of the scapulae,..... " 4714-A Stillman's Horizontal Frame for Backward Curved Traction during Exercise. Price to patients, $50.00. 768D SHARP & SMITH, CHICAGO. Fig. 4715. Stillman's brace for lower dorsal region partially applied. Price to patients from..........$30 00 to 35 00 ORTHOPCEDIC. SPINAL DISEASES AND DEFORMITIES. Posterior Curvature Braces. "Nature's indications for the treatment of Pott's disease is to put a splint on the back of the patient which will maintain this erect posi- tion; for, since the tendency of the disease is to curve the affected por- tion of the spine forward, the cen- ter of this curve being anteriorly, our corrective force should be ap- plied to produce exactly an opposite curve to the diseased one, the cen- ter of such a corrective curve being posterior to the column. In other words, we must follow nature's lead and hold the spine erect and slightly curved backward." Fig. 4715. The same ap- plied. "The brace is constructed so as to embody a lever with a short and a long arm; the short arm extending from the site of the disease to the sacrum, and the long arm from the neck to the sacrum—the two being there connected by an adjustable clamp, and together forming a V-shaped lever, which automatically acts to press forward the deformity and yet holds the spine firmly in the erect position. The force is so graduated that, if leaning forward is attempted, the shorter arms press firmly over the transverse processes adjacent to the kyphos, and exert a forward pressure which prevents the spine yielding at the seat of disease." The angle at which this back frame or long arm of the lever is set out from the body determines whether the brace shall act as a lever brace or as a simple fixation brace. If adjusted and secured to the body this brace forms a V- shaped spring lever, which produces backward extension of the bodies of the vertebrse, and thus tends to arrest the disease and improve the deformity, while it maintains the spine firmly in the erect position at the same time. Fig. 4715-A. Brace for caries01 the lower lumbar vertebrae. Price to patients . .$30 00 to 35 00 For measurements required see "Round Shoulders"— page 768-A. SHARP & SMITH, CHICAGO. 708E ORTHOPCEDIC. SPINAL DISEASES AND DEFORMITIES. Posterior Curvature Braces 4716 Brace for middle dorsal region. 4716 The same applied (rear view.) Price to patients, $35.00 4716-B Brace for cervical region 4717 The Spinal Jacket provided 4710-15 crace iu & with V springs. Price to with jury mast attached Price patientsflao.oo. to patients, $45-°°- ^ * Dr Charles F. Stillman's (Chicago) Braces for caries of the spine. For measurements required see "Round Shoulders," page 768-A. u 768F SHARP & SMITH, CHICAGO. ORTHOPCEDICS. SPECIAL DISEASES AND DEFORMITIES. Braces for Posterior Curvature. Fig. 4717-A. Stillman's brace Fig. 4717-A. The same for upper lumbar region, applied (reaf view). partially applied. Fig. 4717-A. The same (front view.) 'Wff Fig. 4718. Stillman's brace Front view of Fig. 4718. Effect of brace Fig. 471c for dorsal caries (advanced properly applied. stages.) Price to patients.....$4000. (From photograph). For measurements see Round Shoulders, page 768C. SHARP & SMITH, CHICAGO. 768G ORTHOPCEDICS. Diseases of the Joints—Hip Joint Apparatus. Dr. Chas. F. Stillman's (Chicago) Sector Joint Brackets and Splints. Price to patients, each, $10 oo When properly applied are capable of the following combination without removal from the limb: I. Extension at any angle with motion. 2. Extension at any angle with fixation. 3. Fixation at any angle. 4. Motion, complete or limited, constant or oc- casional. 5. Exposure of surface about the joint, admitting compression, elastic or otherwise, hot and cold ap- plications, blisters, dressings, and easy inspection. 6. Motion, extension, and elastic tension by the addition of appropriate rubber cords. This splint may be inserted into any form of brace attachment known. But when it is desired that the splint should remain upon the limb for any length of time, or, as in acute inflammation of joints where it is used to reduce the contractile antagonism of the muscles, I prefer to use it in the form of a bracket, which is to be attached to the affected part by some immovable dressing, which will be sufficiently inflex- ible to prevent unequal pressure upon the soft parts. The sector bracket consists of two terminal plates of thin copper, perforated upon the upper side, con- nected with each other by a sector bridge raised to any desired distance from the surface. This bridge consists of two overriding slotted steel strips, con- nected by three clamps, which may be either thumb- screws or key-clamps. For the Hip Joint. (Extracts from " The Hip and Its Diseases,^' by V. P. Gibney, A. M., M. D. '' The aim of the apparatus is extension, with or without motion, and at any desired angle. It further- more seeks to overcome the compensatory lordosis." Fig. 4719. A. sector splint, Fig. 4719, is placed on the outer side of the thigh over the hip, and is empioyed either as a "bracket" or a "brace"—the difference being that the bracket is to be secured by plaster of Paris, or some inflexible bandage, which does not admit of removal, while the brace can be removed at pleasure. The sector splint, it will be seen from the figure, is com- posed of two plates of perforated tin that partially encircle body and thigh, of two slotted arms connected at one end by means of a clamp, and each attached at the other end to one of the perforated plates—near which a sharp curve is seen to prevent undue pressure over prominent parts, and of a slotted sector attached to the slotted arms by three clamps. To apply this bracket, first, several strips of moleskin adhesive plaster are wound tightly around the thigh, just be- low the hip, and around the pelvis above the hip. Second, thigh, pelvis and waist are encircled by plaster of Paris bandage, which is allowed to partially set. Third, the bracket is applied over this plaster, the angle being fixed as desired, the clamps having been previously loosened, and the slotted strips shortened as much as possible. Fourth, the bracket is now fastened by a few turns of the plaster bandage, and this is covered by a dry muslin roller to insure cleanliness. By means of the clamps on the sector, fixation may be se- cured, or motion may be allowed, and extension be maintained at the same time. Dr. Stillman combines this plan with the crutches and high shoe. The advantages, he claims, for this splint are: 1. Local extension of the joint diseased. 2. Fixation at any angle, with or without extension. 3. Motion, with or without extension. 4. Gradual reduction of the flexion. 5. Opportunity for local inpections and topical applications. 469999441146 768H SHARP & SMITH, CHICAGO. ORTHOPCEDIC. DISEASES OF THE JOINTS. Hip Joint Apparatus. 4719-C 4719-D 4719-E When a brace can be afforded, and, because of the un- cleanliness of the plaster, it is desirable to use a brace instead of a bracket, a removable apparatus may be used. This may be of several forms, depending upon the fancy of the surgeon. In each a back frame is provided—and fastened to the body with suitable straps and bands—to prevent the compensatory lordosis which ensues as a feature of the hip disease. This is a feature not found in any other American hip brace, although the English surgeons consider it a necessary feature. Fig. 4719-B shows one form of hip brace provided, first, with the back frame ; second, with sector at the hip ; third, with a clamp above the sector fixing the angles of abduction and adduction, and one below, for fixing the angle of rotation. These are changed by the wrench, shown in the illustration. The sector is operated by thumb-screws, and is provided with a removable clamp, by which motion in the hip may be limited to any given arc. With extension ratchets, operated by a key, the brace terminating just above the knee in rollers and buckles, to which the attachment to the thigh is made. Application.—Two square pieces of moleskin adhesive plaster should be cut, as shown in in Fig. 4719-C, and two tabs of strong webbing sewed to the center of each. These are placed one on either side of the thigh, the ends interlacing, as shown in Fig. 4719-D. 4719-B 4719-B Stillman's Hip Brace. Price to patients. ... $45 00 SHARP & SMITH, CHICAGO. 7681 ORTHOPCEDIC. DISEASES OF THE JOINTS. Knee Joint Apparatus. 4720 Stillman's Knee Extension Brace. Price to Patients, $35.00 to $40.00. Application of Plasters to Effect Traction. 4720-A Stillman's Sector Knee Bracket with leg attachment. Price to oatients, $12.00. 4720 Stillman's Knee Splint, applied. 4720-B Stillman's Knee Splint, with large Sectors. Price to patients, $40.00. 768K SHARP & SMITH, CHICAGO. ORTHOPCEDIC. DISEASES OF THE JOINTS. Ankle Joint Apparatus. Application of Plasters. Stillman's Ankle Splint Applied. Fig. 4721. Stilllman's Ankle Splint. Price to patients, $15.00 to $20.00. Measurements Required : 1. Trace the outlines of the sole on a piece of paper, and mail to us with 2. Length from sole to ankle, ------ 3. Length from sole to garter, - 4. Circumference at garter and around lower portion of leg, For the Ankle Joint. For the ankle the splint is constructed as shown. It is attached inferiorly to a sole of leather or felt moulded to the plantar" surface of the foot, and bound down with some firm dressing. It al- lows motion, and yet removes all undue pressure from the articular surfaces, and will be found of use in all varieties of injury or inflammation in or about this joint. For the elbow the sectors are some- what smaller than for the knee, and in general the same form, made small in proportion, is used for the smaller artic- ulations. .Inches. Fig. 4721A. Sector Joint Bracket applied to the ankle joint. Side view. Measurements Required: 1. Trace the outlines of the sole on a piece of paper and mail to us. 2. Length from sole to ankle. 3. Length, sole to garter (below knee). 4. Circumference at garter (below knee). Fig. 4721B. Sector Joint Price to patients, $20.00 each. Bracket applied to the ankle joint. Front view. SHARP & SMITH, CHICAGO. 768L ORTHOPCEDICS. s DISEASES OF JOINTS AND DEFORMITIES. | Wrist Joint and Club Foot Apparatus. 4722 Stillman's Wrist Splin t. Price to patients $25.00. By means of the sector this splint allows the hand to be fixed at any angle with the arm. By means of adhesive strips (shaped and cut like those shown on Stillman's ankle splint and Stillman's knee splint), applied to the hand and arm, traction upon the wrist may be produced. 4722-A Stillman's Wrist Bracket. Dr. Chas. F. Stillman's Single Ankle Springs with Clamps. Price to patients, from $13.00 to $16.00. For Weak Ankles when associated with Inverted Feet, for the less severe forms of Talipes Varus, especially when due to Infantile Paralysis, and for the After treatment of such cases as have been subjected to operation. {Extracts from Dr. C. F. Stillman's article, ilA Contribution to the Treat- ment of Clubfoot," in N. Y. Medical Journal, of October 20, 1883.) These consist of a single side bar placed on the outer side of the leg; it is jointed at the ankle, riveted to the shoe under the heel and buckled to the leg by two girths, one just below the knee and the other above the ankle. In order to antagonize the three tendencies in the deformity, namely: 1. Adduction or local inversion at the ankle. 2. Supination or turning under of the foot, the ankle giving way exter- nally; and 3. Contraction of the posterior muscles by which the os calcis is drawn upward, thus forcing the astragolus forward and causing prominence of the metatarsal bones on the sternum of the foot, the single side bar above de- scribed, is fitted with two ratchets and an elastic webbing strap. These ratchets are clamps, as shown in figures 4722-B and C; they admit either fixation at any angle or free motion. One ratchet is placed just below the ankle for rotation (see figure 4722-A), and allows that part of the brace below it to be thrown out and fixed at any angle with the part above; for when so fixed, and the brace secured to foot and leg, any inver- sion tendency is combated by the entire brace, which thus acts as a powerful spring to keep the foot rotated outwardly. The second or pronation ratchet is to be placed where the side strip passes under the shoe or insole. 4?22 a _ ~~Dr. Charles F. Stillman's Night Brace for Clubfoot. Measurements Required for Clubfoot Apparatus. 1. Send us a well-fitting and very light shoe or shoes to lace. 2. Length from sole to ankle joint. 3. Length from sole to garter (below knee.) 4. Circumference above ankle-joint. 5. Circumference at garter (below knee.) 6. Mention if for right, left, or both feet. 4722-C PRICES. According to size, each. .$13.00 4722-D 7fi8 M SHARP & SMITH, CHICAGO. ORTHOPCEDIC. DEFORMITIES. Club-Foot and Bow-Leg Apparatus. Dr. Stillman's Single Ankle Spring for the after treatment of Infantile Club-Foot 4724—Applied. Price to patients, $5.00. 4723- Still«an's Club-Foot Twister. Price to pa tients, $20.00. Directions for measurement for Club-Foot [Apparatus, same as for Bow- Leg, except omit measurement 4, 7 and 8. Directions for Measurement for Bow-Legs. Length from sole to ankle joint, . Inches. Length from sole to garter (below knee) " Length from sole tocenterof knee joint, " Length from sole to perineum, , " Circumference above ankle joint, . " Circumference at garter (below knee) " Circumference at middle of thigh, . " Circumference of thigh at perineum, " Send us a pair of well-fitting lace shoes. 4724B—Pulling t pring. Price to patients, $5.00. 4724C—The same with elastic. Price to patients, $6.00. 4724A—Pushing Spring. to patients, $5.00. Price 4724D—Stillman's Bow-Leg Brace. Per pair, without shoes, $30.00 to $40.00, 4723-A—Stillman's Brace for Club- Foot. Price per pair to patients, $20.00 to.$25.oO. SHARP & SMITH, CHICAGO. 769 OUR ARTIFICIAL LIMBS. We wish to call the attention of the medical profession, and all those who are interested in the latest and most useful improvements in mechan- ical surgery, to the merits of our LIMBS, illustrated on the following pages. After having made and sold these limbs with unvarying success dur' ing a period of over twenty years, and upon their adoption by leading sur- geons, and the favorable testimonials of hundreds who are wearing them, we feel justified in making the declaration, that for all the purposes for which artificial limbs are intended, they are without a rival. Practical experience and the scientific adoption of mechanical principles to answer anatomical purposes have resulted in the production of these, the most durable and successful imitations of the natural limb ever yet attained. Heretofore inventors, in their attempts to imitate nature, have lost sight of the fact that an artificial limb is simply a machine, and that its merits are based entirely upon the superiority of its internal mechanism. In external appearance we claim nothing original, while internally they are unlike any other limb made. In contour and symmetryof motion they as closely resemble nature as is possible, and retain the elements of comfort (to the wearer) and durability. The materials used in their construction are English willow, steel, rawhide and car spring rubber. We use but one cord, which is made of silk or linen, covered with buckskin, making it very strong and durable. This cord is removable from both ends. Our limbs are not complicated, consequently are not liable to get out of order. They can easily be taken apart for the purpose of cleaning and greasing joints. Our knee joints are made in our own factory, and will outwear most joints in use by other manufacturers. They will not work loose and rattle, and are shaped to fit limbs so that they do not show through pants when in a sitting position. The spring that regulates the flexing of foot is made of spiral steel, carefully tempered and so arranged that it can be easily removed and a new spring substituted in case of break- age, without the necessity of sending limb to our factory. We seldom hear of one breaking, and no charge is made for them when wanted to re- place a broken one. We also use a rubber spring which is considered equal to the spiral steel. The toe spring is so arranged that the motion can be regulated to suit by simply turning a nut on inside of foot. Our laces are made of substantial leather, covered inside and out with buckskin, stitched with silk and fastened with patent hooks or eyelets. The weight of these limbs is from iy2 to 4^ pounds, according to the weight of the patient. Our artificial foot is fully explained in the cuts. We also construct apparatus for the extension of shortened limbs. PREPARATION OF THE STUMP PREVIOUS TO THE APPLICATION OF AN ARTIFICIAL LEG. As soon as sufficiently healed to admit of it, without pain or danger of irritation, the stump should be kept tightly bandaged, from the end up to the knee, if the amputation be below, or up to the body, if the amputation be above the knee. The bandaging will diminish and solidify the stump, leaving it in a much more desirable condition for fitting, and rendering the successful use of a leg more a matter of certainty. If neglected, the chances are that a soft, flabby stump will be the result, which will rapidly reduce after the patient begins the use of a leg, and a re-fitting, or an un- comfortable amount of filling up in the socket to compensate for the shrink- age of the stump, will be necessary. 770 SHARP & SMITH, CHICAGO. ARTIFICIAL LIMBS. The remaining joints, particularly the knee joint, should be kept in motion as much as can be conveniently, every day; this will prevent their becoming stiff and inflexible. Should this warning come too late, and the joint is already anchylosed, it should be gently and gradually exercised, and oily relaxing applications employed until straightened and flexible. A free daily use of the cold water bath and a brisk, rubbing will prove ben- eficial. An application of a solution of tannin and alcohol will toughen the skin, and in many cases it would be an excellent thing to continue the use of this solution after an artificial leg has been applied. LENGTH OF TIME AFTER AN AMPUTATION THAT A SUBSTITUTE CAN BE SAFELY APPLIED. Upon this point there is diversity of opinion. Many surgeons strongly urge that an artificial leg cannot be safely fitted for several months after cicatrization occurs, and, on the other hand, some manufacturers of artifi- cial limbs claim that a leg can be satisfactorily fitted just as soon as the stump has healed,no matter if it be but five or six weeks after the amputation. Much, of course, depends upon the condition of the patient. It many times occurs that while the edges of the flaps have united and cicatrization appears, ossification at the sawn end of the bones has not taken place; con- sequently the necessary pressure and tension on the surrounding integu- ments and other adjacent parts, in wearing a leg, will unavoidably cause inconvenieuce, irritation and pain. It is therefore our opinion that, in the generality of cases, an artificial leg should not be fitted within three months after amputation, and that if the edges of the wound have thoroughly united at the end of that time, it is unnecessary to wait longer, except to harden and reduce the stump by bandaging, if this has not previously been done; and there are many good reasons why a leg should be applied as soon as practicable after this time (providing, as above stated, that the stump has healed), the chief one being that there is nothing that will dis- cipline and strengthen a stump and remaining joints as quickly and as ef- fectually as the use of a properly fitted artificial leg. FITTING. These limbs are fitted by a thoroughly experienced person, and their construction is under our personal supervision. We guarantee entire sat- isfaction in every case, and as regards our responsibility, we refer you to physicians and druggists generally. Parties desiring a limb should write for blank measurements, which must, when received, be filled as per instructions accompanying them. When returned to us the limb will be put in form, and the patient notified when to come to the factory, have it fitted, and give it a trial. It is possible in some cases to make a limb from measurements only. If after measurements and a detailed statement of the case are received, we conclude that your presence is unnecessary, you will be so informed. Twenty-five per cent, of the price must (except on special contract) accompany each order. For parties coming from a distance we will procure board and lodging at the most reasonable rates, if desired. Firemen, engineers, conductors, brakemen, and men pursuing all sorts of business and trades who have met with the loss of either extremities, have been restored, and enabled to resume their labors by the use of artificial limbs. We make but one quality, which is the very best that material and work- manship can produce. It will be necessary for the patient to come here and SHARP & SMITH, CHICAGO. 771 ARTIFICIAL LIMBS. one day for the purpose of having stump properly fitted, which cannot generally be done from measurement and description in a satisfactory manner, either to the patient or ourselves. The fitting and hanging of an artificial leg are of the utmost importance to the wearer. We warrant our leg against any defect in either materials or workmanship, for any length of time, and will cheerfully make good any defect promptly and without charge. We spare no pains or expense in making our limbs equal, if not superior, to any in the market, regardless of price. We use every effort in our power to give entire satisfaction to our customers. We repair all kinds of artificial legs. We also keep a supply of stump socks, leg suspenders, etc. We have made artificial limbs here for over twenty years. By giving your order to us, an old established house, you avoid the risk of not finding us in business only for a few months, as is the case with a great many leg makers. We have a very large surgical instrument and apparatus business, aside from our leg manufactory, and are better prepared to make a good leg at a low price than any other house in the trade. PRICES. With, many persons the price of an artificial limb is an important con- sideration ; at the same time it should not be the only one. Deal with a reliable establishment that has age, character, and a good financial foundation, and you are pretty sure to get the worth of your money, no matter what the price agreed upon may be. DESCRIPTION OF LIMBS AND THEIR DIFFERENT PARTS. "Of course all the artificial legs manufactured today are the outcome of invention, and take the place of the primitive wooden 'peg.' The first improve- ment on this ' peg' was made in England, and was only a slight advance. The first artificial leg which made any pretence of flexibility and imitation of the contour of the limb was the Anglesea leg, so called from the fact that it was made for the Marquis of thqt name, and worn by him. It must have been very crude, however, although it was a step in the progress of the art. Now, the art has reached a great degree of perfection, and the intricate movements which pertain to the natural limb are counterfeited with astonishing fidelity. Still, the artificial limb has been the subject of a kind of evolution, and we are now, as we have been, constantly studying to bring it closer to perfection." We use two kinds of Ankle Joint, one with universal motion (see Fig. 775), and one without the lateral or side motion (see Fig. 776). In other ways they are precisely the same. We employ these two kinds of ankle joints for the reason that either one alone would not be so well adapted to the lengths and conditions of all stumps, or suitable to the occupation of all wearers. But in the majority of cases one or the other can be safely and successfully applied, and with guaranteed comfort and satisfaction. The universal motion joint, as shown in foot, Fig. 775, is generally made with a steel spiral spring, while that of Fig. 776 we make with either railroad car spring rubber or with steel spiral springs. If undecided which leg would be best adapted to your particular case, and it is left to our judgment to select, we will, on receipt of measurements and a fuii description of the case, construct the one that we believe will give the best and most lasting service. 42 772 SHARP & SMITH, CHICAGO. ARTIFICIAL LIMBS. Fig. 775 Ankle Joint and Ankle Spring Connection for Fig. 776 Fig. 776 STEEL STRAP KNEE JOINTS FOR AMPUTATION BELOW THE KNEE. Fig. 777 shows the details of the Steel Strap Knee Joint Heads and their bearings: 1 shows the joint put together; 2 is the upper part of the joint which is riveted to the leather thigh band; 3 is the lower part which is riveted to the socket; 4 is the axis or bolt upon which the joint turns ; 5 is the set screw which keeps the bolt in place. SHARP & SMITH, CHICAGO. 772A The large amount of wearing surface on the joint heads, and the ease with which they may be tightened in case they become loose, make a very lasting and serviceable joint. Fig. 777 Knee Joint for Amputation below Knee. Figs. 778 and 778-A show the knee joint we use for thigh amputation. It is formed by the axial bolt, 3, plying in two segments of a circle. The straps, 6, 6, are riveted to the lower part of leg. The axial bolt, 3, has a thread at 4, which screws into the head of right hand strap, 6, and a tapered end which enters a countersunk hole in head of left hand strap, 6. The set screw, 5, is then inserted in the end of tjie bolt, drawing it into place and holding it firmly and securely. Fig. 778 Fig- 778-A The bolt shown, Fig. 788-A, is a part of the knee joint and fastens to a cross piece on the upper part of leg parallel to the knee cord. The motion of the knee joint is limited and controlled by the knee cord, which takes the place of the crucial ligaments of the natural knee joint; con- sequently, there is no unpleasant or painful jar caused by the solid parts coming in contact to limit the motion, as in some legs made by other manufacturers. 772B SHARP & SMITH, CHICAGO. ARTIFICIAL LIMBS. Fig. 779 Artificial Leg for Amputation P.elow the Knee. Fig. 7S1 Artificial Leg for Amputation Below the Knee. Fig. 780 Artificial Leg for Thigh Amputation. Figs. 782 and 783 Showing Different Styles of Lacing Thigh Bands. Fig. 781 represents a style of leg made with heel cord exposed, which is by some people fre- quently preferred although we have no claim for it in preference to our other styles. Figs. 779, 780 and 781 legs can be furnished with either ankle joints as shown in cuts 775 and 776 SHARP & SMITH, CHICAGO. 772C Fig. 784 This cut represents a foot or apparatus for amputation at the instep known as the Chopart's operation. The foot is usually made of hard wood; sometimes, however, it is necessary to make the back part of it of metal, on account of the little space left under the stump, in order to make the height the same as the sound foot. Figs. 784-A and 785 These cuts represent other styles of appliance foi the Chopart's operation. Fig. 786 Straight peg leg for thigh amputation. The socket is carefuKj' and comfortably fitted, is covered with rawhide and waterproof enamel, and furnished with shoulder straps, etc. We also make a peg leg for thigh amputation, with knee joint. It is made so that when standing the knee will lock itself automatically, making it stiff and inflexible. By simply pushing a spring on the outside of the leg the knee can be made flexible, and the lower part of the leg brought back at a right angle with the thigh. This will be found wonderfully convenient and comfort- able in sitting down. Socket carefully fitted and covered with rawhide and waterproof enamel. 772D SHARP & SMITH, CHICAGO. ARTIFICIAL LIMBS. 786-A SHARP & SMITH'S DOUBLE SHOE. Fig. 786-A—Represents a double shoe, calculated to be worn by a woman. It is rarely made, only in cases where very strong ankle movement is retained, or the ankle anchylosed with the foot at right angles to the shaft of the leg. The foot of the shortened leg enters the upper shoe (made to order) ; it is there buttoned or laced securely. Beneath this, and at the required distance from it, a wooden foot with ankle and toe joint, is secured firmly. This foot is dressed by an ordinary shoe, a mate to the one worn on the other foot. It will be seen readily that this foot is only desirable for women, as with them it can be concealed by their long dresses. Fig. 786-B—Represents an Artificial Leg for Amputation below the Knee (with ankle and toe joint), without thigh support. Such, of course, can only be worn with long and well cushioned stump. If the irregularities of the stump will not hold the leg sufficiently secure, straps are attached, to either pass around the thigh or pass over the shoulder, or both, as may be desired. Notwithstanding some persons wear legs without thigh support, we are not prepared to favor them only in exceptional cases. The danger of straining the knee or in- juring the stump by side strain and contractile forces makes it more prudent to use the thigh support as shown in Fig. 781. Vn 786-B Fig. 786-C — Represents a peg leg for amputation above the knee. It has a knee joint, and will bend in walking or sitting as required. Fig. 786-D—Represents a peg leg for amputation below the knee, with side joints and thigh piece. SHARP & SMITH, CHICAGO. 772E ARTIFICIAL LIMBS. STUMP SOCKS. When the stump is perfectly fitted into a smoothly pol- ished socket, and covered with a light woolen sock, it is usually all that is required to make the stump comfortable, and is as much padding as is necessary. When the stump has reduced by the use of the leg, as is often the case, the shrinkage can be compensated for by covering the stump with extra socks until a new socket is fitted. In ordering, state whether amputation is above or below the knee. Give length from body to end of stump, also cir- cumference at points every four inches from end of stump to t^dy. PRICES OF STUMP SOCKS. Number. Length. Circumference at the largest end. Price each. Price per doz. o................. io to 15 " ...... 10 to 15 " ..... 15 to 20 " ...... 15 to 20 " ...... 25 to 30 ' ...... 25 to 30 ' ...... 30 to 35 " ---- 30 to 35 " ...... Less than 15 inches................. $0 40 50 60 60 70 70 80 80 90 90 $ 4 00 5 00 " 15 " ................. 2................. Over 15 " ................. 3................. Over 15 " ................. 4................. 7 00 7 00 8 00 8 00 5................. 6.................. 7............ 8... Over 15 " ................. 9 00 9 00 Over 15 " ................. ARTIFICIAL ARMS. It is not necessary for a patient needing an Artificial Arm to visit our fac- tory for the purpose of having an arm made or fitted. Unlike the leg, there is not the great amount of pressure on the stump occasioned by the whole weight of the body bearing on it. Consequently the same inequalities in the surface of the socket do not produce the same effect on the stump. Our arms weigh from twelve ounces to two pounds, according to the style of arm and the weight and vocation of the patient. 772G SHARP & SMITH, CHICAGO. ARTIFICIAL LIMBS. Fig. 800 Arm for Amputation below the Elbow. Fig. 800 shows an Artificial Arm for amputation below the elbow. This arm is made with joint in the thumb, thereby enabling the wearer to hold in position a pen, knife, fork, and other useful articles. At the wrist joint the hand can be removed, and in its place can be inserted numerous useful articles, such as hooks, brushes, knives, rings, claw-hooks, etc., etc., that could not be held firmly enough in the artificial hand. See the following illustration for the method used in changing. Special implements can be made to order for attaching to the arm at wrist. Fig. 801 Arm for Amputation below the Elbow. Fig. 801 shows the same style of arm as Fig. 800, showing the arm changed from the hand to the hook, or other devices. The socket "A" which receives the stump is lined with a very soft leather, and is surprisingly comfortable to the most sensitive stumps. The socket is connected with the lacing attachment "C" by steel elbow-joint straps. The shoulder cap "D" is kept in place with the strap "E," which greatly relieves and supports the stump while the arm is being used in rough work, or in lifting heavy weights. The strap "E" passes around the body underneath the sound arm, and buckles in front. This arm is made of a fine quality of specially pre- pared leather, mounted and supported with nickel plated steel bands. SHARP & SMITH, CHICAGO. 772H. Fig. 802 represents an arm for amputation above the elbow, to which can be attached a hand, or any other of the devices mentioned on preceding page. It is made of light, tough wood, and covered with rawhide. The arm is attached to the body by means of a belt passing around the body under both arms and over both shoulders, and fastened in front. By motion of the shoulder and stump, the forearm can be brought up to any de- sired degree of flexion, and automatically locked. Fig. 803 Fig. 803 represents a patent hand which we sometimes put on our Artificial Arms. Fig. 802 The strip of steel at the level of and upon the outer side of the elbow is articulated with the aid of a metal slide working for its whole length upon a tenon or projecting pin; the upper end of the slide is connected to the webbing or leather strap going to the shoulder—the object of this arrangement is to change the direction of the force when the arm is bent. The mechanical arrangement for moving the fingers is inclosed in a cavity hollowed in the sub- stance of the hand, as shown in Fig. 803. It consists of a number of levers of different kinds, arranged in such a manner as to apply the force exercised by the traction-cord to the best mechanical advantage in moving the fingers. From the end to the long arm of the second lever a bar projects upward to the extent of an inch and a half, and connected by a short coupling by its proxi- mate end to an oblique bar fixed to the base of the thumb. A spiral spring runs along each side of the hand and, acting upon each couple of fingers, keeps them in position of approximation to the thumb. The fingers are connected with the hand by a transverse bolt; the index and middle fingers, and the ring and little fingers, are coupled together, possessing the.first phalangeal joints. As the mechanism thus far described provides only for the extension of the first phalanges, an additional lever, working by an eccentric, is placed in the first phalanges, and acts upon the second and third phalanges. 7721 SHARP & SMITH, CHICAGO. A COMBINED KNIFE AND FORK. For Persons Having the Use of but One Hand. PATENTED MARCH 13, 1886. Fig. 1 The Knife folded as carried Fig. 3 Knife open in position for cutting. in the pocket. Fig. 2 Knife partly opened, showing the man- Fig. 4 Knife inverted, and Fork brought ner in which the operation is perforrned. into position. The preceding engravings represent a new device for the convenience of those who have either temporarily or permanently lost the use of one of their hands, and who do not use an artificial hand in eating. It consists of a knife and fork combined, capable of being folded and carried in the pocket. The knife blade is of a crescent shape, which by a rolling movement and a slight pressure given to it by the wrist, will cut meat or any article of food, without danger of moving on the plate. By rotation of the wrist the fork can be brought into position and the morsels conveniently carried from the plate to the mouth, all accomplished with but one hand, with little exertion, and without attracting attention. The knife blade, in either the opened or closed position, is firmly secured by a locking arrangement, which is under control of the thumb) thus the danger of closing on the fingers when in use, or of opening or cutting or piercing the clothing when carried in the pocket, is obviated. This con- trivance is without springs or complication, is simple and effective. The blade and handle are made of steel, and heavily nickel plated. The knif© can be immersed in hot or cold water for cleansing without danger of cracking o" rusting. Price $2.00. SHARP & SMITH, CHICAGO. 773 SPLINTS. LEVIS' METALLIC SPLINTS. The copper used in the manufacture of these Splints being less than one-eightieth of an inch in thickness, makes them very light and readily conformable by bending so as to suit the pe- culiarities of any limb, and yet the Splints when applied are as firm as the heaviest wooden ap- pliances. They fit so accurately that but little padding is required; a piece of woven lint or of cotton Or woolen flannel, is all that is necessary for their lining. A slight roughness is left on the outside of the Splints by perforations to prevent the bandage from slipping. They are nickel-plated to prevent oxidation. They are invaluable when the parts are lacerated. As the perforations allow ventilation, and •secretions are not confined and liable to be absorbed, as in every other kind of splints, but readily pass off through the numerous orifices, they do not become offensive like those made of porous materials. These Splints are cooler, and lighter in weight, thinner in material, more correct in shape and more perfect in fit than any other Splints offered to the profession. They are all made in two sizes—one for adults, and one for children, and all, except the radius, fit the same on either the right or left limb. The following comprise a complete set, and are ample to apply to any fractures that may occur. 4750-X No. 1. Radius Splints—Right and Left. For Fracture of Lower end of the Radius. Four in each set. For each piece...........$1 00 In the treatment of fracture of the lower end of the radius it is essential that proper allow ance be made for the curvature of the anterior or palmar surface of this part of the bone. This is insured in this Splint, which follows directly the radial curvature; and the fixing of the thenar and hyoothenar eminences of the hand in their moulded beds, maintains the splint immovably in its correct position with reference to the radial curve. To neglect of complete primary reduction of the displacement of the lower fragment, and to inefficient restoration and retention of the normal radial curve, are due the frequent unfortunate sequences of this fracture. No dorsal splint is needed, but a small pad wil! in most cases be required over the dorsal surface of the lower fragment. For retention of the Splint an ordinary bandage, two inches and a half to three inches wide, is all that is necessary. This Splint has the merrit of being applicable to all cases of fracture of the lower end of the radius, and also to many other injuries involving the forearm and wrist. 774 SHARP & SMITH, CHICAGO. SPLINTS—LEVIS' METALLIC. \ \ \ \ _., rA, m> 4751-x No. 2—ADJUSTABLE ANGULAR SPLINT. For all fractures of the elbow joint, and of the arm and forearm, excepting those at the lower end of the radius. Two in each Set...........................................................each $1 50 This Splint can be applied either anteriorly or posteriorly, and is comfortable and adjust- able to any angle. The pieces are detachable, and can be used separately. This Splint is also applicable to diseases, and to resections, of the elbow joint. 4752-x w No. 3.-HUMERUS SPLINT. For Fractures of the Humerus. Two in each set......each 50 cents. 4753-X No. 4.-PHALANGES SPLINTS. For Fractures of Fingers or Toes. Three in each set.....each piece $0 15 4754-X No. 4.—IMPROVED PHA- LANGES SPLINT. For Fractures of Fingers and Toes Three in each set.. .per piece $0 15 We have made a great improve- ment in these Finger Splints by adding the extension which runs up on the palm of the hand. This tip also makes them adaptable to H. A.Wilson's Metacarpal Splints. ^ . 4755-X 4756-X Two in each set.... each $075 Two in each set___each $0 75 Fig- 4755-—No. 5.—Clavicle Splint.—This Splint forms a cap for the shoulder, and can be applied to fractures of the clavicle and humerus. . Fig. 4756-—No- 6.—Maxilla Splint.—This Splint forms a complete cap or covering for the entire chin and lower maxillary bones, and keeps the fractured parts rigidly in the correct position. SHARP & SMITH, CHICAGO. 775 SPLINTS—LEVIS' METALLIC. 4757-X No. 7. FEMUR SPLINT. For fractures of femur, ribs and hip-joint. Two in each set..............................................each $ 50 475S-X No. 8. PATELLA SPLINT. Two in each set..............................................each $1 00 This Splint can be applied to all fractures from middle of femur to middle of tibia and fibula, and is particularly well adapted for fractures of the patella and all other fractures occurring near the knee joint, eiiher above or below it. 4759-X No. 9. TIBIA AND FIBULA SPLINT. For all fractures and other injuries of the leg below the knee, and especially adapted for those at or about the ankle joint. Two in each set..............................................each $1 oc The complete set consists of the twenty-one pieces just described, in a neat. compact case. $15 00 per set. 776 SHARP & SMITH, CHICAGO. SPLINTS—LEVIS' METALLIC. No. io.—Two in a Set.—Splint for Treatment of Club Foot. Price, 75 Cents Each. Made of perforated and nickel-plated copper, in two sizes, for infants from three months to three years of age. They are made so as to fit the same on either limb, and are especially adapted to have shoes made over them, or to be fastened to the inside of ordinary shoes. The leg part can be trimmed off at the top of the shoe, unless needed for support. They are much lighter in weight, and better in fit than iron braces can possibly be made. They support, strengthen and straighten the limbs by a very gradual and uniform pressure throughout. This is owing to the large surface of the limb which they incase. Set for Infants. The only Set of Infant Splints in the Market. This set consists of Eleven Pieces, and is only intended for infants of three years of age and under. They are made in the same shapes as the large sets, No. 1 being made in Rights and Lefts, and all the other shapes made to fit the same on either limb. 4760-X Prices of the Different Pieces. No. 1.......each $0 75 No. 4.......each $0 10 No. 7.......each $0 25 No. 2....... " 1 00 No. 5....... " 50 No. 8....... " 75 No. 3....... " 25 No. 6....... " 50 No. 9....... " 75 Above set (Fig. 4760-X) contains eleven pieces, put up in Walnut Case. Price, $5.00. This Infant Set will never be included in the regular Adult and Children Set, unless so specified in the order. The regular set of twenty-one pieces, and this Infant Set of eleven pieces combined, thirty-three pieces in all, put up in one case. Price $18.00. SHARP & SMITH, CHICAGO. 777 SPLINTS—LEVIS' METALLIC. NEW HAND SPLINT DEVISED BY H. AUGUSTUS WILSON, M. D., OF PHILADELPHIA. No. II.—H. A. Wilson's Metacarpal Splint, Four in each Set. Price, 75 Cents for Each Piece. Finger Splints, 15 Cents for each Piece Extra 4761-X The usefulness of the above Splint is fully illustrated in the above cut. It is made in Rights and Lefts for Adults and Children, of thin, flexible, perforated and nickel-plated copper, which can be readily moulded to the parts as desired. It is indestructible by use, and can be thoroughly and easily cleansed by simply immersing in hot water—a very important consideration in this age of antiseptic surgery. It has been found very useful in the treatment of all kinds of injuries to the hand, where support and immobility are desired. In the treatment of fractures of the metacarpal bones, it meets every requirement, and at the same time permits of the judicious use of the fingers, thereby avoiding the trouble- some anchylosis that is so apt to follow injuries to the hand. It is made adaptable for the adjustment of Levis' Metallic Splint, No. 4, (Phalanges) so that one or more of which may be used at a time, as the ex- igencies of the case require. The injured fingers are given full support in their adjusted position, leaving the sound one free for limited use, so as to avoid anchylosis. NEW COMBINED FOREARM AND HAND SPLINT. Made in two forms, as shown in the Figs. 4583 and 4584. These Splints are designed to fill a long-felt want for a Splint that could be universally used for all fractures and injuries to the forearm, hand and fingers. Thus, the band- age can be applied (if necessary) above and below the injury, leaving it open or exposed for treatment In addition to their " Antiseptic" qualities, our Splints retain the members in their correct and normal position ; these are very im- portant and essential features, not possessed by any other Splints in the market. 778 SHARP & SMITH, CHICAGO. SPLINTS—LEVIS' METALLIC. Fig. 4763X No. 13............................................each $1 00 COMBINED FOREARM SPLINT (IMPROVED BOND'S SPLINT.) RIGHTS and LEFTS. ADULTS and CHILDREN. FOUR IN EACH SET. For all Fractures and Injuries of the Forearm and Hand. LEVIS' EXTENSION APPARATUS. Designed by R. J. Levis, M. D., Surgeon to the Pennsylvania Hospital, and to the Jefferson College Hospital. The application of the principle of weight-extension to the treatment of fractures, and in diseases and deformities of joints, is of such importance as to require more effectual and conven- ient apparatus than is ordinarily used. It is desirable that the mechanical appliances for this object should be convenient and inexpensive, portable, not cumbersome, and readily and secure- ly applicable to various forms of bedsteads and couches. It is also important that the amount of tension by weight can be estimated, and varied to the requirements of the case. All these requisites are secured in an accurate and mechanical manner by the Apparatus devised by Dr. R. J. Levis, which has been used for a number of years in the Pennsylvania Hos- pital, and also to some extent in the hospitals of New York, London, and other large cities. SHARP & SMITH, CHICAGO. 778A SPLINTS-LEVIS' METALLIC. NEW SPLINTS.-LEE'S METALLIC SPLINTS.-ANTISEPTIC PERFORATED AND NICKEL PLATED. Patented October 30TH, 1888. Having numerous inquiries from time to time for Anterior Splints, to match our Posterior ones we have decided to manufacture the four following new and useful forms : ' Fig. 4765-X. No. 14. Anterior Tibia Splint. Two in each set. Adults and children Can be used separately or in combination with No. 9 (Fig. 4759-X) Splint.........each, F'g-4707-X. No. 15. Anterior Patella Splint. Two in each set. Adults and children. Can be used separately or in combination with No. 8 (Fig. 4758 X) Levis' Splint___each, Fig. 4768-X. No. 16. External Ankle Splint. Four in each set. Rights and lefts. Adults and children. This is designed to replace the old-fashioned wooden Splint.....each, $1 00 Fig. 4769-X. No. 17. Internal Ankle Splint. Four in each set. Rights and lefts. Adults and children. This is designed to replace the old-fashioned wooden Splint.....each, 43 778B SHARP & SMITH, CHICAGO. SPLINTS—LEVIS' METALLIC Fig. 4770-X. No. 18. Ulna or Fore-arm Splint, four in each set, rights and lefts, adults and children..................................................... eai h, $1 00 For Fractures and Sprains of the Fore-arm and Dislocations at the Wrist Joint. Fig. 4771-X. No. 19. Fig. 4772-X. No. 20. Fig. 4773 X. No. 21. Fig. 4771-X. No. 19. Posterior Elbow Splint, acute angle, two in each set, adults and children........................................................each, Si 00 Fig. 4772-X. No. 20. Posterior Elbow Splint, right angle, two in each set, adults and children............................................................each, 1 00 Fig. 4773-X. No. 21. Posterior Elbow Splint, obtuse angle, two in each set, adults and children.........................................................each, 1 00 Jill A Fjg- 4774-X. No. 22. Adjustable Angular Splint, two in each set, one each, adults and chil- dren. • For fractures of the elbow joint, and of the arm and fore-arm near the joint; each, $1 50 This Splint can be applied either anteriorly or posteriorly, and is comformable and adjustable to any angle. SiiARP & SMITH, CHICAGO. 778C SPLINTS—LEVIS' METALLIC. Fig. 4775 X. No. 23. Double Inclined Plane Splint, two in each set, one each, adults and children...........................each, $5 00 These Splints can be lengthened or shortened to fit any ordinary size adult or child very quickly and easily, and any desired angle can be obtained at the knee joint. 00 00 Fig- 4776-X. No. 24. Levis' Combined Extension and Suspension Splint, 2 in each set, 1 each adults and children.................each, $5 Levis' Suspension Apparatus (shown in cut) (see page 778) each, extra, 5 These Splints can be lengthened or shortened to fit any ordinary size adult or child. They can be used either with or without foot piece. They can be used for extension in connection with any extension apparatus, and suspension and extension can both be applied at the same time (if necessary), as represented in cut. 778D SHARP & SMITH, CHICAGO. LEVIS' SET OF n PIECES FOR INFANTS. Put up in neat walnut case, 8 inches long, 4% inches wide, 3 inches deep, and weighs packed, 2 pounds. The set consists of the following Splints for infants under four years of age : No........1 2 ' 3 4 5 6 7 8 9 Total Infants___2 1 1 2 1 1 1 1 1 11 pieces. Price complete...................$5-°°. LEVIS' SET OF 21 PIECES FOR ADULTS AND CHILDREN. Put up in handsome cherry case, 17 inches long, 6 inches wide, and 6 inches high. Total weight packed, 9 pounds ; consisting of the following Splints: No........1 2 3 4 5 6 7 8 9 Total Adults. ....2 1 1 2 1 1 1 1 1 n Children... 2 1 11 1 1 1 1 1 10 Price complete, $15.00. Total number of pieces in set, 21 LEVIS' SET OF 32 PIECES, FOR ADULTS, CHILDREN AND INFANTS. This set consists of the first two combined and put up in cherry case, 17 inches long, 6 inches wide, and 6 inches deep, and weighs packed, 10 pounds ; consisting of the following pieces : No........1 2 3 4 5 6 7 8 9 Total Adults.....2 1 1 2 1 1 1 1 1 11 Children... 2 iiiiiiii 10 Infants ....2 1 1 2 1 1 1 1 1 n Price complete, $18.00. Total number of pieces in set, 32 LEE'S SET OF 40 PIECES, FOR ADULTS, CHILDREN AND INFANTS. Put up in neat cherry case, 18 inches long, 9 inches wide, and 9 inches deep. Total weight packed, 14 pounds, consisting of the following splints : No...... 2 3 4 5 6 7 8 9 13 14 15 18 20 22 Total Adults. .. 0 1 2 0 1 1 1 1 2 1 1 2 1 1 15 Children. . .0 0 1 2 0 0 1 1 1 2 1 1 2 1 1 M Infants . . .. 2 1 1 2 1 1 1 1 1 0 0 0 0 0 0 11 Price complete, $25.00. Total number of pieces in set, 40 This set can be had without the Infant Set, if wanted that way; this will leave 29 pieces (15 for adults and 14 for children). Price for set without Infants, $20.00. SHARP & SMITH, CHICAGO. 779 SPLINTS—LEVIS' METALLIC AND AHL'S FELT. LEE'S SET OF 75 PIECES. FOR ADULTS, CHILDREN AND INFANTS. Put up in a neat cherry case, 38 inches long, 13 inches wide, and 13 inches deep. Total weight, packed, 42 pounds, consisting of the following Splints: No. I 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Total Adults 211211111022211222111111 31 Children 211211111022211222111111 31 Infants 2112111112..............13 Total number of pieces in set.... 75 Price, complete, $60.00. AHL'S ADAPTABLE POROUS SPLINTS. Detailed Description of the Sets—What Constitutes a Complete Set. The complete set of Adaptable Porous Splints contains twenty-five (25) pieces for adults, and twenty-five (25) pieces for children, making in all fifty (50) pieces. They weigh altogether not quite five pounds, and are neatly packed in nests in a light wooden box with a firm fastening. This allows them to be conveniently transported in the physician's carriage. Inferior Forearm Splint for the Ulna (Fig. 4787) and Superior Forearm Splint for the Radius (Fig. 4788.) These two splints are in- tended for all fractures of the forearm, and also for sprains and dislocations at the wrist joint complicated or not with fracture. Very often actual fractures of the head of the radius or ulna are diagnosed as sprains, and result in semi- anchylosis. These cases, even when of several months' duration, can be treated with complete success with these splints. They are also admirably adapted to treating Barton's fracture, fulfilling every indication as well as Bond's Splint, requiring no pads or compresses, and being less likely to be fol- lowed by stiffness of the joint. They may be used either in combination or alone. As the radius and ulna are more liable to fracture than any other bones, ready-made splints are very convenient. Adults'size, each, 75c. Children's size, each, 50c. 780 SHARP & SMITH, CHICAGO. SPLINTS—AHL'S FELT. Elbow Splint (Fig. 4789.) This is for fractures and dislocations of the radius, ulna and humerus, at or near the elbow joint. In combination with the Inferior and Superior forearm splints, it is adapted to all fractures of the ulna and radius at the middle or upper third, or compound comminuted fractures of the same bones. Where both radius and ulna are fractured, bring the parts into contact, then apply splints, Figs. 4787, 4788 and 4789, and bandage over all from the hand to the shoulder. If the fracture is comminuted, cut a part or parts out of the splints, corresponding to the points of comminution, and band- age around them. The wounds can easily be dressed without disturbing the splints or bandages. As the swelling is reduced, tighten the bandages as the splints accommodate themselves to the reduction. The Elbow Splint is at an obtuse angle, to prevent the lapping of soft parts, and as being most natural to sling. Adults' size, 75c. Children's size, 50c. Anterior Tibia Splint (Fig. 4790). This splint is intended for fractures of the tibia proper, and especially for fractures, either simple or compound, in the vicinity of the ankle-joint. It reaches from the knee-joint to the instep, and embraces the ankle-joint perfectly. Fractures of the malleoli will be readily treated by combination of this and the following pieces. There are two splints of this kind to each set. 4791-X 4792-X Posterior Fibula Splint (Fig. 4791.) This splint is suited to treating fractures of the fibula proper, and also in the vicinity of the ankle joints, either simple, compound or comminuted. Figs. 4790 and 4791 are combined for a complete apparatus for treating bad compound fractures of the tibia and fibula, either of the upper, middle or lower third, and at the ankle joints. There are two splints to each set, one for the left and qne for the right limb. Adults' size, $1.00. Children's size, 75c. Shoulder Splint (Fig. 4792.) Any fracture of the humerus can be suc- cessfully treated by a combination of the shoulder and elbow splints. The shoulder splint fits over the exterior face of the shoulder, and it is to be used with the short, slightly curved piece to be applied to the opposite surface. Adults' size, 75c. Children's size, 50c. 4793-X 4794-X SHARP & SMITH, CHICAGO. 731 SPLINTS—AHL'S FELT.—Continued. Anterior Knee-joint Splint (Fig. 4793).—This splint is adapted to treat fractures of the tibia, fibula and femur near the joint, and also in con- nection with the anterior and posterior tibia and fibula splints, to treat all fractures of those bones. There are two splints to each set, one for the right and one for the left knee-joint. Posterior Knee-joint Splint (Fig. 4794).—This splint, in connection with the anterior knee-joint splint, treats fractures of the tibia, fibula and femur near the knee-joint, and also the upper third of the fibula and tibia, and the lower third of the femur; and also in connection with the anterior and posterior tibia splints, treats all fractures of those bones. There are two splints to each set, one for the right, and one for the left limb. These splints can be used for the tibia and fibula also, when fractured about the middle of the shaft. Figs. 4793 and 4794 are used also for fracture of the patella, and are admirably adapted to keep it in position. Adults' size, Figs. 4793 and 4794, $1.00. Children's sizes, 75c. 4795-X 4796-X Club-Foot Splint for Children (Fig. 4795).—This splint is intended for treating the club-foot of children, after operation, or without operation. which it does very successfully. There are two club-foot splints for each set. If the application of these splints be commenced soon after birth, where this deformity is present, and so adapted (by the foot being bent sidewise at an angle to the leg portion) that they exert a constant yet moderate pressure toward the normal line of the limb, the deformity may, in some instances, be remedied without an operation. Fig. 4795 Splint, 75c. Mention age of child. Fig. 4796 Splint, adult size, 75c. Children's size, 50c. Femoral Splints (Fig. 4796).—These splints are intended to treat frac- ure of the lower third and middle of the femur, and upper third, in combi- nation with anterior and posterior knee-joint splints, as represented in Figs. 4793 and 4794. They encase the fractured limb perfectly. Price of a complete set, embracing fifty pieces, put up in a neat box, with handle on top...............................................$26 36 4797- Fig. 4797. Palmar and Dorsal Splint (in position) Obviates the necessity of compresses or pads, and insures extension and position. Adults' and children's size, each piece, 75c. SHARP & SMITH, CHICAGO. SPLINTS—AHL'S FELT. Fig. No. Name and Character of Splints not Incorporated in a Regular Set—Right or Left. 4798X15— -j 4799X16— -j 4800 17— 1 4801 18—] 4802 10—j 4803 20—\ 4804 21—■] 4805 22—J 4806 23—] 4807 24—] 4808 25—] 4809 26—-j 4810 27—j 4811 28—] 4812 29—j 4813 3°—] 4814 31—j 4815 32— | 4816 33—] 4817 34—] 4818 35—] 4819 36-] 4820 37—] 4821 38— 4822 39— Levis-Johnstone, Palmar...............................R Levis-Johnstone, Palmar........................ ....... L. Levis-Johnstone, Dorsal...................................R. Levis-Johnstone, Dorsal...............................L Combined Arm and Forearm, Anterior Rt. Angle............R Combined Arm and Forearm, Anterior Rt. Angle.............L. Combined Arm and Forearm, Posterior, Rt. Angle.............R. Combined Arm and Forearm, Posterior, Rt. Angle.............L. Combined Arm and Forearm, Anterior, Obt. Angle........... .R. Combined Arm and Forearm, Anterior, Obt. Angle ..........L. Combined Arm and Forearm, Posterior, Obt. Angle............R. Combined Arm and Forearm, Posterior, Obt. Angle........... L. Forearm Condyle, Anterior..............................R. Forearm Condyle' Anterior.......:.........................L. Forearm Condyle, Posterior............................... R. Forearm Condyle, Posterior ..........'...................L. Straight Splint for Elbow and Lower Third of Humerus, Anterior, R. Straight Splint for Elbow and Lower Third of Humerus, Anterior, L. Straight Splint for Elbow and Lower Third of Humerus, Posterior, R. Straight Splint for Elbow and Lower Third of Humerus, Posterior, L. Right Angle Elbow, Anterior......................... R. Right Angle Elbow, Anterior................................L. Right Angle Elbow, Posterior..............................R, Right Angle Elbow, Posterior..............................L. Obtuse Angle Elbow, Anterior.............................R. Obtuse Angle Elbow, Anterior...............................L. Obtuse Angle Elbow, Posterior............................R, Obtuse Angle Elbow. Posterior ........................... L. Metacarpal, Index and Middle Fingers......................R. Metacarpal, Index and Middle Fingers.....................L. Metacarpal, Little and Ring Fingers......................,. .. R. Metacarpal, Little and Ring Fingers........................L, Metacarpal Thumb ................. ......................r Metacarpal Thumb.......................... ............l Malleolus, Internal.......................................r. Malleolus, Internal.........................................L Malleolus, External........................................r Malleolus, External .................................. L Fixation Splint, Hip Jointj Anterior........................r' Fixation Splint, Hip Joint, Anterior............____...... * L. Fixation Splint, Hip Joint, Posterior...................., .R. Fixation Splint, Hip Joint, Posterior ....................'.'.'. L Femur Perineal and Hip Support............................R. Femur Perineal and Hip Support........................ L Hinged Pelvis and Splint (Male)..... .'....'..*.".'."."..'........ Hinged Pelvis and Splint (Female)........... I...[[.[... .... Johnstone's Laced Splint for Knee (any size)................ Johnstone's Felt Jacket for Spinal Curvature.................... When no prices are given, the numbers referred to are made in one size only. Nos. 34, 35, 37, 38 and 39, are made to order only, and in any size desired. Orders for No. 39 MUST be accompanied by plaster cast of subject. SHARP & SMITH, CHICAGO. 783 SPLINTS—DAY'S OR PRATT'S CARVED WOOD. Small. .. Medium. Large... DOUBLE INCLINE PLANE. 