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Патент USA US2115298

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April 26, 1938.
‘
R. F. BROWN
2,115,298
SUCTION TONSILLECTOME
Filed April 16, 1957
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RODERICK F. ERDWN
Patented Apr. 26, 1938
2,115,298
UNITED I STATES
PATE
NT OFFICE
2,115,298 '
SUCTION TONSILLECTOME
. Roderick F. Brown, Altus, Okla. .
Application April 16,
6 Claims.
My invention relates to certain new and useful
improvements in suction tonsillectomes and it has
for its primary object to provide an instrument
of such compact construction and perfect cor
5 relation of parts that an operator may remove a
patient’s tonsils with the greatest possible skill
and safety, having at the same time in his control
all equipment necessary for the operation.
Further the invention has for an object to pro
vide an instrument which enables the operator,
with a single instrument and the use of one hand
only, to draw the tonsil from its capsule or rest
ing place in the throat to‘ such position that it
may be severed, the tonsil remaining at all times
15 in plain sight of the operator and, ‘due to the
special construction of the instrument enable a
practically bloodless operation (no bleeding of
the tonsil or any part of the throat occurs until
the tonsil is actually severed).
Other objects will in part be obvious and in
20
part generally pointed out hereinafter.
1937, Serial No. 137,347 ‘
(Cl. 128-309)
The end of the air duct 2, opposite the bowl 3
is provided with a seat 2? to receive the nipple
‘I of an air suction hoseG which hose attaches to
a pump or other suitable means to provide a
suction (not shown). The part of the nipple ‘I I‘
which'inserts into duct 2 is tapered so as to make
a friction-tight connection.
It should be borne
in mind that this method of attaching the instru
ment to the vacuumjpump is perhaps the most 7
simple and convenient,'yet' any other form of '1
nipple and ?exible‘ conduit: may be employed in
the successful operation [of the instrument.
Atv such a position along the'course of the‘ air
duct 2, as is mostlconlvenient to the operator, _
is placed the valve 8. This valve is intended to be " 15
operated with the index ?nger, although other
positions may be found’ more convenient for dif
ferent operators. Therefore the exact location of
valve 8 is not considered to be a feature of this
invention. The valve 8 is what is commonly 20
called arplug valve; it may be either tapered or
To the attainment of the aforesaid objects and
ends, the invention still further resides in those
novel details of construction, combination and.
arrangement of parts, all of which will be ?rst
straight-bodied.’v The plug passes through the
ing in which,
valve is turned to one position or another.
body I laterally and intersects the passage or duct
2. It has a bore I0 of approximately the same
diameter as the duct 2,‘ and it is provided with
fully described in the following detailed descrip a handle 9 by means of which the valve may be
tion, then be pointed out in the appended claims, turned to align thebore ID with duct 2 or close
reference being had-to the accompanying draw voif the passage more or less, accordingly as the
Fig. 1 is a vertical longitudinal section of the
instrument.
'
,
Fig. 2 is an assembly of the cutting members
of the instrument the view being an inverted plan
view of the parts mentioned. a
Fig. 3 is a bottom or inverted plan view of the
tonsil bowl or cup.
Fig. 4 is a detail plan view of a portion of the
instrument showing the valve.
In the drawing in which like numerals of ref
40 erence indicate like parts in all the ?gures, I
denotes the elongated body of the instrument.
This entire piece may be constructed of glass or
other transparent material, such as “bake-lite”
for example or it may be made of metal, using a
4 transparent element for the tip or tonsil bowl
(see my Patent No. 2,036,998 issued April 4, 1936).
The body I has a longitudinal air duct 2. One
end of the duct 2 is enlarged to such dimensions
and proportions as to form a bowl or cup 3, into
which the tonsil is received. The cup is more
fully shown in Fig. 3 in which the general con
tour is outlined by reference numbers 3.
A sheath 4 is formed on the body I connecting
the cup 3 with a projection IX from the body.
55 The sheath is tubular to receive the snare post 5.
.
The sheath 4 is an integral part of the body I
and is bored to receive the snare post 5, the snare
post passing through a stul?ng box of which II
is a packing of suitable material which is pressed
into position by gland I2. By this means loss of
vacuum is prevented. The snare post 5 is secured 35
to the ?nger-bar I3 in any approved way as, for
example, by the “latch” arrangement shown in
Figs. 1 and 2 at I4.
