US1828986A - Dilating irrigator - Google Patents

Dilating irrigator Download PDF

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Publication number
US1828986A
US1828986A US395383A US39538329A US1828986A US 1828986 A US1828986 A US 1828986A US 395383 A US395383 A US 395383A US 39538329 A US39538329 A US 39538329A US 1828986 A US1828986 A US 1828986A
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tube
passage
dilating
head
instrument
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US395383A
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Golder E Stevens
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0279Cannula; Nozzles; Tips; their connection means
    • A61M3/0291Cannula; Nozzles; Tips; their connection means with dilating fingers

Definitions

  • This invention relates to a surgical instrument which is mainly designed for the treatment of gonorrhoea, but which,eof course, can be used for other purposes, the general 5 object of the invention being to provide means for dilating the walls of the passage to be treated so that the fluid or the like introduced through the instrument will come in full contact with all portions of the diseased parts.
  • Another object of the invention is to pro vide a head on the inner end of the instrument which is so shaped as to facilitatethe v entrance of'a part of the instrument in the rt to be treated, said head also acting as a stop for preventing the fluid from passing beyond the diseased parts, which would act to carry germs to the parts not diseased.
  • a further object of the invention is to provide means whereby the fluidcan be caused to circulate through the instrument to irrigate the diseased parts or can be held in contact with the diseased parts for any dey sired length of time.
  • Another object of the invention is to provide means whereby the expansible part of the instrument can be expanded or contracted from that end of the instrument which is I exterior of that part of the bodybeing I treated.
  • the numeral 1 indicates the outer tube which is formed with adowne wardly curved front end '2 containing a'valve 3
  • the numeral 4 indicates a perforated collar arranged in theinner end of the tube I 1.
  • Theinn'er tube is shown at 5] and has a threaded outer part which passes through a v bushing '6 on the outer end of the tube l and said tube 5 passes through the tube 1 and through the collar and projects a considerable distance beyond the inner end of the tube 1.
  • a substantially conical shaped head 7 is connected with the inner end of the tube 05 5 and is of hollow construction so that liquid or the like passing through the tube 5 will flow into the head and then pass therefrom through the perforations 8 which di root the liquid toward the inner end of the tube 1.
  • Springstrips 9 havetheirends connected with the inner end of the tube 1 and the head and these strips are so formed that when'the tube 5 is moved outwardly to draw the head toward 'the'tube 1, the strips will 7 assume a bowed shape, as shown in Figure 2, so that they will expand or dilate the walls of a passage in which this partof the device is located.
  • the outer end of the tube 5 is of substantially funnel shape, as shown at 10, sothat the tapered nozzle 11 of a bulb'or syringe 12 can be inserted therein to force liquid through the tube'5.
  • the instrument can be inserted in a passage in the human'body to a'point where the expansible part thereof formed by the strips 9 will come opposite the parts to be treated; Then by turning, thenut 13, the strips will be expanded so as to dilate-the walls of that por- 1 tion of the passage to be treated. Then the relative to the free end of the syringe poiliquid is forced through the tube 5 so that it tion and to expand the walls of the passage will enter the head and flow backwards adjacent the head by flexing the strips.
  • the instrument is mainly designed for treating'gonorrhoea, especially in males, but, of course, it can be used for other purposes.
  • V A dilating irrigator comprising a L-shaped tube, one branch thereof'forming a combined handle and discharge portion and the other branch providing a comparatively long syringe portion; to be inserted. in a passage of a person, a control valve in combined handle and discharge portion,'a perforated disklocated in the free end of the. syringe portion and having a centrally arranged bearing opening, abushing formed onthe tube at the bendthereofand having the bore of said bushing in alinement; with the bearingopening, a.