3 75 4 50 Small. Large. 4824 EXTENSION BAR. $5 00 c 00 4825 RIGHT ANKLE SPLINT. No. o.......$0 60 1 No. 2 ......$0 80 No. 1.......o 70 I No. 3....... o 95 4826 LEFT ANKLE SPLINT. Sizes and prices of Left Ankle Splints are the same as those of Right Ankle. 4»2- Jointed Patella Splint.—With Screw. No. 1 .........$1 50 I No. 3..........$1 80 No. 1 No. 2.......... 1 70 I No. 4.........2 00 No. 2 4828 Patella Splint. $0 60 I No. 3 o 70 I No. 4 4829 Joint Arm Splint.—With Screw. No. 1.......................$r 5o No. 2............ .......... x 7o No. 3....................... X 85 4830 Condyle and Humerus Splint. No. 1............................$0 60 No. 2..........................o So No. 3 ..........................o 95 SHARP & SMITH, CHICAGO. SPLINTS. DAY'S OR PRATT'S CARVED WOOD. Dressing Splints. Per set of five................* 4° Sauire's Forearm Splint. 4831 M *-;....................:4\To &;.::.:::::::::::::......,» SS ?■::•:::::::••■••■""•"••• j s No. 6....................x 5° Jointed Condyle and Humerus Splint. , T T .......$ 60 No. 2...................... '* No. 4...................... 93 4833 T«5«tpH Condyle and Humerus Splint, and the The Squire's Jointed Forearm Splint, *eJo«^ Condyle JointlJpaSa Splint, are not in the regu ar set of Sphnts The following compnse the <^*j* se, 1 Extension Bar, small. x • " large. 1 Double Incline Plane, small. .1 " " medium. j .. " " large. 8 Radius or Crooked Hands, set. 6 Forearm or Straight Hands, set. "4834 Forearm Splint No. 1 .......$0 30 I No. 4 • No. 2........ 35 Jo. 5 No. 3....... 40 1 No. 6 5 Interosseous, set. 3 Jointed Arms, set. 8 Ankles (new), set. 4 Patella, set. 3 Condyle and Humerus, set. 5 Dressing Splints. 4835 Interosseous Splint. No. 1........$0 30 I No. 4 No. 2........ 40 | No. 5. No. 3....... 5° 4836 No. 1. No. 2. Right and Left Radius Splints. .......$0 35 No. 3........... 40 No. 4- ■........ Pratt's Splints, complete, per set, $35 00 4837 $0 50 60 */.A*8 Coover's Forearm Splint for fingers, flexed ............• • ■ • • • • • *;;....... 1 00 *f8339 Coover's Forearm Splint for fingers, straight................ SHARP & SMITH, CHICAGO. 785 SPLINTS. Fig. 4840—Bryant's Splint for Extension of Elbow at any angle, price $18 75 Fig. 4841.—Dr. Nathan R. Smith's Anterior Splint and Suspending Apparatus for Fractures of the Leg and Thigh. This splint is simply a frame composed of stout wire, which, being suspended, allows the limb, fastened to it by rollers, to be suspended in turn, the rollers passing around both limb and splint, from the foot to the groin. The splint should ex- tend from above the anterior superior spinous process of the ilium to a point beyond the toes. The lateral bars of the splint are separated about three inches. One of the spring double hooks fastened to the short cord for suspension ought to be nearly over the seat of fracture, the other a little above the middle of the leg. Price............................$2 50 4841 SHARP & SMITH, CHICAGO. P A_____a 0 IN. Q 2p Fig. 4842—Dr. Verity's Splint complete .. Fig 4843—Staples' Fracture Apparatus...................................$40 00 42 SHARP & SMITH, CHICAGO. .87 SPLINTS AND SPLINT MATERIAL. Fig. 4844—Staples' Clavicle Apparatus. $15 00. Fig. 4844—Staples' Apparatus for Frac- tured Clavicle, Applied. 4S45 Plain Fracture Boxes.......... .....................................each, $3 a 4846 Gutta Percha Splint Material.......................................per lb., 2 a 4847 Binders' Board...............................................,.. per sheet, ic 4848 Koehler's Adaptable Splint Material................................ " 1 50 4849 Russian Felt Splint Material...................,...........per sheet, $1 50 to 4 00 4850 Gilbert's Patent Set Splints............................................... 1 00 4851 " " " Flannel Lined................................... 1 25 Fig. 4875—McCurdy's Fracture Bed—See next page. 9214 788 SHARP & SMITH, CHICAGO. FRACTURE BED. Fig- 4875.—McCURDY'S FRACTURE BED—See Preceding Page. In presenting this page giving a brief description of the McCurdy Fracture Bed to the medical profession, we feel that we have shown something well worthy the attention of all interested surgeons trying to contrive a method by which fractures, amputations, injuries of the spine, pelvis, large joints and severe wounds, may be treated scientifically without shifting or moving the patient about when undesirable, besides preserving the invalid in any decubitus required, thereby aiding instead of retarding nature in her process of repair. Every medical man who has had any experience in surgery, knows that the difficulty in the successful treatment of grave injuries arises from being unable, at will, to place the patient in a desirable position. This dreaded hin- drance can be overcome in every respect by the features found in our bed, which the accompanying illustration will partly explain. Before entering into a separate description of the applicability of each part, it will be well to state concisely that the outside or basic frame measures 6^4 feet long, 3 feet wide, 4 inches deep, and contains several adjustable frames operated with ratchet work (see cut) upholstered with the best of canvas material, strengthened at intervals of a few inches with webbing. In the center opposite the point where the nates rest is a circular opening in the canvas, subject to the use of drop trap. FIG. *4875 No. 1. Bedstead made of Poplar Frame, Ash or Oak, uphol- stering of good material___.........................$35 00 *4.875 No. 2. Bedstead, Walnut or Cherry, with Panels same, or Ash or Chestnut, Frame, Oak or Ash, upholstering of best material... 40 00 ♦4875 No. 3. Same as No. 2, with Bedstead highly ornamental....... 45 00 *4875 No. 4. Frame made adjustable to any Bedstead, of best material throughout............................................. 20 00 *4875 No- 5- Bedstead and Frame same as No. 2, made without the lower extremity inclines, for Paralytics, Fevers, etc.......... 32 00 *4875 No- 6- Frame without Bedstead or adjustable lower extremity inclines................. .............................. 18 00 The frame in all cases is made of the best material throughout, the dif- ference in price being based upon the material and style of Bedstead. The above prices are for Bed packed for shipping, and placed on board cars. SHARP & SMITH, CHICAGO. 789 CRUTCHES. 4901-N0. 1 4902-N0. 2. 4903-N0. 3. 4904-N0. 4. 4905-N0. 5. 4906-N0. 6. ■FIG. 4900 *4goi 4901-A *4go2 4902-A *4903 *4go4 ♦4905 4905-A *4gc6 *4907 4907-A 4907-B 4907-C "■4908 *4909 4910 4911 $15 00 10 00 8 00 Malacca, Full Nickel Plated Trimmings.........................per pair No. 1. Rosewood, Elastic Top, full Nickel Plated Trimmings..... No. 1. Rock Maple, " " ..... " Genuine Russia Tops will add $r 50 per pair net to either of above. No. 2. Rock Maple, Rosewood Tops, Nickel Trimmings.......... " Rock Maple, Cherry Tops, Nickel Trimmings............. " Maple, Two Sticks, with Nickel Plated Bottoms, (Fig. 4907)........ 4 00 No. 2. No. 3. No. 4 No. 5. 10 00 7 00 No. No. No. No. Plain Split Maple or Ash..... S & S. Bottom, Nickel Plated, Ferrules Bottoms (Fig. 4907). Ferrules........... topi large......................per pair, small...................... " Large Rubbers for above............... ................... Small " " " ...................................... No. 8 Slide Rubbers... ................................ No. 9. Patent Bottoms, Nickel Plated small, $2 00; medium, $2 50; large.. Large Rubbers for above..........t...................... per pair, Small '.....■ ....................................... In ordering Nos. 1 and 2 state the kind of wood desired, as well as number of crutch. Order by numbers, and avoid mistakes. To get desired length, measure from armpit to floor. The above are prices to patients. Special prices to physicians and the trade. 50 00 00 50 50 50 40 40 25 OJ 40 25 f90 SHARP & SMITH, CHICAGO. CRUTCH APPLIANCES. fio. '4912 '4913 4914 4915 PATIENTS' PRICES. Long Extension for Crutches, small................................per pair, " " medium.............................. large................................. Adjustable Ice Spur............ ................................. 4916 Conical Ice Spur............................. 4917 Plain Steel Point Ice Spur....................... n 75 2 00 2 25 50 15 10 4917-A Single Stick Crutches...... ...............from $1.00 to 5 00 No. 9 Fig. 4917-A No. 40 Fig. 4914 No. 41 Fig- 49*3 No. 42 Fig. 4912 98 SHARP & SMITH, CHICAGO. 790A SHARP & SMITH'S HOSPITAL WHEEL STRETCHER. Cut No. 2. kE take pleasure in presenting to the medical profession and hospitals of this country our "Hospital Wheel Stretcher," which was originated and first used in the Presbyterian Hospital.of this city, and is now in general use in other hospitals. The accompanying illustration gives a very accurate description of the Stretcher, consisting of twa steel wheels, 24 inches in diameter, at one end, and two smaller malleable iron wheels, 10 inches in diameter, at the other end. The smaller wheels are attached by a "swivel " which allows the stretcher to be moved in any direction. Between the axles and the top of stretcher is a shelf extending the entire length and width, which is intended to hold Pans, Instruments, Dressings, Anaesthetics, etc., etc. The top marked "A" in cut No. 1 is removable from the stretcher, by means of handles, as shown in Cut No. 1, this being one of the most desirable features. The height of the apparatus is generally that of the ordinary Operating Table, so that after or before the operation the patient can be transferred from one to the other without the slightest jar. The top '"A" is also removed and lowered to the level of the bed or couch, so that the patient can be transferred with the same satisfactory results as described concerning the Operating Table. These Apparatus we make to order (in a very short time) to conform to the sized doorway or elevator through which they are to pass. In cases where the entire stretcher cannot pass through a small doorway, the top "A" is removed, as shown in Cut No. 2. ,,,,,, l'A"' in Cut No. 2 represents the patient being carried from the stretcher to the couch on the removable top "A" in Cut No. 1, the top being covered with a sheet. This Stretcher, while being stout and serviceable and capable of holding 600 or 700 lbs., is very neatly put together, and is as easily wheeled with a heavy weight upon it as a baby carriage. With it a patient can be carried from the lower to the top floor on an elevator without the slightest exertion. It is also used for carrying food from ward to ward. Price of Stretcher..............................................................$30 00 net. " " with Rubber Tires........................................... 35 00 " 44 4601608268 6734016� 790B SHARP & SMITH, CHICAGO. STRETCHERS, ETC. Fig. 4920 Sharp & Smith's Folding Stretchers. Net Price $6.00. The bars of these stretchers are made from selected hardwood, while the cross-pieces are of wrought iron, firmly fastened at their ends with bolts. These cross-pieces are constructed so they will fold up, thus securing great compact- ness for storage or transportation. The canvas is of a heavy quality, firmly secured to the side-bars. We can furnish these made from an endless piece of canvas, passing around and across both side-bars, at an additional cost of 35 cts. each. This allows its removal for washing, and its use as a wrapper for the side-bars and cross-pieces. Other Styles of Stretchers from $5 to $ 10. Fig. 4921 Esmarch's Interrupted Splint, for Excision of Wrist. $3.00 Fig. 4222 Esmarch's Interrupted Splint, for Excision of Elbow. $3.00 SHARP & SMITH, CHICAGO. FOLDING BED-TRAY. Our Folding Bed Tray is an article of incalculable value to every household, hospital or hotel. To appreciate it one need not be a confirmed invalid, for even in a case of temporary indisposition, or where one has occasionally to take a meal in bed, the comfort derived from its use far exceeds the trifling consideration of its cost. But to those subjected to a long sickness or to the invalid, the Folding Bed Tray is a boon of priceless value. It should form a part of the furniture of every household as much as a dining table. No family can be so exempt from the ills of life as not to find it a convenience. They are constructed with a rim around the sides and back, and a narrow strip in front to keep the dishes from slipping. The legs are made to fold when not in use. The folding legs are much stronger than the old fashioned permanent ones, as well as being handsomer and lighter, and also having the decided advantage of greater portability. With the Folding Tray used in connection with our Solid Comfort Back Rest, described and illustrated in engravings (see page 20), a person can partake of a meal as comfortably as though sitting at a dinner table. $WA SPECIAL FEATURE OF THE BED TRAY is in its construction. It can be changed into a Book Rest by simply raising the top which can be held at various angles by a wire brace which works in notches. jf0e j,__size 13)^x25 inches, 8 inches high, in Solid Ash....................Price, $4.00 790D SHARP & SMITH, CHICAGO. SOLID COMFORT BACK RESTS. Pigr. 1. Pigr. a. The " Solid Comfort" Back rest is a convenience which one having once enjoyed would never think it possible to do without. The possession of one is an insurance against much of the discomfort of even a temporary illness, while to such as are compelled to endure a prolonged siege of sickness or to invalids who have to spend much of their time in bed, it is simply indispensable. To the attendants iu the sick room it does away with much arduous as well as unneces- sary labor. It can be used with or without a pillow, or can be placed under the mattress if preferred. In the construction of the Solid Comfort Back Rest, everything conducive to the com- fort of the sick has been considered. It is made of a stout ash frame, with ratchets under- neath the back, which support the patient at any inclination, and the back, unlike any others hitherto constructed, has no cross rail at the bottom, but being tastefully covered with a stout linen duck, is cool and elastic to the back. It will be seen by the accompanying illustrations that we make them in a variety of styles. Fig. 1 represents simply a plain back rest. Fig. 2 with arms, head rest and an apron. The arms are so arranged that they can be always level, regardless of the inclination of the back, and they fold down fiat if not wanted. The advantage of the apron is, that when sitting on it, the weight of the user holds the Back Rest in place. Arranged with the apron, the back rest is an excellent thing for the beach or lawn and is very popular as such. The Head rests are designed for the use of such as are unable to support themselves in a sitting position, and will be found useful when it is desirable to sleep with the back in an upright or partly reclined position. Ko. 1.—Without Arms and Head Rests.....................................Price, $4.00 " 2.—With both Arms and Head Rests, Ash Frame........................Price, $6.00 SHARP & SMITH, CHICAGO. 791 \ X / E present in the following pages a list of Invalid and other Chairs, intended V V for the use of Cripples and Invalids in general. Our Chairs are made of the best material in every respect and are sufficiently strong to carry persons of heavy weight, the wheels and axles being constructed in the same manner as those used on traveling carriages, and are so put together that anyone strong enough to sit up, can propel them with little or no extra exertion. Our experience of several years in dealing with Invalids and the sale of Invalid Furni- ture and Apparatus of all kinds, has given us an opportunity to study the wants of inva- lids, and, we think, from the variety offered in this Catalogue, it will be an easy matter to select a chair or other articles adapted to any special want. We will be pleased to give estimates on any goods not specified in the Catalogue, requiring to be specially made. The illustrations have all been prepared from photographs made of the articles illus- trated, and great care has been taken by the engraver to bring out the details, so that every- thing pertaining to their construction may be clearly understood. For the benefit of those who have not the opportunity of inspection before purchase, we have endeavored in the descriptive matter to convey as correct an idea of the goods as possible. Do not throw away this Catalogue. Read it carefully, and if you find nothing in it that particularly interests you, pass it along ; there are articles described therein that are of in- estimable value to the sick and helpless. It will cost you but a trifle, and may be of benefit to others. In ordering be as explicit as possible as to styles, numbers, kinds of woods, finish, col- ors, upholstery, &c, We have but one price. Our terms are net cash. Freight Shipments.—We will ship by express, C. O. D., if desired; but express charges for returning will be saved by remitting with order. Shipping.—The shipping of goods by freight is equally as safe, and the cost of trans- portation will not average more than one-third that of express charges. Where no ship- ping directions are given we use our own discretion, always trying to secure the shortest time i» transit and the lowest rate. We make no charge for packing or cartage. Remittances may be made by Bank Draft, P. O. Money Order or Registered Letter. 792 SHARP & SMITH, CHICAGO. INVALID ROLLING CHAIR. The above represents the old style of Invalid Chair, set up on strong, substantial wheels, propelled by means of an outside rim to save hands from contact with dirt; the occupant «an thereby propel himselt easily from place to place at pleasure. The wheels are made of the very best of material and have heavy welded tires. The axles of steel, connections of malleable iron, well braced and bolted together. No. 10 B.—Full size Invalid Rolling Chair, constructed in the manner as represented in above cut; the seat is similar to a roomy office chair. Has 28-inch front wheels and 14-inch hind wheel, made of the very best material. All connections are of malleable iron, the axles of steel, quite strong enough to carry a weight of 500 pounds. Will pass through a 28-inch doorway.................................................................Price, $20.00 No. 9 B.—Child's Rolling Chair, designed for children up to 14 years of age; has 24-inch front and 12-inch hind wheels. Seat frame measures 16 x 15, substantially made of oak, with perforated veneer seat; back is 20 inches high, and is supplied with comfortable arm rests. The connections are of malleable iron, the axles of steel, and wheels have welded oval tires. Will pass through a 26 inch doorway....................Price, $16.00 H. B.—We make the above with three styles of Wheels—Wooden, Steel Suspension, and Rubber-Tire Suspension Wheels. Unless specially mentioned by purchaser that Wooden Wheels are preferred, will send Steel Suspension Wheels, the price being- the same. Bubber-Tire Suspension Wheels to fit above style of chair, $15.00 extra. SHARP & SMITH, CHICAGO. 793 SELF PROPELLING INVALID CHAIR. Persons with weak or paralyzed lower limbs will find this machine the most convenient and practicable one of any yet introduced. It is perfectly safe and easily propelled by means of cranks and endless chains running over sprocket wheels, as shown in above cut. Each wheel moves independently of the other, thereby enabling the operator to turn on the spot, as well as move in any direction. This chair will prove a most valuable companion to invalids, not only on the street, but far more so in the house. The foot rest can be swung up so as to facilitate easy access to the seat. The motion of the cranks being transmitted by its sprocket wheels of but three inches in diameter to those on the front wheels of six inches in diameter, the working power is doubled, so that weak persons can propel it with ease. The machine will work com- paratively well on a rough or sandy road, when ascending a moderate inclination; its speed is that of an ordinary walk. No. 7 B.—Full Size Self-Propelling Invalid Chair. Also constructed in the manner as rep- resented in above cut. The seat is similar to a roomy office chair. The front wheels are 28 inches in diameter, hind wheels 14 inches, and are made of the very best material. All con- nections are of malleable iron, the axles of steel, sufficiently strong to carry a weight of 500 lbs. Will pass through a 28-inch doorway........................................Price, $25.00. No. 8 B.—Child's Self-Propelling Invalid Chair, has 24-inch front and 12-inch hind wheel; the seat frame measures 16 x 15, substantially made of oak with perforated veneer seat. The back is 20 inches high and has comfortable arm rests. The connections are of malleable iron, the axles of steel, and the wheels have welded oval tires. Will pass through a 26-inch doorway.............................................................Price, $21.00. N. B. -We make the above with three styles of Wheels—Wooden Wheels, Steel Sus- pension Wheels, and Bubber Tire Suspension Wheels. Unless specially mentioned by purchaser that Wooden Wheels are preferred, will send Steel Suspension Wheels, the price being- the same. Bubber Tire Suspension Wheels to fit above style of chair, 915.00 extra. 794 SHARP & SMITH, CHICAGO, CANE SEAT INVALID SELF PROPELLER. Is the same in construction as No. 7 B, with the exception of seat, which is of cane, with roomy rattan back and comfortable arm rests, thus making it a very cool, and at the same time a strong and substantial chair. We make this chair in two sizes. No. 4 B.—Full size Self-Propelling Chair, size and construction same as No. 5 B, 28- inch front and 14-inch hind wheels, made of steel spokes, hollow steel rims, round rubber tires....................................................................Price, $50.00 No. 5 B.—Full size Self-Propelling Chair, as represented in above cut. Front wheels 28 inches, hind wheels 14 inches, seat and back roomy enough for a large person. Will pass through a doorway not less than 28 inches..................................Price, $35.00 No. 6 B.—Child's Self-Propelling Chair, general appearance same as above cut, wheels same as No 8 B ; axles and seat in same proportion. Will pass through a doorway not less than 26 inches...........................................................Price, $30.00 We make the above with three styles of Wheels—Wooden Wheels, Steel Suspension Wheels, and Bubber Tire Suspension Wheels. Unless specially mentioned by purchaser that Wooden Wheels are preferred, will send Steel Suspension Wheels, the price being the same. Bubber Tire Suspension Wheels to fit above style of chair, $15.00 extra. SHARP & SMITH, CHICAGO. 794a INVALID'S RECLINING ROLLING CHAIR. No. 97 G.—Invalid's Reclining Rolling Chair. The body of this chair is rigid and is of exceedingly comfortable proportions. The back is shaped to conform to the form of the body, and sufficiently high to rest the head. The sides, which extend continuously from the back to the foot rest, are of bent oak, forming a most comfortable arm, and at the same time combine grace with lightness and strength. The under frame is also of bent oak, finished in the natural color of the wood, with caned seat, back and leg rest. The dimensions of No. 97 G are as follows :— Width over all.....................................■ Diameter of Side Wheels............................. Diameter of Swivel Wheels..........................■ Height of Seat from Floor........................... Height of Seat from Foot-rest........................ Height of Arms from Seat.......................... Width of Seat between the Arms..................... Depth of Seat...................................... Weight, from 45 to 50 pounds PRICES. Oak, Caned, with outside Hand Rims........................... Oak, Caned, without Outside Hand Rims...................... Black Walnut, to order....................................... Tempered Steel Elliptic Springs placed between the seat and gear 28 inches 28 *' 10 " ■19K" .17 " . 9 " .19 " .....$27.00 ......25.00 extra, 3.00 . " 3.00 794 B SHARP & SMITH, CHICAGO. Wilson's Upholstered (Rep) Reclin- ing Invalid Chair, with hand rims .............$40.00 No. 97 G.—(See preceding page.) No. 97 G.— Reclining Position. (See preceding page.) We also furnish chair exactly like No. 97 G, for child's use. Price, $1.00 less for either style. bH.vKP j: bMITH, CHICAGO. I94C INVALID'S RECLINING ROLLING CHAIR, No. 20 G.—This Chair has a stationary body, similai in construction to No. 97 G, page 5, so arranged that the arms may be lifted out of the way. It ii> mounted on low wheels to facilitate lifting a helpless person in and out of the chair. DIMENSIONS. Height of Back from seat.....................................................28 inches Height of Seat from Foot Board..............................................17 Height of Seat from floor. ...................................................20 Height of Arms from Seat.................................................... 9% Width of Seat between Arms................................................18 Depth of Seat from front to back..............................................19 Diameter of Side Wheels.....................................................22 Diameter of Caster Wheel....................................................10 Weight, 45 pounds. PRICE, Oak, Caned $31.00 794D SHARP & SMITH, CHICAGO. IMPROVED SELF-PROPELLING INVALID CHAIR. Above cut shows a New Style Self-Propelling Chair for Invalids, which is convertible at pleasure to a reclining or sitting position. It is intended especially for persons with weak or paralyzed lower limbs, and is constructed with a view to practical convenience and safety. It is easily propelled by means of cranks and endless chains, as shown in cut, running over sprocket wheels. Each wheel moves independently of the other, thereby enabling the oper- ator to turn on the spot, as well as move in any direction. The foot rest can be swung up so as to facilitate easy access to the seat. The motion of the cranks being transmitted by its sprocket wheels of but three inches in diameter to those on the front wheel of six inches in diameter, the working power is doubled, so that weak persons can propel it with ease. The machine will work comparatively well on a rough or sandy road, or when ascending a moderate inclination; its speed is that of an ordinary walk. This chair is intended for use both on the street and in the house. The chair is so balanced that the occupant may adjust it to any position and retain the same by means of a ratchet. The back and foot rest work either independently or together. The latter is so made as to be adjustable to the length of the occupant, thus adding to the comfort. No. 20 B.—Adult's size, as above style, frame is made of wrought iron, neatly japanned and ornamented, with perforated seat, back and leg rest. Height of back, 32 inches; width of seat, 17 x 18; steel suspension wheels, 28-inch front and 14-inch hind wheels. Will pass through a 28-inch doorway................................................Price, $35.00 No. 21 B.—Adult's size, same as above, cane seat, back and front fitted into the frames, upholstered arms.........................................................Price, $40.00 No. 22 B.—Adult's size, back, seat and leg rest upholstered in raw silk or remie cloth, and stuffed with curled hair...............................................Price, $45.00 No. 23 B.—Adult's size, back seat and leg rest upholstered in morocco leather, filled with curled hair, with Rubber-Tire Wheels.................................Price, $60.00 We make the above Chairs with three styles of Wheels—Wooden Wheels, Steel Sus- pension Wheels, and Bubber-Tire Suspension Wheels. Unless specially mentioned by purchaser that Wooden Wheels are preferred, will send Steel Suspension Wheels, the price being the same. Bubber-Tire Suspension Wheels, to fit above chair, $15.00 extra. SHARP & SMITH, CHICAGO. 794E RECLINING INVALID ROLLING CHAIR. The cut herewith repre- sents a new style of Recli- ninl1 Invalid Chair. The occupant can propel him- self easily from place to place by means of outside rims, and is so balanced that the occupant can as- sume any desired position by simply turning a thumb- screw. Frame of chair is same in construction and material as our No. 9 B Pro< peller. It has steel sus- pension wheels. No. 35 B.—Child's Recli- ning Invalid Rolling Chair, seat 16x15 back 19 inches high, front wheels 24 inches, hind wheels 12 inches; will pass through a 26-in. doorway. Price, $17.00 No. 36 B.—Adult's Recli- ning Invalid Boiling Chair, seat 18x17 in., back 19 in. high, front wheels 28 inches, hind wheels 14 inches; will pass through a 29-in. doorway. Price, $20.00 NO. 75 G. BEST GRADE BATTAN BODY. For beauty and comfort this style ot chair is unexcelled; being pliable it suits the form, and it can be handsomely trimmed. The top back is adapted in shape for pushing. Height of back.............29 inches. " seat from floor.....20 " '' seat from foot-board, 17 " "* wheels.............26 " " arms above seat___10 " Width of seat...............18 " Depth of seat, front to back. .18 " Caster wheel, diameter......10 " Weight of chair, about......40 lbs. Will pass through a doorway not less than 28 inches wide. sspLight Wood...................$25.00 Less for Hand Rim, if not wanted 2.0' 794G SHARP & SMITH, CHICAGO. FOUR WHEEL ADJUSTABLE PROPELLING CHAIR. Above chair is especially gotten up for invalids suffering from paralysis or spinal affec- tions, for whom it is desirable. The seat and frame rests on elliptic springs, otherwise it is the same in construction as our No. 20 B Propeller; chair frame is made of wrought iron, has 28-inch front and 14 inch hind steel suspension wheels. No. 44 B.—Adult's chair with perforated seat, back and leg rest. Height of back, 33 inches, width of seat, 17x18 inches, upholstered arm rests, back and leg rest.. .Price $50.00 No. 45 B.—Adult's chair with caned seat, back and leg rest............. " 55.00 No. 46 B.—Adult's chair, upholstered in remie cloth throughout.......... " 60.00 No. 47 B.—Adult's chair, upholstered throughout in genuine morocco leather " 70.00 Rubber tire suspension wheels to fit these styles of chairs, $15.00 extra. No. 3 Invalid Chair with adjustable foot rest and hand rims..................Price, $25.00 Same, child's size.. =...................................................... " 15.00 SHARP & SMITH, CHICAGO. 794H INVALID'S OUT-OF-DOOR ROLLING CHAIR. No. 90 G.—Invalid's Out-of-Door Rolling Chair.—In order to meet the frequent demand for an out-of-door rolling chair that affords the simplest facilities for getting in and out, this chair is specially designed. By folding back the foot-rest it is as easy to sit down in as any ordinary chair. The body of the chair is very comfortable to the occupant, the back being curved to conform to the body, and sufficiently high to rest the head. The seat has a gentle pitch, and the arms, which are of bent wood, have a graceful curve, which give rest to the arms as well as add an attractive, light and substantial appearance to the chair. It is mounted on steel elliptic springs, and adapted to going over crossings and curbs. DIMENSIONS. .................................29 inches ................................21 ................................16 .............................. 9 ..............................19 ...............................18 ...........................24 Height of back from Seat................................................ Height of Seat from Floor................................................ Height of Seat from Foot-rest............................................ Height of Arms......................................................... Width of Seat........................................................... Depth of Seat........................................................... Diameter of Large Wheels............................................... Diameter of Small Wheels................................................ • -^ Width over all...............................................io'a'nn''' PRICE, Oak, Caned........................$28.00, 28 7941 SHARP & SMITH, CHICAGO. INVALID'S ROLLING CHAIR. ft ^S^^W^^?^'^ni\^ 9S No. 50 G.—Invalid's Rolling Chair.—This chair has a rigid back, of circular shape, with woven cane seat, bent frame, supported by turned spindles, and made entirely of oak. The under frame is also of bent wood, of the same construction and running gear as No. 97 G (page 5.) DIMENSIONS. Height of Back from Seat....................................................31 inches Width of Seat.....................................................' / " 18 Weight of Chair, about............................................ 40 lbs. Height of Seat from Floor..................................................20 inches Height of Seat from Foot-board...................................... . # 17 »« Diameter of Side Wheels.............................. 28 " Diameter of Swivel Wheel........................... 10 »< Width over all........................................ 38 << PRICE, With Outside Hand Rims (see above cut).........................................$18.00 Without Outside Hand Rims.......................... .16.00 SHARP & SMITH, CHICAGO. 794K INVALID ROLLING CHAIR. (With Reed Body and Cane Seat.) No. 18 G.—Invalid Rolling Chair, with Reed Body and Cane Seat. Following is description of same: DIMENSIONS. Height of Back from Seat....................................................£i inches Height of Wheels from Floor.................................................28 Height of Arms above Seat................*.................................. s}4 Height of Seat from Floor....................................................20 Height of Seat from Foot-board...............................................17 Width of Seat...............................................................18 Depth of Seat front to back..................................................18 Weight of Chair, about......................................................40 lbs. Diameter of Caster Wheel....................................................Io inches Will pass through a doorway not less than 28 inches wide. PRICE, with hand rim on wheels, each..............................$22.00 45 794 L SHARP & SMITH, CHICAGO. COLUMBIA ROLLING CHAIR. No. 33 B.—Adult's size—style used at the Centennial "to order"—phaeton body, made of rattan, back 28 inches high, width of seat, 17^ inches, depth of seat, 19 inches, arm rests 11 inches high, seat covered with loose cloth cushion stuffed with curled hair, carpeted leg and foot rest, 4-inch front wheels, vulcanized flat rubber tired and bracketed on foot-rest frame, swiveling independent of each other, rear steel suspension wheels, 28 inches high, J^-oval iron tire, steel elliptic springs—altogether a handsome and comfortable chair. Will carry any weight. Will pass through a 28-inch doorway............___Price, $40.00 Rubber Tire Hind Wheels on above chair, $15.00 extra. SHARP & SMITH, CHICAGO. 794M INVALID ROLLING AND CARRYING CHAIR COMBINED. (See following page.) FigT. l. No. 187 G.-These chairs form a combination. The trucks and the leg base are so constructed that one body is interchangeable with each. The design of this 1 7 . that a helpless invalid may either be carried or wheeled w^tT^^T " F,g. 1 represents body of the chair, with its occupant as having just been lifted from the leg base and about to be placed on the truck of the rolling chair. Fig. 2 represents the 187 G rolling chair complete, with the carrying bars detached. Each chair is complete in itself but to meet the purpose intended, it is necessary to combine with either one or both of the rolling chairs the leg base of the carrying chair. T94N SHARP & SMITH, CHICAGO. INVALID ROLLING AND CARRYING CHAIR COMBINED. (see preceding page.) No. 187 G.—Invalid Rolling and Carrying Chair, Combined (see preceding page.) DIMENSIONS. Height of Back..............................................................24 inches Height of Arms............................................................9 Height of Seat from Foot-board...............................................16 Height of Seat from ground..................................................21 Height of Foot-board from ground............................................ 5 Depth of Seat...............................................................19 Width of Seat...............................................................18 Diameter of Rear Wheels.....................................................24 Diameter of Swivel Wheels...................................................7% PRICES. Chair complete, with large wheels rubber tired and small wheels wooden...........$96.00 " " " all four wheels wooden.................................... 86.00 " " " all four wheels rubber tired................................ 108.00 HSPPrices of different parts given on application. SHARP & SMITH, CHICAGO. 704O ONE ARMED SELF-PROPELLING CHAIR. The above cut represents a self-propelling chair for an invalid who has but the use of one arm. The chair is guided in any direction with the back of the occupant, by bringing a little pressure to bear against the back of the chair, which is connected to the hind wheel by a cog. Should the occupant want to steer to the right, he simply presses his back to the right side of the back of the chair, and vice-versa. The crank and endless chain can be attached to either front wheel as desired. It can be made to go at a reasonable speed. No. 50 B.—Child's One-Armed Self-Propeller, has 24-inch front and 12-inch hind steel suspension wheels. Width of seat 16 inches. Back of chair is upholstered in leather, and can be adjusted to any height. The chair frame is substantially made of oak, with perfora- ted veneer seat and has comfortable arm rests. The connections are of malleable iron, the axles of steel, and the wheels have welded oval tires ; will pass through a 26-inch door- way ....................................................................Price, $25.00 No. 51 B.—Adult's One-Arm Self-Propeller, is same in construction as No. 50 B; height of front wheels, 28 inches; height of hind wheel 14 inches; will pass through a 28-inch doorway...............................................................Price, $30.00 794P SHARP & SMITH, CHICAGO. IMPROVED CARRYING CHAIR. No. 17 B. represents a chair for carrying an invalid up and down stairs or on a level; it also makes a comfortable arm chair; handles on front and back of chair, which can be extended out or lowered at leisure ; oak frame, well riveted; figured Brussels carpet on seat and back; back 31 inches high, width of seat 20 inches, depth of seat, 18 inches; strong enough for the heaviest person............................................Price, $12.00 SHARP & SMITH, CHICAGO. 795 TRUSSES—HERNIA. (See pages 802 and 803 for Net Prices of Trusses ) The term Hernia, when used simply, is considered equivalent to the Eng- lish word Rupture, and as applied to the abdomen only. Rupture, according to the common acceptation of the term, is a disease consisting in the passage of any part or parts naturally contained in the abdomen, out of that cavity. Hernia has been divided into true and false, or spurious. The former are those protrusions of the abdominal contents in which the parts carry before them a portion of the serous membrane lining the cavity. The latter are the cases where the parts pass into a neighboring serous cavity, as in Congenital Diaphragmatic Rupture. Various affections of the testes, their coats and vessels, have been denominated false in contradistinction to those above denned as True Hernia. The former diseases are attended with swell- ings in the groin and scrotum, the seat of the most frequent kind of Hernia. Hernial difficulties have also been divided into external and internal. The former is a protrusion of the abdominal contents with an obvious tumor. The latter are instances of strangulation, caused by certain internal changes not indicated by external swellings, as when the bowels pass through an opening in the diaphragm, or into a preternatural cavity formed in either of the peritoneal duplicatures, or when they are confined by preternatural cords or adhesions. Since the protruded parts may become strangulated in these various cases, as in common Ruptures, they have been regarded as a species of Hernia. When the protruded parts remain in the opening without showing themselves exter- nally, the Hernia is called incomplete. If they come through entirely, and form an external swelling, it is called complete. Although visible external tumors exist in most instances it is not a universal symptom. Inguinal, Femoral or Umbilical Ruptures may be so small, and so deeply seated, as not to be recog- nizable externally, especially in fat persons. Fig. 4950 represents a patent truss that we were one of the first to adopt. It is adjustable right to left, and to any desired angle. It is made in three styles, consisting of the French, hard (oval) and soft (oval) shaped pads, and combines all of the advantages of the "French," "Chase" and "Imperial" Trusses. We have very satisfactory results in the application of these trusses, and we recommend them highly to parties who cannot come to us to be fitted. Fig. 4950 We pay personal attention to the careful fitting of Trusses. 796 SHARP & SMITH, CHICAGO. TRUSSES. Fig. 4956—Best Double French Truss $5 00 Fig. 4957—Child's or Youth's Single Truss, Fine French. $1 50 to 2 50. Fig. 4958—Child's or Youth's Double Truss Fine French. $3 50. Fig. 4959—Extra Fine French Truss �999 3728 SHARP & SMITH, CHICAGO. 797 TRUSSES. Fig. 496r—Self-Adjusting Truss, Single. Fig. 4962—Self-Adjusting Truss, Double___$6 00 Fig. 4967—Chase's Extension Cedar Pad... .$3 50 Fig. 4969—Child's Truss, Single, Ebony Pad... #1 50 sharp & SMITH. Fig. 4963 - Infant's Self-Ad- justing............. . $2 50 Fig. 4970—Child's or Youth's Truss, Double Ebony Pad ...........---$3 00 Fig. 4974—German Truss, with Under Strap, $4 00 Fig. .-004—Soft Rubber Um ■ bilical Child's Truss, ......... .. $1 50 to 2 00 Fig. 5005—The Empire Um- bilical Truss is made of the same material, and possesses the same merits as the Empire Elastic Bandage and Empire Abdominal Supporter, and is pro- nounced by all who have seen it to be the best.......... ... $1 00 See pages 802-803 for additional prices and trusses. 798 SHARP & SMITH, CHICAGO. TRUSSES AND ABDOMINAL SUPPORTERS SHARP & SMITH. Fig. 4999—Child's Bow Um- bilical Truss---$2 oo to 2 50 Fig. 4998—Bow (spring) Umbilical Truss Fig. 5010—Gray & Foster's Abdominal Supporters, $2 50 Fig. 4975—New York Elastic, Enamel Pad Truss, $3 00 Fig. 5018—Noeggerath's Ab- dominal Supporter..... Fig. 497b—New York Elastic Enamel Pad, Double Truss......................$5 00 Fig. 5019—Thomas' Abdomi- Fig. 5017—Improved Spring Supporter, $5 00 and 6 00 nal Supporter........, $6 00 See pages 802 and 803 for additional Prices and Trusses. SHARP & SMITH, CHICAGO. 799 ABDOMINAL SUPPORTERS. /Mr-, Fig. 5020.—Spring Self-Adjusting Supporter. .$4 00 5QI3 Fig. 5015.—Fitch's Supporter. Fig. 5013 The Empire Abdominal Supporter.................... $2 50 We make a specialty of the careful fitting of Trusses, Supporters, etc., etc. See page 274 for Directions for Measuring in ordering Abdominal Supporters. See page 803 for additional Prices and Supporters. 800 SHARP & SMITH, CHICAGO. ABDOMINAL SUPPORTERS. Fig. 5009.—London Supporter........$3 00 to 6 00 Fig. 5007.—Silk Front Sup- porter—Applied.$5 oo to 6 00 Fig. 5007.—Fine French Supporter. Silk Front. $5 00 to 6 00 Fig. 5021.—Doily Belt for Menstrual Period .. $0 75 Fig. 5006.—All Silk Elastic Abdominal Supporter.. .$10 ro Cotton................ 8 00 Directions for ordering and meas- uring Abdominal Supporters, see page 274. We keep on hand, and make to Fig. 5022.—Sanitary Pads for Menstrual Period, order, other styles of Abdominal per doz..............................I1 00 Supporters. See page 803 for additional Prices and Supporters. SHARP & SMITH, CHICAGO. 801 SUSPENSORY BANDAGES Fig. 5028.- No. Fig. 5028. Rawson's Patent Elastic Self-Ad- justing 5029 -Price List (Patients'). Sizes—Large, Medium Small. . Ordinary quality of Elastic, no buckles........$1 50 i-i., " " " with buckles at each side of Sack......................... 2. Fine quaiity of Elastic, no buckles......... " " " with buckles at each side of Sack.............».......•....... Fine quality of Elastic, with buckles at each side of Sack, at each end of Strap..............3 o° Silk Sack, Elastic, with buckles at each side of Sack, and at end of each Stiap............ 3 5° No. 6. Silk Sack, Elastic, and Silk Elastic Straps, with buckles at each side of Sack, and at end of each Strap............................ 4 00 Explanation of the Cuts.—Fig. i.—a. Sack of silk, linen or cotton net, which will not in- terrupt the action of the respiratory organs of the skin ; b, An opening with an elastic ring, or band c, which keeps the material of the sack closed around the penis and exterior portions of the testicles ; d, An elastic band which encircles the body and passes around the hips downward to- ward the penis, is made either with or without buckles, as in Fig. 2, or permanently, as in Fig. 1 ; gg Elastic straps, passing over the buttocks and attached to sack, a, beneath, which keeps the sack, a, in position, so as not to pinch the testes ; and in whatever position the person may put himself, the sack will remain in place—the straps only yielding, and accommodating them- selves to the movements. See page 803 for additional Prices and Bandages. 802 NET PRICES OF TRUSSES, SUPPORTERS, Etc. (Illustrated on pages 796 to 801.) *495° 49 So 495° 495i 4952 4952 *4953 *4954 *4955 *4956 *4957 *4957 *4958 *4958 *4959 *4g6o *4g6i *4g62 *4963 < 4904 I 4964 j 4965 (4965 j 49&6 I 4966 *4967 (4968 U968 *4969 *4970 *4970 U97I (4971 *4972 J4973 (4973 *4974 *4975 *4976 J4977 (49"7 J4978 U978 i 4979 (4979 (4980 | 4980 *4g8i U982 (4982 4983 4984 4985 4986 4987 Patent Adjustable Truss, Single French Pad, Adults........................ " Enamel " " ............ ........... " Soft Oval Pad "................... " Double (any of above style) Pad, Adults............ " " " Single " Children's.. " " " " " Patient's Price for Children's ..............................«...................... Imperial Adjustable (Ball and Socket) Truss, Single, Adults................. ■' " " Double, ".............. Fine French Truss, Single, Adults..................................... " " " Double, " ...................................... " Single, Infants ..................................... " " " Youth's.................................... " " " Double, Infants.... ..............'......... ..... " Youths..................................... Extra Fine French Truss, Single, Adults................... ........ Improved Fine French Truss, Single, Adults............................. Self Adjusting Cross Body, Ball and Socket Truss, Single, Adults........... '• Double, " .......... Single, Infants.......... Double, " .......... " " " (Patients) $3 50 " " Single, Youths........... " " " " "(Patients) $3 00 Double, "........... " " "(Patients) $4 00 Chase's Extension Cedar Pad Truss, Single, Adults........................ " Double, " .... PHYSICIANS. ... $ 3 50 Enamel Pad Single, Double, Single-, Infants. Youths. .(Patients) $5 00 Foster's Ratchet Adjustable Enamel Pad Truss, Single, Adults. " Double, .(Patients) $2 50 German Truss, Single, Adults, with under strap. Elastic Band Enamel Pad Truss, Single, Adults,. Double, " . Single, Youths. (Patients) $8 00 Double, " Single, Infants. Double, " Best Common Chamois Pad Truss, Single.. Double. .(Patients) $3 00 (Patients) $4 00 (Patients) $3 00 (Patients) $3 50 SO 5» o 1 00 50 00 50 75 75 00 00 50 75 75 25 00 5» 50 25 2 50 I 50 2 OO I 25 2 25 2 25 I 50 2 OO 4 OO 2 00 I 50 2 00 I 25' I 50 I 25 I 50 00 50 4989 4990 4991 4992 4993 4994 49Q5 4996 4997 Hard Rubber Truss, any style Pad, Single, Adults,.. " " Double, " " " Single, Infants " " " Double, " " Single, Youths. " " Double, " Celluloid Truss, any style Pad, Single, Adults....... Double, " ...... Single, Infants...... Double, " ...... Single, Youths...... Double, " ...... Fry's Patent Truss, Single, Adults ............... S. & S. Radical Cure Truss, Single, Adults. ...... Double, " ....... .(Patients) $3 00 PATIENTS. PHYSICIANS. OO OO 50 00 50 00 00 8 00 2 50 50 CO 00 00 00 10 00 50 50 50 00 50 00 50 00 75 5') 25 00 75 00 t,o NET PRICES OF TRUSSES, SUPPORTERS, Etc. 803 (Illustrated on pages 796 to 801.) UMBILICAL TRUSSES. *499S Bow (spring) Umbilical Truss, Enamel Pad, Adults.....*!£*£*- ^^o 4999 Youths ........ 300 200 J.QOO * ' '•'v *< ww „ tti .• tt .....™ Infants......... 200 100 5000 Elastic^ Umbilical Truss, Celluloid Pad, Adults............. 4 00 3 00 5001 " (^tralarge) Celluloid Pad, Adults.. 5 00 37 = 5°°2 (< '_; Celluloid Pad, Youths ............ 3 00 20. *^°°3 .. r t. , , TT Infants............ 2 qo 17c »Soo4 Soft Rubber Umbilical Truss, 10 to 18 inches, Infants.....100 7* 5004 ' " Youths.................... ! 00 ?1 5005 Empire Umbilical Truss................................. t 00 if. PHYSICIANS. 00 50 CO FIG. * a An c-„ , t, ABDOMINAL SUPPORTERS. 5006 All Silk and Rubber Abdominal Supporters............. Silk, $7 50 Cotton * 6 *5C07 Fine trench (Silk Front) " '< ' * " j 5O08 " (Linen Front) " ( 5008 .(Patients) $3 00 .(Patients) $4 00 5° 5° 3 50 2 OO I 50 2 50 3 75 3 50 00 00 K50og London Abdominal Supporter............ ............... ien sj $4 00 ^ * 010 Gray & Foster's Abdominal Supporter..........'." T *5on Mrs. Belt's j 5012 Linquist's J 5012 *50I3 Empire \ 5014 Livingston's j 5014 *-"50i5 Fitch's 5016 Frictional *:oi7 Improved Spring *5oi8 Noeggerath's *5Ci9 Thomas' *502 > Spring Self Adjusting Abdominal Supporter............... [............ o *502i Doily Belt (for Menstrual Period) .............[. ^ *5022 Sanitary Pads " " ........'.. .'.per doz! 60 SUSPENSORY BANDAGES. *5o>5 Miliano's Scrotal Compressor.......................................... $ j 25 *5026 Howe's " " .......................................... ' 240 *5027 Carroll's " " ..................................... ..... 1 00 *5028 Rawson's No. 1 Suspensory Bandage............ ..... ___ ' 85 *5029 " No. 1% " .......................;;... ;;;;;; x 00 *5Q-'9 " No. 2 *S02g " No. 3 *502g " No. 4 *5029 " No. 5 *502g " No 6 5030 Schnoter's Silk " " ................................... x j0 5031 " Linen '■ " .................................... 7- 5032 " Cotton ".................................... 60 * 5033 Syracuse No. 10 " " .................................... 30 ''5033 " No. 16 " " ..................................\\ 40 *5°33 " No. 21 " " ................................... 60 *5033 " No 26 " " ................................... 75 *:Q33 " No. 31 '• " .................................. Q5 *5033 " No 36 " " ............................... 225 5034 Sharp & Smith's Hand Made Silk Suspensory No. 1...................... 75 5U35 " *' " No. 2....................... 60 5036 " Cotton " No. 5 .................... 38 5037 Silk, Extra Small Suspensory.................. 60 5038 Silk, Extra Large Suspensory .............. ; 15 SHOULDER BRACES. *5 40 Laced Back Shoulder Brace, Ladies................................. | 1 co *5Q+i Steel " "............................. 100 5042 Fancy Laced Back Shoulder Brace, Ladies ... ....................... 2 00 *5043 G. & F. " ' (4 sizes)......................... \ 13 ":' 44 Mens................................ 1 90 *5044 " Youths............................. 1 65 *5044 Boys............................... 1 50 ^045 London Shoulder Brace, all sizes....................................... 75 304 SHARP & SMITH. CHICAGO. SHOULDER BRACES. Fig. 5041.—Steel Back Fig. 5043.—G and F Ladies' Laced Back Shoulder Brace.....$200 Shoulder Braces....................$1 50 Fig. 5040.—Steel Lace Back Front view. Back view. Shoulder Brace___$2 50 Fig. 5044.—G and F Laced Back Brace. Men's $2 50. Youth's $2 25. Boys' $2 00 SHARP & SMITH, CHICAGO. 80,1 Fig. 5045—London Shoulder Brace, $1.25. /# Hi* m Wi v/ (my ^M ftl/ n||) m/ Fig. 5045-A London Shoulder Fig. 5045-B Paris Shoulder Braces Brace...............$1 25 fdr Men.................$1 50 Knickerbocker Shoulder Braces, No. 1, silk......................... $1 25 « " " No. 2, mixed....................... 1 00 « " " No. 3, plain........................ 85 Discount on above braces to physicians and the trade. 46 4�46144530��7348 806 SHARP & SMITH, CHICAGO. MISCELLANEOUS RUBBER GOODS—BANDAGES. 2 2 2 2 2 2^ 2^ 2XA Fig. SOSO inch x 6 " x 9 " XIO^ " X 12 " XI5 ; " x 6 x 9 X IO>^ Fig. 5051 Fig. 5051—Physicians' Net Prices. feet...........$0 40 ' ........... 5° .......... 60 .......... 7° .......... 9° ......... 5° ......... 60 ......... 75 2}4 inch x 12 feet...........$0 95 2/2 3 3 3 3 3 xi5 x 6 x 9 x \oy2 X 12 X15 *5 60 75 90 10 25 All of our Bandages are of Pure Gum, and the Prices quoted are on the medium weight bandage, which is generally used. The Empire Elastic Bandage, Specially Adapted for Varicose Veins. Fig. 5052. THE ADVANTAGES OF THIS BANDAGE ARE: 1st. Its Porosity—It never causes itching, rash, or ulceration under the bandage. 2d. Its Elasticity, which will enable the surgeon or nurse to put it on at any required tension, and which will follow a swelling up or down, as the case may be, a feature unknown to any other bandage, 3d. Its Absorbent Properties. 4th. Its Easy Application to any part of the body, not being necessary to fold it over, as with other bandages, as it follows itself with equal uniformity around any part of the anatomy. 5th. Its Self-holding Qualities, No bother with pins, needles and thread, or strings, so tiresome to surgeons, as simply tucking the end under the last fold insures its permanent stay, until its removal for purpose of cleanliness. 6th. The only bandage that is Superior to the Elastic Stocking for varicose veins. 5052 PRICE LIST OF EMPIRE ELASTIC BANDAGES. 2 in. x 3 yds. (stretched). <........ $050 2 in. x 5 yds. (stretched)..........$0 65 60 2^ in. x 5 yds. '" .......... 75 75 3 in. x 5 yds. " .......... 100 2]/2 in. x 3 yds. 3 in. x 3 yds. SHARP & SMITH, CHICAGO. 807 MISCELLANEOUS RUBBER GOODS. SITWELL'S WATER BANDAGES.—Hot or Cold. No.l. Abdomen. Spine. Feed Tube. C. Circulating Tubes. 7 50 6 00 4 00 3 00 B. Discharge Tube. Fig. 5°53 No. 1, for the Head ........................................... " 5054 No. 2, for the Abdomen.................. 10x7 in. $5 50 10x12 " 5055 No. 3, for the Spine............................................ '' 5056 No. 4, for the Throat............................................ The above bandages will be found invaluable in the treatment of Brain Fever, Concussion of the Brain, Sun Stroke, Typhoid Fever, Puerperal Fever, Diphtheria, and any ailments where the temperature requires to be diminished, sustained, or heightened. DWIGHT ROBERTS' PATENT HOT WATER BAGS. These bags are made of fine white rubber, vulcanized under the Goodyear Process, have nickel-plated stoppers, and are warranted perfect. The face bag (see Fig. 5057) is oval shaped, to use around the nose or face. The Throat Bag (see Fig. 5058) for Hot Water is curved to fit the neck, with a rubber band and buckle that holds the heat closely to the throat, opening the pores, and softening the skin. 5^57 5°58 Fig. 5057 Roberts' Face Bag..... $075 Fig. 5058 Roberts' Throat Bag___ $1 10 " 5059 Ice Bags, either of the above patterns............................each 1 10 5994 16971199 SHARP & SMITH, CHICAGO. WATER COILS. Fig. 5061—Oblong Water Coils. I 15 5x3 inches I 50 7x1 185 9X5 " 2 2, 10x6 '' 2 65 11x7 " 3 00 11x8 I 15 r 5° 1 85 2 25 2 65 3 00 Fig. 5063—Head Coils. diameter, 4 in. deep...... ... $ 2 25 7 ' ..... 2 65 These coils (Fig. 5063) are made of extra heavy tubing, which will stand a reasonable amount of pressure without stopping the flow of water. -Throat Coils. 11 in. x3 in. 12 " X3 "• ................ $ 1 80 ................ 2 10 These coils (Fig. 5063 A) are finished with rings at each end, and can be easily adjusted by means of a tape or string. These Ventilated Water Coils are for increasing, sustaining or reducing the temperature as may be desired. They are made (with the exception of the head coil. Fig. 5063) of light pure gum, steam cured tubing which gives water enough to produce the desired effect, reduces the weight and at the same time makes a coil which has a free passage through it, and is not liable to get clogged or stopped up. By leaving a space between each coil of the tubing, a free circulation of air is insured, the weight of the coil is reduced, and they will affect the temperature quicker than coils made without the air space. In addition to the cement used in putting the coils 1 together, they are stitched with silk which increases the strength, and adds greatly to their durability. Coils of any shape or size made to order, of light or heavy tubing. MISCELLANEOUS RUBBER GOODS. ♦5065 Rubber Ice Cap, double......................................... $2 50 to $ 3 00 *5o68 Spinal Ice Bags............. ................................... 1 50 to 2 00 *5o6g No. 1, Spinal Ice Bag................................................. 50 ="5070 No. 2, " "......................................,........... 50 *507i No. 3, Head " .................................................. 75 *5072 No. 4, " "................................................ 75 *5°73 Oval Gas Bags..................................................$ 3 00 to 8 00 *5076 Air Beds, with or without Pillow.................................. 25 00 to 50 00 CONTINUED ON NEXT PAGE. SHARP & SMITH, CHICAGO. 809 MISCELLANEOUS RUBBER GOODS. 5082 5073 5002 5083 FIG. *5077 Water Bed.................................................. *5078 Air Pillow.................................................. *5o8o Water Bags.............. ........................•...... *5o8i Water Bottles, from 1 quart to I gallon .. .........■.............. *5082 Flannel Covered Water Bottles, from 1 quart to I gallon............ *So8^ Alpha Water Bottle................................■ • •---.-•;•• See pages 812 and 813 for further Prices and Description 15 00 to 50 00 2 00 to 3 50 4 coto 6 00 1 50 to 3 00 1 75 to 3 5° 1 50 to 3 oo 810 SHARP & SMITH, CHICAGO. MISCELLANEOUS RUBBER GOODS. Fig. 5092—Half Round Chair Fig. 5089—Chair Cushion, Fig. 5086—Invalid Cushion, Cushion..............$5 00 $4 00 to 6 00. $2 co to 4 00. Fig. 5090—Square Reeded Chair Cushion........f'2 50 to 4 00 k ilil Fig. 5084 — Goodyear ■' Crown Water Bottle, W I1 75 to 3 00. Fig. 5087—Chair Cushion, $3 50 to 4 co. Fig. 5091—Center Reeded Chair Cushion........$2 50 to 4 00 5094 *Fig. 5094. Alpha Triangular Invalid Cushion.............................$2 00 to 3 50 Fig. 5095 Alpha Ventilated Invalid Ring................................ 2 00 to 4 50 See Page 813 for further Prices and Descriptions. SHARP & SMITH, CHICAGO. 811 MISCELLANEOUS RUBBER GOODS, 5098—No. 1. 5099—No. 2. 5100—No. 3. 5101—No. 4. FIG. 5098—No. 1—Combination Bed Pan, with Funnel.................... 5099—No. 2—Combination Bed Pan with Funnel and Inflating Tube. .. . 5100—No. 3—Combination Bed Pan with Funnel and Outlet Tube...... 5101—No. 4—Combination Bed Pan with Inflating and Outlet Tube..... 5113—No. 6—Female Day Urinal. Sharp & Smith. 5113—No. 6. 5 00 5 oa 6 00 6 00 2 50 Fig. 5114-A. Hard Rubber Urinal . $5 oc Fig. 5108—No. 3. 5109—No. 4—Male Urinal (French Style)...... 5106—No. i-A—Male Urinal (large size)......... 5110—No. 5—Male Urinal, Day and Night..... 5108—No. 3—Long Male Urinal............... 5114-B—Instrument for Extrophy oU the Bladder 5114-B •$3 50 ■ 1 75 • 4 50 2 OO Sharp & Smith. Fig. 5112—Long Female Urinal..............$2 5* Sharp &• Smith. Sharp &> Smith. Fig. 5096-Bed Pan. . $4 00 Fig. 5105—No. 1—Male Urinal..............$1 5° See page 814 for further Prices and Descriptions. 812 SHARP & SMITH, CHICAGO. MISCELLANEOUS RUBBER GOODS.—Net Prices. ICE CAPS. FIG. ♦5065 White Helmet Shape Ice Cap, No. I......................................$ i 50 *5o65 " " " " " No. 2........................................ 1 75 *5o65 " " " " " No. 3........................................ 200. 5066 Pure Gum Flat Shape Ice Cap, No. 4........................................ 1 50 ICE BAGS. 5067 Pure Gum Throat Ice Bags, No. 1, 7 inches long ..........................$ 60 5C67 " " " " " No. 2, 8 " " ............................ 65 5°67 " *' " " " No. 3, 9 " "........................... 70 5067 " " " " " No. 4, 10 " " ............................ 70 5067 " " " " " No. 5, 11 " " .............. ............. 100 *5c68 White Spinal Ice Bags, No. it, 12 inches long.............................. 80 *5<"68 " " " " No. 12, 14 " "........................ ..... 80 *5o68 " " " " No. 13, 16 " " ............................... 