CATALOG! K 
OF 
UmiM Piislrunwfe 
Jd anufactured and Sold by 
GEO. TIEMA1W ♦ CO,, 
F. fl. inOHLMflftF, FCPWflRflP FFflUBE, 
No. 67 CHATHAM-STREET, 
NEW-YORK. EDWARD PFARRE 
G-eo, Tiemann & Co.'s Surgical Instrument Factory, 
j:oeihm street, uhooki.yx, e. i>., new-york. 
F. A. STOHLMANN. OF 
Manufactured and Sold by 
©■©« WIBMAWW & 
F A. STOHLJAAJTJ'T, E&WfiRD PFfiRRE, 
No. 67 CHATHAM-STREET, 
WEW-YORK. Entered, according to Act of Congress, in the year 1874, 
By GEO. TIEMANN & CO., 
In the Office of the Librarian of Congress, at Washington. OAMIAIPiS STITieSWPI* 
Improved by Dk. Snelling, N. Y., 
with one India Rubber Rim, by the elastic expansion of which all air is excluded. 
Its advantage will be evident at a glance in auscultation over the carotids, where the pres- 
sure made by the ordinary unshielded lip of the instrument must cause an adventitious mur- 
mur; over the jugulars for venous murmur, over or under the clavicle when a patient is so 
thin as to preclude the complete adjustment of the ordinary instrument to the exclusion of the 
air; in patients so emaciated as to make it impossible to apply the sounding tube upon or 
between the ribs, and where it is desirable to locate a cardiac murmur over one or another valve. 
Extracted from the American Medical Times, October 26, 1861. 
On Auscultation, Percussion, &c. 
By Austin Flint, M.D. 
If you percuss much, you may find a serious inconvenience arising from soreness of the 
dorsal surfaces of the fingers used as a pleximeter. Several years ago I was obliged to resort 
to other instruments for this reason. * 
Various instruments have been contrived as substitutes for the fingers. A disk of ivory, 
bone, or India rubber, is generally used as a pleximeter. The one which I use is composed of 
hard india rubber; it differs from those in common use, in the length of the auricles. They are 
of large size and roughened on their exterior aspect, so as to be easily and firmly held by the 
fingers of the left hand. 
Of percussors I have three varieties before me. One consists of a small metallic ball en- 
circled with a ring of india-rubber, and attached to a small elastic handle of whalebone. I have 
no doubt that this instrument answers very well, but I prefer a handle which is rigid, not elastic. 
Another is the instrument known as Winterich's hammer, It consists of a pretty heavy piece 
of metal, with a cone of india-rubber inserted into it, attached to a flattened handle with spaces 
hollowed out to receive the ends of the fingers. This instrument is intended to be used by throw- 
ing up the hammer to a certain height, and allowing it to fall upon the pleximeter. It seems to 
me that the force of the blows can be better estimated if they are made directly and entirely by 
muscular action, and if usedin this way, the hammer is too heavy and the form is inconvenient. 
For several years I was in the habit of using a hammer of steel (with a cone of india- 
rubber inserted) considerably smaller than that of Winterich's instrument, the handle being 
round and of a convenient size for striking directly upon the pleximeter. One difficulty which I 
experienced with this instrument was, the india rubber cone frequently became loose and fell 
out, or it became too much compressed and required to be renewed. To obviate this difficulty 
and to secure more completely the great object in a percussor, viz., to bring out a sound which 
shall, as exclusively as possible, come from within the chest, the instrument which you see me 
use habitually, was contrived and made, at my suggestion, about a year ago, by Messrs. Tiemann 
& Co., of this city. It consists of a hammer composed of india-rubber in the form of a double 
cone. This is firmly fixed in a metallic ring at the centre of the cone, attached to a handle of 
convenient size and length. It is, in fact, a double hammer, one end of the cone being smaller 
than the other end. This instrument seems to me to leave nothing to be desired, as regards 
weight, form, durability, &c. It produces, moreover, as little sound as possible, exclusively of 
that coming from within the chest. You will perceive that, in the latter respect, the smaller 
end of the cone is preferable to the larger end. I strike successively with the two ends, and it 
is evident that a greater share of the sound with the larger end comes from the contact with 
the pleximeter and not from within the chest. 
The percussor and pleximeter used by the writer are figured in the accompaning wood-cut. IMPROVED ASPIRATORS. 
APPARATUS FOR URINARY EXAMINATIONS. 
Fig.l. INDEX AND PRICE-LIST TO PART II. 
OF 
jJlIWtWUl ffiatnloguc 
OF 
SUMNAL IISTB1B1IT0, 
Amratns for Deformities and Fractures, 
Bandages, Trusses, Spine Braces, 
ETC., ETC. 
MANUFACTURED AND SOLD BY 
GEO. TIEMANN & CO., 
No. 67 Chatham Street, 
AND 
Branch Store, No. 107 East 28th Street, 
NEW-YORK. 
FACTORY, Nos. 81 & 83 BOERUM STREET, BROOKLYN, E. D., N. Y. STOEHRER'S GALVANIC BATTERY 
and other Electric Batteries and Electrodes for Medical Purposes. 
{Extract from the " Medical Record," March 15th, 1871.) 
A NEW HYPODERMIC SYRINGE. 
G.TIEMANN & CO 
We present our readers with a new hypodermic syringe, devised by Geo. Tiemann & Co,, which 
we think, has decided advantages over others. These advantages consist, for the most part, in the 
peculiar construction of the instrument, which allows of its being kept clean with very little 
trouble, in the comparative improbability of its getting out of order, and its non-liability to 
breakage. 
As represented in the cut, the glass cylinder is encased in a metal mounting, fenestrated to show 
the graduations for minims. No cement is used to fasten the parts to each other, but in its stead 
there are washers at each extremity of the cylinder, which not only insure the exclusion of air, but 
effectually prevent the annoyance of the glass becoming loose. 
The instrument can be taken apart for cleaning by simply unscrewing the nut through which the 
piston plays. The piston is made longer than the cylinder, to allow of the washer bejng pushed 
through far enough to be freshened, oiled, &c., without the trouble of getting at it in the old way. 
The two canulated points are made of tempered cast-steel and much tine'' than those usually em- 
ployed, an advantage in lessening pain on the introduction of the same. 
For Sale by 
CEO. TIEMANN & CO. 
ESTABLISHED 1826. 
F. A. Stohlmann, Edward Ffarre, 
Manufacturers and Importers oj 
HXTSTITTJIMEIVTS, 
67 CHATHAM-STREET, NEW-YORK. 
VI INDEX. 
PART II. (a.) 
ILLUSTRATIONS. 
PAGE. 
Atomizers, ............ 88 
Eye Instruments, 1 to 33 
Ear " 34 to 54 
Harelip " . . . . . . . . 59 to 60 
Inhaling Apparatus, 88 
Laryngoscopic Instruments, . . . . . . 68 to 89 
Nasal " . . . . . . . . 55 to 58 
Oral " 60 to 61 
(Esophageal " 82 
Staphylorrhaphy " 66 
Stomach Pumps, 94 
Tongue Depressors, .... ..... 62 
Tonsil Instruments, 64 
Tracheotomy Instruments, ......... 91 
Uvula " . 63 to 64 
Uraniscoplastic " . . . 66 
SETS OF INSTRUMENTS IN CASES. 
PRICE. PAGE- 
Eye Sets, . . No1, . . . . $17 13, . . 3 
" " " 1, . 19 00, . 3 
" " . . " 2, 24 13, . .3 
" . . " 3, 34 63, . 5 
" > " Strabismus, " 4, 8 25, . .5 
" " Small, "5, . . . . 11 75, . 7 
" " Laurence & Moon's, . . . . . 78 75, . .7 
" k< Agnew's, No. 9, . . . . . 57 75, . 13 
" '■ Complete, " 7, ..... 107 00, . . 9 INDEX. 
PRICE. PAGE. 
Eye Sets, Knapp's, $50 00, . 24 
" " Noyes', No. 8, 66 25, . .11 
" " U. S. Staff Surgeons', .... 106 40, . 26 
" " and for the Ear, No. 13, . . . . 57 85, . . 28 
" " Vedder's, for Eye, Ear, and Throat, . 77 00, . 56 
Ear Sets, Politzer's, complete, 40 00, . .36 
" " " small, 22 00, . 38 
" " Roosa's, . 43 40, . .42 
" " Speir's, . 40 45, . 44 
" " Sexton's, 38 70, . .48 
" " Toynbee's, 23 20, . 46 
" u Turnbull's, . 68 00, . .40 
Eye, Ear, and Throat Sets, U. S. A., . . . . 26 
" " " " " Vedders', ... . . 28 
Ear Trumpets, .51 
Laryngoscopic Sets, No. 1, $14 00, . . 75 
" " " 2, 20 00, . 75 
" " " 3, 25 00, . . 77 
" " " 4, 28 00, . 77 
Laryngoscope, Use of, . . 70 
Ophthalmoscope, Use of, .15 
PART II. (b.) 
SPECIFIED PRICE-LIST at which single Instruments will be fur- 
nished, 96 
CONTENTS 
OF 
Illustrated Catalogue of Surgical Instruments. 
PART I.-Amputating, Trepanning, Minor, Capital, and General Operat- 
ing Instruments, Pocket-Cases, etc. 
PART II.-Eye, Ear, Mouth, Laryngeal, Tracheotomy Instruments, etc. 
PART III.-Gynaecological Instruments and Instruments for the Male 
Urethra, Bladder, and Genitals. 
PART IV.-Orthopoedic Appliances, Fracture Apparatus, etc. GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
JVo. (i 7 Chatham Street; 
Branch Store, No. 107 East Twenty-eighth Street, 
NEW-YORK. 
ETE INSTRUMENTS 
INSTRUMENTS FOR OPERATING ON THE LIDS AND LACHRYMAL DUCTS. 
Fig. 1. 
Fig. 2. 
Fig. 3. 
Fig. 4. 
Tiemann & Co.'s Entropium Forceps. 
Fig. 5. 
Cross-Bar Entropium Forceps. 
Laurence's Eye-lid Tourniquet. 
Desmarre's Entropium Forceps. 
Snellen's Entropium Forceps. 
Fig. 6. 
Jaeger's Plate Lid-Holder. 2 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
ITS WSTWMBNTS. 
INSTRUMENTS FOR OPERATING ON THE LIDS AND LACHRYMAL DUCTS. 
Fig. 7. Henry's Depilating Forceps. 
G.TIEMANN = CO. NY.- 
Fig. 8. 
Fig. 9. Cilia Forceps. 
Tiemann & Co.'s Entropium Forceps. 
Fig. 10. Ratti's Trichiasis Forceps. 
Fig 11. Pwout's Entropium Forceps. 
Fig. 12. 
Stoke's Eyelid 
Compressor. 
G. riEMANN&CC.N.y 
Fig. 13. Knapp's Entropium Forceps. 67 CHATHAM STREET, NEW-YORK. 
Branch Store, 
107 East 28th St., N. Y. 
3 
SETS OF EYE INSTRUMENTS IN CASES. 
SET OF EYE INSTRUMENTS No. 1. 
1 Beer's Knife, $1 50 
1 Curved Needle, 1 25 
1 Iris Needle, 1 25 
1 Pair of Forceps, 1 50 
1 Pair of Scissors, curved on the flat, fine points, . . . 1 50 
1 Plain Wire Speculum, ........ 1 00 
1 Strabismus Hook, . . . . . . . . . . 1 25 
1 Dix's Spud for removing foreign bodies, . . . . 1 25 
1 Silver Probe, 38 
3 Suture Needles, fine silk 75 
1 Tyrrell's Sharp Iris Hook, 1 25 
1 David's Curette, ......... 1 50 
1 Morocco Case, lined with silk velvet, 2 75 
Amount, . . $17 13 
Set No. 1 in a Rosewood Case, $19. 
SET OF EYE INSTRUMENTS No. 2. 
1 Beer's Knife, $1 50 
1 Keratome, or Artificial Pupil Knife, ..... 1 50 
1 Dix's Spud for removing foreign bodies, 1 25 
1 Curved Needle, 1 25 
1 Straight Needle, 1 25 
1 Pair of Straight Iris Scissors, 1 50 
1 Pair of Strabismus Scissors, . . . . . . . 1 50 
1 Strabismus Hook, 1 25 
1 Parker's Fistula Lachrymalis Knife, . . . . . . 1 75 
1 Plain Wire Speculum, ........ 1 00 
1 Tyrrell's Blunt Hook, 1 25 
1 Silver Probe, 38 
1 Critchet's Lens Scoop, 1 75 
1 Pair of Forceps, ........ 1 25 
6 Suture Needles, fine silk......... 1 25 
1 Rosewood Case, lined with silk velvet, ..... 4 50 
Amount, . , $24 13 4 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F, A. Stohlmann. 
Edward Pfarre. 
BYB INSTRUMENTS. 
INSTRUMENTS FOR OPERATING ON THE LIDS AND LACHRYMAL DUCTS. 
Fig. 14. Plain Wire Eye Speculum. 
Fig. 16. Plain Wire Eye Speculum. 
Fig. 15. Graefe's Eye Speculum. 
Fig. 17. Noyes' Improved Eye Speculum. 
Fig. 18. Noyes' Plain Eye Speculum. 
Fig. 19. Liebold's Eye Speculum. 
Fig. 20. Hart's Eye Speculum. 
Figs. 21, 22. Desmarre's Eye-lid Retractors. Branch Store, 
67 CHATHAM STREET, NEW-YORK. 
5 
107 East 28th St., N. Y. 
SETS OF EYE INSTRUMENTS IN CASES. 
SET OF EYE INSTRUMENTS No. 3. 
1 Graefe's Linear Knife, $1 50 
1 Parker's Fistula Lachrymalis Knife, 1 75 
1 Beer's Cataract Knife, ] 50 
1 Desmarre's Scarificator, ........ 1 50 
1 Straight Keratome, for artificial pupil, . . . . . 1 50 
1 Angular Keratome, for artificial pupil, ..... 1 75 
1 Strabismus Hook, . . . . . . . . . . 1 25 
1 Small Scalpel, for operating upon the lids, .... 1 50 
1 Large Curved Needle, Couching, 1 25 
1 Small Curved Needle, ........ 1 25 
1 Straight Iris Needle, 1 25 
1 Cystotome, for lacerating the capsule, ... 1 50 
1 Tyrrell's Blunt Hook, 1 25 
1 Tyrrell's Scoop, 1 75 
1 Plain Wire Speculum, 1 00 
1 Pair of Cilia (or Eye-lash) Forceps, 1 00 
1 Pah' of Strabismus Forceps, . . . . . . . 1 25 
1 Pair of Iridectomy Forceps, ....... 1 50 
1 Pair of Straight Iris Scissors, 1 50 
1 Pair of Iris Scissors, curved on the flat, ..... 1 50 
1 Anel's Silver Probe, ......... 38 
6 Suture Needles and Fine Silk, ....... 1 25 
1 Rosewood Case, lined with silk velvet, 4 75 
Amount, . . $34 63 
SET OF STRABISMUS INSTRUMENTS No. 4. 
1 Pair of Strabismus Scissors, Si 50 
1 Pair of Strabismus Forceps, 1 25 
1 Double Hook, for fixing the eye, 1 50 
1 Strabismus Hook, . . 1 25 
1 Plain Wire Speculum, 1 00 
1 Morocco Case, 1 75 
Amount, . $8 25 6 
F. A. Stoiilmann. 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
Edward Pfarre. 
111 INSTRUMENTS 
INSTRUMENTS FOR OPERATING ON THE LIDS AND LACHRYMAL DUCTS, 
Fig. 25. Anel's Silver Eye Syringe. Silver and Gold Points. 
Fig. 26. McFarlan's Lachrymal Syringe. 
Fig. 23. Weber's Graduated Dilator. 
Fig. 24. Speir's Lachrymal Catheter. 
Fig. 28. 
Liebold's Subpalpebral Syringe. 
Fig. 27. Drop Glass for the Eye. 
Fig. 29. Agnew's Lachrymal Syringe 
Fig. 36. Galezowsky's Canalicula Dilator. 
G. TIE MANN AGO 
Fig. 30. Anel's Probe. 
Fig. 31. Bowman's Director; and Figs. 32, 33, 34, 35, Set of 8 Nos. Probes. 
32. 
33. 
34. 
35. G7 CHATHAM STREET, NEW-YORK. 
7 
Branch Store, 
107 East 28th St., N. Y. 
SETS OF EYE INSTRUMENTS IN CASES. 
1 Curved Couching Needle, . . . . . . . . $1 25 
1 Strabismus Hook, ......... 1 25 
1 Beer's Cataract Knife, . . . . . . . . 1 50 
1 Double Hook, for fixing the eye-ball, ..... 1 50 
1 Pair of Plain Curved Forceps, 1 25 
1 Pair of Strabismus Scissors, . . . . . . . ' 1 50 
1 Plain Wire Eye Speculum, . . . . . . 1 00 
1 Morocco Case, lined with silk velvet, ..... 2 50 
Amount, . . $11 75 
LAURENCE AND MOON'S COMPLETE SET OF IN- 
STRUMENTS FOR OPHTHALMIC SURGERY. 
SMALL SET OF EYE INSTRUMENTS No. 5. 
1 Strabometer, ........... $2 50 
1 Liebreich's Ophthalmoscope, best, ...... 6 50 
1 Pupillometer, .......... 5 00 
1 Speculum, with set-screw, ....... 2 50 
1 Eye-lid Tourniquet, ......... 3 00 
1 Silver Style, .......... 50 
1 Girard Teuton's Canalicula Knife, . . . . . . 7 00 
1 Pair of Strabismus Scissors, . . . . . . 1 50 
2 Strabismus Hooks, $1.25, .. . ... 2 50 
1 Dix's Spud, for removing foreign bodies, . . . . 1 25 
1 Gouge, for removing foreign bodies, 1 50 
1 Angular Keratome, for Iridectomy, ..... 1 75 
1 Straight Keratome, . . 1 50 
1 Broad Needle, 1 25 
1 Pair of Iris Forceps, 1 50 
1 Tyrrell's Blunt Hook, ........ 1 25 
1 Pair of Curved Iris Scissors, . . . . . . . 1 50 
1 Wilde's Canula Forceps, Scissors and Needle, ... 15 00 
1 Graefe's Linear Cataract Knife, 1 50 
1 Cystotome, 1 50 
1 Bistoury, for enlarging the section, 1 50 
1 Daviel's Curette, 1 50 
1 Critchet's Scoop, 1 75 
1 Graefe's Tractor, 1 50 
1 Beer's Cataract Knife, 1 50 
1 Cataract Needle, . 1 25 
1 Curved Needle, 1 25 
1 Rosewood Case, lined with silk velvet, ..... 8 00 
Amount, . . $78 75 8 
F. A. Stohlmann. 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
Edward Pfarre. 
EYE INSTRUMENTS. 
INSTRUMENTS FOR OPERATING ON THE LIDS AND LACHRYMAL DUCTS. 
Fig. 37. Bowman's Canalicula Knife. (Director Fig. 31.) 
Fig. 38. Gensoul's Canula for Cauterizing the Nasal Duct. 
Fig. 39. Desmarre's Scarificator. 
Figs. 44, 45. Desmarre's Cautery Iron and Many-Pronged Hook 
Fig 40. Maunoir's Canalicula Scissors. 
Fig. 42. Weber's Curved Canalicula Knife. 
Fig. 43. Weber's Half-Curved Canalicula Knife. 
Fig. 41. Stilling's Canalicula Knife. 
for Obliterating the Sac. 
Fig. 46. Noyes' Movable Blade Canalicula Knife 
Fig. 47. Noyes' Plain Canalicula Knife. 
Fig. 48. Parker's Fistula Laclirymalis Knife. Branch Store, 
G7 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
9 
SETS OF EYE INSTRUMENTS IN CASES. 
COMPLETE SET OF EYE INSTRUMENTS No. 7. 
2 Graefe's Linear Knives, $1.50, $3 00 
1 Beer's Cataract Knife, ........ 1 50 
1 Pair of Straight Iris Forceps, . . . . . . . 1 50 
1 Pair of Curved Iris Forceps, ....... 1 50 
1 Pair of Strabismus Scissors, . . . . . . . 1 50 
1 Cystotome and Daviel's Curette, ..... 2 50 
1 Gouge, for removing foreign bodies, . . . . . . 1 50 
1 Silver Lens Scoop, ......... 2 00 
1 Straight Keratome, . . . . . . . . . 1 50 
2 Angular Keratomes, large and small, $1.75, . . . . 3 50 
1 Pair Cilia Forceps, 1 25 
1 Steel Blunt Spatula, ......... 1 25 
1 Tyrrell's Blunt Hook, soft shank, ..... 1 25 
1 Tyrrell's Sharp Iris Hook, ....... 1 25 
2 Strabismus Hooks, $1.25, 2 50 
1 Curved Needle, for removing foreign bodies, . . . . 1 25 
2 Straight Delicate Scalpels, $1.50, . . . . . . . 3 00 
1 Liebreich's Best Ophthalmoscope, 6 50 
2 Desmarre's Lid Retractors, $1.75, . . . . . . 3 50 
2 Desmarre's Eye Specula, right and left, with set-screw, $2.25, 4 50 
1 Weber's Graduated Dilator, 1 00 
1 Set of Bowman's Silver Probes, Nos. 1 to 8, . . . . 3 00 
1 Pair of Straight, Spring-catch, Fixation Forceps, . . . 2 50 
1 Pair of Slide-catch Fenestrated Artery Forceps, . . . 3 00 
1 Pair of Desmarre's Entropium Forceps, 3 00 
2 Pairs of Snellen s Right and Left Entropium Forceps, $3.00, . 6 00 
1 Anel's Hard-rubber Syringe, 2 silver gilt points, . . . 5 50 
1 Brush and Caustic-holder, ....... 2 50 
1 Jaeger's Plate Lid Holder, . . . . . . . . 1 00 
6 Suture Needles and Fine Silk, ....... 1 25 
1 Hard-rubber Spatula, to apply ointment, ..... 75 
2 Bowman's Stop Needles, $1.50, . . . . . . 3 00 
1 Paracentesis Needle, . . . . . . . . . 1 75 
1 Straight Broad Needle, ........ 1 25 
1 Delicate Shell Spoon, . . . . . . . . . 1 75 
1 Double Hard-rubber Curette, 1 50 
1 Stilling's Canalicula Knife, . . . . . . . . 1 50 
1 Graefe's Tractor, ......... 1 50 
1 Pair Delicate Bone-gouging Forceps, . . . . 3 00 
1 Rosewood Brass-bound Case, lined with silk velvet, . . 16 00 
Amount, . . $107 00 10 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
ET1 INSTRUMENTS. 
