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TRACHEOTOMY INSTRUMENTS.
1120
NEW INVENTIONS.-LOOKING BACK. very serviceable-indeed, I have never even put out another for two years ; it is simpler than any other pattern of The above are all made by Messrs. Arnold and Sons. G. C. GARRATT, M.B. Cantab., Assistant Resident Medical Officer, London Fever Hospital.
proved
dilator.
New Inventions. TRACHEOTOMY INSTRUMENTS. IN certain cases of diphtheria after tracheotomy the trachea exudes a gummy secretion of great tenacity which not only necessitates very frequent cleansing of the inner There is then risk tube but renders its removal difficult. of the nurse pulling both tubes together from the shield, and I have known this happen both with Parker’s tubes and my own. The very simple contrivance figured (Fig. 1) renders FiG. 2.
NEW VACCINATION PAD. name of the "Limpet," is under introduced THIS pad, made of absorbent lint and cotton-wool, mounted on selfadhesive indiarubber plaster, the ample margin of the material which is provided ensuring the pad remaining firmly in position and this without any unpleasant constriction of the arm such as is caused by the The pad remains use of tapes, &c. firmly attached and is an efficient and comfortable protective covering. The pads are made in two sizes, children’s to retail at 2d. and adults to retail at 3d., by Solport Brothers, 188, Goswell-road, London, E. C.
the
such an accident impossible but it can only be used with tubes of my pattern. It is made of aluminium wire guarded at the ends with rubber and it is held in the palm of the right hand by means of the second finger crooked round the angle, leaving the thumb and the index-finger free. The FROM instrument being gently pressed (Fig. 2) against the wings of the outer tube the handle of the inner is grasped between APRIL the index-finger above and the thumb below, and a good now can be exerted with the use of pull perfect safety by one hand only ; further, the outer tube is held steady by the ST. THOMAS’S HOSPITAL. instrument and is not jogged about in the trachea. A _pril 15. The method of dressing tracheotomy wounds frequently HENRY the little child from whom Mr. TRAVERS PRINCE, adopted is messy and untidy ; by the use of the bandage! extracted a urinary calculus, on the 12th ultimo, has now It is of these drawbacks are removed. made figured (Fig. 3) pink jaconet, lined, except near the wound, with flannel, perfectly recovered from the effects of the operation, and In giving the .and it can be washed. Buttoned round the neck it holds the is entirely free from symptoms of stone. this child’s case, we cannot deep dressing firmly applied to the wound, while protecting concluding notice of out to the benevolent governors it from contamination by discharges from the tube or else- refrain from pointing where (Fig. 4.) This dressing need, therefore, be dis- of St. Thomas’s the forlorn axd hopeless prospect of this poor little infant. Through their benevolence FIG. 3. and the skill of their medical officers, he is restored to health, -but if their kindness be not extended beyond the limits usually prescribed to the patient of the hospital, we apprehend his rescue from death will prove rather a source of misery than happiness. We are informed that he is the offspring of ’parents who have had the inhumanity to forsake him, and who have consigned his welfare to the casual stranger. Should this child, now scarcely more than two years of age, be discharged from the hospital, we believe it is uncertain even to what parish he will be sent, much less to what friend ; therefore unless the governors humanely interfere to shield this infant and continue their protection, we fear they will only have kept him from one grave to which he was fast approaching for the purpose of sending him by a more painful and harrassing Now as we know that many of the route to another. governors peruse the columns of THE LANCET, we hope they will take the distressing circumstances of this orphan’s case into consideration, and protect him from that want to which we fear he will otherwise be inevitably doomed.
Looking Back.
THE LANCET, SATURDAY,
17, 1824.
, ,
SOCIETY turbed but rarely-once or twice in 24 hours. The tapes attached, also coloured pink for distinction, are tied in a bow over the superficial dressing, while the white tapes of the tube lie on the bandage and sodo not fret the neck. Tube, dressing, and bandage are usually put on and taken off together, and in such case a mere hole in the last two ’suffices ; if the tube is already in, however, then they must be slit. Coarse adjustment for different necks is attained by three sizes of bandage and fine adjustment by four buttonholes to each. The tubes shown are those which I described previously,1the only change which I have made being to bring the handle of the inner tube down lower. They are easier ’to clean during and after use than either Parker’s or Durham’s. The dilating director figured at that time has 1
New
Tracheotomy Instruments,
THE
LANCET, July 21st, 1900, p. 180.
FOR
RELIEF
OF
WIDOWS
AND
ORPHANS
MEDICAL MEN.-A quarterly court of the directors of the society was held on April 9th, at 11, Chandos-street, W., the President, Mr. Christopher Heath, being in the chair. The report for 1901 was read. Seven new members were elected and the deaths of four members were reported. Applications for the renewal of grants were read from 52 widows, 11 orphans, and five recipients from the Copeland Fund, and a sum of Cl282 was voted to be given at the next court. Two fresh applications from widows were read and grants were made. Donations amounting OF
to £221
15s., including .E200 from the executors of Miss
C. A. Birch, were announced, Nine members were nominated for election at the annual general meeting to fill the vacancies in the court of directors. The expenses of -the quarter were .gS8 5s.2 The annual general meeting ’will be held on May 21st, at 5 P. M ...
