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A NEW UTERINE FLUSHING CURETTE.
1314 Bones of the Hand, done by Pfitzner.
a
skiagraphic
to the 10 ft. cylinders (or smaller), and it enables supply to be taken wherever a man can pass in the pit.
confirmation of the work
I suited this
Blac7z7vood’s JJfa,qazine. No. 973. November, 1896.-The article in this old-established periodical which has most interest for us is that by Sir T. Grainger Stewart on "Our Duty in Regard to Vaccination." Based upon the final report of the Royal Commission, to whose labours full justice is given, it constitutes one of the most temperate and logical pleas in support of universal vaccination which have been advanced. Sir T. Grainger Stewart deals tenderly with the
dissentient statement of the two Commissioners, but cannot avoid expressing surprise at the conclusion at which they arrived from the overwhelming evidence adduced before the Commission upon the efficacy of vaccination. He thinks, however, that the recommendations of the majority are lacking in decisiveness, or, rather, in pushing their opinions to their logical conclusion. The case for vaccination and re-vaccination having been fully established, he would, whilst improving the methods and The makers are Messrs. Reynolds and Branson, 13, Briggate, procedure, counsel legislation in favour of compulsory vac-" cination and re-vaccination, attaching "important penalties" to non-compliance with the law. Indeed, he considers that, A NEW UTERINE FLUSHING CURETTE. Utopian as it may seem, it would be well to " insist upon THE employment of a flushing curette has certain primary vaccination in infancy, a second vaccination at the advantages over the plan of first using a simple curette age of ten or twelve, a third at about twenty, and possibly and then washing out the uterine cavity by a another at thirty." He leaves to others the crucial point of ctouble-cnanneled tube. It removes all tissue determining how such recommendations could be enforced, as it is detached, washes out the blood and judging from recent experiences in actual small-pox outbefore it has time to clot, and by its use breaks we must reluctantly believe that it would be imposone instrument does the work of two. But sible to enforce any such penal laws in this country. At the flushing curettes in common use suffer the same time we cannot too heartily endorse his recomfrom several grave defects. The faults in the mendation that "every eft-ort should be made to satisfy of instruments are as follows:ordinary type the country of the untrustworthiness of the asser1. The stem is much too narrow; in consequence tions of the anti-vaccination propaganda, and so to the stream which flows through is small and the inform public opinion on the matter as to discourage those least portion of debris is sufficient to block the who seek to win popularity in ill-informed quarters by channel altogether ; further, the instrument is unscrupulous pandering to ignorance and prejudice." The very easily bent or snapped at the junction of fact is that, conscious of the value of Jenner’s memorable the stem with the handle. 2. The curetting discovery, we have been content to leave its defence in the portion is much expanded in comparison with hands of the official guardians of public health, whilst the the stem. The result of this is that after scrapopponents have had it all their own way in their guerilla ing, it is sometimes a difficult matter to withdraw warfare in press and platform, which they have carried on the curette, as the irritation of the uterus often with a zeal worthy of a better cause. The notice of John causes contraction of the muscular fibres at the Gibson Lockhart, founded on Mr. Andrew Lang’s recent To obviate these defects I have internal os. memoir of the biographer of Scott and early editor of modified the instrument in the following particulars :-1. The stem of the instrument is of - ZcA’oo, is very interesting and appreciative. considerable thickness (corresponding to No. 14 of Matthews Duncan’s uterine dilator). In this 2. The way a good flush of water is obtained. curetting portion is of the same width as the stem so as to permit of easy withdrawal. A
Leeds.
___
means of
New Inventions.
slight bend forwards is given to the cutting portion, so as to allow it to come into contact
COMPRESSED OXYGEN : ABBOTT’S GAS CYLINDER SLING. has been devised by Mr. T. B. Abbott, of Aberford, Yorkshire. It was suggested by his personal experience as a medical member of the rescue parties engaged after the frightful colliery explosion at THIS
arrangement
Micklefield in May, 1896. Compressed oxygen gas was’provided as soon as the work of rescue commenced and its But the restorative value was found to be very great. the extensive impossibility of carrying the cylinders over falls of stone in the workings along with the necessary dressings, restoratives, and lamp, showed Mr. Abbott that smaller cylinders were needful, and also that the cylinders must be slung in such a way as to be put on or off in a moment, both arms being left free to manipulate the gas, or to give restoratives, or to use dressings, &c. The sling is
I
with a flat surface. 3. The under surface of the stem (that corresponding to the cutting edge of the curette) is grooved after the manner of Budin’s uterine tube. The object of this is, of course, to allow a good return flow and prevent over-distension of the uterine cavity. The sectional area of the groove should be larger than that of the lumen of the tube. V The method I adopt in curetting is to pass Duncan’s solid dilators up to No. 16 ind then to pass in the curette, which, from one point )f view, exactly resembles No. 14 dilator. For curetting oon after incomplete abortion, when the cervix is easily lilateable, a larger instrument is employed. I have used ,his form of curette in a large number of cases during ,he last twelve months and am very well satisfied vith it. It is made by Messrs. Arnold and Sons, who have aken much trouble to meet my wishes. ARCHIBALD DONALD, M.R.C.P.Lond., M.R.C.S.Eng. St. Peter’s-square, Manchester.