INSTRUMENTS FOR OPERATING ON THE LIDS AND LACHRYMAL DUCTS. 
Fig. 49. Jaeger's Bistoury Cache for the Canalicula. 
Fig. 50. Beaumont's Concealed Canalicula Knife. 
Fig. 51. Agnew's Canalicula Knife 
Fig. 54. Scalpel for Operating upon tlie Lids. 
Ductns Lachrymalis Styles 
OF ALL DESCRIPTIONS, 
Made of Gold, Silver, 
A1 u in i n i 11 in, Hard 
Rubber, and Lead, 
solid and canulated. 
Also, Lead Wire, 
Fine Suture Needles, 
Fine Suture Silk 
(White and Black), 
Fine Silver Wire, etc. 
Fig. 52. Sand's Needle Forceps. 
Fig. 53. Prout's Needle Forceps. 
Fig. 55. Medium Size Scalpel. 
Fig. 56. Small Size Scalpel. 
Fig. 57. Style for the Lachrymal Duct. Fig. 58. Lachrymal Cauula. Branch Store, 
67 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
11 
SETS OF EYE INSTRUMENTS IN CASES. 
NOYES' SET OF EYE INSTRUMENTS No. 8. 
2 Desmarre's Eye-lid Retractors, large and small, $1.75, . . $3 50 
1 Plain Wire Speculum, ........ 1 00 
1 Noyes' Plain Canalicula Knife, . . . . . . . 1 75 
1 Set of Bowman's Probes, Nos. 1 to 8, . . . . . 3 00 
Some Lead Wire, Nos. 4 to 8, . . . . . . . 50 
1 Small Scalpel, .......... 1 50 
1 Hard-rubber Dental Syringe, 1 00 
2 Strabismus Hooks, large and small, $1.25, . . . . 2 50 
1 Pair of Straight Iris Scissors, 1 50 
1 Pair of Curved Iris Scissors, ....... 1 50 
1 Pair of Fixation Forceps, . . . . . . . . 2 00 
1 Pair of Plain Dissecting Forceps, ...... 75 
1 Dix's Spud, for removing foreign bodies, . . . , . 1 25 
1 Spatula, ........... 1 25 
1 Straight Iridectomy Knife (Keratome), 1 50 
1 Angular Iridectomy Knife, . ' . . . . . . 1 75 
1 Short Iris Forceps, 1 50 
1 Large Curved Iris Forceps, ....... 1 50 
1 Tyrrell's Blunt Hook, 1 25 
2 Straight Discission Needles, $1.25, . . . . . 2 50 
1 Graefe's Linear Knife, wide pattern, . . . . 1 50 
1 Small Sharp Iris Hook, 1 25 
1 Pair of Prout's Entropium Forceps, 4 00 
1 Cystotome and Curette, 2 50 
1 Sand's Needle Forceps, 4 50 
6 Small Curved and 3 Straight Suture Needles, and line Silk, . 2 00 
2 Graefe's Linear Knives, narrow pattern, $1.50, . . . 3 00 
1 Hard-rubber Spoon....... 75 
1 Critchett's Lens Scoop, 1 75 
1 Rosewood Brass-bound Case, lined with silk velvet, . . 12 00 
Amount, . . $66 25 12 
GEO. TEIMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
1,TE mWBUMlNTS. 
STRABISMUS INSTRUMENTS. 
Fig. 59. Straight Strabismus Forceps, Delicate. 
Fig. 60. Curved Strabismus Forceps. 
Fig. 61. Strabometer. 
Fig. 64. Strabismus Scissors Curved on the Flat. 
Fig. 65. Straight Strabismus Forceps, Stout. 
Fig. 62. Large Strabismus Hook. 
Fig. 63. Small Strabismus Hook. 
Figs. 66, 67. Half-Curved Strabismus Hook, and Double Hook. 
Fig. 69. Strabismus Hook-Bistoury. 
Fig. 68. Angular Strabismus Scissors. 67 CHATHAM STREET, NEW-YORK. 
Branch Store, 
107 East 28th St., N. Y. 
13 
SETS OF EYE INSTRUMENTS IN CASES. 
AG-NEW'S SET OF EYE INSTRUMENTS No. 9. 
1 Agnew's Glass Syringe, metal mounted, with two silver points 
(for lachrymal disease), $5 00 
1 Set of Bowman's Probe's, Nos. 1 to 8, 3 00 
1 Agnew's Knife, modified, longer than Weber's, and temper 
taken out of a quarter of an inch of the shank, . . . 1 75 
2 Strabismus Hooks, $1.25, 2 50 
1 Pair of Strabismus Forceps, 1 25 
1 Pair of Straight Scissors, small, rounded points, . . . 1 50 
1 Pair of Scissors, curved on the flat, delicate, . . . . 1 50 
1 Pair of Iris Forceps, delicate, . . 1 50 
1 Graefe's Linear Cataract Knife, 1 50 
1 Liebreich's Linear Cataract Knife, narrow, . . . . 1 50 
1 Cystotome, 1 25 
1 Small Cataract Needle, 1 25 
2 Stop Needles, $1.50, 3 00 
1 Small Sharp Hook, 1 25 
1 Graefe's Spring Speculum, 2 50 
1 Paracentesis Needle, Desmarre's, 1 75 
1 Iridectomy Knife, angular, 1 75 
1 Pair of Fixation Forceps, spring-catch, ..... 2 50 
1 Pair of Prout's Needle Forceps, 3 50 
6 Fine, Curved Suture Needles, and Fine Silk. . . . . 2 00 
1 Double Lid Elevator, with hinge so as to shut up on itself, . 3 00 
1 Beer's Cataract Knife, 1 50 
1 Pair of Large, Straight Scissors, . . . . . . . 1 50 
1 Pair of Large Scissors, curved on the Hat, for enucleation, . 1 50 
1 Rosewood Case, lined with silk velvet, 8 50 
Amount, . . $57 75 14 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
1T1 IWSTWMINTS. 
OPHTHALMOSCOPES. 
Fig. 70. Liebreich's Ophthalmoscope. 
Fig. 71. Loring's Ophthalmoscope. Original Pattern. 
Dr. Loring has devised a very elegant modification of this instrument. 
He has inserted into one disk all the numbers of lenses that were formerly 
contained in the three disks. The disk of his new instrument has two 
rows of glasses, each of which, by shifting the disk up and down, can be 
conveniently placed behind the aperture in the mirror. The glasses of each 
row can be changed without removing the instrument from the eye. 67 CHATHAM STREET, NEW-YORK. 
15 
Branch Store, 
107 East 28tii St., N. Y. 
ON THE USE OF THE OPHTHALMOSCOPE. 
BY JONATHAN HUTCHINSON, Esq., 
Surgeon to the London Hospital. 
Some of the simplest applications of optics to the observation of the 
eye, and the detection of diseased conditions, depend upon the fact that 
the transparent structures still reflect some light, and more when diseased 
than when healthy. Thus : 
Firstly. We examine the reflecting efficiency of the surface of tlie 
cornea, in order to determine its transparency. In cases in which there is 
no large opacity, but simply a case of general steaminess caused by an 
uneven surface, it may be difficult to detect it by direct inspection, but if 
we expose the eye to the light, and look at the image of the window-frame 
produced, we shall see directly that this image is blurred and indistinct, 
like that from a greasy mirror. 
Secondly. We use what is called the catoptric test to determine the 
presence or absence of the lens. This depends upon the fact that the 
surfaces of the lens reflect images. Dilate the pupil well with atropia. 
Hold a small taper in front of the pupil in a dark room. You will 
observe, if the lens be present, three images: an anterior one, bright, 
distinct and erect-from the front surface of the cornea; a middle one, 
inverted, small, fairly distinct-from the concave posterior surface of the 
lens capsule ; a posterior one, erect, indistinct-from the anterior surface 
of the lens capsule. 
Thirdly. Again, the surfaces of the crystalline lens easily become 
visible, by the light which they reflect, whenever we can see them oblique- 
ly. When the lens is in its normal position it is difficult, unless by 
oblique illumination, to see its surface; but if it is malplaced, as we 
sometimes find it, by congenital imperfection, or from injuries, then its 
surfaces, being oblique, become easily visible. Any one not aware of 
this fact would at once declare that the malplaced lens was also slightly 
opaque, and erroneous observations to that effect are to be found in some 
records of such cases. 
In former days the catoptric test used to be much employed to deter- 
mine the transparency, or otherwise, of the crystalline lens. Now, how- 
ever, it has been wholly superseded by another discovery, which in its 
every-day usefulness is second only to that of the ophthalmoscope itself. 
I allude to oblique illumination. To accomplish this is the easiest matter 
possible, and by its aid any one of the slightest skill can, in almost all 
cases, determine at a glance the condition of the patient's pupil and of 
his crystalline lens. The smallest dots of pigment on the capsule, the 
least possible streaks of an incipient cataract, become by its aid conspicu- 
ously definite. We have no longer any need for the curious, but very 
disappointing, catoptric test (which fails us just when most needed, /.<?., 
in slight cases; for the discovery of cataract, in any stage whatever, is 16 
F. A. Stohlmann. 
GEORGE TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
Edward Pfarre. 
now perfectly easy. For oblique illumination you need only a candle and 
a convex lens, say a two-inch. The pupil should be dilated with atropia, 
and the candle having been placed to one side the patient's head, the lens 
is held so as to receive its light, and concentrate it to a pencil, which 
is thrown upon the patient's eye. All the superficial parts, i.e., the 
cornea, the iris, the pupil, and the lens, may thus be brilliantly lighted 
up. In addition to the illumination, we may also, with another lens, 
employ magnifying power, and thus inspect the state of things yet more 
accurately. 
Oblique illumination is applicable to all morbid conditions of the 
cornea, iris, or lens, and to blood-clots in the anterior part of the vitreous 
or new growths which bulge forwards into the anterior half of the globe. 
You cannot, however, by its aid, see the fundus of the eye. To do this 
we must employ another instrument. Here let us ask the important ques- 
tion, Why is an ophthalmoscope necessary ? Why can we not, by simply 
looking into the little round box, one inch deep, which constitutes an 
eyeball, see what is at its bottom ? The answer is, that the eyeball is not 
simply a box, it is an optical instrument, and it is from its lens apparatus 
that the •difficulty comes. The rays of light received by the eye are 
brought to a focus in the retina ; back again from the retina they are reflect- 
ed, and pass out of the eye, destined to depict somewhere an image of the 
retina itself. The lens apparatus, however, not only brings the rays passing 
in to a certain and definite focus on the retina, but it acts on those which 
pass back, and brings these also to a focus at a certain and definite place. 
There is no difficulty whatever in illuminating the fundus, any light held 
in front of the eye will do that, nor have the structures of the fundus 
any difficulty in reflecting light by which they themselves ought in turn to 
become visible. The difficulty is in bringing the eye of the observer into 
the line of the reflected rays ; this without artificial aid is impossible, and 
hence the necessity for the ophthalmoscope. 
I have said that every lens has a principal focus, or spot at which 
parallel rays which impinge upon it are made to meet by the convergence 
induced. Now, suppose that from this focus the rays are reflected back 
again, they must pass through the lens in the reverse direction, and will 
again become parallel. If, however, divergent rays be used, they will in 
returning be converged and made to meet at another focus in front of it. 
Inasmuch as the rays were at first not parallel but divergent, the focus at 
which, after passing through the lens, they meet, will not be at the same 
distance as that for parallel rays, but at a greater one. The distance will 
always be in exact proportion to the degree of divergence, and thus the 
two foci will always bear mutual relations to each other. If one be 
brought nearer to the lens the other will be further off, and vice versa. 
Let us call them from this fact, that they maintain mutual relation, "con- 
jugate foci" You may observe, if you like, that although conjugate, 
they keep each other at a distance. It is absolutely necessary that you 
should observe that all the rays of light passing out from the eye take a 
direction towards this conjugate focus, and that thus an observer who 
would make use of them to see the fundus must bring his eye into their 
line. This line, however, is the same that the rays took in passing into 
the eye, and if you try to intercept those coming out, you will intercept 
those going in and cut off the source of illumination. 
Thus if we hold a candle two feet in front of the observed eye, its rays, 
divergent, will be refracted in entering the eye, and will depict an image 
on the retina-they will then be reflected and again refracted in such a 67 CHATHAM STREET, NEW-YORK. 
17 
Branch Store, 
107 East 28th St., N. Y. 
manner that an image of the fundus will be found at the position of the 
candle flame, that being the position of the conjugate focus. If the 
observer puts his head in the direction of these rays between the candle 
and the observed eye, of course he stops the rays which should have 
entered from the candle, he illuminates only the outside of his own head, 
and the eye of his patient is left in shadow. If he tries to see by looking 
from beyond the candle, then the flame of the latter intercepts his view 
and dazzles his eye. What is wanted is some contrivance to enable the 
observer to bring his head into his own light. Now .the mirror of the 
ophthalmoscope does this, a reflecting surface with a small hole in the 
middle, it practically makes the observer's eye the source of illumination, 
and brings it into the direction which the rays of light returning to their 
conjugate focus must take. Foreshadowed by Cumming, invented by 
Helmholtz, improved by Coccius, Rente, Liebreich, and many others, this 
little instrument, which has worked such a revolution in ophthalmic 
science, is thus simple in its essential principle. 
The ophthalmoscope as in daily use, consists of two parts, a mirror and 
an object lens, and to these is often added an eye-piece as well. The mir- 
ror, however, is the essential, the other parts are accessories intended for 
different special purposes. Without troubling you with details respecting 
the various modifications of the instrument, I will now describe the use of 
the simplest of them-a reflecting mirror slightly concave, and with a 
perforation in its centre. 
Having placed the patient's head in such a manner that the light (a 
lamp, candle, or gas-light) is on a level with his temple, and slightly 
behind it, and his face, as a consequence, in shadow, the observer sits in 
front and applies the ophthalmoscope mirror to his own eye. He should 
keep both eyes open that he may see where the light falls, and then move 
the mirror until the light falls full on the pupil of his patient. In a 
moment he will perceive the first fact which this instrument reveals, that 
the fundus is not black, as it has always appeared to be before, but that 
it is of a brilliant fire-red. He will, however, see nothing of the fundus 
distinctly, only a general red reflex. Now at this point the student must 
stop awhile and use his mirror, to inspect, first, the transparency of the 
cornea, and next, that of the lens and vitreous, and to do this lie must 
make the patient move his eye in various directions. After a little prac- 
tice he will be able to manage his light well, and to throw it with precision 
wherever he may wish, and to keep it steadily on any given part. At a 
first lesson he may even, with advantage, practice for awhile by illuminat- 
ing the second button of the patient's waistcoat. Tact in directing the 
light having been obtained, we may now proceed further. Instruct the 
patient to look, not full in your face, but over one shoulder; if you are 
inspecting his right eye, over your left shoulder. You will, when he does 
this, notice at once that the tint of the light reflected from his fundus is 
changed, that it is no longer fire-red but canary-yellow. The reason of 
this is that a different part of the fundus is exposed to view, that, namely, 
of the optic disc itself, which is much lighter in color than the rest. The 
area of yellow is very large-occupies, indeed, the whole of the field, while 
we know that the disc itself is very small. This proves that the objects 
thus indistinctly seen are immensely magnified. Magnified by what ? By 
the patient's own eye, which, as we have said, is equivalent to a lens of 
one-inch focus. 
Hitherto, we have seen nothing distinctly, but if the observer now 
brings his head very close to his patient's face, he will be able with more 18 
F. A. Stohlmann. 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
Edward Pfarre. 
or less facility to observe the details at the bottom of the eye, the trunks 
of vessels of the retina, the optic disc, etc., etc. All these will be seen 
very large indeed, being still magnified by the patient's eye. What he 
sees now is equivalent to type looked at through, a one-inch lens, placed 
exactly one inch in front of it. 
[It is plain, then, that we cannot see the fundus of the eye without 
optical aid. Of such aid, we have our choice of the inverted and of the 
erect. Both are seen much magnified, the latter much more so than the 
former. For ordinary purposes the inverted image is used. It is seen 
very easily, and it brings a large field into view at once, so rendering the 
observer much less liable to inconvenience from slight motions of the 
patient's head. The examination of the erect image is chiefly useful for 
the inspection of detail, and even for these it requires great practice.] 
Next I will attempt a few suggestions by which beginners, and those 
who use the instrument but seldom, may best hope to avoid mistakes. 
1. Always indulge yourself in the use of atropine, and by its aid both 
enlarge the patient's pupil and paralyze his accommodation. Experts can 
manage without, and may sometimes smile at those who are obliged to 
use it, but the increased facility which it gives is such that no beginner 
should neglect it. The objection that it causes the patient inconvenience 
is a very trivial one. What the patient wants before all things is, that a 
correct opinion should be formed, and to this end he is quite prepared to 
make a little sacrifice of convenience. For want of the use of atropine 
I think I have known even experts overlook things which would have 
been apparent at a glance had it been used. 
2. Always proceed on system. Examine the eye first without the 
object-lens, and ascertain the state of the cornea, lens, and vitreous. No 
mistake is easier to make, or more frequently made, than by the immedi- 
ate employment of the inverted image to overlook the fact that the media 
are not perfectly transparent. With strong illumination you can look 
right through a slight opacity in the cornea, lens, or vitreous, and observe 
only that the retina and choroid are seen indistinctly. Many a diagnosis 
of "hazy retina" ought to have been "opaque vitreous." It is like criti- 
cising the beauty of a prospect, and declaring that it looks dull, when you 
have forgotten to observe that the window wanted cleaning. If you have 
any doubt as to the state of the cornea or lens, examine them by oblique 
illumination before going further. Many opacities in the cornea are so 
slight that you overlook them on naked-eye inspection, and also with the 
ophthalmoscope mirror, but find them directly by oblique illumination. 
Need I add that you must be very particular that your object-lens, when 
you use it, is quite clean. Any stains on it will be seen as if on the 
patient's retina. 
3. Having completed your examination of the media, still proceed on 
system. The next duty is to estimate the length of the eyeball. A 
patient may come complaining that he is rapidly losing his sight, and you 
may find that it really has become so defective that he cannot read 
the largest ordinary print. You hastily assume that he must have some 
disease of the deep parts, some form of amaurosis. You proceed to 
ophthalmoscopic examination, and again hastily employ both mirror and 
object-lens, and it is quite possible that you may overlook altogether the 
fact that the eyeball is much too short and the patient hypermetropic. 
In high degrees of hypermetropia, if sudden failure of accommodation 
happen to occur, the defect in sight may often be so great as to draw the 
attention quite away from the right scent. I have already described the 67 CHATHAM STREET, NEW-YORK. 
Branch Store, 
107 East 28th St., N. Y. 
19 
method by which we ascertain whether an eye is abnormal as to length. 
For the benefit of the mere novice, I may, however, here add, that when- 
ever, without the object-lens, any of the details of the fundus-vessels, 
disc, patches, etc.-are easily seen, he may be quite sure that the globe is 
either too long or too short, or that the lens is wanting. If these objects 
are seen very easily, and the image very bright and beautiful, then, in all 
probability, it is an inverted image, and the eye is myopic. If only large 
trunks of vessels have been seen, and these not easily kept in view, then 
probably it is the erect image, and the eye hypermetropic. 
4. Still proceed on system. Having ascertained that the media are 
clear, and that the eyeball does not materially deviate from its normal 
length in either direction, you may now examine in succession the optic 
disc and its vessels, the retina, and choroid near to it, the yellow spot, and 
lastly, the outlying districts. I must mention each of these separately. 
5. The Optic Disc. Note its shape, its margins, whether definite or 
otherwise, its color, and its level. Observe whether the vessels upon it 
are seen sharply or not, and look particularly as to how they conduct 
themselves at its margin. Distinguish between artery and vein, and note 
the size of each. It is a common mistake with young observers to pay 
attention to the vein only. In the healthy state the disc should be round, 
and its choroidal rim distinct and sharp ; the vessels on its surface should 
be seen with beautiful clearness, and the difference between vein and 
artery, as to size and color, should be readily distinguished. In the 
centre, or near it, and close to where the trunks of the vessels dip back, 
there will be seen a bright white patch. This white patch may be large 
and very conspicuous in some eyes, and small in others, whilst still the 
eye is not in the least diseased. As regards the vessels, you must distin- 
guish between the large branches of those destined to supply the retina, 
and the minute ones which give a general pink tint to the nerve itself. 
The latter may be much diminished, whilst the former retain their size. 
Amongst the more common peculiarities displayed by the disc in a 
state of disease, we have- 
1st. The formation of crescents by its side, or of irregular circles 
around it in myopia. 
2d. A jagged condition of the choroidal rim, indicating either the 
commencement of crescents, or the previous occurrence of inflammation 
(neuritis). 