  • second tube slidable in the bushing and bearing opening and having one end flared to receive a syringe, a hollow conical-shaped head formed on'the other end of the second tube and having-discharge openings directed toward the perforated disk, flexible strips connected to the head and to the free end of the syringe portion to be flexed by the movement of thehead relative to the free end of the syringe portion, and a nut. threaded to the; second tube and bearing against; the bushing-for varyingthehead;

Description

Oct. 27, 1931. I 5 STEVENS 1,828,986
. DILATING IRRiGATOH Filed Sept. 26. 1929 Q0 zderife feflerza INVENTOR Patented a. 27, 1931 UNITED STATES eoLnnn n; srnvmrs, or summons; oxmnoiim mm'rmo mum s.
Application filed September 26 ,192); Serial No. i
This invention relates to a surgical instrument which is mainly designed for the treatment of gonorrhoea, but which,eof course, can be used for other purposes, the general 5 object of the invention being to provide means for dilating the walls of the passage to be treated so that the fluid or the like introduced through the instrument will come in full contact with all portions of the diseased parts.
Another object of the invention is to pro vide a head on the inner end of the instrument which is so shaped as to facilitatethe v entrance of'a part of the instrument in the rt to be treated, said head also acting as a stop for preventing the fluid from passing beyond the diseased parts, which would act to carry germs to the parts not diseased. A further object of the inventionis to provide means whereby the fluidcan be caused to circulate through the instrument to irrigate the diseased parts or can be held in contact with the diseased parts for any dey sired length of time.- Another object of the invention is to provide means whereby the expansible part of the instrument can be expanded or contracted from that end of the instrument which is I exterior of that part of the bodybeing I treated.
This invention also consists in certain other features of construction and in the combination and arrangement of the several i ,parts, to be hereinafter fully described, illus- *trated in the accompanying drawings and specifically pointed out in the appended,
. part of the tube 5 and byturning this nut to Figure 4 is a section on line of Fig-- ure 3. I g p y In these views, the numeral 1 indicates the outer tube which is formed with adowne wardly curved front end '2 containing a'valve 3, and the numeral 4 indicates a perforated collar arranged in theinner end of the tube I 1. Theinn'er tube is shown at 5] and has a threaded outer part which passes through a v bushing '6 on the outer end of the tube l and said tube 5 passes through the tube 1 and through the collar and projects a considerable distance beyond the inner end of the tube 1. A substantially conical shaped head 7 .is connected with the inner end of the tube 05 5 and is of hollow construction so that liquid or the like passing through the tube 5 will flow into the head and then pass therefrom through the perforations 8 which di root the liquid toward the inner end of the tube 1. Springstrips 9 havetheirends connected with the inner end of the tube 1 and the head and these strips are so formed that when'the tube 5 is moved outwardly to draw the head toward 'the'tube 1, the strips will 7 assume a bowed shape, as shown in Figure 2, so that they will expand or dilate the walls of a passage in which this partof the device is located. A nut 13 is placed onthe threaded cause it to press againstjthe end of the bushing, the tube 5 will be moved outwardly and thus the spring strips will be expanded. When the nut is turned in the opposite direction, the spring strips and the pressure thereon of the dilated walls of the passage will move the inner tube to normal position, with the spring strips contracted. 7
The outer end of the tube 5 is of substantially funnel shape, as shown at 10, sothat the tapered nozzle 11 of a bulb'or syringe 12 can be inserted therein to force liquid through the tube'5. v
From the foregoing it will be seen that the instrument can be inserted in a passage in the human'body to a'point where the expansible part thereof formed by the strips 9 will come opposite the parts to be treated; Then by turning, thenut 13, the strips will be expanded so as to dilate-the walls of that por- 1 tion of the passage to be treated. Then the relative to the free end of the syringe poiliquid is forced through the tube 5 so that it tion and to expand the walls of the passage will enter the head and flow backwards adjacent the head by flexing the strips.
through the passage 8 into the dilated part of the passage to be treated, after which the liquid will flow through the perforations in the collar 4 and through the tube 1, past the valve 3 to the point of discharge. Thus the liquid comes in full contact with all parts of the diseased walls and by opening the valve 3, the parts can be irrigated as long as desired. By closing the valve, the liquid can be held in contact with the diseased walls as long as desired. After the treatment is fin-.
uid flows back into the tube 1, after leaving the diseased parts, the forward part of the passage is also protected from the'liquid carrying the germs.