80 *5o68 " " " " No. 14, 18 " ".......................... 100 *5<-68 " " " " No. 15, 20 " " .........,................... 100 *5c68 Pure Gum Spinal Ice Bags, No. 21,12 inches long................ ........ 1 00 *5o68 " " '• " " No. 22, 14 " " ...................... 1 00 *5o68 " " " " " No. 23, 16 " . ".......................... 1 10 *5o68 " " "• " " No. 24, 18 " " .................-......... 1 20 ♦5068 "', " " " " No. 25, 20 " " ......................___ 1 20 *5o69 " " " " " No. 1........................................ 30 *507° " " " " " No. 2 ........................................ 35 ^5071 " " Head " " No. 3......................................... 40 ^5072 " " " " " No. 4......................................... 50 GAS BAGS. *5°73 Pure Gum or Slate Color Oval Gas Bags, 3 gallon ..........................$ 2 00 *5°73 " " " " " " 5 "........................... 250 *5°73 " " " " " " 8 "......................... 325 *5°73 " " " " " " 10 ".......................... 5 25 5074 Slate Color Oblong Gas Bags 18x24 15 gallon.............................. 7 50 5°74 " 20x30,25 " .............................. 850 5074 " " " 24x30,35 "............................ 11 25 5°74 " " "' " 30x40,55 "............................. 1400 5075 Brass Stop Cocks for Gas Bags...............................each—$o 75 to 1 00 AIR BEDS. *5o76 Air Beds, No. 1, 32x80—with Pillow, $30.00; without Pillow................. $25 00 *5076 No. 2, 42x80— " " 38.00; '• " ................3300 *5Q76 No. 3, 52x80— " " 47.00; " " ............___..4200 *5077 Water Beds, No. 1, 24x36............................................ 16 00 *5Q77 No. 2, 32x8o!...... ......................................... 25 00 *5°77 " No. 3, 42x80................................................ 33 00 *5Q77 No. 4, 52x80...........................................42 00 AIR PILLOWS. *5078 Air Pillows, No. 1, 9x13...............................................$ 1 50 *so78 " No. 2,10x16... ...............................".! °..'.'!!!!!! i 85 *5078 " No. 3, 12x18........................................'..."!!!!!! 225 *5°78 No. 4, 14x23............................................... 2 50 5079 (for Neck).................................................... 3 00 WATER BAGS. *5o8o Water Bags, No. 1, 13x15 .. ............. ...............................$ 2 75 *5o8o No. 2, 14x14....................................."//_'___ 275 *5o8o No. 3, 14x18....................... ........................ 3 25 *5c8o " No. 4, 16x16...........................y..................... 3 25 *3o8o " No. 5, 17x19............................................. 3 75 *5°8o " No. 6. 18x18................................ [...[...[......^ 3 75 SHARP & SMITH, CHICAGO. 813 MISCELLANEOUS RUBBER GOODS.—Net Prices. WATER BOTTLES. *5oSt *So8i *5o8i *5o8i *5oSi *5o8i *5o82 *5o82 *5c82 *5o82 *5o82 *5o82 *5o83 *5o&3 *5o83 *5o83 *5o83 *5o84 *5o84 *5o84 5085 *5o86 *5o86 *5o86 *5o86 *5o86 *5oS6 *So86 *5o86 *5o86 *5o86 *5o87 5088 *5o8g *5o89 *5o8g *5o8g *5ogj *5ogo *5C9° *509o ♦5091 *5ogi *5ogi *5ogi *5og2 *5og3 *5og4 *5°94 *5094 5095 5095 5C95 5°9<; 5C95 5C95 509.S 5095 5C9S 5095 Rubber Cloth-Lined Water Bottle, No. i, 1 quart.......................____$ No. 2, 2 "............................ No. 3, 3 " ............. ............. No. 4, 4 " .......:.................. No. 5, 5 " ............................ No. 6, 6 " ........................... Rubber Cloth-Lined Flannel Covered Water Bottle, No. 1, 1 quart............ " No. 2, 2 '" ............. No. 3, 3 " ............■ " No. 4, 4 " ............. No. 5, 5 " ............. No. 6, 6 " ............. The Alpha Rubber Water Bottle, 1 quart................................... 2 " .................................... 3 " .................................. 4 " ................................... 5 " ................................... The Good/ear Crown Rubber Water Bottle, 2 quart.......................... 3 " ......................... 4 " .......................... Fountain Syringe Attachment for Water Bottle............................set INVALID CUSHIONS. Invalid Cushion, White or Slate Color, No. 1, Diameter, 9 inch..............!j No. 2 " 10 " ............... No. 3 ' 11 No. 4 ' 12 No. 5 ' 13 No. 6 ' M No. 7 ' 15 No. 8 ' 10 No. 9 ' 17 No. 10 18 00 25 35 50 60 80 25 50 75 85 90 00 10 35 65 95 25 25 50 75 75 1 25 1 50 r 75 1 75 2 00 2 oo 2 25 2 25 2 'O 2 75 CHAIR CUSHIONS. Round Chair Cushion, Rubber and Cloth, No. 1, Diameter, 15 inch No. 2, " 17 Invalid Chair Cushion Square Reeded, No " No. 2, 14x16 " " " No. 3, 16x16 " " No 4, 16xi8 " " Center Reeded, No. 5, 12x16 " " " No. 6, 14x16 " " No. 7, 16x16 " " " No. 8, 15x18 Half Round............... Hospital Cushion ...........,......... Alpha Invalid Cushion, No. 1, 13 inch...... " " No. 2, 15 '* ...... No 3, 17 " ...... Alpha Ventilated Invalid Cushion, No No. 1, with Back and Seat, 16x16 each No. 2, " " (16x16) " 16x18. " No. 3, " " (16x18) " i8x:8. " No. 4, " " (18x18) " 18x20. " 12x16................................ No. 1, 9 inch diameter No 2, 10 :t << No. 3- 11 " " No. 4 12 " " No. 5. 1.3 " " No. 6, M " " No. 7, 15 " " No. 8, 16 " " No. 9- 17 11 It No. 10, 18 2 25 2 75 5 co 5 50 6 00 6 25 r 75 2 00 2 25 2 50 1 75 2 00 2 25 2 50 3 50 3 00 1 So 1 75 2 00 1 25 1 40 1 50 1 60 1 75 1 85 1 95 2 00 2 10 2 25 814 SHARP & SMITH, CHICAGO. MISCELLANEOUS RUBBER GOODS—Net Prices. no. BED PANS. *5og6 Plain Round Bed Pan....................................................$2 5° 5og7 '' " " " with Discharge Tube.................................. 3 oo *5og8 Combination Bed Pan, No. i, with Funnel, old style......................... 3 °° *50gg " " " No. 2, Inflating Tube, new style..................... 3 oo *5ioo " " ' No. 3, with Funnel and Outlet Tube................... 3 5° *5ioi " " " No. 4, with Inflating and Outlet Tube................. 3 50 5102 Emmet's Bed Pan...................................................--- 3 75 5103 Drakely's Bed Pan...................................................... 3 75 5104 " " " and Douche............................:................ 5 °° 5104-A Earthen Bed Pan...... .......................................... 1 00 Jones' Bed Pan and Douche, see page 644. URINALS. Pure Gum Male Urinal, No. 1, for day use..................................$ 1 00 " " " No. 1-A, for day use (large size)............ ......... 1 15 " " " No. 11, for day use (child's)...................... 100 " " " No. 3, for day and night use ......................... 1 25 " " No. 4, for day use................................ 200 " " No. 5, for day and night use......................... 2 75 " " " No. 15, for day and night use. Style of No. 5 (child's size)................................................................. 2 50 Pure Gum Female Urinal, No. 2, for day use................................ 1 25 '' " " No. 6, for day use............................. 2 00 " " No. 16, for day use............................... 2 00 Hard Rubber Urinal.................................................... 3 75 Instrument for Extrophy of the Bladder.................................. RUBBER TUBING Pure Gum Black Rubber Tubing, f inch............................per foot $015 T6 " ...............•.............. 10 " i "........................... ;; ™ " a • .............................. °8 *5io5 *5io6 *5i07 *5io8 *5iog *5iio 5"i *51I2 *5ii3 5iJ4 *5ii4-A 5H4-B 5H5 5116 5^7 5118 5"9 5120 5121 5122 .5'23 5!24 5125 5126 5*2.7 White Rubber Tubing, 1 inch. % 1 3 A 1 ? 8 T6 04 30 25 15 12 10 IO c6 04 Rubber Drainage Tubes and Tubing, see " Miscellaneous and General Surgical Necessities," and " Index." Fig. 5128.—Fairbanks' Improved Fountain Syringe. This Syringe, like all of our Fountain Syringes, has all Hard Rubber Tubes. The Tubes fit in a "rack " in top of case, and include a Vaginal Irrigator Tube in addition to the other tubes which go with all Fountain Syringes. These Syringes are put up in fine BS^,. Polished Wood Cases. 5128 Price. >i 25 to 2 25 SHARP & SMITH, CHICAGO. 815 FOUNTAIN SYRINGES. Fig- 5134—Mattson's Irriga- Fig. 5135—Mattson's Combina- Fig. 5133—Household Fount- tor Fountain Syringe, tion Fountain Syringe, show- ain Syringes, $1 25 to 2 25. $2 00 to 3 00 ing Water Bag ready for use. 5140 Fig, 5135—Mattson's Combination Fountain Syringe, Fig =;i35—Mattson's Combination Syringe........, Fig. 5140—Goodyear Crown Fountain Syringe...... 5135 on shelf ready for use. $2 50 &i 75 to 2 50 99995 816 SHARP & SMITH, CHICAGO. FOUNTAIN AND BULB SYRINGES. Fig. 5I57-—Magnum Syringe, No. 2, 75c. Fig. 5168.—Davidson Syringe, No. 1, $2 50 Fig. 5137.—Alpha Fountain Syringe. ALPHA i 50 to 2 50 ALPHA "E" SYRINGE. Fig 5'53.—Alpha "E", continuous flow Syringe.......$1 5< SYRINGE. Fig. 5152.—Alpha "D", continuous flow Syringe......$2 00 Fig. 5170.—Large Bag Rectum Syringe.. $2 50 See page 818 for other prices and descriptions. Fig. 5155.—Omega 'No. 3", con- tinuous flow Syringe..... !?i 5° SHARP & SMITH, CHICAGO. 817 BULB SYRINGES. 5166 5166 Mattson's No. 1, Family Bulb Syringe...............$2 50 *5'09 Goodyear Crown Bulb Syringe, No, 513............. 1 25 Fig. 5163. Mattson'3 No. 1, Irrgator Bulb Syringe......... $2 50 Fig 5'°7- Physicians' Compan- ion Syringe.......$2 50 Fig. 5171. Grenoble Syringe, No. 4.........$200 life" Fig. 5161.—Mattson's No. 1, Royal ^~~ Bulb Syringe......$1 5« See Page 819 for other Prices and Descriptions. 818 SHARP & SMITH, CHICAGO. SYRINGES AND BULBS. a c d DAVIDSON RUBBER CO. 5173 5172 5174 5191 5175 5176 5177 5188 5189 FIG. ^5172 Pure Gum Ulcer and Ear Syringe.........................................$ 75 ^5173 Eye and Ear Syringe.................................................... 1 00 ^5174 Bulb Urethral Syringe, Glass Tip..........,................................ 1 00 "5175 Bulb Ear Syringe, Glass Tip................................................ 85 ^5176 Single Neck Atomizer Bulb.............................................. 25 ^5177 Double Neck Atomizer Bulb................... ........................... 25 K5i88 Single Neck Syringe Bulb............................ ................... 25 "5189 Double Neck Syringe Bulb ............................................... 25 "5191 Dissecting Gloves, per pair.......................................$1 25 to 1 50 FOUNTAIN SYRINGES *5i28 *5i28 *5i28 *5i28 5129 5130 5i3i 5132 *5i33 *5*33 *5i33 *5i33 *5i33 *5i34 *5i34 *5i34 *5'35 Climax Household pint.. quart. pint.. quart. Fairbanks Fountain Syringe, No. 1, 1 2, 1 3> 2 4, 3 i» 1 2, 1 3, 2 4, 3 11, 1 12, 1 13, 2 14, 3 " 15, 4 " Mattson's Irrigator Fountain Syringe, No Combination ..........................¥ 75 ............................ 1 00 ............................ 1 25 •....................... 1 50 ........................... 1 00 .. ..................... 1 20 ................................. 1 55 "................................. 1 70 pint................................ 1 50 quart................................ 1 25 " •••....................... 1 35 ............................... 1 50 ................................. 1 75 1, 2 quart........................ 15° 2, 3 " ....................... 1 75 3. 4 " ........................ 2 00 3 " ........................ I SO SHARP & SMITH, CHICAGO. 819 FIG. 5136 The " Home" Fountain Syringe, No. 2, 1 quart.........................ti co 5136 " » " .. „ „ n.. * L 5136 *5i36 3. 2 ............................ 1 75 *5'37 The "Alpha" « « .. I'3............................. * °° *5'38 " '5139 *5'4° Goodyear Crown " " :: • :: :: *• - 3; 3. .......................... 175 4, ........................... 2 00 2, 1 quart............................ ^ js 140 " • " " <• 5140 .. 4>3 •• ............................ x 5141 Fountain Syringe Attachment for Water Bottle Set....... . .. 7c 5142 Glass Vaginal Syringe Tubes.......... . . each 15 5143 Hard Rubber Vaginal Syringe Tubes........... ''".,' 2\ 5144 Glass Rectal Syringe Tubes........................ ",.[.......... <• £ •5145 Hard Rubber Rectal Syringe Tubes.................................. " 15 BULB SYRINGES. 5146 The "Lady's" Syringe........................... ....................$2 00 5147 Molesworth's Vaginal Syringe No. i 5147 " .. » .. 2 Molesworth's Vaginal Syringe No. i........................................ ! 25 50 1 75 1 00 1 25 1 75 1 25 1 00 25 5147 " " " 3.................;..................... i 2r 5148 || Atlas "(Hard Rubber Vaginal Syringe................................... 1 5149 "Alpha" "A" continuous flow " ........... 1 5150 " "B" " " " ........... *' "/..'."......... r 5151 " "C" " " " ...............................;..; ! *5i52 " "D" " " " .......... . T *5i53 " "E" " " " ............................. T 5154 " "I" " " " ................................... T ^5155 "Omega" No. 3 " " '« ................................... 75 5156 Indispensable Cup Vaginal Syringe........................................ 3 00 5157 Hawley's Vaginal Syringe................................................ 2 50 5158 Magnum, No. 1, Bulb Syringe ......................................... 60 *5i<9 '• " 2, " 5160 Chamberlain's Vaginal *5i6l Mattson's No. 1 Royal 5162 " " 2 *' *5"63 " " 1 Irrigator 5164 " " 2 " 5165 " " 3 *5i66 " " 1 Family " ............................................. 1 25 *5 lft7 The Physician's Companion Syringe........................................ 2 50 *5i68 " Davidson Bulb Syringe No. 1......................................... 1 50 *5i6g " Goodyear Crown Syringe No. 513..................................... 75 *5I70 Large Bag Syringe for Rectum Injections................................. 1 75 *5i7i Grenoble No. 4 Bulb Syringe........................................... 1 00 MISCELLANEOUS SYRINGES AND TUBES. *5i72 Pure Gum Ulcer and Ear Syringe................... ....................$ 20 *5i73 Eye and Ear Syringe, Metal Pipes ........................................ 25 *5i74 Bulb Urethral Syringe Glass Tips.......................................... 15 *5i75 " Ear " " " ......................................... 15 BULBS. *5176 Single Neck Atomizer Bulb................................................$0 25 *5i77 Double " " " ................................................ 25 *5i88 Single " Syringe ".............................................. 25 *5i8g Double " " "............................................... 25 5 ' go Dissecting Sleeves, per pair............................................... 1 25 *5igi " Gloves, Gents', per pair..................................... 1 50 *5igi " " Ladies', " ...................... ............... 125 RUBBER SHEETING. 5193 1 yard wide Rubber Sheeting, per yard.................................... $ 75 5195 i/4 " " " "................................... 100 820 SHARP & SMITH, CHICAGO. HARD RUBBER SYRINGES. Fig. *5200 No. 5, Straight 5201 " 6, 5202 " 4, 52°3 " 4-B, 5204 " 3-A, *S20S ,'.' 3' 5206 " 30, *S2o7 " 2t *S208 " 10, 5209 " 8, 5210 " i-B, 5211 (4 j t< *S2I2 " i-C, Penis *S2'3 " i-D, " 52'4 " i-A, " 52'S " 00, " *52i<5 " 1, Ear *S«7 " 2, ' Pipe Syringe.H. R., 6 oz. $1 35 !.' ." .'.' I2 " * 75 Syringe, 5227 Fig. *52i8 ♦5219 5220 5221 5222 ♦5223 5224 5226 ♦5227 522s No. 2, Vaginal Syringe, H. R., 1 oz., $0 45 11 3- l; 11 11 ?, 11 « " 2, " (with shield) " 1 «' 80 " 3, " " " 3 " 85 " 1, Catarrhal Syringe, " ys " 85 " 1, Dental " " 3-16 " 60 " 3-L, Uterine " "■ % " 85 " 4-L, „ " " " i1/* " 1 25 " 4-P, straight Pipe Syringe, H. R., 3 oz., with Straight Rectal, Bent Rectal, and Vaginal Pipes.................. 1 25 " 26, Glycerine Syringe, H. R., with Straight and Bent Tubes............ 75 Instruments designated by a * are illustrated SHARP & SMITH, CHICAGO. 821 DESCRIPTION OF THE McINTOSH COMBINED GAL- VANIC AND FARADIC BATTERY. Fig. 5259' No. i, shows the hard rubber plate of a section (on the under surface of which is cemented a sheet of soft vulcanized rubber) and binding posts which project through the hard and soft rubber, and screw into the brass piece holding the zinc and carbon couples. The rubber plate on which the couples are clamped project over one side enough to cover the cells when the zinc and carbon plates are placed in the drip-cups. When the cells are not in use, and the lid of the Bat- tery box is closed, it presses on the spring handle of the section (525g, No. 1) and holds the soft rubber firmly over the cells and drip-cup. By this arrangement the hydrostat is made water-tight. Fig. 5260, No. 2, shows a section of six cells and a drip-cup, made of one piece of hard vul- canized rubber. The drip cup is to receive the zinc and carbon couples when not in use. Fig. £259, No. 1. Fig. 5260 No. 2. Fig. 5261, No. 3. Fig. 5262, No. 4. An extra cell of large size is added to the combined Battery for the purpose of running the Faradic Coil (Fig. 5261, No. 3). This renders the Battery more perfect than any yet offered to the profession. This extra cell gives sufficient power for the Faradic current, and the operator is not obliged to connect and exhaust the current from the galvanic cells. If greater strength is ever needed in an emergency than the extra cell gives, the galvanic cells can be connected with the coil. (See directions). The Faradic Coil (Fig-. 5262, No. 4) is securely fastened on a plate of polished hard rubber, which serves for a cover to the large cell and drip cup, and to hold the elements. Soft rubber is cemented on the under side of this plate, which is securely clamped over the cell and drip-cup. when the lid of the Battery box is closed, by means of pressure on the spring fastened on the coil. Each Battery is furnished with a hard rubber Electrode box, which is placed in the cover of the Battery. This Combined Battery gives greater quantity and intensity than any ever offered to the profession It weighs less, occupies less space, and is perfectly portable. 47 822 SHARP & SMITH, CHICAGO. ELECTRIC BATTERIES AND APPARATUS. McINTOSH BATTERIES—Discount 25 per cent. BAKED-rn 5251 Fig. 5251.—Mcintosh Physicians' Faradic Battery. It has a hard rubber cell and drip-cup. First-class induction coil, with polished hard rub- ber ends and cover. The coil, binding posts and rheotome are placed on the upper surface of a polished hard rubber plate, the under surface of which is covered with soft rubber and also holds the zinc and carbons. When the elements are removed from the cells and placed in the drip- cup, this plate is securely clamped over them, and makes them water tight. The connections of the coil with the zinc and carbons are permanent. To use this battery, it is only necessary to loosen the thumb-screws and raise the elements from the drip cup and place in the cell, and the battery will commence to work at once; connect one end of the conducting cords with the binding posts, and the others with the sponge elec- trodes, and it is ready to use. It is very convenient for a physician's visiting battery, or family use, as it is light and per- fectly portable, and gives sufficient strength to treat any case where the -Faradic or induced cur- rent is needed. Price of battery with first-class sponge electrodes, and our new cable conducting cords... .$18 00 SHARP & SMITH, CHICAGO. 823 ELECTRIC BATTERIES AND APPARATUS. McINTOSH BATTERIES -Discount 25 per cent. Fie- 5253 Twelve-Cell Combined Galvanic and Faradic Battery. Same style of case and finish as the above, 13^ inches long, 8^f inches wide, 7^ inches high, with first-class Faradic Coil, polished hard rubber ends and cover, extra large cell to run the coil electrodes, our new cable conducting cords and hard rubber electrode box. This Battery gives a galvanic current same as above described, and a Faradic current of sufficient strength ta treat any case. Price.....................................................,. ,lUo 00 FIG. 5252 12 Cell Galvanic . .. Price, $30 00 I 5255 18 Cell Combined.....Price, 50 5254 18 ...... 4000 5256 24 " Galvanic...... " 5500 Fig. 5257 Twenty-four Cell Combined Ga'vanic and Faradic Battery. Same style of case and finish as the above, 20^ inches long, %% inches wide, 7^ inches high, with first-class Faradic Coil, polished hard rubber ends and cover, extra large cell to run the coil, sponge electrodes, cable conducting cords, and hard rubber electrode box. This battery gives same intensity of galvanic current as the above, and a Faradic current of sufficient strength to treat any case. It weighs only 24 pounds, and is perfectly portable. Price..........$67 50 4599999999999 824 SHARP & SMITH, CHICAGO. ELECTRIC BATTERIES AND APPARATUS. McINTOSH BATTERIES.—Discount 25 per cent. Mcintosh No. 1 Cabinet Battery. This apparatus has the same table plate as shown on page No 44. The case is in polished black walnut or antique oak, with drawers for electrodes and a sliding shelf. The cell-drawers can be drawn out for examining their contents without disconnecting or disarranging the con- nections between cells and table plate; they will hold 48 Diamond carbon cells; 48 " Gonda Leclanche"; 42 "Law"; or 42 Mcintosh Laclede cells. The connecting wires which convey the current from the cells to corresponding parts of the table plate, are gathered in a bunch and pass down inside the case and behind the drawers. The square of the top is 22x40 inches ; height 3 feet. Any desired number of cells can be furnished. This battery is so desirable an acquisition to the office outfit of the Electro-Therapeutist, and is so far snperior in point of utility to the No. 2 Cabinet Battery shown on page 47, that a comparison between the two can scarcely be drawn. The addition of the Milliamperemeter patented Coil Rheostat of twenty-five coils, and Graduated Automatic Rheotome, make of this battery just what it is designed to be, a complete Combined Galvanic and Faradic Office Battery. Price, without cells.........'........................................... $150 00 Price of Mcintosh No. 2 Cabinet Battery, without cells........, ........ 55 00 Any form of Special Wall or Table Plate furnished to order. SHARP & SMITH, CHICAGO. 825 ELECTRIC BATTERIES AND APPARATUS. MclNTOSH BATTERIES.—Discount 25 per cent. Mcintosh Combined Galvanic and Faradic Bath Apparatus No. 2. This apparatus is made on the same plan as our No. 1, but less expensive. The coil is inclosed in a triangular, polished black walnut case, the front of which is made of polished black rubber. The switches, binding posts, rheo- tome, etc., are all nickel plated and neatly arranged on the sloping front. It is arranged to connect with any number of galvanic cells. The coil is run with a special cell, and has the same bath tub and electrodes as No. 1. We furnish with each apparatus a large and very powerful special cell to operate the Faradic coil. This cell will run for months with very little atten- tion. The tub electrodes are highly finished and nickel plated. The tub is usually made six feet foar inches long, four feet six inches on the bottom, sixteen inches wide at the foot, and twenty-one inches at the head, with a slight taper toward the bottom. It is of wood, but if desired, we can furnish tubs made of s'oapstone for $25.00 additional, net. Price, complete as above described, without cells...........$T4° °° Price of Plate only................................... 100 00 If Soapstone Tub is desired, add $25.00 net to prices named above. If the Indurated Fibre Tub is desired, add $15.00 net to prices named above. Price of No. 1 Bath Apparatus, without cells..............$214 00 Price of No. 1 Plate only............................... 175 00 626 SHARP & SMITH, CHICAGO. MclNTOSH COMBINED ELECTRO-THERMAL BATH CABINET. Price Complete without Battery, $150.00 The Thermal Bath Cabinet is designed for the application of hot air or vapor with any form oi electrization. By its use the physician can avail himself, at a trifling expense, of all the remedial advantages to be obtained in the most expensive Turkish or vapor bath establishments. This apparatus is simple, neat and convenient, occupies little space, and can be used in an office where it is not possible to furnish the conveniences for the water bath. It is not necessary that a dressing-room be provided, and only a small amount of water is required. Dry heat is supplied by passing hot air from a gasoline or gas stove through a 3-inch copper pipe connected with funnel tube (as shown in cut). In the vapor bath both the heat and vapor are supplied from a small copper, boiler, which is placed over the gasoline or gas stove and con- nected by means of a flexible hose with the bath cabinet. By placing the heating apparatus outside the cabinet, all danger to the patient is avoided We always send gasoline stove, unless special request is made for a gas stove. For full instructions as to method of using, see accompanying illustrations and directions on pages 62 and 63 of the Mcintosh Catalogue. Price of the Mcintosh Electro-Thermal Bath Cabinet, elegantly finished in highly polished antique oak or black walnut, with electrodes and heating apparatus complete (without battery), $150.00. Discount 25 per cent. SHARP & SMITH, CHICAGO. 827 (patent applied for.) Fig- 5385 MclNTOSH MILLIAMPERE METER. Diameter of base, $l4 inches. Price $25 00. Discount 20 per cent. It is now conceded that the Milliampere Meter is one of the most important factors in the treatment of diseases by electricity, as with it the exact amount or "dosage" of the current that passes through the patient is determined. Our instrument is absolutely correct, as it is graduated by standard measurements, and the greatest care is taken in the manufacture. There are two separate scales; the upper one is graduated from }4 to 20, and the lower one from 1 to 1000 milliamperes, so any range of current can be obtained. Full directions accompany each instrument. (patent applied for.) MclNTOSH HYDRO-PLATINUM RHEOSTAT. The Rheostat figured in the cut is one devised for the special object of rendering it possible of increasing or decreasing the strength of the current in absolute gradual gradations, from zero, to the full current strength and back again. Between two small, thin sheets of platinum (DD) suspended in water, with suitable attachment (A) for one pole of the battery, is suspended a third piece of platinum (E) with pointed end, that can be lowered or elevated gradually in the water between the other two sheets (DD), by means of a delicate ratchet combination (BC) above. This plate is connected with the other pole of the battery by one of the binding posts (A). When plate E is elevated so that its pointed lower end is out of the water, no current can pass the instrument, but as it is gradually lowered into the water, the resistance becomes gradually less and less, until the desired current strength is reached, or until the full capacity of the battery is ob- tained. Thus by elevating or lowering this central sheet, a current of great strength can be perfectly controlled in gradual gradations, no shock being possible. Price.......................................$25 00 Discount 2$ per cent. 828 SHARP & SMITH, CHICAGO. Fig. 5384 Fig. 5384 Mcintosh No. 2 Cabinet Battery. This cabinet has the No. 2 table plate shown on preceding page, and is the most elegant and complete office battery in the world, for the same money. In this cabinet we use the celebrated Diamond Carbon or La Clede cells, the fluid of which is a solution of muriate of ammonia; the elements are zinc and carbon rods. The cells are so nearly perfectly sealed that evaporation is measurably prevented, a feature that in itself highly recom- mends any cell for office purposes. These cells have the following advantages : 1. Perfect cleanliness. 2. High electro-motive force—1.50 volts. 3. Small internal resistance. 4. Great power of recuperation. After this battery has been put in operation it requires no attention for many months. With the cabinet complete, we furnish insulated wire for connecting the cells to the table plate, and muriate of ammonia for charging, sponge electrodes and cable conducting cords Price, complete with 36 Diamond Carbon Cells..........................$100 00 Price, complete with 30 La Clede Cells.. 85 00 Martin's Flexible Intra-Uterine Electrodes. For treatment of Fibroid Tumors of the uterus by the "Apostoli " method. Set of four in plush lined morocco case...........................................$20 00 Price one only........................................................ 6 00 Abdominal Electrode— Spongio Piline............................................ 3 00 SHARP & SMITH, CHICAGO. 829 THE MclNTOSH SECONDARY OR STORAGE BATTERIES. Discount 25 per cent. An electrical accumulator consists of a containing jar or cell, a liquid consisting of dilute sulphuric acid, called the Electrolyte, and an assemblage of lead plates called the Pile, to- gether with a number of vulcanite forks, called separators, for keeping the plates the proper distance apart. The positive plates are generally light brown when new, while the negative plates have a grayish color. These batteries when charged from an electric light current, or from gravity cells, give a current of large amperage and high electro motive force per cell, especially adapting them for the use of the surgeon in all operations where cautery is required. Galvano Cautery Handle, with Ecraseur Attachment, price complete, $10 00. The Medium Size Storage Battery, price $4$ 00 The Large Storage Battery, " 60 00 Galvano-Cautery Cords. Price $4 00. No. 2. No. 3. No. 4. No. 5- No. 6. No 7. No. 8. Figs. 5388 to 5399 Galvano-Cautery Electrodes .................................. Special forms of Galvano-Cautery Electrodes made to order. No. <>, .Price each, $2 OO 157634 830 SHARP & SMITH, CHICAGO. ATKINSON'S TOPLER ELECTRIC MACHINE. Machine with Glass Plates, 16 and iS inches in diameter.................................... $ 70 oo Machine with four Glass Plates 16 and 18 inches in diameter............................. no 00 Machine with Glass Plates. 25 and2S inches in diameter...................................... 1S0 °° Machine with four Glass Plates, 25 and 2S inches in diameter.............................. 250 00 Each machine is furnished with a pair of nickel plated handles, two conducting cords, each five feet long, composed of twelve fine copper wires double wound with wool and enveloped in silk, and furnished with tips. Since Static Electricity has great tension, special electrodes are required for its therapeutic application, which are represented by the following cuts. 40 Point Electrode (long, hard rubber handle)............ ................................. 2 Rubber Insulating Handle and Ring.............. .................................... 2 50 3 Ball Electrode (long, hard rubber handle-)................................................. 2 50 4 Roller Electrode (long, hard rubber handle)............................................... 5 00 5 Pistol Electrode for electro-diagnosis.................. ................................ 10 00 Insulating Platform, carpeted, 24x36 inches, with hard rubber I nsulators..................... 10 00 92�64546 011 144 SHARP & SMITH, CHICAGO. 831 McINTOSH'S BATTERY ELECTRODES. Discount 25 per cent. Fig. 5300—Wheel Electrode of Hard Rubber, set with metallic points for muscular Faradization; universal hard rubber handle with current interrupter $ £ 00 Handle, without wheel................................. .......... ? 00 Fig- 5301—Universal Handles, with Sponge- covered Disks,.......per pair $1 50 Fig. 5302A — Sponge-covered Electrode, Insulated with Soft Rubber, for general application with hand, $1 50. Eig. 5302 Folding Foot Plate, with movable flannel cover, insulated on one side with soft rubber to prevent wetting carpet............ ..............$4 00 Fig. 5304—Holder for large Fig- 5303—Sponge Cup, with Universal handle, $1 00 Sponge, with Universal Handle, without........................... 50 $1 50; without, $1 00. 4' Fig. 53^5—Sponge-covered Electrode, with long handle, to be used under the clothing, $1 50 832 SHARP & SMITH, CHICAGO. MclNTOSH BATTERY ELECTRODES, Discount 25 per cent. Fig. 5306.—Ball Rectal Electrode, Insulated, $1 25 Fig. 5307.—Rectal Electrode, Nickel Plated, $1 25 Fig. 5308.—Rectal Electrode, Insulated with Polished Hard Rubber, $2 00 Fig. 5309.—Rectal Electrode, large, Nickel Plated, $1 40 Fig. 5310.—Vaginal Electrode, Nickel Plated, $1 5° Fig. 5311.—Vaginal Electrode, Insulated with Polished Hard Rubber, $2 50 Fig. 5314 Tonsil Elec- [trode, Nickel Plated, $1 00 Fig. 5312.—Nasal Electrode, Nickel Plated, $1 00 4 Fig. 5313.—Small Aural and Nasal Electrode, 75c. Fig. 5316.—Comb Electrode, Nickel Plated, $1 50 Fig. 5318.—Metallic Brush, $1 00 -1 Fig 5315 Tongue Plate Electrode, In- sulated, $1 00 SHARP & SMITH, CHICAGO. 833 MclNTOSH BATTERY ELECTRODES. Discount 25 per cent. 5317 Cup Shape Electrode for Uterus. Three Sizes. FIG. *53I9 *532I *5322 *5323 *5324 *5325 *5326 *5327 *5328 *5329 and 5320 Olives, different sizes, which may be attached to Nos. 20, 21, 22, for Uterus or Urethra...........».............................each $ o Spiral Flexible Uterine or Urethral Electrode........................ 1 " " " " " Insulated............... 1 Elastic Electrode, for conveying both currents to the Uterus or Urethra. 3 Metallic Catheter, Silver......................................... 2 Metallic Catheter, Silver.......................................... 2 Laryngeal Electrode, Nickel Plated................................. 1 Duchenne's Metallic Points, for Muscular Faradization, Gold Plated.............................................per pair, 2 50 Small Sponge Electrode, for external application to the larynx......... 1 50 Laryngeal Electrode, with Sponge Tip.............................. 50 (cut 20J (cut 21) (cut 22) (cut 23) (cut 24) (cut 25) (cut 26) (cut 27) (cut 28) 833A SHARP & SMITH, CHICAGO. MclNTOSH BATTERY ELECTRODES. Discount 25 per cent. _, , .......$2 OO ^o (cuts 29 and 30) Neck and Arm Electrode................\\\ .\\'....'.'....... 2 75 *er»i (cut 31) Ear Electrode......•................. ................. 75 Ball Electrode........:...................... .......each, 50 Disk Electrodes, three sizes...................... _ 2 00 Eye Cup Electrode, new style............................ 2 50 Hair Brush Electrode ..... .....................'...'.'...'....... 75 Metallic Scourge, Nickel Plated................... .......... ?5 Small Eye Electrode.......•............. ...... 100 Metallic Points for Faradization............... ............. ^... 1 °° Dental Electrode....... - •........ """.'........ 2 00 Double Ear Electrode, insulated........................ *5332 (cut 32) *5333 (cut 33) *5334 (cut 34) *5335 (cut 35) *5336 (cut 36) *5337 (cut 37) *5338 (cut 38) *5339 (cut 39) (cut 48) SHARP & SMITH, CHICAGO. 833B MclNTOSH BATTERY ELECTRODES. Discount FIG. 5340 Metallic Handles......................................................................per pair, $1 50 *534J (cut 41) P°le Changer, Handle of Hard Rubber.................................................. 5 oa *5342 (cut 42) Vaginal Electrode, for both currents, insulated in the center, Nickel Plated............... 4 00 *5343 (cut 43) Vaginal Electrode, for both currents, insulated in halves................................. 4 00 5344 Sponge Holder and Current Breaker, Handle Hard Rubber....................................... 400 " " without Handle.................................................................... 1 00 534S Sponge Cup, Nickel Plated...............................................................each, 50 *534<> (cut 46) Disk Electrode, with Insulated Points. ...... ............................... 1 oa *5347 (cut 47) Needles for Electrolysis. Straight, half-curved, full-curved, flattened needles (shown in cut full size). Extra heavy triple Gold Plated (Insulated), price of Nos. 1, 2. 3,4, 5, each, i 00 Platinum Needles...........................................each from $2 00 to 400 (cut 56) Dr. Rockey's Double Uterine Electrode................................................. 600 (cut 57) Dr. Martin's Intra Uterine Electrode................................................... 8 00 (cut 5S) " " Fibroid Needle........................................................... 250 (cut 60) Hard Rubber Needle Holder............................................................. I So . (cut 69) "Apostoli" Bi-Polar Electrode........................................................... 8 00 834 SHARP & SMITH, CHICAGO. ELECTRIC BATTERIES AND APPARATUS. THE CLIMAX. A Portable Faradic Battery. Pat. July 4, 1871. Pat. Aug. 13, 1885. This battery is encased in a neatly fin- ished box, polished cover. Its construction is very simple, yet the manufacturer has retained many improvements that have here- tofore been employed only on more expen- sive machines. One very essential feature of this battery is, that it can be carried about without spilling any of the fluid, the cell being closed by means of a soft rubber stopper of the best quality. Into this stopper are fitted acid proof stoppers, to which are attached the elements; these can easily be removed, as well as the soft rubber stopper, the latter being re- moved only when the jar is to be filled. Price........................$3 50 net. Fleming's Batteries Discount 20 per cent. Fig. 5266. No. o. Fig; 5267. No. 1. Fig. 5268. No. 2. No. o FARADIC BATTERY. Nickel plated, polished case with carrying handle, cotton covered cords, one regular sponge electrode, and one tubular tin handle, Price....................:..........................................$12 00 No. 1 FARADIC BATTERY. Very complete, and highly finished; specially adapted for application in muscular paralysis. Price...............................................................$15 00 No. 2 FARADIC BATTERY. Finished as well as the No. 1 Battery, but coil one inch longer, and therefore more power- ful, with the addition of a Commutator. Price.............................................................$20 00 SHARP & SMITH, CHICAGO. 835 FLEMMING'S BATTERIES.—Discount 20 per cent No. 3—FARADIC BATTERY. This Battery is the finest and most complete of its kind ever manufactured. It is provided with a slow and a rapid Rheotome, or current interrupter; a Commutator, or polarity changer; Scales, by which the primary and secondary cur- rents may be graduated to the utmost delicacy or the greatest power; and with our new patent Galvanic Cell. This cell, which is charged with a solution of bi-chromate of potassium, is so made that when not in action, the zinc is taken out of it altogether, and placed in a vulcanite cell provided for the purpose. The aperture through which it passes is covered by a rubber hydrostat, making the cell perfectly fluid-tight, and saving both the fluid and the zinc from the effect of splashing in transportation, or of immersion in case of upset- ting. By this plan also, the cell can be filled nearly to the top and the zinc be made twice the usual length; it will thus produce a stronger current, and last a longer time. This Battery is inclosed in a handsome walnut case, 7^x7 54x8^ inches, has all its metallic parts finely nickel plated, and weighs, when charged, only ten pounds. 5269 Fig. 5269.—No. 3 Flemmlng's Faradic Battery, $30 00 5270 Cell for Faradic Battery, $3 00 48 Flemming's Table Battery, $200 00 to $250 00 83(5 SHARP & SMITH, CHICAGO. ELECTRIC BATTERIES AND APPARATUS. Flemming's Batteries Discount 20 per cent., 5272 rig. 5272.—Flemming's Cabinet Battery, SHARP & SMITH, CHICAGO. 837 ELECTRIC BATTERIES AND APPARATUS. FLEMMING'S NEW IMPROVED PORTABLE CONSTANT GALVANIC CURRENT BATTERY Discount 20 per cent. 5273 Price, 10 Cell Battery.............. $25 00 | Price, 60 Cell Battery.............$100 00 45 00 Galvanoscope..................... 5 00 65 00 Automatic Rheotome............... 10 00 80 00 Fig. 5274—AUTOMATIC RHEOTOME. For interrupting the constant current once, twice, four, and eight times a second. It can be attached to any form of Galvanic Battery. ^? Price. 5274 838 SHARP & SMITH, CHICAGO. ELECTRIC BATTERIES AND APPARATUS. FLEMMING'S BATTERIES—Discount 20 per cent. Fig. 5275.—Flemming's Constant Battery, $90 OO. Fig. 5276.—ELECTROLYTIC NEEDLE. Case containing six Electrolytic Needles, gilt points, straight and curved, with conducting cords. Price $7 00. Single Needle $125. 5276 Fig- 5277.—Electrodes. Case containing 20 Electrodes and Conducting Cords..........$20 00 SHARP i SMITH,. CHICAGO. ELECTRIC BATTERIES AND APPARATUS. KIDDER'S BATTERIES—Discount 20 per cent. 5278 FIG. ♦5278 Kidder's Phys'.cians' Visiting Battery, No. 2. *5279 " " " " ' 3-. 5279 ^27 00. Nickel-Plated......$30 00 27 co. " ...... 30 00 VM.V % MkYVt% VMtt&Q, Fig. 5280.—Kidder's Office Battery .$2o 00 840 SHARP & SMITH, CHICAGO. ELECTRIC BATTERIES AND APPARATUS. KIDDER'S BATTERIES—Discount 20 per cent. Fig. 5281.—Kidder's No. 1, Physicians' Office Apparatus, large size, $50 00. ©harp & Smith, Western Agents, 73 RANDOLPH STREET, CHICAGO, ILL. 9999999999999999999999 SHARP & SMITH, CHICAGO. S41 ELECTRIC BATTERIES AND APPARATUS. KIDDER'S BATTERIES—Discount 20 per cent. Fig. 5282.—Kidder's Improved Tip Battery..............$27 00 SHARP & SMITH, Western Agents, 73 Randolph St., Chicago, III 33 842 SHARP & SMITH, CHICAGO. ELECTRIC BATTERIES AND APPARATUS. Fig. 5283.—Kidder's Family Six-Current Elec- tro Medical Apparatus, in more compact form, for family use. Price, with Handles and Sponge Holder, $14 40, net. Fig. 5285 5°; 2 .—Smith & Shaw Battery, 1 cell, cells, $10 00. Discount 20 per cent. 5284 Fig. 5284—FLORENCE FARADIC BATTERY. Hinged Rod, patented Feb. 1, 1870; Hydrostat, patented July 18, 1871; Perforated Spring Connection, patented Aug. 18, 1S85. This battery is manufactured with the special view of producing a machine adapted to family use. It has been the object of the manufactu- rers to simplify as much as possible, retaining at the same time all the latest improvements which make our Electric Apparatus so famous. All metal parts nickel-plated, with "Drescher's" pat- ent Hard Rubber Hydrostat, silk covered con- ducting cords, etc., it represents a battery of at least three times its cost. The object of the manufacturers has been to keep the price within such limits that the machine is within the reach of all. $6 00, net. Acid-tight Cell, for Smith & Shaw Battery. Fig. 5286.—Electric Dumb Bell, $9 00, net, pair.—5286. In use. SHARP & SMITH, CHICAGO. 843 ELECTRIC BATTERIES AND APPARATUS. Sharp &* Smith. Fig s 287.—Sharp & SmithPocket Battery, Fig. 5288.—Davis & Kidder's $6 00, net. Crank Battery, $7.50, net. SttVW V «.\t\V*,v W«VM. Fig. 5289.—Gaiffe's Battery, $6.50, net. Fig. 5290.—Drescher's Pocket Battery, No. 3, $9 oo. Discount's percent Fig. 5291.—Drescher's Pocket Battery No. 2, $7 50. Discount 25 per cent. Fig. 5292.—Drescher's Pocket Bat- tery, No. 1, $5 00. Discount 25 p.c. SHARP & SMITH, CHICAGO, Kidder's Superior Electric Batteries. DISCOUNT 20 PER CENT. SHARP & SMITH, WESTERN AGENTS, 73 RANDOLPH STREET, CHICAGO, ILL. There are Large batteries, and Small batteries; Strong batteries, and Weak batteries; and Batteries that are Batteries only in name. Investments are usually made with an eye to profit. To purchase an article, simply because it may appear pleasant to the eye, is an error. To fully appreciate a good piece of work, give it a thorough critical examina- tion, and ascertain if it is possible for you to replace parts, when repairs are neces- sary. If so, you will avoid delay and cost of forwarding to the maker. In selecting an instrument, carefully consider the following points: Original Investment; Cost of maintenance and construction. Important. "De la Rue" or Chloride of Silver Cells. Great claims have been made, for certain "sealed cells," as superior to ordinary fluid cells. Let us consider a few points as to the relative merits of both forms. POLARIZATION.—All cells when short circuited become polarized. If the cells are so constructed that it is impossible to replace the fluid, the pur- chaser is compelled t» forward the cells to the maker for repairs, paying transporta- tion both ways, and loss of time. With cells so constructed as to admit of having new fluid replaced at home, time and money are saved, as the only expense is the trifling cost of new fluid. The following is a comparison of cost of maintenance: Sealed Cell. "Smee" Form of Cell. Cost of apparatus $20.00 Cost of apparatus $20.00 I ">o hours' work at 2 hours per day, 100 hours' work at 2 hours per day, 2 months. Cost of maintaining, 2 months. Cost of maintaining, at 1 ]4.c. per hour. $1.50 4-10 of a cent per hour, .40 Or lyi per cent, of original cost. Or 2 per cent, of original cost. To maintain for 12 months, $9.00 To maintain for 12 months, $2.25 (45 per cent, of cost.) (11X per cent, of cost.) For our repairs we allow new plates each year, which is exceedingly liberal. The prices herewith quoted for our goods are catalogue prices on apparatus and for repairs. Advanced scientific practitioners recognize the fact, that, to obtain the best results, it is necessary that the coil be constructed upon certain scientific principles. As the coil is the important factor in the production of the desired current, it also governs the size of the case. We have not based our calculations upon the assumption that every practitioner is an expert electrician, and therefore submit these points for your consideration, as they cannot be remedied after the purchase has been made. SHARP & SMITH, CHICAGO. 845 KIDDER'S CELEBRATED BATTERIES.-Continued. CAUTION. The following cut, (Fig. I.) illustrates the character of the TRICK of tapping a coil at different points, from which wires are led to several posts THE TRICK of the Fig. t. Counterfeit. THE TRICK Fig. i. of the Counterfeit. to have the outward appearance of being similar to Dr. Kidder's genuine manifold coil apparatus. The practitioner who desires uot to be deceived will do well to avoid all such spurious apparatuses, no matter by whom rec- ommended. Coils of wire different in their proportions as to length, thickness and number of convolutions, etc., are so different as mediums, for the electrical Fig 2. Fig 2. vibrations that the electricity from each produced different effects. The coils, (Fig. 2) though here shown distinct, are interposed one upon another so as all to be influenced by the electrical excitor; and by varying the com- bination by electing any two of the points i, 2, 3, 4, etc., in each case, as the combination is varied, a different medium is used as a closed circuit, each different medium producing a different quality of electricity. The above illustration, Fig. 3, shows, in a degree, the differences in the physical conditions of the several coils of the four coil apparatus. The diagram represents the coils apart, to present their differences more plainly to the eye; but in the compound helix they are superposed in a manner so that each and all of them are mediums for the development of electricity from the influence of voltaic magnetism. Though on four coils, there can be ten variations of the qualities of the currents, by electiug the different (poles, 1-2-3-4-5, yet there are four principal variations, using (1-2), (1-3), 1-4), or (1-5). 34G SHARP & SMITH. CHICAGO. KIDDE R' S CEIEBRA TED BA TTERIES. - Con tinuea. Apparatus, No. 5. Is a four-coil apparatus, producing ten currents of electricity, of com- pact form, with an upright stopper battery and a form that is constantly ready for use, many weeks without any attention. The coil-box stands upright in one end of the case, where it is hinged. Underneath the hinges that fasten the coil-box to the case are springs so ar- ranged as to connect the battery to operate the coils when the coil-box ia turned down to a horizontal position, as seen in the figure. If ever desired, the coil-box can be detached from the case and operated by connecting a battery to the two screw cups, or binding posts, on the back part of the machine. The case or box is about 6 inches long, 3^ inches wide and 6 inches deep, and has a metallic handle on the lid for carrying. It costs more to put the qualities of the ten currents in a small appa- ratus than in a large one. With this form of apparatus we furnishing one upright stopper battery, in jar 2}4 inches square and about 5 inches deep; one pair of conductors, one pair of metallic cylinders for the hand, and one sponge electrode. Price complete, $27.00 SHARP & SMITH, CHICAGO. 84: KIDDER'S CELEBRATED BATTERIES.-Continued. Apparatus No. 6. (Shown without Cover.) We also make a small appa- ratus with two coils, and three variations in the qualities of current (see cut herewith). This is somewhat smaller than the No. 4 apparatus, but is a far better machine than any other in the market at the same price. Polished Walnut case 7 K in- ches long, sU "wide, and 7% deep. It is operated by an open narrow Jar Battery, with a small drip cell, for resting elements into when raised out of the solution. Battery Jar measure 5X deep, \}i wide, 5 inches long at centre, and 2J& long at the mouth. Complete with cords, han- dles, and one sponge electrode. Price $15-00 Apparatus, No. 4. (Shown without Cover.) No. 4 has three coils and six varia- tions of the qualities of the currents, and is operated by one open battery, which is for weeks and months con- stantly ready for use, without chang- ing the fluid, and a bottle accomp nies, into which the fluid can be poured whenever desired. Polished walnut case 8^ inches long, 8# wide, and 7 inches deep. Switch arranged to use the second coil in the primary circuit -yhen desired. Family Apparatus, without switch arrangement, to use the second coil in primary circuit, Price, complete, $18.00 Office Apparatus, with switch arrangement, to use the second coil in primary circuit. $20.00 Office Apparatus, with switch arrangement, and placed in same size case as No. 5, and supplied with a Tip Battery. Price com- plete. $24 00 847A SHARP & SMITH. CHICAGO. KIDDER'S CELEBRATED BATTERIES.-Continued. CABINET APPARATUS. (Outsidejneasurements, height 41 in., width 23 in., depth 23 in.) Elegant in design, complete in manipulation of currents, and con- structed in best workmanship-like manner. The trays containing the cells can be withdrawn from the cabinet without disturbing a wire. All possible short circuiting of cells by uniting wrong wires from circle to cells is absolutely avoided. The difficult task of selecting, in their order, the wires from the cir- cle, and attaching same to the proper cell, as it occurs in the se- ries, is absolutely avoided in our form of cabinet apparatus. We H furnish each cabinet with 40 cells % of the Improved "Law" form; each "I cell having an electro-motive force j of 1.5 volts with an internal resis- tance of .5 cfan ohm and never [greater. Requiring 110 attention j whatever in .from two to three I years, and then only for renewal of I zincs and sal-ammoniac, which can be supplied at a nominal cost. All parts of the cells guaranteed everlasting, except the zincs. For operating coil and automatic interrupter we supply three additional cells of ' 'Smee'' form. The automatic interrupter for galvanic currents does not assist in polarizing the galvanic cells. The cabinet is supplied with a compound circle for 40 cells (electing sing- ly without shock), Polarity Changer, Automatic Interrupter, Cut Out, Gal- vanoscope, necessary Switches and Cord Posts ; also a fine Faradaic Coil (10 current), Circle Switch for selecting currents, Polarity Changer, necessary Switches and Cord Posts. A Handsome Piece of Cabinet Work for the Physician's Office. A Cabinet without a cell selector is imperfect, as a defective cell in the series cannot be cut out, and prevents the passage of the current, rendering: the Cabinet useless. With Cell Selector this is impossible. Considering the many advantages in the construction of our goods, and the various devices we furnish for the absolute control of the currents, allow us to ask you to carefully compare our prices with others before purchasing. Improved Double Cylinder "Law" Battery. Neat, clean, handsome, high efficiency. The top is of composition, and seals the cell by locking down against a rubber ring or cushion. This positively prevents evaporation, and creep- ing of salts, and preserves a neat and clean appear- ance to the cell. Both binding posts are perma- nently and hermetically attached to the cover, and absolutely protected against corrosion. The stub of an old zinc can be removed, and a new zinc at- tached without discarding or disturbing any part of the binding post. Size of cell outside, 4Xx4Xx7/^ inches. SHARP & SMITH, CHICAGO. 817B SUPPLIES FOR KIDDER'S CELEBRATED BATTERIES. OPEN BATTERIES. PL ATI IV AS. isach. 4 inches long, 2% inches wide..........$1-53 2*1 long, ZINCS. in. wide, 2% 1% X5" Iff JARS. Round 4>i in. deep, 3^ in. diameter. 5 3^ ........1-75 .......... 2.50 .......... 1.5° Per Pair. in. thick. . $0.75 " .. 1.00 .. 1.50 " ■ • 75 Eacli. .$0.50 75 in. di- 1-25 Round and heavy, 6 in. deep, 5 % ameter........................ Flat syi in. deep, 5 in. long, and 1% in. wide (mouth 2^x1^ in.)........... 50 RUBBER STOPPER BATTERIES. FLAT1NAS. Each. y/2 in. long, 1^ in. wide, (Tip Battery) $1.75 1% .............. i-75 4 in 4 long, 2 in. wide, ZINCS. Per Pair. in. thick, (Tip Battery)___$o.8-o ..... 60 JARS. Each Round 5X in- deep, $/( in- diameter...............$°-75 Square 5% " 2 j^ in. square ............... 50 Glass jar for Tip Battery.......................... 1.00 Stopper element complete, ready to place into jar, and consisting of the following : 2 zinc plates, 1 platina plate, 1 stopper, 3 vulcanite nuts, 1 vulcanite tube, 1 set metallic clamps, and one pair flexible metallic conuecting cords. FARADAIC BATTERY SUPPLIES. Rubber stopper, \l/z in. thick, 2% in. diameter.....fi.oo Metallic clamps for stopper battery, per set......... 50 Vulcanite nuts " " each........... 08 " tube, (small) " * " .......... 08 Metallic spring and stand for supporting Tip Battery 75 Metallic clamp for binding elements together of open battery............................................ 40 GALVANIC BATTERY SUPPLIES. Battery Jars. Hard Rubber, 4^ in. deep, 2>^ in. long, \Y% in. wide---$0.35 Carbous. 5X iu- long, \y^ in. wide, % 'va- thick...................... 40 Zincs. 5% in. long, 1% in. wide, y$ in. thick........................ 20 Cords. Best quality, silk covered copper strands, 5^ ft. long, per pair 1.00 CORDS. These Cords are thoroughly insulated with cotton, which is covered with pure Balata gum and theu finished in silk or cotton. Perfect insulation against moisture. Per Pair. Best quality, copper conductor, silk covered, each 5^ ft. long........ $1.00 " " " " cotton " " 5)4 ".......... 80 Best insulated (copper conductor) flexible metallic cords for connecting the Tip Battery with the helix....................................... 25 847C SHARP & SMITH, CHICAGO. APPLIANCES EOR KIDDER'S CELEBRATED BATTERIES. WHEN ORDERING PLEASE SPECIFY NEW LIST EXTRA APPLIANCES, ETC. EXTRA APPLIANCES FOR ELECTRO-THERAPEUTIC USES. Entered according to Act of Congress, in the year 1871, By JEROME KIDDER, M.D., In the Office of the Librarian of Congress, at Washington, L. U. Copyright, 1878, By JEROME KIDDER, M.D. [All Rights Reserved.] Many of these Electrodes are improved inventions, secured by Letters Patent. No. i. No. 2. No. 3. No. 4. To put on the sponge, unscrew the screw cup at the end, remove the wooden handle, place the sponge on the outside surface of the metallic disc, and bend the edges over to clasp by replacing the wooden handle. Without sponge, $11.25. Sponge Holder, with brass cylinder for convenience of localizing one pole while the other pole is in both hands for large surface.........................$i-75- IMPROVED SPONGE HOLDER. •To fix the sponge on this holder, unscrew the handle B by turning the handle itself. Place the sponge on the outside surface of the lower plate D, and bring the edg^s ^ of the sponge over the edges of the plate, clasp it wi th the plate C, and hold all together by screwing on the handle B. Without sponge......................*.........?r-5° Side Sponge Holder, to use under a loose gown. $1.75- No. 5. Long Side Sponge Holder (length 14 inches) without sponge. $2.00. The same shown with sponge a'tached. SHARP & SMITH, CHICAGO. 847D APPLIANCES FOR KIDDER'S CELEBRATED BATTERIES.-Continued. No. 6. Long Side Sponge Holder (same as No. 5), in two parts, for convenience of packing* $2.25. No. 7. No. 8. No. 9. No. gA. No. 10 No. n. No. 12. 49 Side Sponge Holder, with interrupter and binding screw, covered with hard rubber. $3.00. Side Sponge Holder. $1-75. Sponge Holders for Pocket Machine, hollow handle, to receive the other handle, for com- pactness. Handle, $1.00. Oblong clasp, $1.00. Sponge Holder to be inserted in Hard Rubber Hollow Sponge Holder, No. 9. $1.00. Clasp for Sponge, to be at- tached to a table. $1.50. Carbon Sponge Hol- ders, for both the posi- tive and negative elec- trodes. I3.00. Reservoir Sponge Holder, for containing warm water, with clasp for holding the sponge;—also holes to sew on a sponge. Diameter, 4% in. $3.00. 847E SHARP & SMITH, CHICAGO. APPLIANCES FOR KIDDER'S CELEBRATED BATTERIES.—Continued. No. 13. Reservoir Chest Electrode, 8 inches square and curved, made from copper and finely nickel plated. Price, $3.50. 13A.—Flat Reservoir Electrode for the feet, 12 inches long, 9 inches wide, and 1 inch deep, made from copper and finely nickel plated, not figured. $5.00. SPONGE CLASPS. A. 2^ and 3 inch. $1.00. B. ij^ and 2 inch. 75c. C. 1 inch. 60c. No. 16. No. 17. E. Small pointed. 50c. F. Small conical. 50c. Handle to fit the above Clasps. 75C Handle with interrupter to fit the above Clasps. $1.50. Massage Roller Electrode. To be covered with chamois skin. $3.00. Metallic Handles, nickel plated. Per pair, $1.00. Ordinary Tin Handles, per pair, 50c. No. 18. No. 19. -=-gjj|| Metallic Cylinder to fit Handle No. g. Per pair, 75c. Metallic Hollow Ball Electrode. 75c Universal Handle, with ring and screw clasp for extra appliances specially arranged for it. C* ro- SHARP & SMITH, CHICAGO. 847F APPLIANCES FOR KIDDER'S CELEBRATED BATTERIES-Continued. No. 20. [ffcroMfgE __---- ^ Wr J^ ix Universal Handle, whh ring and screw clasp and interrupter. $2.00. No. 21. Ear-Electrode with holes at point to sew on small sponge. $1.50. jj0 22 /p% ^ Eustachian Ear-Electrode. $1.75. Another form of Ear-Electrode, 23* with rubber funnel-shaped in- sulator. $3.00. ^» Eye-Electrode, with glass cup to be filled with water, or fine sponge thoroughly moistened. $1.75. The same, shown with brush pushed 1 1 11 ^_________ within its cylinder for protection when iO^^iSgSlUI^^^^^^^Q ' "^ M a X <»■■ ■ii^"T"r^jjgtJ^jg|g^ Scourge, with fine tinsel brush for Anaesthesia.................___$1.50 Metallic Wire Brush Electrode, with de- No. 27. T5 9 tachable handle..................$2.00 Same without detachable handle, as per cut...............................$1.75 Insulated Throat Electrode. $1.50, No. 28. tbifeSgf^g^^—P N 04H^9SHRi^^flSl!&dl^l^ Tongue Electrode. $1.50. No. 30. Oblong Concave Tongue Electrode. $2.00. No .31. flj^fli «^ Rectal Electrode. $1.50. Rectal Electrode, insulated with hard *°' 32' rubber. $2.00. 847G SHARP & SMITH, CHICAGO. APPLIANCES FOR KIDDER'S CELEBRATED BATTERIES.-Continued. No. 33. Another form of Rectal Electrode. S'1.50. Uterine Electrode. $1.50. Uterine Electrode. This is only made to order. $1.50. No. 36. No. 37. Bell-shaped Uterine Electrode. $2.00. Slightly Concaved Uterine Electrode. $2.00. No. 38. Uterine Electrode, with removable carbon tip. To be covered with clay for currents of high intensity. When using currents of 60 milliamperes or more, dip clay covered carbon tip into a solution of bicarbonate of soda............$3-°° (Goelet.) j Uterine Electrode, with tips for negative pole. $3.00. No. 39. Intra-uterine (bi-poJar) Elec- trode; can also be used assepa- rate instru- ments. $4.00. Vaginal Electrode. $1.75. Vaginal Electrode. Insulated transverse- ly with hard rubber. Price, $2.25 Vaginal Electrode. Insulated longitudi- nally with hard rub- ber. Price, $3.25. Vaginal Elec- trode (rubber cylinder). Fasten sponge over ball end and draw sponge into cylinder; then insert cylinder, and press the sponge forward to locate. Price, $2.00. SHARP & SMITH, CHICAGO. 847H APPLIANCES FOR KIDDER'S CELEBRATED BA TTERIES. - Continued. No. 46. iy» *r These electrodes are made with absolutely smooth, joint where metallic tip is attached, so that irritation is impossible. Urethral Electrode. Price, $1.75 No. 47 Insulated and adapted to various size olive tips. Olives for electrode No. 47, each, 20c. 0 fi Urethal Electrode. Price, I2.00. When ordering, give number and scale of olives desired. ABDOMINAL PLATES. FINEI/V NTCKEI, PLATED. To be used with sponge, absorbent cotton, or clay. 3x5 inches, curved.........................75c Sponge Pad Electrode 1 Insulated with soft rubber. $1.00. 75 c 75c Case of Instruments, comprising Handle (19), Ear (21), Eye (24), Brush (25), Tongue (29), Rectal (31), Uterine (34). Vaginal (41), and sponge claso B. All to fit universal handle, and in neat velvet lined case. $15.00 847K SHARP & SMITH, CHICAGO. APPLIANCES FOR KIDDER'S CELEBRATED BATTERIES.