The ?nger-bar I3 is secured to the body I by a
bolt I 5 which passes between the- two loops I8
provided for the ?ngers.
The under face I9'of the body I is ?at and the
?nger-bar I3 slides against such ?at surface I9,
which prevents twisting the bar to'undesirable
positions. The bolt I 5‘is threaded at I 5X into
the body I and passes through an apertured. lug
IY.
'
The bolt I5 has a milled head I 6 by which it
may be turned to screw it into the body at I5)‘.
Beyond the head I 6 there is swivelly mounted 50
on ‘a projection of the bolt, a thumb loop I‘! (see
Fig.1) .
.
The construction of the ?nger-bar I S and the
snare 20 is most clearly'shown in Fig. 2 by ref
erence to which it will be observed that the bar
2,116,298
l3 has two loops or eyes I8 into which the index
and second ?ngers pass. The snare post 5 is
connected to bar I3, at M, as before described.
The end of the post 5 is ?attened on opposite
sides and holes 2| are drilled through the ?at
tened portions to receive the ends of the snare
wire 20. Snare wire 20 is a ?ne gauge metal wire
having enough spring quality that it will retain
'10
a circular form when placed in the instrument.
A groove 22 (see Figs. 1 and 3). is provided in
the bowl 3 to receive the snare 20. Thus, due to
the spring quality of the wire 20, it is held in
air duct in connection with said bowl and hav
ing provision for the connection of said duct to
a suction line, a valve carried by said body to
control passage through said duct, said body
having a ?at underface, a ?nger-bar having
?nger loops and located in contact with said flat
underface, means carried by said body beneath
said ?at underface for slidably sustaining said
?nger-bar, a sheath carried by said body and
extending rearwardly from said bowl parallelly,
beneath said body and having a bore one’ end
of which communicates with said bowl, a stuff
groove 22 and allows the tonsil to pass into bowl 3. . ing box at the other end of said bore and a snare
post held in said sheath and passing through
said
stu?‘lng box and being connected to said 15
15
In operation the instrument is ?rst made ready I ?nger-bar, said snare post adjacent said bowl
for use in the following manner: Assuming the carrying a snare.
3. In a suction tonsillectome, a body having a
instrument to be assembled except for the snare
tonsil receiving bowl at one end and having an.
wire 20 and the hose and nipple 6 and 1 respec
airduct in connection with said bowl and hav 20
20 tively. The ?nger-bar l3'is exposing holes 2|. ing
provision for the connection of said. duct to
A piece of snare wire 20 of the proper length and
Operation
having the ends properly crimped to facilitate ' a suction line’, a valve carried by said body to con
threading is attached to post 5 in the manner
shown in Fig. 2. Finger-bar’ I3 is now pulled
25 back and adjusted to such a position that snare
20 is in its proper position in the groove 22; pack
ing gland l2v is now tightened enough to insure
against leakage. Hose nipple ‘l is inserted in air
duct 2 and givena slight twist sothatit tightens
in a position where the hose 6 willv hang in a
natural and convenient position for the operator.
The instrument is now held in the operating po
sition, which is with the thumb extending ver
tically thru thumb loop l1 and with the index
and second ?ngers in loops Ill. The hose 6 should
now be hanging so as to pass through the palm
of the hand. . With the valve in the closed posi
tion and the suction pump in operation, the in
strument is passed into the patient’s throat which
.40 has been properly prepared for the operation.
With the ?ngers of his free hand on the outside
of the patient’s throat the operatorpresses in
the vicinity of the tonsil, thus assisting in rais
ing the tonsil so that the cup 3 of the ‘instru
. merit may be placed directly on the tonsil.
When
the instrument is properly placed over the tonsil
the valve is opened and the tonsil allowed to be
drawn into the'cup by the action of the pump.
The operator can see the tonsil through the
walls of the cup and can tell when the proper
position is obtained to sever the tonsil, which
is done by merely clinching the hand.
From the foregoing description taken in con
nection with the accompanying drawing it is
thought the construction, operation and ad
vantages of the invention will be clear to- those
skilled in the art.