NEW INVENTIONS.-LOOKING BACK. very serviceable-indeed, I have never even put out another for two years ; it is simpler than any other pattern of The above are all made by Messrs. Arnold and Sons. G. C. GARRATT, M.B. Cantab., Assistant Resident Medical Officer, London Fever Hospital.
proved
dilator.
New Inventions. TRACHEOTOMY INSTRUMENTS. IN certain cases of diphtheria after tracheotomy the trachea exudes a gummy secretion of great tenacity which not only necessitates very frequent cleansing of the inner There is then risk tube but renders its removal difficult. of the nurse pulling both tubes together from the shield, and I have known this happen both with Parker’s tubes and my own. The very simple contrivance figured (Fig. 1) renders FiG. 2.
NEW VACCINATION PAD. name of the "Limpet," is under introduced THIS pad, made of absorbent lint and cotton-wool, mounted on selfadhesive indiarubber plaster, the ample margin of the material which is provided ensuring the pad remaining firmly in position and this without any unpleasant constriction of the arm such as is caused by the The pad remains use of tapes, &c. firmly attached and is an efficient and comfortable protective covering. The pads are made in two sizes, children’s to retail at 2d. and adults to retail at 3d., by Solport Brothers, 188, Goswell-road, London, E. C.
the
such an accident impossible but it can only be used with tubes of my pattern. It is made of aluminium wire guarded at the ends with rubber and it is held in the palm of the right hand by means of the second finger crooked round the angle, leaving the thumb and the index-finger free. The FROM instrument being gently pressed (Fig. 2) against the wings of the outer tube the handle of the inner is grasped between APRIL the index-finger above and the thumb below, and a good now can be exerted with the use of pull perfect safety by one hand only ; further, the outer tube is held steady by the ST. THOMAS’S HOSPITAL. instrument and is not jogged about in the trachea. A _pril 15. The method of dressing tracheotomy wounds frequently HENRY the little child from whom Mr. TRAVERS PRINCE, adopted is messy and untidy ; by the use of the bandage! extracted a urinary calculus, on the 12th ultimo, has now It is of these drawbacks are removed. made figured (Fig. 3) pink jaconet, lined, except near the wound, with flannel, perfectly recovered from the effects of the operation, and In giving the .and it can be washed. Buttoned round the neck it holds the is entirely free from symptoms of stone. this child’s case, we cannot deep dressing firmly applied to the wound, while protecting concluding notice of out to the benevolent governors it from contamination by discharges from the tube or else- refrain from pointing where (Fig. 4.) This dressing need, therefore, be dis- of St. Thomas’s the forlorn axd hopeless prospect of this poor little infant. Through their benevolence FIG. 3. and the skill of their medical officers, he is restored to health, -but if their kindness be not extended beyond the limits usually prescribed to the patient of the hospital, we apprehend his rescue from death will prove rather a source of misery than happiness. We are informed that he is the offspring of ’parents who have had the inhumanity to forsake him, and who have consigned his welfare to the casual stranger. Should this child, now scarcely more than two years of age, be discharged from the hospital, we believe it is uncertain even to what parish he will be sent, much less to what friend ; therefore unless the governors humanely interfere to shield this infant and continue their protection, we fear they will only have kept him from one grave to which he was fast approaching for the purpose of sending him by a more painful and harrassing Now as we know that many of the route to another. governors peruse the columns of THE LANCET, we hope they will take the distressing circumstances of this orphan’s case into consideration, and protect him from that want to which we fear he will otherwise be inevitably doomed.
Looking Back.
THE LANCET, SATURDAY,
17, 1824.
, ,
SOCIETY turbed but rarely-once or twice in 24 hours. The tapes attached, also coloured pink for distinction, are tied in a bow over the superficial dressing, while the white tapes of the tube lie on the bandage and sodo not fret the neck. Tube, dressing, and bandage are usually put on and taken off together, and in such case a mere hole in the last two ’suffices ; if the tube is already in, however, then they must be slit. Coarse adjustment for different necks is attained by three sizes of bandage and fine adjustment by four buttonholes to each. The tubes shown are those which I described previously,1the only change which I have made being to bring the handle of the inner tube down lower. They are easier ’to clean during and after use than either Parker’s or Durham’s. The dilating director figured at that time has 1
New
Tracheotomy Instruments,
THE
LANCET, July 21st, 1900, p. 180.
FOR
RELIEF
OF
WIDOWS
AND
ORPHANS
MEDICAL MEN.-A quarterly court of the directors of the society was held on April 9th, at 11, Chandos-street, W., the President, Mr. Christopher Heath, being in the chair. The report for 1901 was read. Seven new members were elected and the deaths of four members were reported. Applications for the renewal of grants were read from 52 widows, 11 orphans, and five recipients from the Copeland Fund, and a sum of Cl282 was voted to be given at the next court. Two fresh applications from widows were read and grants were made. Donations amounting OF
to £221
15s., including .E200 from the executors of Miss
C. A. Birch, were announced, Nine members were nominated for election at the annual general meeting to fill the vacancies in the court of directors. The expenses of -the quarter were .gS8 5s.2 The annual general meeting ’will be held on May 21st, at 5 P. M ...