—Continued. ELECTRO-SURGICAL APPLIANCES MANUFACTURED BY JEROME KIDDER MTG CO.; 820 BROADWAY, NEW YORK, N. Y„ U. S. A. NEEDLES FOR ELECTROLYSIS TO DISCUSS TUMORS, Etc. Insulated with Vulcanized Rubber. *ss*s@ — ' ■ ----- These needles have a round head to be inserted by the thumb, and an eye to re- ceive small metallic cord. Are so constructed as to be used with or without handles. STEEL POINTED. For Negative Pole. inches long.................$1.50 ................. 1.50 ................. 1.50 ................. 1.75 ................. 1.75 ................. 1.75 ................. 2.00 PLATINA POINTED. For Positive Pole. If inches long................ 2f 2f 21 3* .$2.00 . 2.00 . 2.00 . 2.25 . 2.25 . 2.25 . 2.50 Abdominal Needles, 6, 8 and 10 inches long, with heavy platina points, on hand. Needles of any size, length and shape made to order, insulated or not insulated as desired. STEEL BROACHES. Cut full size. Large shank, finely tempered and very flexible.......................Each 25c. STEEL NEEDLES. Not Insulated, of various lengths; on hand and to order. All needles are ar- ranged to be used with or without handles, Nos. 50 and 51. VARIOUS FORMS OF HOLDERS OF NEEDLES FOR ELECTROLYSIS. No. 50. Needle Holder, of hard rubber with interrupter.............$1.50 Needle Holder, of hard rubber without interrupter..........$1.00 SHARP & SMITH, CHICAGO. 847L APPLIANCES FOR KIDDER'S CELEBRATED BATTERIES. Continued. No. 63. No. 64. No. 65. No. 66. PRICE0 56...... 2 50 57...... 3.00 58...... 3.00 59...... 2.50 60...... 3 00 61...... 2 50 62...... 3 00 63...... R00 64...... 9 50 65...... 2 50 06...... 3.00 No. 07. Handle with spring for Closing and Interrupting the circuit. Adjusted for Heavy Platinum Cutters and Burners, also for Throat and Nasal Electrodes. .$4.00. THROAT AND NASAL CAUTERY ELECTRODES. No 68 fl No. 75 76 77 PRICES. 68.. . .$2.00 69.. . . 2.00 70.. .. 2.00 71.. .. 2.00 72.. .. 2.00 73.. .. 2.00 74.. .. 2.50 75.. .. 2.00 76.. . 2.00 77.. .. 2.00 With Flexible Insulated Rods, that can be formed to any curve or an^le desired. Adapted to handle No. 67. CAUTERY CONDUCTORS. Six Feet long; Double Braided Insulation, and finished in silk. Very Flex- ible, and specially adapted for Cautery work. Price per pair.............. .$3.00. 847M SHARP & SMITH, CHICAGO. APPLIANCES FOR KIDDER'S CELEBRATED BATTERIES-Continued. FORMS OF CANNULA FOR HANDLES Nos. 78 & 79. SHARP & SMITH, CHICAGO. 847N KIDDER'S ELECTRODES—HIGH TENSION COILS. Bi-Polar Vaginal and Intra-Uterine Electrodes. Constructed in many t forms and lengths. Also Flexible Bi-Polar Intra-Uterine Electrodes. Price, $4.00 each; 20 per cent, discount. HIGH TENSION COILS. FOR SEDATIVE EFFECTS. Constructed of compound coils having different lengths and diameters of wire, to be used in various combinations. The length of fine wire is about 8,000 feet, which can be used in many combinations of lengths. The current can be started from absolutely nothing. A vibrator for medium, and very rapid interruptions, together with a slow automatic interrupter. Operated by one or more cells. The coils contain a length of wire, the combinations of which are greater than any other apparatus constructed, and such as now recommended by Apostoli, Rockwell, Tripier, Goelet, and others. Price, $50.00. Various high tension coils constructed. Price according to length and diameter of wire and finish. JEROME KIDDER MFG. CO., 320 BR0ADWAY, NEW YORK. For Sale by ■ Sharp & Smith ■ Chicago. 848 SHARP & SMITH, CHICAGO. THE "MASSEY" CURRENT CONTROLLER. Its function is to vary the current at will by rapidly increasing or decreasing the resistance of the circuit, from a fraction of a milli-ampere to the full strength of the battery without shock. It consists of a porcelain plate, provided with a sickle-shaped conducting area of graphite (soft pencil) broadening and thickening up to the terminal, where the graphite unites with a metallic surface, which is in direct contact with the battery without any material resistance. When the crank C (Fig. i) is placed to the right of the hard rubber bridge, the contact comb of the crank rests entirely on the porcelain and the circuit is broken ; moving it slightly forward, it soon touches the sickle-point and the graphite mark permits the least amount of current to pass through, since the current must pass over the whole area of graphite. By turning the crank slowly and steadily onward, there is a gradual increase of current without shock, until finally the metallic surface is reached, when the whole power of the battery is turned on. A reversed action turns the current off. If the motion is made slowly, the increase and decrease is exceedingly gradual and the meter-needle points constantly to the exact current strength of the moment without oscillation. By its use a more economical wear of the cells results, as all cells are worked alike. It may be used with a small or large number of voltaic cells, or in connection with an incan- descent light circuit for medical galvanic work, but cannot be used for actual cautery. Special attention should be paid to the following points in using this instrument: I. Always place the turning crank on the bare porcelain, as shown in the engraving, before applying the electrodes to the patient, so as to be sure that the full resistance is interposed; otherwise an unpleasant or even dangerous shock to the patient might result. 2. After the electrodes are in place, turn the crank down and toward the broader end of the graphite slowly, until the meter shows the desired strength of current. 3. If using an incandescent current, never bring the metallic parts of the conducting cords or electrodes together, unless the crank is on the thinnest part of the graphite. 4. Keep the apparatus free from dust. 5. Renew the graphite covering on the porcelain plate as often as marks of wear are visible by rubbing graphite over the circumscribed area from a very soft pencil. If the current is too strong at the very point of the graphite, rub some off and recoat it more lightly. Price..........................................................$7 50 net. SHARP & SMITH, CHICAGO. 849 FLEMMING'S BATTERY ELECTRODES. Discount 20 per cent. Physicians selecting and ordering Electrodes from our list can have them fitted in velvet-lined morocco cases, at a cost of from $2.00 to $5.00 each. We can furnish Electrodes in cases to order, from $15.00 to $50.00, and we also keep the following described cases in stock. The selections are made so as to give as complete a set for the price as possible. Fig. 5354. Electrode Case, No. 1—Containing: 1 Wheel Electrode with Universal Handle of Polished Rubber, Wheel of the same material, set with Metallic Points, for Muscular Faradization. 1 Holder for large Sponge, Nickel Plated. 1 Rectal Electrode, Insulated with Polished Hard Rubber. 1 Vaginal Electrode. 1 Tongue Electrode. 1 Cup-Shaped Uterine Electrode. 1 Metallic Brush. 1 Uterine or Urethral Electrode, Insulated with Polished Hard Rubber. 1 Spiral Flexible Uterine or Urethral Electrode, Insulated. t Laryngeal Electrode, with Sponge Tip, insulated with Polished Hard Rubber. 1 Ear Electrode, Insulated with Polished Hard Rubber. 1 Eye Cup Electrode, new style. 1 Hair Brush Electrode. 1 Needle Holder for Electrolysis, with two needles. Price..........................................................$30 00 Fig. 5355. Case No. 2—Containing: 1 Universal Sponge Holder, Nickel Plated. 1 Rectal Electrode, Nickel Plated. 1 Vaginal Electrode, Nickel Plated. 1 Nasal Electrode, Insulated with Polished Hard Rubber. 1 Cup-Shaped Uterine Electrode, Insulated with Polished Hard Rubber. 1 Spiral Flexible Uterine or Urethral Electrode, Insulated. 1 Duchenne's Points, Nickel Plated. 1 Ball Electrode, Nickel Plated. 1 Metallic Brush. 1 Disk Electrode. 1 Needle Holder for Electrolysis, with one Needle. Price..........................................................$15 °° 850 SHARP & SMITH, CHICAGO GALVANO CAUTERY BATTERIES. FLEMMING'S—Discount 20 per cent. 538o DOUBLE CELL CAUTERY BATTERY. FOR OFFICE USE. Consisting or/two systems of 10 pairs zinc carbon plates each, with treadle, two rubber cells and conducting cords. ;o 00 Fig. 5380. Price............................................... The same, provided with two Commutators for converting the Cautery into a 20 cell continuous Galvanic Current Battery. Tig. 5381. Price -, - -......................... .................. $95 °o SHARP & SMITH, CHICAGO. 801 GALVANO-CAUTERY BATTERIES AND ELECTRODES. FLEMMING'S—Discount 20 per cent. Fig. 5382.—SINGLE CELL CAUTERY BATTERY. For office use, consisting of one system of 10 pairs zinc-carbon plates, and a treadle ar- rangement, by means of which the rubber cell (containing 3 quarts of bi-chromate solution), is raised or lowered. Price of Single Cell Cautery Battery, in- cluding Conducting Cords......... $30 °° The same, provided with a Commutator for converting the Cautery into a 10 Cell Continuous Galvanic Current Battery......................... 5° 00 5382 5383 Fie W83-CAUTERY INSTRUMENTS FOR NASO-PHARYNGEAL OPERATIONS. Price, Complete in Morocco Case..................................................$25 00 CONSISTING OF The Universal Hard Rubber Handle with Circuit Closer, to which any of the instruments ^ below may be attached........... • • ■•/••,.............'" ",........ „ __ The short, straight Electrode or Knife, for use in the anterior part of nares............. 2 00 The Post-Nasal Electrode, for introduction behind the soft palate..........yyr V-'' The long Knife Electrodes for introduction through the nares to posterior ends of turbin- ated bones and pharynx...................................................... The Spiral or Moxa Electrode.................................................. The Sharp pointed Electrode .....................•.....,'" *,""; " ';..... „ „„ Dr. J. Solis-Cohen's Pharyngeal Electrode, to protect the vault of the pharynx.......... 3 50 One set of 3 Rubber Nasal Specula................• • •; •• • • • • • •......•........... * 5 Universal Rubber Handle, with platinum wire loop and windlass (Ecraseur)............ 10 00 851A SHARP & SMITH, CHICAGO. CAUTERY STORAGE BATTERIES. Fig. 5390—SHARP & SMITH'S CAUTERY STORAGE BAT- TERY, with one pair Heavy Conducting Cords. Net, $37-5<>- DIRECTIONS FOR CHARGING THE BATTERY. This Storage Battery can be charged either from primary cells or the incandescent current. In charging storage cells several methods are employed. One is with a gravity or blue stone battery, coupled up in series and connected to the storage cell as fol- lows: From 8 to 12 grav- ity cells are used, the latter number being the best, are connected to- •gether alternately, the copper of one cell to the zinc of the next, leaving a copper and zinc ter- minal, which are con- nected to storage battery; the copper terminal is connected to P and zinc to N of storage battery. A Rheostat is placed in each battery to control the current. It consists of a coil of German sil- ver wire, wound round an asbestos core, and the amount of resistance to be employed is regu- lated by means of a lever. The Rheostat provided with each battery is calculated to throw in sufficient resistance to enable" the operator to use the lightest electrodes without fear of destroying them. It is perhaps well to state here that this storage battery is not intended for Galvanic or Faradic application, or for the purpose of Electrolysis, but is strictly a battery for Electro-Cautery, driving of small motors for Nasal and Dental Surgery, and lighting of small incandescent lamps used for diagnostic illumination. SHARP & SMITH, CHICAGO. 851B CAUTERY STORAGE BATTERIES—ELECTRODES. *539i Dr. O. T. Freer's Flexible Electrodes........................ from $i 50 to $4 00 5392 Dr. E. R. Bennett's Regulating Electrodes.................................. 3 50 A NEW FLEXIBLE ELECTRODE. By Dr. O. T. Freer, Chicago. Extract from Medical Record, March 11, 1893. Fig- 5391 I wish briefly to call attention to my new method of making the common electrodes used on the surface of the body. At present sheets of metal are used as backs for the sponge, felt, or other material for conveying the current to the skin. For these stiff sheets of metal I have substituted the common '' gold " or silver cloth used for trimming uni- forms, regalia, and the like. The cloth is woven of cotton or silk threads spun around with a minute ribbon of metal, gilded copper for the gold, and pure silver for the silver cloth. The best kind has all the threads covered with silver. I have found this material a perfect conductor, equal to sheet metal. Sheet metal, even when very thin, is stiff, and refuses to follow the hollows and prominences of the body. Gold and silver cloth is as flexible as any other cloth, and does not prevent the felt or sponge from lying smoothly on any surface of the body, as the axilla, knee and ankle joints. If desired, one could easily make electrodes that would evenly encase an extremity or the trunk. They can be made in the form of long bandages, or be bound down with a roller. In using the galvanic current I have often been annoyed by having the stiff metal electrode bridge over hollows and concentrate the force of the current unmercifully on a few points of the skin. Of course a flexible electrode, if made long enough, can follow up any anatomical structure, such as the spine, or sciatic nerve, or the brachial plexus. Respectfully, Chicago, 111. O. T. Freer, M. D. 539i A NEW PRESSURE REGULATING ELECTRODE. By E. R. Bennett, M. D., Chicago. This electrode is constructed with a coil of wire in the inside so that to make the circuit, pressure is made, which is gauged entirely with a stout wire connection at its upper part, which moves up and down, but is rendered stationary at any height by a set screw, so that when you find the amount of pressure necessary to register the milliamperes on one side, it is left at the same point and will require only the same pressure to complete the circuit and produce the reaction on the opposite side. This instrument, which I term the pressure regulating electrode, is made with a hollow hard rubber handle, inclosing a shaft and spiral spring. Upon one side of the shaft there is a projection or lug. At the upper part of the handle is a straight wire parallel with the shaft, playing in a groove, attached to the fixture with a set screw so that it may be made to complete the circuit by contact with the lug at any point in range of the shaft allowed by the spiral spring. This allows the completion of the circuit with any desirable amount of pressure by fastening set screw at the top. — See Chicago Medical Recorder, fuly, 1893. 852 SHARP & SMITH, CHICAGO. CAUTERY ELECTRODES. NO I-A Long Spatula Burner, for hyper- trophy of turbinated bones. i-B Short Spatula Burner, for.anterior hypertrophy of turbinated bones. 2-A Lateral " S " Burner, for growths on post-nasal walls. 2-B " S " Burner, for growths on post- nasal roof. 3-A Lateral Burner, for right nostril, for hypertrophy of turbinated bones. 3-B The same, for left nostril. 4-A Scythe Burner, foi right nostril, for posterior hypertrophies of tur- binated bones. 4-B The same, for left nostril. 5-A Post-Nasal Scythe; Burner, for growths in post-nasal space. 5-B The same, of smaller size, for children. 6 Pointed Burner, for puncturing ~"> terior hypertrophies. DR. F. B. EATON'S NASO-PHARYNGEAL CAUTERY ELECTRODES. (The above cut represents natural sizes.) One Complete Set (n Burners) in case......................................*20 °° Each Single Burner ...................................................... l 75 Heavy Conducting Cord, complete........................................ ? °° Clamp Attachment, to fasten to any sukab'e Cord......................«• • • 75 20 per cent. Discount. For other Electrodes, see Index. SHARP & SMITH, CHICAGO. 8o0 GALVANO CAUTERY BATTERIES, Etc. This Battery, Fig. 5406, has been before the profession now for several years, and the recent improvements have made it the best and strongest Cautery Battery in the market. There are two large cells, and the elements consist of large zinc and carbon plates, which are de- pressed by a screw to any desired depth, regulating the strength of the current per- fectly. The cells hold a large amount of fluid which re- quires less frequent chang- ing. The Battery needs very little care. Some of them have been in constant use a number of years. The Battery is inclosed in a neat Black Walnut case, 12x15x22 inches high. For Electrodes for "In- gals' " Cautery Battery, see page 445- 5406 Fig. 5406.—Ingals' Cautery Battery...........................Net, $50 00 THE SENSIBLE ELECTRIC BELT. Price to Physicians. net $2 25 854 SHARP & SMITH. CHICAGO. BARRETT'S DRY CELL BATTERIES. Note.—In ordering any of the batteries listed below it might be noted that the Nos. i and 2 are intended for general medical use, and are capable of treating every case, no matter what its nature—from those requiring the mildest to the strongest galvanic current; the No. 2, of course, having the additional advantage of the induction coil. The No. 3 batteries, however, con- taining a small number of cells, are adapted to treatment of cases needing a mild current, and to the electrolyses of small growths. They have full power for the work for which they are intended, but of course will not embrace so wide a field as the others. The Two-Cell Faradic No. 5 needs only a passing notice, as its power is equal to any case, and will create the most delicate as well as a most intense current. Each and every metal part of the following apparatus and electrodes is most carefully polished and nickel-plated, and each will be found even in the smallest detail, made and finished in the very best manner, and second to none in respect to every quality that goes to make up a first-class instrument. No. 1.—GALVANIC BATTERY. This is a constant-current Battery, designed especially for physicians' use. It is put up in a very handsome, light, hardwood box, 6x7x10 inches. Metal parts are all finely finished and nickel-plated, and each is provided with a hard rubber switch-board for making and breaking the current and changing the poles; a water rheostat, one plain and one interrupting handle, conducting cords and best quality sponge electrodes. FIG. 5409 24-Cell.......................................Price, $38 00 Net. 54io 32 " ..............•........................ " 45 °° " *54i 1 50 " ....................................... " 65 00 " 5412 60 "....................................... " 75 00 " 54i3 84 " ...........'........................... " 9500 " Batteries of same style, with fewer or more cells, made to order at short noticec Fig. 5411.—50-Cell (No. 1) Galvanic Battery.—Case open, ready for work. The capacity of these Batteries is 720 hours of actual work. The cost of operating the 50-Cell is 2^ cents per hour. The others proportionately more or less, according to number of cells. Charge for Renewing and Restoring, per cell, 30 cents. 999994 SHARP & SMITH, CHICAGO. 855 BARRETT'S DRY CELL BATTERIES. Fig. 5416.—No. 2.—COMBINATION BATTERY. This Combination Battery, so far as the galvanic part is concerned, is pre- cisely the same in every particular as the No. 1 preceding, but it contains in same box a Compact Faradic Coil and Cell, capable of producing the most del- icate as well as the most intense and powerful induction current. FIG. 5414 24 Cell.............................................$58 00 Net. 54i5 32 '' ............................................. 65 °° " *54i6 50 " ............................................. 8500 " Fig. 5416—No. 2. The galvanic part of these Combination Batteries will work 720 hours con- tinuously. The Faradic Cells have a capacity of 100 hours. Fig. 5418.—No. 3.- -GALVANIC BATTERY. This is a smaller and less complete con- stant-current Battery than the No. 1, and is. intended for family as well as physicians' use, for electrolysis of small growths, hairs, etc.; in general, for the treatment of cases which do not need, or could not stand, a very powerful current. Put up in strong, well-finished wal- nut boxes, with conducting cords and sponge electrodes. 5417 6 Cell—size 4^x4^2x5. .$10 00 Net. *54i8 12 " — " 5^x5^x5.. 1500 ' 5419 16 " — " 5>^x5^x5-- 2°°o " Fig. 541S-N0 3. 43592496 856 SHARP & SMITH, CHICAGO. BARRETT'S DRY CELL BATTERIES. Fig. 5420.—No. 7.-POCKET FARADIC BATTERY. This instrument is designed for the use of families as well as physicians, and is extremely handy, compact, durable and simple, in its mechanism. Tt is put up in a handsome hardwood box—83^ inches long by 4% inches wide, and two inches deep—and furnished with a pair of con- ducting cords, one pair ebonite handles, and one pair hollow metal electrodes. The induction coil, giving three currents,—primary, secondary and combined,—is of superior make and finish, and has no equal anywhere in the uniformity and smoothness of its current. The cells of this Battery will work 100 hours continuously, and cost 1% cents per hour to operate. Each cell is secured in position on floor of its box by a vertical pin passing through it, and held there by the large set screw shown in cut. Price of Battery complete.................................................. |io 00 Net. Charge for renewing and restoring cell-block................................... 1 5° In this Battery we have met the want which every physician recognizes—an instrument of the type commonly known as the Pocket Battery—of beautiful finish, and low price, with every quality satisfactory to the user, and with all the trouble and nastiness of the wet cell entirely banished. This Battery is a genuine triumph in this direction, combining perfection in every detail, together with a permanently closed Dry Cell, which, in the use of the Battery, does not have to be touched or treated in any way. To set the Battery in operation, open the cover and turn the switch ; closing the cover breaks the circuit. We are sure these points will appeal to the experience of every one who has used, or desires to use, a Pocket Battery. SHARP & SMITH, CHICAGO. 856A DRY CELL BATTERIES. Fig. 5421—THE "LORD BALTIMORE" FAMILY FARADIC BATTERY, No. 7A. Price, $8.00. A smaller instrument than the No. 7, but made with equal care. The current is not quite so strong as that supplied by the No. 7, but the same number of currents are furnished. This instrument is put up in a finely-finished mahogany case, 5x4x2 inches. The cost of operating this battery is a trifle less than 2 cents for each hour of actual service. Fig. 5422-SHARP & SMITH'S NEW No. 73 ELECTRO-MEDICAL APPARATUS, WITH DRY BATTERY. No Acids, Chemicals or Liquids. Complete, excellent and always ready. Fig. 5422 For doctor or patient this Electro-Medical Apparatus is the most convenient and reliable of any of the hundreds of forms ever introduced. It is reliable, because with its Dry Battery so much less care is necessary to avoid getting it out of order than is required with any other known form. The entire absence of acids, liquids or salts will be appreciated by any one who has ever had occasion to use a Medical Battery. The box when closed up may lie in any position on a table or shelf, or in the bottom of a carriage, without harm. (Continued on next page.) 856B SHARP & SMITH, CHICAGO. DRY CELL BATTERIES. (Continued from preceding page.) The strength of the various currents ranges from those which are so mild as to be scarcely perceptible, to the most powerful that can be endured by a strong man. The appliances furnished with the apparatus consist of 2 Metallic Tube Hand Electrodes, 2 Conducting Cords with tips, 2 Improved Sponge Electrodes, 1 Foot Plate Electrode, 2 Insulating Wood Handles for attachment to the two metallic hand electrodes, or to the two sponge electrodes, or to one of each. Moisten the sponges to use them, and have them as nearly dry as possible when put away in the box to close it. Physicians prescribing applications of the Faradic Current for patients, personally, at home, or by nurse, under specific directions, will find much satisfaction in using this form of apparatus, inasmuch as from its simplicity and entire absence of acids or liquids it is peculiarly suited to the use of those who are entirely unfamiliar with the care and precautions necessary for handling the ordinary acid batteries. The unusually complete and excellent set of Electrodes furnished with this instrument make it very convenient in a great variety of applications for the patient with or without assistance ; for instance, in the use of the two Sponge Electrodes, one in each hand, or, having one of them clasped against any part of the body by means of an elastic, while the other attached to its insulating handle can be applied wherever desired. Or, when the foot-plate is used, and the Sponge Electrode applied from the other pole of the battery, and in a great many other combinations which would naturally suggest themselves from the fact of having the electrodes with which to make them. PRICES. Lj. 4 Apparatus, with Battery and Electrodes complete.. . net,$io 00 Extra Battery, per Cell............................... Sponge Electrodes, with 2 handles.............per pair, Tube Hand Electrodes, with 1 handle.......... " Connecting Cords, 4 feet, with tips............. " Foot Plates.....................................each, Hair Brush Electrodes (extra).................... " (The latter are much used for Headache ) 90 25 90 5° 5° 25 The Burnley Dry Battery, which is used with this apparatus, being a standard staple commercial article made only in one size and shape, is easily obtainable at any Electrical Supply Store, or from us. SHARP & SMITH.. CHICAGO. 858C MICROSCOPES. Fig. 5457 A—CONTINENTAL MICROSCOPE. (Small.) The base of this stand has the horseshoe form, and is of japanned iron. Pillar is of brass ; the stage is square and has spring clips, which are readily removable ; a revolving diaphragm is attached to the under side of the stage, having four different size apertures. The mirror-bar is secured to the arm, and can be swung to any obliquity below the stage ; the mirrors are plane and concave. Coarse adjustment is by sliding tube, and fine adjustment by micrometer screw acting on triangular bearing of the arm. Main tube is provided with draw-tube, which will allow extension of tubes to the long standard. - Continued on following page. 856D SHARP & SMITH, CHICAGO. MICROSCOPES. Continued from preceding page. . The instrument is made in two forms : A With solid pillar and arm. AA With joint for inclination. Eyepieces are the Continental, object- ives of Series I. Upright polished case with receptacles for eyepieces and objectives accom- panies the outfit. A -Stand with I eyepiece, anypower$i8 oo "■ Ai Stand with I eyepiece and | in. ob- jective ...................• • 25 oo A2 Stand with 1 eyepiece and § in. and £ in. objectives........•. 40 00 A3 Stand with 2 eyepieces and | in. and I in. objectives.......• •. 43 °° A4 Stand with 2 eyepieces and 2 in., | in. and £ in. objectives.....49 00 AA Stand with 1 eyepiece, any power 20 00 AAi Stand with 1 eyepiece and f in. objective.................• • 27 00 AA2 Stand with 1 eyepiece and f in and | in. objectives.........42 00 A A3 Stand with 1 eyepiece and 2 in., f in. and \ in. objectives . . 48 00 Hi; Wk.\ AA4 Stand with 2 eyepieces and f in. ard \ in. objectives.......... 45 00 AA5 Stand with 2 eyepieces and 2 in., | in. and $ in. objectives.....51 00 Double nosepiece. brass finish, extra.. 5 00 Fig. 5448 B B—CONTINENTAL MICROoCOPE — See following page. SHARP & SMITH, CHICAGO. 856E MICROSCOPES. B—CONTINENTAL MICROSCOPE.-See preceding page. (medium.) This microscope is made of brass throughout, highly polished and lacquered. The base is of larger dimensions than any of the foreign instruments, and therefore more firm, particularly when the body is inclined. The stage is also of large size, thus allowing the use of culture slides without the danger of tilting ; a groove is provided on its lower surface for the slide with cylinder diaphragms, for convenience called slide A. This slide may be replaced by another (slide B), carrying standard size sub-stage, arranged to be centered, provided with our dome diaphragm. To this may also be fitted any of our regular sub-stage accessories, particularly the series of sub-stage condensers. Fine adjustment is by large micrometer screw and works on the triangular bearing of the arm. The main tube has a draw-tube which, when contracted, gives short standard of tube length with double nosepiece. The draw-tube- may be extended and is graduated in millimeters. The instrument is made in two forms: B With joint for inclination and sliding tube for coarse adjustment. BB With joint for inclination and rack and pinion for coarse adjustment. Eyepieces are the Continental, objectives of Series I. Upright polished case, with receptacles for eyepieces and objectives, accompanies the outfit. B Stand with i eyepiece (any power)......................................... $25 00 Bi Stand with 1 eyepiece and f in. and £ in. objectives......................... 47 00 B2' Stand with I eyepiece and 2 in., f in. and ^ in. objectives.................. 53 00 B3 Stand with 2 eyepieces and § in. and £ in. objectives.......................... 50 00 B4 Stand with 2 eyepieces and 2 in., f in. and jt in. objectives.................... 56 00 B5 Stand with 2 eyepieces and f in., ^ in. and i1^ in. oil immersion objectives....... 95 00 B5 Stand with 2 eyepieces and 2 in., | in., ^ in. and fa in. oil immersion objectives.. 101 00 BB Stand with 1 eyepiece (any power).............'............................ 35 00 BBi Stand with 1 eyepiece and f in. and £ in. objectives.......................... 57 00 BB2 Stand with 1 eyepiece and 2 in., f in. and £ in. objectives................. . 63 00 BB3 Stand with 2 eyepieces and § in. and \ in. objectiv s........................ 60 00 BB4 Stand with 2 eyepieces and 2 in., | in. and \ in. objectives................... 66 00 BB5 Stand with 2 eyepieces and § in., \ in. and fa in. oil immersion objectives...... 105 00 BB6 Stand with 2 eyepieces and 2 in., § in., \ in. and fa in. oil immersion objectives.. 111 00 Slide B, carrying standard sub-stage ring, with dome diaphragm, extra....... 4 00 Abbe condenser, 1.20 N. A., in mounting, No. 1678......................... 14 00 Abbe condenser, 1.42 N. A., in mounting, No. 1678......................... 16 00 Double nosepiece, brass finish, extra....................................... 5 00 Triple nosepiece, brass finish, extra.............. ......................... 9 00 For Table of Magnifying Powers, refer to page 856L. 856(1 SHARP & SMITH, CHICAGO. MICROSCOPES. Fig. 5449 C C—CONTINENTAL MICROSCOPE—See following page. 9999999 SHARP & SMITH, CHICAGO. 85UU MICROSCOPES. C-CONTINENTAL MICROSCOPE.-See preceding page. (large.) This instrument is made entirely of brass ; the base is of large dimensions and heavy, to secure extreme steadiness under manipulation in an inclined, upright or horizontal position ; coarse adjustment is by rack and pinion; fine adjustment by large micrometer screw working on the triangular bearing of the arm ; the head of the micrometer screw is graduated to ioo parts; an index point is provided. The main tube has a draw-tube which is graduated. When contracted, the tubes give short standard tube length with double nosepiece. This instrument is made up in five forms : C Plain square stage with groove, fitted with slide and cylinder diaphragms. Swinging mirror-bar with adjustable plane and concave mirrors. CA Plain square stage as in C ; sub-stage attachment, complete, No. 1684. CB Revolving stage with centering arrangement ; swinging mirror-bar with adjustable plane and concave mirrors. CC (As in cut.) Revolving stage with centering arrangement; sub-stage attachment, complete, No. 1684. CD Mechanical stage, revolving, with graduations and vernier ; rectangular movements with graduations ; centering arrangement; sub-stage at- tachment, complete, No. 1684. Eyepieces are the Continental, objectives of Series I. Upright polished case, with receptacles for eyepieces and objectives, accompanies the outfit. C Stand with 1 eyepiece (any power)...................................... .. $ 55 00 Ci Stand with 1 eyepiece and f in. and £ in. objectives........................ 77 00 C2 Stand with 2 eyepieces and § in. and £ in. objectives.......................... 80 00 CA Stand with 1 eyepiece (any power)......................................... 80 00 CAi Stand with I eyepiece and § in. and £ in. objectives....................... 102 00 CA2 Stand with 2 eyepieces and § in. and J in. objectives......................... 105 00 CA3 Stand with 2 eyepieces and 2 in., % in. and \ in. objectives ... ............. in 00 CA4 Stand with 2 eyepieces and § in. \ in. and fa in. oil immersion objectives...... 150 00 CA5 Stand with 2 eyepieces and 2 in., § in., \ in. and fa in. oil immersion objectives 156 00 CB Stand with 1 eyepiece (any power)........................................ 65 00 CBi Stand with 1 eyepiece and f in. and \ in. objectives......................... 87 00 CB2 Stand with 2 eyepieces and § in. and \ in. objectives........................ 90 00 CB3 Stand with 2 eyepieces and 2 in., f in. and \ in. objectives................... 96 00 CB4 Stand with 2 eyepieces and § in., \ in. and^ in. oil immersion objectives. . 135 00 CB5 Stand with 2 eyepieces and 2 in., § in., \ in. and fa in. oil immersion objectives 141 00 CC Stand with 1 eyepiece (any power)......................................... 90 00 CCi Stand with 1 eyepiece and § in., and \ in. objectives........................ 112 00 CC2 Stand with 2 eyepieces and f in. and \ in. objectives........................ 115 00 CC3 Stand with 2 eyepieces and 2 in., § in. and \ in. objectives...... ............ 121 00 CC4 Stand with 2 eyepieces and § in., \ in. and fa in. oil immersion objectives..... 160 00 CC5 Stand with 2 eyepieces and 2 in., § in., \ in. and fa in. oil immersion objectives 166 00 CD Stand with 1 eyepiece (any power)......................................... 13° °o CDi Stand with 1 eyepiece and § in. and \ in. objectives......................... I52 °° CD2 Stand with 2 eyepieces and § in. and \ in. objectives......................... 155 °0 CD3 Stand with 2 eyepieces and 2 in. § in. and \ in. objectives.................... 161 00 CD4 Stand with 2 eyepieces and f in , \ in. and fa in. oil immersion objectives...... 200 00 CD5 Stand with 2 eyepieces and 2 in., f in , \ in. and fa in. oil immersion objectives 206 00 For Table of Magnifying Powers refer to page 856L. 8561 SHARP & SMITH, CHICAGO. MICROSCOPES. Fig. 5450 E E—HARVARD MICROSCOPE. SHARP & SMITH, CHICAGO. 85(>K MICROSCOPES. E—HARVARD MICROSCOPE. The stand is made entirely of brass, with bronze pillar and arm. Although compact so as to allow its convenient use in an upright position on an ordinary table, it still gives sufficient range of adjustment for all ordinary work. The base is of the horseshoe form, with a projection at the back to give it steadiness when the body is inclined. Coarse adjustment is by a sliding tube in a cloth- lined sleeve, which gives an exceedingly smooth and firm movement; fine adjustment is by micrometer screw, with milled head of more than ordinary size, acting on our patent movement. The main tube also has a cloth lining, and is provided with a draw-tube graduated in millimeters, and with a mark indicating standard length. The stage is large, and provided with spring clips ; our dome diaphragm is attached to its lower surface by a sub-stage. The mirrors are plane and concave, of large size, and swing with the mirror-bar to any obliquity below the stage, and above it for the illumination of opaque objects ; they also have adjustment on the mirror-bar. E Is arranged with joint for inclination of the body. EE Is provided with rack and pinion for coarse adjustment, as well as with joint for inclination of the body. Eyepieces are the Huyghenian, objectives of Series II. unless otherwise stated. Polished case, with receptacle for eyepieces and objectives, with handle and lock, accompanies the outfit. With every complete outfit (stand and objectives) we supply eyepiece micrometer No. 1734 free; this cannot be used on powers less than C or 1 in. E Stand with 1 eyepiece (any power).........................................$27 00 Ei Stand with 1 eyepiece and £ in. and £ in. objectives..................-....... 50 00 E2 Stand with 1 eyepiece and 2 in., £ in. and \ in. objectives............-....... 56 00 E3 Stand with 2 eyepieces and £ in. and \ in. objectives.................. ...... 54 00 E4 Stand with 2 eyepieces and 2 in., £ in. and \ in. objectives................... 60 00 E5 Stand with 2 eyepieces and £ in., \ in. and fa in. oil immersion (Series III) ob- jectives .............................................................. 99 00 EE Stand with 1 eyepiece (any power)......................................K... 35 00 EEi Stand with 1 eyepiece and £ in. and \ in. objectives.......................- .. 58 00 EE2 Stand with 1 eyepiece and 2 in., £ in. and \ in. objectives.................. 64 00 EE3 Stand with 2 eyepieces and £ in. and \ in. objectives.........................<■ 62 00 EE4 Stand with 2 eyepieces and 2 in., £ in. and \ in. objectives.................... 68 00 EE5 Stand with 2 eyepieces and £ in., \ in. and fa in. oil immersion (Series III) ob jectives.............................................................• 107 00 EE6 Stand with 2 eyepieces and 2 in., £ in., \ in. and fa in. oil immersion (Series IIP objectives........................................................... 113 00 Abbe condenser, 1.20 N. A., in mounting, No. 1678, extra.................... 14 00 Abbe condenser, 1.42 X. A , in mounting, No. 1678, extra.................... 16 00 Double nosepiece, brass finish extra........................................ 5 00 Triple nosepiece, brass finish, extra........................................ 9 ">o For Table of Magnifying Powers refer to following page. 856L SHARP & SMITH, CHICAGO. LINEAR MAGNIFYING POWERS OF OBJECTIVES AND EYEPIECES. STANDARD TUBE LENGTH, 8.5 in., 216 mm. Objectives. 3 in. 2 in. i\ in. 1 in. £ in. i in. iin. r 2 in. (A) 15 25 33 40 50 70 176 iiin. (B) 21 35 42 55 70 102 247 eyepieces - 1 in. (C) 30 50 66 80 100 140 353 £in. (D) 42 70 84 no 140 205 495 I iin. (E) 60 100 132 160 200 280 705 TUBE LENGTH, 160 mm. 2 in. fin. i in. fa in. 18 29 135 460 26 42 260 675 37 58 370 920 52 84 520 1350 74 116 740 1840 INSTRUCTIONS FOR USING EYEPIECE MICROMETER. As the eyepiece micrometer is not compared directly with the object itself, but only with the image of it formed in the focus of the eyepiece, it is only when the exact proportion between the size of the object and that of its image is known, that measurements of the object can be readily determined by the eyepiece micrometer. This proportion depends upon : 1st, the focus of the objective ; 2d, the distance of the image from the object; 3d, the focus and the place of the field- lens when the latter is situated between the objective and the image. As these relative conditions are not of equal value in all microscopes, and consequently the relative sizes of the images, as formed by different objectives of the same rating, are not always the same, these sizes have to be ascertained for each microscope and objective separately. To reach this result, a reliable stage micrometer should be used as an object, and its image accurately measured with the eyepiece micrometer. The figures designate the proportion of the linear measure of the object, the latter being taken as 1. The actual size of any object is therefore obtained when the size of its image, which is obtained by direct measurement by means of the eyepiece micrometer, is divided by the figures so obtained. For adjustable objectives, the figures are intended for close adjustment. In instruments having draw-tube, make measurements when tube is at standard length. 25.4 mm.=i in. STANDARD TUBE LENGTH, 8.5 in.. 216 mm. ECTIVES. Kin-210 h in-265 g in. hi in- fa in. fa in. f 2 in. (A) 360 450 570 690 1 1* in. (B) 295 385 540 660 845 1025 { 1 in. (C) 420 530 720 900 1140 1380 f in. (D) 59° 770 1080 1320 1690 2050 I iin. (E) 840 1060 1440 1800 2280 2760 SHARP & SMITH, CHICAGO. (Cut one-third of actual size.) Pig- S45L—No. 505-A.—BAUSCH & LOMB'S STUDENT MICROSCOPE. This Microscope is the result of an effort to reach the utmost efficiency and simplicity at an exceedingly low price. Everything pertaining to it is well made and finished, and we feel sure will fill a popular demand. In order to make up a complete low-priced outfit, we have given special attention to the optical parts, and as a result have devised two "' Special " objectives, 1 inch 150 and J^ inch 65°, which, although low priced, may be relied upon as giving as good results as can be obtained with such angular aperture. They are perfectly achromatic, with penetration and good resolving power, the X showing the lines on P. Angulatum, while it has very long working distance. Where price, however, is not the principal consideration, we would invariably recommend the selection of our higher grade objectives The stage has spring clips ; on its lower surface is attached a revolving diaphragm, and it is also provided with a screw, to which a sub-stage may be attached. The mirror is concave and is attached to a bar, the axis of which lies in the plane of the stage, so that illumination may be brought on the object from any point below or above the stage. The mirror-bar is also provided with sliding adjustment for mirror, so that proper illumination of the object may be obtained. In No. 505-A the coarse adjustment is by sliding tube in cloth-lined sleeve. No. 505-B has a well made and delicate rack and pinion for coarse adjustment. The fine adjustment in both in- struments is by delicate micrometer screw acting on our patent fine adjustment. The main tube has cloth lining, and is provided with draw tube, by which means standard optical tube-length may be used. See following page for prices of above. 95 858 SHARP & SMITH, CHICAGO. MICROSCOPES. FIG. NET. ^5451 No. 505 A, Stand with one eye-piece, in cherry case..........$16 00 *5451 No. 505 B, Stand as above wi*h rack and pinion for coarse adjustment.................................. 23 00 ^5451 No. 506 A, No. 505 A with 1 iiv .1 and % inch "Special" objec- tives; magnifying power 80 to 375 diameters....... 30 00 ^5451 No. 506 B, No. 505 B with 1 inch and % inch " Special" objec- tives, magnifying power, 80 to 375 diameters...... 37 00 ^5451 No. 507 A, with No. 505 A with 1 inch (No. 604) and %. inch (No. 608 or 609) magnifying power, 80 to 375 diameters..................................... 38 00 ^5451 No. 507 B, No. 505 B with 1 inch (No. 604) and % inch (No. 608 or 609) magnifying power, 80 to 375 diameters.....43 00 5452 Sub-stage ring, to receive any sub-stage accessories, extra...... 1 00 5453 Sub-stage with revolving diaphragm, extra................... 2 00 5454 Glass stage and slide carrier, extra.......................... 5 00 No. 5455.—MODEL MICROSCOPE. (Cut one-third actual size). Fig. 5455—No. 520.—Bausch & Lomb's Model Microscope. We have constructed this micro- scope in compliance with a generally expressed demand for a simple, low- priced and well-made instrument, which is adapted to every grade of work, and claim that in it we have a model which possesses, in an eminent degree, these qualities. It is of chaste design, its parts are all calculated to bear the strain of every day work, and on this account, and because of its simplicity, it may be used by inexper- ienced hands without detriment or injury to it. This microscope especially rec- ommends itself by requiring a small- er pecuniary outlay than any of sim- ilar construction, and may be supplied with valuable additions, such as our revolving and glass stages, mirror bar with adjustable mirror and sub-stage, all of which greatly increase the effi- ciency, and add but little to the price of the instrument. The tripod base, pillars and arm, are neatly japanned ; the axis is ar- ranged with strong bearings to allow inclination of the body to any angle. Coarse adjustment is by perfect rack and pinion, provided with tightening screws ; fine adjustment by a delicate micrometer screw, acting on our pat- ent movement. SHARP & SMITH, CHICAGO. 859 MICROSCOPES. The stage is of brass, circular in form, very thin to allow great obliquity, but of sufficient strength to be firm under manipulation, with detachable spring clips. Attached to its lower side is a sub-stage ring and revolving diaphragm, both of which may be removed. The main tube has a draw tube, which is provided with the society screw to receive low power objectives, amplifier or analyzer of polariscope. Plane and concave mirrors are adjustable on the mirror bar, which is a feature possessed by few low-priced instruments, although it is of considerable importance, from the fact that a change in the distance of the light requires a corresponding ad- justment of the mirrors. The mirror bar swings on a large bearing (the axis of which lies in the plane of the stage) to any obliquity below and above the stage, the latter for the illumination of opaque objects. Fig- 5455> No. 520. Stand, with any of our Huyghenian eye-pieces, in upright polished case,with handle and lock, drawer for accessories, and receptacles for eye-pieces and objectives ....................................$25 00 net. Fig- 5455> No- 521- The above with two objectives, 1 inch, (No. 604), and^ i°ch (No. 608 or 609), and camera lucida, pliers, slides and covers......................... 45 00 Revolving stage, with removable spring clips, extra.............. 5 00- " Improved glass stage with slide carrier, which slips over either plain or revolving stages, extra........................ 5 00 " Graduated mirror bar, with mirror and sub-stage (both adjustable) same as that used on Investigator, in place of that ac- companying stand, extra........................ 5 00 " Pi& 5456—No. 530.—PHYSICIANS' MICROSCOPE. This instrument has enjoyed a popularity since its first introduction. It has from time to time been improved, and within a year has been entirely remodeled, although its original features are all retained. Under all these improvements it has remained at the same price, and even now, although con- siderably more valuable than formerly, we have decided to make no change. We believe that we are therefore in a position to claim that no instrument of equal efficiency is offered for the price. It is firm, compact, and will give the various adjustments, and will permit the use of such accessories as modern ex- aminations require. The base is japanned and of neat design. Pillar and arm of bronze, con- nected by a well fitting joint, for inclination of the body to any angle. Coarse adjustment is by rack and pinion, giving a long range; fine adjustment by mi- crometer screw acting on our patent movement; main tube has drawn tube provided with society screw. The stage consists of our square glass stage and slide carrier attached to a firm projecting fork, to which is also attached the sub-stage. The latter may be centered or entirely removed, and receives the revolving diaphragm and accessories. The plane and concave mirrors are adjustable on the mirror bar, and this swings to any obliquity below the stage and above it for the illumination of opaque objects, on a center in the plane of the slide carrier. We furnish with this instrument, at the choice of the purchaser, either the base described above or the brass base of the Harvard microscope; unless espe- cially mentioned however, we always send the japanned base. 51 860 SHARP & SMITH, CHICAGO. MICROSCOPES. PHYSICIAN'S MICROSCOPE. FIG. 5456 No. 530—Stand with any of our Huyghenian eye-pieces, in upright polished case, with handle and lock, drawer for accessories, and receptacles for eye- pieces and objectives......................$4° °° ^et- r The above with eye-pieces A (No. 700) and C (No. 702), the latter arranged with slot for micrometer. Objectives J inch (No. 605), and \ inch (No. 610 or 611). Camera lucida, eye-piece micrometer, pliers, slides and covers. Magnifying powers, with tube at full length, 50 to 485 diameters....................... 65 00 The above, when double nose-piece is ordered with it, extra...... 5 00 5456 No. 531 < (Cut one-third actual size). Fig. 5456—No. 530—Bausch & Lomb's Physician's Microscope. SHARP & SMITH, CHICAGO. 861 MICROSCOPES. F»g. 5457-—No. 540.—INVES- TIGATOR MICROSCOPE. In this stand we confidently claim to have reached a higher degree of perfection than is possessed by any other approx- imating it in price. It com- bines, in a moderate-priced in- strument, the features of a first class and high priced stand, at no sacrifice of its working qual- ities. The different parts are ingeniously combined, are firm and strong, and in the parts subject to friction we have in- troduced, as much as possible new compensating bearings,, which enable the instrument to endure any amount of work and still retain smooth and re- liable movements. Working microscopists will understand the value of this quality. When contracted, it stands but eleven inches high, but can be extend- ed to eighteen inches. The base is of brass, and has the tripod form; pillar and arm (cut one-third actual size). of brass> connected by a solid F*g- 5457-—No. 540.—Bausch & Lomb Investigator joint, which allows inclination Microscope. of the body tQ any angle; rack and pinion for coarse adjustment, fine adjustment by our patent frictionless motion; main tube with two draw-tubes, which is an entirely new feature in mi- croscopes and is an unquestionable improvement. It permits the use of standard length of tube for quick adjustment in outside tube, same as in instruments without rack and pinion adjustment; the same for any low power objective and the use of amplifier in either combination. The outside tube has a broad gauge screw, and adapter with society screw. The stage lies in the same plane as center of movement for mirror, is of brass and has concentric, revolving mo- tion with removable clips. It is thin to allow great obliquity, and as it rests upon a strong projecting arm, is perfectly firm under any manipulation CONTINUED ON FOLLOWING PAGE. 862 SHARP & SMITH, CHICAGO. 5457 No.54i.% f 15 6}i x 2,Ya i 50 m*3% 2 oc 5% *3% 1 40 6^x3% 1 60 8 x3^ 1 70 8^x3^ 1 90 SHARP & SMITH, CHICAGO. 875 PHYSICIAN'S HAND AND BUGGY CASES. Fig- 555o Black or Red Boarded Leather, stitched, lined with red box leather, satchel handles, nickel trim- mings. Contains : 26 three dr. C. S. bottles, 26 one oz. C. S. bottles, 4 three oz.C.S.bottles, and space for powders, instruments, etc. Size, 12 x 7J4 x$y. Price.......$10 00 5550—Open Fig- 555i Same as Fig, 5550, Black Imitation Seal Grain Leather covered, glued, other- wise same as No. 5550. Size, 12 x 7% x sYa- Price........... 5*5 '876 SHARP & SMITH, CHICAGO. PHYSICIAN'S HAND AND BUGGY CASES. 5552 Fig. 5552 Seal Grain Buffing covered, red leather lined, dark loops, nickel trimmed. Contains : Space for sundries, loops for instru- ments on one leaf, 12 four dr. C. S. vials, 9 one oz. C. S. vials, 28 two dr. C. S. vials. Size, 10^x5^x5. Price.................. $jo 00 Fig- 5553 Same as Fig. 5552, made of cheaper material. Price..... 8 50 Fig- 5554 Black Grain Leather covered. Contains: 9 one oz. vials, 24 four dr. vials, 10 two dr. vials, 1 space for graduate ; loops for instruments under cover with flaps, large pocket and boxes for hypodermic syringes. . A neat and compact case. Size, 9^x6x4. Price......................................................$10 00 SHARP & SMITH, CHICAGO. 877 PHYSICIAN'S HAND AND BUGGY CASES. 5554 Fig- 5554 Black Imitation Seal Grain covered, chocolate leather lined on front and back cover and flaps, folded handle,fourfeet or buttons on bottom. Contains: i row 8 one oz. vials, i row io four dr. vials, i row 12 two dr. vials, pocket in drop front for powders, two rows of loops for instruments in cover (not shown in cut) without flaps. Size, 93M51k*3%- Price.... $4 5© Fig. 5555 Same style as Fig. 5554. Seal Grain covered, chocolate lined, drop front and back. Contains : 1 upright row of 9 one oz. vials, 1 upright row of 11 five dr. vials, 1 row on flap of 12 three dr. vials, pocket on back flap, loops for instruments under cover with flaps. Price...................................................... 50 5556 Fig. 5556 The Improved Leader is fitted with Patent Silver Plated Springs for holding bottles, to prevent corrosion ; Capitain Improved Com- bination Corners (Patented August 16, 1892); metal covered flanges at head of corks, preventing same from coming out and spilling contents ; nickel binder around center partition, adding finish and durability to case ; nickel spring lock and key, and nickel name plate. Is thoroughly dust proof. Is made of extra heavy black grained waterproof leather (cowhide), stitched around the edges and lined with thoroughly durable material. The Leader contains 5 two and one-half oz. bottles, 26 three dr. and 26 one oz. vials, and space for powder papers, loops for instruments, etc. Dimen- sions 12 inches long, 6y2 inches high, 5 inches wide. Price each.....................................•.......$IQ °° 878 SHARP & SMITH. CHICAGO. PHYSICIAN'S HAND AND BUGGY CASES. 5557 Cabinet Medicine Bag. Dimensions, 5^ inches wide, 6 inches high, and eleven inches long. Made of best Black Seal Grain Bag stock, leather covered steel frame with nickel trimmings. Con- tains : 22 one ounce and 22 three drachm vials, pocket for powder papers, and space 2x6x11 inches for sundries. The advantages of this bag are that the partitions holding the vials are entirely remov- able, thus allowing the bag to be used for traveling, or for carrying instruments, when so desired. It is also the most genteel looking Physician's Case, being devoid of all nickel trimmings, such as cor- ners, etc., ordinarily found on medicine cases. Above all, it is substantially made, and with ordinary care will last a good many years, answering, as above stated, for several purposes—a feature highly to be appreciated by the physician. Price each .................$10 75 Fig. 5558 Same as Fig. 5557, but 10 inches long, and containing 26 four drachm and 26 two drachm vials, and space for sundries, 2x6x10 inches. Price each............$10 75 5557 Fig The vials in both cases are held by Patent Silver-plated Springs. 5559 Columbia Aseptic Buggy Case. Patent Silver Plated Metal Springs for Holding Bottles, cut from con- tinuous strip of spring brass, silvered and lacquered, patented September 2, 1890. Capitain Corner, solid foot, and socket for same in one piece, pat- ented August 16, 1892. Dimensions, io|^ inches long, b% inches high, 4^ inches wide. Contains 24 one oz. and 24 three dr. vials, also space for sundries, 10x5 YzX.y% in. The outside is made of extra heavy black grained leather 5559 (waterproof), stitched around the edges, and is fitted with the Capitain Patent Improved Combination Corners, nickel spring lock and key, and substantial handle. The inside con- sists of metal trays, to which are securely riveted the Patent Metal Springs for holding the vials, also metal flanges at head of corks. All are silver plated and lacquered to prevent corrosion. Price each, complete.......................................$12 00 Fig- 556o Black Morocco covered, black glazed leather lined flaps, black BB muslin in body, purple velvet panel on drop front and cover. Contains : 6 one and a half oz. square G. S. vials, 12 one dr. C. S. vials, 6 three dr. C. S. vials, pocket on drop front under vials. Size, Sj4 x a,% x 2%. Price..............$4 50 5560 SHARP & SMITH, CHICAGO. 878A PHYSICIAN'S HAND AND BUGGY CASES. Fig- 556t Genuine Seal Skin cov- ered. Contains : 2 iy oz. square G. S. vials. 6 1 oz. C. S. vials 8 4 dr. vials. 15 3 dr. vials. Loops in cover for instruments, with flaps to fasten down, large size pocket. Size, g% x $y x3. Price...................$10 50 5561 Fig. 5562 75 Vial Case, has double rows of one drachm vials on one partition, the other partitions have three pjrp^S^i^5 drachm vials ; case com- ^flp£^§PSifll plete has 30 one drachm, )Si8g»«i—^~-*5&v\ as. three drachm vials. Price each (red or black), $11 00 m-p^XT-.....'; ■■■■■■■■■■■ w 5562 Fiz SK6* is a 90 Vial Case, has double rows of one drachm vials on two partitions ; the other partitions have one row on each side of three drachm vials ; case complete has 60 one drachm, 30 three drachm vials. Price each (red or black)..............:\"V"\i......*XI 25 Fis- ^64. ka Vial Case, has one row of one ounce vials, the other par- titions have three drachm vials; case complete has 9 one ounce, 4c three drachm vials. Price each (red or black).............. 1075 Fi ^6, -x vial Case, has one row of one ounce vials, the other par- tition four drachm vials, center partition one row on each side of three drachm vials ; case complete has 9 one ounce 12 four drachm and 30 three drachm vials. Price each (red or black)............ 10 75 878B SHARP & SMITH, CHICAGO. PHYSICIANS' HAND AND BUGGY CASES. SATCHEL BUGGY CASES. Fig- 5566 Satchel style, made of black bag leather, 10 in. frame, covered, nickel spring lock and key, name plate, etc. Contains: 20 one oz. vials, 11 four dr. vials, 20 three dr. vials, pockets, loops for instruments, box for hypo- dermic syringes, etc. Size, 10x7x4. Price........$11 50 5566 Fig. 5567 Bag made same as 5566, 8 inch, with three movable flaps, Contains : 2 rows, 7 each, one oz. vials, 1 row, 9 each, three dr. vials, 1 row, 9 each four dr. vials, loops for instruments, pockets for powders, and hypodermic syringe box. Price.............. .........................$10 00 Fig. 5568 Bag made same as 5566, 8 inches. Contains: 3 rows, 9 each, five dr. vials, 1 row, 7 each, one oz. vials, loops for instruments. Price.................$9 50 Fig- 5569 Satchel Style, black bag leather, 10 inch frame, covered, nickel spring lock and key, name plate, etc. Contains: 1 row 10 one oz. C. S. vials, 1 row 12 five dr. C.S. vials, 1 row 11 four dr. C. S. vials, 1 row 8 one oz. short C. S. vials. With box full depth of one side of bag, and box for hypo- dermic syringes. Price..........$11 50 SHARP & SMITH, CHICAGO. 878C PHYSICIANS' HAND AND BUGGY CASES. "THE LATEST IMPROVED WESTERN LEADER MEDICINE CASE." Fig- 557° The Latest Improved Western Leader Medicine Case. The bottles in this case are held by our Comstock patent springs which are cut from a plate of spring brass, silvered and lacquered, all metal bottle holders. The centre partition is done away with entirely with its leather or cloth covering, hinges, etc. The cleanable feature of these bottle holders is one of the chief merits of the case. The sides, bottom and top of the cover are cut from one piece of our specially prepared morocco grain, oil filled, waterproof, solid leather, which laps over extra strong brass hinges and forms double hinges for the case. It contains our patent Capitain corners, extra heavy, wide mouth, annealed bottles, and is made strong and durable in every way. By making them in large quantities and by our improved methods we are able to reduce their cost to the minimum. The size and weight of the case has been reduced about 20 per cent, with the contents essentially the same as the former Leader. This is attained by utilizing all the waste space in these former cases. Dimen- sions of case 10^ inches long, 6 inches high, 4^ inches wide; contains 4-3 oz., 24-1 oz., 24-3 dr. and space for sundries 5%xA%xiy% inches. 873 D SHARP & SMITH, CHICAGO. PHYSICIANS' HAND AND BUGGY CASES. THE "COMMON SENSE" BUGGY MEDICINE CASE. 5571-Open. 5571-Closed. This Case is made especially for Country Practice with a view to DURABIL- ITY, CLEANLINESS, COMPACT- NESS, PRACTICABILITY, SIMPLICITY and CHEAPNESS. The dimensions are 11 in. long, 6 in. wide and 6 in. high, Fitted with a strong leather handle reinforced with a metal band on the inside of same which is bent around the rings form- ing a loop, preventing the ends of handle from tearing out and coming loose heavy nickel lock with key, besides two extra heavy hinge hasps at the ends, so that when closed and carried by the handle the strain is evenly distributed. Five solid metal feet are securely riveted to the bottom. The outside of case is made of extra heavy, oil filled black sole leather hand stitched, and all the trimmings are riveted securely with copper or tinned burrs. The inside consists of three partitions, divided by solid leather pieces securely riveted. The center partition is intended for sundries, and its dimensions are 10 >| x6x2 inches; the other two partitions contain two removable metal bottle holders, to which are securely riveted our Western Comstock Patent Springs, the holders and springs being silver plated and lacquered to pre- vent corrosion. The bottles contained in this case are 7-2^-oz., 24-1-oz. and 24-3-dram. We can make cases of the same construction containing any combination of bottles, and adapted to any school. This case will outwear any two cases made in the ordinary way. Will stand the hardest knocks and roughest handling. The main part of the case is made of one piece of leather, lapping over in front and having no opening on top. Can be easily cleaned with a blacking brush and sponge. Should repairs ever become necessary, the construction of the case is so simple that any har- ness maker can do it, thus saving the annoyance, expense and time of sending it to the manu- i s. c t u rcrs ESPECIALLY ADAPTED TO COUNTRY PRACTICE AND ROUGH USAGE. Only Extra Heavy Oil Filled Sole Leather and Metal USED IN ITS CONSTRUCTION. No Wood, No Thin Leather, No Hinges, No Paste, No Olue, No Cardboard, No Strawboard, No Muslin, No Cloth, No Paper, No flachine Stitching. Unaffected by Rain, Snow, or Mud, PRICE, t.OO. SHARP & SMITH, CHICAGO. 