3d. A hazy semi-opaque appearance of the structures in which the 
retinal vessels run, by which the latter are in part concealed and rendered 
indistinct. In this state the margins of the choroidal rim are concealed, 
and the disc appears to be much increased in size, and to be limited by a 
shaded, indistinct edge. This " woolly" condition implies neuritis. 
4th. The disc may be too red or too pale. The pallor sometimes 
amounts to absolute whiteness, sometimes it is blue-white, and sometimes 
it is a dirty gray tint. Sometimes the pallor affects the whole disc surface, 
and at others only a part. If only a part, the third next to the yellow 
spot is that usually affected, and in commencing cases this is always the 
first to suffer. The pallor may indicate mere anaemia, with, perhaps, 
primary atrophy, or it may indicate an anaemia and atrophy which are 
secondary to inflammation. It requires much experience to decide this 
point. 
Sth. The disc, instead of being on the same level as the rest of the 
retina, may be pushed backwards, or cupped as it is called. This cupping- 
will be recognized by carefully tracing the main trunks of vessels and 20 
F. A. Stohlmann. 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
Edward Pfarre. 
observing whether they curve on passing over the choroidal margin. If 
tiie cup is well marked, the vessels will bend so much that they are lost 
sight of at the edge of the disc, to be found again on its surface, looking 
much smaller and paler than those in the retina, and requiring a little 
movement of the object-lens to bring them well out. Cups of this kind 
imply intra-ocular pressure, the characteristic of the disease known as 
glaucoma. With them pulsation of the vessels may often be observed. 
Having carefully studied the disc, your attention will next be directed 
to the retina and its vessels. The retina ought to be almost perfectly 
transparent, but in dark eyes-and particularly in members of the dark 
races-a 'delicate haze, or bloom-of-plum appearance, may be observed in 
it, especially near to the yellow spot. You ought to be able to trace the 
retinal vessels with the greatest ease. If this cannot be done, then inflam- 
mation of some kind or degree is present. The grand characteristic of in- 
flammation, as far as the retina is concerned, is opacity. This opacity may 
vary from the merest haze to that of the dense white or gray pellicle. By 
this haze the trunks of the vessels will probably be more or less concealed, 
but if the deeper layers of the retina are affected, their concealment may 
not be much. You will remember that the retina consists of three princi- 
pal layers-that of rods and bulbs, which is close to the choroid, and 
probably fed by it, that of nerve cells, granular matter, etc., in the 
middle, and that of nerve-tubes (derived from the optic), etc., which is 
innermost. It is in the latter layer only that the arteria and vena cen- 
tralis run : these vessels have nothing to do with the deeper or outer layers. 
The inflammation may affect chiefly either the inner or outer layer, being 
in the one case a neuro-retinitis, in the other a choroido-retinitis. 
In some cases of retinitis, as in that which attends Bright's disease, 
hemorrhages are very common. 
The yellow spot is recognized almost as much by its negative features 
as by any distinctive peculiarities. It is situate a little to apparent nasal 
side (inverted image) of the optic disc, and is exactly opposite the 
observer when the patient looks at the ophthalmoscope mirror. No large 
vessels cross it. It is more highly pigmented than the neighboring parts, 
and also often looks rather hazy and indistinct. It is here that the 
deposits characteristic of Bright's disease are earliest seen. 
The choroid is the tissue which gives color and glow to the fundus. It 
may vary exceedingly within the,limits of health, and its variations will 
cause apparent haze, or otherwise, in the retina. Before trusting yourself 
to any ophthalmoscopic descriptions whatever, examine carefully the 
differences in the eyes of fair and of dark persons. In the latter you will 
find the choroidal epithelium full of pigment, and showing dark mapped- 
out areas, which might easily be supposed to be morbid, whilst the vessels 
of the choroid are concealed. In the fair-complexioned eye the leashes of 
vessels will be seen with marvelous brilliancy and beauty, and the sus- 
picion of atrophy will be suggested. 
It is much more common to see the results of inflammation in the 
choroid than to trace the early stages of such. The results are perma- 
nent, and very conspicuous. The epithelium may be absorbed in large 
patches, usually with masses of black pigment remaining. The absorp- 
tion may implicate deeper layers, and be attended by atrophy of the 
vascular rete and exposure of the sclerotic. The patchy condition in a 
case of choroiditis disseminata may be compared do that of a piece of 
well-marked tortoise-shell. 
Inflammation of the choroid in patches is usually of syphilitic origin. 67 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
21 
Branch Store, 
Atrophy of the choroid, independent of inflammation, is frequent in 
advanced states of myopia. 
Inspection of the outlying districts of the fundus is easily done, by 
making the patient look upwards, downwards, etc., strongly. It should 
never be omitted; for not unfrequently changes may here be discovered 
which will be the key to the case. It is here that the dots of pigment, 
characteristic of retinitis pigmentosa, will be first found. Here also, in 
syphilitic inflammation of limited degree, patches may be sometimes 
found when there are none in the central parts of the fundus. 
Having mentioned some of the chief morbid conditions to be expected, 
I will now specify some of the errors into which novices with the instru- 
ment are likely to fall. Like all other instrumental aids-and the stetho- 
scope is a prominent example-the ophthalmoscope must be expected to 
lead to many mistakes. It is difficult to use, and requires long experience 
before the observer can trust his own interpretation of what he has seen. 
Want of familiarity with the varying conditions which may be met in 
health, is a main cause of error. Thus a well-pigmented choroid in a 
dark complexioned person may be easily misapprehended. A very large 
physiological cup maybe taken for "white atrophy," or for a glaucoma 
cup ; a margin of black pigment at the edge of the disc may be attributed 
to disease; and alterations in size of vessels, which are peculiar to the 
individual, may be supposed to imply anaemia or congestion. It is pos- 
sible, also, in a highly pigmented eye, to mistake the yellow spot itself 
for the remains of a blood clot. As to the common error of fancying the 
retina hazy when the appearances are due to opacity in one or other of 
the media, I have, I think, already said enough. 
Degrees of vascularity are especially difficult of satisfactory compari- 
son. You will hear one authority assert that the disc or retina is con- 
gested, when another will declare that they are quite normal. Let me 
warn you against the diagnosis of "congested retina." In four out of 
five of the cases in which the words "hyperaemic retina" are used, they 
are probably employed in error. Both in the optic disc and in the retina, 
the size of the vessels may differ widely and be still within the bounds of 
health. Just as one person may have a florid cheek and red ears, and 
another pale ones, yet both be in good health, so may the color of the 
optic disc and the size of the retinal vessels differ. The conditions of the 
circulation in the retina are such as to make any condition analogous to 
erythema of the skin simply impossible. If you find the retina visibly 
reddened, be sure that it is not simply "congested," but stained by 
effusion, in fact, inflamed. The individual arteries are too far apart to 
give any general red color to the whole. The interpretation of congestion 
must rest on the enlargement of their trunks only; and this, which is a 
comparative question, is very difficult to estimate. The old notions as to 
active congestions preceding inflammation, must be abandoned for the 
retina, as elsewhere. We now know that cell changes are the essential 
factors in inflammation, and that it is these that induce vascular changes. 
I do not by any means deny that the optic disc and retina may in some 
cases contain too much blood, and yet show no trace of inflammation ; 
but I feel sure that these conditions are far less frequent than they are 
thought, and I warn the beginner against the fatal facility of explaining 
amblyopia by discovering congestion.-Clinical Reports of London Hos- 
pital, 1867-8, p. 182 22 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
EYE INSTRUMENTS. 
KNAPP'S DOUBLE-DISK OPHTHALMOSCOPE. 
Fig. 72. a, Front View (Mirror). 
&, Lens, Disks, and Cover (Removed). 
Fig. 73. Back View of Knapp's Ophthalmoscope and Magnifying Lenses, 
(Handle Detached.) 67 CHATHAM STREET, NEW-YORK. 
23 
Branch Store, 
107 East 28th St., N. Y. 
ETE INSTRIM ENTS. 
KNAPP'S SINGLE-DISK OPHTHALMOSCOPE, 
Fig. 74. 
To use these instruments conveniently, Dr. Knapp arranged a table 
which shows the most suitable combinations, representing, in near approxi- 
mation, the numbers of spectacles contained in our ordinary trial-cases. 
Furthermore, he has calculated the shortening and elongation of the opti- 
cal axis corresponding to each convex and concave glass. A third table 
refers to aphakial eyes, i. e., eyes in which the crystalline lens is absent. 
These tables will be sold with tire instrument, and may be hung up in the 
ophthalmoscope room for reference whenever we want to determine the 
location of any object in the background of the eye. The measurement of 
the height of an elevation or the depth of a depression requires no more 
than the ophthalmoscopic determination of the location of the two remot- 
est points of the morbid parts, and the addition or subtraction of their 
corresponding values as found in the table. 
For other kinds of Ophthalmoscopes, Snellen's Test Types, Test Glasses, etc., see Specified 
Price-List. 
Fig. 75. Pupillometer. 
Fig. 76. Turnbull's Rubber Ice-Bag. 
For the Application of Cold to Subdue Inflammation. 
Fig. 77. Livingston's Elastic Probe. 24 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
KNAPP'S SET OF EYE INSTRUMENTS. 
2 Strabismus Hooks, . . . . . . . SI 25, . $2 50 
1 Beer's Cataract Knife, 1 50 
1 Graefe's Knife, for Linear Extraction, 1 50 
1 Small Scalpel, .......... 1 50 
1 Knapp's Foreign-Body Hook, silver, . . . . . . 2 00 
1 Discission Needle, 1 25 
1 Foreign-Body Needle, 1 25 
1 Cystotome and David's Spoon, 2 50 
1 Spatula Hook, 1 25 
1 Angular Iridectomy Knife, 1 75 
1 Bowman's Lachrymal Knife, 1 75 
1 Pair of Fixation Forceps, spring-catch, 2 00 
1 Pair of Strabismus Scissors, curved, 1 50 
2 Desmarrfc's Lid-Holders, SI 75, . 3 50 
1 Porte Caustic, hard-rubber and silver, 1 00 
1 Hard-Rubber Copper-Holder, 1 50 
1 Pair of Sand's Needle Forceps, 4 50 
1 Pair of Iridectomy Forceps, plain, ...... 1 50 
1 Pair of Iridectomy Scissors, 1 50 
1 Pair of Knapp's Entropium Forceps, 4 00 
1 Hard-Rubber Spatula, broad, 1 00 
1 Pair of Cilia Forceps, 1 25 
| Doz. Suture Needles and Silk 1 25 
1 Bowman's Probe, Nos. 3 and 4, 75 
1 Morocco Case, pocket size, 6 00 
Amount, . . $50 00 
With 1 Liebreich's Ophthalmoscope, $56 00 
1 Knapp's Ophthalmoscope (see Figs. 72, 73) instead of 
Liebreich's, $85 00 Branch Store, 
67 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
25 
BYE INSTRUMENTS. 
FIXATION INSTRUMENTS. 
TO STEADY THE EYEBALL FOR AN OPERATION. 
Fig. 78 Ball's Double Hook, for Extirpation. 
Fig. 79. Double-Hook, for Fixing the Eye. 
Fig. 80. Three-Pointed Ophthalniostate. 
Fig. 82. Pamard's Pique, for Fixing the Eye. 
Fig. 81. Noyes' Fixation Forceps. 
Fig. 83. Jaeger's Ophthalmostate. 
Fig. 84. Noyes' Ophthalmostate. 
Fig. 85. Graefe's Fixation Forceps. 26 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
UNITED STATES ARMY STAFF SURGEON'S EYE. 
EAR, AND THROAT SET.-1873. 
1 Anel's Silver Eye Syringe, with three Points, silver and gold. . $12 00 
1 Set of Bowman's Probes and Director. . ... 3 75 
1 Beer's Cataract Knife, 1 50 
1 Keratome, angular, 1 75 
1 Desmarre's Paracentesis Needle, 1 75 
1 Graefe's Linear Cataract Knife, concave 1 50 
1 Daviel's Curette, 1 50 
1 Curved Eye-Needle, medium size, 1 25 
1 Dix's Spud, 1 25 
1 Bowman's Stop-Needle, 1 50 
1 Weber's Straight Canalicula Knife, soft shank, . . . . 1 75 
2 Desmarre's Lid Holders, closed, . . . . $1 75, . 3 50 
1 Tyrrell's Blunt Iris Hook, soft shank 1 25 
1 Cystotome, soft shank, 1 50 
1 Tyrrell's Sharp Iris Hook, soft shank, 1 25 
2 Strabismus Hooks, flat points, 1 perforated to carry ligature, $1 25, 2 50 
1 Hard-Rubber Scoop, German silver shank, 1 75 
1 Graefe's Eye Speculum, • 2 50 
1 Pair of Iris Scissors, straight, delicate 1 50 
1 Pair of Cilia Forceps, 1 25 
1 Pair of Graefe's Iris Forceps, angular, 1 50 
1 Pair of Iris Scissors, curved on the flat, . . . . . 1 50 
1 Pair of Strabismus Scissors, curved on the flat, with blunted points, 1 50 
1 Pair of Fixation Forceps, straight, spring-catch, ... 2 00 
1 Liebreich's Ophthalmoscope, 6 0(2 
1 Pair of Wilde's Angular Forceps, 1 75 
1 Set of three Toynbee's Ear Specula, silver, . . . . . 5 50 
1 Laryngeal Mirror, oval, large, ....... 1 50 
1 Circular Laryngeal Mirror, small, . . . . • • . 1 25 
1 Gross' Ear Spoon, 1 00 
1 Eustachean Catheter, silver, 2 00 
1 California Brush-Holder, 2 50 
2 Small Glass Bottles, ground stoppers, 50 
1 Yard Silver Suture Wire, very fine, 50 
6 Fine Suture Needles, 1 20 
1 Skein Fine Suture Silk, and wax, 20 
1 Jaeger's Horn Plate (Lid Holder), . • • • • . 1 00 
1 Laryngoscopic Reflector and Head-Band, . . . . ■ 8 00 
1 Mahogany Case, brass-bound, and lined with silk velvet, . . 15 00 
1 Leather Pouch, • • 5 00 
1 Set of Jaeger's Test Types, 50 
Amount, . . $106 40 Branch Store, 
67 CHATHAM STREET, NEW-YORK. 
27 
107 East 28th St., N. Y. 
IT1 IWSTWMIOTa 
INSTRUMENTS FOR REMOVING FOREIGN BODIES FROM THE EYE-BALL 
AND ORBIT. 
Fig. 86. Dix's Spud. 
Fig. 87. Couching Needle. 
Fig. 88 Carron de Villard's Needle. 
Fig. 89. Angular Needle. 
Fig. 90. Gouge. 
Fig. 91. Spatula. (German Silver or Hard-Rubber.) 
Fig. 92. Daviel's Curette. 
Fig. 93. Hard-Rubber Spoon. 
Fig. 94. Knapp's Foreign Body Hook. 
ON HAND. 
EYE-GLASSES FOR BATHING THE EYE, 
SYRINGES FOR WASHING THE EYE, EYE DOUCHES, ETC. 
Richardson1 s Spray is one of the best Eye Douches. 
Fig. 95. Richardson's Spray. 28 
F. A. Stoiilmann, 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
Edward Pfarre. 
SET OF EYE AND EAR INSTRUMENTS No. 13. 
1 Beer's Cataract Knife,SI 50 
1 Desmarre's Scarificator, 1 50 
1 Graefe's Linear Knife, 1 50 
1 Jaeger's Straight Keratome, 1 50 
1 Jaeger's Angular Keratome, . . . . . . . . 1 75 
1 Tenotome, 1 50 
1 Strabismus Tenaculum, 1 25 
1 Critchet's Scoop, 1 75 
1 Broad Straight Needle, for Paracentesis, 1 25 
1 Broad Curved Needle, for removing foreign bodies, . . 1 25 
1 Fine Curved Needle, 1 25 
1 Fine Straight Needle, 1 25 
1 Dix's Spud, for removing foreign bodies, 1 25 
1 Tyrrell's Blunt Iris Hook, 1 25 
1 Cystotome, for lacerating the capsule, 1 50 
1 Curette and Sharp Iris Hook, 2 50 
1 Pair of Straight Iris Scissors, 1 50 
1 Pair of Curved Iris Scissors, . 1 50 
1 Pair of Strabismus Scissors, . . . . . . . . 1 50 
1 Gross' Ear Spoon, 1 00 
1 Pair of Noyes' Fixation Forceps, 2 00 
1 Pair of Cilia Forceps, 1 25 
1 Pair of Strabismus Forceps, 1 25 
1 Pair of Iris Forceps, ......... 1 50 
1 Holcomb's Cotton Probe, 60 
I Set of Bowman's Silver Probes, Nos. 1 to 8, . . . . 3 00 
1 Bowman's Canalicula Director, 50 
1 Simrock's Otoscope, 5 00 
1 Bowman's Canalicula Knife, 1 75 
6 Suture Needles, and Fine Silk, 1 25 
1 Rosewood Case, brass-bound, and lined with silk velvet, . . 10 50 
Amount, . . $57 85 67 CHATHAM STREET, NEW-YORK. 
Branch Store, 
107 East 28th St., N. Y. 
29 
1T1 HWWMSWTS* 
INSTRUMENTS FOR OPERATING ON TUMORS OF THE CONJUNCTIVA. 
Fig. 96. Scissors Curved on the Flat. 
[See also Double-Hook, Figs. 78 to 80 ; Scalpels, Figs. 54, 55, 56 ; Forceps, Figs. 81 to 85 ; Rub- 
ber Spatula for the application of Ointment; Hard-Rubber and Silver, Silver and Platina Caustic 
Cases, Camel's-Hair Brushes, for applying Caustic Solutions, etc.] 
Chadwick's Pterigium Scissors. 
Fig. 97. 
INSTRUMENTS FOR PARACENTESIS CORNE/E. 
Fig. 98. Desmarre's Paracentesis Trocar. 
Fig. 99. Broad Paracentesis Needle. 
Fig. 100. Paracentesis Trocars. 
Fig. 101. Very Broad Paracentesis Needle. 
I. tiemann & co 30 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
EYE INSTRUMENTS, 
IRIS INSTRUMENTS. 
FOR ARTIFICIAL PUPIL, IRIDECTOMY, DISLOCATING THE NATURAL PUPIL, 
AND INCISION. 
Fig. 102. Jaeger's Straight Keratome. 
Fig. 103. Jaeger's Angular Keratome. 
Fig. 107. Tyrrell's Sharp Hook.* 
Fig. 108. Tyrrell's Blunt Hook. 
Fig. 104. Broad Needle. 
Fig. 105. Welker's Iridectomy Instrument. 
Fig. 106. Straight Iris Forceps 
Fig. 112. Graefe's Angular Iris Forceps. 
Fig. 110. Curved Iris Scissors. 
Fig. 111. Straight Iris Scissors. 
Fig. 109. Althof's Iridectomy Scissors. 
* Many other patterns of Iris Hooks on hand, such as Weber's Capsular Hooks, single and 
double, right and left curves ; Bader's Fixator, Noyes' Iris Hook, etc. 67 CHATHAM STREET, NEW-YORK. 
31 
Branch Store, 
107 East 28th St., N. Y. 
1T1 INSTRUMENTS. 
INSTRUMENTS USED IN OPERATIONS FOR CATARACT. 
Figs. 113, 114, 115. Beer's Cataract Knives, three sizes. 
Fig. 127. Angular Bistoury, for enlarging the Section. 
Fig. 128. Straight Knife, for enlarging the Section. 
Fig. 116. Cystotome, for Lacerating the Capsule. 
Fig. 117. Tyrrell's Blunt Hook. 
Fig. 118. Graefe's Linear Knife. 
Fig. 119. Graefe's Tractor. 
Fig. 120. Graefe's Lens Scoop. 
Fig. 121. Hard-Rubber or Shell Lens Spoon. 
Fig. 122. Critchet's Hooked Needle. 
Fig. 123. Luzardi's Hooked Needle. 
Fig. 124. Silver Lens Scoop and Cystotome. 
Fig. 125. Fenestrated Lens Scoop. 
Fig. 126. Knife, for Enlarging the Section. GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
32 
F. A. Stohlmann. 
Edward Pfarre. 
EYE INSTRUMENTS* 
INSTRUMENTS USED IN OPERATIONS FOR CATARACT. 
Fig. 129. Lanne's Forceps-Needle, for False Membranes. 
Fig. 130. Ltebreieh's Rotating Iris Forceps 
Fig. 181. Walton's Self-Holding Iris Forceps. 
Fig. 132. Hayes' Knife-Needle. 
Fig. 133. Iris Knife. 
Fig. 134. Iris Knife with a Stop. 
Fig. 135. Sickle-Shaped Iris Knife 
Fig. 136. Knife-Needle. 
Fig. 137. Noyes' Iris Scissors. 
Fig. 138. Wilde's Canulated Needle. 
Fig. 139. Wilde's Canulated Forceps, Scissors, and Forceps-Needle, in one Handle. 
Fig. 140. Wilde's Canulated Forceps (Lithotriptor-like). Branch Store, 
67 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
33 
EYE IWSTRW1BTS. 
INSTRUMENTS USED IN OPERATIONS FOR CATARACT. 
Fig. 141. Double-Edged Iris Knife. 
Fig. 142. Bowman's Stop-Needle. 
Fig. 143. Beer's Straight Cataract Needle. 
Fig. 144. Narrow, Straight Cataract Needle. 
Fig. 145. Walton's Round-Pointed Needle. 
Fig. 146. Levi's Needle, with an Eye. 
Fig. 147. Walton's Grooved Needle, for Soft Cataract. 
Fig. 148. Tattoeing Needle (for the Coloring of White Spots in the Cornea). 
Fig. 149. Baader's Tattoeing Needle. 