As before stated, the instrument is mainly designed for treating'gonorrhoea, especially in males, but, of course, it can be used for other purposes.
It is thought from theforegoing description that the advantages and novel features of the invention will be readily apparent.
It isto be understood that changes may be made in; the construction and in the combination and arrangement of the several parts, provided that such changes fall within the scope of the appended claim.
What I claim is a V A dilating irrigator comprising a L-shaped tube, one branch thereof'forming a combined handle and discharge portion and the other branch providinga comparatively long syringe portion; to be inserted. in a passage of a person, a control valve in combined handle and discharge portion,'a perforated disklocated in the free end of the. syringe portion and having a centrally arranged bearing opening, abushing formed onthe tube at the bendthereofand having the bore of said bushing in alinement; with the bearingopening, a. second tube slidable in the bushing and bearing opening and having one end flared to receive a syringe, a hollow conical-shaped head formed on'the other end of the second tube and having-discharge openings directed toward the perforated disk, flexible strips connected to the head and to the free end of the syringe portion to be flexed by the movement of thehead relative to the free end of the syringe portion, and a nut. threaded to the; second tube and bearing against; the bushing-for varyingthehead;
In testimony whereof I aflix my signature.
GOLDER E. STEVENS.
US395383A 1929-09-26 1929-09-26 Dilating irrigator Expired - Lifetime US1828986A (en)

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Cited By (60)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2421294A (en) * 1945-03-09 1947-05-27 John C Shotton Vaginal irrigator
US3789847A (en) * 1971-08-19 1974-02-05 A Lehmann Tool for lower colon surgery
US4861333A (en) * 1987-10-13 1989-08-29 Meador Lawrence D Animal aspirating and irrigating apparatus
EP0368473A2 (en) * 1988-10-12 1990-05-16 Bard Limited Catheter with a retention structure
US5203773A (en) * 1991-10-18 1993-04-20 United States Surgical Corporation Tissue gripping apparatus for use with a cannula or trocar assembly
US5387196A (en) * 1992-05-19 1995-02-07 United States Surgical Corporation Cannula assembly having conductive cannula
WO1997032529A1 (en) * 1996-03-04 1997-09-12 Ralph James Klingenstein Apparatus and method for removing fecal impaction
US5817062A (en) * 1996-03-12 1998-10-06 Heartport, Inc. Trocar
WO1999032039A1 (en) * 1997-12-19 1999-07-01 Neurovasx, Inc. Thrombus macerator catheter
US6500158B1 (en) 1997-03-26 2002-12-31 The Trustees Of Columbia University In The City Of New York Method of inducing negative pressure in the urinary collecting system and apparatus therefor
US6793666B2 (en) * 2001-12-18 2004-09-21 Scimed Life Systems, Inc. Distal protection mechanically attached filter cartridge
US20090125046A1 (en) * 2002-09-30 2009-05-14 Becker Bruce B Method for treating obstructed paranasal frontal sinuses
US20090227900A1 (en) * 2008-03-10 2009-09-10 Isaac Kim Corewire design and construction for medical devices
US20100198247A1 (en) * 2004-04-21 2010-08-05 Acclarent, Inc. Devices, Systems and Methods for Treating Disorders of the Ear, Nose and Throat
US8080000B2 (en) 2004-04-21 2011-12-20 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US8105335B1 (en) * 2008-08-11 2012-01-31 Burton Bentley Fecal impaction removal tool
US8114113B2 (en) 2005-09-23 2012-02-14 Acclarent, Inc. Multi-conduit balloon catheter