879 MARSHALL'S PATENT CONVERTIBLE SADDLEBAGS HAND CASE. Fig. 2. Fig. I is Fig. 2 in Saddlebags Form. Fig. 2 is Fig. i in Hand Case Form. Original and Only Perfectly Convertible Hand Case Saddlebags in the World. Has two trays, one on either side, 7>4 in. long, 2% in. deep, by 2^ wide, 12 iy oz. G. S. Bottles, 16 6-dram and 8 2-dram cork stoppered vials. Total, 36 bottles. Spaces between round and square bottles for papers. Sent prepaid, to your nearest express office on receipt of price. Nos. 36 or 59 A Grade or Russet Leather..........................$16 00 " " " B " Black « ......................... 15 50 A and B Grades are exactly alike in every respect except color of Leather. Size of case, 6x8 wide x8 high. No. 36. Price of the Pat. Top or Coverlid.."........................$1250 The size of the regular make, either A Grade—Russet; B Grade—Black, or "The Leader" Casebags is 6x8x8. They all convert equally well, joining perfectly by a hinge device, thus swal- lowing up the piece that crosses the saddle when it is desired to use it as a Buggy case. Fine maroon colored leather lining. (No tin to rust.) They are perfect, and excel all other cases in the market, either as a first class Buggy Case, or Saddlebags, and shift instantly to either form or article as needed. The " Leader" is as fine in appearance as either A or B Grades, having same internal arrangement, and has same silver trimmings, but patent leather instead of leather flap or cover lid, and the lid projects (at ends ) instead of bow-cap. When case is open the whole interior is in full view, and any article can be removed, as wanted, without disturbing another. Every case warranted. In ordering please designate by grade—A, B, or Leader—as desired. ONE ARTICLE IN TWO FORMS. ^h^P Box Pattern» No- 33- $10.00. ~z^> f/. Cut No. 33 converts by same hinge device as & Nos. 36 and 59. Here bags are shown arched over f the respective Buggy-case into which they convert. Contents : 1 sundries space, 11 i-oz. screw top ; 11 6-dr. 11 5-dr. cork stoppers. The No. of case indicates the bottles and vials e contained. When ordering do not allow any dealer BUBbT-Cflbt-5/lUULt-Bflba tQ t vou off with) or substitute any other case. See that each Case-bag is branded with registered number, and bears the name Marshall, with date of patent. SHARP & SMITH, CHICAGO. MEDICAL SADDLE BAGS. MEDICAL SADDLE BAGS. BEST RUSSET BRIDLE LEATHER PATENT LEATHER COVERS. Space under Covers for Instruments, etc. Pattern Mahogany Drawers in the end of lower part. Solid Leather Drawers one Dollar extra. f No. i, containing 201 oz., 4 1^ oz. bottles, ground stoppers®. 10 60 I Ex. No. 2, " 201 oz.,4i/2oz. " _. J and pockets ... n 50 Fig. 5679i No3; « i6ioz,4i^oz. " " " .... 9 75 No. 4, " 16 1 oz., bottles, glass stoppers.......... 8 75 [No. 5, " 161 oz., " cork •' ........... 765 MEDICAL SADDLE BAGS. MADE OF BEST RUSSET BRIDLE LEATHER, PATENT LEATHER COVERS. Drawers of Polished Mahogany, Velvet Lined. 5680 'No. 6, containing 12 1^ oz., 12 y oz., 24 bottles..........$10 20 No. 7, " 10 y oz., 10 y oz., 20 " .......... 9 35 No. 8, " 81 oz., 8 % oz., 16 " .......... 8 50 Fig. 5680 < Flat Pattern—Two Flaps. No. 9, containing 10 1 y oz., 10 y oz., 20 bottles........$ 975 No. 10 " 12 iy oz., 12 y oz., 24 "........... 10 60 SHARP & SMITH, CHICAGO. S81 MEDICAL SADDLE BAGS. Box Pattern. No. n, containing 20 ground stop- pered bottles............$9 35 Fig. 5681. " 5..4 7..2 6..1 ... 18 975 10 1% 5% 8, " 4.-4 9.-2 12..1 b..Y2 31 " 9° 13 9H 5U (all the above with locks). 882 SHARP & SMITH, CHICAGO. CLASTIC ANATOMICAL MODELS OF DR. AUZOUX. FIG. 5700 Complete model of a male human body, 5 feet 10 inches high, composed of 92 parts that may be detached, and exhibiting over 2,000 details of the viscera, muscles, nerves, blood- vessels, etc.; that is all that may be embraced in a complete treatise of anatomy 57°i I1200 00 Dr. Auzoux' Models, Male or Female, (Manikin) Mounted on Stand (imported to order only). Model of a man 3^ feet high, consisting of the same pieces and exhibit- ing the same details as the large model....... 600 00 5702 Female pelvis, with inter- nal and external organs of generation, lumbar vertebrae, diaphragm, muscles, aponeuroses of the perineum, vessels and nerves........... 150 00 5703 Eight uteri, containing the product of concep- tion at the 1 st, 2d, 3d, 4th, 8th and 9th months, with examples of tubular and ovarian pregnancy. 150 00 5704 Dura mater, with a por- tion of the basis of the cranium, half again as large as life, exhibiting its folds, venous sinuses, Pacchionian glands, etc. 40 00 5705 Adult heart, separable into two parts, showing the right and left cav- ities, muscular fibers, vessels, nerves, orifices and valves............ 25 00 5706 Heart of foetus, large size, separable into two parts, showing the right and left cavities, the foramen ovalis, t the Eustachian valve, the arterial canal, etc.................. 25 00 5705 Eye, complete, greatly enlarged. Improved model, on which is ex- hibited— not only the muscles, vessels, nerves, membranes, vitreous body and crystal lens, in separable parts; but also the different micro- scopic strata of the re SHARP & SMITH, CHICAGO. «83 fig. tina, choroid and iris, as they are described by modern anatomists.............,.............................$ 35 00 5706 Eye, divided by a vertical section, and representing its inner half with all the foregoing details and the disposition of the anterior and posterior chambers; and in addition, a portion of the orbit, the conjunctiva, the structure of the eyelids, the Meibomian glands, the lachrymal canals and points; the muscles of Horner, etc................................ 35 00 5*'07 Temporal Bone, 2 feet long, showing the internal, middle and external ear, in their most minute details; the expansion of the auditory nerve, the fenestra ovalis, fenestra rotunda, mem- branous canals, endolymph, perilymph, double spiral of the cochlea, infundibulum, etc. All parts of this model are sep- arable, and by its means the mechanism of audition may be clearly explained and understood...................... 60 00 3708 Temporal Bone, half the size of the preceding, showing the ear in the same manner................................... 40 00 5709 Gigantic Larynx, 12 inches long. On this preparation each muscle and cartilage may be separately removed, and its action demonstrated; also the action of the vocal chords and the mechanism of the voice........................ 75 00 COLLECTION OF ANATOMICAL MODELS OF PLASTER PARIS. THEY APPEAR IN THEIR NATURAL COLORS AND ARE NOW RECOMMENDED KY A NUMBER OF PROMINENT COLLEGES. ne. (A.) MAGNIFIED MODELS. 5710 No. 1.—Human heart, front part to be taken off, showing the four chambers of the heart, together with their respective openings and valves.................. .$ 8 50 5711 No. 2.—Human eye, the upper part of the pupil (with a micro- scopic illustration of the retina) to be taken off, so as to show the cornea, iris, the vitreous body and crys- talline lens..................................... 7 00 5712 No, 3.—Human ear, showing the drum and membrana tympani, the ossicles, labyrinth, and the cochlea half open... 8 50 5713 No. 4.—Human skin, vertical section, showing the sudoriferous glands, the organism of the hair, the pigment granules, and the organs of feeling......................... 4 50 5/14 No. 5.—Human teeth, showing a section of left lower jaw, development and structure of the teeth............ 450 (B.) MODELS, NATURAL SIZE. 5715 No. 6.—Human brain: a. Upper view.................................$ 4 °° b. Under view................................. 4 °° c. Vertical section from front to back............ 4 00 d. Horizontal section, showing the cavities........ 4 00 e. Skull, the brains to be taken into sections....... 14 00 5716 No. 7.—Human head, with part of the neck, various sections: a. Outer view, snowing the muscles, bloodvessels and nerves............................... 7 25 b. Inner view, showing the cavity partially opened, position of the eye, the upper and lower jaw.. 7 25 c. Sections showing the brain and the cavity of the nose, mouth, larynx and pharynx............ 7 25 884 SHARP & SMITH, CHICAGO. 4 5° 4 5° 5° 5717 No. 8,—Human Lungs, Heart and Larynx: a. Anterior view of the lungs and heart, the pericar- dium being laid open; the anterior portion of the left lung is removed in order to show the bron- chial ramifications..........................$ b. Posterior view of the lungs and heart with a repre- sentation of the bronchial ramifications, air cells and bloodvessels............................ 5718 No. 9.—The organs of respiration. Air passages, lungs and heart: The anterior part of both lungs, with the heart, can be taken off, laying open the ramifications, of the windpipe within the lungs, the connections of the pulmonary bloodvessels with the heart..... 14 00 5719 No. 10.—Human Larynx: a. Larynx, front view, with hyoidean bone and thy- roid gland................................. .3 b. Back view, showing the glottis and its ligaments.. ' 3 c. Larynx, in connection with the lungs and pharynx, open behind................................ 4 50 5720 No. 11.—Human joints, laid open with their bones and ligaments: a. Shoulder........$3 00 e. Hip, open......... 3 50 b. Elbow, front view 3 00 /. Knee, open........ 350 c. Elbow, side view. 3 00 g. Foot............. 4 50 d. Wrist and harid.. 4 00 5721 No. 12.—Human Trunk (torso), with the viscera of the thorax and abdomen (lungs, liver and stomach to be removed) 35 00 Charts. Cutter's (set of 10)...................................... 12 00 HUMAN OSTEOLOGY. The cause in the difference in price of these preparations will be found to exist in the quality of the same, whether the bones contain in their extremity more or less grease, or none at all. FIG. *5722 No. 1. Articulated Skeleton (Male or Female), $25 00 to $65 00 5723 No. 2. Disarticulated Skeleton.... ..... 30 00 to 4000 5724 No. 3. Skeleton, articulated according to Beauchene, with support.......... 300 00 *5725 No. 4. Disarticulated Skull (in box with com- partments)...................... 12 00 to iS 00 *5726 No. 5. Skull, with teeth, lower jaw fastened by elastic wire ................ 6 50 to 9 00 *5727 No. 6. Skull, with one horizontal cut................. 8 50 ♦5728 No. 7. Skull with one horizontal cut, and one vertical cut. 10 50 *5729 No. 8. Skull, sawed into seven sections, exhibiting the sinues—the bones can be disarticulated, so as to show the middle and interior ear........ 22 50 5730 No. 9. Internal and Median Ear, with bloodvessels and nerves............................... ... 3200 *573i No. 10. Hands or feet, each....................... 3 00 5732 No. 11. Arm, mounted according to Dr. Duchesne, for the demonstration of the action of the muscles, 55 00 5733 No. 12. Leg, the same.............................. 55 °° 5734 No. 13. Male and female pelvis, with ligaments, each, 14 00 without ligaments ........................ 7 5° 5735 No. 14. Foetal Skulls................................ 250 5736 No. 15. Foetal and Embryo Skeletons (under glass shades) 18 00 *5737 No. 16. Skull and Cross Bones...................... 650 *5738 No. 17. Spinal Column.............................. 6 00 5739 No. 18. Femurs.................................... 1 85 5722 French Skele- ton, Articulated, and Disarticulated. SHARP & SMITH, CHICAGO. 885 Figs. 5725 to 5729—Separated Skulls on Stands or in Boxes, divided into Compartments. Fig- 5737—Skull and Cross Bones. Fig. 5739—Femurs. SHARP & SMITH, CHICAGO Fig> s75o—Cabinet, with desk top closed. PHYSICIAN'S CABINET. We desire to call attention to ournew styles of Physician's Cabinet, as shown in cuts. It is a very tasty and conven- ient piece of furniture for office use, specially manufactured for the use of the gynecologist, surgeon, oculist, den- tist, and the general practitioner. It comprises a desk top, five drawers, four revolving shelves, a towel rack, and a sliding table. The revolving shelves are so arranged when open, the oper- ator has his instruments conveniently within reach. (See cut). Trimmings are in silver or brass (stylish patterns) mounted on boxwood casters. We make them in antique oak and solid walnut. Height of cabinet, including desk top to railfng, 63 inches. Height of cab.ne , without desk top, to railing, 4°.inches Width of cabinet, 28 inches. Depth ot cabinet. 16 inches. . , , See next page for illustration of cab- inet with desk top open ; also prices of cabinets. 5751 SHARP & SMITH, CHICAGO. 887 Fig. 5750—Cabinet with Desk Top—Open. 5752 Fig. 5752—DR. JOHN EDWIN RHODES' IMPROVED OFFICE CABINET. This is a handsome and convenient cabinet designed especially for laryn- gologist's use. It is finished in cherry, quarter-sawed oak, or black walnut. There are six drawers, the upper three being divided by partitions for mirrors, applicators, laryngoscope, and other necessary instruments used in treatment of diseases of the throat and nose. The swinging half of the cabinet has three shelves and is a convenient receptacle for instruments of any kind. The upper portion has been arranged for bottles and atomizers, and is furnished with the Davidson No. 66 Atomizer for office use. These, in connection with the Davidson " cut-off," are all that can be desired for spray producers. They are used with compressed air apparatus to advantage. FIG. *575o Cabinet in Antique Oak or Solid Walnut, including desk top.. .$25 00 ♦5752 Dr. John Edwin Rhodes' Cabinet in Antique Oak or Solid Wal- nut without bottles or tubes............................ 25 00 5752-A Same as above (5752) with 9 Davidson's No. 66 sprays, each held by nickel-plated clasp............................ 36 50 5752-B Same as above (5752-A) with 17 1 oz. Tincture bottles and 12 2 oz. Salt mouth bottles.............................. 38 00 888 SHARP & SMITH, CHICAGO. NON-HUMANIZED VACCINE VIRUS. Ten Ivory Points, heavily charged SHARP & SMITH, CHICAGO. 889 FIG. *5775 *5776 *5777 *5778 *5779 578o 578i **782 *S783 57^4 5785 5785 5786 5787 5788 *578g 5790 5791 5792 5793 5794 5795 5796 5797 579s 5799 5800 5801 5S02 *58o3 ^804 58o.q 5806 5«07 LIGATURE SILK. Assorted, 3 sizes Carbolized (6 per cent.) White Braided Silk.........per bottl Iron Dyed Braided Silk. White Twisted Silk...... " Iron Dyed Twisted Silk___ " " White Braided Silk, (17 yds., " Turner's Silk, White Braided...................... .per reel S. &S. " " " ..................... •• " Iron Dyed ..... ............ " " " White Twisted.................... " " " Iron Dyed........ ............ " " Sharp & Smith's one Size White Braided Silk Tablets....................____ *' " Iron Dyed Braided Silk Tablets..................... Turners " " White " " " ............' Sharp & Smith's " " Braided Silk, White or Iron Dyed,'in skein's" per skein Morgan's (6 sizes) Assorted White Braided Silk on ivory Pins........... per set White Twisted Silk, single reels............................................ Iron Dyed Twisted Silk, single reels...........................____....... Cable Twist, in skeins........................ ...............per skein Carbolized Kangaroo Tendons, in bottle................................ Chinese Beaded Silk (very fine) for eye operations.................... per skein Knoll's Glass Reels for winding on silk, to be thrown into a solution............ Solid " Spools " " " " " " •' " ............ Hollow " " " " '• " " " '■ " .........' Hard Rubber Reels in Glass Tube, for silk or catgut, 3 reels small............. 3 '' rried.............. " 3 " large............. S. & S.'s. Hard Rubber Reels in Glass Tube for silk or catgut, 3 reels'...... Hard Rubber Reels in Hard Rubber Tube, for silk or catgut, 6 reels, small...... large....... CATGUT LIGATURE. Sharp & Smith's 3 sizes assorted Catgut in 6 per cent, carbolized solution, per bottle.!j S. & J.'s Catgut Ligature (in any solution) Nos. o and 1............" " " 2. 3. 4.............. " " " 3 Assorted sizes..........'' " (8 feet, in any solution) Nos. 1,2,3 and 4....." " (10 feet), fine, ined. and large.................... " " 1 yard, 2 spools in each bottle 3 spools ass'd sizes " " 1 dozen skeins ass'd " " J. & J.'s Schorse's Meyer's ; 60 60 50 50 i 65 50 45 5^ 25 3" 30 30 3° 15 I 25 10 10 25 25 25 15 °5 05 60 75 1 00 1 25 60 75 60 30 35 50 25 75 25 75 x 00 5789 Fig. 5763—S. & S. White Twisted Silk, 3 sizes on card. 890 SHARP & SMITH, CHICAGO. FIG RAW ANIMAL LIGATURE. 5812 Five yard Coils Raw Animal Ligature in 8 sizes per coil of each size from 10c. to $ 40 5813 Elastic Ligature...............................................per string 25 SUPERIOR SURGICAL LIGATURES. Put up on Glass Spools, three spools (assorted sizes), in a neat bottle, with a nickel-plated screw cap. The spools are so arranged, on a metal frame in the bottle, that the liga- tures maybe drawn out through the cork, as they are wanted for use. The cork, being elastic, closes tightly around the ligatures, thereby pressing all of the surplus solution out of them and back into the bottle. The metal frames are all coated or enameled, which fact renders them impervious to the solutions in which they are placed. This will be found a great improvement over the old way of putting up these goods. Three sizes in a bottle, on Glass Spools, with nickel-plated screw cap. Put up in plain or dry state, or in Carbolized 6 per cent. Chromatized, 1 to 2,000, preserved in 5 per cent, carbolized solution. Sublimatized, 1 to 2,000, preserved in 5 per cent, of carbolized solution. Juniper oil, or any special solution desired. 5775 to 5779 and 5803. Hagedorn's Glass Ligature Box. With Inside Cover, perfectly Aseptic................$ 6 co Assorted Sizes Ligature Boxes (Aseptic) each, $1 50 to 12 00 Fig. 5814 Pure Silver Wire Liga- tme. In small skeins, any size.........per skein $ 30 In i-ounce coils, any size............per oz. 2 25 Sizes—12, 2.%, 2j, Heavy. 25. 2f>, 27, Medium, 28, 29, 30, Fine. V.': can also furnish heavier wire in sizes ranging from 21 to 16. Fig- 58l5 Pure Silver Wire Fig. 5821 Silk Worm Gut Ligature Best, put up ico ligatures in box.......... $ 7? See pages 305, 306 and 307 for prices on Surgeons' Needles Put up 6 spools (assorted si7es from i\ to 30) in box, each spool containing i yard of wire.. ,.$i 20 SHARP & SMITH, CHICAGO. 891 LIGATURES. DR. G. R. FOWLERS ASEPTIC LIGATURE TUBE. LIGATURES BOILED IX ALCOHOL UNDER PRESSURE. The Ligatures by this method are rendered absolutely Aseptic after being hermetically sealed, and after all handling in the preparation has ceased." No Antiseptic Remedies required or employed. Each tube contains from 6 to io Ligatures* according to size, each Ligature being 12 inches long. Each tube is wrapped in sheet cotton and packed in a slide box—I dozen of them in a neat outside box. Fig. 5823-A Dr. Fowler's Tubes, Aseptic Catgut.............................each, $0 25 Silk Worm Gut...................... " 25 Twisted Silk........................ " 25 " " " Braided Silk......................... " 25 " " " Cable Twist......................... " 25 F/G Fig- 5823-B-NEW PATENTED LIGATURE PACKAGES. In Three Styles. Patented January 17, 1893. Fig. 5823-B 1st. The Single Spool Patented Tank Package.—See above cuts, Figs. 5, 6, 7. " 5823-C 2d. The Three Spool Patented Vertical Package.—See following page. " 5823-D 3d. The Three Spool Patented Tank Package.—See following page. All these packages are entirely new in principle and design. They are the result of constant study and scientific experiments on a very exhaustive scale, in order to obtain all the require- ments in one compact package. The Tank Packages in particular possessing the following combination of advantages.— {Continued on following page.) 891A SHARP & SMITH, CHICAGO. LIGATURES. NEW PATENT LIGATURE PACKAGES-Continued. (See preceding page.) Any Ligature selected can be wound on the spools, such as Catgut, Braided and Twisted Silk, Cable Twist, etc. Any Ligature wanted will be supplied. Prices as follows : !' Tank Package, No. i, Fig. 6, regular size..........each, $o 30 " " " 2, Fig. 7, hospital size ........ " 75 " " " 3, Fig. 5, extra hospital size ... " 1 75 They are absolutely aseptic ; all glass except ligatures. The ligatures cannot get tangled. The spools adjust themselves opposite their respective openings. They are perfectly air-tight, and can never leak. Ligatures, being preserved in alcohol, can be re-sterilized at any time. Fig. 5823-C Fig. 5823-D Pat. Feb. 7th, 1893. Pat. Jan. 17th and Feb. 7th, 1893. Fig. 5823-D Three Spool Tank Package, No. 4, Fig. 4, regular size, each, $0 75 " 5823-C " Vertical " Fig. 3, regular size..... " 50 This Vertical Package is put out to meet some of our competitors' similar goods. It does not contain quite as much ligatures as our patented package, nor is it intended to replace that package, as it can never do it. "CABLE TWIST" SURGEON'S SILK. 5823-E We make it in six sizes, to correspond to our regular Nos. 4, 6, 8, 10, 12 and 14, and in large skeins ; each skein weighs just ^ of an ounce, there being 12 skeins in each ounce. Price per skein, 30c. SHARP & SMITH, CHICAGO. 891B 5823-G LIGATURES—DRAINAGE TUBES. Prices in Tablet Bottles. Fig. 5823-G Twisted Silk, one skein........each, $0 20 Braided Silk, " ........ " 20 Catgut, 10 foot coil............ " 20 The Aseptic method will hereafter be employed by us in filling all orders, unless Medicated Ligatures are speci- fied on the order. PURE RUBBER LIGATURES. Made in five sizes, as follows: Nos. 3, 4, 5, 6, 7, American Catheter Scale. Price 5 cents per foot, or 60 cents per box of 12 feet, assorted sizes. 5823-H 5823-H Getchell's White Metal Buttons___per doz. $0 40 PERFORATED SHOT. Made in Nos. 6, 7, 8, 9, American Scale...............per hundred, $0 50 DRAINAGE TUBES. Fig- 5834 Pure Gum Perforated Drainage Tubing, any size---per yd. $0 25 Fig. 5834-A Dr. Joseph L. Hancock's Irrigation Drainage Tube, for Empyema, and the drainage of other abscesses. Price........... $0 50 5831 (See following pages for other Drainage Tubes.) 892 SHARP & SMITH, CHICAGO. Miscellaneous and General Surgical Necessities. FIG. *58i4 Pure Silver Wire, assorted sizes, from 18 to 32 Stubbs Gauge..........................................per coil $ 30 *58i5 Pure Silver Wire, 6 different sizes (1 yard each), on spools in case................................................... 1 20 5816 Pure Silver Wire, 6 different .sizes, in ounce coils.......per oz. 3 00 5817 Pure Copper Wire, silver plated......................per coil 25 5818 Iron Wire......................................... " 10 5819 Lead Wire....................................... " 20 5820 Silk Worm Gut, per doz. strings............................ 20 ♦5821 " " " " bunch................................. 75 5822 Dr. Penny's Adjustable Elastic Adhesive Strips, 12 in each box..............................................each 50 5823 Farny Suture, from 1 to 7 in box.....................per box 1 50 5823 " " in one yard lengths...................per yard 1 00 DRAINAGE TUBES AND TUBING. 5824 Decalcified Bone Drainage Tubes, assorted lengths... .per inch 10 5825 " " " " 2 inches long, in bottle..... 30 5826 " " " " 2^ " " " ..... 35 5827 " " ' " 4 " " " ..... 40 5828 " " " . " 2 " " ........each 25 5829 " " " " 2^ " " ........ " 35 5830 " " " " 3 " " ........ " 40 *583i Andrews Suction Drainage Tubes.......................... 50 5832 Purified Rubber " " 9 inches long...........each 10 *5833 Maroon " " " 6 assorted sizes, in bottle 7 inches long....................................per bottle 75 *5834 Pure Gum Rubber Drainage Tubing.................per yard' 25 GROSS' GLASS ANTISEPTIC DRAINAGE TUBES. *5^35 Gross' Glass Drainage Tube, No. 1, 4 holes..............each 10 ♦5835 " " " " " 2, 4 " .............. " 10 ♦5835 " " " " " 3, 5 " .............. " I2 *5835 "' " " " " 4, 6 " .............. " 12 ♦583; " " " " " 5, 7 ".............. " 15 *5835 " " " " " 6, 8 ".............. " 18 ♦5835 " " " " " 7. 9 " .............. " 20 *5836 Pure Silver " " in any length.............per inch 15 *5^37 Lister's Forceps for introducing Drainage Tubes.............. 2 25 ANTISEPTIC DRAINAGE TUBES.—Glass. Made after Patterns furnished by Prof. S. W. Gross. These Tubes have large holes, one-half inch apart, arranged alternately on opposite sides. "They are carefully finished, especial care being taken to make them smooth, In addition to the drainage holes, each tube has at one end two smaller holes for the insertion of Safety Pin, through which it is prevented slipping into the wound. For other Drainage Tubes see Index. SHARP & SMITH, CHICAGO. 893 Miscellaneous and General Surgical Necessities. 5833 ^S 5836 5838 PAPIER MACHE INSTRUMENT TRAYS, FOR HOLDING ANTISEPTIC SOLUTION AND INSTRUMENTS. Papier Mache is well known as an exceedingly tough substance, and articles made of it are almost indestructible. This material is being used in Europe in the construction of photographic trays, and they are now offered for the first time in the United States as anti- septic trays for surgical operating instruments. The trays are most desirable on account of their durability, and being finished with a hard and polished black surface, are thoroughly adapted for sur- gical and chemical purposes. SIZE OF TRAYS. PRICES. fig. (Inside Bottom). ♦5838 12^x10^ inches.....................................each $ 1 50 ♦5838 14^x12^ '• ...................................' " 200 *5838 16^x20^ " .................................... " 3 5° ♦5838 19x24 " .................................... " 5 5° We also have these in "Agate" Ironware (seamless, Fig. 5839) which are also indestructible. The "Agate" trays have "handles" for convenience in carrying. *5839 14 inch..................................................$ 80 *5839 15 " ...........................-••••.................. 9° *5839 16 ".................................................. ' °° *5839 17 " ...............................•................. 1 IO ♦5839 18 " ................................................. 1 25 893A SHARP & SMITH, CHICAGO MISCELLANEOUS AND GENERAL SURGICAL NECESSITIES. DR. C. S. ELDRIDGE'S FLEXIBLE TRAY OR BATH FOR SURGICAL INSTRUMENTS. Fig. 5839-A (patent applied for.) We offer in this article, something that we feel confident will commend itself to surgeons. Its superiority consists in the fact that its sides and ends can be so distended by air as to make it meet all the requirements of a solid metal or rubber tray, whereas it is made of Maroon Rubber and very durable. After being used, the contents are removed and a valve at one end allows the air to escape and the tray is rolled up in a very compact manner and placed along side of sundry articles in a surgeon's bag, and is apparently an indispensable article in a surgeon's outfit. The "Tray" or "Bath" is sufficiently large to accommodate most any size knives, forceps, etc. Price of Tray, net......................................................$4.50 BLUE AND WHITE ENAMEL ASEPTIC TRAYS. For the Immersion of Instruments in an Antiseptic Solution during Operations, etc. This article is made of sheet iron, pressed into shape without seam or joint, and provided with corrugations in the bottom facilitate the picking up of instruments The coating is a pure vitreous enamel, which for tenacity and power of resisting the action of acids has no equal. The surface is smooth and as easily cleaned as china, while the article is light and practically indestructible. Size, 15x9x1^. Price. Fig. 5839-B 2.50 Senn's Decalcified Bone Chips, per bottle............$r.oo Senn's Decalcified Bone Plates, per pair...-..........$2.00 Senn's Bone Pins, each.. .10 Irrigating Jars, complete with tubing, shut-off and irrigat- ing point. 1 gallon..........each, $1 50 2 " .......... " 2 50 3 " .......... " 3 SO 5 " .......... " 6 00 Decalcified Bone Chips. Irrigating Jar SHARP & SMITH, CHICAGO. S93B MISCELLANEOUS AND GENERAL SURGICAL NECESSITIES. SHARP & SMITH'S ABSORBENT COTTON. In even sheets, interlaid with tissue paper to prevent felting. Figs. 5861 to 5886. See page 894 for prices. SHARP & SMITH'S ANTISEPTIC GAUZE. This Gauze is in a continuous roll, and can be unwound and as much as needed cut off without removing from the box, and is put up 5 yards in each box. Carbolated, Borated and Sublimated......per can, $0 50 Iodoform, 10$......................... " 1 10 25 yard Rolls Carbolated or Sublimated Gauze.... 1 25 25 yard Rolls Plain Absorbent Gauze............ 1 75 This Gauze is guaranteed to be one of the best in the market, which we have found out by long experience in its use. ANTISEPTIC GAUZE. SUBLIMATED 1 JitrdWide x5 Yards Long. SHARP &: SMITH. | Nfo.73 RANDOLPH STREET Chicago, III. iiiMBiiiiiiiiliiMWMI Antiseptic Absorbent Cotton Mop. ANTISEPTIC ABSORBENT COTTON MOPS. For all uses in which sponges may be employed. They consist of a ball of absorbent cotton, covered with antiseptic gauze. They are put up one dozen in a box. Price Per Dczen. , 1 in. diam. 1% in- diam. 2 in. diam. Plain.............$0 20 $0 30 $0 35 Carbolated........ 25 35 4° Sublimated ....... 25 35 40 Iodoform......... 5° 65 8o In Glass Jars, 60c. 5 yards. 893C SHARP & SMITH, CHICAGO. MISCELLANEOUS AND GENERAL SURGICAL NECESSITIES. NEW PATENTED GLASS BOX JARS. FOR MEDICATED GAUZE, IN FIVE YARD ROLLS. AN ABSOLUTE ASEPTIC AIR-TIGHT CONTAINER. Fig. IO. Patented January in, 1893. As shown in the above illustration, the gauze can be drawn out of the jar without removing the roll. This container, while a little more expensive than those generally employed, is the most perfect and convenient ever placed on the market. ANTISEPTIC GAUZE IN PATENTED GLASS BOX JARS. Double Bale Top, Fig. 10. 1 yd. x 5 yds. Double Bale Top, Fig. 10. 1 yd. x 5 yds. Plain Sterilized Aseptic---..........$ 65 Iodoform, 10 per cent ...............$150 Sublimated, 1 to 2000................. 65 20 " ........ Borated, 10 per cent.................. 65 25 " ......... . Carbolated, 10 per cent............... 65 33^ ........... Iodoform, 5 per cent................. 1 3° Price of Empty Jars, with outside packing box...................................each 35 ANTISEPTIC GAUZE—NEW AIR-TIGHT CARTON. 1 75 2 00 2 50 Fig. 7- Fig- See opposite page for description and prices of Figs. 7 and 8. 45�15 �737 SHARP & SMITH, CHICAGO. 893D MISCELLANEOUS AND GENERAL SURGICAL NECESSITIES. -See cut on opposite page. i yd. x 5 yds. $ 40 55 60 Retail. 1 yd. x 25 yds $1 50 I 60 I 60 55 I 60 1 00 4 25 1 25 5 25 1 25 5 25 ANTISEPTIC GAUZE IN AIR-TIGHT CARTONS. 1 yd. x 1 yd. Plain Absorbent, Sterile..............,...............$ 13 Sublimated, 1 to 2000............................... 15 Borated, 10 per cent................'.................. 17 Carbolated, 10 per cent............................... 15 Iodoform, 5 per cent................................. 24 " 10 per cent................................ 26 Dermatol, 10 per cent................................ 26 Fig. 7 represents New Air-Tight Carton, made in 1 yard and 5 yard packages. The Gauze is wrapped in parchment, packed in cartons, then sealed up and dipped in boiling paraffine. This form presents the most practical plan by which a fresh package may be opened for each and every dressing. Large rolls and large containers, such as "Wooden Tubs" and 100 yard cartons, should be avoided, alike by hospitals and private practitioners, as the gauze gets stale from opening long before it is used up. Lee's 1 yard and 5 yard air-tight cartons are the best for all hospitals. ANTISEPTIC GAUZES IN GLASS JARS. WITH SCREW CAPS. Plain, Sterilized, Antiseptic. Sublimated, 1 to 2000...... Borated, 10 per cent...... Carbolated, 10 per cent. .. . Iodoform, 5 per cent ...... •' 10 per cent...... Eucalyptol, 5 per cent ..... Thymol, 5 per cent ....... Naphthaline 5 per cent . . Salicylated. 5 per cent...... Oxide of Zinc............. Dermatol, 5 or 10 per cent.. Fig. 8 (see opposite page). 1 yd. x 1 yd. .........$ 18 iS 20 18 28 30 25 25 25 25 25 30 Fig. 9. yd. x. 5 yds. $ 65 65 75 65 1 30 1 50 75 75 75 75 75 1 50 894 SHARP & SMITH, CHICAGO. 5840 5841 5842 5843 5844 5845 5846 5847 5848 5849 585o 5851 5852 5853 5854 5855 5856 5857 5858 5859 5860 5861 5862 5862 5863 5864 5865 5866 5867 5868 5869 5870 5871 5872 5873 5874 5875 5876 5877 5878 5879 5880 5881 5882 5883 5884 5885 5886 5887 5888 5789 5890 MEAD'S ADHESIVE PLASTER.—On Tin Spools. 3 inch strips, 10 yards long,.....................per spool $ 2; 2 I; I 1 12 IO IO IO IO IO I z yard box Mead's Dressing Paper, 24 inches and 25 yards.........per roll ADHESIVE PLASTERS AND BANDAGES. Rubber adhesive plaster on cotton cloth, 7 in wide, per yard..$ Emp. " " " Swansdown 17 in. wide, per yard.. " " " " Moleskin 17 in. wide, per yard ... " " " " Shirting, per yard ............... Belladona adhesive plaster, 7 inches wide per yard............ Camphorated blister plaster 7 inches wide per yard............ Isinglass plaster on fine silk, per yard........................ " " " strong muslin, per yard.................. 10 yards adhesive bandage, y inch wide, in tin boxes---each 10 10 10 Absorbent, SHARP & SMITH'S COTTON. lb. packages..........................each $ 2 oz. 1 1 lb y - % " 2 oz. I 1 lb % " % " 2 oz. I 1 lb V* •' % " " 2 OZ. I Salicylated 1 lb Borated Carbolated Sublimated " in one ounce bottles. ti tt a a a " 2 OZ. I Iodoform Styptic SURGEONS' LINT. Absorbent Surgeon's Lint, per lb....................... Taylor's " " " ...................... " Superior quality Surgeon's Lint per lb............ " " " " " " ounce package, 65 55 50 40 3° 25 25 25 75 5° 65 00 25 60 60 40 3° 3° 35 5° 70 40 25 20 15 10 45 3° 25 15 10 5° 35 3° 20 r5 45 3° 25 i5 10 5° 35 3° 20 r5 25 20 55 75 1 5° SHARP & SMITH, CHICAGO. 80S FIG. 5891 5892 5893 5894 5895 5896 5897 5898 5899 5900 59QI 5902 5903 59°4 5905 5906 59°7 5908 59°9 59IQ 5912 59i3 59M 59i5 59i6 59i7 59i8 59J9 5920 592i 5922 5923 5924 5925 5926 5927 5928 5929 593° .5931 5932 5933 5934 5935 5936 5737 5938 5939 5940 PURE LAMB'S WOOL. Plain Antiseptic Lamb's Wool, pound pkgs.................. $ " y " " .................. it it tt a 1/ a a 74 .................. Binoidide of Mercury, 1-8000 Lamb's Wool, 1 pound pkgs...... Carbolated 1-8000 Lamb's Wool, % pound pkgs.............. Iodoform " " " % " " ............... Sublimated " " " % " " ............... JUTE. Carbolized Jute, in 1 lb. tin boxes..........................if Plain " ...................................per lb. Tarred " in 1 lb. tin boxes......................... Oakum.............................................per lb. PROTECTIVES. Oiled Muslin.....................................per yardij " Silk, 30 inches wide.......................... Green Silk Protective Cloth........:............... " Gutta Percha Tissue, best quality................. Mcintosh Black Rubber Cloth...................... " Pink " " ...................... RUBBER SHEETING. Rubber Sheeting, white, £ yds.............................. ROLLER BANDAGES. One lb. Boxes, assorted..............................per lb. 1 inch wide by 1 yard long, \ For fingers and toes, and ] \ hands and feet. [ For forearms, arms, head \ and legs of children. ) For forearms, arms and f head of adults. For lower extremities, cla- vicle, etc., for adults. For the body or trunk. iy inches 2 2 2*y 2y 3 3 3% zY 4 4 ANTISEPTIC GAUZE S. & J.'s 10 per cent. Carbolized Gauze, 5 yard roll in can, per can 5 10 Iodoform " 1-2000 Corrosive Sublimate " " 5 per cent. Hydronaphthol" « 5 " Naph. " J. & J.'s Carbolized " 10 per cent. Iodoform " " Corrosive Sublimate " Meyer's 10 per cent. Carbolized " it c " " " " 1-2000 Corrosive Sublimate " " q per cent. Iodoform " « 10 " 90 00 5° 00 00 65 75 65 3° 20 35 20 5° 95 70 5° 50 60 5° } 75 1 00 65 65 can$ 65 " 1 50 " 1 75 65 " 1 oc 75 55 " 1 10 55 55 5° 50 " 1 25 " 1 25 54 896 SHARP & SMITH, CHICAGO. 5941 5Q42 5943 5944 5945 5945 5946 5947 5948 5949 595° 595* 5952 5953 5954 5955 5956 5957 5958 5959 5960 596] 5962 59^3 5964 5965 5966 5967 5968 5969 597° 597i 5972 5973 5974 5975 5976 5977 5978 5979 5980 5981 ANTISEPTIC GAUZE AND BANDAGES—Continued. Schorse's 5 per cent. Carbolized Gauze, in 5 yd. rolls, per roll $ 25 25 25 " 1-2000 Corrosive Sublimate " 5 per cent. Iodoform 10 Lister's 1-1000 Corrosive Sublimate " Carbolized " Iodoform Yard Rolls Plain Absorbent " .................... " " Corrosive Sublimate" .................... " " Carbolated " ................... BEST WHITE MUSLIN BANDAGES. in.xi yard Best White Muslin Bandages...........per doz $ 1 in.x3 2 in.x3 2 in.x8 2xy2 in.x3 2y2 in.x8 3 in.x4 3 in.x8 372 in-X5 lYz in.x8 4 in.y6 4 in.x" in.x8 in.x3 in.x8 in.X4 in.x8 in.x5 in.x8 in.x6 1/2 2 111.X3 2 2/2 2^ 3 3 3% 3/2 4 I/2 1/2 2 2 2y 2y 3 3 in.x3 in.x3 in.x5 in.x3 in.x6 in.x3 in.x6 in.x3 in.x6 PLASTER PARIS BANDAGES. Yards Best Plaster Paris Bandages..........per doz.< Carbolized, I in. x 5 yds. .. 1 % in. x 5 yds... " 2 in. x 5 yds... 2V2 in. x 5 yds.. " 3 in. x 5 yds... " 3 in. x 10 yds. " 6 in. x 15 yds. .pei GAUZE BANDAGES. doz. % 40 Hygroscopic, I 60 80 1 00 1 20 2 OO 4 50 5° 55 55 1 25 1 25 60 60 I IO 1 25 I 60 I 60 IO 35 45 1 00 65 1 5° 90 1 30 1 70 1 80 1 70 2 25 WHITE OR RED FLANNEL BANDAGES. in.x3 Yards White or Red Flannel Bandages........per doz.$ 1 5° 3 75 1 75 4 45 3 00 5 °° 4 00 5 5° c 00 in. x 5 yds., per doz. \Yz in- x 5 yds., 2 in. x 5 yds., 2Y2 in. x 5 yds., 3 in. x 5 yds., 3 in. x 10 yds., 70 75 1 00 90 1 25 95 1 40 1 00 1 5° $ 20 25 40 50 60 1 00 SHARP & SMITH, CHICAGO. MISCELLANEOUS AND GENERAL SURGICAL NECESSITIES. UNBLEACHED MUSLIN BANDAGES. i-lb. Boxes, assorted...............'........................................per lb. inch wide by i yard long, ) For fingers and toes, and hands "] 3 " J and feet................... 3 / For forearms, arms, head and legs 8 C of children................ 3 } For forearms, arms and head of 8 " ) adults..................... inches 3 3 VA 3lA 4 4 For lower extremities, clavicle, etc., for adults............. For the body or trunk.......... BANDAGES. .per lb. PURE 2 in. x 9 GUM ft..... 2 in. x io}4 ft..... 2 in. x 12 ft. ... 2 in. x 15 ft..... 3 in. x 9 ft..... 3 in. x 10 j4 ft..... 50 2% in. x 9 ft 60 2)4 in. x 10)^ ft 70 2Y1 in. x 12 ft go 2Yz in. x 15 ft 75 3 in. X 12 ft 90 3 m. x 15 ft See pages 289A to 290 for Bandage Rollers. PHYSICIANS' SOAP. 5 per cent. Boracic ' cid Soap, in tin boxes....................................each, 5 " Salicylic Acid " " " ................................... " 1 " Hvdronaphthol ' , " " ................................... " 5 " " " " " .................................... " Hydronaphthol ANTISEPTIC TABLETS. Corrosive Sublimate Tablets, 25 in bottle.............................per bottle, SO ".................................. " 100 " .................................. " IODOFORM SPRINKLERS. Small Iodoform Sprinklers, hard rubber (see cut).............. Medium " " .................... Large " "................... TAMPONS. Wood's Wool Tampons..................................per doz. Anderson's Vaginal Capsules............................. " LINTINE. J. & J. Lintine, in 1 ounce packages...................per package, " " " ............. .........per lb. LINTON COMBINED DRESSING. Plain, 2, 3 or 4 inches wide................................per lb. Bi-Chloride 1-2000, 2, 3 or 4 inches wide..................... Carbolated 5 per cent. 2, 3 or 4 inches wide................... " HARTMANN'S WOOD WOOL PREPARATIONS. Wood Wool, in bags of 1 lb...... ..............................$0 40 Wood Wool Wadding, in packages of 1 lb..................per pkg. 60 X2 lb................. " 35 Y\ lb.................. " 20 This preparation is a perfect absorbent, invaluable for suppurating' wounds. Will absorb discharges of every description. Wood Wool Tissue, in sheets, 18 x 72 inches, consisting of layer of Wood Wool Wadding between -two pieces of Sublimate Gauze ; always ready for use ; any size pad or band- age can be made from it in a moment. In packages of 1 lb..;..............$075 Wood Wool Tissue, same as above, in 2 lb. packages, size 36 x 72 inches.......per pkg. 1 50 (thin), size 18 x 72 inches, in packages of ^ lb. .......... 50 Accouchment Sheets, for accouchment, bed sores, operations, etc., 32 x 32 inches, $1.00 each ; 26 x 20 inches, 75c. each ; 24 x 18 inches, 50c. each. SHARP & SMITH, CHICAGO. FIG. *6ooo 6001 6002 6003 6003 6003 6003 6003 6004 ^6005 *6oo6 *6oo6 *6oo6 *6oo6 *6oo6 *6oo7 *6oo8 *6oo9 6010 6011 MISCELLANEOUS GOODS. Baunscheidt Instrument...................................$ 1 85 " Oil................................(per bottle) 1 35 Minim Graduates....................................each 20 One and two drachm Graduates........................ " 15 " ounce "........................ " 20 Two " " ........................ " 25 Four " " ........................ " 35 Eight " " ........................ " 40 Glass Mortars and Pestles, from ....................25c. to 1 00 Wedgewood Mortars and Pestles, from................40c. to 3 50 Specimen or Museum Jars, one pint......................... 50 " " " one quart....................... 75 " " " half gallons..................... 1 00 " " " gallon.......................... 1 50 " " " two gallon...................... 2 00 Screw Neck Tube Vials, with nickel plated tops, per doz., 25c. to 50 Papier Mache, in funnels, plain..................each 20c. to 95 " " " with ridges............... " 25c. to 1 00 Glass Funnel................................... " 10c. to 35 Feeding Dishes..............................per doz. 3 00 6008—Plain. 6009—With Ridges. 6000 6007 6005 SHARP & SMITH, CHICAGO. MISCELLANEOUS GOODS—SPONGES. 9 sq inches .each, $o 20 60 95 " 1 40 " 2 25 ANTISEPTIC ABDOMINAL SPONGES. These Abdominal Sponges are of the finest quality, thor oughly bleached and sterilized. No 1 Abdominal Sponges, 6 to " 2 " " 16 to 22 "3 " 30 to 40 " 4 " 45 to 55 "5 " "50 to 100 ANTISEPTIC ZIMOCCO SPONGES. f dozen in nickel plated, screw cap bottle, 75 cents per bottle (see cut). ANTISEPTIC SPONGES. Bleached and Medi- cated for Surgical a. i Gynaecological Purposes. These sponges, al- though small,are of the finest quality. The cuts show their respect- ive sizes—No. 1 being the smaller and No. 2 the larger. They are thoroughly washed, cleansed, bleached and softened. We make the price so low that they are but little higher than absorbent cotton, and are much superior. Prices. No. I, put up in dry state, per doz. $0.40 No. 2, put up in dry state, per doz. $0.60 No. 3, put up in dry state, per doz. $1.00 No. 4, put up in a dry state, per doz. $2.00 Nos. 3 and 4 Sponges are corresponding sizes larger, as Nos. 1 and 2. No. 2 See following page for additional Sponges. 900 SHARP & SMITH, CHICAGO. MISCELLANEOUS GOODS—SPONGES, BAGS, BOTTLES. m i SHARP-SMITH :■ ' I No. i Sponge Bag SPONGE BAGS. The outside finish of these Sponge Bags is of cambric, in fancy patterns, lined on the inside with rubber, and finished in the best manner. Prices and Sizes of Sponge Bags. 6x7 inches.................each, $045 7x8 inches............... each, $0 50 8x 9 " ................. " 5° 9x10 ................ ^ 10x11 " ................. " 60 11x12 " ................ 12 x 13 " ................. " 75 55 65 METALLIC COVERED BOTTLES. For Physicians' Use. Drawn from Solid Metal with Locking Ring on each Bottle, for the Purpose of Perfect Protection of Bottles Containing Liquids. These cases are made in a variety of sizes, for bottles of one, two, four and eight ounce capacity each; each case, however, is made adjustable to bottles of different lengths, so that duplicates for the cases are easily obtained, besides being of great value to physicians, thus enabling them to transport liquids with absolute safety. They are handsomely double plated in nickel and gold, and beautifully finished for bureau toilet sets. For travelers they are indispensable for carrying liquids, oils, pomades, powders, etc., while special patterns are made for soaps, sponges, etc. They are very light, the corrugations strengthen- ing them so that they resist crushing, admitting of their being packed in any position. Sizes. each. No. 1 Furnished with 1 oz. bottle___--- $0 50 Diam. \% in., length 3% in., weight 4^ oz 2 Furnished with 2-oz bottle........ No. 65 Diam. 1^ in., length 4 in., weight 5% oz No. 3 Furnished with 4 oz. bottle ........ 75 Diam. 2 in., length 5*4 in., weight 7^ oz. No. 4 Furnished with 8 oz. bottle......... 1 00 Diam. 2Y2 in., length 7 in., weight 12 oz. Directions.—Screw the cover down until it rests upon the cork, then turn back the locking ring on to the cover, which will securely lock the case. SHARP & SMITH, CHICAGO. 901 MISCELLANEOUS GOODS—STERILIZERS. THE ARNOLD STEAM STERILIZERS FOR STERILIZING MILK. It is simple, effectual, convenient and inexpensive. It can be used effectively over the oil stove, the gas stove, an alcohol lamp or the ordinary kitchen fire. While so sim- ple and inexpensive as to be within the reach jof all, it is also absolutely the best means ' known for sterilizing milk. No other appa- ratus, however elaborate or expensive, accom- plishes the work so well. It is used already by thousands of families and in the prominent laboratories and hospitals of the country, and wherever used it supersedes all other methods. No failures are possible with this device, nor is it necessary to employ a physician or a person of great skill to operate it. Any one who will observe the few simple directions given can secure as perfect results as can be obtained by the practiced chemist. Family Sizes. KOR STERILIZING MILK. No. 1. Including rack holding 7 bot- tles and cleaning brush,heavy tin, copper bottom................$3 00 No. 2. Heavy tin, copper bottom, with rack and 8 bottles......... 3 50 No. 1. All copper................. 7 00 Extra Bottles, per dozen............ 75 Croup Attachment with 10 inch tube 30 Additional lengths, each............ 10 |W° Larger sizes for hospitals, laborato- ries and physicians' offices. ^HEARNOLD STEAM .STERILIZER ~, WlLMOT CASTLE &C0. R0CHESTER,N.Y. 65OO ARNOLD'S STEAM STERIL- IZER. FOR SURGICAL INSTRUMENTS. Special Instrument Sterilizer. Oval in shape. Size of Chamber, 14 inches long, 9^ inches wide, 6 inches deep, with two racks for Instruments. Heavy Tin, Copper Bottom .. ..$ 5 °° All Copper..................... I2 50 6501 902 SHARP & SMITH, CHICAGO. FIG. *6502 *6so3 ♦6503 MISCELLANEOUS GOODS-STERILIZERS. Van Heusen's Milk Sterilizer and Pasteurizer................................$4 00 " Compress Heater and Sterilizer, No. 2, 8 by 16 inches, full copper, controllable new triple forced flame lamp, nickel trimmings................. 14 00 Van Heusen's Compress Heater and Sterilizer, No. 3, 12 by 24 inches, full copper, controllable new triple forced flame lamp, nickel trimmings.. .•............. 25 00 Apparatuses with two or more drawers, or special sizes may be had. These ap- paratuses are all-adapted for the use of Bunsen Burner. The trays to above apparatuses are of finest quality Craig Steel. Handsome portable Physician's Case for No. 2 apparatus..................... 1 50 VAN HEUSEN'S MILK STERILIZER AND PASTEURIZER. In the cut, A represents box of finely polished tin or specified ma- terial ; B, sliding perforated metallic drawer in which are placed bottles containing liquid to be sterilized or pasteurized; C, outer door, which is closed in operation and prevents escape of steam ; D, legs or supports pfgfe which fold closely to the bottom, thus securing compactness and port- IP"' ability. In bottom of box A is a small tank containing water. Fig. 6502 THE VAN HEUSEN COMPRESS HEATER AND INSTRUMENT STERILIZER. Patented- December 27TH, Fig. 6503 THE ONLY STERILIZER Which will render instruments, dressings, etc., absolutely dry when cold, after having been subjected to steam. That is portable. That is simple and economical. That is available in bedside operations. In which steam is generated and fully con- densed at the same time. In which there is no surplus condensation on contents. From which there is no escape of steam in operation. THE ONLY APPARATUS In which compresses, etc., may be med- icated by the application of volatile disin- fectants, soporifics or drugs. For the preparation and steaming of poultices, plasters, etc. THE ONLY METHOD That does away with moistening and wringing of hot cloths, etc. Of heating cloths, etc., that are moist when hot, and dry when cold. Of producing aseptic compresses, etc. SHARP & SMITH, CHICAGO. 903 MISCELLANEOUS GOODS—STERILIZERS. PHYSICIANS* STERILIZING OVENS. R Fig. 6504 These Ovens are made for sterilizing instruments, bandages, etc., in dry heat It has been the aim of the makers to construct an oven to produce the most uniform heat all over the inside of the oven. They are made of the best Russia iron with double walls, through which the heat circulates, having a register on top. In order to secure a perfectly even circulation of the heat all around, there are connecting openings between the double doors. The heat is furnished by a powerful Bunsen Burner, which is placed below the funnel-shaped opening in the center of the bottom of oven circulating through the double walls, and escaping through the register in the center of the top. These ovens are made in three sizes : Fig 6504 Inside measure, 9x9x12, including Bunsen Burner, Gas Regu- &' J net '.si6 Co lator and Thermometer......................■......• • • • •nec' ^IO 5° Fig 6So4 Inside measure, 9x9x15, including Bunsen Burner, Gas Reg- x *&• J ^ UGt Io CO ulator and Thermometer...............•......•......• • • • > Fig 6504 Inside measure, 9x9x18, including Bunsen Burner, Gas Reg- s' ,m, +ar .............net, 20 00 ulator and Thermometer....................... 904 SHARP & SMITH, CHICAGO. COMMODES. PRICES OF HIGH GRADE COMMODES. (See description and illustrations, page n, in Earth Closet Catalogue.) EITHER PULL-UP OR SELF-ACTING. No. i Hardwood, oil finish................................... $32 50 No. 1A Hardwood, antique finish................................ 35 00 No. 2 Imitation Walnut, Mahogany, or Cherry, Cabinet Polish..... 40 00 No. 3 Walnut, oil finish, Cabinet Polish......................... 48 00 Crating and Packing free. If specially packed in case.............. 1 50 Size, 42 inches high, 30 inches deep, 24 inches wide. Weight when crated, Self-acting, 150 lbs., Pull-up, 125 lbs. REMARKS. Jgip^'SPECIAL.—To have a perfectly inodorous Commode, the "Urine Separating Receptacle" is indispensable, only one-third the deodorant is then necessary, and the Excrement Pail will not require emptying so often. The "Heap's Patent" is the only Commode in which this essential and special feature is to be had. Extra Seat for Children.......................................... $2 00 Rim Seat for Children............................................ 1 00 Supply Box..................................................... 3 00 Extra Pail.—It will be found very convenient to have an additional excrement pail with a cover. An empty pail can then be placed in Commode when full one is removed ; the cover prevents the ashes spilling and causing dust when being carried through the house. See No. 9 Pail, page 17, Earth Closet Catalogue. COMMODES FOR INVALIDS, WITH PATENT ADJUSTABLE ARMS. The arms slide back against the side of the Commode, so that a patient can be lifted bodily onto the seat, or the arm nearest the bed can be put back to allow the patient to slide out of the bed onto the Commode. These arms can be attached to any Commode at an extra cost, viz.: If attached to Nos. 1, 1A and No. 2, $2.50; No. 3, $4.00; Nos. 4, 4A, 5 and 5A, $2.00. CHILD'S COMMODE—See next page. |^°Note.—We make a cheaper line of Commodes. See next page. Special Note.—A small sieve is supplied with each Commode. For a better article see our Patent Cinder Sifter, page 19, Earth Closet Catalogue. (J2|F°Send for our 24 page Earth Closet Catalogue. SHARP & SMITH, CHICAGO. 905 INODOROUS COMMODES. (SELF-ACTING OR PULL-UP.) Fig. 6525, No. 8—Showing Pull-up and Children's Seat. This cut represents the cheapest Commode ever offered to the public ; our No. 5 a is equal to those for which o.her makers usually charge $30.00. It being our aim to place them within the reach of all classes, we have placed them at as low a figure as would be consistent with a good, substantial though plain article. In this cut the Pull-Up mechanism is shown, also the extra seat for children, put please note they can be had self- acting if desired, and the children's seat is not included in the following prices : Size—43 inches high, 24 inches wide, 30 inches deep. Weight packed. Self-acting 155 lbs., Pull-up 130 lbs. PULL-UP OR SELF-ACTING. No. 4. Hardwood, beaded sheeting, plain finish.................................$25.00 " 4 A. The above with best fittings and well finished............................ 28.00 " 5. Soft Wood, beaded sheeting, plain finished and stained.................. 18.00 " 5 A. The above with best fittings and well finished............................ 21.00 Crating and packing free. If packed in a case, $1.50 extra. Child's Seat, fitted to above,........................................... .extra, $2.00 Rim Seat for Children......................................................... 1.00 CHILD'S COMMODE. No. 5 B. A similar Commode to No. 5, only for children...........................$12.00 Height 27% in., depth 22 in., width 17% in., height of seat 14J£ in. 906 SHARP & SMITH, CHICAGO. COMMODES. THE "BEDROOM SANITARY CONVENIENCE. NO HOUSE SHOULD BE WITHOUT IT. A most useful piece of furniture. Perfectly inodorous. Is simply invaluable in cases of sickness. Fig. 6526, No. 9—No. 22—Closed. Fig. 6527, No. 10—No. 21 with Arms—Opened. In No. 10 the lid is raised to show Arms, Seat, and Reservoir, in which to keep a supply of dry earth or ashes. The door is open to show the Excrement Pail "A." Hooked on inside of door is our Patent Enameled Urine Sepa- rating Receptacle " B," which, when the door is closed, comes into position under the seat and intercepts the urine, thus preventing any noxious gases being generated. The Bedroom " Sanitary Convenience " will be readily appreciated for its usefulness in case of sickness, or emergencies. It is the Earth Closet without any mechanism for distributing the deodorant, the person using it having merely to take a scoop full of the earth or ashes out of the reservoir and throw it over the deposit before putting down the lid. FEMALES can use it as a urinal, the "Urine Separating Receptacle" answering the purpose of the usual chamber. ^'""PRICES see next page; Nos. 21 and 22. Send for our 24 page Earth Closet Catalogue. SHARP & SMITH, CHICAGO. COMMODES. BEDROOM "SANITARY CONVENIENCE." Fig. 6528, No. 11—Closed. Nos. 23 and 24. Fig. 6529, No. 12—Open. Size—Length 24 inches, width iSy inches, height 18 inches. Weight—55 pounds. prices of bedroom sanitary conveniences. ORDER NO. 21 Hardwood, with arms as in Fig. 10, well finished....... 22 Hardwood, without arms, Fig. 9, well finished........... 23 Soft wood, as Fig. 11, plain finish, stained.............. 24 The above with "B" Galvanized iron instead of Enameled No charge for crating and packing. THE SUPPLY BOX. This invention is simple and effectual in supplying dry earth, etc., to the reser- voirs of Bedroom Commodes without causing dust, for unless the greatest care is taken, the earth, etc., is scattered. The supply box is 20 inches long by 14 deep, and 6 inches wide, and when filled it is placed on the top of the Commode, and the valve plate pulled out, which allows the earth to fall into the reservoir. (Not required for the Sanitary Con- veniences. No. 1, for Commodes, fine finish.......................... $3 00 We issue a Special 24 page Earth Closet Catalogue. Same will be mailed on application. $14 00 12 00 9 5° 8 00 908 SHARP & SMITH, CHICAGO. INODOROUS COMMODES. Fig. 6530—No. 1 COMMODE. Walnut, solid square legs, oil finish, rubbed and carved, with top covered in brussels carpet, pocket for paper, por- celain pan and hardwood lid passing through seat and fitting pan tight, a great improvement on the old style. Size, 16x16 inches. Height, 17 in- ches......................Price, $6.50 Fig. 6531—No. 4 COMMODE. Walnut, solid legs, with paneled sides and brackets, oil finished, rubbed and carved. Top covered in body brussels, patent odorless por- celain pan with cover, pocket for paper. Size, 16 x 16 inches, height, 18 inches..............Price, $8.75 93 4299999999999999 �99�99999999 SHARP & SMITH, CHICAGO. 909 Figr. 6600—REEVES' AD- JUSTABLE APPLI- ANCE For Maintaining the Tren- delenburg Position. This appliance can be adjusted to any table for the purpose of elevating the body while patients are undergoing surgical operations. Its simplicity, lightness and cheapness commend it to every one who has examined it. Price, net, $12 00 6600 Fig. 6601—REEVES' SPIRAL HEAD REST—For Beds. This invention is simple, easily ar- ranged, and having a soft spring back, it is adapted to give comfort in changing the invalid's position, and is adjustable at any angle from a slight incline to the upright posture. It is composed entirely of metal, and its sanitary ar- rangements are perfect. Indorsed by physicians. Price, net, $6 00 6601 Fig. 6602—SHARP & SMITH'S CANVAS HEAD RESTS. Each li 50 net. 6602 910 SHARP & SMITH, CHICAGO. MISCELLANEOUS—HOSPITAL SUPPLIES. 6635 Figs. 6635 and 6636—Prof. Esmarch's Iron Frame Bottle Stands. With these stands fluids can be transferred from one part of the Hospital to another. The bottles are hinged sepa- rately so that contents can be emptied by simply tipping them. The bottles are securely fastened; also can be released easily and new ones supplied when necessary. The bottles are glass, ground stoppers, and hold 2 gallons each. 6637 6638 SHARP & SMITH, CHICAGO. 911 MISCELLANEOUS—HOSPITAL SUPPLIES. FIG. ♦6635—Esmarch's Bottle Stands, with 4 Bottles ...................................$40 663 5-A— 6635-B- *6636— *6637— 00 25 00 55 00 70 00 Instrument Table, with Glass Tray on top. Size 21x17 in., Tin Tray in center..................35 00 *6638—Oak Instrument Table, with Glass Top and Irrigating Rod 20 00 *663g—Roosevelt Hospital Ward Tables with Glass Top and Metal Shelves 8^x143.^ in... 15 00 *6640—Large Dressing and Instru- ment Table with plate glass top 32x24x34 in. high, and one sheet iron shelf......... 25 00 These tables are made of Wrought Iron with joints Aseptible, Enamel finish, and can be furnished with or without Casters. 6639 664c 912 SHARP & SMITH, CHICAGO. MISCELLANEOUS—HOSPITAL SUPPLIES AND OFFICE. FIG. *664i—Large Instrument Closets, 60x48x18 inches deep, Enamel finish..............$J75 00 *664i— " " " " " Nickel plate............... 225 00 *664i— " " " 36x16x18 " " Enamel finish.............. 140 00 *664i— " " " " " " Nickel plated.............. 185 00 *6642—Stand or Wall Case Instrument Closets, 45x25x20 inches deep, Enamel finish... 60 00 *6642— " " " " " " " " Nickel plated. .. 8000 *6642— " " " " 30x20x16 " " Enamel finish.. . 5000 *6642— " " " " " " " " Nickel plated... 7000 Fig. 6641—The frames of these Closets are made of the best wrought Iron and Enameled, or of Brass finely Nickel Plated. They are a very handsome arti- cle of furniture, as well as a thoroughly Aseptic receptacle for Instruments. In them Instruments can be better preserved than in any other way. The shelves are made of the best French plate glass with ground edges. Fig. 6642—Has the same advantages and can be placed on a table or stand, or fastened to the wall. We make these things to order in special sizes. 6642 99999999451� 55454 A./B SHARP & SMITH, CHICAGO. 913 MISCELLANEOUS-HOSPITAL AND OFFICE SUPPLIES. FIG. *6643 Theen^nfiIinsShtrument Closet, 60 in. high x 27 in. wide x 18 in. deep, plain *6643 ThelaBt^lin Instrument Closet, 60 in. high x 27 in. wide x 18 in.'deep,"nickel ' .......................................... 150 00 *6643 The Berlin Instrument Closet, 54 m. high x 20 in. wide x 16 in. deep, enamel finish................... 100 00 *6643 The Berlin Instrument Closet, 54in. high x 20 in. wide x 16 in. deep, nickel plated................... 135 00 *6643 The Berlin Instrument Closet, 48 in. high x 28 in. wide x 16 in. deep, enamel finish................... 