a
skiagraphic
to the 10 ft. cylinders (or smaller), and it enables supply to be taken wherever a man can pass in the pit.
confirmation of the work
I suited this
Blac7z7vood’s JJfa,qazine. No. 973. November, 1896.-The article in this old-established periodical which has most interest for us is that by Sir T. Grainger Stewart on "Our Duty in Regard to Vaccination." Based upon the final report of the Royal Commission, to whose labours full justice is given, it constitutes one of the most temperate and logical pleas in support of universal vaccination which have been advanced. Sir T. Grainger Stewart deals tenderly with the
dissentient statement of the two Commissioners, but cannot avoid expressing surprise at the conclusion at which they arrived from the overwhelming evidence adduced before the Commission upon the efficacy of vaccination. He thinks, however, that the recommendations of the majority are lacking in decisiveness, or, rather, in pushing their opinions to their logical conclusion. The case for vaccination and re-vaccination having been fully established, he would, whilst improving the methods and The makers are Messrs. Reynolds and Branson, 13, Briggate, procedure, counsel legislation in favour of compulsory vac-" cination and re-vaccination, attaching "important penalties" to non-compliance with the law. Indeed, he considers that, A NEW UTERINE FLUSHING CURETTE. Utopian as it may seem, it would be well to " insist upon THE employment of a flushing curette has certain primary vaccination in infancy, a second vaccination at the advantages over the plan of first using a simple curette age of ten or twelve, a third at about twenty, and possibly and then washing out the uterine cavity by a another at thirty." He leaves to others the crucial point of ctouble-cnanneled tube. It removes all tissue determining how such recommendations could be enforced, as it is detached, washes out the blood and judging from recent experiences in actual small-pox outbefore it has time to clot, and by its use breaks we must reluctantly believe that it would be imposone instrument does the work of two. But sible to enforce any such penal laws in this country. At the flushing curettes in common use suffer the same time we cannot too heartily endorse his recomfrom several grave defects. The faults in the mendation that "every eft-ort should be made to satisfy of instruments are as follows:ordinary type the country of the untrustworthiness of the asser1. The stem is much too narrow; in consequence tions of the anti-vaccination propaganda, and so to the stream which flows through is small and the inform public opinion on the matter as to discourage those least portion of debris is sufficient to block the who seek to win popularity in ill-informed quarters by channel altogether ; further, the instrument is unscrupulous pandering to ignorance and prejudice." The very easily bent or snapped at the junction of fact is that, conscious of the value of Jenner’s memorable the stem with the handle. 2. The curetting discovery, we have been content to leave its defence in the portion is much expanded in comparison with hands of the official guardians of public health, whilst the the stem. The result of this is that after scrapopponents have had it all their own way in their guerilla ing, it is sometimes a difficult matter to withdraw warfare in press and platform, which they have carried on the curette, as the irritation of the uterus often with a zeal worthy of a better cause. The notice of John causes contraction of the muscular fibres at the Gibson Lockhart, founded on Mr. Andrew Lang’s recent To obviate these defects I have internal os. memoir of the biographer of Scott and early editor of modified the instrument in the following particulars :-1. The stem of the instrument is of - ZcA’oo, is very interesting and appreciative. considerable thickness (corresponding to No. 14 of Matthews Duncan’s uterine dilator). In this 2. The way a good flush of water is obtained. curetting portion is of the same width as the stem so as to permit of easy withdrawal. A
Leeds.
___
means of
New Inventions.
slight bend forwards is given to the cutting portion, so as to allow it to come into contact
COMPRESSED OXYGEN : ABBOTT’S GAS CYLINDER SLING. has been devised by Mr. T. B. Abbott, of Aberford, Yorkshire. It was suggested by his personal experience as a medical member of the rescue parties engaged after the frightful colliery explosion at THIS
arrangement
Micklefield in May, 1896. Compressed oxygen gas was’provided as soon as the work of rescue commenced and its But the restorative value was found to be very great. the extensive impossibility of carrying the cylinders over falls of stone in the workings along with the necessary dressings, restoratives, and lamp, showed Mr. Abbott that smaller cylinders were needful, and also that the cylinders must be slung in such a way as to be put on or off in a moment, both arms being left free to manipulate the gas, or to give restoratives, or to use dressings, &c. The sling is
I
with a flat surface. 3. The under surface of the stem (that corresponding to the cutting edge of the curette) is grooved after the manner of Budin’s uterine tube. The object of this is, of course, to allow a good return flow and prevent over-distension of the uterine cavity. The sectional area of the groove should be larger than that of the lumen of the tube. V The method I adopt in curetting is to pass Duncan’s solid dilators up to No. 16 ind then to pass in the curette, which, from one point )f view, exactly resembles No. 14 dilator. For curetting oon after incomplete abortion, when the cervix is easily lilateable, a larger instrument is employed. I have used ,his form of curette in a large number of cases during ,he last twelve months and am very well satisfied vith it. It is made by Messrs. Arnold and Sons, who have aken much trouble to meet my wishes. ARCHIBALD DONALD, M.R.C.P.Lond., M.R.C.S.Eng. St. Peter’s-square, Manchester.