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INSULATED BLOOD-BOTTLE CONTAINERS
379 Second Operation.-On Oct.
another operation and and
primary
suture
next
was
day
done.
15 ho was readmitted for the urea. was widely excised The wound healed hy first,
intention and has remained satisfactory.
Pathological Report.-The specimen consi.-,t,o(l of an ellipso measuring 44 X 28 mm., with a coitapscd Hinus I mm, in diameter opening at its centre. Section showed it sinus, lined for the most part by acute inflammatory granulaof skin
tion tissue, and containing many multinucleate foreignbody giant cells. No hairs were seen in this specimen, hut there were fragments of keratin. The lesion resembted t pilonidal sinus. The pilonidal sinus in this case was probably (hie to the constant trauma of the bucket of an artiiicia,! limb, hair being buried at a site of continual friction. Presum-
New Inventions INSULATED BLOOD-BOTTLE CONTAINERS THE temperature of a bottle of blood removed from the refrigerator at 4°C (39°F) and exposed to a room-temperatureof 17°—20° C(63°—68°F) will rise to about 10°C (50°F)
in one hour, and the blood is considered unfit for use after this time. Simple insulated containers have been devised in which bottles of blood can be kept for three hours under the above conditions without reaching a temperature
higher
than 8°C
(46°F).
To
ensure
that
r wish to thank Prof. Ian Aircl for his kind
help
and
criticistn. and Dr. (’. V. Harrison for the pathological reports. REFERENCES
Aird, I. (1952) Brit. med. J. i, 902. Ewing, M. R. (1947) Lancet, i, 427. Patey, D. H., Scarff, R. W. (1946) Ibid, ii, 484. (1948) Ibid, ii, 13. Smith, T. E. (1948) J. Amer. med. Ass. 136, 973. —
—
temperatures will be maintained if the containers are used in operating-theatres, bottles of water at 4°C were placed in the container, which was transferred to an After this incubator for two hours at 37 °C (98°F). rigorous test the temperature of the water was still only S)-5’(’ (49 F). The containers are made in two sizes, to take either three or six bottles, and are very light, the smaller weighing 5 lb. 7 oz. and the larger 8 lb. 4 oz. They are durable, attractive in appearance, and inexpensive. They can be
used with ice-inserts at the sacrifice of the space of one bottle in the case of the three-bottle container, the larger size taking the insert in addition to the six bottles. With these inserts a temperature of 4°—6°C (39"-13°F) can be maintained for at least twelve hours at any external temperature likely to be met with in this country. These boxes have been tested extensively under a variety of conditions and have withstood lengthy road, rail, and air journeys, in addition to continuous It is believed inter-departmental use. that their general use, particularly where blood is sent to wards and operatingtheatres for *’ stand-by " or for longcontinued transfusions, will appreciably lower the incidence of reactions and will help to prevent the more serious accidents due to bacterial growth in blood removed from the refrigerator for periods longer than an hour or so. There is good evidence that blood so treated constitutes a definite trans Fusion hazard which has received far too little attention in the past. The containers are made by Moulded Components (Jablo)
Ltd., Mill Lane, Waddon, Croydon, Surrey. C’entre, South London Blood Transfusion Centre,
satisfactory
A TEN-INCH NEEDLE-HOLDER extra-long needle-holder has not hitherto been produced in this country ; so, with the help of Mr. Lockwood, of Messrs. Skidmore Ltd., Sheffield. 1 designed the needle-holder illustrated and described here. This light-weight 10-inch needle-holder, made with straight or slightly cranked shafts, facilitates suturing in deep areas in the abdomen and chest. It is particularly useful for gastro-oesophageal anastomosis; for closure of the peritoneum over the œsophageal hiatus after vagotomy ; for obese gall-bladder patients;’ and for anterior resection of the rectum. AN
sinus became minimally infected from time to time, and this recurrent inflarrmuLtiom explained the variations in size of the swelling. An mnputa.tion stump may thus he added to the other potontial sites of pilonidal airrua, anll pilonidal sinus formation may he added to the causes of discomfort in an amputation stump.
!),hly the
It. A. ZEITLIN R. ZEITLIN’ M.R.C.s. M.R.C.S.
Sutton, Surrey
The instrument with the curved handles keeps the operator’s hand out of the field of vision and easy and accurate placing of the sutures is ensured when a deep anastomosis is being made, or suturing is being done
in places which are difficult of access. Both needleholders have hardened diamond-marked jaws which hold the needle in any position and prevent it from
rotating.
instrument is supplied by The 92, Borough Iligh Street, London. The Royal
Hospital,
Sheffield
Messrs. Down
Bros.,
DAVID AIKEN M.B.