US8114062B2 (en) 2004-04-21 2012-02-14 Acclarent, Inc. Devices and methods for delivering therapeutic substances for the treatment of sinusitis and other disorders
US8118757B2 (en) 2007-04-30 2012-02-21 Acclarent, Inc. Methods and devices for ostium measurement
US8142422B2 (en) 2004-04-21 2012-03-27 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, nose and/or throat
US8146400B2 (en) 2004-04-21 2012-04-03 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US8172828B2 (en) 2004-04-21 2012-05-08 Acclarent, Inc. Apparatus and methods for dilating and modifying ostia of paranasal sinuses and other intranasal or paranasal structures
US8190389B2 (en) 2006-05-17 2012-05-29 Acclarent, Inc. Adapter for attaching electromagnetic image guidance components to a medical device
US8388642B2 (en) 2005-01-18 2013-03-05 Acclarent, Inc. Implantable devices and methods for treating sinusitis and other disorders
US8414473B2 (en) 2004-04-21 2013-04-09 Acclarent, Inc. Methods and apparatus for treating disorders of the ear nose and throat
US8435290B2 (en) 2009-03-31 2013-05-07 Acclarent, Inc. System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx
US8439687B1 (en) 2006-12-29 2013-05-14 Acclarent, Inc. Apparatus and method for simulated insertion and positioning of guidewares and other interventional devices
US8485199B2 (en) 2007-05-08 2013-07-16 Acclarent, Inc. Methods and devices for protecting nasal turbinate during surgery
US8702626B1 (en) 2004-04-21 2014-04-22 Acclarent, Inc. Guidewires for performing image guided procedures
US8715169B2 (en) 2004-04-21 2014-05-06 Acclarent, Inc. Devices, systems and methods useable for treating sinusitis
US8740929B2 (en) 2001-02-06 2014-06-03 Acclarent, Inc. Spacing device for releasing active substances in the paranasal sinus
US8747389B2 (en) 2004-04-21 2014-06-10 Acclarent, Inc. Systems for treating disorders of the ear, nose and throat
US20140180259A1 (en) * 2011-11-16 2014-06-26 MSG MFG. Group Inc. Injection Molded Adjustable Shape Abscess Irrigation Device
US8764729B2 (en) 2004-04-21 2014-07-01 Acclarent, Inc. Frontal sinus spacer
US8864787B2 (en) 2004-04-21 2014-10-21 Acclarent, Inc. Ethmoidotomy system and implantable spacer devices having therapeutic substance delivery capability for treatment of paranasal sinusitis
US8894614B2 (en) 2004-04-21 2014-11-25 Acclarent, Inc. Devices, systems and methods useable for treating frontal sinusitis
US8932276B1 (en) 2004-04-21 2015-01-13 Acclarent, Inc. Shapeable guide catheters and related methods
US8951225B2 (en) 2005-06-10 2015-02-10 Acclarent, Inc. Catheters with non-removable guide members useable for treatment of sinusitis
US8979888B2 (en) 2008-07-30 2015-03-17 Acclarent, Inc. Paranasal ostium finder devices and methods
US9039657B2 (en) 2004-08-04 2015-05-26 Acclarent, Inc. Implantable devices and methods for delivering drugs and other substances to treat sinusitis and other disorders
US9072626B2 (en) 2009-03-31 2015-07-07 Acclarent, Inc. System and method for treatment of non-ventilating middle ear by providing a gas pathway through the nasopharynx
US9089258B2 (en) 2004-04-21 2015-07-28 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US9101384B2 (en) 2004-04-21 2015-08-11 Acclarent, Inc. Devices, systems and methods for diagnosing and treating sinusitis and other disorders of the ears, Nose and/or throat
US9107574B2 (en) 2004-04-21 2015-08-18 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
US9155492B2 (en) 2010-09-24 2015-10-13 Acclarent, Inc. Sinus illumination lightwire device
US9265407B2 (en) 2004-04-21 2016-02-23 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
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Cited By (145)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2421294A (en) * 1945-03-09 1947-05-27 John C Shotton Vaginal irrigator