90 00 *6644 The Randolph Surgical Apron, 59 in. long........................ 6 50 *6645 Baxter's Surgical Apron, 40 in. long, $4.00; 46 in. long............... 4 25 Fig. 6643 The Berlin Instrument Closet, as represented in cut, contains 5 plate glass shelves for holding Instruments, and has the same advantages as those shown on preceding page. It is a hand- some addition to any office or surgical room and, with the other apparatus of similar kind, is coming into rapid use. The metal part of these closets can be furnished of wrought iron with plain enamel finish, or of brass nickel plated. We especially recommend our $90.00 appa- s (48x28x16) as the cheapest for the money. 5 style we make only of wrought iron, enamel 6644 6645 48535323482353484848484823235348480002 449 9999999999999999999999999999999999999999999999991 914 SHARP & SMITH, CHICAGO. MISCELLANEOUS HOSPITAL AND OFFICE SUPPLIES. FIG. *6646 Sharp & Smith's Office or Pocket Scales, with set of weights....................$3 50 *6647 " " Bulb Test Tube. Per doz................................ 120 Oil Stone. (Pike's) with H. R. Case......................................... 75 Sanitary Spit Cups, with five papers, per doz................................ 1 75 " " " " covers, per doz..................................... 2 50 " cup papers, per 100.............................................. 1 00 ♦6648 *6649 *664g •6649 Fig.6647 Sharp & Smith's Bulb Test Tube. The object of the bulb is to prevent the overflow of fluid while boiling It can be laid down without the fluid running out, and can be turned up- side down in the hole of a Test Tube rack with- out using a pin. 6646 Sharp & Smith's Office or Pocket Scales, the most complete and substantial scales in the market—and the cheapest. The whole scales can be taken apart, easily cleaned, and are carried in- side of the bottom—and the whole can be carried in the pocket or valise., Size when closed, 10^x4^x2 inches deep. 6647 The Sanitary Spit Cup, with cover. The paper is thoroughly proof against any discharges into it, and being also antiseptic and deodorized, the patient is supplied with a clean and wholesome cus- pidore, and the practitioner relieved from the disagreeable necessity of washing or cleaning a cuspidore for each patient. These Cups are provided with a cover which opens easily and closes with a spring, the object of which is to prevent flies or other insects from carrying away the poison, or dried sputum, and deposit- ing the same upon meats or other articles of food, it may be in minute particles but sufficient quantities to infect whatever they come in contact with. In their report to the New York City Board of Health Drs. Prudden, Biggs and Loomis, say, referring to the prevention of contagion, etc "Pasteboard Cups with covers should be always at hand for the reception of sputum. Put up in boxes containing one frame and five papers. SHARP & SMITH, CHICAGO. 915 MISCELLANEOUS HOSPITAL AND OFFICE SUPPLIES. Fig. 6650—SHARP & SMITH'S EMERGENCY ACCIDENT CASE. :or Railroads, Steamers, Miners, Rolling Hills, Factories and Tourists. This Case is very compact, and substantially made of heavy tin, neatly en- ameled with slide catch. The Case measures II inches long, 8 inches wide, 4% inches high, and weighs complete, 6 pounds. LIST OF ARTICLES IN THE CASE: I Heavy Rubber Bandage.—For stopping Hemorrhage. 2 Twelve Assorted Muslin Bandages.—For holding dressings in place, assist in stop- ping hemorrhages, and hold splints upon fractured limbs. 3 Five Yards Sublimate Gauze.—A prepared dressing for open wounds. 4 One Ounce Absorbent Lint.—To be used instead of a sponge in bathing wounds. 5 One Ounce Styptic Cotton.—This cotton is permeated with a substance which stops small hemorrhages. 6 One - Quarter Pound Absorbent Cotton.—This is for making compresses, and to assist in covering a large wound. 7 25 Corrosive Sublimate Tablets.—These small tablets are to be dissolved in clean, warm water, in the proportion of one Tablet to a pint of water, in order to disinfect a wound and keep it free from infection. They are poisonous if swallowed or the solution be DRANK. 8 Two Ounces Bicarbonate of Soda.—For burns and scalds. One tablespoonful to a quart of water, saturate a piece of gauze and apply over a burn or scald. 9 Four Surgical Needles.—To be used in closing small cuts' or jagged wounds. 10 Pair of Scissors.—Used in cutting dressings, bandages, clothing, etc. 11 Pair of Forceps.—Used for removing bits of gravel, and to seize a bleeding artery while it is being tied. 12 Case of Carbolized Silk.—To be used in tying arteries and closing wounds. 13 One Roll Rubber Adhesive Plaster.—For closing small torn or cut wounds after they are cleansed with the sublimate solution. It needs no heat: apply directly to the skin, which must be perfectly dry, however. 14 One Dozen Safety Pins. 15 One Pyramid of Pins. 16 One Esmarch's Tourniquet.—To stop bleeding from large wounds. 17 One Ounce of Iodoform.—In a glass jar. 18 One Case for Scissors, Forceps, Needles, etc. The above articles are almost invaluable in case of an accident, and this case should always be kept handy wherever accidents are liable to occur, rendering the use of the said articles neces- sary. Ambulances and Patrol wagons should be equipped with the Case, and every Surgeon should have one in his carriage. Price Complete, = $6.50 Each. 960 ADVERTISEMENTS. A COMPLETE CAUTERY OUTFIT FOR $25.00. One Charge "Will Last One Year, With absolutely no attention. Size 25x17x10 inches. Price complete, includes 3 Edison-Lalande Cells, Type P, contained in n Handsome Case. 1 Pair Cautery Cords, 1 Edison Cautery Handle, 1 Edison Cautery Knife, $25.00. This is the most complete, economical, and efficient Cautery Battery in the market. THE DEUVAN ELEGTRIG LARYNG0SG0PIG G0NDEN8ER. This condeser is fitted with a ball and socket attachment that allows the light to be thrown at any angle, and casts absolutely no shadow. Price complete, including condenser, stand, 32 candle power lamp, io feet flexible cord and plug to fit Edison socket.........$18 oo ADVERTISEMENTS. ^THE Edison Stipgical and Dental Motor Oiitfit COMPRISIHG riotor with Suspension Spring and Coupling. Flexible Shaft with Extra Flexible Extension and Hand-Piece. Regulating Jlotor Rheostat and Connecting Cords to riotor. Adjustable Standard with Bent Arm. COMPLETE PRICE, $42.00. PRICES OF SEPARATE PARTS. Motor with Coupling and Suspension Spring.......................................................gl5.no Flexible Shaft, with Extra Flexible Extension and Hand-Piece................................. 17! 00 " " Hand-Piece but without Extra Flexible Extension......................... 15^00 Adjustable Standard with Bent Arm................................................................ 6.00 Regulating Motor Rheostat........................................................................... 6.00 Battery of six Edison-Lalande Cells, porcelain jars, type P, with 'Charge for same, which will run motor 200 hours with absolutely no attention. $29.00. This Battery is also suitable for Cautery work when used with a regulating Cautery rheostat made specially for this purpose, which could be supplied together with heavy leads and cautery cords at an extra cost of $16.00. Battery of 6 K cells, do., do., which will run motor 100 hours, $17.00. 93 99 B9A soa ADVERTISEMENTS. L. ROSENBUSH. RELIABLE I. MAYER. The R. Hoehn Go. MANUFACTURERS AND IMPORTERS OF Standard Thermometers, Hydrometers, Barometers, ETC., ETC. fmi|iiii|iiini|ii|iiiniiii|iiii|iiii|iiii|iMniiii|uh|nii|iiii|i OUR PATENT TWIST FEVER THERMOMETER. ^AiHI^fauu)tmiuUltJUlUlllUllJQlUUlllUJllUlUlllliUlllUlllUlllllUl OUR PATENT DOUBLE BULB FEVER THERMOMETER. Largest stock of GERMAN ARTIFICIAL HUMAN EYES. Sole Agents for the GUMBERT EYE. 125 Fulton St., NEW YORK ..... FOR SALE BY ■ S WATiEROOMS : 495, 497, 499, 501 and 503 Wells Street, - CHICAGO, ILL. SE1TD FOB DBSCEHFTIVE CATALCG-CTZ. I^or Sale t>y BHJSJRF & SMITH. ADVERTISEMENTS. 965 THE Hf\RVf\RD PHYSICIANS' wb SURGEONS' CHAIR. A—Normal adjustment. C—Full length reclining position. B—For operations upon the eye, ear or throat. D—Reclining, with head lowered. E—Sims' position. F—Dorsal position. G—For elevating the hips. H—Three-quarter length reclining. I—For operation on hand or arm. The Harvard is capable of backward and lateral motion and rotation ; can be easily raised or lowered, and rigidly set in any position. It perfectly balances with or without a patient upon it, and is noiseless in its operation. It is capable of every position desirable to the surgeon, gyncecologist, or oculist. It is the least complicated, the strongest, the easiest operated, most useful and ornamental surgical chair made, and with all its advantages, in price most reasonable. Send for descriptive catalogue D. Address OK' SHARP & SMITH, 73 Randolph Street, CHICAGO, ILL. Ttte ft&R¥&RD CO., Canton, Ohio. 966 ADVERTISEMENTS. ■•■•• TAYLOR'S •■■••■ Clinical Thermometers ARE SOLD . AND GUARANTEED *J Sr s&jrafir o0' n ^ ^ o .$& EsciaiP>TX"VE -&.arx> price list. The Different Numbers are made Regirarly in 3 Sizes, Large (L.) Medium (M.) Small (S.) and Specially in any Desired Size and Shape. Every Bandage, in the Several Styles, is Trimmed and Finished with SilK. STYLES. RETAIL PRICE. Uo, X—Frilled Elastic Waistband and Buttock Straps, made whole (without buckles.) Bags of Ger- man or American material, soft and durable, trimmed and finished in silk........... No. 1!4—Frilled Elastic Waistband and Buttock Straps, with 2 adjusting buckles at abdomen. Bags of German or American material, soft and durable, trimmed and finished in silk..... --- JJ0. 2—Fine plain Elastic Waistband and Buttock Straps, made whole, without buckles. Bags of extra fine quality German or American material, soft and durable, trimmed and finished in silk... JJo. 3—Superfine plain Elastic Waistband and Buttock Straps, with two adjusting buckles at abdomen. Bags of French material, very soft and durable. Extra quality silk trimmings and beauti- fully finished........ .......... --- ..................... ....... Jf0# 4—Superfine plain Elastic Waistband and Buttock Straps, with two adjusting buckles at abdomen, and two Buttock Strap adjusting buckles. Bags of finest French material, very soft and dur- able. Extra quality silk trimmings, and beautifully finished..............-.............. JJ0# g__Silk Bag. Superfine Elastic Waistband and Buttock Straps, with two adjusting buckles at ab- domen, and 2 Buttock Strap adjusting Buckles. Bags of fine English Silk netting in white or flesh color. Superfine quality Silk trimmings, beautifully finished.......... ....... jj0 ft—All Silk—Superfine Silk Elastic Waistband and Buttock Strap, with 2 adjusting buckles at ab- domen, and 2 Buttock Strap adjusting buckles. Bags of fine English or French silk netting in white or flesh colors. Superior quality Silk trimming and artistically finished......... 5 00 Each Bandage is put up in a Tinted Box. and 1 doz. of these Boxes are packed in a Carton, Labeled with No. and Size, making them the Neatest and Most Satisfactory Stock among Druggist's Sundries. IMPORTANT TO THE TRADE. Dealers will confer a favor by returning to us any of Rawson's U. S. Army Suspensory Bandages in which the Elastic has deteriorated or the Bandage has in any way become imperfect while in stock, and we will replace them with new goods. We make this request as it is our aim to keeD only first-class goods, perfect and superior in every particular, on the market of our manufacture._____________________________________________S. E. G. RAWSON. CAUTION.—Be sure that "Rawson's Patent Elastic Self-Adjusting U. S. Army Sus- penson' Bandage," together with the No. and Size of the Bandage are printed on the Waistband; also on the label of the box which contains it.___________________________________ For Sale bv all the Leading Wholesale Drug and Surgical Instrument Houses in the U. S. Orders received and promptly executed by the Patentee and Sole Mfr., S E.G. RAWSON, Saratoga Springs,N.Y. TR.AIDB SUPPLIED BY $ 1 50 1 75 2 00 2 50 3 00 3 50 SHAFRF^ S<1 •MIHTH. 56 SEND IN YOUR ORDERS. 972 ADVERTISEMENTS. Tookers New Invalid Bed Pan (PATENTED) These Pans are Now Being Used in all the Principal Hospitals of the Country. THE SPECIAL POINTS OF CONSTRUCTION ARE AS FOLLOWS: This invention is nearly the reverse of that known as the French Bed Pan, being a bed or Invalid Pan, the sides of which converge toward each other, forming a bottom which sinks into the mattress. It is so constructed that when in use the top of the Pan is nearly level with the mattress or bed. The surface line of the Pan is level its entire length, an oval rim of two inches in width surrounding it, and is equally adapted to male or female. It combines in service both urinal and Bed Pan. Upon application the patient need not be raised, thus preventing much suffering. The proper mode of application of Bed Pan is to turn the natient on either side, or raise e'ther lower limb. It can be used by most patients without an attendant. Its shape renders overflow impossible. The simplicity and adaptability of this Pan will commend it to all. This New Invalid Bed Pan is already in use in many of the leading hospitals in this country, is very highly commended, and there is not the least doubt when properly known it will entirely supersede any other. Owing to its capacity for receiving and containing fluid, this Bed Pan is indispensable during surgical operations. ____________ PRICE,.....*S2.00. FOR SALE BY SHARP & SMITH, Agents, MANUFACTURERS OF SURGICAL AND VETERINARY INSTRUMENTS AND APPLIANCES. Antiseptic Dressings, Artificial Limbs, Elastic Hosiery, Etc., Etc. 73 Randolph Street, - - - CHICAGO, ILL. ADVERTISEMENTS. 973 gai»dfl Head Baqd No. 1. £ai>dij Head Band Mo. 2. Combined Head Band and Protector. IN USE Folds over the face of mirror, and protects the glass from breakage. Is self-adjustable to the forehead, and rests more comfortably than any other head band The mirror can be held in any desired position. Can be used either with or without nose rest. Is lighter than any other head band with nose rest, and can,be folded closely to back of mirror, The nose rest is pliable, and conforms to shape of forehead. Head Band No. i is made of steel, and No. 2 of brass. Both are finely finished, and sup- plied with the best English silk bands. At wholesale by the makers; SARDY & COMPANY. 5 Cedar St., NEW YORK. Sold by SHARP & SMITH. (See Prices in this Catalogue.) Belfast Linen Catheters and Bougies. LONDON MAKE. The original Linen Catheter — Smooth, Flexible, and Durable. The makers have an experience of over three-quarters of a century in manufac- Trade Mark Belfast Linen. Registered at home and abroad. turing Gum Elastic Surgical Instruments, and any so-called Linen Catheter or Bougie not stamped Belfast Linen, is an imitation. At wholesale by the sole importers: No. s Cedar St., NEW YORK. Sold by SHARP & SfllTH. (See Prices in this Catalogue.) 974 ADVERTISEMENTS. IHI New Indianapolis {fomgical and gynecological Chair1. DORSAL POSITION. The only Chair that can be operated with one hand from either side when the patient is in the chair. The simplest and easiest to operate. Durable and firm in all its positions, and nothing about it to get out of order. Meets all the requirements of an Operating Chair and Table combined. Having all positions. Every Chair guaranteed to give perfect satisfaction, and built and finished with finest ma- terials. Covered with genuine leather, nickel plated trimmings, quatered oak, and is the handsomest Chair on the market. . • . ADDRESS . • . DRf\KE 6c WOOD CO., INDIANAPOLIS, INDIANA. . . . FOR SALE BY . • . 73 Randolph Street, = CHICAGO. ADVERTISEMENTS. 975 Dr. L A; Babcock's Pure Silver Uterine Supporter. Is the best Instrument now in use for any displacement of the womb, because it is per- fectly simple in its structure, and made to fit the parts exactly. It has no straps or strings to hold it in its place, and does not have to be taken off every time there is a movement of the bowels or micturition. It has no rubber to bend by the natural heat of the body, or to chafe and irritate the parts, producing Leucor- rhceal discharge and weakness. It is made of pure coin silver, cup and stem, which makes it flexible, and can be changed in shape to suit any form. The solid pure silver is an absolute necessity if a radical cure is sought for, because no other metal can be used with any degree of success, if you wish \o produce a current of electricity: if the aim is to cure the patient, then the best and purest instrument should be used. With fair usage, this instrument will last for years, and after a cure is effected, and it is no longer required for that purpose, there is still value remaining in it. We claim and believe that Dr. Babcock's Silver Uterine Supporter will work a radical cure in most cases of displacement of the womb, if used thirty or sixty consecutive days as direct- ed, because its direct action is to contract and tone the relaxed muscles and ligaments of the womb, overcoming the worst cases of Retro and Ante-version, and Flexions in a few days, and reducing the womb to a normal condition. Over i ,000 testimonials from the most eminent Physicians have been voluntarily given, in proof of the above stated facts, that The Silver Uterine Supporter has proved a radical cure to thousands of ladies who have been confined to their rooms and beds for years, and who are now well and happy. Full proof will be furnished to all who wish to test the truth of the matter here stated. Price to PJayeiciane, - - - $10 SO. ^N, F. THYLORl^ (Successor to Dr. L. A. Babcock in the Manufacture and Sale of the Silver Uterine Supporter.) 204 NEPONSET AVE., - BOSTON, MASS. ____________For sale t>y Slaa.rp & Smith.____________ THE J. C. SCHNOTER KNITTED SUSPENSORIES Are the only perfect ones in the market. The bag being seamless is elastic, easily adjusted, and perfectly comfortable. See that the inventor's ini- tials (J. C.) are before the name of Schnoter on every box and bandage. BEWARE OF IMITATIONS. ESTABLISHED 1870. IMPROVED. ARMY AND NAVY. These bandages are highly indorsed by the medical profession as a sure preventive against "Varicocele" and "Rupture in the Scrotum." They have been before the public for the past 22 years, and are the most reliable suspen- sories made. mew wkr»i^ J. C. SCHNOTER CO., - - NEW YORK. Sole nanufacturers. The Trade supplied by SHARP & SMITH, 73 Randolph Street, CHICAGO. 976 ADVERTISEMENTS. A QUESTION . . . . . . FOR YOU TO DECIDE. ARE YOU interested in having a Healthy Home? ARE YOU anxious to keep away Cholera, Typhoid Fever, Diphtheria? ARE YOU troubled because you have no Sewer Connec- tion or Water Works? ARE YOU disgusted and wanting to get rid of your Fever- Breeding Privy Vault? YOU CAN solve these important questions, and YOU CAN HAVE all the comforts and convenience of a First-Class Water Closet by getting one of Heap's Patent Earth Closets. There is NO WATER, NO SEWERS needed. SPECIAL FEATURE .... SEPARATION OF URINE FROM EXCRETA. NATURE'S Own Disinfectant. Sick People ) Should use a Dry Earth Closet. «r .. r» i \ It aids recovery, prevents infection, does Well People > away with all odor, and is the only Old People ) way to be healthy and clean. «j » r» 4. c„*.+ u rt^o* Is indorsed by the most eminent Sanitarians and Heap S Fat. tartll ClOSei has been adopted by the U. S. Government. Awarded 13 first prize medals for excellence. Send five two-cent stamps for 36 page pamphlet of hygienic hints "Healthy Homes, How to Have Them," and 24 page fully illustrated catalogue of Earth Closets, Bedroom Commodes, etc. Heap's Patent Earth Closet Co., MUSKEGON, MICH. Depots in Principal Cities..... FOR SALE BY- SHARP & SMITH, - GHIGAGO, ADVERTISEMENTS. 977 KIDDER'S CELEBRATED BATTERIES. COMPLETE CABINET APPARATUS. The mechanical devices for the absolute control of the currents are perfect. The Cabinet is provided with 43 Muriate of Ammonia (Sal-Ammoniac) Cells that will remain active from two to three years. The cells are placed in trays that can be removed from the cabinet without disturbing a wire, a feature not found in any other make except the devices are copied. A drawer underneath the key-board for electrodes. Complete, with current controller, milliampere meter, necessary switches, pole changers, high tension coils, etc. A handsome piece of cabinet work for the physician's office. Constructed in a variety of forms to suit the wishes of the profession. JEROME KIDDER MFG. CO.. 82o Broadway........NEW YORK. . . FOR SALE BY . . SHARP & SMITH, - - Chicago. 978 ADVERTISEMENTS. ^idd^r's Qel^brat^d Batt^ri^s. Portable Galvanic Apparatus With Patented Improved Attachments for Electing various Cells without Interrupting the Circuit when the slide is moved; a most important feature. By moving one of the levers the current is alternately closed and interrupted, also thrown rapidly in opposite directions, Zinc.and Carbon Plates. Each measure $/i inches long, i y2 inches wide. jars are of Hard Rubber, and single. No expensive apartment cells to replace. Top section of case can be tipped backward, allowing the immediate removal of tray to any convenient place for refilling. Larger Amount of Element Surface than any other make. Hydrostal for covering cells when carrying or not in use, preventing evaporation and spilling. Amount of square sur- face of plates represents volume of current. Top Plate of Galvanic Apparatus. JEROME KIDBER MEG. GO, NEW YORK, N.Y. 8ao Broadway. For Sale by SHARP & SfllTH, CHICAGO. ADVERTISEMENTS. 979 ERGOTOLE. 8 & P,t is preferred by Physicians, because it is 2i TIMES THE STRENGTH OF FLD. EXTRACT ERGOT, Hence the dose is smaller—5 to 30 minims. It keeps well, is palatable, reliable and NEVER NAUSEATES the patient. No irritation or abscess follows its hypo- dermic use. Dose hypodermically, 5 to 20 minims. Sole Manufacturers of WEBBER-PEPSIN S. & D., GUARANTEED STANDARD I TO 6,000. No Mucus. No Peptone. No Odor. SAMPLES AND LITERATURE UPON APPLICATION. MANUFACTURED SOLELY BY ©HARP & DOHME, MANUFACTURING CHEMISTS. Laboratories, Baltimore. (Established 1860.) GENERAL OFFICES: 41 John St., NEW YORK. CHICAGO HOUSE: 221 Randolph St., Cor. Franklin. Chas. E. Matthews & Bros., Managers. 980 ADVERTISEMENTS. Myron E. Meyer Mfg. Co., MANUFACTURERS OF ANTISEPTIC MATERIALS, Plaster Paris Bandages, Etc, TRADE BSD LABEL 23Ei,A.2iTD. MARK. MILWAUKEE Wis. ORIGINATORS OF THE Sterilized, Bleached, Moist, and Absorbent Antiseptic Gauze. RECOMMENDED BY ALL THE Leading Surgeons and Hospitals in the Country. CORRESPONDENCE SOLICITED. A Full Line of these Goods constantly on Hand at SHARP & SMITH'S. ADVERTISEMENTS. WJ1 The Hastings Truss Co. Manufacture and sell in every country the sun shines on, a line of Indestructible Hard Rubber, Leather Covered, and Elastic Trusses, Shoulder Braces, Abdominal Belts, Elastic Hosiery, Etc., Etc., The acknowledged superior in material and workmanship of any on the market. Compare our Hard Rubber Springs. No sharp edges. Best Para Rubber. Producing in large quantities, our prices are cheap. The two specialties, cuts of which are here shown, are meeting with great favor with the trade. 114-A Soliciting comparison orders, The Hastings Truss Co, 224 South Ninth St., PHILADELPHIA. For Sale by SHARP & SfllTH, CHICAGO. 982 ADVERTISEMENTS. HOMAI'S Perfected ANATOMICAL PELVIC PESSARY. I claim that this Pessary is infinitely superior to any Pessary ever brought to the attention qf the profession; that it is, in fact, the only Pessary ever devised with strict reference to anatomical conformity. It is very nearly a miniature copy of the bony pelvis, and its advantages are self-evident. The superior posterior elevation being concave, fits the Cul de-sac. The posterior and anterior concavities bridge, respectively, the rectum and the bladder. The lateral grooves support the broad ligaments. The lateral eoncavities receive the soft parts which help to secure the Pessary againt frictional rotation. The contraction- pressure of the vagina upon the sloping inferior section of the Pessary holds it firmly in position I am confident that the PERFECTED ANATOMICAL PELVIC PESSARY wil commend itself to the approving judg- ment of the enlightened practitioner. N. B.—It is my earnest advice to employ at first the smallest of the sizes permissible in any given case, and to advance to the use of the larger sizes only as the case may actually indicate that necessity. I have seldom found it needful to advance beyond No. 2. Nos. o and i will be found large enough in a considerable majority of cases. The Pessary is made of both soft and hard rubber. Size "oo" is the smaller and measures two inches, and is the only size having the rubber sack attachment, and is made of soft rubber only. It is invaluable in the treatment jf ulcerations and inflammations, the sack being the vthicle for the local applications. It is very effective, also, in sterili.y, and does not interfere with coition. Exact Measurement of Transverse Diameter of the Perfected Anatomical Pelvic Pessary. INCHES. No. co, with sack over lower opening........ 2 " o, without sack........................ 2 4-16 " 1...................................... 2 7-16 " 2 ................................... 2 10-16 " 3.................................... 213-16 " 4...................................... 3 Physicians supplied, Soft Rubber............each, $1.50 " '• Hard " ........... •* 300 A single Pessary (for trial), Soft Rubber.......... 1.00 " " " Hard " .......... 200 82^~Dr. Hofmann solicits the attention of the pro- fession, in connection with his Pessary, to his "Perfected Adjustable Abdominal Supporter," on measurement orders, at $6.00. Take the measurement around the hips, just below the Crest of the Illium. %-£T~Beware of unscrupulous dealers giving you the "Old Style" for the Perfected. {^-NO PESSARIES GENUINE except those bearing my full name and date of patents; and no Ad- justable Abdominal Supporter genuine excepting those having my trade mark. Ernst F. Hofmann, M. D. The Pessary or Supporter will be sent by mail on receipt of price. Address communications and remittances, and men- tion this list to ERNST F. HOFMANN, M. D., 45 West Twenty-fifth Street, New York. PLATE 1. Size 1. Superior Anterior View.— A, Superior and pos- terior concavities. B, Anterior and superior concavities. E, Central orifice. G, Lateral concavities. PLATE 2. Size 1. Right Lateral View.—A, Superior and poster- ior concavities. B, Superior and anterior concavit'ei. C, Superior posterior elevation. D, Lateral grooves. F, Slope of inferior-anterior tuifacc. G, Lateral concavities. PLATE 3. Siie 00. Anterior-Inferior View. Showing a thin India rubber sack enveloping the inferior opening of the central orifice. A descriptive illustrated circular sent on application. Makers, and by For sale at all Drugstores and Surgical Instrument SHARP & SMITH, 1999999995311 ADVERTISEMENTS. 983 This low priced galvanic battery, made up of light material, is fre- quently prescribed by physicians to patients for home use. The absence of a hydrostat board for preventing fluid spilling in carriage (unless it be specially ordered) does not make it so portable as the physicians' gal- vanic battery, but the elements being composed of zinc carbons, also, their working capacity compares favorably with them. Pr ce. 6 on . . .$7 OO 8 " ... ... 9 OO TO 1 ( t t l ... II 50 50 16 ' .1 ...17 20 1 " " 00 3° ' ...30 00 Flemming's Galvanic Family Battery. Flemming's superior portable galvanic physicians' batteries, put up of the very best material by most solid and elegant workmanship, very effective and durable, are offered either as simple galvanic batteries, or as such combined with a first-class Faradic induction coil, with rapid, or with rapid and slow interruptions, at the following prices: 10 Cell Galvanic Physicians' Battery.............................................$25 00 '' with combination..,............................. 35 °° " " " and slow interrupter.............. 45 °° " ............................................. 30 00 1' with combination..............................40 00 " " " and slow interrupter.............. 4800 " .................................40 00 " with combination.............................. 5° °° " " " and slow interrupter.............. 5800 .....................................45 00 '" with combination............................... 55 °° " " " and slow interrupter.............. 63 00 .............................................. 55 00 '' with combination............................... °5 °° " " " and slow interrupter.............. 73 °° .............................................. 65 00 " with combination............................... 75 °° " " " and slow interrupter.............. 8300 Flemming's Portable Faradic Batteries. No. 00 Family Faradic Battery...........$10 00 " 0 " " " ........... 12 00 " 1 " " '• ........... 15 00 " 1 Physicians " " with rapid and slow interrupter............ 22 50 " 2 Physicians' Faradic Battery, with commutator................... 20 00 " 3 Physicians' Faradic Battery, with rapid and slow interrupter, com- mutator, etc.................. 30 00 " 4 Physicians' Faradic Battery, with rapid and slow interrupter, com- mutator, etc. and three inter- changeable Du Bois-Reymond in- duction coils of different tensions, 45 00 For Sale by SHARP & SMITH, CMCagO. Flemming's No. 3 Faradic Battery 984 ADVERTISEMENTS. FLEMMING'S Electro-Therapeutic Rjnsecological AppM&fag Flemming's Electro-Therapeutic Gynaecological Wall cabinet, con- taining the following accessories, aiding in eliciting or modifying galvanic or Faradic induction cur- rents, or both currents combined, at pleasure: The Massey-Flemming current controller, for varying the galvanic current derived from voltaic cells, or from an incandescent light circuit. The Flemming Milliameter for measuring galvanic currents. The DeWatteville Current Com- biner for the use of galvanic and Faradic currents simultaneously, or independent of each other. The commutator or pole changer. The Du Bois-Reymond Induc- tion Coil, with rapid and slow In- terrupters and graduator. The liquid rheostat for varying and softening the Faradic current, and regulating switches. Price, complete without any galvanic cells.........................$^5 °° " of Leclanche cells, each, net .^.................... .......... * 25 Flemming's Electro-Therapeutic Table Plate, comprising the Massey-Flem- ming Current Controller, Milliameter, Current Combiner and Commutator, and Du Bois-Reymond Coil. Mounted on pol. walnut base, $80 00 Including walnut cover..... 85 00 Single Current Controller..... 10 00 " Milliameter........... 25 00 " Du Bois-Reymond Cpil. 30 00 " Current Combiner and Commutator............. 10 00 -o FOR SALETBY SHARP & SMITH, chicaqo. ADVERTISEMENTS. 985 Opfigr Furniture . MANUFACTURED BY • W. D. Allison Co., jndianapolis^ THE "dLLL/ON" FHT/ICMN'S CHdIR. Price rom $45 to $80. THE chair in the' Normal position makes a very comfor- table chair to sit in; is a nice piece of office furniture and takes up but very little room in the office. Each chair has a drawer in which to keep instruments, the stirrups to the chair, etc., which can be pulled out on either side. DORSAL POS Showing side table, adjustable stirrups and shelf in front. SIMS POSITION. AN/ESTHESIA POSITION. This chair can be instantly adjusted to any desired position. It is simple in construction, convenient to the operator, and comfortable to .the patient, the Dorsal position, Anaesthesia posi- tion and all the different positions known to the profession can be easily obtained without any inconvenience to operator or patient. The adjustable stirrups, the large drawer for instruments, the little shelf in front, the movable pillow which goes with each chair and the step for mounting the chair are special features of importance. The 'Allison" Combination Instrument Cabinet. PRICES $40.00 TO $65.00. The cabinet is made perfectly aseptic, and proof against dust and dampness The upper section is a glass case which revolves on the lower section. It has adjustable glass shelves and the doors close against s-nall cushions, making the case almost air-fght. The cabinets are made in a -umber of different styles. The "Allison" Invalid Rolling Chair. PRICES $20.00 TO $65.00. They are made in a number of different styles and sizes. The chair can be reclined to any desired angle by raising the caps on the arms, For Sale by SHARP & SMITH, Chicago. 986 ADVERTISEMENTS. Offigr Furniture ... MANUFACTURED BV • W. D. Allison Co., 1ND1ANAPQUS»1ND- "flLLI/ON" OFERdTINQ TABLE. SURGICAL POSITION. Upholstered top without cabinet. AN/ESTHESIA NARCOSIS POSITON. Removable cushion and pillow, cabinet closed. Made of oak, walnut or cherry; material and workmanship first-class; elegant finish; hand polished. The top on all tables is hinged at a point 14 inches from front edge, so that top can be raised to an upright position, answering the purpose of a chair. The top is made plain up- holstered, or with movable cushion and pillow. The patented cross-bar, on which upper portion rests, enables the operator, by use of the two foot-treadles at side of table, instantly to adjust it with perfect ease, and with the heaviest patient on it, to any desired position. The adjustable stirrups, divided leg-rest, revolving cabinet, removable cushion and the ad- justable arm-rest, are some of the desirable features of the table. Satisfaction Guaranteed. PRICES FROM $50.00 TO $90.00. Position as a chair, step in front to assist patient in mounting table. DORSAL POSITION. Hips elevated, revolving cabinet open. SIMS POSITION- Showing arm-rest and divided leg-rest. TRENDELENBERG FOLDING TABLE. We make a table, for Trendelenberg posi- tion, which can be used on any table, or bed, and can be compactly folded and carried under the arm. For use in abdominal sur- gery it has no equal. Tables for hospitals, colleges or special practice, made to order. For Sale by SHARP & SfllTH, Chicago. ADVERTISEMENTS. 987 The Great Preserver of . . TH. Perforate! Buckskin Underwear and Chest Protectors (SMITH'S PflTBNT.I For ladies and gentlemen, afford thorough protection to persons susceptible to cold, against Pneumonia, Rheumatism and Lung Diseases. "Seamless" Sanitas Napkin, FOR LflDlBS. Is displacing an article that has not been improved upon for ages, affording increased comfort to the wearer, clean- liness, diminution of risk of disease, great advantage in traveling, cheaper than washing. Highly recom- mended by prominent physicians. --- SOLE MANUFACTURERS 86 Leonard St., New York. SOLE, SEbbINO AGENTS FOR Canfield Stockinet Diapers, Bibs, Sheets, Stockinet Sheeting, etc........... SEND FOR ILLUSTRATED CATALOGUE AND PRICE LIST. INDEX COMMENCES FOLLOWING PAGE. INDEX. PAGE. A Abbe's Uterine Needle Holder.325, 326, 604 Abbott's Uterine Curette and Double Catheter.................... 567 Abdominal Sponges..............899, 900 Supporters.............274, 798 to 790 Needles.......................287-C Abscess Lancets..................... 356 Absorbent Cotton..............893-B, 894 Lint............................ 894 Mops.........................893-B Accident Cases...................... 915 Acoumeters....................397-A 402 Acupressure Forceps..............317, 318 Needles and Pins.............306, 307 Acou-Otoscopes...................... 399 Adams' Splinter Forceps.............. 360 Interosseous Saw................ 293 Rhinoplastos...................415 Ether Inhaler .................. 311 Haemorrhoidal Syringe............085 Adhesion Forceps.................... 379 Adhesive Bandages................... 894 Plasters......................... 894 Adjusters for Wire................... 575 Ady's Uterine Dilator................ 553 " Needle Holder......... 604 " Constrictor............. 564 " Tourniquet............. 564 Aesthesiometers...................... 528 Agate Instrument Trays.............. 893 Horn Bed Pans................643-B Agnew's Hernia Instrument........335, 337 Lachrymal syringe............... 368 Canaliculous Knife............... 370 Iridectomy " ...............371 Tattooing Needle................ 373 Perineum " ............ 327, 616 Tissue Forceps.................. 583 Eye Speculum.................. 383 Ahl's Felt Splints...............779 to 782 Air Apparatus, Condensed.. .494 to 496, 503 Bags, Ear....................... 396 Beds....................808, 809, 812 Pillows......................809, 812 Baths...........................488 Cushions....................810, 812 Pumps ...............501 to 503, 504 Allen's Cotton Carrier................422 Septum Knife...................422 Nasal Douche................... 423 Snare..................... 417 Polypus Ear Forceps.............402 Double Nozzle................... 396 Ophthalmoscope................ 363 Uterine Dressing Forceps........ 579 Aloe's Urethral Speculum...........632-D Rectal Speculum................ 674 Allingham's Rectal Speculum......... 673 Haemorrhoidal Clamp.............683 Rectal Scissors...............683, 687 Mouth Gag.....................458 Allison's Stethoscope.................525 Albuminometer..................530-A B Alcohol Lamps...................... 531 Alpha Invalid Cushions...........810, 813 Water Bottles................810, 813 Syringes....................816, 819 Allis' Ether Inhaler......309, 310, 311-A B Acupressure and Suture Forceps ••......................317, 3'8 Allse-Nasi Instruments............ 4!5_B Alum Pencils........................ 386 American Bullet Forceps..............334 Nebulizer....................... 508 Spring Lancets.................. 551 Field Tourniquet................ 308 Amusats' Hsemorrhoidal Clamp........ 682 Amputating and General Operating In- struments..............288 to 333 and General Operating Cases. 275 to 286 Knives..................291, 291-AB Saws.....................291-D, 292 Anastomosis Buttons and Forceps. .287-A B Anatomical Pumps...............340, 341 Models....................882 to S84 Anchylosis Apparatus. 753, 757^,760, 767-D Anal Fissure Knives................. 684 Andrews' Artery Forceps..........314, 359 Pocket Surgical Case............343 Drainage Tube....... 891-B to 893 Rectal Speculum................ 673 Stone Searchers.................. 715 Varicocele Clamp ............... 731 Evacuators and Tubes....... 714-A B Anderson's Vaginal Capsules.........561-A Anti-dust Respirators................428 Anel's Eye Probes................... 385 Lachrymal Syringe..... .......368 Aneurism Needles, 291, 328, 329, 353 to ...............•........356, 357 Angle Forceps....................... 580 Anklets, Elastic...................... 274 Ankle Braces........................ 741 Joint Extension Apparatus, 758,768-KL Animal Ligature .................... 890 Ann Arbor Dressing Forceps.......359, 360 Antiseptic Dressings............889 to 900 Applicators, Nasal Cotton.........417-A B Acid.....................422, 422-A Uterine......................... 573 Rectal ..................683-B C D Urethral........... 708, 709-A B, 723 Laryngeal................. .. 459-A Applicating Forceps.................. 580 Apparitor Auris..................407, 411 Aprons, Operating.............. 288, 913 .Artery Forceps... .314-A to 320-B, 359, 360 Compressors............307, 319, 320 Needles..................327 to 330 and Needle Forceps......316, 320-A B Clamps........................319 Constrictors.................319, 320 Archer Operating Chairs.........671, 672 Artificial Limbs..............769 to 772-I Leeches......................551 Eyes........................... 387 Tympanum.................407, 410 Arnold's Stethoscope................. 526 Arango's Uterine Tenaculum.......575-A Ashton's Perineum Needle............ 616 Polypus Forceps.................688 Pile Clamp Forceps..............683 Glass Rectal Speculum...........677 Aspirators................545 to 549 Syringes....................... 547 Trocars and Needles............548 Astigmometer, Hotz................390-A Atkinson's Topler Electric Machine.... 830 Atomizers, Antiseptic................ 288 Hand..................... 489 to 493 Ointment........................489 Steam.......................... 488 Vaseline.....................489, 504 Atomizing Tubes...........488, 497 to 500 Tips.......................... 493 Atlee's Perineum Needle.............6i3 INDEX. 989 PAGE. Atlee's Ovariotomy Clamp............ ego Uterine Dilator.................. 553 Automatic Rheotomes...............837 Auricles....................... .407', 408 Aveling's Transfusion Apparatus...... 551 Polypotome................567, 568 Ayres' Chalazion Forceps............. 309 B Babcock's Uterine Supporter.........642 Bader's Cataract Knife..............371 Tattooing Needle ... . ........ 373 Baer's Uterine Polypus Forceps........ 580 " Dilator................ 553 Bags, Air........................... 3g6 Emergency............281-A to 281-I Obstetrical...................... 663 Suspensory..................801, 803 Hot Water...................... 807 Gas.........................809, 812 Water.......................809, 812 Saddle...................879 to 881 Sponge.....................900 Baker Brown's Ovariotomy Clamp..... 592 Ball's Stem Pessary.................639 Double Tenaculum Forceps.......471 " Hooks.........472 Bullet Forceps................... 334 Bandages for Dressings..........895 to 897 Suspensory.................801 to 803 Adhesive....................... 894 Rubber......................... 897 Bandage Rollers.............289-A, B, 290 Clamps......................... 290 Shears.......................... 290 Bands, Head....................476, 477 Banga's Heavy Compression Forceps. .587-B Tumor Forceps.................583-A Bandelocque's Pelvimeter.............663 Bank's Filiform Bougies.............. 711 Urethrotome.................... 720 Barker's Uterine Scarificator.......619, 620 '' Syringe.............. 646 Ointment Bougie ............... 573 Barclay's Obstetrical Forceps..........656 Barthalow's Tube ...............645 Barnes Pledget Speculum.............633 Spirometer...................... 529 Uterine Dilator.................. 555 Medicine Dropper................ 531 Barber's Inhaler..................... 506 Bartlett's Percussion Hammer.........528 Bartley's Urinary Test Case........530, 532 Barry's Thermometer ..............537 Baruch's Circumcision Scissors........731 Basins, Pus......................398> 405 Baths, Air.........................488 Bath Specula........................628 Bottles for Eyes..............386 Batchelder's Embryotomy Forceps.....659 Cranium Perforator.............. 661 Batteries, Barrett's............854 to 856-A Cautery ...446, 837, 838, 850, 851, 853 Climax......................... 834 Davis & Kidder's...............843 Drescher's..................... 843 .......................844 to 847-N Flemming's................834 to 838 Florence........................ 842 Gaiffe's........................ 843 Kidder's..................839 to 841 Mcintosh..................821 to 830 Storage......................... 829 Smith & Shaw's................. 842 Sharp & Smith's...............843 Bates' Urethrotome................. 719 Bauer's Extension Apparatus.....741, 746 Wire Breeches................... 746 Baxter's Vaginal Speculum............ 625 Surgical Apron.................. 913 Beaumont's Concealed Knife.........371 Beaker Glasses .. .............. 531 Beatty's Vaginal Retractor............ 634 Beds, Air........................809, 812 Fracture___.................787, 788 Bedroom Commodes............. 904 to 908 Bed Pans............643-B, 644, 811, 814 Bedford's Perforator.............660, 661 Obstetrical Pouch................ 664 '' Forceps..............662 Beer's Cataract Knife......... ......371 Beebe's Vaginal Speculum.........632-A B Rectal Speculum...............672-B Pessary........................641 Behrens' Laryngeal Applicator...... 459"B Eustachian Catheter............ 397-A Head Band................... 397-A Bellamy's Tumor Forceps........... 583 A Hernia Knife................. 337-A Belocq's Canula for Epistaxis..........420 Belts, Electric ...................... 853 Doily.......................800, 803 Abdominal..................... 274 Umbilical....................274, 803 Belladonna Plaster................... 894 Belfast Linen Catheters............... 702 Belfields Urethral Dilator...........714-A Beniques's Urethral Sound...........715 Bennett's Percussion Hammer......... 528 Regulating Electrode.... .......851-B Bernay's Utero Tractor............... 556 Bergman's Prostatic Urethral Dilator .......................697-A 714-A Berlin Instrument Closets............. 913 Bigelow's Catheter Syringe........... 706 Artery Forceps ................. 314 Evacuating Apparatus............ 727 Lithotrite...................... 726 Urethral Dilator................. 715 Biggs' Bunion Apparatus...... ...... 741 Billings' Tonsillotome................447 Bilroth's Retractors ..............298, 299 Binders Board for Splints............. 787 Binocular Microscopes................ 866 Bistouries, (See Knife)............... Bistoury Cache................... .375, 684 Bishop's Tonsillotome................ 448 Powder Blower..................425 Bivalve Ear Speculum............... 391 Blake's Bone Curette...............301C D Polypus Snare................... 400 Tympanum Perforator............ 401 Inner Ear Mirrors............... 394 ' Syringe............ 394 Bladder Forceps.............. 725 Syringes................. 706 to 708 Curettes.....................714A B Blandin's Rectal Knife............... 684 Bone Staff..................289-B 291 Blanchett's Cataract Instrument........ 368 Black's Nasal Speculum...........420-A B Blackman's Retractors................ 298 General Operating Set............ 284 Blizzard's Lithotomy Bistoury.......... 721 Blitz' Extirpation Forceps............. 380 Block's Rectal Electrode and Searcher.683-B Blots' Perforator..................660, 661 Blow Pipes..................338, 339, 531 Blunt Hooks........................ 574 " and Crotchets............ 661 990 INDEX. Blue Vitriol Pencils.................. 386 Blyer's Mouth Gag.................. 5x5 Tongue Tractor................. 515 Cupped Epiglottis Tube.......515, 516 Bodenhamer's Curvilinear Forceps......683 Exploring Bougie................ 678 Rectal Exploring Sound........... 685 " Knife.................... 684 " Irrigator................. 683 Dilator................. 678 " Speculum................. 673 Boeker's Stethoscope................. 526 Boekel's Gas Bracket..............484 Improved Laryngoscope......482, 483 Student Lamp ..................482 Adjustable Wall Bracket.......... 482 Bolton's Pile Plug................... 678 Bond's Obstetrical Forceps ...........655 Throat Forceps.................468 Placenta Forceps................ 659 Bonafont's Eustachian Catheter Holder. 397 Nasal Speculum..............418 Bone Scoops............301-C D, 331, 332 Staffs. ..................289-B 291 Cutting Forceps..........300 to 301-A Chisels and Gouges.......301-B to 304 Scrapers..... .......... 301-B to 303 Drills.....................296. 297 Curettes......................301-C D Reamers....................301-C D Drainage Tubes ............... 892 Chips........................893-A Plates..................287-C, 893-A Boone's Artery Clamp Forceps.......320-A Borck's Cyst Elevator................ 597 Borated Cotton................893-B, 894 Bosworth's Laryngoscopic Set......... 479 Nasal Curette................... 471 " Saw...................... 429 " Applicators.......... . ... . 422 " Specula...................419 " Snare.................... 416 Powder Blower................. 485 Permanent Clamp..............-.. 435 Rhinoplastos ................... 415 Tongue Depressor............... 463 Bottles, Metallic, Covered............ 900 Bottle Stands. ..... . ..........910, 911 Bouchard's Irrigating Syringe......... 647 Syringe Tube................... 649 Bougies Oesophagal............4 59_B, 460 Filiform .................. 710,711 Nasal.......................... 427 Rectal...................678 to 680 Urethral. ............. . . 711 to 713 Bouffleur's Artery and Needle Forceps, ____....................320 A B Pocket Case of Instruments. .. .351 A B Bow Leg Apparatus............757, 768-M Saws......................... 292 Bowman's Cataract Instrument....... 368 Canaliculous Knife.............. 371 Director..................... 385 Eye Probes..................... 385 Stop Needle. .................. 373 Bozeman's Blunt Hooks and Tenacula.. 574 Needle Carrier................... 327 Spiral Needle Holder............ 604 Urethral Drainage Support........ 603 Uterine Douche Tube...........601 " Dressing Forceps......... 579 " Knife..................619 " Scissors.............610, 611 Vaginal Speculum................ 628 " Pessary................. 643 Bozeman's Vaginal Depressor.........576 Wire Adjuster................ 574 Braces, Deformity............736 to 76S-M Shoulder....................803, 805 Braun's Urethral Syringe............. 707 Trephine Elevator............... 661 Cephalotrite............ ........658 Bandage Shears................. 290 Epiglottis Forceps............... 470 Colpeurynter..................641 Uterine Syringe.................. 646 Brady's Inhaler...................... 507 Brackets for Electric Light........417-A B for Gas....................482 to 484 Brandis' Nasal Speculum.............. 420 Brainard's Bone Drills............296, 297 Brain Knives.................337-D, 338 Brewer's Vaginal Speculum. ... ....... 621 Breeches Wire....................... 746 Breslet & Marx Syringotome.........683-B Brewster's Inhaler.................... 506 Breathing Inhibitor.................. 435 Apparatus..........,...........493-A Briggs' Phimosis Forceps............. 728 Bristle Probangs..................... 47 [ Brickell's Obstetrical Forceps..........657 Craniotomy Forceps.............658 Perineal Stays................... 576 Bridge's Nasal Douche..............422-B Briddon's Artery Compressor.......... 319 Brown's (Moreau) Ecchondrotome . .415-A B " Nasal Snare Handle, 415-B (Lenox) Nasal Hand Douche.....422-D Post Nasal Curette Forceps....... 412 Spirometer...................... 529 Urethrotome.................... 717 Urethral Speculum............... 634 Brunn's Bone Scoops................. 332 Throat Forceps................. 468 Brunton's Otoscope...............392, 393 Brushes, Camel's Hair................ 386 Brush Holders.................. 455, 456 Bryant's Extension Apparatus......... 785 Bryce's Urethral Applicator........... 708 " Syringe............707 Buck's Artery Compressor............ 319 Chain Saw Carrier............294, 295 Ear Instruments.....401 401-A B. 406 General Operating Set............ 284 Hare Lip Pins...............306, 307 Hernia Director................. 335 Hard Rubber Nozzle............. 390 Lithotomy Staff.................. 723 Laryngeal Knives................ 451 Mastoid Drills .................. 297 Pin Carrier ................t___307 Sponge Holder.................. 457 Trachea Guide................... 459 Throat Forceps.................. 468 Bucklin's Nasal Saw................428-A Budd's Obstetrical Forceps............ 655 Craniotomy Forceps ............ 658 Blunt Hook and Crotchet......... 661 Uterine Probe................... 573 Budin's Uterine Irrigating Tube....... 649 Buchanan's Lithotomy Staff........... 723 Buggy Cases ................875 to 878-D Bullet Instruments..............334 to 336 Bulbs, Atomizing................... 488 Syringe...................818, 819 Bulb Syringes.................816 to 819 Bumstead's Uterine Syringe........... 645 Urethral Syringe................. 707 " Sound.................. 715 Urethrotome.................... 719 INDEX. 991 Bumstead's Urethral Insufflator........ 734 Bunion Apparatus................... 74: Burgess' Throat Forceps..........468, 469 Burr's Uterine Syringe................645 Burdick's Obstetrical Forceps.........657 Burt's Uterine Curette................ 563 Burettes. 53i Burnett's Mastoid Knife.............. 401 Burrows' Trachea Dilator.............454 Bush's Pile Needle.................. 684 Ligature Carrier................. 684 Pile Scissors.................... 687 Gorget......................... 722 Butcher's Bow Saw.................. 292 Buttles' Inhaler...................... 506 Pessary.........................640 Scarifier.....................619, 620 Suppository.....................647 Set of Uterine Instruments. . . .649, 651 Uterine Syringe................ 646 " Fixator.................. 579 " Sound................... 570 Buttons (Murphy's) for Anastomosis ............................287-AB Byford's Caustic Holders.............620 Compression Forceps.........320-A B Gynaecological Set............649, 650 Hysterectomy Forceps........587-A B Ovariotomy Clamp............... 592 Trocar.............. 594 Retroversion Pessary............. 640 Byford's Tenaculum and Blunt Hook, ......................574, 575-A Uterine Dressing Forceps . .*...... 579 " Curette................. 563 " Scissors.............610, 611 Volsellum Forceps............... 584 Vaginal Retractor............... 593 '' Speculum............... 626 Byrnes' Volsellum Forceps........470, 584 Vaginal Speculum............... 625 Tumor Forceps................. 585 Tenaculum Forceps.............. 581 Seizing Forceps................ 582 Uterine Fixator................. 578 Cabinets, Physicians'.............886, 887 Cable Twist Silk....................891-A California General Operating Set...... 283 Camel's Hair Brushes .*.............. 386 Camman's Inter Costal Auscultator .... 528 Cardiometer..................... 53° Stethoscope...........524' 525. 527-A Campbell's Tumor Forceps........... 585 Stethoscope....................527-D Canulated Uterine Forceps............ 581 Dilator...........553 Silver Needles................... 5*7 Canula Forceps..................... 471 Canulas,Lachrymal............. 369- 385 Canulated Bullet Forceps ......... 334 Needles......328 to 330, 375. 616, 618 Forceps (Eye)................... 375 Canaliculous Knives..............37°, 37* Dilators....................... 385 Scissors....................... 37° Capital Saws.................291-D, 292 Caps, Elastic, Knee.................. 274 Shoulder....................... 7&8 Ice....................8< 8, 809, 812 Capsules, Vaginal..............■■■■•• 5°i Carbolated Cotton.............8g3-B, 8g4 Carron de Villard's Fixation Forceps---379 Needle......................... 373 Carroll's Knot Tier..............576. 577 /Esthesiometer.................. 528 Stethometer..................... 53° Uterine Elevator................ 569 Scrotal Compressor...........801, 803 Caries of the Spine Apparatus......... 764 Cartilage Knives......291, 291-B, 338, 339 Carriers, Buck's Pin................. 307 Cotton......................312, 313 Needle......................... 327 Carey's Ovum Forceps................ 659 Cases, Accident..................... 915 Amputating and General Operating ..................... 275 to 286 Cupping........................ 550 Dissecting...................... 342 Empty Pocket Surgical........... 343 Emergency...............281 to 281-I Electrode...................849, 851 Ear............................ 406 Eye........................388, 389 Gynaecological..............64g to 651 Lancet.......................... 35° Minor Operating .. . .280, 281, 286, 287 Medicine............... 873 to 878-D Obstetrical...................... 664 Post-Mortem..........337-B C to 342 Pocket Surgical..........343 to 351-D " Operating..............281-H I Sounds ........................ 7*4 Casselberry's Naso Pharyngeal Tonsillo- tome....................449-A 0 Lingual Tonsillotome.........449-A C Modified Matthieu's Tonsillotome ..........................449-D Grasping Forceps...............449-D Casper's Gonorrhoea Bougie........... 711 Catheters for Male, Urethra, 700 to 706, ........................ 70g-A B Prostatic........................ 7°5 Pocket Case..................... 362 Combined Male and Female. ... 362 Female.........................603 Eustachian.........3g7, 397-A B, 3g8 Lachrymal.......'............... 385 Catheter Scales...................... 735 Guides ........................ 7°7 Syringes...................7°°, 7° 7 Catarrhal Syringes...............423. 820 Catlin's......................291, 291-A Cataract Scissors.................... 376 Needles........................ 374 Knives......................... 37* Cat Gut Ligature.............S89 to 891-B Cautery Batteries___837, 838, 850, 851, 853 Storage Batteries...............851-A Electrodes......829, 838, 847-K to ...............847-H, 850 to 852 Clamps Ovariotomy..........592, 593 Handles.........82g, 838, 847-L M N Irons...................330, 38A. 688 Lamps........................ 688 Thermo...................698 to 700 Caustic Holders.............333, 357, 386 " Uterine.............. 620 Syringes........................ 7°6 Cedar Stethoscopes.................. 526 Cephalotrites........................658 Cervix Scissors....................612 Needles...................614, 614 A Chapman's Set of Uterine Sounds...... 570 Chain Saws......................... 293 Saw Carriers...............294, 295 Ecraseurs..................567, 568 and Hooks, Dissecting........... 338 992 INDEX. PAGE. Charrier's Bone Scraper............... 303 Spiral Tourniquet................ 308 Urethrotome.................... 7ig Chamberlain's Placenta Forceps........ osg Pessaries........................ 641 Utero Vaginal Syringe............645 Drainage Tubes..................600 Chambers' Stem Pessary..............639 Chapman's Uterine Scarifiers.......... 620 Chassagnac's Ecraseurs.............. 567 Chair Cushions..................810, 813 Chairs, Invalid Reclining and Wheel ....................791 ^ 794-P Gynaecological ...........665 to 672-A Chaney's Rectal Dilators............677-A Chalazion Forceps................... 390 Chadwick's Pterigum Scissors.....377, 378 Cheek Retractors....................452 Cheatham's Ether Inhalers........... 311 Uterine Curette................. 563 Chisels, Nasal...............415-A B, 427 Knife.......................302, 303 Mastoid.....................401-A B Bone....................301-B to 304 Chips, Bone.......................893-A Chismore's Lithotrite................. 726 Chesterman's Steel Tape Measure..... 530 Chisholm's Ether Inhaler............. 311 Chew's Stethoscopes................. 526 Chests, Medicine.................... 881 Chloride of Gold....................494 Circular Saws ..................... 2g3 Circumcision Instruments.........723, 731 Civiale's Meatotome................. 722 Urethrotome................... 7ig Ear Scoop...................... 402 Cilia Forceps....................... 380 Chlorine Inhaler...................493-B Church's Tongue Depressor...........462 Clark's Atomizer....................490 Ear Tube....................... 397 Otoscope....................392, 3g3 Obstetrical Forceps ............. 654 Placenta Forceps................ 659 '' Hooks.................. 662 Uterine Scissors................612 Clamp Forceps...................588, 589 " Hare Lip ............. 517 Clamps, Bandage.................... 2go Funis.......................... 662 Haemorrhoidal...............682, 683 Masturbation................... 731 Ovariotomy.................5S9, 594 Rectal........................677-D Scrotal....................731 to 733 Skull.......................340, 341 Varicocele................731 to 733 Closets, Instrument..............912, 913 Clover's Evacuating Apparatus.......727 Perineal Crutch............632-C, 633 Ether Inhaler................3o3-A B Cleborne's Spring Catch Artery For- ceps....................... 314 Cliquet's Artery Forceps.........314, 316 Clinical Thermometers..........533 to 537 Climax Battery...................... 834 Clavicle Apparatus............ ..... 787 Club Foot Apparatus... 736 to 740, 768-L M Cleveland's Vaginal Speculum......631, 632 Claiborne's Nasal Speculum ... 420-A B Clay's Powder Blower................ 485 Codman & Shurtleff's Aspirator........ 546 Powder Blower..............425, 426 Steam Atomizer........ ........488 'Cohen's Post Nasal Cutting Forceps, 412, 46S Cohen's Evulsion Forceps............413 Pharyngeal Cotton Holder.......422 Tongue Depressor.............. 462 Cotton Holding Forceps..........468 Throat Forceps.................. 468 Lavage Apparatus ..........474, 475 Cohn's Phimosis Forceps............. 728 Coils, Water....................... 808 Colon Tubes........................ 685 Collins' Needle Holder............... 382 Lamps .. ..................... 394 Urethral Forceps............... 725 Tumor Forceps .... ...... 587-B Urethral Foreign Body Instrument. 728 Trachea Tube........ .......... 471 Retractor....... .......298, 299 Columbia Gynaecological Table 668-A B Cole's Rectal Searcher and Irrigator . .677-D Colburn's Lachrymal Syringe .....368, 369 Middle Ear Tube...........,. .397-B Colpeurynters....................... 641 Combs' Eye Speculum ■............ 383 Compression Forceps.........3ig, 5 8 7-A B Compact Aspirator...............547 Compressed Air Apparatus......494 to 497 Compressors, Artery................. 307 Scrotal....................... 731 Artery.................... 