Dubl.,
F.R.c.s. F.R.C.S.
another operation and and
primary
suture
next
was
day
done.
15 ho was readmitted for the urea. was widely excised The wound healed hy first,
intention and has remained satisfactory.
Pathological Report.-The specimen consi.-,t,o(l of an ellipso measuring 44 X 28 mm., with a coitapscd Hinus I mm, in diameter opening at its centre. Section showed it sinus, lined for the most part by acute inflammatory granulaof skin
tion tissue, and containing many multinucleate foreignbody giant cells. No hairs were seen in this specimen, hut there were fragments of keratin. The lesion resembted t pilonidal sinus. The pilonidal sinus in this case was probably (hie to the constant trauma of the bucket of an artiiicia,! limb, hair being buried at a site of continual friction. Presum-
New Inventions INSULATED BLOOD-BOTTLE CONTAINERS THE temperature of a bottle of blood removed from the refrigerator at 4°C (39°F) and exposed to a room-temperatureof 17°—20° C(63°—68°F) will rise to about 10°C (50°F)
in one hour, and the blood is considered unfit for use after this time. Simple insulated containers have been devised in which bottles of blood can be kept for three hours under the above conditions without reaching a temperature
higher
than 8°C
(46°F).
To
ensure
that
r wish to thank Prof. Ian Aircl for his kind
help
and
criticistn. and Dr. (’. V. Harrison for the pathological reports. REFERENCES
Aird, I. (1952) Brit. med. J. i, 902. Ewing, M. R. (1947) Lancet, i, 427. Patey, D. H., Scarff, R. W. (1946) Ibid, ii, 484. (1948) Ibid, ii, 13. Smith, T. E. (1948) J. Amer. med. Ass. 136, 973. —
—
temperatures will be maintained if the containers are used in operating-theatres, bottles of water at 4°C were placed in the container, which was transferred to an After this incubator for two hours at 37 °C (98°F). rigorous test the temperature of the water was still only S)-5’(’ (49 F). The containers are made in two sizes, to take either three or six bottles, and are very light, the smaller weighing 5 lb. 7 oz. and the larger 8 lb. 4 oz. They are durable, attractive in appearance, and inexpensive. They can be
used with ice-inserts at the sacrifice of the space of one bottle in the case of the three-bottle container, the larger size taking the insert in addition to the six bottles. With these inserts a temperature of 4°—6°C (39"-13°F) can be maintained for at least twelve hours at any external temperature likely to be met with in this country. These boxes have been tested extensively under a variety of conditions and have withstood lengthy road, rail, and air journeys, in addition to continuous It is believed inter-departmental use. that their general use, particularly where blood is sent to wards and operatingtheatres for *’ stand-by " or for longcontinued transfusions, will appreciably lower the incidence of reactions and will help to prevent the more serious accidents due to bacterial growth in blood removed from the refrigerator for periods longer than an hour or so. There is good evidence that blood so treated constitutes a definite trans Fusion hazard which has received far too little attention in the past. The containers are made by Moulded Components (Jablo)
Ltd., Mill Lane, Waddon, Croydon, Surrey. C’entre, South London Blood Transfusion Centre,
satisfactory
A TEN-INCH NEEDLE-HOLDER extra-long needle-holder has not hitherto been produced in this country ; so, with the help of Mr. Lockwood, of Messrs. Skidmore Ltd., Sheffield. 1 designed the needle-holder illustrated and described here. This light-weight 10-inch needle-holder, made with straight or slightly cranked shafts, facilitates suturing in deep areas in the abdomen and chest. It is particularly useful for gastro-oesophageal anastomosis; for closure of the peritoneum over the œsophageal hiatus after vagotomy ; for obese gall-bladder patients;’ and for anterior resection of the rectum. AN
sinus became minimally infected from time to time, and this recurrent inflarrmuLtiom explained the variations in size of the swelling. An mnputa.tion stump may thus he added to the other potontial sites of pilonidal airrua, anll pilonidal sinus formation may he added to the causes of discomfort in an amputation stump.
!),hly the
It. A. ZEITLIN R. ZEITLIN’ M.R.C.s. M.R.C.S.
Sutton, Surrey
The instrument with the curved handles keeps the operator’s hand out of the field of vision and easy and accurate placing of the sutures is ensured when a deep anastomosis is being made, or suturing is being done
in places which are difficult of access. Both needleholders have hardened diamond-marked jaws which hold the needle in any position and prevent it from
rotating.
instrument is supplied by The 92, Borough Iligh Street, London. The Royal
Hospital,
Sheffield
Messrs. Down
Bros.,
DAVID AIKEN M.B.
Dubl.,
F.R.c.s. F.R.C.S.