Fig. 150. Agnew's Tattoeing Needle. 
Fig. 151. Blanchet's Instrument for Exhausting Soft Cataract. 
Fig. 152. Bowman's Instrument for Exhausting Soft Cataract. 34 
GEORGE TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. 
Edward Pfarre. 
EAR INSTRUMENTS, 
Fig. 153. Ear Piercer, to Perforate the Lobe for the Insertion of Ear-rings. 
INSTRUMENTS FOR THE EXAMINATION OF THE EXTERNAL MEATUS 
Fig. 154. Wilde's Ear Gorgeret. 
Fig. 156. Wilde's Tubular Specula 
and Case. 
00 V NNVN3!± '0 
G.T! EMANN - CO. 
Fig. 155. Troeltsch's Ear Mirror. 
Fig. 159. German Silver Bivalve Speculum. 
Fig. 157. Kramer's Speculum. 
Fig. 158. Brunton's Otoscope. 67 CHATHAM STREET, NEW-YORK. 
35 
Branch Store, 
107 East 28th St., N. Y. 
EAR INSTRUMENTS. 
INSTRUMENTS FOR THE EXAMINATION OF THE EXTERNAL MEATUS. 
Fig. 160. Clark's Otoscope. 
Fig. 162. Tubular Specula of 
Hard Rubber. 
Fig. 161. Knapp's Ear Specula. 
Fig. 163. Toynbee's Ear Specula. 
Fig. 164. Simrock's Otoscope, with Lens, 
Fig. 165. Speir's Self-retaining Ear Speculum. 36 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
EAR INSTRUMENTS IN CASES. 
POLITZERS COMPLETE SET OF EAR INSTRU- 
MENTS. 
1 Reflector, with handle and headband, . . . . . . $6 50 
3 Hard-Rubber Ear Specula, ....... 1 50 
1 Hard-Rubber Curette, . . . . . . . . . 1 00 
1 David's Curette, German silver, ...... 1 50 
1 Hook, for removing foreign bodies, 1 00 
1 Polypus Knife, 1 25 
1 Tympanum Perforator, angular, . . . . . . . 1 50 
1 Wilde's Angular Forceps, spring, 1 50 
1 Pair of Polypus Forceps, 2 50 
1 Wilde's Polypus Snare, 3 50 
1 Pair of Eyelet Forceps and eight Eyelets (Politzer's), for insertion 
into the perforated tympanum, 3 75 
3 Hard-Rubber Eustachian Catheters, . . . . . 3 00 
1 German Silver Eustachian Catheter, ..... 1 50 
1 Diagnostic Tube and Explorer, , . . . . . . 2 50 
1 Tuning Fork, ......... 1 25 
1 Ear Syringe, hard rubber, . . . . . . 1 25 
1 Morocco-covered case, lined with velvet, 5 00 
Amount, . . . $40 00 
Fig. 166. Hassenstein's Otoscope. 67 CHATHAM STREET, NEW-YORK. 
Branch Store, 
107 East 28th St., N. Y. 
37 
EAR INSTRUMENTS. 
INSTRUMENTS FOR OPERATING ON THE MEMBRANA TYMPANI, ETC. 
Fig. 167. Toynbee's Artificial Tympanum. 
Fig. 168. Gruber's Sickle-shaped Polypus Knife. 
Fig. 169. Simrock's Scissors, for Operating on the Tympanum and Small Bones of the Ear. 
Fig. 170. Politzer's Tympanum Perforator, Angular. 
Fig. 171. Politzer's Tympanum Perforator, Straight. 
Fig. 172. Politzer's For- 
ceps, for Introduc- 
ing Eyelets into 
the Perforated 
Tympanum. 
Fig. 174. Pomeroy's Kramer's 
Eustachian Catheter-Holder. 
Fig. 173. Bonafont's Eustachian 
Catheter-Holder. 
Fig. 175. Politzer's Meatus Knife. 
Fig. 176. Eustachian Catheter, Hard Rubber or Silver. 38 
F, A. Stohlmann. 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
Edward Pfarre. 
EAR INSTRUMENTS IN CASES 
FOLITZER'S SMALL SET OF EAR INSTRUMENTS 
1 Troeltsch's Mirror, with handle, $3 50 
3 Hard-Rubber Ear Specula, 1 50 
1 Hard-Rubber Curette, 1 00 
1 Curette and Hook, steel, ' 1 00 
1 Polypus Knife, steel, 75 
1 Pair of Angular Forceps, 1 50 
1 Wilde's Polypus Snare, . . . 3 50 
2 Hard-Rubber Eustachian Catheters, 2 00 
1 Diagnostic Tube and Explorer 2 50 
1 Hard-Rubber Syringe, , 1 25 
1 Morocco-covered Case, lined with velvet, . . . . 3 50 
Amount, . . $22 00 
Fig. 177. Gruber's Tensor Tympani 
Instrument. 
Fig. 178. Weber's Tensor Tympani 
Instrument Branch Store, 
CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
39 
EAR INSTRUMENTS. 
INSTRUMENTS FOR THE EUSTACHIAN CANAL. 
Fig. 179. Politzer's Air-Bag, for Inflating the Eustachian Canal. 
Fig. 180. Politzer's Air-Bag with Roosa's Attachment, for Treating Diseases of the 
Middle Ear. 
Fig. 181. Battle's Inhaler, and for Forcing Medicated Vapors 
into the Eustachian Canal. 
Fig. 182. Sexton's India-Rubber Nozzle 
for Politzer's Air-Bag. 
Knapp's, Simrock's, Allen's, and other Nozzles for Politzer's Air-Bags. 
Kramer's Air-Press to Order. GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
40 
F. A. Stohlmann. 
Edward Pfarre. 
EAR INSTRUMENTS IN CASES. 
TURNBULL'S SET OF EAR INSTRUMENTS. 
1 Troeltsch' s Ear Mirror, with handle and headband, . . . $6 50 
1 Set of (3) Rhinoscopic Mirrors, to fit one handle, . . . 4 50 
1 Set of (3) Gruber's Tubular Specula, German Silver, in a case, 
to be carried in the vest-pocket, ..... 3 50 
1 Tuning Fork, to test the condition of the auditory nerve, . . 1 25 
1 Explorer and Diagnostic Tube, pair, ..... 2 50 
1 Eustachian Catheter, hard rubber, small size, . . ' . . 1 00 
1 Politzer's Apparatus, attachable to, 2 00. 
1 Capillary Spray, for injecting the middle ear, .... 3 00 
1 Ear Syringe, hard rubber, ........ 1 25 
1 Turnbull's Curette, soft silver, . 1 75 
1 Turnbull's Angular Forceps, for removing foreign bodies, . 1 75 
1 Turnbull's Sickle-shaped Knife and Curette, for opening furun- 
culous abscess in the external meatus, .... 2 50 
1 Ear Spout, 1 50 
1 Clarke's Douche, for the ear and eye, 2 50 
1 Wilde's Polypus Snare, 3 50 
1 Probe, 35 
1 Pair of Polypus Forceps, Politzer's, 3 00 
1 Gruber's Tenotome, Fig. 177 (3 blades), 5 00 
1 Politzer's Tympanum Perforator, 1 50 
1 Catarrhal Syringe, posterior nares, 1 50 
1 Pair Thudichum's Nasal Specula, r. and 1., 1 50 
1 Rauchfuss' Powder Blower, 2 50 
1 Drill, for perforating mastoid cells, 8 00 
1 Morocco-covered case, lined with velvet, . . . . . 6 00 
Amount, . . $68 00 Branch Store, 
67 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
41 
EAR mSTRWENTS. 
INSTRUMENTS FOR THE EUSTACHIAN CANAL. 
Fig. 183. Fullgraffs Eustachian Spray. 
Fig. 184. Hackley's Instrument for Spraying the Eustachian Canal. 42 
F. A. Stohlmann. 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
Edward Pfarre. 
ROOSA'S SET OF EAR INSTRUMENTS. 
1 Troeltsch's Ear Mirror, with handle, and Roosa's Head-band. . $6 50 
1 Set of three Wilde's Tubular Specula, plated, . . 3 00 
1 Pair of Wilde's Angular Forceps, .... 1 75 
1 Scalpel and Daviel's Curette, 2 50 
1 Holcomb's Cotton Probe, 60 
1 Eustachian Catheter, silver, ....... 1 50 
1 Eustachian Catheter, hard rubber, . . . . . . 1 50 
1 Posterior Nares Syringe, hard rubber, ] 50 
1 Ear Syringe, hard rubber, 1 25 
1 Roosa's Iodine Apparatus, 2 50 
6 Toynbee's Artificial Tympanii, 30c., 1 80 
1 Diagnostic Tube and Explorer, 2 50 
1 Tuning Fork (C), 1 25 
1 Siegle's Pneumatic Otoscope, 5 00 
1 Small Powder-Blower, hard rubber, . . . . . . 1 25 
1 Set of Blake's Ear Snares and Paracentesis Needle, . . 5 50 
1 Morocco-covered Case, lined with velvet, 3 50 
$43 40 
And 1 Politzer's Apparatus, in a separate paper box, . . $2 00 
Fig. 186 is Politzer's Aural Manometer, for determining whether the 
Eustachian Tube is open or closed : A horseshoe-shaped glass tube, which 
is partly filled with a solution of carmine in ether; when the nozzle is 
tightly pressed against the auditory canal, the variations of pressure of air 
in the middle ear are indicated by the rising and falling of the colored 
fluid. 67 CHATHAM STREET, NEW-YORK. 
43 
Branch Store, 
107 East 28th St., N. Y. 
EAR INBTWMEWTS, 
DIAGNOSTIC INSTRUMENTS. 
Fig. 185. Ear Probe, Steel, Angular. 
Fig. 186. Politzer's 
Ear Manometer. 
Fig. 187. Toynbee's Diagnostic Tube. 
Fig. 188. Siegle's Aural 
Speculum. 
Fig. 189. Toynbee's Explorer. (Made to fit Fig. 190.) 
Fig. 190. Eustachian Catheter. 
Fig. 192. Tuning Fork (Diapason' 
Fig. 191. Conversation Tube. 44 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
SPEIR'S SET OF EAR INSTRUMENTS. 
1 Tympanum Perforator, $1 50 
1 Eustachian Cauterizer, . 1 50 
1 Speir's Ear Scoop (Curette), . . . . . . . . 1 00 
1 Virgin Silver Eustachian Catheter, 2 00 
1 Hook for Removing Foreign Bodies, 1 50 
1 Speir's Self-retaining Ear Speculum, 4 50 
1 Hard-Rubber Ear Syringe, 1 25 
1 Wilde's Angular Forceps, . 1 75 
1 Wilde's Ear Polypus Snare, . . . . . . . . 8 50 
1 Pair of Plain Slender Forceps, 1 00 
1 Lens and Frame, 2" focus, . 2 00 
1 Speir's Ear Cleaner, 75 
1 Pair of Small, Straight Scissors, 1 50 
1 Tympanum Manometer, ........ 2 50 
1 Speir's Aural Reflector, 4 50 
1 Ear Probe, ........... 60 
6 Toynbee's Artificial Tympana, 30c., 1 80 
1 Glass Brush, . 40 
1 Coil of Silver Wire, ......... 50 
2 Atropine Glasses, 20c., 40 
1 Morocco Case, lined with silk velvet, ... . . 6 00 
Amount, . . $40 45 
Fig. 193. Blake's Inner-Ear Mirror. 67 CHATHAM STREET, NEW-YORK. 
45 
Branch Store, 
107 East 28th St., N, Y, 
EAR INSTRUMENTS. 
INSTRUMENTS FOR REMOVING FOREIGN BODIES, FLAKES OF EPIDERMIS, 
WAX, HAIRS, POLYPI, FLUID SECRETIONS, ETC, 
Fig. 194. Politzer's Hard-Rubber Ear Spoon. 
Fig. 195. Alien's Polypus Forceps, and for 
Removing Foreign Bodies. 
Fig. 196. Politzer's Polypus Forceps. 
Fig. 200. Elastic Caustic-Holder 
Fig. 197. Blake's Polypus Snare. 
Fig. 198. Wilde's Polypus Snare. 
G. TIE MANN &CQ. 
Fig. 199. Bumstead's Canulated Forceps. 
Fig. 201. Speir's Ear Curette. 
Fig. 202. Fenestrated Ear Scoop. 46 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
EAR INSTRUMENTS. 
INSTRUMENTS FOR REMOVING FOREIGN BODIES. 
Fig. 203. Angular Ear Hook. 
Fig. 204. Devil's Screw-Hook. 
Fig. 205. Elsberg's Angular Screw-Hook. 
Fig. 206. Gross' Ear Spoon and Hook. 
TOYNBEE'S SET OF EAR INSTRUMENTS. 
3 Silver Ear Specula (Toynbee's), . . . , . . . $5 50 
1 Pair of Rectangular Forceps, ....... 1 75 
1 Metallic Syringe with two Rings (or hard rubber), . . 1 50 
1 Ear Spout, 1 50 
1 Wilde's Polypus Snare, 3 50 
1 Pair of Ring Polypus Forceps, ....... 2 00 
4 Artificial Tympana, . 1 20 
1 Otoscope (Diagnostic Tube) and Explorer, .... 2 50 
1 Eustachian Catheter, hard rubber, 1 00 
1 Morocco-covered Case, lined with velvet, . • , • • • 2 75 
Amount, . . $23 20 Branch Store, 
07 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
47 
EAR INSTRUMENTS. 
Fig. 207. Hinton's Polypus Forceps. 
Fig. 208. Eiterbecken (Pus Basin), Brass. 
Fig. 209. Pus Basin, Hard Rubber or Tin. 
Fig. 210. Lucae's Reflux Ear Douche. 
Fig. 211. Itard's Rubber-Bag Ear Syringe, with Stop-cock. 
GioTIEMANN8? Co. 
Fig. 212. Knapp's Powder-Blower. 
Fig. 213. Ear Syringe, Hard Rubber. 
Tin, Brass, and Hard-Rubber Ear Basins, Ear Spouts, Glass and Metal Ear Syringes, 
Ruschenberger's Ear Douche, etc., always on hand. 48 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
SEXTON'S SET OF EAR INSTRUMENTS. 
3 Eustachian Catheters, nickel-plated, $1.50, . . . . . $4 50 
3 Ear Specula, nickel-plated, oxidized inside, . . . . 4 50 
1 Hard-Rubber Ear Syringe, 1 50 
1 Diagnostic Tube, ivory and ebony fittings, . . . . 2 50 
1 Soft-Rubber Insufflator, . . 1 50 
1 Glass Nose-Piece, with rubber hose attached, .... 40 
1 Pair of Long-bladed Forceps, for foreign bodies, . . . . 2 25 
1 Blake's Polypus Snare, Sexton's modification, ... 3 50 
1 Connecting-Piece, for use with catheter and bag, .... 50 
2 Rhinoscopic Mirrors, ebony handles, $1.25, . . . 2 50 
1 Troeltsch's Mirror, with head-piece and handle, . . . 6 50 
1 Pipette, for strong solutions, 15 
2 Hard-Rubber Probes, for holding cotton, etc., 20c., ... 40 
1 Hard-Rubber Ear Spoon, ........ 1 00 
1 Tongue Depressor, nickel-plated, Sass', . . . . . 3 50 
1 Morocco-covered Case, lined with velvet, ..... 3 50 
Amount, . . $38 70 
EAR SYRINGES AND EAR DOUCHES 
OF ALL DESCRIPTIONS, 
Constantly on hand, such as 
Ruschenberger's Ear Syringe, 
Kramer s Ear Syringe, 
Glass Ear Syringe, 
Hard-Rubber Ear Syringe, 
Agnew's Ear Douche, 
Clark's Ear Douche, 
Thudichum's Ear and Nose 
Douche, 
Erhard's Apparatus for Gen- 
erating Vapors, 
Ear Spouts of various pat- 
terns, etc., etc. Branch Store, 
67 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
49 
EAR INSTRUMENTS. 
Fig. 214. Dewee's Vapor Douche, for the Application of Anaesthetic and 
Stimulating Vapors 
Fig. 215. Sexton's Ear Douche, 50 
F. A. Stohlmann. 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
Edward Pfarre. 
EAR INSTRUM1NTO. 
INSTRUMENTS FOR PERFORATING THE MASTOID PROCESS IN CASES OF 
ABSCESS, PURULENT INFLAMMATION, SUPPURATION OF THE MIDDLE 
EAR, AND FOR THE REMOVAL OF NECROSED BONE. 
Fig. 216. Drills with Guard, for Perforating the Mastoid Process. 
Fig. 217. Rongeur, or Gouging Forceps. 
Fig. 218. Hand-Gouge. 
See also our Catalogue, Part 1st, 
BONE INSTRUMENTS. 
Fig. 34, Fig. 35, Fig. 36, Fig. 83. Fig. 84. 
And for Scalpels, 
Figs. 17, 18, 19, 20. 67 CHATHAM STREET, NEW-YORK. 
51 
Branch Store, 
107 East 28th St., N. Y. 
EAR TRUMPETS. 
A DESCRIPTION OF MECHANICAL APPLIANCES FOR IMPROVING THE CON- 
DITION OF THE DEAF, BY ENABLING THEM TO HEAR MORE DISTINCTLY 
THE HUMAN VOICE, MUSIC, AND SOUNDS GENERALLY. 
In view of the very limited remarks on Ear Trumpets, even by the best 
authors on Aural Surgery, and in answer to the many inquiries respect- 
ing them, we will attempt to describe in these pages the most useful kinds, 
hoping thereby to meet the wishes of many of our friends who have ad- 
dressed us on that subject. 
Fig. 219. 
® <5 e 
*». TIEMANN&CO.N.Y. 
The smallest auricular or Hearing Instruments are Silver Cornets, Fig. 
219, a, b. They will prove efficient in cases of obstruction of the meatus 
auditorius, by reason of contraction, -or the presence of polypii. Keeping 
the canal open, and admitting air to the tympanum, they will sometimes 
start its dormant functions. As they come in contact with inflamed or 
otherwise diseased structures, they ought to be made of gold or silver, and 
never of inferior metal. Fig. 219, c, represents an 
ARTIFICIAL TYMPANUM. 
In order to diminish the evil results occurring from perforation of the 
drum, it has been recommended by 'Toynbee, of London, to insert an arti- 
ficial one, and thus close the opening. The instrument consists of a thin 
plate of vulcanized India-rubber, about one centimeter in diameter, in the 
centre of which a fine silver wire, about an inch long, is fastened. This 
wire has a ring on its outer end, by which it can be easily removed. This 
artificial membrane is pressed against the remains of the natural one, caus- 
ing sometimes truly a magical effect. (Vide Toynbee on Diseases of the 
Ear, Philadelphia ed., page 191 and others.) Patients should never apply 
them, before they are properly instructed by their physicians. 
Fig. 220. 
EAR TRUMPETS. 
So called on account of their similarity in form to the well-known mu- 
sical instrument, but, in principle, the very reverse ; for, whilst the latter 
produces and emits sound (air waves), the Ear Trumpet, on the contrary, 
absorbs, concentrates, and conducts it. They are made in various forms, 
and may be said to consist of three parts : 52 
GEO. T1EMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
EAR TRUMPETS. 
Fig. 221. 
The mouth, the neck, and the ear piece. The mouth, or large opening, 
is turned toward the speaker. The larger this part of the instrument is, 
the greater its power will be. The neck, conical in shape, connects the 
mouth to the ear-piece. 
Fig. 222. 
Fig. 223. 
Fig. 224. 
The neck may be made of various lengths; in a straight line, also in 
curves, or angles, without impairing the power of the instrument. The 
Ear-piece is simply the small, well-rounded open extremity, of proper size 
to fit the auditory canal. 
THE DIPPER TRUMPET, 
Fig. 225, is the most powerful instrument, best adapted to hear public lec- 
tures, or sermons, and will be found efficient where the smaller-sized trum- 
pets have failed. 
Fig. 225. 
Fig. 226. 
They differ from the ordinary Trumpet in shape and construction. The 
mouth-piece is closed by a perforated metal plate. The neck is at a right 
angle to it and reaches clear inside, in a curved line, nearly striking the 
bottom. Air waves passing through the little apertures of the mouth- 
piece, will touch the bottom, which, being in form of a parabola, reflects 
them toward a common centre. This common centre is the neck of the in- 
strument. All of the waves being forced into this channel and conducted 
to the ear, will operate with increased power. Like the common Trumpet, 
they are made in various forms to suit the fancy of the patient. (Figs. 
225, 226, 227.) The power of the instrument is not dependent on its form, 
but bears minute relations to size, increasing or diminishing with the other. 67 CHATHAM STREET, NEW-YORK. 
Branch Store, 
107 East 28th St., N. Y. 
53 
EAR TRUMPETS 
This instrument is constructed on the Dipper principle. The mouth- 
piece is of rather large proportions, varying from eight inches to one foot 
in diameter. It rests on an iron base, on a swivel, so that the opening of 
the mouth can be turned easily to any direction. The neck is a long, taper- 
ing, elastic tube, the collapsing of which is prevented by a spiral wire in- 
side, and is overspun with silk or mohair. The ear-piece is made of horn, 
hard rubber, or ivory. It is intended for the use of very deaf persons, 
who wish to hear the general conversation in their parlor, or who desire to 
attend public lectures, church, or concerts. The instrument is placed on 
the floor, near the patient's seat, and the mouth directed toward the 
speaker, while the ear-piece is held in place by the patient. The dipper- 
shaped instrument will reward the person accommodating himself to its 
rather awkward form, as the sound is conveyed by means of it more dis- 
tinctly than by any other instrument. 
THE EAR OF DIONISIUS. 
