AN IMPROVED NASAL ÉCRASEUR.

1083 These are names to be proud of, and are, and will remain, worked up the screw, the latter is drawn backwards, evidences of how much depends on the man, how little on pulling the single wire loop-drawer and its attached loop the mere examination test, and will serve to show that the further into the cannula, and thus the growth or hyperhighest scientific attainments and reputation in no way trophy is snared with expedition and with but little effort. depend on the Fellowship of the College by examination, to rhe snare as described possesses all the power of the which Mr. Erichsen attaches such an undue importance. straight instrument, with the additional advantage that the operator’s hand is out of his line of vision. The grooved wheel or pulley was applied by the writer for the first time in the history of nasal snares to a modification of Wilde’s original model in common use in Germany. This instrument (Krause’s) differs from the snare ordinarily employed in Germany and Austria in having the single wire loopAN IMPROVED NASAL ÉCRASEUR. drawer (Drahtstange) substituted for the long wire loop. SIMPLICITY of construction, lightness combined with In justice to Dr. Sajous of Philadelphia it must be stated strength, and durability, are the essentials of a good nasal that he introduced the same principle of attaching a short polypus snare. The rapidity with which the steel wire length of wire loop to a single rod or stile in his straight loop may be adjusted to the instrument should also be con- snare ecraseur several years ago. The advantage of this sidered in the selection of a snare. The accompanying method of attachment is that the rotation of a short loop woodcut is intended to represent an appliance for which all on its axis is much less likely to occur than in a loop of the above advantages are claimed. This snare-écraseur greater length. The original of the instrument illustrated may be described as consisting of four parts. The main was made to order by H. Pfau, Dorotheenstrasse 67, Berlin. body or shank has inserted at its angle a grooved wheel or Messrs. Maw, Son, and Thompson, of Aldersgate-street, are pulley. A screw runs parallel with the shank, with a prepared to supply the écraseur as described. winged milled nut at its lower end; a cannula and a single GEORGE W. MAJOR, M.D. Montreal. steel wire loop drawer. The body of the instrument is constructed of steel of a superior quality, and is provided TENNIS ELBOW-CAP. with the grooved wheel before referred to at its upper MESSRS. POPE and PLANTE, of Waterloo-place, have extremity, a finger-piece at or about its middle, brought out a cap for the elbow in cases where the muscular and a proj ecting shoulder parts about the joint have been overworked at tennis. It at its lower end. Over is composed of cotton or silk elastic, which completely surthis revolving wheel the rounds the arm, extending for some distance above and steel wire loop drawer below the joint, the part below being strengthened by a passes, thereby reducing band one inch and a half below the joint. They recommend to a minimum the fric- its use when the arm is recovering from a strain, and there tion and loss of power is no prolonged return of tenderness or of pain on lifting a that would otherwise be weight of about four pounds. It is only to be used during considerable. The finger- gentle play. Our experience of its use is that whilst it affords piece is one with the relief and support to the part, it also produces discomfort of shank, and is intended the arm below from obstruction to the superficial veins, confor securely holding the gestion rapidly following the frequent movements of the écraseur when operating. This piece of forearm, accompanied by a feeling of fulness and heat if the solid metal is perforated so as to allow cap is too tight. Accurate measurement is required. It is of the free and unimpeded passage of the called the Cavendish Elbow-cap. Rotation of the latter on its axis screw. is prevented by a small steel point passing vertically downwards through THE METROPOLITAN INFIRMARIES. this finger-piece, and entering a slot AT a meeting of the medical superintendents of the running the entire length of the screw. The projecting shoulder at the lower end metropolitan infirmaries, held at the Lambeth Infirmary on of the shank is also perforated for the Nov. 25th, Dr. Lloyd in the chair, the following resolutions free sliding of the screw in its upward or were agreed to :downward course. Traction is obtained 1. Moved by Dr. Saville, and seconded by Dr. Webster,by the winged nut, external to the " That, in view of the differentiation into departments which of medicine has undergone of recent years, the shoulder, acting on the screw already the science of the boards of guardians be obtained as to the opinion described. The cannula is made of German desirability of appointing specialists of eminence as honosilver, and may be of varying lengths and rary consultants to Poor-law infirmaries, who shall be curves, circular or flattened at its nasal available for consultation with the medical superintendents; orifice, and fixed to the body or shank of such consultants not to have any power in the administrathe instrument by a set screw under- tion of these institutions, as set forth in the regulations now neath. The single wire loop-drawer will in existence at the various metropolitan infirmaries. And that a copy of this resolution be forwarded to the medical vary in length with that of the cannula, superintendent of each metropolitan infirmary." is flattened at its free extremity, and 2. Moved by Dr. Webster, and seconded by Dr. Lund,perforated by one or more openings, "That it is desirable that an increased medical staff be through which the ends of a small piece provided in the metropolitan infirmaries, in the form of a of wire doubled into a loop are fixed. resident qualified clinical assistant (with board and lodging), The other end enters the nearest point of in addition to the medical superintendent; but that such should not supplant the present assistant the screw, and is secured by a set screw clinical assistant medical officer." on its side. A pear-shaped extremity is brazed to the It was further agreed that these resolutions stand screw end of the wire to lessen the liability to slip when adjourned for further consideration at a meeting to be held on Saturday, Dec. 4th. undergoing a severe strain. When the winged nut

New Inventions.

is