What I claim is:
1. _In a tonsillectome an elongated body hav
.65 ing at one end a tonsil bowl to receive a tonsil,
said body having an air duct extending from end
to end and communicating at one end with said
bowl and having means for the attachment of
a suction duct at the other end of said airduct,
a removable bolt carried by said body, a ?nger
bar slidably mounted on said bolt, a snare post,
a sheath carried by said body for said post, means
by which said post is connected at one end to
said ?nger-bar, a snare carried by said post at
the other end said snare projecting into said
bowl when not in action, and a valve carried
by said body .to control passage through said air
duct.
2. In a suction tonsillectome, a body having. a
tonsil receiving bowl at one end and having an
trol passage through said duct, said body having ‘ '
a ?at underface, a ?nger-bar having ?nger loops
and located in contact with said ?atunderface,
means carried by said body beneath said flat
underface for slidably sustaining said ?nger-bar, _
a sheath carried by said body and extending
rearwardly from said bowl parallelly beneath
said body and having, a bore one end of which
communicates with said bowl, a stuffing box at
the othervend of said bore and a snare post
held in said sheath and passing throughsaid
stuffing box and being connected to said ?nger
bar, said, snare post adjacent said bowl carry. .35
ing a snare, the ?nger-bar carrying means afore
said comprising a bolt, said body having lugs
through one of which said bolt passes and is
screwed into the other one of which, said ?nger- ”
V >
bar having a bore through which said rod passes. 40 f
4. In a suction tonsillectome, a body having a ~
7
tonsil receiving bowl at one. end and ,havingan .
air duct in connection with said bowl and having
provision for the connection of said duct to a
suction line, a valve carried by said body to con 45
trol passage through said duct, said body having ‘ '
a flat underface, a ?nger-bar having ?nger ‘loops
and located in contactwithsaid ?at underface,
means carried by said body beneath said flat
underface for slidably sustaining said ?nger-bar,
50 t
a sheath carried by said body and extending rear.
Wardly from said bowl parallelly beneath, said
body and having a bore one end of which com
municates with said bowl, a stuf?ng box at the
other end of said bore and a snare post held in as
said sheath and passing through said stuf?ng box
and being connected to said ?nger-bar, said snare
post adjacent saidbowl carrying a snare,‘ the
?nger-bar carrying means aforesaid comprising
a bolt, said body having lugs through one of which 60
said bolt passes and is screwed into the other one
of which, said ?nger-bar having a bore through
Which said rod passes, and a thumb» loop carried
on the free end of said bolt.
_
‘
5. In a suction tonsillectome an elongated body
having a tonsil receiving bowl at one end and an
air duct connecting with said bowl and extending
therefrom toward the other end with provisions
for connecting to a suction line, said body having
two apertured lugs on the under side between 70
which lugs the underface of the body is flat, a
valve carried by said body to control passage
through said air duct, one of said lugs‘having a
threaded cavity and a bolt passing through one
lug and‘ threaded into said cavity, a ?nger-bar
3
v 2,115,298
slidably mounted on said bolt and engaging the
?at underface of said body, a snare post extend
ing through the aperture of said threaded lug, a
sheath between said bowl and said last named lug
Ul
through which sheath said snare post passes, a
snare connected to the bowl end of said post and
normally lying in said bowl, means connecting
said post to said ?nger-bar and means to prevent
air passing through said sheath.
6. In a suction tonsillectome an elongated body
valve carried by said body to control passage
through said air duct, one of said lugs having a
threaded cavity and a bolt passing through one
lug and threaded into said cavity, a ?nger-bar
slidably mounted on said bolt and engaging the
?at underface of said body, a snare post extend
ing through the aperture of said threaded lug, a
sheath between said bowl and said last named
lug through which sheath said snare post passes,
a snare connected to the bowl end of said post and 10
7 having a, tonsil receiving bowl at one end, an air
normally lying in said bowl, means connecting
duct connecting with said bowl and extending
therefrom toward the other end with provisions
for connecting to a suction line, said body having
two apertured lugs on the under side between
which lugs the underface of the body is ?at, a
said post to said ?nger-bar and means to prevent
air passing through said sheath, said bolt having
an extension at its free end and a thumb loop
rotatably mounted on said extension.
R. F. BROWN.
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