THE CONVERSATION TUBE 
is of the same general construction as the trumpet. The mouth-piece is 
small, about two inches in diameter. The neck, about a yard or more in 
length, is made of spiral wire covered with India-rubber, and overspun 
with mohair or silk, being very flexible, and terminating again in the ear- 
piece. This instrument will convey the merest whisper, so that a third 
person can not hear the conversation carried on by means of it. It may be 
worn suspended around the neck, or rolled up and put into the pocket, but 
it is not so well adapted for general use as the Trumpet, being more in- 54 
F. A. Stohlmann. 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS 
Edward Pfarre. 
EAR TRUMPETS. 
Fig. 229. 
tended for use among 
friends and members of 
a family. The person 
who wants to convey his 
thoughts to his deaf 
friend speaks through 
the bell-shaped opening 
at one end, whilst the 
deaf person holds the 
other end to his ear. 
The tubes are sometimes 
made eight to twelve feet 
long, so that the mouth- 
piece may be passed 
around a whole circle of 
friends, without obliging 
any one of them to leave 
his seat. 
THE AURICLES 
G.TIEMANN &C0. N.Y. 
consist of two Ramshorn-shaped trumpets, connected by an adjustable 
spring, passing over the crown of the head. They are flattened on one side 
in order to fit closer. The mouth-piece, being above the ear, is pointed 
forward ; the neck passing back and downward close to the ear, tapering 
toward the ear-piece, which is made of soft rubber or ivory. They are 
very easily concealed, especially by ladies, who can dress their hair over 
them, and are most desirable for such persons who wish to hear and carry 
on general conversation without being necessitated to use the Trumpet; 
for instance, Lawyers, Ministers, Teachers, Shop-keepers, and others. 
Fig. 230. 
Closed. Open. 
TELESCOPIC TRUMPETS, 
very portable, and trumpets in the shape of 
WALKING CANES, 
Fig. 231. 
and numerous other forms of more or less merit have been made. 
Fig. 232. 
In the foregoing, we have described the wwZ acoustic instruments to 
aid in hearing. All magnify and increase sound, but in the same way as 
a person obliged to use spectacles will have to suit the focus to his eye, so 
a deaf person will find one trumpet better suited to his special case than 
another. 67 CHATHAM STREET, NEW-YORK. 
Branch Store, 
107 East 28th St., N. Y. 
55 
NASA!/ INWRUMEWTO* 
Fig. 233. Robert & Collins' Nasal Speculum. 
Fig. 234. Bivalve Nasal Specu- 
lum. German Silver. 
Fig. 235. Elsberg's 
Nasal Speculum. 
Fig. 236. Steel Nasal Speculum. 
Fig. 237. Frankel's 
Nasal Speculum. 
Fig. 238. Folsom's Nasal 
Speculum. 
Fig. 239. Tliudichum's Nasal 
Speculum. 56 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
VEDDER'S EYE, EAR, AND THROAT SET. 
1 Gilt Tongue Depressor, $3 50 
1 Set Bowman's Probes, for dilating the Canalicula, . . . 3 00 
1 Bowman's Director, ......... 75 
1 Bowman's Canalicula Knife, 1 75 
1 Beer's Cataract Knife, . 1 50 
1 Desmarre's Scarificator, 1 50 
1 Iris Knife, 1 50 
1 Jaeger's Straight Keratome, . . 1 50 
1 Jaeger's Angular Keratome, 1 75 
1 Strabismus Tenaculum, ........ 1 25 
1 Daviel's Curette and Iris Hook, 2 50 
1 Broad Straight Needle, ........ 1 25 
1 Broad Curved Needle, 1 25 
1 Delicate Curved Needle, 1 25 
1 Tyrrell's Blunt Iris Hook, . . . . . . . . 1 25 
1 Lawrence's Eye Speculum, 2 50 
1 Pair of Wilde's Angular Forceps, .... . 1 75 
1 Pair of Lawrence's Entropium Forceps, ..... 3 00 
1 Laryngoscope, Tiemann & Co.'s Head-band, . . . . 8 00 
2 Laryngeal Mirrors, $1.25, . . . . . . . . 2 50 
1 Set of (3) Wilde's Silver Ear Specula, 4 50 
1 Gross' Ear Spoon, 1 00 
1 Pair of Cilia Forceps, 1 25 
6 Suture Needles and Silk, 1 25 
1 Pair of Strabismus Forceps, 1 25 
1 Pair of Iris Forceps, 1 50 
1 Pair of Straight Scissors, 1 50 
1 Pair of Curved Scissors, 1 50 
1 Posterior Nares Syringe with an Ear Nozzle, . . . . 2 00 
1 Liebreich's Ophthalmoscope, 6 00 
1 Rosewood Case lined with Silk Velvet, 12 00 
Amount, . . $77 00 
Special Selections 
OF 
EYE, EAR, THROAT, OR ANY OTHER INSTRUMENTS, 
Put up in Cases, to Order. 67 CHATHAM STREET, NEW-YORK 
57 
Branch Store, 
107 East 28th St., N. Y, 
NASAL INSTRUMENTS. 
Fig. 240. Thudiclium's Nasal Douche, 
Fig. 241. Nasal Polypus Forceps. 
Fig. 243. Gross' Polypus Forceps. 
Fig. 242. Polypus Forceps, Crossing Blades. 
Fig. 244. Simrock's Polypus Forceps. 
Fig. 245. Nasal Polypus Canula. 58 
GEORGE TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmank. 
Edward Pfarre. 
NASAL INSTRUMENTS. 
Fig. 246. Eelocq's Canula for Epistaxis. 
£. T1E.MANN &. CO. 
Fig. 247. Simrock's Rhinoscope. 
Fig. 248. Duplay's Rhinoscope. 
Fig. 249. Plain Rhinoscopic Mirror. 
Fig. 250. Fullgraff's Nasal Douche. 67 CHATHAM STREET, NEW-YORK. 
59 
Branch Store. 
107 East 28th St., N. Y. 
HARELIP INSTRUMENTS 
Fig. 251. Buck's Pin Conductor. 
Fig. 252. Hutchison's Harelip Forceps 
G. T/EM ANN & CO. N.Y. 
Fig. 253. Prince's Harelip Clamp. 
Fig. 255. Scalpel 
Fig. 256. Harelip Scissors, Angular. 
Fig. 254. Scalpel. 
Fig. 257. Hamilton's Harelip Scissors, Heavy. 
Silver Harelip Pins with Removable Steel Points. 
Plastic Pins of all Sizes. GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
60 
F. A. Stohlmann. 
Edward Pfarre. 
HARELIP INSTRUMENTS. 
Fig. 258. Smith's Harelip Forceps. 
ORAL, LARYNGEAL, ABB (ESOPHA- 
GEAL INSTRUMENTS. 
SPECULA ORIS. 
Fig. 259. Mussey's Mouth-Gag. 
Fig. 260. Whitehead's Mouth-Gag (in situ). 67 CHATHAM STREET, NEW-YORK. 
61 
Branch Store, 
107 East 28th St., N. Y. 
ORAL, LARTNGBAL, AND ®SOPHA- 
GBAL INSTRUMENTS. 
SPECULA ORIS. 
Fig. 261. Whitehead's First Mouth-Gag. 
Fig. 262. Mott's Heister's Speculum Oris. 
Fig. 264. Goodwillie's Speculum 
Oris, for Reducing Lockjaw. 
Fig. 263. Westmoreland's Speculum Oris, 
for Reducing Lockjaw. 
For Gross', and other Specula, see Price List. 
Fig. 265. Dobell's Tongue-holding Forceps. 62 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
ORAL, LARYNGEAL, ANB (ESOPHA- 
GEAL INSTRUMENTS. 
TONGUE DEPRESSORS. 
Fig. 267. Elsberg's Tongue Depressor. 
Fig. 266. Hard-Rubber Tongue Depressor. 
Fig. 268. Green's Folding Tongue Depressor. 
Fig. 269. Sass' Tongue Depressor. 
Fig. 270. Turk's Tongue Depressor (3 blades). 
Fig. 271. Steel, Folding Tongue Depressor. Branch Store, 
67 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
63 
ORAL, LARYNGEAL, AN© ffiSOPHA- 
GEAL IWSTRUM1MS* 
Fig. 272. Church's Tongue Depressor. 
For other kinds of 
DEPRESSORS, 
See Price List. 
TONSIL AND UVULA INSTRUMENTS 
Fig. 273. Tenaculum Forceps, for Seizing. (Vulsellum.) 
Fig. 274. Musseux's Forceps, for Seizing. (Vulsellum.) 
G. TIEMANN & CO. 
Fig. 275. Langenbeck's Seizing Forceps. 
Fig. 276. Durham's Seizing Forceps. 64 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
ORAL, LARYNGEAL, AND (ESOPHA- 
GEAL INSTRUMENTS. 
TONSIL INSTRUMENTS. 
Fig. 278. Billing's (U. S. A.) Tonsilotome. 
Fig. 280. Tiemann & Co.'s Uvulatome. 
Fig. 279. Green's Tonsil Bistoury. 
Fig. 281. Green's Double-Hook 
Fig. 277. Tonsil Hook. 
Fig. 283. Uvula Scissors with claws. 
Fig. 282. Vulsellum. Branch Store. 
67 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
65 
ORAL, LARYNGEAL, AND OESOPHA- 
GEAL INSTRUMENTS. 
TONSIL INSTRUMENTS. 
Fig. 284. Tonsil Scissors, Curved on the Flat. 
Fig. 285. Hamilton's Tonsilotome. 
Fig. 286. Tiemann & Co.'s Tonsilotome. 
G.TIEMANN&CO. N.Y. 
Fig. 287. Fahnestock's Tonsilotome. 
Fig. 288. Mathieu's Tonsilotome. 66 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
E. A. Stohlmann. 
Edward Pfarre. 
ORAL, LABYMGEAE, ABD CESOPHA- 
' GE AL IBBTBUMEBW. 
STAPHYLORRHAPHY AND URANISCOPLASTIC INSTRUMENTS. 
Fig. 294. Tenaculum, for Pulling the Velum aside, Holding 
the Edges of Flaps, etc. 
Fig. 290. Curved Scissors, for Dividing the Muscles. 
Fig. 291. Whitehead's Knives, for Paring the Edges. 
Fig. 292. Whitehead's Hoe, for Dividing Muco-Periosteal 
Membrane. 
Fig. 289. Whitehead's Seiziug Forceps. 
Fig. 293. Sayre's Periosteotome. 
Fig. 295. Whitehead's Spiral Needle, for Sutures. 
Fig. 297. Sims' Adjuster. (For Wire Sutures ) 
Fig. 298. Sims' Wire-Twisting Forceps. 
Fig. 296. Whitehead's Gum Knife. 
Richardson's Spray Instrument, 
Sponge Probangs, Mouth-Gags, 
Langenbeck's Raspatories, 
Sims' Needle-Holder, 
Roux's Needle-Holder, 
Silver Wire, for Sutures, 
Wire Needles, Hollow Needles, 
Suture Silk, etc., etc. 67 CHATHAM STREET, NEW-YORK. 
Branch Store, 
107 East 28th St., N. Y. 
67 
ORAL, LARTNG1AL, AND ffiSOFHA- 
BEAL WSTBWEWTO, 
STAPHYLORRHAPHY AND URANISCOPLASTIC INSTRUMENTS. 
Fig. 298. Dieffenbach's Cheek Retractors, Elastic 
Fig. 299. Staphylorrhaphy Knife, Curved Right or Left. 
-Q3 y NNVW3I1 •£> 
Fig. 300. Double-edged Staphylorrhaphy Knife. 
1'ig. 302. Goodwillie's Periosteum Levator. 
Fig. 304. Goodwillie's Periosteum Levator. 
Fig. 301. Cheek Retractor. 
Fig. 303. Goodwillie's Oral Saw. 
'00l\INVIAI3ir'J 
Fig. 305. Seizing Forceps. 68 
F, A. Stohlmann. 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
Edward Pfarre. 
ORAL, LARTNOEAX, AND ffiSOPHA- 
GEAt INSTRUMENTS. 
LARYNGOSCOPIC INSTRUMENTS. 
Fig. 306. Czerniak's Laryngoscope, 
Fig. 307. Henry's Bull's-Eye Illuminator. 
Fig. 308. Laryng'osGOpic Mirror. Branch Store, 
67 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
69 
ORAL, LARYNGEAL, AND ffiSOPHA 
ORAL INSTRUMENTS. 
Fig. 309. Tiemann & Co.'s Laryngoscope, with Head-Band. 
Fig. 310. Application of Tieniann & Co.'s Laryngoscope. 
The Laryngeal Instruments represented on the following pages are de- 
signed by distinguished Laryngoscopists of Europe and America, and re- 
commend themselves, on account of their great simplicity, for general use. 
Before using the Laryngeal Mirror (to prevent deposits of moisture), 
warm it over a spirit lamp, as the immersion in hot water, recommended 
by some, favors the decomposition of the silver coating of the glass. 
Sponge-holders are preferable to Probangs, because the same piece of 
sponge need not be used twice. 
Solid Nitrate of Silver is best applied by means of Lente's or other 
Probes, the extremity of which is dipped into some Nitrate of Silver fused 
over a spirit lamp, in either a porcelain or platinum cup. In this way a 
coating of the nitrate adheres firmly to the probe, and the application is safe. 
The pistons of all Syringes used for the application of solutions should 
be kept in proper order, by frequent oiling, and by renewing the leather 
packing whenever it becomes too loose 70 
F. A. Stohlmann. 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
Edward Pi 
Edward Pfarre. 
ON THE USE OF THE LARYNGOSCOPE. 
BY DR. E. H. SIEVEKING, 
Physician in Ordinary to the Prince of Wales, and to St. Mary's Hospital. 
Before speaking of laryngeal pathology as exhibited by the laryngo- 
scope, let me say a few words anent the apparatus to be employed, the 
method of using it, and the points to be observed. 
What do you want to do * In plain English, you want to look round 
a corner into a dark hole. This sounds paradoxical, but the paradox is 
solved by the laryngoscope. 
The light, either of the sun or of a lamp, is received on a mirror 
attached to the observer's forehead, from which it is reflected on to a 
small mirror which is introduced into the fauces of the patient, and from 
this mirror again the light is thrown down upon and into the larynx. The 
angle of incidence being equal to the angle of reflection, you have merely 
to place your mirrors in such a relation to one another, as to secure the 
proper direction of the rays of light, and a perfect and distinct image of 
the parts illuminated will be visible on the small mirror. 
The sun can not be relied upon at any hour of the day ; and patients 
would not, even if the sun were always shining, present themselves when 
his rays penetrated a given locality. We therefore find it much more 
convenient to trust to artificial light altogether, and accordingly have 
recourse to a gas moderator, or a paraffin oil lamp, which are not amen- 
able to the caprices of the weather. 
It is well to darken the room in which you make your examination ; 
but even this is not absolutely necessary if the light is protected by a 
convex mirror on one side, and concentrated by one or more lenses on the 
other. Various apparatuses have been devised for the purpose of inten- 
sifying the light. The lamp should be placed close to the patient's head, 
on either side most convenient to the observer, and so that the lamp and 
the patient's and observer's heads are in the same horizontal plane. The 
patient, sitting erect, should push his head back so as to straighten the 
neck, and facilitate the introduction of the small mirror. 
Before attempting to do this, the observer should first ascertain that 
the reflector is properly adjusted. If he finds that the mouth is fully 
illuminated, he may fairly conclude that he will be able to throw the light 
upon the fauces. Beginners generally find a little difficulty in adjusting 
the reflector, but this is speedily surmounted. Whether you place your 
mirror on your forehead, or whether you prefer to use it fixed to a lamp, 
is a matter of little moment. Try both ways, and adopt the one you like 
best. The mirror I employ has a central uncovered spot. It is an im- 
provement upon the original mirror employed by the father of laryngo- 
scopy, Professor Czermak. I admit that with Professor Czermak's instru- 
ment I had a difficulty in seeing through the central orifice, but with 
this modification I find it advantageous first to adjust the reflector so that Branch Store, 
07 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
71 
I am enabled to see the fauces through the opening, with the eye covered 
with the reflector, and then I am certain to have the proper axis for both 
eyes. After you have satisfied yourselves that the lamp and the reflector 
(which is fixed on the head by an elastic band passing over the forehead) 
are in the right position, tell your patient to open his mouth widely, to 
protrude the tongue, and to breathe freely. Some patients will permit 
you to see into their larynx without in any way fixing the tongue, but 
this is the exception. As a rule, it is necessary that the patient, or the 
observer, should take hold of the tip of the tongue with a handkerchief 
or towel, or to use a tongue depressor, to prevent this "unruly organ" 
from slipping back. Without this precaution, you very often fail in 
your endeavors to see below the epiglottis. Your next step, after having 
got your patient in the proper position, is to warm the laryngeal mirror. 
This is necessary, to prevent the vapor of respiration being precipitated 
on, and dimming the mirror; but take care not to overheat it. As a 
precaution, it is well to test the temperature, by applying the back of the 
mirror to your own cheek. 
Take hold of the stem of the mirror as if you were holding a pen ; in- 
troduce it into the mouth without touching the tongue, teeth, or lips, 
sinking the hand at first, and then raising it gradually, so as to allow the 
mirror to form a curve until it reaches the uvula. Almost the whole 
secret of the manipulation in laryngoscopy consists in this. If you touch 
the lips or teeth, you tease the patient, but if you touch the tongue, you 
are certain to excite reflex action, and the root of the tongue will arch up 
to impede your view. Audacem fortuna juvat. Push your mirror, after 
having parsed the janitors, well against the uvula, and you will rarely 
meet with any serious impediment in getting a proper view of the larynx. 
An unsteady hand creates difficulties which need not exist, by bringing 
the mirror into contact with other parts than the uvula and soft palate. 
These are not very sensitive, but if you tease the root of the tongue, or 
the arches of the palate, you infallibly excite reflex action, which will 
necessitate the withdrawal of the instrument. Having placed your mirror 
at an angle of about 45° with the horizon, it is well to rest the little finger 
of the right hand against the patient's cheek, by which means you will 
steady the instrument. You then secure a proper illumination of the 
laryngeal mirror, and by the necessary manipulation, which practice alone 
can teach, you successively examine all the parts exposed to view. 
In making the examination and recording the facts observed, you must 
remember that you are looking into a mirror, which represents the parts 
in a different relation from their real position. The epiglottis, which in 
nature is turned from the observer, is represented as opening towards 
him; the base of the tongue, which is in front of the epiglottis, appears 
in the mirror behind it; and the vocal cords equally occupy in the 
mirror a reversed position from that which they really possess. As laryn- 
goscopic illustrations represent the appearances as seen in the mirror, it 
is necessary to remember the true relation, in order to understand the 
drawing correctly. The lateral relations will cause less difficulty than the 
antero-posterior relations. What ordinarily appears to be the left or 
right, in the subject of observation placed before us, still continues so. 
We readily make the necessary allowances here from the habit engendered 
by custom; but it is different in regard to objects placed in front of each 
other, and reflected in a mirror, because for this our daily life offers us 
fewer precedents. Perhaps the easiest way to realize the position of the 
parts as seen in the mirror, is to imagine yourselves looking at the GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
72 
F. A. Stohlmann. 
Edward Pfarre. 
epiglottis and vocal cords, through a hole in the cervical portion of the 
vertebral column. To the beginner I would say, make your first experi- 
ment upon a case in which you are informed there is no special difficulty ; 
remember the rules laid down; bear in mind the anatomy of the parts, 
and the direction in which you wish to carry the light; and, with a light 
and steady hand, you will scarcely fail, after one or two attempts, to see 
that which is ordinarily visible by the aid of this instrument. 
Now, what are you to look for? The first point that always attracts 
the attention of the observer, after having got the light and the mirror 
duly placed, is the epiglottis. It is the Cape of Good Hope of the 
laryngoscopists, and it is at times a difficult matter, a very difficult mat- 
ter, to round the Cape. You will find that it varies as much in form as 
the nose, and its position not unfrequently is so prone as to render a good 
view of the subjacent parts almost an impossibility. Then, too, in 
irritable persons it undergoes a variety of contortions and contractions, 
which give it a character for muscularity greater than anatomists show it 
to possess. Still, as a rule, it serves merely as a land-mark anatomically 
and pathologically ; anatomically, because its well-known relations tell 
you in what direction to look for more important organs ; pathologically, 
because the appearance of the mucous membrane covering the epiglottis 
is often a valuable indication as to the state of the subjacent parts. 
Examine the epiglottis carefully, the form, the color, the attachments. 
It should be perfectly smooth, of a pale, yellowish rose hue, and sym- 
metrical. Look at the fossa formed by the front of the epiglottis with 
the base of the tongue, and note the state of any secretions upon or 
near the epiglottis. In disease you will see its color varying from 
the dull white of anaemia to every shade of uniform, or streaky 
and patchy redness. It may present ulcers of varying size and 
depth; it may be deformed by old cicatrices or congenital malfor- 
mation ; tumefaction from inflammatory or oedematous thickening of 
the mucous and submucous layers may present itself; and it may 
exhibit extravasations of blood, or be more or less bathed in pus, or 
covered with a mucous secretion. Similar conditions may be discovered 
in the glotto-epiglottid fossa, or on the glotto-epiglottid folds. In 
order to see the parts subjacent to the epiglottis, you will have to depress 
the handle of your mirror somewhat, so as successively to illuminate the 
posterior surface of the epiglottis; the arytenoid cartilages, with the 
corpuscula Santorini and Wrisbergii ; the superior thyro-arytenoid folds, 
or the false vocal cords, as they are also called ; and by turning the mirror 
laterally, you will examine the right and left sides of the introitus 
laryngis, and especially the state of the ventricles of the larynx. These 
are cul-de-sacs intervening between the vocal cords proper, and the 
superior thyro-arytenoid folds. The state of the ventricles has an impor- 
tant bearing on the production of the voice, inasmuch as their patulous- 
ness is essential to the free vibration of the vocal cords, and the due pro- 
duction of voice. If the mucous membrane of the ventricles is swollen, 
the pitch and sonorousness of the voice is interfered with, and the more 
the pouch is obliterated, the greater will be the interference with phona- 
tion. It is here that various secretions form and accumulate, and you 
will readily understand why these should more or less affect the voice, as 
they present obstacles to the passage of the air, or diminish the vibra- 
tions of the aerial pulse. If the secretions are viscid, you may at times 
be puzzled by strings of mucus extending across the entrance of the 
larynx, closely simulating the vocal cords themselves. Little patches 67 CHATHAM STREET, NEW-YORK. 