US3789847A (en) * 1971-08-19 1974-02-05 A Lehmann Tool for lower colon surgery
US4861333A (en) * 1987-10-13 1989-08-29 Meador Lawrence D Animal aspirating and irrigating apparatus
EP0368473A2 (en) * 1988-10-12 1990-05-16 Bard Limited Catheter with a retention structure
EP0368473A3 (en) * 1988-10-12 1990-10-17 Bard Limited Catheter with a retention structure
US4995868A (en) * 1988-10-12 1991-02-26 Bard Limited Catheter
US5203773A (en) * 1991-10-18 1993-04-20 United States Surgical Corporation Tissue gripping apparatus for use with a cannula or trocar assembly
US5387196A (en) * 1992-05-19 1995-02-07 United States Surgical Corporation Cannula assembly having conductive cannula
US5618309A (en) * 1992-05-19 1997-04-08 Green; David T. Cannula assembly having conductive cannula
WO1997032529A1 (en) * 1996-03-04 1997-09-12 Ralph James Klingenstein Apparatus and method for removing fecal impaction
US5730726A (en) * 1996-03-04 1998-03-24 Klingenstein; Ralph James Apparatus and method for removing fecal impaction
US5817062A (en) * 1996-03-12 1998-10-06 Heartport, Inc. Trocar
US6500158B1 (en) 1997-03-26 2002-12-31 The Trustees Of Columbia University In The City Of New York Method of inducing negative pressure in the urinary collecting system and apparatus therefor
US6699216B2 (en) 1997-03-26 2004-03-02 The Trustees Of Columbia University In The City Of New York Method of inducing negative pressure in the urinary collecting system and apparatus therefor
WO1999032039A1 (en) * 1997-12-19 1999-07-01 Neurovasx, Inc. Thrombus macerator catheter
US5954737A (en) * 1997-12-19 1999-09-21 Neurovasx, Inc. Thrombus macerator catheter
US8740929B2 (en) 2001-02-06 2014-06-03 Acclarent, Inc. Spacing device for releasing active substances in the paranasal sinus
US6793666B2 (en) * 2001-12-18 2004-09-21 Scimed Life Systems, Inc. Distal protection mechanically attached filter cartridge
US20050033266A1 (en) * 2001-12-18 2005-02-10 Hansen James G. Distal protection mechanically attached filter cartridge
US7001407B2 (en) 2001-12-18 2006-02-21 Scimed Life Systems Inc. Distal protection mechanically attached filter cartridge
US20090125046A1 (en) * 2002-09-30 2009-05-14 Becker Bruce B Method for treating obstructed paranasal frontal sinuses
US9457175B2 (en) 2002-09-30 2016-10-04 Acclarent, Inc. Balloon catheters and methods for treating paranasal sinuses
US8100933B2 (en) 2002-09-30 2012-01-24 Acclarent, Inc. Method for treating obstructed paranasal frontal sinuses
US8764786B2 (en) 2002-09-30 2014-07-01 Acclarent, Inc. Balloon catheters and methods for treating paranasal sinuses
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US8146400B2 (en) 2004-04-21 2012-04-03 Acclarent, Inc. Endoscopic methods and devices for transnasal procedures
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US8088101B2 (en) 2004-04-21 2012-01-03 Acclarent, Inc. Devices, systems and methods for treating disorders of the ear, nose and throat
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US10806477B2 (en) 2004-04-21 2020-10-20 Acclarent, Inc. Systems and methods for transnasal dilation of passageways in the ear, nose or throat
US8764729B2 (en) 2004-04-21 2014-07-01 Acclarent, Inc. Frontal sinus spacer
US8764709B2 (en) 2004-04-21 2014-07-01 Acclarent, Inc. Devices, systems and methods for treating disorders of the ear, nose and throat
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US8864787B2 (en) 2004-04-21 2014-10-21 Acclarent, Inc. Ethmoidotomy system and implantable spacer devices having therapeutic substance delivery capability for treatment of paranasal sinusitis
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