319, 320 Eye Lid........................ 369 Comstock's Obstetrical Forceps •• -655 Combination Male and Female Catheter. 706 Commodone Extractors...........331, 332 Condensed Air Apparatus.......494, 494-A Condensers,* Light ................. 484 Air................... 494 to 497 Electric Light...............417-A B Conversation Tubes........... 407 to 411 Conant's Minor Operating Set. .... 286 Operating Knives................ 291 Knife and Saw................. 293 Pessaries, Stem.................. 638 Concave Pessaries..................641 Contracted Wrist Apparatus........ . 760 Continental Microscopes ... .856-C to 856-H Constrictors, Artery..............319, 320 Conjunctiva Scissors ................ 376 Forceps............ ..........379 Cooling Catheters.................... 706 Sounds......................... 715 Cooper's Hernia Knife........335 to 337-A Copper Wire Pessaries............640, 641 Cornets, Ear....................407, 410 Cornea Knives...................... 375 Cork Sole Shoes..................... 751 Costetomes.....................338, 339 Cotton, Absorbent.............893- B, 894 Carriers....................312, 313 Holders, Ear............401 to 405-B " Pharyngeal............. 422 Counter Pressure Instruments .574, 575-A B Couching Needles.................. 373 Cover Glasses....................... 870 Cowen's Vertebrated Catheter......... 705 Uterine Dilator................555 Tissue Forceps................583 Coxeter's Artery Forceps............ 316 Stem Pessaries.................. 63g Cradles, Spinal.....................767-B Crampton's Artery Needle............ 330 Cranial Forceps..................287-C D Craniotomy Perforators...........660, 661 Forceps........................ 658 Crawcour's Oesophageal Bougie.......460 Crosby's Uterine Needle Holder.....609-A Crofford's Abdominal Needle.........287-C INDEX. 993 Crutches.........632-C, 633, 760, 789, 790 Crutch Rubbers..................... 789 Extensions...................... 790 Crushers, Stone...................... 728 Crown Trephines..............308, 308-A Drills, Nasal...................428-A Croup Kettle........................488 Crocker's Bandage Roller.......289-A, 290 Critchett's Hooked Needle............ 373 Lens Scoop..................... 374 Eye Specula.................383, 384 Crotchets and Blunt Hooks...........662 Crumb's Inhaler..................... 507 Currie's Double Canulated Forceps..... 581 " Needle Holder 330 Cutter's Uterine Scarifier.............620 Pessaries.......................636 Uterine Sound................... 570 Inhaler......................... 506 Cupping Instruments...........550 to 552 Cases.......................... 550 Cuppers, Dry......................561-A Cups for Eye........................386 Platina......................... 620 Spit............................ Cupped Uterine Sound............570, 571 Curettes, Uterine............561-B to 563 Placenta........................ 662 Bladder.....................714-A B Ear......................401 to 402 Post Nasal.......411-A B, 422, 422-A Bone.......................301-C D Curette Forceps.............41 i-A B, 412 Curtis' Gynaecological Chair........... 672 Cushions, Operating................. 287 Invalid.................... .810, 813 Chair.......................810, 813 Cuirass, Wire....................746, 747 Cutting Forceps, Needle.............. 300 " Bone........300 to 301-A Cushing's Pelvic Trocar and Forceps. . . 597 Cut Off's .......................497, 498 Cuscoe's Throat Forceps.............. 468 Tongue Holding Forceps.........466 Vaginal Speculum............... 621 Virgin Speculum...............632-B Cyst Elevators...................... 597 Cystotomes......................... 37° and Curettes and Scoops......... 370 Cystitis Buttons..................... 576 Czermak's Laryngoscope..............481 Danforth's Pocket Surgical Case....... 343 Artery Forceps.................. 359 Darby's Bone Holding Forceps........ 300 Lion Jaw Forceps................ :-oi Set Chisels and Gouges.......302, 3»3 Bullet Forceps.................. 334 " Probe................... 335 Darrach's Patent Wheel Crutch....... 760 Davis' Improved Obstetrical Forceps... 654 Apparatus for Caries of Spine..... 764 Davis & Kidder's Battery.............843 David's Pile Scissors................. 687 Davidson's Atomizers............49°, 492 Dawson's Ovariotomy Clamp......59°, 59l Uterine Scissors................. 612 (Sims') Vaginal Speculum.........623 Day's Wooden Splints............783, 784 Decision Needles.................... 374 Decalcified Bone Drainage Tubes...... 892 Declat's Hypodermic Syringe......... 542 Decapitating Hooks.................. t)62 Dedham's Mouth Gag................ 5'6 PAGE. Delano's Inhaler..................... 507 Atomizers...................... 490 De la Roosa's Fixation Forceps....... 379 Deformity Apparatus.........736 to 768-M De Garmo's Hernia Syringe.......335, 337 Delaborde's Trachea Dilator..........453 Dench's Eustachian Catheter.........3g7'A Denman's Obstetrical Forceps......652, 656 Dennison's Stethoscope................ 527 Dental Forceps................5ig to 523 Depression Needles................... 374 Depressors, Vaginal.................. 576 Tongue..................461 to 464-A De Pew Operating Chair........669 to 670 Depilating Forceps................. 380 De Rigal's Stone Holder and Crusher .. 72S Desmarre's Entropium Forceps . . . .380, 381 Cornea Knife..................... 375 Cautery Irons................... 386 Paracentesis Forceps..............370 Cystotome....................... 370 Eye Lid Retractors................ 369 Secondary Knife................. 374 Dessar's Nasal Electrode............412-D " Douche Cup..........422-B Desormeaux's Endescope.............. 7*7 Dessault's Serre Noed............331. 332 Detmold's General Operating Set...... 284 " " Saw...... 292 Devilbiss' Tongue Depressor.........464-A Laryngoscope................... 481 Powder Blower................... 485 Atomizer.....................,.. 489 Nasal Specula................420-A B Dewee's Axis Traction Forceps.....657-A B Placenta Hook.................. 662 Diagnostic Tubes.................... 397 Dick's Caustic Syringe................ Dieulafoy's Aspirator................. 548 Dieffenbach's Cheek Retractor........452 Dilators, Trachea................453, 454 Lachrymal...................... 385 Prostatic Gland................. 715 Urethral............714-A B, 715, 716 Rectal....................677 to 679 Outerbridge's............560-A B, 561 Uterine....................553 to 561 Vaginal........................ 561 Dio Lewis' Spirometer................ 529 Diphtheria Syringes................465-A Directors, Lithotomy................. 722 and Tongue Tie..............332, 333 and Aneurism Needle.........332, 333 and Ear Spoon.................. 332 Hernia.......................335, 337 Dissecting Instruments........337-B to 338 and Post-Mortem Instruments..... ....................337-B to 342 Cases.......................... 342 Instruments, Microscopic... .865 to 870 Dixon's Applicating and Dressing For- ceps ........................ 582 Ointment Bougie................ 573 Dix's Eye Spud...................... 37° Dolare's Aseptic Bone Chisel.........301-B Dobell's Tongue Holding Forceps......466 Doily Belts......................800, 803 Double Tenaculum................... 357 Current Catheters............603, 704 Douglas' Polypus Snare.............. 417 Douches, Eye........................ 386 Ear..................39*. 395, 397-A Nasal.......................422, 423 Rectal........................... Uterine.....................601, 602 994 INDEX. PAGE. Douches, Vaginal..................... 644 Dolbeau's Lithoclast..............724, 725 " Guide.........724, 725 " Dilator............ 715 Doremus' Ureometer..............532-A B Dowell's Catheter.................... 706 Gorget and Staff.................. 722 Hernia Needle................... 335 Dowse's Self-Retaining Catheter.......603 Drake's Bed Pan..................... 814 Drainage Tubes, Ovariotomy... .598 to 600 .............891-B to 8g3 Tube Forceps................892, 893 Dressing Forceps, Uterine.. .. .. .579, 580-A " Nasal Polypus.. .412, 413 Rectal...........677-D " Ear............403, 404 " Pocket Case ... .319, 320 Drills for Mastoid Process......400 to 401 -B Bone........................2g6, 2g7 Dresher's Batteries................... 843 Dry Cuppers.......................561-A Cell Batteries.............854 to 856-B Duck Bill Sequestrum Forceps......... 301 Dudley's Uterine Dilator and Douche .. 561 " Curette.............561-B " Tenaculum......575, 575-A " Applicator............ 572 Ovariotomy Pins................. 589 Dugas' Spatula and Elevator.......... 357 Operating Scissors............... 312 Artery Forceps.................. 314 Duke's Uterine Curette............... 563 Du.mb Bell Pessaries.................. 640 Dundas Grant's Eustachian Inflator.. .3g7-B Dunn's Ear and Nose Forceps.......401-A Universal Electric Bracket.....417-A B Electric and Cold Wire Snare. .417-A B Nasal Cotton Applicator.......417-A B " Specula..................420-A " Knife..................428-A B " Saw....................428-A B Tonsillotome.................44g-A-B Cotton Applicator.... ......455, 456 Tongue Depressor..............464-A Head Band..........«..........477 Duncan's Obstetrical Forceps.......... 654 Dunster's Ovariotomy Trocar......595, 596 Dudgeon's Sphygmograph............ 52g Dupuytren's Enterotome.............. 678 Lithotomy Scalpel................ 721 Bistoury Cache........ 721 Dupiay's Rhinoscope..............417, 418 Ear Forceps..................... 404 Durham's Ear Forceps............... 404 Trachea Tube................. . 455 Seizing Forceps.................470 Dusham's Aseptic Retractor.....299-A, B Dusters, Iodoform................... 288 Duval's Artery Forceps............... 314 Dynamometers................527-D, 529 Earthen Bed Pans.................... 814 Ear Instruments................391 to 411 Specula....................391 to 393 Syringes....................394, 395 Mirrors................394, 395, 3g7-B Spouts......................... 396 Forceps..........401-A B, 403 to 405 Scissors......................... 405 Trumpets..................407 to 411 Spoon and Spud................. 357 Douches.......................397'A Eaton's Cautery Electrodes............ 852 PAGE. Earle's Jointed Caustic Holder........620 Ebony Stethoscope................... 526 Ecchondrotome..................415-A B Ecraseurs, Uterine..............564 to 568 Rectal......................677-C D Edibohl's Uterine Needle Holder. .. .610-B Eddy's Modified Allis Ether Inhaler. 31 i-AB Edson's Vaccinator.................. 552 Edwards' Uterine Ecraseur............ 568 Caustic Holder.................. 620 Stem Pessary.................... 639 Rectal Instruments.........683-A B Ebony Joint Apparatus .■.............. 760 Einhorn's Saccharometer............532*A Elastic Stockings and Supporters...... 274 Ligature.......................891-B Trusses.....................798, 802 Eldridge's Rectal Dilators..........683-A B Explorer..........683 B C Pathfinder..................... 711 Irrigating Tube......■............649 Flexible Tray..................893-A Cutting Clamp.................. 592 Electrodes, Rectal................683-B D Nasal.........................412-D . ..828 to 833-B, 847-C to 847-N, 851 B Electric Light Condensor and Bracket.417-A Batteries.................821 to 85b B Belts........................... 853 Elevator and Searcher, Rectal... .683-B C D Elevator, Eye Lid.................... 390 Uterine.....................568, 569 Rectal...................683-B, C, D Raspatory...................... 303 Elliot's Uterine Elevator.............. 568 " Dressing Forceps...... 579 Cervical Speculum................ 633 Obstetrical Forceps.............. 653 Craniotomy Forceps............. 658 Obstetrical Set.................. 664 Elsberg's Polypus Snare.............. 417 Nasal Speculum.................418 Tonsillotome.................... 44S Trachea Dilator..................453 Cotton Applicator................455 Sponge Holder.................. 470 Tongue Depressor............... 463 Throat Forceps................... 468 Pocket Laryngoscope.............481 Ellinger's Uterine Dilator............. 553 Elm 'I'ents.......................... 560 Ely's Otoscope...................393, 394 Embalming Syringes..............340, 3 i 1 Embalmometer...................... 528 Embryotomy Forceps................. 659 Emergency Bags and Cases. .281-A to 281-I Emmet's Aspirator.......,........... 546 Uterine Dilator.................. 559 " Tourniquet.............. 567 " Ecraseur................ 56S " Elevator................. 569 " Probe and Applicu^or..... 573 Counter Pressure Hook . . . 574 " Enucleator.............. 575 Tenaculum..........574, 575 '" Forceps....... 581 Dressing Forceps......... 579 Curette.................. 579 Sponge Holder........... 578 " Wire Pressing and Twist- ing Forceps.......... 583 " Seizing Forceps.........583-A " Needle Holder.........., 606 " Scissors................. 610 " and Perineum Needles .... 614 INDEX. 995 Emmet's Uterine Canulated Needles.616, 617 " Knives................ 619 " Caustic Holder.........620 Bed Pan................644, 811, 814 (Sims') Vaginal Speculum.........623 Depressor......... 576 Cystitis Buttons... 576 Ovariotomy Trocar...........595, 5g6 Gynaecological Set............649) 650 Empty Pocket Surgical Case.......... 343 Empire Abdominal Supporters.....790, 803 Elastic Bandages................ 806 Endescopes, Urethral................ 717 Tubes.........................632-D English Catheters.................... 700 Aspirator....................... 548 Tumor Forceps.................583-A Engleman's Uterine Curette........... 563 Enterotomes.....................340, 341 Rectal.......................... 678 Entropium Forceps.................. 380 Enucleators.......................... 575 Enucleating Hooks.................390-A Epiglottis Forceps....................470 Erich's Vaginal Speculum............. 628 Erichson's Uvula Scissors.............449 Artery Compressor............... 319 Esbach's Albuminometer..........532 A B Esmarch's Bottle Stands..........910, 911 Instrument Table............910, 911 Splints........................790-B Bandage Clamp.................. 290 Tongue Holding Forceps....... 465-B Bandage Shears................. 290 Tourniquet..............30S, 308-A B Inhalers.....................309, 311 Essex Uterine Syringes............... 646 Ether Inhaler........ ... .308-A to 311-B Etheridge's Uterine Needle Holder .... 604 Vaginal Speculum................ 625 Eustachian Catheters.......397, 397-A, 398 Inflators......................3g7~B Evacuating Apparatus............727, 728 Evacuators, Urethral. ... ........714-A B Evaporating Dishes.................531 Evans' Inhaler...................... 506 Excelsior Stomach Pump and Aspirator ...................... 472, 473 Excision Nails and Pins...........301 C D Expellers, Sponge, Tent.............. 560 Exploring Needles................... 291 Explorers, Rectal.................... 685 Extension Apparatus Knee Joint..... .............742, 746, 755-K, 768 Apparatus Short Leg............. 750 Elbow................. 760 Ankle................. 758 for Crutches..................... 79° Splints...........778, 77S-C, 783, 785 Extirpation Forceps.................. 380 Extractors, Commodone...........331, 332 Extracting Forceps, Teeth.......5ig to 523 Bullet..........334 Exsecting Saws...................... 293 Eye Baths.......................... 386 Needles....................373, 374 Douches....................380, 3s6 Shades.......................... 386 Specula.....................383. 384 Cups........................... 386 Probes.......................... 385 Eyes, Artificial..................... 387 Eye Cases...................... 388, 389 Lid Retractors.........369, 39°, 390"B " Elevators................... 39° PAGE. Eve Lid Compressors................ 369 " Clamp Forceps.............. 380 F Faenger's Aseptic Artery Forceps.....320-A Compression Forceps............. 319 Mouth Gag..................... 458 Tongue Holding Forceps........465-B Curved Tonsil Forceps..........465-B Haemostatic Forceps.............. 588 New Mouth Gag................459-A Fahnstock's Tonsillotome............ 447 Fairbank's Fountain Syringe......815, 818 Farabeuf's Osteophor............. 301, 302 Farny's Hypodermic Syringe......... 543 Thermo Cautery................. 700 Farr's Uterine Supporter.............. 642 Fauvel's Laryngeal Forceps........... 467 Feet, Human........................ 885 Feig's Vaginal Retractor.............. 634 Felt Splints....................77g to 782 •' Material..............787 Femurs, Human..................... 885 Ferguson's Minor Operating Scalpel. 2gi-A Lion Jaw Forceps........301, 301-A B Sequestrum Forceps............ 301 Eustachian Catheter..........397, 398 Vaginal Speculum............... 629 Masturbation Forceps and Clamps. 735 Lithotrite....................... 726 Fergen's Ear Specula.............391, 3g2 Sponge Holder.................. 457 Fever Thermometers............533 to 537 Filiform Bougies.................710, 711 Finger Knives..................291, 291-B Saws........................... 357 Fink's Round Edge Knife.........301 C D Finnel's Knife and Saw............... 340 Post-Mortem Case................ 342 Fisk's Eustachian Catheter...........397-A Fisher's Self-Holding Iris Forceps..... 379 Phimosis Forceps............... 728 Fitch's Dome Trocar.........548,595, 596 Clamp Forceps and Needles....... 548 Uterine Sound................... 570 Wire Twisting Forceps........... 583 Vaginal Speculum................625 Hard Rubber Inhaler............ 507 Abdominal Supporter.........779, 803 Fistula Forceps...................... 684 Fixation Forceps..................379, 380 Flannel Bandages.................... bg6 Flat Foot Apparatus.................. 759 Flemming's Batteries............834 to 838 Milliamperemeter................ 648 Electrodes, Cautery.........849 to 851 Flexible Metal Catheters.............. 705 " Bougies................ 711 " Sounds................ 715 Flint's Percussion Hammers........... 528 Pleximeter...................... 528 Cardiometer..................... 530 Trocar..........................597 Florence's Batteries.................. 842 Flood's Ether Inhaler...............311-A Foetal Skulls and Skeletons........... 8S4 Foerster's Gynaecological Table......668-A Folsom's Nasal Speculum.........418, 419 Urethral Speculum.........632-D, 633 Fossil Sounds....................... 712 Fountain Syringes. .,...........814 to 8i£ Forceps, Adhesion................... 370 Artery..................314 320-A B " and Needle......316 to 320-A B Anastomosis Button...........287-A B ;>(.i6 INDEX. Forceps, Angle...................... 580 Applicating, Uterine.............. 580 Bone Cutting..........300, 301, 301-A " Holding..............301, 301-A Bladder.....................724, 725 Bullet Extracting................ 334 Canulated Eye................... 375 ...................... 58i Chalazion....................... 390 Cilia............................ 380 Compression............587-A B, 588 Conjunctiva..................... 379 Counter Pressure.............575-A B Cranial......................287-C D Craniotomy...................... 658 Dental Extracting........ 519 to 523 Depilating..................... 380 Dissecting.................338,339 Dressing............ 319, 320, 677-D Drainage Tube............892, 893 Ear Polypus.......401-A B, 403 to 405 Embryotomy..................659 Entropium..................380, 381 Epiglottis.................. .... 470 Extirpation..................... 380 Exsecting...................... 294 Foreign Body............ 380, 471 Fistula....................... 684 Fixation.......379, 380, 390, 390-A B Hare Lip..................... 517 Haemostatic.............3M to 320-B Hysterectomy................587-A B Intestinal Clamp............... 287-B Iris........................379, 380 Ligature................ 314 to 320-B Lithotomy......-............724, 725 Laryngeal.................467 to 469 Vlasturbation.................... 735 Microscopic Dissecting........... 869 Needle Cutting.................. 300 " Holding___321 to 326, 358, 359 Nasal Polypus.........412, 412-C, 413 " Cutting... .411-A to 412-B, 413 '' Evulsion.......... ..413 Obstetrical...............652 to 657-B Pedicle........................ 586 Phimosis.......... . 725, 728 to 731 Post Nasal Curette...........411-A B Placenta.................657-A to 659 Rongeur............300, 301, 301-A Rectal Dressing................ 688 Clamp...................C83 Sac......................... 586 Seizing................470, 582, 583-A Shot Punching................ 579 " Compressing................ 585 Sponge Holding................. 470 Septum........................415 Sequestrum ............... . 301 Scalp Wound..................320-A Splinter.....................319, 320 Strabismus....................379 Stone Crushing ............721, 725 Tenaculum.298, 29g 471, 580-A B. 581 Tendon......:............... 3go-B Tent Introducing............... 560 Throat......................468, 469 Thumb...................3T6, 320-A Tissue ___314 to 320-B, 583, 583-A Tooth Extracting...........519 to 523 Toe Nail....................... 301 Torsion............314 to 320-B, 588 Tonsil..................44g-D. 465-B Tongue Holding.......... 465-B, 466 Trachoma.................3go, 390-B Forceps, Trephining................ 301 Trachea Tube..................471 Tumor..............583-A, 584 to 586 Uterine Dressing...........579, 580 A " Polypus............580, 580-A " C urette................. 579 " Caustic Holding.......... 579 " Polypus.................. 580 Vulcellum...................470, 584 Wire Twisting.................. 470 '' Pressing................... 583 " Shouldering............... 582 Fowler's Ether Inhaler........... 309, 310 Needle Holder......323, 324, 606, 607 Largyngoscopic Set.............. 479 Pessaries......... .............. 635 Otis Bougies.................... 712 Steel Sounds.................... 713 Aseptic Ligature Tubes.......... 891 Fracture splints................773 to 787 Boxes........................... 787 Fracture Beds..............787, 788 Frank's Resection Knives...........291-C Scalp Wound Clamp Forceps . .. .320-A Dressing Forceps............3ig, 320 Tongue Holding Forceps........465-B Pedicle Needle.................614-B Frankel's Nasal Speculum.............418 Frazer's Vaginal Douche.............. 644 Freer's Flexible Electrode............851-B French's Artery Forceps.............. 314 Mouth Breathing Apparatus......4g3"A French Needle Holder................321 Volsellum Forceps.,.............. 470 Fricke's Artery Forceps...........314, 35g Fritche's Needle Holder..........321, 606 Nasal Curette.................422-A Frost's Vaginal Douche.............644 Fryers' Transfusion Apparatus........ 551 Fulgraf's Eustachian Spray........... 3g7 Inhaler........................ 507 Douche-........................ 423 Funis' Clamp........................ 662 Funnels............................ 8g8 Furuncle Knives..................... 401 Gags, Mouth.458, 459, 459-A, 510, 513, Gaillard's Bone Drill..............296, Galante's Eye Speculum..........383, Gallezowski's Needle Holder.......... Canaliculous Dilator.............. Galvanic Batteries, (see Batteries)..... Stem Pessaries................... Galbiati's Symphysiotomy Knife....... Gait's Trephines..................... Garland's Perforator ................ Garrigue's Transfusion Apparatus ..... Gardner's Uterine Elevator........... " Caustic Holder..... " Irrigating Tube —. " Caustic Holder..... Gas Bags.......................809, Gauze, Antiseptic.... ..893-B C D, 895, Bandages................... Gauges, Air......................... Gay's Operating Scissors.............. Gehring's Pessaries..... ........... Gedding's Inhaler. ................ General Operating Cases.......275 to Gensole's Lachrymal Canula .. Gendron's Trachea Tube............. Genu-Valgum Apparatus..........755, Gerster's Retractors............. 298, Trachea Retractors............... 5i6 297 384 382 385 638 64g 308 661 551 56g 579 602 620 812 497 312 639 507 286 3&9 455 756 299 45-1 INDEX. 997 PAGE. Gerster's Haemostatic Forceps.....314, 315 German Trial Frames................ 367 Spring Lancets.................. 5gx Steam Atomizer.................. 488 Getz's Aspirating Trocar..........548, 540 Giant Retractors....................299-A Gibbs' Laryngeal Ecraseurs........... 481 Gibbons' Uterine Needle Holder.. .606, 607 Gibson's Ligature Instrnment......... 684 Giddens' Uterine Sound............... 1:7c Gilbert's Atomizer.................... 4q0 Splints......................... 787 Gilman's Obstetrical Forceps.......... 654 Girdner's Telephonic Bullet Probe. .335, 336 Phimosis Forceps............728*, 730 Glass Mirror Specula................. 391 Drainage Tube..........559, 560, 8g2 Globe Pessaries...................... 641 Inhaler......................... 505 Gnawing Forceps....... ............ 301 Gonorrhoea Tubes.................. 709 Gooch's Polypus Canula. . 3gg, 420, 568 Goodwillie's Cotton Applicator...... 455 Elevator........................ 303 Intubation Tube................. 435 Mouth Gag................... 45g-A Nasal Snare Forceps.............415 " Plug Placer........... . . .412-D " Speculum.................. 435 Oral Saw............ .......... 2g3 Periosteotome............ ..... 303 Powder Blower.................. 485 Speculum Oris................... 456 Tongue Depressor............... 461 Goodell's Uterine Dilator............. 553 " Scissors............. 612 Perineum Needle..............616 Vaginal Speculum............... 625 Gorgets, Lithotomy.................. 722 Gouges, Bone.............301-B, 302, 303 Eye........................... 370 Mastoid....................401-A B Gouley's Tunneled Catheter........... 705 Filiform Bougies...........710. 711 Steel .Sounds.................... 715 Prostatic Gland Dilator. ...714-A B, 715 Lithotomy Bistoury.............. 721 Lithoclast....................... 725 Lithotomy Director.............. 722 Lithotrite....................... 726 Meatotome...................... 722 Stone Searcher................. 715 Tunneled Sound................. 715 Urethrotome...................719 Gowan's Osteotome.................. 303 Graefe's Articulated Probang..........471 Angular Iris Forceps.............379 Circular Saw.................... 293 Cataract Knife ................. 37* Eye Specula.................... 383 Fixation Forceps................ 379 Ophthalmoscope, ............... 363 Tractor....................... 37° Graves' Vaginal Speculum .... ......621 Virgin Speculum................632-B Gray & Foster's Abdominal Supporter .......................7Q8, 803 Shoulder Braces..............803, 804 Gray's Pocket Case Scissors...........361 Stomach Pumo.................. 472 Head Band...*...............276, 477 Graduates, Glass..................... 898 Granger's Sponge Holder............. 457 Gradle's Nasal Curette............... 422 Septum Forceps...............■■ 4T5 PAGE. Gradle's Powder Blower.............. 486 Green Silk Protective Cloth........... 895 Greene's Bandage Roller.............. 290 Double Hook................298, 299 Hernia Syringe..............335, 337 Double Tenaculum.......... .... 357 Polypus Snare .................417 Tonsil Knife.................... 450 " Hook...................452 Greenslade's Concealed Knife......... 371 Greenhalgh's Tumor Forceps.......... 585 Grimala's Hernia Knife..............337-A Gross' Artery Compressor ........... 319 Bullet Forceps................... 334 Ear Spoon, Hook and Spud....... 357 Glass Drainage Tubes............ 892 Porte Caustic................573, 717 Post Nasal Cutting Forceps.......412 Speculum Oris................... 459 Sequestrum Forceps.............. 301 Spiral Tourniquet................ 308 Urethral Dilator................. 715 Spiral Catheter................. 705 Urethrotome.................... 719 Urethrometer.................... 720 Gruber's Ear Specula................ 391 Tensor Tympani Instiument....... 401 Meatus Knife................... 401 Ear Scissors.....................405 Guarded Trephines...........308, 308-A Blunt Hook and Crotchets........661 Guernsey's Uterine Elevator........... 56g Gueride's Ovariotomy Clamp.......... 592 Guides, Catheter..................... 707 Gum Lancets, Solid Handle........... 291 Pocket Cases................352, 356 Gunn's Artery Needle................ 328 Bone Drills.................... 297 Bullet Forceps...........,...... 334 Club Foot Shoes................ 738 I'ocket Surgical Case.........343. 349 Tonsillotome.................... 447 Gutta Percha Splint Material.........787 Tissue.......................... 895 Gynaecological Instruments . .. .553 to 672-A Cases of Instruments .......649 to 651 Chairs..................665 to 672-A H Hackley's Eustachian Spray........... 397 Haemorrhoidal Clamps............682, 683 Hagedorn's Aseptic Retractor......299-A B Glass Ligature Boxes............. 890 Needles.....................305, 307 Needle Holder......323, 324, 606, 607 Pocket Needle Holder............ 358 Hahn's Artery Compressing Forceps.3ig, 320 Hale's Nasal Douche................. 423 Obstetrical Forceps.........655, 657-A Emission Sounds................ 715 Vaginal Speculum................ 624 Virgin Speculum................632-B Hall's Rectal Dressing Forceps.....677-D Nasal Spray..................... 424 Atomizer....................... 490 Phimosis Forceps............... 728 Rectal Elevator and Searcher . .683-B D Hamilton's Artery Forceps........316, 359 Bone Drills................ 2g6, 2g7 Bullet Forceps and Probes.... 333, 334 General Operating Set...........286 Osteophor.................301, 302 Probes and Director.............. 332 Pocket Surgical Cases ... 343, 34g, 350 Serrated Bone Forceps........... 300 998 INDEX. PAGE. Hamilton's Scalpel and Fascia Elevator.2gi-C Sequestrum Forceps............. 301 Tonsillotome.................... 447 Uvula Scissors.................. 449 Wire Cuirass........ ........... 747 Hammond's Dynamometer.........527-D ^Esthesiometer.................. 528 Hammers, Percussion........ 527-D, 528 Hancock's Surgical Pins.............289-B Drainage Tubes...............891-B Hank's Needle Holder............322, 324 Antiseptic Atomizer.............. 288 Double Tenaculum Forceps.......471 Spray Tubes........•.........497, 4g8 Galvanic Pessary................ 63g Tracheatome...................454 Trachelorraphy Scissors........... 614 Tenaculum..............580-A B, 581 Uterine Dilator.................. 555 " Needle Holder........... 604 Hand Gouges for Ear................ 401 Hands, Human................ ..... 885 Hare Lip Pins and Needles. ..306, 307, 517 Instruments.................517, 518 Truss.......................... 518 Scissors......................... 518 Hartman's Nasal Chisel...........415-A B Mouth Gag..................... 516 Wood-wool Preparations.......... 897 Hart's Sponge Holder ..........457, 578 Uterine Dressing Forceps ........ 578 Placenta Forceps................ 659 Harris' Counter Pressure Instrument. 575-A B Hartz's Uterine Dressing Forceps.....580-A Harvey's Uterine Polypus Forceps... .580-A Harrison's Prostatic Gland Dilator..... 715 Bladder Trocar................734 Hard Rubber Syringes............... 820 Harvard Microscopes...........856-I to L Hassenstein's Otoscope...........392, 393 Haslam's Rectal Speculum............674 Hawley's Polypus Canula............. 3gg Hawksley's Stethoscope.............. 526 Hawk Bill Scissors................... 613 Hayes' Eye Knife........ ......... 373 Hazen's Nasal Douche............... 423 Inhaler......................... 507 Heaton's Hernia Needle............335 " Syringes.........335, 337 Hebra's Bone Scraper...............303 Head Mirrors and Bands..........476, 477 Bands for Eustachian Catheter.. .3g7-A Head Rests.......................... 909 Hearing Horns ................407 to 411 Heister's Speculum Oris .. ..........459 Hektoen's Post-Mortem Case........337-C Helical Needles..................330, 615 Helmuth's Rectal Speculum........... 677 Ligature Carrier................684 Hemiplegia Apparatus ............... 749 Henry's Bandage Shears .. .......... 290 Cartilage Scissors............731, 733 Depillating Forceps.............. 380 Phimosis Forceps............... 728 Scrotal Clamp...... ..... 731, 733 Henrotin's Mouth Gag............... 458 Obstetrical Forceps..............654 Rectal Ecraseur................677-D Henderson's Perineum Needle.......614-B Hepburn's (Sims,) Vaginal Speculum... 623 Hertaloup's Artificial Leech........... 551 Lithotrite....................... 726 Hernia Instruments...........335 to 337-A Knives---................352 to 356 Herniatomes.....................335, 337 PAGE. Heuel's Ether Inhaler.............311 Heul's Needle Holder............322, 324 Hewson's Torsion Forceps............ 314 Hewitt's Pessaries................... 639 Lithotomy Staff .... ............ 723 Heyman's Nasal Curette Forceps. 412-B Hey's Skull Saw..................... 293 Hick's Thermometers ............ 534 Wire Ecraseur................567 Higgins' Tongue Depressor..........464 Higbee's Vaginal Speculum........... 622 Pessaries......................641 Hinton's Ear Forceps................ 403 Hinde's Palate Retractor...........464-A Hip Joint Apparatus.743 to 745, 767-D, .......................768-GH Splints......................744, 745 Hitchcock's Pessaries................ 635 Hoag's Bone Scoop..............331, 332 Uterine Curette.................. 562 Glass Drainage Tubes............ 600 Hoadley's Spinal Brace........... 767-B C Splint for Hip.................767-D Knee Anchylosis Brace......... .767-D Wrench....................767-D Rectal Fissure Speculum .......677-D Hobbs' Obstetrical Forceps..........656 Tonsil Knives...............449-D Uterine Dilators................ 553 Hobby's Nasal Snare................. 417 Hodge's Adenoid Growth Forceps. .412-A B Obstetrical Pouch.............664 " Forceps......... .....652 Placenta Forceps................659 Perforators.....................661 Pessaries......................635 Hoff's Set of Serresfines............. 307 Canulated Needle ....... .... 330 Hoffman's Automatic Suture Instrument. 576 Anatomical Pessary........ .... 640 Gouge Forceps..........3 >o to ^01-A Holders, Sponge........312, 313, 457, 578 Caustic................... 333, 357 Brush ......................... 455 Holden's Resonator................. 530 Holmes' Atomizer.................. 492 Spray Tubes........... 497, 498 Holbrook's Uterine Curette ........56 i-B Holt's Self-Retaining Catheter......... 706 Divulsor........................ 715 Hollow Urethral Sounds............715 Hook's Counter Pressure............. 574 Ear ..................401 A B, 402 Foreign Body........ ... .... 372 Palate....................421, 452 Placenta....................... 662 Rectal..,....................683-A B Strabismus...................... 372 Staphyloraphy.................452 Traction (Eye)................. 390-B Tenotomy.....................3go- B Uterine....................... 574 Volsellum.............298, 2gg, 585 Hooper's Knee Extension Apparatus... 755 Horns, Hearing................407 to 411 Hornby's Hare Lip Truss............518 Pessary.........................641 Hosiery, Elastic.................... 274 Hospital Minor Operating Set ......286 Wheel Stretchers......... .....75g-A Supplies...................,910 to 915 Hosmer's Ear Spout.................. 396 T............................. 707 Hotz's Eye Glass Drop Tube..........386 Astigmometer..................390-A INDEX. 999 Hotz's Curved Tonsil Forceps........465-B Ear Speculum................... 391 " Instruments..........401-A B, 402 Eye Glass Drop Tube............ 386 Nasal Speculum...........„. .419, 420 Howe's Scrotal Compressor........801', 803 Howard's Bone Drills.............296, 2g7 Catarrhal Syringe................423 Vaginal Speculum............... 622 Hudson's Ear Specula...........*..... 391 Humane Restraints...............759-A B Hands......................... 8S5 Hunter's Dilating Urethrotome........ 720 Filamentous Wedges............. 711 Inhaler.....................507 Obstetrical Forceps.............. 654 Pedicle Needle.................. 589 Plastic Saw..................... 294 Slide Catch Artery Forceps....... 314 Steel Director................332, 333 Uterine Dilator..............558, 570 Urethral Tourniquet............. 735 Vaginal Depressor............... 576 '' Speculum................ 625 Hupp's Improved Clovers Crutch.....632-C Hurd's Pessary.....................640 Husson's Sponge Holder.......312, 313 Hutchinson's Ether Inhaler....... 3og, 507 Hare Lip Forceps................ 517 Spirometer.................... 529 Hip Apparatus.................. 744 Knee Joint Splint...............757"B Ligating Needle................. 684 Lithotome........,............. 721 Ointment Syringe................647 Prepuce Forceps................. 725 Hyde's Nasal Curette...............422 Hydraulic Air Compressor......494-A, 503 Hypodermic Syringes..........538 to 544-B Needles, etc....................544 Hysterectomy Forceps............587-A B Hysterotomes.......................620 I Ice Bags and Caps..........808, 809, 812 Ideal Rectal Dilators..............677-A B Improved Head Band.............476, 477 Immisch's Thermometers............. 536 Indianapolis Surgical Chair..........672-A Inflating Stem Pessaries..............641 Inflated Ring Pessaries---...........641 Ingals' Nasal Instruments.......437 to 446 Light Condensor................. 484 Powder Blower.................. 486 Embalmoeter.................... 528 Cautery Battery.................. 853 Inhalers, Ether and Chloroform. .308-A ...........................to 311-B Miscellaneous......3gg, 502, 5°4 to 507 Chlorine.......................493"B Injectors, Ear...................... 399 Inner Ear Syringe................... 394 Mirrors.....................394, 395 Inodorous Commodes...........904 to 908 Insufflators............425, 42», 485 to 487 Urethral..................709-B, 734 Eustachian....................397'B Instrument Trays..............893, 893 A Tables.....................9™, gn Sterilizer...................goi to go3 Closets.....................912, 9X3 Interosseous Saws................... 293 Intubation Tubes....................435 Apparatus.................510 to 514 PAGE. Invalid Reclining and Wheel Chairs... . ....................791 to 794-P Cushions....................810, 813 Investigator Microscope...........861, 862 Iodoform Dusters.................... 288 Cotton.......................... 894 Sprinklers....................... 897 Iodine Inhalers...................... 399 Iridectomy Knives................... 371 Scissors.................375, 376, 390 Iris Needles......................... 373 Knives......................... 374 Scissors..................375, 376, 390 Forceps......................... 379 Irrigating Tubes, Uterine............. 602 Irrigators, Rectal................678, 683 Urethral....................714-A B Irrigating, Jars....................8g3~A Irons, Cautery..................330, 688 Isaac's Bone Forceps................. 300 Isinglass Plaster..................... 894 Ives' Rectal Speculum..............672-B J Jackets, Leather..................... 767 Jaeger's Keratome.................. 371 Ophthalmostat................... 372 Bistoury Cache.................. 375 Plate Lid Holder................ 386 Jackson's Gynaecological Set...... 649, 651 Perineum Needles............616, 617 Stem Pessary.................... 638 Tongue Depressor.............464-A Urethral Speculum............... 633 Vaginal Depressor............... 576 '' Retractor................634 " Speculum.............624 Volsellum Forceps............... 584 Jaggard's Obstetrical Forceps......... 657 James' Uterine Supporter.............642 Jarvis' Ear Scissors.................. 405 Nasal Snare..................... 416 Speculum....................... 420 Scissors.........................429 Polypus Snare................400, 401 Rongeur Forceps................ 414 Rhinoscope..................... 418 Septum Punch...................415 Septal Compressorium ......428-A Tubular Crown Drill............428-A Transfixing Needles.............. 427 Jars, Irrigating....................893-A for Specimens................... 898 Jay's Pocket Surgical Case............ 343 Jenks' Uterine Sound.............570, 571 Probe................. 573 Perineum Scissors............610, 611 Vaginal Speculum................ 626 Obstetrical Forceps............... 655 Jennison's Exploring Sound........... 572 Uterine Douche Tube............. 601 " Jobse's" Bandage Roller........28g-A B Jones' Aseptic Pocket Case Scissors. 312, 313 Haemostatic Forceps..........314, 315 Bullet Extractor.................. 334 Rope Ecraseur...............564, 565 Vaginal Speculum................ 621 Vaginal Douche and Bed Pan.....644 Parallel Haemorrhoidal Clamp...... 682 Johnson's Double Trachea Tube....... 455 Stethoscope....................527-'^ Judkin's Plaster Paris Bandage Roller.. 290 Junker's Ether Inhaler............... 311 Jurv Mast........................... 767 Jute................................ 895 1000 INDEX. K Kangaroo Tendons................... 889 Katharaphors........................ 709 Kelly's Applicating Syringe...........648 Operating Cushions.............. 287 Powder Blowers.................485 Uterine Douche Tube............601 Kellogg's Ovariotomy Pins............ 589 Kelsey's Rectal Speculum.......672-B, 677 " Knife................684 Keen's Rectal Speculum.............. 676 Kent's Pile Plug.....................678 'Keratomes.......................... 371 Keratome Scissors.................... 376 Kettles, Croup....................... 488 Keuchenmeister's Volsellum Hook...... 585 Uterine Scissors.................. 612 Keyes' Blunt Gorget.................. 722 Catheter Guide.................. 707 Evacuating Tube................ 727 Lithotrite....................... 726 Perineum Needle................327 Uterine Syringe................. 647 Urethral Syringe................. 707 Varicocele Needle................ 731 Kidder's Batteries. .839 to 841, 844 to 847-N Kinloch's Anteversion Pessary.........640 Urethrotomes................... 719 King's Pelvimeter.................... 663 Varicocele Clamp................733 Kirkwood's Inhaler...................507 Kline's Obstetrical Slippers........657-A B Knapp's Caustic Holder.............. 386 Cupping Cups................... 551 Cystetome.....................370 Ear Specula..................... 391 Entropium Forceps...........380, 381 Foreign Body Hooks............. 372 Needle Holder.................. 382 Ophthalmoscopes...........363 to 366 Powder Blower.................. 399 Roller Trachoma Forceps......... 390 Knee Caps, Elastic...............274, 754 Knee Joint Extension Apparatus.. .742, ......................755, 768-1 Splint.........................757-B Knife Chisels...................302, 303 Knives, Amputating............2gi, 2gi-A Brain.................337-D, 338, 33g Catlin's......................... 2gi Cartilage.........2gi, 2gi-B, 338, 33g Canaliculous.................370, 371 Cataract....................... 371 Cornea Section.................. 375 Circumcision.................... 723 Finger....................291, 291-B Furuncle........................401 Fink's......................301-C D Hernia...........335, 336, 352 to 356 Iris............................ 374 Iridectomy...................... 371 Lenticular......................291 Laryngeal...................451, 452 Minor Operating................. 291 Microscopic...., ............869, 870 Meatus.........................401 Periosteal.......*................422 Pocket Case................352 to 355 Resection......................291-C Rectal....................683-B, 684 Section......................... 2gi Subcutaneous................... 2gi Secondary...................... 374 Septum......................... 422 PAGE. Knives, Symphysiotomy..............649 Tonsil....................450 to 452 Uterine.....................619, 620 Knickerbocker's Shoulder Braces....... 805 Knight's Electric Tonsil Snare...... 449-D Nasal Scissors...................429 Obstetrical Forceps............... 654 Stethoscope.................,.... 524 Pharyngeal Forceps............... 413 Knoll's Haemostatic Forceps. .314, 315, ......................320-A B Cranial Forceps..............287-C D Modified Fritche's Vaginal Specu- lum.......................632-B Rectal Speculum...............672-B Oesophageal Stylets............459-A Periosteotome................301-C D Knot Tiers..............331, 332, 576, 577 Knock Knee Braces.............755, 756 Knox's Perineum Needles.328, 32g, 616, 617 Obstetrical Forceps..............657 Phimosis Forceps................ 728 Koch's Lymph Syringe............... 544 Kocher's Director..................301-C Koeberle's Chain Ecraseur............ 568 Koehler's Splint Material............. 787 Kramer's Ear Specula............3gi, 3g2 '' Syringe.............3g4, 3g5 Krouse's Rectal Electrode.........683-B D Kuhnt's Eye Lid Elevator............390 Labia Speculum......................634 Laboratory Microtome................ 868 Lachrymal Syringes.................. 368 Styles and Canulas............369, 385 Catheters........,............... 385 Probes.......................... 385 "Lady's" Syringe...................647 Laenec Stethoscope................. 525 Laforme's Inhaler.................... 507 Lalleman's Porte Caustic...... . . .573, 574 Lamps, Alcohol...................... 531 Cautery.....................330, 688 Ear............................ 394 Students'....................... 484 Lamblin's Abdominal Needle........287-C Lamb's Wool........................ 895 Langenbeck's Artery Forceps.......... 314 " Clamps......319, 320 Bandage Clamp.................. 2go Double Hook................2g8, 2g9 Haemorrhoidal Clamp............682 Retractors...................299-A B Serresfines.......................307 Staphyloraphy Knives............451 Seizing Forceps..............471, 582 Trachea Hooks.................. 452 Lancets, Abscess.................... 356 Gum...................291, 352, 356 Laryngeal....................... 451 Spring.......................... 551 Vaccinating..................356, 552 Lancet Cases........................ 356 Lange's Retractors..................299-A Lane's Rectal Speculum..............677 Lanne's Membrane Forceps........... 380 Lankford's Artery Forceps.........314, 359 Laryngeal Applicators...............459-B Forceps....................467 to 469 Knives..........................451 Tables........................494-B Laryngoscopes..................478 to 482 Larney's Silver Probe and Director.....685 Lateral Lithotomy Staffs.............. 723 INDEX. 1001 Lateral Curvature Brace...........762, 765 Laurence's Entropium Forceps.....380' 381 Eye Speculum................383 ' 384 Laveur's Endoscope.................. 7I7 Lavage Apparatus.................... 474 Lawrence's Urethral Sounds.....".".'.".... 715 Leather Jackets...............".'.'.'.'..'.' 767 Lead Mallets..................301-B 303 Leavitt's Uterine Curette..........561-B Tenaculum Forcepss8o.AB Soft Rubber Female Catheter. .603, 704 Uterine and Perineum Needles.. .614-A Obstetrical Forceps..............657 Placenta Hooks.................[ 662 Lee's Half Silk Catheters.............. 702 Leechs, Artificial.................... 551 Leffert's Atomizer................... 4q0 Nasal Spray..................... 424 Powder Blower...............425, 485 Palate Hooks................421, 452 Legs, Artificial...............769 to 772-D Leggins, Elastic..................... 274 Leibrich's Canaliculous Knife......... 371 Eye Speculum...............383, 384 Ophthalmoscopes................ 363 Rotating Iris Forceps............ 379 Leiter's Hypodermic Syringe.......... 542 Lenses, Hand and Pocket.........871, 872 Lenticular Knifes.................... 291 Lente's Chloroform Inhaler............ 311 Caustic Probe.................... 573 Ether Inhaler.................... 309 Interosseous Saw................. 293 Ligature Carrier................. 684 Platina Cup..................... 620 Uterine Syringe.................. 645 Lentz's Tonsillotome................. 448 Mouth Gag..................... 516 Lens Scoops.....................374, 375 Leonard's Aseptic Operating Saw . .. .291-D Bullet Extractor.................. 334 Irrigating Tube.................. 649 Nasal Speculum................. 419 " Po'ypus Forceps..........412-C Obstetrical Forceps.............. 657 Rectal Speculum................. 673 Uterine Dressing Forceps......... 579 Vaginal Speculum................ 626 Levis' Artery Compressor..........319, 320 Eye Probes...................... 385 Eustachian Catheier.............. 397 Hernia Director..............335, 337 Metallic Splints ...........773 to 779 Needle with Eye.................. 373 Phimosis Forceps............728, 730 Lewis' Folding Saw..............294, 2g5 Ovariotomy Clamps.............. 592 Patella Apparatus................ 754 Varicocele Clamp............... 731 Lid Elevators................380, 381 " Holders, Eye............386 Ligature Carriers, Rectal.............684 Ligating Needles.................... 684 Ligators, Rectal..................... 685 Light Condensers....................484 Ligature, Animal....................890 Elastic........................891-B Kangaroo Tendon .............. 889 Silk and Cat Gut..........889 to 891-B Silver Wire..................890, 892 Silk Worm..................8go, 8g2 Tubes..................8gr, 891-A B Reels.................889 to 891-B Liebold's Eye Specula............383, ^-84 Iris Forceps .................... 390 PAGE. Linhart's Knife Chisel................ 303 Lincoln's Nasal Douche..............423 Lindenschmitt's Urethral Applicator... 709-B Linquist's Abdominal Supporter....... 803 Lint................................ 894 Lintine............................. 897 Linton Combined Dressing............ 897 Liston's Amputating Knives.. .291, 291-A B Bone Forceps............300 to 301-A Artery Forceps......316, 320-A B, 359 Lister's Gauze....................... 896 Litmus Paper........................ 531 Little's Haemostatic Forceps.......314, 315 Lithotomy Bistoury.............. 721 " Staffs................. 723 Forceps...........724, 725 " Director.............. 722 Rectal Dilator................... 673 Stone Searcher................... 715 Splinter Forceps..............319, 320 Lithotomy Scalpels................... 721 Directors........................ 722 Scoops......................... 722 Staffs............. ............. 723 Lithotomes.......................... 721 Llthoclasts.......................724, 725 Lithotrites.....................726 to 728 Livingston's Elastic Eye Probe........ 385 Loring's Ophthalmoscopes.......363 to 366 Set of Trial Glasses.............. 367 Lowenberg's Post Nasal Curette Forceps. 412 Revolving Nasal Curette.......422-A Loomis' Stethoscope.................. 525 Placenta Forceps................. 659 Long Anchylosis Apparatus..........757-A London Abdominal Supporter......800, 803 Shoulder Braces..............803, 805 Hearing Horns .... ........407, 410 Lord Baltimore Battery............856-A Lucas' Trephine Perforator........... 661 Ludlam's Compression Forceps.......587-B Perineum Needles..............614-A Uterine Curette.................561-B " Elevator................. 568 " Dressing Forceps........580-A " Needle Holder..........609-B Vaginal Depressor............... 576 Luer's Aseptic Bone Chisel..........301-B Cheek Retractor................. 452 Eye Specula................383, 384 Laryngeal Forceps............... 467 Lithotomy Scoop................. 722 Nasal Polypus Forceps........... 412 Uterine Polypus Forceps ......... 580 Lusk's Cephalotrite.................. 658 Lutz's Uterine Supporter.............. 642 Luzardis' Hooked Needle............. 373 Lymph Syringes..................... 544 Lydston's Urethral Irrigator.......714-A B Mc McBride's Inhaler................... 502 McBride Packard's Yoke............632-C McCoy's Applicator.................. 422 McClintock's Uterine Polypus Forceps.. 580 McClellan's Perineum Needle.......... 618 McCurdy's Fracture Bed..........7S7, 788 McDonald's Transfusion Apparatus. . . 551 Counter Pressure Hook........... 575 McFarlan's Lachrymeal Syringe........ 368 Mcintosh's Uterine Supporter......... 642 Batteries..................821 to 830 Milliampere Meter............... 827 Rheostat........................ 827 Protective Cloth................ 895 1002 INDEX. PAGE. McKenzie's Brush Holder. . . .,........ 455 Laryngeal Forceps............... 467 Light Condenser................. 484 Laryngeal Lancets............... 451 Polypus Snare................... 414 Scissors and Forceps............. 449 Tonsillotomes....................448 McLean's Artery Forceps............. 314 Reversible Knife............ .354, 355 Uterine Dilator.................. 556 Obstetrical Forceps............. 655 McLeod's Ovariotomy Clamp.......... 592 McNutt's Vaginal Speculum........... 622 McWilliams' Mouth Gag.............. 513 Urinary Test Case............532-A B Macewen's Bone Chisels...........303, 304 M Magic Atomizers..................... 4g2 Maissoneuve's Urethrotome........... 719 Stone Crusher..... ............. 728 Mallets, Lead..............301-B, 303, 340 Steel........................... 340 Mallez Urethral Insufflator............ 734 Manton's Tissue Forceps............583- A Drainage Stem Pessaries........C43-A Mann's Placenta Forceps......... 567-A B Manometers........................402 Markoe's Brace for Torticollis........765 General Operating Set............ 283 Lithotomy Staff................ 723 Sequestrum Forceps.............. 301 Martin's Combined Stethoscope........ 526 Intra-Uterine Electrodes.... -...... 828 Rectal Douche.................683-B Marez's Sphygmograph............... 52g Marsh's Spirometer.................. 52g Marcy's Uterine Curette............... 563 Perineum Pins................... 578 Soft Rubber Catheter............. 704 Markley's Patella Splint.............753 Marshall's Saddle Bags............... 879 Osteotrite..................... 303 Mason's Minor Operating Set......... 286 Mastoid Instruments............391 to 411 Drills.......................... 297 Masturbation Forceps and Clamps..... 735 Clamp....................731 to 735 Mastin's Tenaculum Forceps......298, 299 Diagnosing Urethrotome.......... 720 Urethral Sound.................. 714 Matter's Ether Inhaler............... 311 Mattock's Key Ring Artery Clamp..... 319 Mathis' Needle Holder............... 324 Mathieu's Ear Forceps................ 404 Tonsillotome..................448 Uvula Scissors................... 449 Laryngeal Forceps...............467 Intra-Uterine Specula...........632-D Urethral Forceps................ 725 Lithotrite....................... 726 Raspatory...................301-C D Bone Reamer................301-C D Mattson's Powder Blower.....425, 426, 487 Atomizers....................... 492 Rectal Irrigator.................. 683 Maw's Stomach Pumps...............472 Maxilla Saws... ,.................... 294 May's Spiral Tourniquet.............. 308 Meatometers....................7x2, 722 Measures, Tape...................... 5 20 Meatus Dilator...................715, 716 Meatoscopes........................ 715 Meatotomes......................... 722 Meatus Knives...................... 401 Meadows' Vaginal Speculum.......... 626 Mead's Nasal Douche................. 423 Adhesive Plaster................. 894 Medicine Droppers..... ......... 531 Cases....................873 to 878-B Chests.......................... 881 Meigs' Ring Pessary................. 640 Obstetrical Forceps............. 653 Craniotomy Forceps.............. 658 Meisenbach's Rectal Plug...........67g Mercier's Prostatic Gland Dilator ... . 715 Mergler's Virgin Speculum...........632-B Metacarpal Saws................293 to 295 Meunier's Trachea Tube Forceps...... 471 Metcalf's Perineum Needle...........614-A Metal Tip Catheters.................. 303 Splints................ 773 to 779 Covered Bottles................. 900 Meyer's Post-Mortem Case...........337-B Cat Gut Ligature............... 889 Gauze.......................... 895 Microscopes................856-C to S67 Microtomes, Laboratory ............. 868 Microscopic Dissecting Instruments.. .. .................... 868 to 870 Milne's Artery Forceps.............. 314 " Compressor........307, 319 Dilating Urethrotome........ 720 Miller's Lamp...................... 394 Mod. of Gottstein's Curette . . 411-A B Uterine Dilator ................. 553 " Tourniquet.............. 567 " Elevator .............. 569 " Tenaculum.............. 574 'c Applicator ........... 573 Vaginal Speculum....... ....... 625 Obstetrical Forceps............653 (Adam) Obstetrical Forceps . . . 656 Millard's Atomizer................492, 493 Powder Blowers................. 487 Miliano's Scrotal Compressor ..... 801, 803 Milliampere Meters.............827, 848 Milk Sterilizers.................901 902 Minum Graduates.................. 898 Minor Operating Case............280, 281 Minor's Trachea Dilator.............. 453 Mirrors, Ear..............3g4, 395, 3g7-B for Head....................476, 477 Rhinoscopic ....... . .412-D, 478 Miscellaneous and GeneralSurgical Ne- cessities..............S3gA to 915 Mittendorf's Eye Speculum........... 383 Mitchell's Uterine Applicator......... 573 Meatotome...................... 722 Models, Anatomical............882 to 884 Model Microscope...............853, 859 Mohr's Burettes..................... 531 Molesworth's Uterine Syringe ........645 Vaginal Syringe................. 646 Moleskin Plaster.................... 894 Montgomery's Eye Case.............. 388 Mops, Absorbent Cotton............8g3-B Morton's Ether Inhaler.............. 311 Morgan's Powder Blower............. 487 Mortars and Pestles.. . ■>............. 898 Moses' Bullet Forceps and Extractor. . . 334 Motts' Amputating Knives...........2gi Aneurism Needle...........328, 329 General Operating Set........ ... 283 Retractors...................... 298 Spiral Tourniquet................ 308 Mouth and Throat Instruments . .447 to 523 Needles.....................306, 307 Gags.....458, 459, 459-A, 510, 513, 5'6 Specula......................... 459 INDEX. 1003 Mouth Breathing Apparatus..........493-A Mouse Tooth Artery Forceps.......... 316 Movable Back Saws.................. 2g2 Munde's (Sims') Vaginal Speculum.....623 Placenta Forceps................ 659 '' Curette.................662 Rectal Irrigator...................678 Ovarian Pessary................. 639 Murphy's Anastomosis Buttons ... .287-A B Munson's Quill Sutures............... 576 Hunger's Mod. Gottstein's Curette.411-A B Multum in Parvo Surgical Pocket Case. ---....................343, 348 Musseaux's Vulsellum Forceps. .. .470, 584 Muslin Bandages................895, 896 Oiled........................... 895 Mussey's Mouth Gag...........45g-A, 516 Bladder Curette..............714-A B Meyringotomes......................401 My'le's Ali-Nasi Instrument..........415-B Antrum Drills.................397-A Nasal Trimmer.................411-B Nasal Speculum................420-A " Trephine..............415-A B N Nachet's Ophthalmoscope............. 363 Set of Test Glasses.............. 367 Trial Frames.................... 367 Nails for Scissors.................301-C D Naevous Needles.................329, 330 Naegeli's Obstetrical Forceps..........654 Cranium Perforator..............661 Nail's Urethral Applicator...........709-B Urethrotome.................... 719 Nasal Bougies.......................427 Curettes..........411-A B, 422, 422-A Chisels.................415-A B, 427 Douches..................422-B, 42 3 Electrodes.....................412-D Polwus Forceps.......412, 412-C, 413 Probes........................422 Snares....................4*4 to 417 Specula........ ....... 418 to 420-B Saws...................428-A to 429 Sprays......................... 424 Scissors...................429 to 433 Trephines...................415-A B Nebulizers......................... 5°8 Necrosis Trephines.................. 3°8 Needles, Abdominal................287-C Artery....................327 to 330 Aneurism......291, 328, 329, 353, 357 Aspirating .................... 548 Cervix and Perineum.....614 to 618 Canulated. ..328 to 330, 518, 6i6to 618 Eye, all Kinds ..............373, 374 Exploring...................2gi, 356 Eye, Canulated.................. 375 Hernia......................335, 337 Hare Lip....................... 5*7 Hypodermic..................... 544 Helical......................... 615 Ligating........................ 684 Pedicle....................589, 0I4"B Post-Mortem.................... 34° Perineum..................327 to 33° Pile............................ ,684 Rectal................614-A, 683-A B Seton........................... 356 Surgeons', Ordinary.........3°5 to 307 Silver Wire......................6l4 Staphyloraphy...................