73 
Branch Store, 
107 East 28th St., N. Y 
of secretion may also simulate ulcers. The sponge or brush will readily 
remove such secretions, and show the condition of the subjacent mem- 
brane. The ventricles, moreover, are the frequent seat of morbid 
growths. All these points having been noted, you seek the vocal cords 
themselves. 
In a healthy larynx the vocal cords stand out, with a clear pearly 
sheen which is peculiarly characteristic. Once seen, the appearance is 
not to be forgotten ; and you will often, in doubtful cases of laryngeal 
disease, rejoice at recognizing this striking feature, because it will prove 
that the most important part involved in phonation (so far as the larynx 
is concerned) is healthy. The vocal cords, or inferior thyro-arytenoid 
ligaments, are mainly composed of yellow elastic tissue, but are endowed 
with the most marvelous capability of minute vibratile adjustment, 
subject to the controlling power of the will, exercised through the 
arytenoid, thyro-arytenoid, crico-arytenoid, and other muscles. It has 
been calculated that no less than one hundred muscles are brought into 
action in the ordinary modulation of the voice, but the note which is 
uttered depends upon the exact degree of tension of two ligaments, at 
the utmost seven lines in length, which is mainly determined by the two 
sets of muscles mentioned. You will have a measure of the minuteness 
of this adjustment when you reflect, that a practised singer is capable of 
uttering three hundred different notes at will, for each of which, on this 
minute vibrating cord, a different stop must be applied. 
The vocal cords are covered with mucous membrane, distinguished 
from the mucous membrane of the rest of the larynx, which is ciliated, 
by being squamous. The mucous membrane overlies the elastic tissue of 
the cords, and is liable-though to a much less extent than the mucous 
membrane in the vicinity-to congestion, and the various morbid changes 
which are seen in this tissue elsewhere. An accurate knowledge of the 
anatomy and physiology of the parts will enable you more fully to 
appreciate the importance of minute shades of difference in the appear- 
ance of the parts. A roughness of the surface or a discoloration, which 
would lead to no palpable results elsewhere, here affects the comfort, the 
occupation, the life of the patient, and is therefore well deserving the 
study of the practitioner by any additional physical means that may be 
Slaced at our disposal. Here, too, we have a good illustration of the 
ifference between vital morbid conditions, and the condition of the same 
parts as seen after death ; a difference that you should always bear in 
mind, as you may otherwise easily be misled into a wrong interpretation 
of the phenomena presented on the post-mortem table. If you had 
merely seen the interior of a larynx, removed from the body, you would 
scarcely anticipate the marked contrast that exists in life between the 
vocal cords and the adjacent parts, nor would it be possible satisfactorily 
to determine the mode in which the variations of sound are produced by 
the vocal cords. You will find that there was much uncertainty as to the 
theory to be adopted regarding vocalization, even in Miiller's time; and 
it was not until after the practical introduction of the laryngoscope by 
Czermak, that the study became satisfactory and the conclusions definite. 
If I name Czermak, it is not because I do not appreciate the labors of 
others in this field; but whatever others have done, he certainly has 
compelled us all, by the demonstration of the comparative facility of 
laryngoscopic examination, to make it a part of our medical studies. 
It would be an injustice, in speaking of the subject, not to mention 
the name of M. Garcia, a well-known singer and amateur physiologist, 74 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
who established by laryngoscopic examination much that is now known 
as to the physiology of the larynx before Czermak had made known his 
method ; but the pearl that M. Garcia discovered was not appreciated by 
our profession, and therefore, so far as the medical world are concerned, 
laryngoscope remained an unknown quantity until the appearance of 
Czermak's monograph. 
It is not my object, for the present, to do more than to interest you in 
the practical employment of the laryngoscope in the recognition and treat- 
ment of disease ; therefore I do not attempt to lay before you an account 
of laryngeal physiology-a branch of science which is capable of further 
development, and which some of you may feel called upon to promote. 
Allow me yet to revert to a few points connected with the pathology of 
the larynx, to which I would draw your attention, as illustrating the 
value of this mode of investigating disease. The practical examination 
of the numerous cases that present themselves in our hospital, will serve 
to impress upon your memory and comprehension more vividly what I 
now merely show you celuti in speculo. 
I have spoken of various morbid changes seen in or near the vocal 
cords, showing increased or diminished vascularity, congestive or oede- 
matous swelling, ulceration, cicatrices, growths, all of which I have 
myself seen. If you consider the muscular and the nervous functions of 
the parts, you will expect to see these also materially affected by disease. 
The plus-evidenced by spasm-is not likely to be very visible, because 
it will not leave you time for any thing but immediate action to 
relieve your patient; but the minus of paralytic conditions is frequently 
observable in the irregular action, or want of action, of one or both vocal 
cords. It is here that stimulation, and notably the direct application of 
galvanism, is often of palpable benefit. And you will not examine many 
larynges before you will satisfy yourselves of the perfect facility with 
which you may direct the galvanic current, as well as any other medicinal 
application, to any given part of the larynx. 
I have not, however, quite done yet. You may see further than the 
vocal cords. Their under surface can at present only be examined when 
there is a hole in the trachea, and at least one instructive instance is on 
record where this mode of exploration was practiced with much benefit to 
the patient. But these are refinements of practice upon which it is 
unnecessary to dwell. I now merely speak of the ordinary employment 
of the laryngoscope, and I wish to remind you, that having explored the 
entrance to the larynx and the vocal cords, you should examine, as far as 
may be, the trachea. It is generally easy to recognize several rings of this 
tube, and you may, when the larynx is capacious and the patient steady, 
penetrate to the very bifurcation of the trachea. The only morbid condi- 
tions that I have definitely recognized in the trachea, have been scattered 
ulcers ; but it is manifest that, especially in those cases in which foreign 
bodies have slipped through the glottis, the discovery of their exact site 
by the laryngoscope may, as it already has been, prove of great practical 
value to the surgeon. 
There is no better mode of initiating yourself into the practice of 
laryngoscopy than to examine your own larynges, or those of your fellow- 
students. By this kind of exercitation, you will familiarize yourself with 
the use of the instrument, no less than with the healthy condition of the 
parts. M. Garcia's interesting observations were entirely the result of 
examination made upon his own vocal cords, and as there is room for a 
further cultivation of this field of physiology, each of you may be enabled 67 CHATHAM STREET, NEW-YORK. 
Branch Store, 
107 East 28th St., N. Y. 
75 
to advance science in this direction. But apart from this, the mere 
dexterity of manipulation will be increased by the practice recommended, 
and if you know from experience in your own persons how to behave, 
you will more readily advise your patients what to do, and sympathize 
with their difficulties. Not every one, however, is a suitable subject for 
autolaryngoscopy ; the narrowness of the introitus laryngis and the prone 
condition of the epiglottis, no less than an unusual irritability or the 
parts, frequently render the process extremely difficult. Various methods 
have been suggested for the removal of undue irritability, such as the 
inhalation of small quantities of chloroform, the application of bromide 
of potassium, or the use of astringent gargles. Every now and then, 
even after you have acquired sufficient dexterity in the use of the instru- 
ment, you will meet with cases which present insuperable difficulties. 
You are then no worse oft than your predecessors were without the 
laryngoscope. You will have to fall back upon those other symptoms 
which your knowledge of physiology and pathology will teach you to 
appreciate, and which this instrument is not intended to supersede.-Lan- 
cet, April 8, 1865, p. 360. 
SETS OF LARYNGOSCOPIC INSTRUMENTS IN CASES. 
LARYNGOSCOPIC SET No. 1. 
1 Reflector, 11-inch focal distance, 3-inch diameter, with Tiemann 
& Co.'s Head-band, 
2 Laryngeal Mirrors, 
1 Lente's Caustic Probe, 
1 Morocco Case, lined with Velvet, $14 00 
LARYNGOSCOPIC SET No. 2. 
1 Tongue Depressor, steel handle, japanned, 
1 Reflector, 11-inch focal distance, 3|-inch diameter, with Tiemann 
& Co.'s Head-band, ball and socket movement, 
3 Laryngeal Mirrors, assorted sizes, 
1 Sponge-Holder, delicate, 
1 Lente's Silver Caustic Probe, 
1 Morocco Case, lined with Velvet, $20 00 76 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
ORAE, URTNmi, AND ESOPHA- 
GEAL INSTRUMENTS. 
Fig. 311. Tobold's Large Laryngoscope and Student's Lamp. 
Also Tobold's Pocket Laryngoscopes, with or without Student's Lamp. 
Fig. 312. Seeger's Modification of Tobold's Laryngoscope for Gas-light. Branch Store, 
67 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
77 
LARYNGOSCOPIC INSTRUMENTS IN CASES. 
LARYNG-OSCOFIC SET No. 3. 
3 Laryngeal Mirrors, assorted sizes, 
1 Reflector (frontal mirror), 11-inch focal distance, 3|-inch diameter, 
with Tiemann & Co.'s Head-band, ball and socket movement, 
1 Church's Tongue Depressor, self-holding, 
1 Uvula Hook, hard rubber, 
1 Lente's Silver Caustic Probe, 
1 Sponge-Holder, delicate, 
1 Morocco Case, lined with Velvet,$25 00 
LARYNG-OSCOFIC SET No. 4. 
1 Reflector (frontal mirror), 11-inch focal distance, with Tiemann 
& Co.'s Head-band, ball and socket movement, 
1 Church's Tongue Depressor, self-holding, 
3 Laryngeal Mirrors, assorted sizes, 
1 Pair Simrock's Throat Forceps, for holding sponge, camel's-hair 
brushes, or for extracting foreign bodies orpolypii, 
1 Uvula Hook, hard rubber, 
1 Lente's Silver Caustic Probe, 
1 Morocco Case, lined with Velvet,$28 00 78 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
ORAL, LARYNGEAL, AND ffiSOPHA- 
SEAL INSTRUMENTS, 
Fig. 313. Mackenzie's Light Concentrator. 
Fig. 314. Elsberg's Pocket Laryngoscope. 
TO ORDER. 
STUDENTS' LAMPS, 
DIRECT LIGHT CONDENSERS, 
RECIPRO-LARYNGOSCOPES, 
SMITH'S MIRROR-HOLDERS, 
SEMELEDER'S SPECTACLE-FRAME LARYNGOSCOPES, 
WALD AU'S REFLECTORS, 
CUTTER'S AUTO-LARYNGOSCOPE, 
ETC., ETC., ETC. Branch Store, 
67 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
79 
ORAL, LARYNGEAL, AND CESOPKA. 
SEAL INSTRUMENTS. 
Fig. 315. Pocket Illuminator. 
The instrument is mainly constructed of brass, and is provided with a 
lamp for kerosene or oil, the wick admitting of an easy adjustment by 
means of a side-screw. The handle can be folded against the chimney, so 
that the instrument can be packed in a small compass. The light passes 
through a convex lens, and can, by means of a sliding cap, be focused at 
varying distances, from two to five inches. It may prove useful in opera- 
tions upon the ear, vagina, rectum, and throat, and may be of great ser- 
vice in operations at night, where a strong and reliable light may not 
always be obtainable. 
Haywood Smith's Scissors (see Fig. 321), with adjustable points, possess 
many advantages, and admit of a wide range of adaptation. As will be 
seen, it is a long scissors, the blades of which are attached to their respect- 
ive shafts by universal joints, allowing the said blades to be deflected and 
fixed at any required angle. As a single instrument it will be seen to be a 
combination of many, and will doubtless prove of great value to such as 
are called to operate upon the uterus and throat. The peculiar situations 
of tumors in these localities very often require a particular curve or angle 
for easy and effectual manipulation ; and when such necessary conditions 
can be fulfilled at the moment of the operation, the advantages of the in- 
strument as a whole are quite apparent. 80 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
ORAL, LARTWOEAL, AND ffiSOPHA- 
GEAL INSTRUMENTS. 
Figs. 316, 317, 318. Tobold's Laryngeal Knives. 
Fig. 319. Grant's GEdema 
Glottis Instrument. 
Fig. 321. Haywood Smith's Scissors, Movable Points. 
(See description, page 79.) 
Fig. 322. Mackenzie's Laryngeal Lancet, with three Blades. 
Fig. 320. Tobold's Concealed Laryngeal Lancet. 67 CHATHAM STREET, NEW-YORK. 
81 
Branch Store, 
107 East 28th St., N. Y. 
ORAL, LARYNGEAL, AND OESOPHA- 
GEAL INSTRUMENTS. 
Figs. 333, 324, 325. Semeleder's Laryngeal Instruments. 
sJf'zy & 
Fig. 4 
3 
6 
Tig.'L 
Fig.S) 
TIEMANN & CO., N. Y. 82 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
ORAL, LARYNGEAL, AND ffiSOPHA= 
GEAL INSTRUMENTS. 
Fig. 326. Buck's Throat Lancet. 
Fig. 327. Buck's Throat Forceps. 
Fig. 328. Cuskoe's Throat Forceps. 
Fig. 329. Simrock's Laryngeal Forceps. 
Fig. 330. Brun's Epiglottis Pincette. 67 CHATHAM STREET, NEW-YORK. 
Branch Store, 
107 East 28tii St., N. Y. 
83 
ORAL, LARYNGEAL, AND ffiSOPHA- 
G1AL INSTRUMENTS 
Fig. 331. Burge's Throat Forceps 
Fig. 332. Fauvel's Laryngeal Polypus Forceps. 
Fig. 333. Mathieu's Throat Forceps. 
Fig. 334. Schaffer's Throat (and Uterine) Scoop. 
Fig. 335. Tiemann & Co.'s Laryngeal Scoop. 
Fig. 336. Bristle Probang, for Removing Foreign Bodies. 84 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
ORAL, LARYNGEAL, AND ffiSOPHA- 
GEAL INSTRUMENTS. 
Fig. 337. Probang, with Silver Bucket, in three parts. 
o 
02 
.s 
g 
£ 
o 
00 
g 
£ 
Fig. 338. Gibbs' Laryngeal Eerase ur. 
Fig. 340. Finger Sponge-Holder. 
Fig. 341. Granger's Sponge-Holder. 
Tobold1 s Delicate Sponge-Holder; 
Bond's, and all other patterns of 
Throat Forceps, (Esophageal Dila- 
tors of Rubber, Hard Rubber and 
vory, etc., always on hand. 
Fig. 342. Buck's Sponge-Holder. 67 CHATHAM STREET, NEW-YORK. 
Branch Store, 
107 East 28th St., N. Y. 
85 
ORAL, LARYNGEAL, AND; ffiSOPKA- 
Fig. 343. Child's Brush and Caustic-Holder. 
Fig. 344. Brush-Holder, Flexible Stem, with twelve Brushes. 
Fig. 345. Laryngeal Caustic Carrier, Concealed. 
Fig. 346. Lente's Probe (for Caustic). 
Fig. 347. Seeger's Brush-Holder. 
Fig. 348. Elsberg's Insufflator, or Powder-Blower. 
Fig. 349. Elsberg's Silver Tube and. Rubber for attachment to any Laryngeal Syringe GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
86 
F. A. Stohlmann. 
Edward Pfarre. 
ORAL, LARTBGEAL, ABD ffiSOPHA- 
GEAL IBWRTOIEBTO. 
Fig, 350. Laryngeal Powder-Blower, Hard Rubber. 
Fig. 351. Clay's Powder Insufflator. 
Fig. 352. Turk's Laryngeal Syringe. 
Fig. 353. Gibbs' Spray. 
Fig. 354. Hunter's Throat Syringe, Silver. 
Fig. 855. Tobold's Laryngeal Syringe. 
See also Fig. 394, Tiemann & Co.'s Universal Syringe. Branch Store, 
67 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
87 
ORAL, LARTNGEAL, AND CESOPHA- 
GBAL INSTRUMENTS. 
Fig. 356. Fullgraf's Laryngo-Tracheal Douche. 
Fig. 357. Fullgraf's Flat-Bill Laryngeal Spray. 
Fig. 358. Fullgraf's Glass Powder-Blowing Tubes, for the Posterior Nares, 
Fig. 359. Fullgraf's Laryngeal and Posterior Nares Douche. 88 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edwahd Pfarre. 
ORAL, LARYNGEAL, AND (ESOPHA- 
GEAL INSTRUMENTS. 
INHALING APPARATUS. 
Fig. 360. Bergson's Steam Atomizer. 
Fig. 361. Tiemann & Co.'s Steam Atomizer. 
Fig. 362. Seeger's Steam Nebulizer. 
All other Steam Atomizers for sale. Directions for use accompany each Instrument. 67 CHATHAM STREET, NEW-YORK. 
89 
Branch Store, 
107 East 28th St., N. Y. 
ORAL, LARTNGEAL, AND (ESOPHA- 
GEAL INSTRUMENTS. 
INHALING APPARATUS. 
Fig. 363, Richardson's Spray Producer. 
Fig. 364. Sass' Spray Producer 
Fig. 365. Newman's Atomizer. 
/' -Fty J- 
Fiy 2. 
G.TIEMANN-CO.NY. 
Zzy J. 
Also Maunder's, Clark's, Levin's, and other Spray Producers on hand GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
90 
F. A. Stohlmann. 
Edward Pfarre. 
ORAL, LARTNGEAL, AND (ESOPHA- 
GEAL INSTRUMENTS. 
INHALING APPARATUS. 
Fig. 366. Hunter's Inhaler. 
Also Gay's Inhalers, Croup Kettles. 
Fig. 367. Jeffrey's Respirator, for the Mouth, and Mouth and Nose. 
Fig. 368. Dobell's Residual Air-Pump. 67 CHATHAM STREET, NEW-YORK. 
91 
Branch Store, 
107 East 28th St., N. Y. 
TRACHEOTOMY INSTRUMENTS. 
Fig. 369. Buck's Tracheotomy Guide. 
Fig. 371. Tracheotomy Scalpel, Probe Point. 
Fig. 372. Tracheotomy Scalpel, Sharp Point. 
Fig. 370. Langenbeck's Tracheotomy Double-Hook. 
Fig. 373. Tiemann & Co.'s Tracheotome and Dilator. 
?ig. 376. Langenbeck's Tracheotome. 
Fig. 374. Pitha's Tracheotome and Dilator. 
Fig. 375. Tracheotomy Blunt Hook. 92 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS 
F. A. Stohlmann. 
Edward Pfarre. 
TRACHEOTOMY' INSTRUMENTS. 
Fig. 377. Trousseau's Dilator, to facilitate the Introduction of Canulas. 
Fig. 378. Trousseau's Dilator, Modified. 
Fig. 379. Cliassaignac's Tracheal Dilator. 
Fig. 380. Tiemann & Co.'s Universal Forceps. 
Delaborde's Tracheal Dilator is like Fig. 235, 
Fig. 381. Silver Trachea Canula. 67 CHATHAM STREET, NEW-YORK. 
93 
Branch Store, 
107 East 28th St., N. Y. 
TRACHIOTOMT mWRWIM/TS. 
Fig. 382. Double Trachea Tube, 
Movable Plate, Silver. 
Fig. 383. Double Trachea Tube, 
Silver, Plain. 
Fig. 384. Mop, for Cleaning Canulas in situ. 
Fig. 38o. Trachea Canula, Hard Rubber. 
Fig. 386. Gendron's Split Canula, Silver. 
Fig. 387. Trousseau's Forceps, for Removing Clots of Blood or Mucus 
from the Canula while in situ. 
Fig. 388. Tiemann & Co.'s Tracheal Forceps, for Removing 
Foreign Bodies. 
(3. TIEMANN & CO. 
Fig. 389. Johnson's Double Canula and Obdurator. 
Modification of Durham's. 
G.TIEMflNI\l = CQ.NY. 94 
GEO..TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
Fig. 390. Lever Stomach-Pump (Enema Apparatus), and for the Attachment of Bowditch's 
Trocars for Aspiration in Paracentesis Thoracis, etc. Directions for use 
accompany each Apparatus. 
Fig. 391. Tiemann & Co.'s Stomach-Pump. Branch Store, 
67 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
95 
Fig. 392. Tiemann & Co.'s Universal Syringe. 
Fig. 393. Warner's Catarrhal 
Douche. 
For Injections of Caustic Solutions, etc.; applicable 
to the Uterus, Male and Female Urethra and Blad- 
der, Ear, Larynx, Nares; with a Hard Rubber Stop- 
cock to fit Catheter, or Trocars, for Hydrocele, etc. 
End of Part II. SPECIFIED PRICE-LIST. 
1T1 INSTRUMENTS. 
Page 1 to to 33. 
INSTRUMENTS FOR OPERATIONS ON THE LIDSAND LACHRYMAL DUCTS. 
Figs. 1 to 58. 
Fig. 
Adams' Entropium Forceps, two triangular Rings, . . $2 50 
1 Cross-Bar Entropium Forceps, . . . . . . . 2 25 
2 Laurence's Eye-lid Tourniquet, 3 00 
3 Tiemann & Co.'s Entropium Forceps, with knife, ... 7 00 
4 Snellen's Entropium Forceps, r. and]., ..... 2 50 
5 Desmarre's Entropium Forceps, original, 3 00 
Desmarre's Entropium Forceps, T. & Co.'s model, shell plate, 3 00 
0 Jaeger's Plate Lid-holder, hard rubber, ..... 1 00 
Jaeger's Plate Lid-holder, tortoise-shell, . . . . . 2 00 
7 Henry's Depillating Forceps, 2 50 
8 Tiemann & Co.'s Entropium Forceps, with knife, ... 7 50 
9 Cilia Forceps,1 00 to 1 25 
10 Ratti's Trichiasis Forceps, spring catch, 3 00 
11 Prout's Entropium Forceps, ....... 4 00 
Desmarre's Forked Forceps, to hold soft parts steady for the 
passage of suture needles, ....... 1 50 
12 Stoke's Eye-lid Compressor, 3 00 
Charriere's Forceps for continued Pressure, .... 1 75 
13 Knapp's Entropium Forceps, 4 00 
Jaeger's Lid-holder and Plate, combined, . . . . 2 50 
Pomperat's Open Lid-holder, or Elevator, 1 75 
Luzardi's Open Lid-holder, or Elevator, ..... 3 00 
14 Plain Wire Eye Speculum, . . . . . . 0 80 to 1 00 
15 Graefe's Eye Speculum, 2 50 
16 Plain Wire Eye Speculum, medium or small, . . 0 80 to 1 00 
17 Noyes' Improved Eye Speculum, steel, gilt, . . . . 5 00 
Noyes' Improved Eye Speculum, steel, nickel-plated, . . 4 50 
18 Noyes' Plain Eye Speculum, 1 75 98 
F. A. Stoiilmann. 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS. 
Fig. 
19 Liebold's Eye Speculum, . . . . . . . . $2 50 
20 Hart's Eye Speculum, ........ 1 50 
Edward Pfarre. 
Fig. A. Galante's Eye Speculum. Fig. B. Liebreich's Eye Speculum 
A Galante's Eye Speculum, . . . . . . . $4 00 
B Liebreich's Eye Speculum, . . . . . . 2 50 
Laurence's Eye Speculum, . . . • . . . . 3 00 
21 22 Desmarre's Eye-lid Retractors, 1 75 
23 Weber's Graduated Canalicnla Dilator, ..... 1 00 
24 Speir's Lachrymal Catheter, silver, 1 00 
25 Anel's Eye Syringe, silver, silver and gold points, . . 12 00 
Anel's Eye Syringe, hard rubber, silver and gold points, . . 5 50 
26 McFarlan's Lachrymal Syringe, hard rubber, one silver point, 3 50 
27 Drop Glass for the Eye, 20 
28 Liebold's Subpalpebral Syringe, 1 50 
29 Agnew's Lachrymal Syringe, 5 00 
Fig. C. Wecker's Lacrymal Canula, $1 30. 
30 Anel's Probe, silver, .......... 50 
31 Bowman's Director, .... ... 75 
32 33 34 35 Set of Bowman's Probes, silver, ..... 3 00 
32 33 34 35 Set of Bowman's Probes, hard rubber, ... 2 00 
36 Galezowsky's Canalicnla Dilator, . . . . . . 2 50 
37 Bowman's Canalicnla Knife (to fit Director, Fig. 31), . . 1 75 
38 Gensoul's Camila, for Cauterizing the Nasal Duct, ... 3 00 
39 Desmarre's Scarificator, ........ 1 50 
40 Maunoir's Canalicnla Scissors, 1 50 to 2 00 
41 Stilling's Canalicnla Knife, ....... 1 50 
42 Weber's Curved Canalicnla Knife, . . . . . . 1 75 
43 Weber's Half-curved Canalicnla Knife, 1 75 
44 Desmarre's Cautery Iron, for Obliterating the Sac, . . . 3 00 
45 Desmarre's many-pronged Hook, for Obliterating the Sac, . 2 00 
46 Noyes' Movable-Blade Canalicnla Knife, ..... 4 00 
47 Noyes' Plain Canalicnla Knife, ...... 1 75 
48 Parker's Fistula Lachrymalis Knife, . . . . . . 1 75 67 CHATHAM STREET, NEW-YORK. 
99 
Branch Store, 
107 East 28th St., N. Y 
Fig. 
49 Jaeger's Bistoury Cache for the Canalicula, . . . . $8 00 
50 Beaumont's Concealed Canalicula Knife, . . . . . 8 00 
Fig. D. Girard Teulon's Canalicula Instrument, $8.00. 
51 Agnew's Canalicula Knife, 1 75 
52 Sand's Needle-Forceps, . 4 50 
53 Prout's Needle-Forceps, 3 50 
54 55 56 Scalpels, for operating on the Lids and Face, . . 1 50 
Bistouries for opening Lachrymal Tumors, the Lachrymal Sac, 
and Nasal Duct, . 1 50 to 1 75 
Manfredi's Speculum, for the obliteration of the Sac, . . 5 50 
Gensoul's Lachrymal Catheter, silver, 2 00 
Forceps, for introducing Lachrymal Canulm, . . . . 2 00 
Cloquet's Hooked Stilet, for extracting Canulas from the Nasal 
Duct, ........... 1 00 
57 Silver Style, . 50c. to 75 
Lead Style, 30 
Gold Style, 1 50 to 5 00 
58 Lachrymal Canula, silver and gold, .... 50c. to 5 00 
Suture Needles, very fine, 20 
Suture Silk, skein, ....... 10c. to 35 
Silver Suture Wire, yard, 50 
Seatangle Tents, for dilating the Lachrymal Duct, ... 25 
STRABISMUS INSTRUMENTS. 
Fig. 59 to 69. 
59 Straight Strabismus Forceps, delicate, . . . . 1 25 
GO Curved Strabismus Forceps, 1 25 
61 Strabometer, ivory, 2 20 
62 Strabismus Tenaculum, large, ....... 1 25 
63 Strabismus Tenaculum, small, . . . . . . . 1 25 
Strabismus Tenaculum, with an eye near the point, for carrying 
ligatures, 1 25 
Strabismus Tenaculum, with bulbous or flat points, . . 1 25 
64 Strabismus Scissors, curved on the flat, 1 50 
Strabismus Scissors, curved edgewise, 1 50 
65 Strabismus Forceps, heavy, 1 25 
66 Half-curved Strabismus Tenaculum, 1 25 
67 Double Hook, for fixing the Eye, 1 50 
68 Strabismus Scissors, angular curve, . . . . . . 1 50 
69 Strabismus Hook-Bistoury, . 2 50 100 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F, A. Stohlmann. 
Edward Pfarre. 
Fig. 
. Guerrin's Z shaped Tenotomy Knife, $2 50 
Probe-Pointed Delicate Bistoury, 1 75 
Sharp-Pointed Bistoury, ....... 1 75 
(DIAGNOSIS.) 
OPHTHALMOSCOPES. PUPILLOMETERS, TEST GLASSES, ETC. 
70 Liebreich's Ophthalmoscope 6 00 
71 Loring's Ophthalmoscope, . . . . . 20 00 to 35 00 
Coccius' Ophthalmoscope, 7 50 
Cuscoe's Ophthalmoscope, 45 00 
Desmarre's Ophthalmoscope, 6 50 
72 73 Knapp's Double Disk Ophthalmoscope, . . . . 35 00 
74 Knapp's Single Disk Ophthalmoscope, 20 00 
Foilin's Ophthalmoscope, . . . . . . . 12 00 
Graefe's Ophthalmoscope, 6 50 
Galezowsky's Ophthalmoscope, 22 00 
Stell wag's Ophthalmoscope, , . 15 00 
Nachet's Ophthalmoscope, best, . . . . . . 12 00 
Nachet's Ophthalmoscope, plain, . . . . . . 8 00 
Plain Reflector and Object Lens, 3 50 
Alien's Ophthalmoscope, 3 75 
Binocular Ophthalmoscope, 30 00 
Autophthalmoscopes, and other kinds, to order. 
75 Pupillometer, 5 00 
Optometer, plain, 3 50 
Trial (Test) Glasses, cylindrical, spherical, and prismatic, in Sets, 
25 00 to 100 00 
Stenopaic Cylinders, circular perforation, . . . . . 3 50 
Stenopaic Cylinders, slits, 1 00 to 3 00 
Graefe's Optometer, 20 00 
Eye Goggles, pair, 1 50 to 3 00 
Eye Shades, 50 to 4 00 
Test Drums, to try the edge and points of eye instruments, 75 
Eye Protectors, plain and colored mica, . . 75c. to 1 50 
Eye Protectors, gauze and mica, 1 50 
FOB DEMONSTRATION : 
Magnified Preparation of the Eye, in papier-mache, 45 00 to 60 00 
Ophthalmic Phantome, a papier-mache mask with an apparatus 
to hold animals' eyes, for the purpose of practicing operations, 
18 00 to 24 00 
Artificial Eye, for experimenting and practicing in the use of the 
Ophthalmoscope, 30 00 
76 Turnbull's Rubber Ice-Bag, . . . . . . . 2 00 
77 Livingston's Elastic Probe, ....... 2 50 67 CHATHAM STREET, NEW-YORK. 
Branch Store, 
107 East 28th St., N. Y. 
101 
FIXATION INSTRUMENTS. 
Fig. 
78 Ball's Double Hook, with slide, $3 00 
79 Double Hook, sharp, for insertion into the sclerotica, . . 1 50 
80 Three-Pointed Ophthalmostate, 1 50 
81 Noyes' Fixation Forceps, curved, 2 00 
82 Pamard's Pique, 1 50 
Velpeau's Ophthalmostate, . . . . . . . . 2 00 
83 Jaeger's Ophthalmostate, 8 00 
84 Noyes' Ophthalmostate, 2 00 
85 Graefe's Fixation Forceps, with spring, ..... 2 00 
Carron de Villard's Fixation Forceps, wit Ji slide, . . . 3 00 
Desmarre's Claw for the Fingers-Point, 1 50 
INSTRUMENTS FOR REMOVING FOREIGN BODIES FROM THE EYE-BALL AND 
ORBIT. 
86 Dix's Spud, 1 25 
87 Couching Needle, 1 25 
88 Carron de Villard's Needle, 1 25 
89 Angular Needle, 1 25 
90 Gouge, grooved, 1 50 
91 Spatula, German-silver, 1 25 
91 Spatula, hard rubber, 75 
92 Daviel's Curette, 1 50 
93 Hard-Rubber Spoon, 75 
94 Knapp's Foreign Body Hook, silver, 2 00 
95 Richardson's Spray, silver tube for douching, . . . 6 50 
Agnew's Eye Douche, 3 50 
Clark's Eye Douche, 2 50 
Eye Bath, Glass, . . 50 
Eye Douche, attached to Davidson's Syringe, ... 3 00 
Hard-Rubber Syringe, plain, . . . . . . 1 50 
Liebold's Subpalpebral Syringe, Fig. 28, ... . 1 50 
Anel's Syringe, hard rubber and silver, Fig. 25, . . . 5 50 
McFarlan's Syringe, Fig. 26, 3 50 
INSTRUMENTS FOR OPERATING ON TUMORS, ETC , OF THE CONJUNCTIVA. 
95 Tumor Forceps, with claws, . . . . . . 1 50 
Double Hook, Fig. 78, ....... . 1 50 
Scalpels, Figs. 54, 55, 56, 1 50 
96 Scissors, curved on the flat, various sizes, . . . . 1 50 
Crotchet de Diable, . . . . . . . . . 1 75 
Hard-Rubber Caustic Case, 75c. to 1 00 
Silver Caustic Case, 2 50 
Silver and Platina Caustic Case 3 50 GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
102 
F. A. Stoiilmann. 
Edwaiw Pfakke. 
Fio. 
Hard-Rubber Spatula, for the application of ointment, . . $ 75 
Silver Spatulas, 1 50 
Camel's-Hair Brushes,3c. to 15 
INSTRUMENTS FOR OPERATING ON THE CORNEA AND IRIS 
97 Chadwick's Pterigium Scissors, . . . . . . 6 00 
98 Desmarre's Paracentesis Cornese Trocar, long point, . 1 75 
99 Broad, Straight, Paracentesis Needle, 1 25 
100 Paracentesis Trocar, short point, 1 75 
101 Very Broad Paracentesis Needle, 1 25 
ARTIFICIAL PUPIL AND CATARACT INSTRUMENTS, FOR THE VARIOUS MODES 
OF OPERATING. 
102 Jaeger's Straight Keratome, 1 50 
103 Jaeger's Angular Keratome, 1 75 
Weber's Concave Keratome, ....... 2 00 
Walton's Keratomes, two sizes, . 1 50 
Furnari's Double-Edged Knife, 1 75 
Beer's Cornea Knives, Figs. 113, 114, 115 1 50 
104 Broad Needle, 1 50 
105 Welker's Iridectomy Instrument, . . . . . .12 00 
Knives for Enlarging the Corneal Section, Figs. 126, 127, 128, 
106 Straight Iris Forceps, 1 50 
107 Tyrrell's Sharp Hook, 1 25 
108 Tyrrell's Blunt Hook, . . . . . . . . 1 25 
109 Althof's Iridectomy Scissors, 5 50 
110 Iris Scissors, curved flatwise, 1 50 
111 Straight Iris Scissors, 1 50 
Angular Curved Iris Scissors, 1 75 
Maunoir's Iris Scissors, 1 75 
Gibson's Iris Scissors, 4 50 
Hall's Iris Scissors (Sheepshear-like), 4 50 
112 Graefe's Iris Forceps, angular, very fine, . . . . . 1 75 
Fischer's Curved Iris Forceps, short handles, . . . 1 50 
Iris Forceps, plain cross-teeth, 1 50 
Fig. E. Liebreicli's Iris Forceps, (latest,) $G.5O. 
CATARACT INSTRUMENTS. 
113 Beer's Cataract Knife, small, 1 50 
114 Beer's Cataract Knife, medium, . . . . . . 1 50 
115 Beer's Cataract Knife, large, 1 50 
116 Cystotome, for lacerating the Capsule, 1 50 Branch Store, 
67 CHATHAM STREET, NEW-YORK. 
107 East 28th St., N. Y. 
103 
Fig. 
117 Tyrrell's Blunt Hook, ........ $1 25 
Tyrrell's Sharp Hook, Fig. 107, 1 25 
Critchet's Sharp Hook, 1 25 
Beer's Sharp Hook, 1 25 
Noyes' Sharp Hook, 1 25 
118 Graefe's Linear Knife, . T 50 
118 Graefe's Knife, Noyes' modification, ..... 1 50 
119 Graefe's Tractor, 1 50 
120 Graefe's Lens Scoop, 1 75 
121 Hard-Rubber Lens Scoop, plain, 75 
Hard-Rubber Lens Scoop, ivory handle, fine, ... 2 00 
Schuft-Waldau Scoop, 1 75 
Critchet's Scoop, 1 75 
122 Critchet's Hooked Needle, 1 25 
123 Luzardi's Hooked Needle, 1 50 
124 Silver Lens Scoop and Cystotome, ... . . 2 50 
125 Fenestrated Lens Scoop, 1 75 
126 Desmarre's Knife, for enlarging the Corneal Section, . . 1 50 
127 Right Angular Curved Corneal Section Knife, . . . 1 75 
127 Left Angular Curved Corneal Section Knife, . . . . 1 75 
128 Straight Knife, for enlarging the Corneal Section, . . 1 50 
129 Lanne's Forcep Needle, for False Membranes, . . . . 4 50 
130 Liebreich's Rotating Iris Forceps, 4 00 
131 Walton's Self-holding Iris Forceps, 2 50 
■ Liebreich's Iris Forceps, with side and front teeth, . . 2 50 
Wilde's Canulated Iris Forceps, 12 00 
Graefe's Straight and Angular Iris Forceps, . . . 1 50 
132 Hayes' Knife-Needle, 1 50 
133 Iris Knife, 1 50 
134 Iris Knife, with Stop, . . . 1 75 
135 Sickle-shaped Iris Knife, 1 75 
136 Knife-Needle, .......... 1 50 
137 Noyes' Iris Scissors, 4 50 
138 Wilde's Canulated Needle, 12 00 
139 Wilde's Canulated Forceps, Scissors and Forcep Needle, to fit 
one handle, 15 00 
140 Wilde's Canulated Forceps (Lithotriptor-like), ... 12 00 
141 Double-edged Iris Knife, . . . . . . . . 2 00 
142 Bowman's Stop Needle, . 1 50 
143 Beer's Straight Cataract Needle, 1 25 
144 Narrow, Straight Cataract Needle, 1 25 
Beer's Straight Needle, 1 25 
Beer's Curved Needle, 1 25 
Rosa's Sickle-shaped Needle, 1 25 
Langenbeck's Needle, ........ 1 25 104 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stoiilmann. 
Edward Pfarre. 
Fig. 
Luzardi's Hooked Needle, Fig. 128, . . . . . . $1 50 
Depuytren's Curved Needle, 1 25 
Scarpa's Curved Needle, 1 25 
145 Walton's Needle, for Depression, 1 25 
Walter's Needle, 1 25 
Gerdi's Double-branched Depression Needle, ... 14 00 
Villardi's Angular Needle, . . . . . . . 1 25 
Sickle-shaped Capsular Knife, Fig. 135, .... 2 00 
Graefe's Cystotome, 1 25 
Desmarre's Cystotome, 1 50 
Hayes' Knife-Needle, Fig. 132, 1 50 
146 Levi's Needle, with an Eye, 1 75 
147 Walton's Grooved Needle, for Soft Cataract, . . . . 2 00 
148 Grooved Tattooing Needle, 1 75 
149 Baader's Tattooing Needle, 2 00 
150 Agnew's Tattooing Needle, 2 00 
151 Blanchet's Instrument for Exhausting Soft Cataract, . .2 25 
152 Bowman's Instrument for Exhausting Soft Cataract, . . 4 50 
Up. De Graff's Instrument for Exhaustion of a Soft Lens, . 4 50 
INSTRUMENTS FOR EXTIRPATION OF THE EYE BALL 
Double Hook, for holding the Eye-Ball, Fig. 78, ... 3 00 
Vulsellum Forceps, of various patterns, . . . . 2 00 to 3 00 
Stout Scissors, curved on the flat, 1 50 
Straight Scissors, 1 50 
Angular Scissors, 1 50 
Forceps with Claws, 1 50 to 3 00 
Double-edged Staphylotomes, 2 00 
Boyer's, Richter's, Wenzel's, Zehender's, and other designs of Instru- 
ments, to order. Branch Store, 
67 CHATHAM STREET, NEW-YORK 
107 East 28tii St., N. Y 
105 
EAR INSTRUMENTS, 
Fig. 
153 Ear Piercer, to perforate the lobe for the insertion of ear-rings, $1 50 
INSTRUMENTS FOR THE EXAMINATION OF THE EXTERNAL MEATUS. 
154 Wilde's Ear Gorgeret, German-silver, ..... 1 00 
155 Troeltsch's Ear Mirror, 3 00 to 4 00 
156 Wilde's Tubular Specula, 3 in a set, silver, . . . . 4 50 
Wilde's Tubular Specula, 3 in a set, plated, . . . 3 50 
157 Kramer's Ear Speculum, 3 00 
158 Brunton's Otoscope, hard rubber and plated metal, . . 8 00 
159 German-silver Bivalve Ear Speculum, ..... 2 00 
160 Clark's Otoscope, silver or nickel-plated, .... 12 00 
161 Knapp's Tubular Specula, 3 in a set, silver, .... 5 50 
162 Tubular Specula, hard rubber, each, .... 50c. to 75 
163 Toynbee's Ear Specula, 3 in a set, silver, 5 50 
164 Simrock's Otoscope, with lens, ...... 5 00 
165 Speir's Self-retaining Ear Speculum, 4 00 
166 Hassenstein's Otoscope, ....... 6 00 
Bonafont's Bivalve Speculum, . . . . . . 3 00 
Itard's Bivalve Speculum, curved blades, .... 300 
Holcomb's Porcelain Tubular Speculum, ..... 50 
Sexton's Tubular Specula, 3 in a set, plated, . . . 3 00 
Troeltsch's Mirror, with Roosa's Head-band, . . . . 6 00 
Troeltsch's Mirror, with Tiemann & Co.'s Head-band, . 6 50 
Miller's Lamp, very fine finish in brass, 15 00 
For Tobold's and other Illuminators, see ''Laryngoscopes." 
INSTRUMENTS FOR OPERATIONS ON THE MEMBRANA TYMPANI 
Politzer's Meatus Knife, Pig. 175, . . . . . . 1 50 
167 Toynbee's Artificial Tympanum, 30 
168 Gruber's Sickle-shaped Polypus Knife, . . . . . 1 50 
169 Simrock's Scissors, for operating on the tympanum and small 
bones of the ear, 4 50 
170 Politzer's Tympanum Perforator, angular steel handle, . 1 00 
171 Politzer's Tympanum Perforator, straight ivory handle, . . 1 50 
Belan's Tympanum Perforator, 4 00 
Fabrici's Trepan, for removing a circular portion of the tym- 
panum, .... ..... 2 50 
172 Politzer's Eyelets, to prevent reunion of the perforated tym- 
panum, each, ......... 30 
Politzer's Forceps, for introducing the eyelets into the perfor- 
ated tympanum, to prevent reunion, ..... 1 50 106 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
INSTRUMENTS FOR THE EUSTACHIAN CANAL. 
Fig. F. Wire Nose Clamps for holding the Eustachian Catheter, $1.00 
Fig. 