• 452 Trachelorraphy................614-A Transfixing...................... 427 PAGE. Needles, Varicocele.................. 731 Needle Cutting Forceps............... 300 and Artery Forceps.......316, 320-A B Holding Forceps...........321 to 326 " Uterine . .604 to 610-A " Microscopic....... 870 Carriers......................... 327 Nelson's Mod. of Marcy's Perineum Needle....................614-B Uterine Dilator.................. 553 Vaginal Speculum................ 624 Mod. Marcy's Vaginal Speculum. .632-B Uterine Tenaculum.............. 574 Nelaton's Bullet Probe................ 335 Evacuating Apparatus............727 Pedicle Forceps.................. 586 Phimosis........................ 728 Soft Rubber Catheter............. 704 Tumor Forceps.................. 585 Urethral Foreign Body Instruments. 728 Neugabauer's Vaginal Speculum......628 New Patent Ligature Packages.. .8gi, 8gi-A Compressed Air Apparatus......4g4_A Indianapolis Surgical Chair......672-A Gynaecological Table............672-A Newman's Obstetrical Forceps.........655 Nichols' Naso Pharyngeal Forceps. .412-A B Nasal Douche................... 423 Niles' Rectal Speculum...........675, 676 Nitrate of Silver Pencils.............. 386 Nitz's Nose and Mouth Respirators. .. . 428 Noeggerath's Uterine Elevator........ 568 ^Ovariotomy Clamp................ 5g2 Pessaries........................641 Abdominal Supporters........798, 803 North's Percussion Hammer........... 528 Nott's Double Current Catheter......603 Ovariotomy Clamp............... 590 Seizing and Twisting Forceps...... 470 Tissue Forceps.................. 583 Uterine Dilator.................. 553 " Ecraseur................. 568 " Applicator............... 573 " Tenaculum...........574, 575 " " Forceps........ 581 " Scarifiers................ 620 " Syringe.............""' *. 646 Vaginal Depressor............... 576 '' Speculum................624 Wire Twisting Forceps........... 583 Noyes' Alligator Ear Forceps.......... 403 " Nasal Forceps........413 Barbed Hooks................... 372 Canaliculous Knives.............. 370 Conjunctiva Forceps.............. 379 Ether Inhaler.................... 311 Eye Lid Retractors.............. 369 Entropium Forceps..........380, 381 Eye Lid Clamp.................. 380 " Specula.................383, 384 " Probes...................... 385 " Case of Instruments.......... 38g Eustachian Catheter.............. 397 Fixation Forceps................ 379 Iris Scissors..................... 375 Nasal Saw......................429 Ophthalmostat................... 372 Trachoma Forceps..............39°_B Tympanum Perforator............ 401 Nozzles, Ear........................ 396 * Oakes' Double Bulb Eustachian Appara- tus........................397-B Ear Mirror.....................397-B 58 1004 INDEX. Oatman's New Nasal Snare..........415-B O'Berne's Rectal Tubes............... 685 Obstetrical Bags..................... 663 Cases of Instruments............. 664 Forceps..................652 to 657-B Slippers......................657-A B Ochsner's Pocket Case...............35I-D O'Dwyer's Intubation Apparatus___510, 511 " Snare............ 512 Oesophageal Bougies...........459-B, 460 Stylets........................459-A Tubes.....................459B, 460 Office Supplies.................910 to 915 Ointment Atomizers.................489 Syringes........................ 647 Oiled Muslin........................ 895 Slik............................ 895 Oil Stones.......................... gi4 Oliver's Nasal Douche................ 423 Powder Blower..................486 Tar Inhaler..................... 507 Nebulizer....................... 508 O'Leary's Pessary....................641 Omega Embalming Syringe........340, 341 O'Neal's Rectal Speculum........„ .. 376 Operating Aprons ...............288, 913 Cushions........................ 287 Cases......................275 to 286 Chairs..................665 to 672-A Scissors.....................312, 313 Tables......................668-A B Ophthalmoscopes...............363 to 366 Ophthalmostats..................... 372 Ophthalmo Phantomes................"386 Optometer.......................... 386 Oral Specula......................459 Saws...................293,466 O'Reilley's Rectal Speculum........... 673 Ordinary Surgeon's Needles........306, 307 Orthopaedic Apparatus........736 to 768-M Osteophor........................301, 302 Osteotrites........................... 303 Osteotomes.......................... 303 Ostrum's Ligature Carrier............. 684 Otoscopes.......................392, 3g3 Otis'Bulbous Bougies................. 711 (Blake White's) Urethrotome...... 720 Catheter Syringe and Guide....... 770 Endoscope................632-D, 717 Evacuating Apparatus............ 727 Aspirator........................ 548 Meatus Dilator...............715, 716 Meatotomes..................... 722 Minor Operating Set............. 286 Steel Sounds.................... 715 Stone Searchers............714-A, 715 Trachea Dilators.................453 Tunneled Sounds................ 715 Urethrotome.................... 7ig Uterine Needle Holder........608, 609 Urethrometers................... 720 Urethral Haemostatic Tube... .709-A B Outerbridge's Uterine Dilators.560-AB, 561 Ovariotomy Instruments.........585 to 597 ' Pins............................ 589 Clamps....................589 to 594 Trocars................... .594 to 597 Over-Riding Toe Apparatus........... 759 Ovens for Sterilizing Instruments.....„ 903 Owens' Emergency Case...........281-A B Aseptic Retractors..........„ .2gg-A B Pocket Surgical Case............. 343 Artery Forceps.................. 35g Double End Curette.............101-C Owsley's-Schultze's Post Nasal Curette Forceps..................411-A B Post Nasal Curette............411-A B Nasal Speculum................420 A Pacquelin's Cautery..................698 Pads, Sanitary...................800, 803 Palmer's Nasal Speculum..........420-A B Uterine Dilators................. 558 Vaginal Speculum...............624 Obstetrical Forceps..............657-A Palate Hooks....................421, 452 Retractors..........422, 464-A B, 465 Pallen's Uterine Scissors..........610, 611 Pamard's Pique for Fixing the Eye..... 372 Pana's Eye Speculum.............383, 384 Pans, Bed............643-B, 644, 811, 814 Papine's Perineum Needle . .. .328, 616, 617 Papier Mache Instrument Trays........ 893 Pus Basins......................405 Parker's General Operating Set........ 277 Artery Needle................... 330 Compact Operating Set........... 284 Capital Saw..................... 292 Catheter Syringe................. 707 Combined Male and Female Catheter 333 Fistula Lachrymalis Knife........ 375 Mouth Gag....................45g-A Needle Holder.................. 321 Pocket Surgical Case..........343, 34g Perineum Needles............327, 618 Retractors...................... 2g8 Soft Rubber Uterine Tube........ 602 Tongue Depressor........462 to 464-A Tonsillotome........,,.........449-A Paraplegia Apparatus................. 749 Paralysis Apparatus...............750, 751 Paracentesis Needles ................. 373 Trocar.......................... 371 Parke, Davis & Co.'s Hypodermic Sy- ringe....................... 544 Parts of Condensed Air Apparatus......497 Parkinson's Uterine Needle Holder.. ..610-B Patella Splints...................753, 754 Pathfinder.......................... 711 Paul's Stethoscope............,...... 525 Payne's Acid Applicators............422-A Pease's Canulated Needle............. 618 Pean's Artery Forceps............314, 315 Heavy Hysterectomy Forceps. .587-A B " Clamp Forceps........... 588 Trocar......................... 597 Peaslee's Hysterotome................ 620 Perineum Needles................616 Ring Pessaries................... 641 Stem Pessaries................... 638 Uterine Dilators................. 558 " Curette..................562 " Sound................57o,57i " Scarifier.................. 620 Uterotome...................... 620 Vaginal Depressor. „.............. 576 Peck's Uterine Curette...............561-B Ovariotomy Pins................ 589 Bladder Syringe..............707, 708 Pocket Surgical Case..........343, 348 Pedicle Forceps...................... 586 Needles___,..............589, 614-B Clamps......................... 592 Pelvis.............................. 885 Pelvimeters..........................6,63 Penn's Cat Gut Ecraseurs.............414 Pencils, Caustic...................... 386 INDEX. 1005 PAGE. | Perimeter..........................367-B Periosteotomes..........301-C D, 302, 303 Perineal Crutches..............632-C, 633 Stays.......................... 576 Perineum Needle...........362, 614 to 618 and Artery Needle..........327 to 330 Scissors.....................610, 611 Shields....................... 614-B Perins' Eye.......................... 386 Perforators, Tympanum...........400, 401 Cranium....................660, 661 Percussion Hammers............527-D, 528 Perry's Uterine Tenaculum........574, 575 Pessaries....................635 to 643-A Pettit's Spiral Tourniquet............. 308 Peters' Urethrotome..............719, 720 Hernia Director..............335, 337 Pfarre's Capital Saw.................. 292 Phantomes, Ophthalmo.,............. 386 Phelps' Torsion Forceps ...............314 Physic's Needle Holding Forceps.......321 Gorget........................ 722 Philadelphia Needle Holding Forceps.. 321 Phcenix Atomizer........... ........492 Physical Diagnosis Instruments . .524 to 537 Phimosis Instruments..........728 to 731 Forceps...................728 to 731 Physicians' Prices for Trusses and Sup- porters..................802, 803 Microscope..................859, 860 Pocket Medicine Cases. .. .873 to 874-B Cabinets....................886, 887 Soap................,.......... 897 Pharyngeal Forceps.................413 Pierce's Ali-Nasi Instruments........415-B Dry Massage Rod...............4i5"B Laryngeal Table................494-B " Mirrors............464-A B Mouth Gag and Speculum.........458 Nasal Rongeur Forceps..........412-B Nasal Douche............,......423 Snare Tonsillotome..........449"A B Tongue Depressor..............464-A Piffards'Bone Scoop..............331, 332 Bulbous Bougies................711 Fossil Sounds................... 712 Fossil Stricture Cutter............ 721 Meatotomes..................... 722 Meatometer.................712, 722 Pilcher's Trachea Retractors.......... 454 Supra Sternal Retractors...........454 Pillows, Air..................... 8og, 812 Pile Plugs.......................678, 67g Pipes................677-D, 68o, 681 Clamp Forceps..................683 Needles.....................684, 685 Pins, Hare Lip and Plastic.. .306, 307, 517 Bone Excision...............301-C D Acupressure..................... 3°7 for Transfixing Haemorrhoidal Tu- mors........................ 686 Ovariotomy..................... 58g Pin Cutting Forceps.................. 5*7 Carriers....................3<>7> 5*7 Pipes, Blow......................338, 339 Pile........................680, 681 Pipettes............................ 531 Plastic Needles...................... 5X7 Pitha's Tracheatome................. 454 Pleximeters......................... 528 Plug Placer, Nasal..................412-D Plugs, Vaginal.................••••• 56o Pile. .....................678 to 67g Pneumatic Apparatus................. 53° Plasters, Adhesive................... 894 PAGE. Plaster Paris Bandages................ 896 Plates, Bone........................287-C Pledget Speculum................... 633 Placenta Forceps.............657-A to 659 Ploughs, Nasal.....................422-A Pocket Operating Cases, Shears......281-H Case Scissors............312. 313, 361 " Instruments...........352 to 362 Surgical Cases............343 to 351-B Medicine Cases...........873 to 874-B Polypus Dressing Forceps Pocket Case ........................319, 320 Dressing Forceps Uterine.. .580, 580-A " Nasal.412, 412-C, 413 Canulas........................ 399 Snares......................400, 401 Polyclinic Ophthalmoscope............ 363 Politzer's Air Bags................... 390 A coumeter.....................397-A Ear Scoop......................402 " Forceps..................... 402 Manometers.................... 402 Meatus Knife................... 401 Post Nasal Cutting Forceps.......412 Tympanum Perforator........400, 401 Polypotomes.....................567, 568 Pomeroy-Kramer's Eustachian Catheter Holder...................... 397 Pomeroy's Ear Syringe............... 394 '' Forceps............... 404 Glass Inhaler.................... 3gg Double Nasal Douche............ 423 Pond's Sphygmograph................ 52g Pope's Bone Drills................2g6, 2g7 Poore's Sequestrum Forceps........... 301 Periosteotome................... 303 Porcher's Palate Retractor............ 465 Porter's Vaginal Retractor............ 634 Porte Meche........................ 332 Caustic......................... 717 Acid Glass...................... 401 Cordon......................... 663 Posterior Curvature Brace.....762, 763, ......................768-D EF Post-Mortem and Dissecting Instruments ....................337-B to 343 Post's General Operating Set.......... 285 Chain Saw Carrier............294, 295 Toe Nail Forceps................ 301 Pin Carrier..,................... 517 Rongeur Forceps for Mastoid Pro- cess ........................401 Pleximeter..................... 528 Potter's Nasal Douche......•.......... 423 " Scissors................429 Pouncey's Rectal Speculum........... 674 Powder Blowers.....425, 426, 485, 487 Powell's Pocket Surgical Cases........' 343 Stethoscope...................527-C Urethral Dilator................. 715 Pratt's Artery Forceps................ 319 Bone Scoop..................301-C Female Urethral Speculum.......632 D Male Sounds...................714-A Rectal Knife..................683-B Retrojector..................7*4-A B Uterine Sounds.................. 570 " Scissors.................. 613 " and Rectal Needles......614-A " Plugs.................... 561 " Tenaculum............... 575 Wooden Splints..............783, 784 Prepuce Forceps..................... 725 Prince's Bone Staff.............289-B, 291 Hare Lip Clamp.-................ 517 1006 INDEX. Prince's Retractors................... 298 Spool Eye Needle............431, 434 Tenaculum Forceps.............. 298 Trachoma Forceps..............390-B Priestley's Uterine Dilator...........559 Urethral Dilator............715, 716 Pritchett's Rotating Urethrotome....... 720 Prout's Needle Holding Forceps....... 321 Entropium Forceps..........380, 381 Needle Holder................... 358 Tympanum Perforator........400, 401 Probes, Bullet....................335 Eye ........................... 385 Ear................401, 401-A B, 402 Nasal..........................422 Pocket Case..............332, 358 Rectal ......................... 685 Probangs, Bristle.................... 471 Professional Microscope...........864, 865 Prolapsus Ani Truss.................686 Prostatic Catheter.................. 705 Gland Dilators...........714-A B, 715 Protective Cloth.................... 895 Prussian Spiral Tourniquet........... 308 Bullet P'orceps................... 334 Pulleys, Wire....................... 575 Pulling's Funis Clamp................662 Pterigum Scissors.................... 377 Pumps, Anatomical..........-... .340, 341 Stomach...................472 to 474 Air.........................501, 503 Punch, Septum......................415 Pupilometers....................... 386 Pus Basins.....................398, 405 Pyle's Fixation P'orceps............... 3go Self-Retaining Lid Retractor...... 3go Quadruple Hydraulic Air Compressor.4g4-A Quackenbush's Obstetrical Forceps. ... 655 Quain's Stethometer.................. 530 Quiers' Ear Curette.................. 402 Quill Suture......................... 576 R Rachitomes......................338, 33g Ramage's Inhaler................... 507 Ramsbottom's Craniotomy Forceps.....658 Randolph's Ointment Atomizer........48g Surgical Apron.................. gi3 Raspatory and Elevator......301-C D, 303 Rattis Trichiasis Forceps............. 380 Rawson's Suspensory Bandage.....801, 803 Razors, Section........'.............. 870 Reamers, Bone...................301-C D Reamy's Obstetrical Forceps..........657 Recamier's Uterine Applicator......... 573 " Curette........ 563 Reclining Invalid Chairs.......791 to 794-P Redfern-Davis' Hernia Instruments.... 335 Rectal Bougies..................678, 67g Dilators..............677-D, 678, 67g Clamps........................677 D Dressing Forceps..........677-D, 688 Ecraseur.....................677 C D Irrigators........677-D, 678, 6-jg, 683 Needles.....................683-A D Probes and Director..............685 Plugs.......................678, 679 specula.........672-P, to 677. 677-C D Scissors..................... 687 Trocars.........................68G Reeves' Adjustable Appliance......... 909 Spiral Head Rest................gog Reeces' Artificial Leech............... 551 Reed's Vaginal Speculum............626 Rectal Speculum................677 Pile Plug........ ........... 678 Reels for Ligatures.....•.......889 to 891-B Regurgitating Tube..............---645 Reiner's Needle Holder...........322, 324 Reliquet's Double Current Catheter.. .. 603 Urethral Stone Crusher........... 728 Replacers, Uterine...............568, 569 Resection Knives...................291-C Rests for the Head.................909 Restraints, Human................ 75g-B Respirators......................428, 5og Retractors..............2g8, 2gg, 299-A B Eye Lid..............369, 390, 3go-B Ear ......................401-A B Cheek......................... 452 Palate .............421, 464-A B, 465 Trachea....................... 454 Uvula.......................454-A B Vaginal........... .......493, 634 Rheostats.................,......... 827 Rheotomes.......................... 827 Rhinoscopic Mirrors................412-D Rhinoplastos........................ 415 Rhode's Inhaler..................... 504 Improved Office Cabinet.......... 887 Urethral Sounds................714-A Rib Shears......................340, 341 Richardson's Atomizer................ 4g2 Probang........................ 371 Powder Blower.................. 425 Ricord's Vaginal Speculum............ 627 Rectal Speculum................673 Phimosis Forceps................ 728 Richter's Uvula Scissors..............44g Rice's Nasal Saw ...............428-A Riggs' Hernia Needle .... ........... 335 Ring Pessaries ..................640, 641 Rings Spermatorrhoea................ 734 Riverdon's Perineum Needle.......327, 362 Robbins' Placenta Spoon.............662 Robinson's Pharyngeal Forceps.......413 Powder Blower...............425, 486 Respirators................... 509 Robertson's Obstetrical Forceps........655 Robert & Collins' Nasal Speculum.....417 Robert's Test Case............. .... 531 Hot Water Bags ................ 807 Rockwell's Minor Operating Set....... 286 Pile Clamp......................682 Roger's Dilating Urethrotome........720 Phimosis Forceps................ 728 Rollers, Bandage...................290 Obstetrical Forceps..............653 Roller Bandages..................895, 8g6 Rongeur Bone Forceps........300 to 301-A Roosa's Air Pump,.................. 581 Ear Forceps..................... 404 '' Case........................ 406 Inhaler......................... 507 Inner Ear Syringe............394, 395 ■ Nasal Speculum................. 419 Post Nasal Spray................424 Tongue Depressor...............461 Rotary Air Pumps................... 501 Roser's Speculum Oris...............459 Roth's Nasal Speculum...............418 Round Shoulder Braces.............768-C Rubber, Adhesive Plaster............. 894 Bulbs.......................... 818 Bandages....................... 897 Cloth.......................... 895 Drainage Tubes..... ........892, 893 Sheeting........................ 895 INDEX. 1007 PAGE. Rubber, Tubing..................... 814 Rumbold's Acou-Otoscope............ 3g9 Cut Off.............. .......... 497 Catheter Douche................. 423 Ear Spout....................., 396 Ear Forceps.................... 404 Eustachian Catheter.............. 394 Head Band..................476, 477 Injectors...................... 399 Inflator......................... 421 (Lucaes) Douche................ 394 Nasal Snare..................... 416 '' Scissors................... 429 " Speculum........./........417 Palate Retractor.................. 421 Polypus Forceps................. 414 Pharyngeal Mirror................427 Spray Tubes.................4g7, 499 Trachea Dilator..................453 Tongue Depressor............... 463 Throat Forceps..............468, 469 Ruprecht's Tonsillotome.............. 448 Russell & King's Tracheatome........454 Rust's Aseptic Amputating Saw......291-D Russian Needle Holder............... 606 Felt for Splints................. 787 Ryerson's Improved Vectis............662 Sabine's Haemostatic Forceps......314, 315 Saccharometers...................530-A B Sac Forceps....................586, 587 Saddle Bags....................879 to 881 Safety Pins.........................28g-B Sage's Urethral Applier..............7og-B Saltz's Uterine Syringe and Sound.....646 Salicylated Cotton..............8g3-B, 8g4 Sanitary Spit Cups..................gi4 Pads.......................800, 803 Commodes.................go4 to go8 Sand's Periosteotome...........3OI-B, 303 Needle Holder................321 Sajou's Abscess Trocar.............422 Acid Applicator........ ..........422 Laryngeal Forceps...............467 Modified Jarvis' Snare............4X6 Nasal Speculum................42° " Saws...................... 429 Periosteal Knife................. 422 Powder Blower..........425, 426, 486 Pharyngeal Forceps............. 4*3 Palate Retractor.................42* Snare........................... 4X7 Septum Punch................•. • 4J5 Tonsillotome.................... 448 Uvulatome.....................449 Sardy's Head Band................. 476 Sass' Nasal Curette...................' 422 Tongue Depressor............... 4&2 Spray Tubes.................497, 498 Rectal Speculum................. 677 Satterlee's Capital Bone Saw....... . 2g2 Bone Forceps ...............300, 301 Saws, Capital..................2gi-D, 2g2 Chain.......................... 2g3 Dissecting...................338, 33g Exsecting...................... 293 Finger......................... 357 Interosseous..................... 293 Maxilla........................ 294 Metacarpal................2g3 to 2g5 Nasal.................. 428-A to 429 Oral........................2g3, 466 Plastic ..................-...294, 295 Skull........................... 293 Saws, Subcutaneous............ 2g4, 2g5 Sawyer's Nasal Douche..............423 Obstetrical Forceps.............. 654 Sayre's Ankle Extension Appliance .... 758 Bandage Shears.................. 290 Bullet Probe.................... 335 Club Foot Shoe.................. 737 Hip Apparatus.............. 743, 745 Jury Mast....................... 767 Knee Extension Apparatus......74? Long Hip Splint..... ........ 745 Periosteotome................... 303 Suspension Apparatus......757-B, 768 Varicocele Clamp................ 731 Wire Cuirass................747, 74S Scanzoni's Uterine Dilator .... .... 55g Scalpels, Dissecting..............338, 33g Pocket Case............. 352 to 354 Eye............................ 371 Hare Lip...................... 518 Lithotomy...................... 721 Operating..................2gi A C Scales, Catheter..................,. 735 Office and Pocket................ gi4 Scarifier, Tonsil..................... 450 Vaccinating..................... 552 Uterine .....................6ig, 620 Rectal........................ 685 Scarificators......................... 550 for Eye......................375 Schrady's Subcutaneous Saw.......2g4, 295 Schofield's Inhaler................... 507 Schweigger's Eye Speculum........383, 384 Schweig's Uterine Dilator.......... . 553 Urethral Dilator.............715 Schlotterbeck's Vaginal Speculum..... 627 Schnetter's Placenta Forceps..........659 Schnoter's Suspensory Bandages....... 803 Schwatka's Eye Speculum.........383, 384 Schwartz's Mastoid Gouges and Chisels, ......................401-A B Schmitz's (Pierce's) Palate Retractors. 464-A B Schaefer's Throat Scoop.............. 471 Schroeter's Throat Forceps and Lancet. 468 Head Band .................476, 477 Percussion Hammer.............. 528 Scissors, Circumcision....,........... 731 Dissecting...................338, 339 Ear............................ 405 Eye....... ..............375 to 390 Hare Lip....................... 518 Microscopic Dissecting........^g, 870 Nasal......................42g to 433 Operating...................312, 313 Pocket Case.............312, 313, 361 Perineum.................. .610, 611 Rectal............. .........683, 687 Tonsil......................449, 45Q Uterine....................610 to 614 Uvula..........................449 Wire Cutting....................612 Scoops, Bone...........301-C D, 331, 332 Cataract........................ 368 Ear....................401-A B, 402 Eye........................374, 375 Lithotomy...................... 722 Rectal.......................... 685 Scott's Tissue Forceps................ 583 Pessary........................ 636 Scoliosis Brace........... .........767-C Screws, Tampon.................576, 577 Bullet.......................... 335 Scrogg's Obstetrical Forceps.......... 657 Scrotal Clamps..................73* to 733 Compressors..................... 731 1008 INDEX. Scudder's Knot Tier............. 576, 577 Sea Tangle Tents.................... 560 Searchers, Stone................714 to 715 Rectal.........................677-D Secondary Knives.................... 375 Section Knives..................2gi, 870 Razors........ ................ 870 Seeger's Laryngoscope................478 Seeley's Uterine Dilator.............. 559 Pile Pipe....................___680 Seguin's .-Esthesiometer.............. 528 Seizing Forceps...........470. 582, 583-A Seiss' Eustachian Catheter............ 397 Seibert's Diphtheria Syringe..........465-A Seller's Nasal Speculum ......420, 420-A B Uvula Scissors................. 449 Seimon's Vaginal Dilator............. 627 Uterine Dilator ................ 558 '' Curette.................. 562 Self-Threading Needles...........306, 307 Retaining Catheters.............. 603 Blowing Cautery Lamp........... 330 Semeleder's Spectacle Frame..........477 Semple's Inhaler...................507 Senn's Artery Forceps ........... .320-A B Bone Chips....................893-A " Plates..............2g7-C. 8g3-A Pocket Case....................35I-C Periosteotomes............... 301-C D Sensible Electric Belts___,...........853 Septum Punches..................... 415 Forceps......................... 415 Sequestrum Forceps............301, 301-A Serre Neod.......................... 332 Serresfines.......................... 307 Seton Needles....................... 356 Seymour's General Operating Set....... 284 Sexton's Ear Specula................. 391 Ear Douche.. .................3g4 " Forceps..................... 403 Eustachian Catheter..............421 Inner Ear Syringe............... 3g4 Pocket Ear Set.................. 406 Nasal Speculum.................. 419 Sharp & Smith's Absorbent Cotton..... .....................893-B, 8g4 Absorbent Gauze..............8g3-B Amputating Minor Operating and Trephining Cases.......276 to 287 Bone Curettes................301-C D Capital Saw No. 2............... 2g2 New Compact Sole Leather Operat- ing Case.......... ..... .281-G New Emergency Bag............281-I Phalangal Bow Saw............2gi-D Auchylosis Apparatus............. 753 Aspirators................545 to 547 Cautery Storage Battery.........851-A Condensed Air Apparatus......... 4g4 Corset Brace.................... 767 " " and Jury Mast......767-A Catheters....................... 701 Double Shoe...................772-D Eye Cases...................... 38g " Needle..................... 373 Electric Battery.................. 843 Freezing Apparatus............. 492 Gas Apparatus................... 6go Genu-Valgum Apparatus......755, 756 Gynaecological Chair and Operating Table.................665 to 668 Head Rests................gog Hollow Silver Wire Needles . ..328, 618 Hypodermic Syringes...... 538 lo 541 Hard Rubber Drainage Tubes..... 5g8 PAGE. Sharp & Smith's Haemorrhoidal Syringe and Needles................... 685 Hospital Wheel Stretcher.......790-A Improved Uterine Supporter.....634-A " Urethral Bougies .. . ... 711 " Stethoscopes..... ..524, 525 Knock Knee Braces..........755, 756 Laryngoscopic Sets........ . 479 Ligatures, Silk and Cat Gut.S8g to 8gi-B Mouth Specula..............45g New No. 73 Dry Cell Battery. .8'6-A B Needle Holders..........325, 326, 358 Nasal Polypus Forceps.........412-C '' Douche................... 423 " Sprays..................... 424 Oesophageal Bougies............459-B Post-Mortem Cases.......... 342 Patent Pocket Cases..........343, 347 Placenta Scissors................. 662 Pile Pipes...................680, 681 Ring Lid Elevator...........380, 381 Rhinoplastic Chisel.............427 Rectum Speculum................677 " Curette.......... ..... 685 Raised Shoe for Shortened Limbs. 759-A Slide Catch Artery Forceps..... 320-A Stomach Pump.................. 472 Steam Atomizer..................488 Suspensory Bandages,............ 803 Tongue Depressor............... 462 Thermometers..............534, 553 Tampon Screws..............576, 577 Tumor Forceps.................583-A Urinary Test Case............532 A B Uterine Sounds....... ......570, 571 Urethral Speculum............633 Universal Hard Rubber Syringe.. . 646 Vaseline Atomizer.. . .,.......... 504 Shades, Eye........................ 386 Shannon's Uterine Supporter.......... 642 Shears for Bandages.... .........28g, 290 Rib Cutting................340, 341 Aseptic Pocket Operating Case.281.-H I Tenotomy Knives..............291-C Sheeting. Rubber................ 819 Sherman's Dissecting Scalpel........338 Sherwell's Nasal Scissors........431 to 433 Shiland's Vaginal Speculum...........627 Shields for Perineum................614-B Artery Forceps................. 314 Uterine Dressing Forceps......... 579 Shenstone's Tissue Forceps..........5I3-A Shot Compressing Forceps............ 585 Shoes, Club Foot..............736 to 740 Cork Extension................. 751 Willow Extension...............751 Short Leg Extension Apparatus. .750 to ......................752- 759-A Shoulder Caps....................274, 768 Braces....................803 to 805 Shurtleff's Atomizer..................492 Shurley & Gibbs' Inhaler...........493"B Sieveking's ^Esthesiometer............ 528 Siegele's Ear Specula. ... ............ 391 Aural Otoscope..............3g2, 3g3 Signoroni's Tourniquet. •............308-A Sigmoid Catheters....................603 Silver Drainage Tube................. 8g2 Wire Needles....................614 " Suture..................614, 8go Silk Ligatures................889 to 891-B Stockings....................... 274 Web Catheters.................. 702 Worm Gut...................... 890 Sims' Blunt Hook.................... 574 INDEX. 1009 PAGE. Sim's Caustic Holding Forceps........ 579 Caustic Holders.................. 620 Cervix and Perineum Needles...... 614 Enucleator...................... 575 Lithotomy Scoop................. 722 Needle Holder.................321 Porte Chain Ecraseur............. 568 Ring Pessary....................635 Rectal Speculum................. 673 " Dilator................... 678 Seizing Forceps.................. 582 Sigmoid Catheter................603 Stem Pessary....................639 Sponge Holder...............312, 457 Tampon Screw........ ......... 576 Tissue Forceps.................. 583 Uterine Curette............ 562 " Dressing Curette.. .... 579 " Dilator.................. 55g " Elevator................. 568 " Knives.................. 619 " Probes and Applicators.... 573 " Polypus Forceps.......... 580 " Scissors................610 ' Sounds..............570, 571 " Syringe.................. 646 Vaginal Dilator.................561-A " Speculum................ 623 '' Retractors.............634 Volsellum Hook............... 585 Wire Twisting Forceps.......470, 583 " Pulley and Adjuster......... 575 Simpson's Canulated Needle........... 618 Craniotomy Forceps.............. 658 Cephalotrite .................... 658 Hysterotome.................... 620 Meatotome...................., 722 Obstetrical Forceps ......,....... 652 Polypotome..................567, 568 Perforator.......,..........660, 661 Set of Uterine Dilators............ 558 Uterine Sound...............569, 570 Simrock's Ear Scissors................ 405 Laryngeal Forceps............... 467 Nasal Speculum.............,. .. 420 Otoscope....................392, 393 Polypus Forceps.................413 Rhinoscope..............417, 418, 466 Sitwell's Water Coils.................. 807 Skey's Spiral Tourniquet........., ... 308 Artery Compressor............... 3ig Skeletons........................... 884 Skene's Counter Pressure Hook....... 574 Compression Forceps............587-B Endoscope................... 717 (Folsom's) Urethral Speculum.....717 Hawk Bill Scissors.............613 Needle Holder.................604 Ovariotomy Clamps..........5g2, 5g3 Perineum Needle............... 633 Reflux Catheter.................603 Uterine Curette................. 562 " Tenaculum.............. 574 '' Elevator..........,...... 56g Probes ................. 573 " Scarifier................. 620 " Knife Probe. ............ 6ig Urethral Speculum.............. 633 Vulsellum Forceps................ 47° Skulls..........................884, 885 Skull Saws......................... 293 Clamps......................340, 341 Skillern's Phimosis Forceps.......728, 72g Slayton's Trachelorraphy Needles... . .614-A Slippers, Obstetrical..............657-A B PAGE. Slides and Cover Glasses.............. 870 Smellie's Perforator.............. 660, 661 Smith's Artificial Leech............... 551 Anterior Splint.................. 785 Hare Lip Forceps................ 517 Haemorrhoidal Clamp............. 682 Mouth Gag..................... 516 Nasal Speculum..............420-A B Pessary.... ,................... 635 Pile Clamp................... .. 683 Powder Blower.................425 Tonsil Scissors.............. . . 450 Urethral Speculum..............632-D Urethoscope..................... 717 Wire Ecraseur.............. 566, 567 ' Cutting Scissors.........612, 613 Smith & Shaw's Batteries............. 842 Snellen's Series Test Types........... 367 Entropium Forceps...........3S0, 381 Snare's, Ear, Polypus.............. . . 400 Nasal Polypus..............414 to 417 Tonsil........................449-D Wire.......................... 417 Snofton's Stethoscope...............527"D Soap, Antiseptic.___... .......... 8g7 Socks, Stump..................... 772-E Sohen's Uvula Retractor...........464-A B Southey's Trocars................331, 332 Sounds, Rectal.................. 677-C D . Urethral...................712 to 715 " Cooling.................. 715 Uterine....................568 to 573 Spatula and Elevator..............332, 357 " Tongue Tie.............. 357 Specula, Eye....................383, 384 Ear......................391 to 394 Nasal....................418 to 420-B Mouth.......................... 459 Vaginal................. .621 to 632-B Urethral............632 D to 634, 717 Intra-Uterine...........632-D to 634 Labia................... . . 634 Rectal...................672 to 677-D Speculum Oris....................... 459 Spermatorrhoea Rings................ 734 Specimen Jars....................... 8g8 Spiers'(George) Ether Inhaler.........311 Artery Constrictor............319, 320 Lachrymal Catheter.............. 385 Self-Retaining Ear Specula... .391, 392 Eustachian Catheter.............. 397 Ear Curette..................... 402 Nasal Curette....................422 Spiral Aneurism Needle.............. 328 Tourniquet..................... 308 Bullet Probe..................... 335 Catheters....................... 705 Spirometers.......................... 529 Spit Cups..................... .....gi4 Sphygmographs..................... 520 Spinal Column, Human............... 885 Cradle.........................767-B Splinter Forceps............ 319, 32o, 360 Splints, Patella..................753 for Fractures........773 to 787, 790-B for Extension.. .767-D, 778, 778-C, ........................783, 785 Knee Joint.....................757"B Splint Material..................... 787 Spoons, Placenta.................... 662 Spohn's Uterine Tourniquet........... 567 Spouts for Ear......................396 Sponge Holders.............3*2, 3*3, 578 '' Laryngeal.............457 Bags.........'..................9°° 1010 INDEX. PAGE. Sponge Tents...................... 560 Sponges.......................8gg, goo Sprays for Eye.....................380 Spray Tubes..................4g7 to 500 Spring Lancets...................... 551 Spuds and Ear Spoons .............. 357 Eye........................... 370 Squibb's Ether Inhaler............... 311 Urinometer...................... 530 Squire's Rectal Speculum............. 673 Vertebrated Catheter.............. 705 Staffs, Bone...................289-B, 291 Lithotomy..................... 723 Staple's Fracture Apparatus........... 786 Starkey's Eustachian Catheter........397-A Bladder Apparatus............709-A B Stahl's Cranioclast.................657-A Stanard's Uterine Syringes........647, 648 Stays, Perineal.................. 576 Stafford's Inhaler.................... 507 Staphyloraphy Instruments......450 to 452 Stark's Eustachian Catheter Holder.... 3g7 Standard Trial Case.................367-A Stanley's Hernia Director.........335, 337 Steele's Elastic Bullet Probe........... 335 Glass Drainage Tubes........599, 600 Septum Punch................... 415 Volsellum Forceps............... 584 Stehmen's Tongue Depressor.........463 >team Atomizers..................... 488 Stearns' Urethral Dilator......715,716, 720 Steurer's Urethral Dilator............. 715 Sterilizers..................... 901 to 903 Sterilizing Ovens..................... 903 Stewart's Hernia Knives..........335. 336 Stevens' Eye Instruments....... .377, 39°-B (Graves') Vaginal Speculum. .. .632-A B Sterility Instruments...... ... .560-A B Stethoscopes...............524 to 527-D Stem Pessaries.................. 638, 639 Steel Sounds....................712 to 715 Stimson's Needle Holder............. 609 Hypodermic Syringe.............. 542 Stilling's Canaliculous Knife........... 370 Stillman's Deformity Apparatus .768-A ........................to768-M Stoerck's Post Nasal Cutting Forceps... 412 Drop Tube....................... 471 Stone Searchers................714 to 715 Crushing Forceps........724, 725, 728 Storage Batteries.-..............829, 851-A Stockings, Elastic.................... 274 Stone's Canulated Needle............. 330 Perineum Needle.............616, 617 Obstetrical Forceps............... 657 Stokes' Eye Lid Compressor.......... 369 Stohlman's Hysterotome.............. 620 Vaginal Speculum................ 624 Stomach Pumps................472 to 474 Tubes.......................... 474 Pump Attachment................ 545 Storer's Ovariotomy Clamp............ 590 Uterine Scarifier................. 620 Vaginal Speculum...............622 Strabometers....................... 369 Strabismus Hooks.................... 372 Scissors........................ 376 Bistouries...................... 376 Forceps........................ 379 Stretchers, Wheel.................790-A B Stump Socks................... 772-E Stuckey's Laryngoscope...........478, 480 Cotton Applicator............455, 456 Styles, Lachrymal ................... 369 Sts ptic Cotton...................... 894 PAGE. Students' Microscope................. 857 Subcutaneous Knives................. 291 Success Nasal Douche...............422-B Supporters, Abdominal.....274, 798 to 800 Uterine....................642, 643-A Surgeons' Needles................306, 307 Surgical Operating Chairs and Tables.. ....................665 to 672-A Suspension Apparatus...........757-B, 768 Suspensory Bandages.............801, 803 Suture Instrument, Automatic.......... 576 Sutures (see Ligatures)................ Swansdown Plaster................. 894 Swazey's Transfixing Needles..........427 Swift's Nasal Speculum............... 418 Symphisiotomy Knife.................649 Syphon Ear Douche.................397-B Syringes, Applicating................648 Aspirator............ .......... 547 Bladder....................706 to 708 Bulb......................816 to 819 Catarrhal.......................423 Caustic......................... 706 Catheter....................706, 707 Diphtheria.....................465-A Embalming..................340, 341 Fountain..................814 to 816 Hernia..................--335 to 337 Hypodermic.............538 to 544-B Hard Rubber.................... 820 Lachrymal....................... 368 Ointment...................... 647 Subpapberal..................... 369 Uterihe......'..............645 to 648 Ulcer and Ear...............818 Urethral..............706 to 708, 818 Syringe Bulbs................... 818, 819 Syringotomes.......................683-B Symes' Lithotomy Staff............... 723 Abscess Knife................... 354 Syracuse Suspensory Bandages......... 803 Szymanowsky's Bandage Shears........ 2go Exsecting Saw................... 2g3 Bone, Chisels and Gouges.....302, 303 T Tablets, Antiseptic.................897 Tables, Operating............665 to 672-A Instrument..................910, gi 1 Laryngeal................. 4g4"B Tait's Haemostatic Forceps. 314, 315, 320-A B .........588 Ovariotomy Clamp...........590, 591 Trocar............... 594 Talipes Varus Valgus Equinus and Cal- careus Shoes............738, 739 Talbot's Counter Pressure Instrument, .........................575-AB Tampon for Epistaxis................420 Tampons, Vaginal...............560, 897 Tampon Screw................. -576. 577 Tank Packages................ 891. 8gi-A Tanks, Air (see Air Condensers)....... Tape Measures...................... 530 Tarnier's Obstetrical Forceps.......... 654 Tascher's Throat Forceps............. 468 Intubation Forceps............... 513 Taylor's Apparatus for Potts' Dis- ease ........................ 765 Blunt Hook..................... 661 Craniotomy Forceps..............658 Circumcision Scissors............. 731 Percussion Hammer............527-D Uterine Syringe................. 646. Urethral Syringe................. 707 INDEX. 1011 PAGE. Tacher's Vaginal Speculum............ 622 Teese's Hernia Knife...............337-A Teeger's Brush Holder................ 455 Teevan's Lithotomy Forceps.......724, 725 Urethrotome.................... 719 Lithotrite....................... 726 Teft's Sounds....................... 715 Tenaculums, Operating.........291, 291-A Dissecting....................... 338 Uterine..................574 to 575-A Tenaculum Forceps......298, 2gg, 471, ....................580-A B, 581 Hooks......................2g8. 2gg Tenotomes, Shears..................2gi-C Operating----.............291, 291-A Tenotomy Scissors, Eye.............. 377 Hooks, Eye...................390-B Tents, Sponge, Tupello, Sea Tangle... 560 Elm.......•.................... 559 Tent Expellers...................... 560 Test Types......................... 367 Drums.......................... 372 Cases, Eye...............367 to 367-B " Urinary...........5.30 to 532-B Tubes, Urinary.................. 530 " Holders............--530, 531 Thermometers, Fever...........533 to 537 Theobold's Eye Probes............... 385 Thebaud's Sphincter Ani-Dilator....... 677 Urethral Dilator.................. 715 Thiersch's Needle Holder and Spindles. 604 Thomas' Abdominal Supporter.....798, 803 Cautery Irons................... 330 (Cutter's) Pessaries............... 636 Craniotomy Forceps.............. 658 (Cuscoe's) Vaginal Speculum...... 622 Dry Cupper..................... 551 Drainage Tube.................. 598 Haemostatic Forceps......314, 315, 588 Latest Vaginal Speculum.......... 627 Mucus Syringe.................. 646 (Noeggerath's) Pessary........... 637 Needle Holder.................. 321 Ovariotomy Clamp...........5go, sgi Trocar...........595, 596 Obstetrical Forceps............... 656 Perineum Needle ............ 330 Pessaries................636, 637, 638 Placenta Forceps..........:. .660, 661 Serrated Spoon.................. 563 Speculum Forceps................ 585 Sac Forceps..................... 586 Seizing and Twisting Forceps..... 583 Shouldering Forceps............. 582 (Smith's) Pessaries............... 637 Uterine Dilator.................. 558 " Curette.................. 562 " Probe................... 573 '• Tenaculum.............. 575 " Dressing Forceps......... 579 •' Applicating Forceps....... 580 " Tenaculum Forceps....... 581 " Set..................649, 650 Tissue Forceps .................. 583 Telescopic Vaginal Speculum. .. . 629 Vaginal Clamp................... 593 Thomasin's Bullet Probe.............. 335 Thompson's Bladder Forceps.... .724. 725 Evacuating Apparatus..........727 Hernia Knife.................337-A Lithotrite...................726, 728 Optometer...................... 386 Prostate Tube and Sound.....715, 7l6 Stone Searcher................... 7*5 Urethral Dilator.................. 7*5 Thompson's Urathral Forceps......... 725 Vesico Tumor Forceps........... 586 Throat Forceps..................468, 469 Mirrors........................478 Thudicum's Douche.................. 423 Nasal Speculum.................. 419 Thumb Forceps......................316 Lancets.......................k 356 Thornton's Compression Forceps. ..588, 589 Thornton Parker's Urethral Syringe.... 707 Tilleaux's Fistula Forceps............. 684 Tips, Atomizer. ...................493 Tirefond or Bone Screw.............. 308 Tissue Forceps, Uterine........583, 583-A Tobold's Concealed Lancet............ 451 Laryngeal Mirrors................ 451 Laryngoscope.................... 478 Polypus Forceps.................451 Pneumatic Apparatus............. 530 Tongue Depressor................ 462 Toe Nail Forceps................... 301 Tongue Tie and Director......... 332, 333 and Spatula..................... 357 Tongue Holding Forceps........465-B, 466 Tractors........................ 515 Tonsillotomes................447 to 449-D Tonsil Scissors...................449, 450 Forceps............44g-D, 465-B, 466 Hooks.................. ... .44g-D Knives............ ...........44g-D Scarifiers....................... 450 Snares.........................44g-D Tooth Extracting Forceps.......5ig to 523 Tooker's Bed Pan...................643-B Torsion Forceps..............314 to 320-B Torticollis Brace................765, 767-A Toswell's Stomach Pump.............. 472 Tourniquets................ 308, 308-A B Uterine......................... 564 Urethral........................ 735 Toynbee's Acoumeter................ 402 Diagnostic 1 ube................. 3g7 Ear Specula..................... 3gi " Forceps...................... 404 Trachoma Forceps..............390, 390-B Traction Hooks................... 3go-B Traveler's Nasal Douche ............. 423 Transfixing Needles................. 427 Tractors, Tongue.................... 515 Tracheatomes....................452, 454 Trachea Instruments..............454, 455 Tubes........ ...............455 Trachelloraphy Scissors and Needles ... ....................614, 614 A Transfusion Apparatus.............. 551 Trask's Dumb Bell Pessary........... 640 Trays for Instruments..........8g3, 8g3-A Trephining Forceps.................. 301 Elevator........................ 303 Trephines, Nasal.................415-A B Trephines....................308, 308-A Trephine Brushes.................... 308 Tripods, Head Rest..............340, 341 Sayre's......................... 768 Trial Frames........................ 367 Test Cases................367, 367-A Trimmers, Nasal ..................411-B Trocars, Aspirating.................. 548 Bladder......................... 734 Exploring...................332» 357 Hydrocele...................... 734 Nested.................33', 332, 357 Ovariotomy...............594 to 5g7 Pocket Case..................... 355 Paracentesis..................... 370 1012 INDEX. PAGE. Trocars, Rectal.....................686 Troelsch's Mirrors............... 3g4, 3g5 Trosseau's Trachea Dilator..........453 Throat Forceps..................47 [ Pile Plug...................678 Trumpets, Ear.................407 to 411 Trusses, Hare Lip.................. 518 Prolapsus Ani................... 686 Rupture..........795 to 7g8, 802, 803 Truehart's Trephine Forceps.......... 661 Tubes, Atomizing..........488, 497 to 500 Conversation...............407 to 411 Diagnostic...................... 397 Drainage.......5g8 to 600, 891-B to 893 Intubation..................• ■. • 435 Stomach........................ 474 Trachea .......................455 Urine Test...................... 530 Urethral........................ 706 Gonorrhoea...................... 7°9 Oesophageal....................459" B Antrum...................... 397-A Douche ................601, 602, 649 Irrigating....................602, 603 Endoscopic....................632-D Regurgitating.................. 645 Vaginal.................... 647, 648 Colon.......................... 685 Tubing, Rubber..................... 814 Tucker's Wire Cutter...............307 Cup Syringe..................... 647 Tuerk's Tongue Depressor...........463 Tumor Forceps...........583-A, 586, 587 Tuning Forks........................ 397 Tunneled Sounds.................. 715 Tupello Tents....................... 560 Turnbull's Pharyngeal Cotton Holder... 422 Turner's Uterine Applicator....(....... 573 Tympanum Perforators...........400, 401 Tyndale's Nose and Mouth Respirators. 428 Tyrian Atomizers....................49° Tyrell's Eye Hooks................... 372 U Ultzman's Urethral Syringe........... 707 Umbilical Trusses.................. 797 Belts........................... 274 University Stethoscope............... 526 Universal Microscope............862, 863 Updegraff's Staphyloraphy Instruments, ......................450 to 452 Ureometers.....................532"A B Urethral Bougies..............710 to 712 Drainage Support........632-D to 634 Dilators........714-A B, 715, 716, 717 Specula.................632-D to 634 Tourniquet...................... 735 Urethrotomes..................7*8 to 720 Urethrometers....................... 72° Urinometers....................... 53° Urinary Test Cases.......... 530 to 532-B Urinals.........................811, 814 U. S. A. Bullet Forceps.............. 334 Gynaecological Set............&4g, 651 Uterine Curettes .............561-B to 563 Dilators....................553 to 561 Dressing Forceps................ 579 Douche Tubes...............601, 602 Knives.............. ---6ig, 620 Needle Holder............604 to 610 B Probes and Applicators............ 573 Scissors.................... 610, 614 Sponge Holders.................. 578 Scarifiers....................6ig, 620 Specula.............. 632-D to 634 Uretine Supporters.............642, 643-A Syringes...................645 to 648 Sounds....................56g to 572 Tenacula...........574, 575. 575"A B Utero-Tractors...................... 556 Uterotomes......................... 620 Uvulatomes......................... 449 Uvula Retractors.................464-A B Vaccine Virus................,....... 888 Vaccinating Lancets.................. 356 Instruments..................... 552 Vaginal Capsules.................... 561 Clamps......................... 593 Depressors..................... 576 Dilators........................ 561 Douches........................ 644 Plugs..............f.........560 Specula.................621 to 632-D Retractors...................593, 634 Tubes......................647, 648 Vagrometers........ ............ 642 Valentine's Stethoscopes.............527"B Vance's Emergency Case........281 C D E yEsthesiometer................. 528 Test Case....................... 530 Van Hensen's Sterilizers.............. go2 Van Buren's Sequestrum Forceps...... 301 Surgical Pocket Case.........343, 348 Van Arsdale's Uterine Needle Holder.6og-B Vandeworker's Canulated Needle........618 Van Buren's Rectal Speculum.........677 Ligator......................... 685 Keyes' Bladder Syringe.......706, 707 Steel Sounds................... 714 Varicocele Needles................... 731 Vaseline Atomizer................48g, 504 Vaughan's Irrigating Catheter......709-A B Vectis............................... 662 Verity's Splint....................... 786 Vertebrated Catheters................. 705 Vial Cases...................872 to 874-B Vials............................ . 898 Virgin Specula.....................632-D Vilas' Inhaler....................... 507 Voillerner's Urethral Dilator.........715 Volkman's Retractors...........2g8, 2gg-A Cutettes........................422 Von Brun's Bone Chisels.............301-B Canulated Needle................ 330 Von Ramdohr's Uterine Needle Holder. ........................608, 6og Vulsellum Hooks.................2g8, 585 Forceps.....................470, 584 W Wackerhagen's Vaginal Speculum. .62g, 630 Bandage Shears.................. 2go Wadsworth's Uterine Supporter........642 Waechter's Urethral Tube.........7og-A B Wagner's Post Nasal Cutting Forceps.. 412 Brush Holder................... 455 Walcher's Artery Forceps............320-A Walton's Foreign Body Gouge........370 Tattooing Needle................373 Iris Forceps....................37g Waldenberg's Pneumatometer......... 530 Wales' Rectal Bougies................63o Rectal Explorer..................685 Walker's Prostatic Gland Dilator....... 715 External Urethrotome............ 72o Lithotomy Staff.................. 723 Evacuating Apparatus............ 727 Wallace's Obstetrical Forceps.........650 INDEX. 1013 PAGE. Ward Cousin's Safety Pins..... .....289-B Instantaneous Tourniquet.......308-A Tables.....................gIO, 911 Warren's Hernia Syringe and Needle... ■.......................335, 337 Hernia Scalpel................ 337-A Mouth Gag................... cI0 Ovariotomy Trocar...........595_ 596 Exploring Sound................. 7u Catheter........................ 70c Warner's Catarrhal Syringe........... 423 Washburn's Hip Joint Apparatus...... 742 Spinal Apparatus................ 763 Wathen's Uterine Dilator,............. 559 Hysterectomy Forceps........587-A B Stem Pessary.................... 638 Watkins' Perineum Shield............614-B Waterford's Ether Inhaler............ 309 Watch Spiing Pessaries...........640, 641 Water Bandages..................... 807 Bags........................809, 812 Bottles.................809, 810, 813 Coils.......................808 Waxham's Feeding Bottle............. 488 Intubation Apparatus............ 512 Mouth Gag..................... 516 Wax Bougies........................ 711 Weak Ankle Braces.................. 741 Limb Apparatus................. 759 Weber's Tensor Tympani Instruments. 401 Canaliculous Knives.............. 371 Graduated Dilator............... 385 Webster Nasal Saw................428-A Wecker's Lachrymal Canula.......... 369 Iridectomy Instruments.......... 370 Weiss' Rectum Speculum............. 677 Weisse's Bougie Aboule.............. 711 Steel Sounds.................... 713 Wells' Bow Torsion Forceps......314, 315 Clamp Forceps.................. 588 Enucleating Hook..............390-B Haemostatic Forceps.........314, 315 Ovariotomy Clamp.......590, 591, 593 Pedicle Clamp.,................. 5g2 " Forceps................. 586 Percussion Hammer.............. 528 Torsion Forceps................ 588 Trachea Dilator.................453 Ovariotomy Trocar..............595 Westmoreland's Dilating Urethrotome . 720 Speculum Oris..................45g Wheelhouse's Lithotomy Staff......... 723 Wheel Chairs for Invalids......791 to 7g4-P Wheelock s Ear Syringe..........3g4, 395 Whitney's Vaginal Depressor.......... 576 Needle Holder..............321, 358 Whitehead's Helical Needle........... 615 Lithotomy Staff................. 723 Mouth Gag..................... 45g Perineum Needle................ 330 Paring Knife.................... 450 Seizing Forceps..............470, 582 Spiral Needle................... 452 Uvula Scissors..................44g White's Hysterotome................620 Obstetrical Forceps.............. 655 Palate Retractor................465 Specula.....................629, 630 Tongue Depressor............... 465 Uterine Curette................. 562 " Elevator......... ...... 569 Whitfield's Varicocele Needle......... 731 Wier's Antiseptic Atomizer........... 288 Ear Forceps.................... 404 Mouth Gag..................... 516 „r. , PAGE. Wier s Meatoscope................... 7i-i Steel Sounds.................... 712 Urethrometer...................720 Wight's Artery Forceps.............. 314 Wigmore's Douche Tube............. 601 Wilson's Mastoid Drills...........401-A B Perineum Needle........328, 6i6; 617 Pessaries....................... 64? Surgical Chair................... 672 Tumor Forceps .............586, • 587 Uterine Dilator................. 553 Wire Cutting Scissors............613 Wilde's Canulated Eye Forceps........375 " Needle............ 375 Ear Speculum................... 3gi " Gorget...................... 399 " Forceps.....................403 Ovariotomy Clamp............... 592 Williams' Eye Probes................ 385 Rectal Speculum.................677 Willow Sole Shoe.................... 751 Wilcox's Tent Forceps................ 560 Sac Forceps ...;............586, 587 Ovariotomy Pins................. 589 Winternitz' Cooling Sound............ 715 Winterich's Percussion Hammer....... 528 Winston's Uterine Dressing Forceps... 579 Set of Dressing Instruments . .64g, 650 Wire Breeches....................... 746 Cutter.......................... 307 Cuirass....................746 to 748 Cutting Scissors............ 612, 613 Needles.....................306, 307 Pulleys and Adjusters............ 575 Silver, Aluminum and Lead Suture ................... 614, 890, 892 Twisting Forceps............470, 583 Woake's Nasal Plough................ 442 Wood's Amputating Knife............ 2gi Bisector........................ 721 General Operating Set............ 286 Hernia Knives.......... ...335, 336 " Needles................. 335 Haemostatic Forceps..........314, 315 Lithotomy Bistoury.............. 723 Uvula Scissors..................44g Varicocele Clamp................ 731 Woodbury's Uterine Applicator........ 573 Woodward's Pessaries................641 Uterine Syringe..................646 Wooden Splints..................783, 784 Wool, Lambs...................•.... 895 Wolff's Spinal Cradle................767-B Wood-Wool Preparations............. 8g7 Worm Gut Ligature ..........8go, 8g2 Wright's Bandage Shears............. 2go Wristlets, Elastic.................... 274 Wry Neck Apparatus................. 764 Wutzer's Hernia Instrument.......... 335 Wyeth's Bone Drills ................. 2g7 Cocaine Catheter................ 706 " Needle.................. 731 Dilating Urethrotome............ 720 Exsecting Saw...............2g3, 2g4 Lithotomy Bistoury.............. 721 Needle Holder.................. 321 Nasal Snare ....................416 Urethral Bistoury................ 721 Uterine Needle Holder...........604 Wylie's Angle Forceps............... 580 Haemostatic Forceps..........314, 315 Ovariotomy Trocars.............. 5g4 Uterine Counter Pressure Hook— 574 Curette.................. 563 " Elevator................ 569 1014 INDEX. PAGE. Wylle's Uterine Applicator ........... 573 " Tenaculum............ 575 " Dressing Forceps .... 579 Dilator............... 553 y Yarrow's Tampon Carrier............ 576 Yearsley's Tonsil Knife.............. 450 Young's Anaesthetic Can and Inhaler... 311 Dilating Urethrotome............ 720 Yount's Rectum Speculum............677 Z Zimocco Sponges.................... 899 Zuelzer's Katharaphor................ 709 Zwank's Pessary..................... 640 ADVERTISEMENTS. Edison Manufacturing Co.........960, 961 The R. Hoehn Co..........._______962 J. Elwood Lee Co...................963 PAGE. R. Boericke Co......................964 The Harvard Co....................965 Taylor Bros. Co...................... 966 Chloride of Silver Dry Cell Battery Co. 967 Geo. Frost & Co.................... 968 Henry Weinhagen................... g6g Davoi Rubber Co.................... g7o S. E. G. Rawson .................. g7i Geo. W. Tooker.................... g72 Sardy & Co........................ 973 Drake & Wood...................... 974 N. F. Taylor........................ 975 J. C. Schnoter Co...................g75 Heap's Patent Earth Closet Co........ g76 Jerome Kidder Mfg. Co...........g77, g78 .Sharp & Dohme..................... 979 Myron E. Meyer Mfg. Co............ 980 Hastings Truss Co............... ... 981 E. F.. Hofmann.................... g82 Otto Flemming..................g83, g84 W. D. Allison Co..............985, 986 D. C. Hall & Co..................... 987 %IML-V^ • NLM000838927