173 Bonafont's Eustachian Catheter Holder, . . . . $2 00 
174 Pomeroy's Kramer's Eustachian Catheter Holder, . . .3 50 
175 Politzer's Meatus Knife, ivory handle, ..... 1 50 
176 Eustachian Catheter, hard rubber, . . ... 1 00 
Eustachian Catheter, pure flexible silver, . . . 2 00 
Eustachian Catheter, coin silver, . . . . . 1 50 
Eustachian Catheter, nickel-plated, 1 00 
Blanchet's Eustachian Catheter, graduated, silver, . 3 00 to 8 00 
177 Gruber's Tensor Tympani Instrument, 3 00 
178 Weber's Tensor Tympani Instrument, 8 00 
179 Politzer's Air Bag, for inflating the eustachian canal, 2 00 to 2 50 
180 Politzer's Air Bag, with Roosa's Attachment, for treating dis- 
eases of the middle ear, 4 50 
181 Battle's Inhaler, for forcing medicated vapors into the eusta- 
chian canal, ......... 2 50 
182 Sexton's India-Rubber Nozzle, ....... 75 
Politzer's Air Bag, Knapp's Nozzle, 2 50 
Politzer's Air Bag, Allen's Nozzles, 4 00 
183 Fiillgraff's Eustachian Spray, 6 00 
184 Hackley's Instrument for Spraying the Eustachian Canal, . 6 50 
DIAGNOSTIC INSTRUMENTS. 
185 Ear Probe, steel, angular, ....... 75 
Ear Probe, silver, plain, 37 
Ear Probe, whalebone, . 25 
Ear Probe, hard rubber, 20 
186 Ear Manometer, ......... 75 
187 Toynbee's Diagnostic Tube, . . . . 1 00 to 1 25 
188 Siegle's Aural Speculum, 5 00 
189 Toynbee's Explorer, to fit an Eustachian Catheter, . . . 1 25 
190 Eustachian Catheter, silver, 1 50 
191 Conversation Tube, 3 00 to 16 00 
192 Tuning Fork, C or A, . . . . . . . . 1 25 
193 Blake's Inner Ear Mirror, 8 00 Branch Store, 
67 CHATHAM STREET, NEW-YORK. 
107 East 28tii St., N. Y. 
107 
INSTRUMENTS FOR REMOVING FOREIGN BODIES, FLAKES OF EPIDERMIS, 
WAX, HAIR, POLYPI, FLUID SECRETIONS. ETC. 
Fig. 
194 Politzer's Hard-Rubber Ear Spoon, Si 00 
195 Alien's Polypus Forceps, and for removing foreign bodies, 4 50 
196 Politzer's Polypus Forceps, for removing foreign bodies, . 3 00 
197 Blake's Polypus Snare, 3 50 
198 Wilde's Polypus Snare, 3 50 
199 Bumstead's Canulated Forceps, ...... 4 50 
200 Elastic Caustic Holder, 2 00 
201 Speir's Ear Curette, 1 25 
Fenestrated Ear Scoop, 1 50 
Toynbee's Lever Ring Forceps, . . . . . . 14 00 
Toynbee's Ring Forceps, angular, . . . . . . 1 75 
Wilde's Angular Forceps, ....... 1 75 
Civiale's Ear Scoop, ........ 5 00 
Holcomb's Cotton Probe, ....... 75 
Bonafont's Lint Carrier, 75 
203 Angular Ear Hook, . ... . . . 1 50 
204 Devil's Screw Hook, 2 00 
205 Elsberg's Angular Screw Hook, 2 00 
206 Gross's Ear Spoon and Hook, 1 00 
207 Hinton's Polypus Forceps, 4 00 
208 Eiterbecken (Pus Basin), brass, ..... 3 00 to 5 00 
209 Pus Basin, hard rubber, . . . . 5 00 to 8 00 
Pus Basin, tin, 75 to 2 00 
210 Lucae's Reflux Ear Douche, hard rubber, . . . . 1 50 
211 Hard's Rubber-Bag Ear Syringe, with Stopcock, . . .2 50 
212 Knapp's Powder Blower, . ..... 1 50 
Weir's Powder Blower, 
213 Ear Syringe, hard rubber, ... • . . . 1 50 
Ear Syringe, metal, 3 rings, 3 00 
Ear Syringe, brass, 3 rings, ivory nozzle, . . . . 4 00 
Ruschenberger's Ear Syringe, 5 50 
Kramer's Ear Syringe, metal, ...... 1 50 
Glass Ear Syringe, ......... 75 
Agnew's Douche, 1 50 
Clark's Douche, Ear and Nose, 1 50 
Tudichum's Douche, Ear and Nose, 1 50 
214 Dewee's Vapor Douche, . . . .' . . . . 2 00 
215 Sexton's Ear Douche, ....... 6 00 
Erhardt's Apparatus for generating vapors, . . . . 30 00 
Hosmer's Ear Spout, 50c. to 1 00 GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
108 
F. A. Stoiilmann. 
Edward Pfarre. 
INSTRUMENTS FOR PERFORATING THE MASTOID PROCESS, IN CASES OF 
ABSCESS, PURULENT INFLAMMATION, SUPPURATIONS OF THE 
MIDDLE EAR, AND FOR THE REMOVAL OF NECROSED BONE. 
Fig. 
216 Drill with Guard, for perforating the mastoid process, . $7 00 
217 Rongeur, or Bone-Gouging Forceps, straight or curved, . . 3 50 
218 Curved Hand Gouge, . . . ' 1 50 
EAB TRUMPETS. 
219 (a) Silver Cornets, per pair, 2 50 
(b) Silver Cornets, per pair, ... ... 3 00 
(c) Artificial Tympanum, 30 
220 German-Silver Ear Trumpet, ....... 6 00 
221 Bronzed and Japanned Ear Trumpet, . . . . . 3 00 
222 Bronzed and Japanned Ear Trumpet, . . . . 2 25 to 4 00 
223 Bronzed and Japanned Ear Trumpet, . . . . . 4 00 
224 Bronzed and Japanned Ear Trumpet, , . . . 2 25 to 3 50 
German-Silver Ear Trumpet, . . . . . 3 50 to 5 00 
225 226 Dipper Trumpet, Bronzed and Japanned, . . . 4 50 
227 The Ear of Dyonisius, . . . . . . 16 00 to 30 00 
228 Conversation Tube, plain black mounts, . . . . 3 00 
Conversation Tube, silk, ivory mounts, ... 8 00 to 16 00 
229 Auricles, per pair, 5 00 
230 Telescopic Trumpet, German-Silver, 4 50 
231 Cane Hearing Trumpet, 6 00 to 25 00 
232 Bronzed and Japanned Trumpets, . . . 2 50 to 3 50 Branch Store, 
67 CHATHAM STREET, NEW-YORK. 
107 East 28tii St., N. Y 
109 
NASAL INSTRUMENTS. 
Fig. 
233 Robert & Collins' Nasal Speculum, German-Silver, . . . $3 50 
Robert & Collins' Nasal Speculum, hard-rubber, . . . 3 50 
234 Bivalve German-Silver Nasal Speculum, 2 50 
235 Elsberg's Trivalve Nasal Speculum, 5 00 
236 Steel Nasal Speculum, 3 00 
237 Frankel's Nasal Speculum, . 4 50 
238 Folsom's Nasal Speculum, 2 00 
239 Thudichum's Nasal Speculum, plain, ..... 1 50 
240 Thudichum's Nasal Douche, 1 50 
241 Nasal Polypus Forceps, 2 25 
242 Nasal Polypus Forceps, crossing-blades, 2 25 
Plain Polypus Dressing Forceps, 1 50 
243 Gross's Polypus Forceps, 2 25 
244 Simrock's Angular Polypus Forceps, 3 00 
245 Nasal Polypus Canula, silver, 1 50 to 3 00 
Fig. G. Rubber Tampon, for Epistaxis, 50c. to $1.00. 
246 Belocq's Canula for Epistaxis, silver, ..... 3 00 
247 Simrock's Rhinoscope, . 8 50 
248 Duplay's Rhinoscope, . . . . . . . . 8 50 
249 Plain Rhinoscopic Mirror, 1 25 
See also Laryngeal Mirrors, 1 25 
250 Fiillgraff's Nasal Douche, 3 50 
Posterior Nares Syringe, hard-rubber, . . . . . 1 50 
Syphon Nasal Douche, . . 2 00 
For Reflectors and Head-Bands, see Laryngoscopes. 
HARELIP INSTRUMENTS. 
251 Buck's Pin Conductor, $1 00 to 1 50 
252 Hutchison's Harelip Forceps, 3 00 
253 Prince's Harelip Clamp, . . . . . . . 3 00 
254 Scalpel, ivory handle, . . . . . . 1 00 to 1 50 
255 Scalpel, ebony handle, ...... 80c. to 1 25 
256 Angular Harelip Scissors, . . . . . . 1 50 to 2 50 
257 Hamilton's Harelip Scissors, . . 2 25 
Silver Harelip Pins, removable points, ... 50 
Plastic Pins of all sizes, per 100, 50 
258 Smith's Harelip Forceps, 6 00 110 
F, A. Stoiilmann. 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
Edward Pfarre. 
0B.AL. LABYNGEAL, AM® ffiSOPHA- 
GEAL INSTRUMENTS. 
Fig. 
259 Mussey's Mouth Gag, $7 00 
260 Whitehead's Mouth Gag, 12 00 
261 Whitehead's First Mouth Gag, 10 00 
262 Heister's Speculum Oris, 6 00 
263 Westmoreland's Speculum Oris, 6 00 
264 Goodwillie's Speculum Oris, 8 00 
Gross's Speculum Oris, for reducing Lockjaw, .... 600 
265 Dobell's Tongue Holding Forceps, 6 00 
266 Hard-Rubber Tongue Depressor, 2 00 
267 Elsberg's Tongue Depressor, 4 50 
268 Green's Folding Tongue Depressor, 2 50 
Green's Plain Tongue Depressor, straight, ... 1 50 
269 Sass's Tongue Depressor, steel, hard-rubber handle, . . 3 50 
270 Turk's Tongue Depressor, with 3 blades, .... 4 50 
271 Steel Folding Tongue Depressor, . . . . . . 1 25 
Plain Steel Japanned Tongue Depressor, .... 1 00 
272 Churche's Self-holding Tongue Depressor, . . . . 6 50 
Cuskoe's Forceps, for holding the tongue, . . . . 5 50 
Ebony Handle and Steel Tongue Depressor, . 2 00 to 3 00 
Hard-Rubber Handle Tongue Depressor, . . . 2 00 to 3 00 
TONSIL AND UVULA INSTRUMENTS. 
273 Tenaculum Forceps, for seizing, 2 50 
274 Musseux's Vulsellum Forceps, 2 50 
275 Langenbeck's Seizing Forceps, . . . . . . 3 00 
276 Durham's Seizing Forceps, 4 50 
277 Tonsil Hook, 2 00 
278 Billing's Tonsilotome, 12 00 
279 Green's Tonsil Bistoury, plain, 2 00 
Green's Tonsil Bistoury, ivory-ferule, 2 25 
280 Tiemann & Co.'s Uvulatome, 8 00 to 9 00 
281 Green's Double Hook, 3 00 
282 Vulsellum, 2 25 
283 Uvula Scissors, with claws, . . 6 00 
284 Tonsil Scissors, curved on the flat, 4 50 
285 Hamilton's Tonsilotome, ....... 15 00 
286 Tiemann & Co.'s Tonsilotome, one blade, . . . . . 15 00 
Tiemann & Co.'s Tonsilotome, two blades, . . . . 24 00 67 CHATHAM STREET, NEW-YORK. 
Branch Store, 
107 East 28tii St., N. Y. 
111 
Fig. 
287 Fahnestock's Tonsilotome, $8 00 
288 Mathieu's Tonsilotome, 12 00 
Fig. H. Yearsley's Tonsil Knife, $2.00. 
Buck's Tonsil Lancet, Fig. 326, 2 00 
Tonsil Scarifier, concealed blade, ...... 6 00 
Graefe's Tonsil Forceps, plain, 1 50 
Mackenzie's Instrument for cauterizing Tonsils, . . . 8 00 
STAPHYLORRHAPHY AND URANISCOPLASTIC INSTRUMENTS. 
Whitehead's Mouth Gag, see Figs. 260, 261. 
289 Whitehead's Seizing Forceps, 4 50 
290 Whitehead's Scissors, for dividing the muscles, . . . 4 50 
291 Whitehead's Paring Knives, each, 1 50 
292 Whitehead's Hoe, for dividing membrane, . . . • . 1 50 
293 Sayre's Pereosteotome, 2 00 
294 Tenaculum, . . 1 50 
295 Whitehead's Spiral Needle, for sutures, .... 1 75 
Richardson's Spray, for clearing the throat of blood, Fig. 363, 6 50 
296 Whitehead's Gum Knife, Fig. 296, ..... 1 50 
297 Whitehead's Modification of Sims's Adjuster, . . . . 1 50 
298 Sims's Wire-Twisting Forceps, 4 00 
Dieffenbach's Cheek Retractors, . . ... 2 50 
299 Staphylorrhaphy Knife, right or left, 2 50 
300 Double-edged Staphylorrhaphy Knife, . . . . . 2 50 
301 Cheek Retractor, German-Silver, jointed, . . . . 3 00 
302 Goodwillie's Pereosteum Levator, 2 00 
303 Goodwillie's Oral Saw, 3 50 to 5 00 
304 Goodwillie's Pereosteum Levator, 2 00 
305 Seizing Forceps, ......... 2 50 
Langenbeek's Raspatories, 1 50 
Richter's Angular Scissors, ....... 4 00 
Sims's Needle-Holder, . . . . . . . . 2 50 
Roux's Needle-Holder, 8 00 
Silver Wire for Sutures, per yard, 50 
Wire Needles, etc., see page 24, first part of our catalogue. 
Suture Silk, 10c. to 20c. a skein. 
LARYNGEAL AND (ESOPHAGEAL INSTRUMENTS. 
306 Czermak's Laryngoscope, 10 00 
307 Henry's Bull's-Eye Illuminator, 9 00 
308 Laryngoscopic Mirror, screw handle, 2 00 112 
F. A. Stoiilmann. 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
Edward Pfarre. 
Fig. 
Laryngoscopic Mirror, plain, . . . . . . . $1 25 
309 Tiemann & Co.'s Laryngoscope, with head-band, . . . 8 00 
310 Application of Laryngoscope, with head-band, . . . . 8 00 
311 Tobold's Laryngoscope and Student's Lamp, ... 30 00 
Tobold's Laryngoscope, pocket size, 22 00 
Student's Lamp, alone, 6 00 
Sets of Laryngeal Instruments in cases, see page 75, etc. 
312 Seeger's Modification of Tobold's Laryngoscope for gas-light, 34 00 
Semeleder's Spectacle-Frame Laryngoscope, . . . 8 00 
313 Mackenzie's Light Concentrator, ...... 9 00 
314 Elsberg's Pocket Laryngoscope, ...... 6 00 
315 Pocket Illuminator, . . . 4 50 
316 Tobold's Laryngeal Knife, lanciform, 1 50 
317 Tobold's Laryngeal Knife, convex-edged, 1 50 
318 Tobold's Laryngeal Knife, concave-edged, . . . . 1 50 
319 Grant's Oedema Glottis Instrument, 1 50 
320 Tobold's Concealed Laryngeal Lancet, 4 00 
321 Haywood Smith's Scissors, 12 00 
322 Mackenzie's Laryngeal Lancet, with 3 blades, ... 14 00 
323 i 
324 - Semeleder's Laryngeal Instruments, each, . . . . 10 00 
325 ) 
326 Buck's Throat (and Tonsil) Lancet 2 50 
327 Buck's Throat Forceps, . . . . . . . . 3 00 
328 Cuskoe's Throat Forceps, 7 00 
329 Simrock's Laryngeal Forceps, 4 50 
330 Brun's Epiglottis Pincette, 4 50 
331 Burge's Throat Forceps, 4 50 
332 Fauvel's Laryngeal Polypus Forceps, ..... 4 00 
333 Mathieu's Throat Forceps, . 6 00 
334 Schaffer's Throat Scoop, . 8 00 
335 Tiemann & Co.'s Laryngeal Scoop, 6 00 
336 Bristle Probang, for removing foreign bodies, . 1 50 to 3 00 
337 Probang with Silver Bucket, in three parts, ... 3 00 
338 Gibb's Laryngeal Ecraseur, 3 00 
339 California Brush Holder, . . . . . . . 2 50 
340 Finger Sponge Holder, ........ 1 50 
341 Granger's Sponge Holder, 2 00 
342 Buck's Sponge Holder, steel, 1 50 
Buck's Sponge Holder, iron, 1 00 
Bond's Throat Forceps, 2 50 
343 Child's Brush and Caustic Holder, 2 50 
344 Brush Holder, flexible stem, with 12 brushes, ... 2 00 
Brush Holder, plain, . 75 Branch Store, 
07 CHATHAM STREET, NEW-YORK. 
107 East 28tii St.. N. Y. 
113 
Fig. 
Caustic Carrier, silver, . . . . . . . . Si 50 
345 Laryngeal Caustic Carrier, concealed, . . . . . 2 50 
346 Lente's Silver Probe, 1 25 
Camel's-hair Brushes,3c. to 10 
Probangs, plain, . . . . . . . . 20c. to 50 
347 Seeger's Brush Holder, 2 50 
348 Elsberg's Insufflator, or Powder Blower, . . . . 2 25 
349 Elsberg's Tube and Rubber Attachment, for Laryngeal Syringe, 1 50 
350 Laryngeal Powder Blower, hard-rubber, .... 2 00 
351 Clay's Powder Insufflator, . . . . . . . . 2 25 
Leffert's Powder Insufflator. ....... 2 25 
352 Turk's Laryngeal Syringe, . . . . . . . . 3 50 
353 Gibb's Spray, .......... 3 50 
354 Hunter's Throat Syringe, . . . . . . . . 3 50 
355 Tobold's Laryngeal Syringe, ....... 4 50 
356 Fiillgraff's Laryngo-Tracheal Douche, . . . . . 6 00 
357 Fiillgraff's Flat-Bill Laryngeal Spray, ..... 6 00 
358 Fiillgraff's Glass Powder-blowing Tubes, ..... 40 
359 Fiillgraff's Laryngeal and Posterior Nares Douche, . . 3 00 
INHALING APPARATUS 
360 Bergson's Steam Atomizer, . . . . . 4 50 
361 Tiemann & Co.'s Steam Atomizer, ...... 5 00 
362 Seeger's Steam Nebalizer, . . . . . . . . 12 00 
363 Richardson's Spray Producer, silver, one point, ... 6 00 
Richardson's Spray Producer, silver, two points, ... 6 50 
364 Sass's Spray Producer, . . . . . . . 4 00 to 6 00 
365 Newman's Atomizer, 3 tubes, . . . ... . . 7 00 
Maunder's Spray Producer, . . ... . . . 2 00 
Clark's Spray Producer, ........ 4 00 
366 Hunter's Inhaler, . . . . . . . . 1 50 to 2 00 
Gay's Inhaler. .......... 5 50 
Croup Kettle, .......... 6 00 
367 Jeffrey's Respii a tor, for mouth alone, . . . . . 2 50 
Jeffrey's Respirator, for mouth and nose, .... 3 00 
368 Dobell's Residual Air Pump, ....... 3 00 114 
GEO. TIEMANN & CO.'S SURGICAL INSTRUMENTS, 
F. A. Stohlmann. 
Edward Pfarre. 
TRACHEOTOMY' INSTRUMENTS, 
r 
369 Buck's Tracheotomy Guide, . $2 00 
370 Langenbeck's Tracheotomy Double Hook, . 3 00 
371 Tracheotomy Scalpel, probe-pointed, 1 50 
372 Tracheotomy Scalpel, sharp-pointed 1 50 
373 Tiemann & Co.'s Tracheotome and Dilater, . . . .3 50 
374 Pitha's Tracheotome and Dilator, 3 50 
375 Tracheotomy Blunt Hook. (Retractor,) 1 50 
376 Langenbeck's Tracheotome, 4 00 
377 Trousseau's Dilator, angular, 2 50 
378 Trousseau's Dilator, curved, ....... 2 50 
379 Chassaignac's Tracheal Dilator, . . . . . . . 3 00 
380 Tiemann & Co.'s Universal Forceps, ..... 2 50 
Delaborde's Tracheal Dilator, Fig. 235, ..... 5 00 
381 Silver Trachea Canula, single, plain, 4 00 
382 Silver Trachea Canula, double, movable plate, . . . 8 00 
383 Silver Trachea Canula, double, plain, ..... 6 00 
384 Canula Mop, .......... 75 
385 Hard-Rubber Trachea Canula, . . . . . . 4 00 
386 Gendron's Split Trachea Canula, silver, . . . . . 8 00 
387 Trousseau's Forceps, for removing foreign bodies from canula, 4 00 
388 Tiemann & Co.'s Foreign Body Forceps, for the Trachea, . 4 50 
389 Johnson's Double Canula and Obdurator, .... 10 00 
390 Brass Lever Stomach Pump, in case, . . . . .18 00 
391 Tiemann & Co.'s Stomach Pump, 12 00 
392 Tiemann & Co.'s Universal Syringe, in case, . . . .12 00 
393 Warner's Catarrhal Douche, ... . . . . 2 00 Branch of GEO. TIEMANW & CO. 
i STOHLMANN, PFARRE & CO.'S 
I 
IifiteiMeii Stoi»ef 
107 East 28th Street, near 4th Avenue, 
F. A. STOHLMANN. ' EDWARD PFARRE. GrEO. TIEMANN & OO.'S 
BUBfiXSAA ST0BE, 
(OZtZ Stand, Established 1-826,)■ 
67 Chatham Street,. Corner of .New Chambers Street, 
NEW-YORK CITY. 
F. A. STOHLMANN. EDWARD PFARRE.